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Donze C, Benoit A, Thuret I, Faust C, Gauthier A, Berbis J, Badens C, Brousse V. β-Thalassemia in childhood: Current state of health in a high-income country. Br J Haematol 2023; 201:334-342. [PMID: 36606625 DOI: 10.1111/bjh.18631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 12/10/2022] [Accepted: 12/16/2022] [Indexed: 01/07/2023]
Abstract
β-thalassemia is an haemoglobinopathy characterized by a defective synthesis of the β-globin chain. To assess the current state of health of paediatric patients with β-thalassemia, data from the French national registry regarding children born between 2005 and 2020 with β-thalassemia intermedia (TI) or major (TM) were collected. A total of 237 patients (median age 7.1 years at last visit) were analysed, of whom 156 (65.8%) were born in France and 162 (68.4%) had a TM phenotype. The probability of survival for children with TM born in France was 98.3% at 15 years. Fifty-four (22.8%) children received a haematopoietic stem cell transplant with a success rate of 88.8%. Hepatic and cardiac iron overload monitoring in non-transplanted patients showed moderate overload in 15.7% (18/115) and 7.1% (7/99) of cases, respectively, while clinical complications were found in only 4 patients with TM (hepatic in 3 cases). At last visit, mean ferritinemia was 1293 ng/ml (±759). Overall, less than 10% of children underwent splenectomy. No significant impact of the disease on growth or academic achievement was observed. Deferasirox was the main first-line chelator, prescribed in 78.2% of cases, with side effects reported in 11.7% of instances.
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Affiliation(s)
- Caroline Donze
- Centre de Référence MCGRE, Service d'Hématologie, Hôpital La Timone Enfants, APHM, Marseille, France
| | - Audrey Benoit
- National Thalassemia Registry (NaThalY), Service de Génétique, Hôpital La Timone Enfants, APHM, Marseille, France
| | - Isabelle Thuret
- Centre de Référence MCGRE, Service d'Hématologie, Hôpital La Timone Enfants, APHM, Marseille, France
| | - Cindy Faust
- Service d'Epidemiologie et d'Economie de la Santé, Unité de Recherche Clinique, Direction de la Recherche en Santé, APHM, Marseille, France
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- National Thalassemia Registry (NaThalY), Service de Génétique, Hôpital La Timone Enfants, APHM, Marseille, France
| | - Alexandra Gauthier
- National Thalassemia Registry (NaThalY), Service de Génétique, Hôpital La Timone Enfants, APHM, Marseille, France.,Institut d'Hématologie et d'Oncologie Pédiatrique, Centre de Référence MCGRE, Hospices Civils de Lyon, Lyon, France.,Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM) EA7424, Team "Vascular Biology and Red Blood Cell", Université Claude Bernard Lyon 1, Université de Lyon, Lyon, France
| | - Julie Berbis
- Service d'Epidemiologie et d'Economie de la Santé, Unité de Recherche Clinique, Direction de la Recherche en Santé, APHM, Marseille, France
| | - Catherine Badens
- National Thalassemia Registry (NaThalY), Service de Génétique, Hôpital La Timone Enfants, APHM, Marseille, France.,Aix Marseille Univ, INSERM, MMG, Marseille, France
| | - Valentine Brousse
- National Thalassemia Registry (NaThalY), Service de Génétique, Hôpital La Timone Enfants, APHM, Marseille, France.,Centre de Référence MCGRE, Service d'Hématologie-Immunologie, AP-HP, Hôpital Robert Debré, Paris, France.,Université Paris Cité and Université des Antilles, Inserm, BIGR, Paris, France
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152
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Nandi SK, Suma AY, Rashid A, Kabir MA, Goh KW, Abdul Kari Z, Van Doan H, Zakaria NNA, Khoo MI, Seong Wei L. The Potential of Fermented Water Spinach Meal as a Fish Meal Replacement and the Impacts on Growth Performance, Reproduction, Blood Biochemistry and Gut Morphology of Female Stinging Catfish ( Heteropneustes fossilis). Life (Basel) 2023; 13:life13010176. [PMID: 36676125 PMCID: PMC9863030 DOI: 10.3390/life13010176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Revised: 12/09/2022] [Accepted: 12/13/2022] [Indexed: 01/11/2023] Open
Abstract
The identification and development of a new plant-based feed ingredient as an alternative protein source to FM have gained the interest of the aquafeed industrial players. Therefore, this study aimed to investigate the physical, biochemical, and bacteriological properties of dietary FWM and the impacts on the growth and reproductive performances of farmed female stinging catfish, H. fossilis broodstock. Five experimental diets were formulated with different FWM inclusion (0, 25, 50, 75, and 100%). Fatty acid profiles such as 4:0, 10:0, 20:0, 21:0, 22:0, 24:0, 20:1n9, 18:3n6, 20:3n6, 20:4n6, and 22:6n3 were found in higher levels in FWM compared to the water spinach meal (WM). Meanwhile, there were no significant differences in the physical properties of the FWM experimental diets (p > 0.05). Furthermore, the experimental feed with 0%, 25%, 50%, and 75% FWM were more palatable to the broodstock than 100% FWM. The number of total bacteria (TB) and lactic acid bacteria (LAB) in catfish diets exhibited a rising trend with an increase in FWM, while 50% of FWM-fed fish intestines had a significantly (p < 0.05) higher TB and LAB than other treatment groups. The growth, feed utilization, and reproductive variables of H. fossilis were significantly (p < 0.05) influenced by FWM inclusion at various levels. Moreover, the significantly (p < 0.05) highest oocytes weight, fertilization, egg ripeness, and ovipositor diameter were observed in the treatment of 50% FWM diet treatment group. In addition, the spawning response was 100% in all treatments except for the control group (66.67%). Significant differences (p < 0.05) were found in the hematological and serum biochemical indices in most treatment groups. In addition, the histological analysis of H. fossilis midintestinal tissue indicated that the fish fed with a 50% FWM diet had an unbroken epithelial barrier with more goblet cell arrangements and a well-organized villi structure and tunica muscularis compared to other treatment groups. These outcomes suggested that FWM at 50% inclusion is an adequate protein supplement for fish feed, resulting in better growth, reproductive performance, and health of H. fossilis broodstock development.
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Affiliation(s)
- Shishir Kumar Nandi
- Department of Aquaculture, Sylhet Agricultural University, Sylhet 3100, Bangladesh
| | - Afrina Yeasmin Suma
- Department of Aquaculture, Sylhet Agricultural University, Sylhet 3100, Bangladesh
| | - Aminur Rashid
- Department of Aquaculture, Sylhet Agricultural University, Sylhet 3100, Bangladesh
| | - Muhammad Anamul Kabir
- Department of Aquaculture, Sylhet Agricultural University, Sylhet 3100, Bangladesh
- Correspondence: (M.A.K.); (K.W.G.); (Z.A.K.)
| | - Khang Wen Goh
- Faculty of Data Science and Information Technology, INTI International University, Nilai 71800, Malaysia
- Correspondence: (M.A.K.); (K.W.G.); (Z.A.K.)
| | - Zulhisyam Abdul Kari
- Department of Agricultural Sciences, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli Campus, Jeli 17600, Malaysia
- Advanced Livestock and Aquaculture Research Group, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli Campus, Jeli 17600, Malaysia
- Correspondence: (M.A.K.); (K.W.G.); (Z.A.K.)
| | - Hien Van Doan
- Department of Animal and Aquatic Sciences, Faculty of Agriculture, Chiang Mai University, Chiang Mai 50200, Thailand
- Science and Technology Research Institute, Chiang Mai University, 239 HuayKeaw Rd., Suthep, Muang, Chiang Mai 50200, Thailand
| | - Nik Nur Azwanida Zakaria
- Advanced Livestock and Aquaculture Research Group, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli Campus, Jeli 17600, Malaysia
- Department of Agro-Based Industry, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli Campus, Jeli 17600, Malaysia
| | - Martina Irwan Khoo
- Department of Chemical Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Malaysia
| | - Lee Seong Wei
- Department of Agricultural Sciences, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli Campus, Jeli 17600, Malaysia
- Advanced Livestock and Aquaculture Research Group, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli Campus, Jeli 17600, Malaysia
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153
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Spertus JA, Grady KL. Leveraging Patient-Reported Outcomes to Identify Important Opportunities to Improve Care of Patients With Heart Failure. JACC Heart Fail 2023:S2213-1779(22)00724-7. [PMID: 36881397 DOI: 10.1016/j.jchf.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 12/12/2022] [Indexed: 02/04/2023]
Affiliation(s)
- John A Spertus
- Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City, Kansas City, Missouri, USA
| | - Kathleen L Grady
- Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
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154
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Laraqui O, Roland-Levy C, Manar N, Laraqui S, Ghailan T, Deschamps F, Laraqui CEH. Health status, sleeping habits and dyssomnia of coastal fishermen. Int Marit Health 2022; 73:163-71. [PMID: 36583402 DOI: 10.5603/IMH.2022.0029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 11/30/2022] [Accepted: 11/23/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The aim of this survey was to assess the health status, sleep habits and dyssomnia of coastal fishermen. MATERIALS AND METHODS This cross-sectional survey involved a representative sample of 948 coastal fishermen. All participants were men and had a regular activity for at least 2 years. We used an individual questionnaire inspired by those of Morphée network, the National Institute for Research and Security of France, and of the Karasek's Job Content Questionnaire. RESULTS The prevalence of sociodemographic and individual parameters was similar in rotating shiftwork (RW) and in nocturnal work (NW). The average age of the total population was 38.8 ± 8.1 years. The prevalence of sleep habits and alertness disorders was similar in RW and in NW. The average daily sleep time of the total population was 5.5 ± 0.9 hours during the week, and 8.7 ± 0.8 hours during the holidays, Fridays and recovery days. Upon waking, 49.7% of the subjects felt tired and sleepy, 43.2% fit and 7.1% had a headache. 47.2% reported being chronic insomniac. The index of severity of insomnia was moderate to severe in 29.6%. The prevalence of excessive daytime sleepiness (Epworth > 10) was 16.2%. Fatigue, iso-strain and socio-economic concerns were associated with a higher risk of chronic insomnia. CONCLUSIONS Coastal fishermen were at a high risk of chronic dyssomnia and alertness disorders. Education initiatives should be conducted to raise fishermen's awareness on their health and safety consequences.
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155
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Eliasen EH, Weihe P, Debes F, Tróndarson M, Petersen MS. 10-Year Follow-up of the Original Faroese Septuagenarian Cohort: Focus on Frailty and Association With All-cause Mortality. Gerontol Geriatr Med 2023; 9:23337214231167980. [PMID: 37077430 PMCID: PMC10108422 DOI: 10.1177/23337214231167980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 03/09/2023] [Accepted: 03/17/2023] [Indexed: 04/21/2023] Open
Abstract
Little is known about the health status of Faroese people reaching high age. The purpose of this study was to elucidate the health status of older adults in a small-scale society with emphasis on frailty and all-cause mortality. In this 10-year follow-up study, 347 Faroese citizens aged 80 to 84 from the Faroese Septuagenarian cohort participated. A detailed health examination was conducted, in addition to self-reported questionnaire. We constructed a 40-item Frailty Index (FI) to assess frailty. Survival and mortality risks were analyzed using Kaplan-Meier curves and Cox proportional hazard model. Median FI score was 0.28 ranging from 0.09 to 0.7; 71 (21%) individuals were least frail, 244 (67%) moderately frail, and 41 (12%) were most frail. Frailty and sex were statistically significantly associated with mortality; being male was associated with hazard ratio (HR) of 4.05 [CI 1.73, 9.48], and being most frail with HR of 6.2 [CI 1.84, 21.3]. Classification of octogenarians as least/moderately frail may be an opportunity to initiate interventions to prevent or delay frailty in this population stratum.
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Affiliation(s)
- Eina H. Eliasen
- The Faroese Hospital System, Tórshavn, Faroe Islands
- University of the Faroe Islands, Tórshavn, Faroe Islands
- Eina H. Eliasen, Department of Occupational Medicine and Public Health, the Faroese Hospital System, Sigmundargøta 5, Tórshavn, FO-100, Faroe Islands.
| | - Pál Weihe
- The Faroese Hospital System, Tórshavn, Faroe Islands
- University of the Faroe Islands, Tórshavn, Faroe Islands
| | - Fróði Debes
- The Faroese Hospital System, Tórshavn, Faroe Islands
| | | | - Maria Skaalum Petersen
- The Faroese Hospital System, Tórshavn, Faroe Islands
- University of the Faroe Islands, Tórshavn, Faroe Islands
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156
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Lycholip V, Puronaitė R, Skorniakov V, Navickas P, Tarutytė G, Trinkūnas J, Burneikaitė G, Kazėnaitė E, Jankauskienė A. Assessment of the disease severity in patients hospitalized for COVID-19 based on the National Early Warning Score (NEWS) using statistical and machine learning methods: An electronic health records database analysis. Technol Health Care 2023; 31:2513-2524. [PMID: 37840515 DOI: 10.3233/thc-235016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) was a cause of concern in the healthcare system and increased the need for disease severity indicators. However, they still vary in use to evaluate in-hospital outcomes and severity. The National Early Warning Score (NEWS) is routinely used to evaluate patient health status at the hospital. Further research is needed to ensure if NEWS can be a good instrument for an overall health status assessment with or without additional information like laboratory tests, intensive care needs, and history of chronic diseases. OBJECTIVE To evaluate if NEWS can be an indicator to measure COVID-19 patient status in-hospital. METHODS We used the fully anonymized Electronic Health Records (EHR) characterizing patients admitted to the hospital with COVID-19. Data was obtained from Vilnius University Hospital Santaros Klinikos EHR system (SANTA-HIS) from 01-03-2020 to 31-12-2022. The study sample included 3875 patients. We created several statistical and machine learning models for discrimination between in-hospital death/discharge for evaluation NEWS as a disease severity measure for COVID-19 patients. In these models, two variable sets were considered: median NEWS and its combination with clinical parameters and medians of laboratory test results. Assessment of models' performance was based on the scoring metrics: accuracy, sensitivity, specificity, area under the ROC curve (AUC), and F1-score. RESULTS Our analysis revealed that NEWS predictive ability for describing patient health status during the stay in the hospital can be increased by adding the patient's age at hospitalization, gender, clinical and laboratory variables (0.853 sensitivity, 0.992 specificity and F1-score - 0.859) in comparison with single NEWS (0.603, 0.995, 0.719, respectively). A comparison of different models showed that stepwise logistic regression was the best method for in-hospital mortality classification. Our findings suggest employing models like ours for advisory routine usage. CONCLUSION Our model demonstrated incremental value for COVID-19 patient's status evaluation.
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Affiliation(s)
- Valentinas Lycholip
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Institute of Applied Mathematics, Faculty of Mathematics and Informatics, Vilnius University, Vilnius, Lithuania
| | - Roma Puronaitė
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Institute of Data Science and Digital Technologies, Faculty of Mathematics and Informatics, Vilnius University, Vilnius, Lithuania
- Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Viktor Skorniakov
- Institute of Applied Mathematics, Faculty of Mathematics and Informatics, Vilnius University, Vilnius, Lithuania
| | - Petras Navickas
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
- State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania
| | - Gabrielė Tarutytė
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Department of Research and Innovation, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Justas Trinkūnas
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Faculty of Fundamental Sciences, Vilnius Gediminas Technical University, Vilnius, Lithuania
| | - Greta Burneikaitė
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Edita Kazėnaitė
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Augustina Jankauskienė
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
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157
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Fuchs J, Gaertner B, Rommel A, Starker A. Informal caregivers in Germany - who are they and which risks and resources do they have? Front Public Health 2023; 11:1058517. [PMID: 36875417 PMCID: PMC9978811 DOI: 10.3389/fpubh.2023.1058517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 01/24/2023] [Indexed: 02/18/2023] Open
Abstract
Background The aim of this study is to describe the social characteristics, the health and living situation and the prevalence of behavioral risk factors of adult informal caregivers compared to non-caregivers in Germany. Methods We used data from the German Health Update (GEDA 2019/2020-EHIS survey) which is a cross-sectional population-based health interview survey conducted between 04/2019 and 09/2020. The sample comprised 22,646 adults living in private households. Three mutually exclusive groups of providing informal care or assistance were differentiated: intense caregivers (informal care ≥10 h/week), less-intense caregivers (informal care<10 h/week) and non-caregivers. For the three groups weighted prevalences of social characteristics, health status (self-perceived health, health-related activity limitations, chronic diseases, low back disorder or other chronic back defect, depressive symptoms), behavioral risk factors (at-risk drinking, current smoking, insufficient physical activity, non-daily fruit and vegetable consumption, obesity) and social risk factors (single household, low social support) were calculated and stratified by gender. Separate regression analyses adjusted for age-group were conducted to identify significant differences between intense and less-intense caregivers vs. non-caregivers, respectively. Results Overall, 6.5% were intense caregivers, 15.2% less-intense caregivers and 78.3% non-caregivers. Women provided care more often (23.9%) than men (19.3%). Informal care was most frequently provided in the age group of 45 to 64 years. Intense caregivers reported worse health status, were more often current smokers, physical inactive, obese and lived less often alone than non-caregivers. However, in age-group adjusted regression analyses only few significant differences were seen: Female and male intense caregivers had more often a low back disorder and lived less often alone compared to non-caregivers. In addition, male intense care-givers reported more often worse self-perceived health, health-related activity limitation, and the presence of chronic diseases. In contrast, less-intense caregivers and non-caregivers differed in favor of the less-intense caregivers. Discussion A substantial proportion of the adult German population provides informal care regularly, especially women. Intense caregivers are a vulnerable group for negative health outcomes, especially men. In particular measures to prevent low back disorder should be provided. As the necessity of providing informal care will probably increase in the future, this will be important for the society and public health.
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Affiliation(s)
- Judith Fuchs
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Beate Gaertner
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Alexander Rommel
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Anne Starker
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
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158
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Dakroub D, Sakr F, Dabbous M, Dia N, Hammoud J, Rida A, Ibrahim A, Fahs H, Obeid S, Hallit S, Malaeb D. The socio-demographic and lifestyle characteristics associated with quality of life among diabetic patients in Lebanon: a cross-sectional study. Pharm Pract (Granada) 2023; 21:2775. [PMID: 37090463 PMCID: PMC10117344 DOI: 10.18549/pharmpract.2023.1.2775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 11/03/2022] [Indexed: 04/25/2023] Open
Abstract
Objective Diabetes mellitus (DM) is a chronic non-communicable endocrine disease that has a considerable impact on both the health and quality of life (QoL) of patients. This study aimed to investigate the sociodemographic factors associated with the quality of life among the Lebanese population with DM. Methods A cross-sectional study that enrolled 125 diabetic patients aged ≥18, was conducted between January and June of 2021. The validated Arabic version of the Audit of Diabetes-Dependent Quality of Life (ADDQoL) questionnaire is utilized by all patients to measure the quality of life (QoL). A logistic regression was then performed. Results The life domains "freedom to eat" and "freedom to drink", were the most negatively impacted by diabetes. According to the multivariate analysis monthly income OR 3.4, 95 % CIs 1.25 -9.6, P = 0.017, educational level (OR) 0.2, 95 % CIs 0.07 -0.89, HbA1c (OR) 7, 95 % CIs 1.5 -32.35, and FBG [odds ratio (OR) 1.01, 95 % (CIs) 1.004 -1.021, P = 0.005] were independently associated with impaired QOL. Conclusion The study showed that diabetes generally had a negative impact on QoL. The findings also suggest that certain sociodemographic factors, such as monthly income and educational level along with clinical parameters like HbA1c, might be associated with a lower quality of life among Lebanese diabetic patients.
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Affiliation(s)
- Diana Dakroub
- PharmD. Lebanese International University, School of Pharmacy, Lebanon.
| | - Fouad Sakr
- PharmD, MPH. Lebanese International University, School of Pharmacy, Lebanon. Université Paris-Est Créteil, École Doctorale Sciences de la Vie et de la Santé, Université Paris-Est Créteil, Institut Mondor de Recherche Biomédicale, France.
| | - Mariam Dabbous
- PharmD. Lebanese International University, School of Pharmacy, Lebanon.
| | - Nada Dia
- PharmD, MSc, MPH. Lebanese International University, School of Pharmacy, Lebanon.
| | - Jana Hammoud
- PharmD. Lebanese International University, School of Pharmacy, Lebanon.
| | - Aya Rida
- PharmD. Lebanese International University, School of Pharmacy, Lebanon.
| | - Aya Ibrahim
- PharmD. Lebanese International University, School of Pharmacy, Lebanon.
| | - Hala Fahs
- PharmD. Lebanese International University, School of Pharmacy, Lebanon.
| | - Sahar Obeid
- BSc, MSc, PhD. School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon.
| | - Souheil Hallit
- PharmD, MSc, MPH, PhD. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. Research Department, Psychiatric Hospital of the Cross, P.O. Box 60096, Jal Eddib, Lebanon. Applied Science Research Center, Applied Science Private University, Amman, Jordan.
| | - Diana Malaeb
- PharmD, BCPS, MPH, PhD. Lebanese International University, School of Pharmacy, Lebanon. College of Pharmacy, Gulf Medical University, United Arab Emirates.
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159
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De R, Bhattacharya A, Basu R, Das M, Sarkar A, Pattanayak SK. Factors influencing contribution of geriatric persons in the society: A glance from a rural area of West Bengal. Indian J Public Health 2023; 67:99-104. [PMID: 37039213 DOI: 10.4103/ijph.ijph_1127_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2023] Open
Abstract
Background To facilitate healthy aging in India, it is important not only to acknowledge older people's contribution but also to understand their perception regarding their impact in the society along with society's attitude toward them. Objectives This study aims to assess their self-perceived contribution in the society and the factors related with their contribution. Methods It was an observational, descriptive, cross-sectional study, conducted at Amdanga block of North 24 Parganas district, West Bengal, during July 2021-June 2022. A total 0f 384 geriatrics were interviewed by the house-to-house survey with the help of a predesigned, pretested and semi-structured schedule. Potential predictors of contribution were investigated using the multivariate logistic regression model. Results 78.9% of participants had contribution in the society. 85.9% were taking care of family members when they were sick. 93.2% were sharing their opinion with the family members. 86.5% were participating in various social works. 79.1% were suffering from at least one physical health problem. With increase in the number of health problems, chances of good contribution decreases. In case of self-perceived contribution in the society family type, employment, physical health and social participation are influencing the most. Conclusion Elderly people are taking care of not only family members, but even relatives and neighbors also. They are sharing their knowledge and experience with family members and in the society. They are also contributing financially. Employment and proper health-care infrastructure for geriatric may be helpful to maximize their contribution.
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Affiliation(s)
- Rajesh De
- Assistant Professor, Department of Community Medicine, Santiniketan Medical College, Birbhum, West Bengal, India
| | - Archita Bhattacharya
- Senior Resident, Department of Community Medicine, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - Rivu Basu
- Associate Professor, Department of Community Medicine, Bankura Sammilani Medical College, Bankura, West Bengal, India
| | - Manisha Das
- Senior Resident, Department of Community Medicine, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - Arnab Sarkar
- Public Health Expert, Swasthya Bhawan, Department of Health and Family Welfare, Government of West Bengal, Kolkata, West Bengal, India
| | - Sourav Kumar Pattanayak
- Senior Resident, Department of Community Medicine, Tamralipta Government Medical College, Purba Medinipur, West Bengal, India
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160
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E Y, Yang J, Niu L, Lu C. The impact of internet use on health status among older adults in China: The mediating role of social support. Front Public Health 2023; 11:1108096. [PMID: 36908418 PMCID: PMC9992883 DOI: 10.3389/fpubh.2023.1108096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 02/06/2023] [Indexed: 02/25/2023] Open
Abstract
Background With the popularization of the Internet, the use of the Internet is becoming more and more important in the daily life of older adults. However, previous research mainly focuses on Internet use and health in general, and the mechanism of this effect remains to be studied. To bridge this gap, this study aims to explore the mediational effects of social support between Internet use and health among older adults in China. Methods The data used in this article are from the 2021 Chinese General Social Survey (CGSS). Social support is divided into two aspects and four dimensions: informal social support (relatives support, friends support, neighbors support) and formal social support (social insurance). This article uses the nested multivariate OLS regression models to analyze the impact of Internet use on health. Furthermore, Finally, SPSS macro PROCESS is applied to test their mediation effects. Results Informal social support positively influenced the health status among older adults, while formal social support did not. Among the three types of informal social support, relatives support and friends support significantly affected health status among Chinese older adults. Regarding social support differences between urban and rural areas, it was found that relatives support is a positively significant factor for rural older adults, while friends support is significant for urban older adults. Conclusions Since Internet use has many ways of impacting health status, social support only plays a partial mediating role in this study. It recommends that the government should take compelling measures to encourage and promote the use of the Internet among older adults and obtain various social support to improve their health status.
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Affiliation(s)
- Yiting E
- Department of Sociology, School of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, China
| | - Jianke Yang
- Department of Sociology, School of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, China
| | - Long Niu
- Department of Sociology, School of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, China
| | - Chunli Lu
- School of Normal Education, Longyan University, Longyan, Fujian, China
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161
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Solanki HM, Ranpariya PN, Chudasama RK. Health Status and Treatment Outcome of Tuberculosis with Diabetes Mellitus Cases, Rajkot City, Gujarat - A Longitudinal Study. Indian J Community Med 2023; 48:75-81. [PMID: 37082395 PMCID: PMC10112767 DOI: 10.4103/ijcm.ijcm_171_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 10/07/2022] [Indexed: 12/05/2022] Open
Abstract
Background India, with the highest number of tuberculosis (TB) cases in the world, is also facing epidemic growth in diabetes mellitus (DM). TB is curable while DM is a metabolic and incurable disease that if not controlled will affect the health status of a person. This study was conducted to assess the health status and treatment outcome of TB with DM cases. Materials and Methods We selected a total of 64 newly registered pulmonary TB (PTB) with DM cases from five tuberculosis units (TUs) in Rajkot city from October 2019 to December 2020. At the end of treatment, 64 cases were analyzed for treatment outcome and 56 cases (5 deaths; 3 lost to follow-up) were followed up to observe progression in health status. The information was collected in pretested proforma by interview. Results There was a significant improvement in TB symptoms (cough, weight loss, weakness, anorexia, evening rise of temperature, dyspnea, chest pain, hemoptysis), DM symptoms (frequent urination, excessive thirst and hunger, tingling and numbness), symptoms of mental health (fatigue, sleep disturbance, negative emotions, socially inactive), and adverse drug reactions (ADRs) on consecutive visits (McNemar's test, P < 0.001) and at the end of treatment (Cochran's Q test, P < 0.001). Improvement of nutritional status was also found statistically significant on consecutive visits (Wilcoxon test, P < 0.001) and at the end of treatment (Friedman's test, P < 0.001). The cure rate was 82.8% and 4.7% of cases had completed treatment. Conclusion At the end of treatment, there was a significant improvement in health status and treatment outcome; also good cure rate was reported among cases.
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Affiliation(s)
- Harsha M. Solanki
- Department of Community Medicine, P D U Government Medical College, Rajkot, Gujarat, India
| | - Pooja N. Ranpariya
- Department of Community Medicine, P D U Government Medical College, Rajkot, Gujarat, India
| | - Rajesh K. Chudasama
- Department of Community Medicine, P D U Government Medical College, Rajkot, Gujarat, India
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162
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Kim J, Jeon GE, Cha NH. Effects of Health Intentions and Health-promoting Behavior on Selfesteem among School-aged Children in South Korea. Curr Pediatr Rev 2023; 19:304-311. [PMID: 35975867 DOI: 10.2174/1573396318666220816092534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 04/08/2022] [Accepted: 05/19/2022] [Indexed: 02/08/2023]
Abstract
BACKGROUND The purpose of this study was to identify the predictors of self-esteem and the relationships between health-promoting behavior, health intentions, and self-esteem among school-aged children and provide basic data for the development of programs that can influence self-esteem among school-aged children in South Korea. INTRODUCTION This study aimed to identify the predictors of self-esteem and the relationships between health intentions and health-promoting behavior and self-esteem among school-aged children. METHODS The study design was a cross-sectional study. The data were collected using a selfreported questionnaire on health intentions, health-promoting behavior, and self-esteem. The data were collected from elementary school students from February 3 to 13, 2020. Data analysis was performed using the SPSS program. RESULTS Positive correlations were found between self-esteem and both health-promoting behavior (r=.503, p < 0.001) and health intentions (r=.511, p < 0.001). Also, the relationship between health intentions and health-promoting behavior (r = 0.629, p < 0.001) exhibited positive correlation. Selfesteem was identified as a significant predictor of health intentions (β = 0.28, p < 0.001), healthpromoting behavior (β = 0.21, p < 0.001), school records (β = -0.20, p < 0.001), perceived health status (β = 0.18, p < 0.001), and academic grade (β = -0.10, p < 0.05), with an explanatory power of 39.0%. CONCLUSION The results indicated that self-esteem positively affects health intentions and healthpromoting behavior.
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Affiliation(s)
- Jin Kim
- Department of Nursing, Jeonbuk Science College, Jeongeup, Republic of Korea
| | - Ga Eul Jeon
- Department of Nursing, Mokpo Catholic University, Mokpo, Republic of Korea
| | - Nam Hyun Cha
- Department of Nursing, Andong National University, Andong, Republic of Korea
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163
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Güler M, Öztürk E, Yanar N. The predictive effect of basic military training and general health status on sleep quality. Int Marit Health 2023; 74:180-185. [PMID: 37781944 DOI: 10.5603/imh.95536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 08/11/2023] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND Military universities and academies affiliated with the law enforcement provide education for students who are physically and psychologically suitable for this field, unlike other university educations. This education can affect general health because it requires discipline and special effort both practically and theoretically. In this context, the aim of our study is to examine the general health status of military students in terms of some variables. MATERIALS AND METHODS One hundred twenty-two male students studying at the Gendarmerie and Coast Guard Academy participated in the study. The general health status of the participants was determined by the SF-12 Brief Health Questionnaire, and their sleep quality was determined by the Pittsburg Sleep Quality Index (PSQI). In the analysis of the data, Spearmans' rho correlation, binomial logistic regression and scatter diagram analysis were used for independent groups. All analyses were performed in the Jamovi 2.3.21.0 analysis programme according to 95% confidence interval and 0.05 significance level. RESULTS Increased physical and mental health scores of the participants, not smoking, and having a good diet were found to increase the likelihood of improving sleep quality. It was concluded that initial active duty for training, alcohol use, and being in a school team did not predict the likelihood of improving sleep quality. CONCLUSIONS As a result, it may be recommended that military students should have good general health, pay attention to nutrition and avoid smoking to improve low sleep quality.
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Affiliation(s)
- Melek Güler
- Karamanoğlu Mehmetbey University, Sport Science Faculty, Türkiye.
| | - Emsal Öztürk
- Ankara Gendarmerie Coast Guard Academy, Ankara, Türkiye
| | - Nazlı Yanar
- Karamanoğlu Mehmetbey University, Sport Science Faculty, Türkiye
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164
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Igarashi A, Sakata Y, Azuma-Kasai M, Kamiyama H, Kawaguchi M, Tomita K, Ishii M, Ikeda M. Linguistic and Psychometric Validation of the Cognition Bolt-On Version of the Japanese EQ-5D-5L for the Elderly. J Alzheimers Dis 2023; 91:1447-1458. [PMID: 36641680 PMCID: PMC9986695 DOI: 10.3233/jad-221080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
BACKGROUND The need for a cognition bolt-on version of the EQ-5D, which would capture cognitive impairment by adding a dimension to the generic instrument assessing health status, has been increasing in Japan. OBJECTIVE To develop a cognition bolt-on version of the 5-level EQ-5D (EQ-5D-5L+C), we linguistically validated a cognition dimension and psychometrically validated the EQ-5D-5L+C. METHODS Following linguistic validation of the cognition dimension, psychometric validation of the EQ-5D-5L+C proxy version utilized anonymized data collected from nursing home residents between October 2021 to April 2022. The validity, reliability, and sensitivity to change were evaluated. RESULTS Data from 254 participants, including the finalized Japanese EQ-5D-5L+C proxy version, were analyzed for the psychometric validation. Mean (±standard deviation) age and Mini-Mental State Examination (MMSE) scores were 87.14±7.29 years and 15.76±8.46, respectively. The correlation was strongest between the cognition dimension and MMSE scores (rs = -0.640). Test-retest reliability was good in the cognition dimension in both baseline and two-time points (3 months: k = 0.644; 6 months: k = 0.656). Although a correlation between changes in the cognition dimension and those in the MMSE score from baseline was weak (3 months: rs = -0.191; 6 months: rs = -0.267), a correlation with changes in the MMSE score was higher when the cognition dimension was added compared to the EQ-5D alone (3 months: rs = -0.142 versus rs = -0.074). CONCLUSION The Japanese EQ-5D-5L+C proxy version developed is a valid tool that captures health status including cognitive function, with a consideration for an over-time assessment. The benefits in adding the cognition dimension to the EQ-5D-5L to assess health state were suggested.
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Affiliation(s)
- Ataru Igarashi
- Department of Public Health, Yokohama City University School of Medicine, Kanagawa, Japan.,Department of Health Economics and Outcomes Research, Graduate School of Pharmaceutical Sciences, The University of Tokyo, Tokyo, Japan
| | | | | | | | | | | | | | - Manabu Ikeda
- Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Japan
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165
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Wirayuda AAB, Jarallah S, Al-Mahrezi A, Alsamara M, Barkat K, Chan MF. Unlocking the Secrets of Longevity: Exploring the Impact of Socioeconomic Factors and Health Resources on Life Expectancy in Oman and Qatar. Inquiry 2023; 60:469580231212224. [PMID: 38008897 PMCID: PMC10683384 DOI: 10.1177/00469580231212224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 10/04/2023] [Accepted: 10/13/2023] [Indexed: 11/28/2023]
Abstract
In an era marked by a sweeping pandemic and the encroaching shadow of an energy crisis, the well-being and lifespan of global populations have become pressing concerns for every nation. This research zeroes in on life expectancy (LE), a powerful indicator of societal health in Oman and Qatar. Our study juxtaposes 3 key factors affecting LE: health status and resources (HSR), macroeconomics (ME), and sociodemographic (SD) factors. To achieve this, we tapped into a comprehensive data set from the World Bank, encompassing a transformative 3-decade span from 1990 to 2020. The intricate interplay between these factors and LE was deciphered through robust Structural Equation Modeling (SEM). Our findings construct a compelling narrative: ME has an indirect yet considerable influence on LE-manifesting with an effect of 0.602 for Oman and 0.676 for Qatar. This influence is mediated by SD and HSR components. Similarly, SD elements impact LE indirectly-with an effect of 0.653 for Oman and 0.759 for Qatar- this effect is mediated by HSR. In contrast, HSR themselves wield a robust and direct influence on LE, indicated by an effect of 0.839 for Oman and 0.904 for Qatar. All these aforementioned effects were statistically substantial (P < .001). Our research magnifies the robust direct influence of HSR on LE in both Oman and Qatar, simultaneously highlighting the noteworthy indirect role of ME and SD factors. This emphasizes the significance of adopting an integrated policy approach that considers all the SD, ME, and HSR factors to improve the population health in both countries, which are also crucial for promoting LE growth in the Gulf Cooperation Council region.
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Affiliation(s)
- Anak Agung Bagus Wirayuda
- Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
- Faculty of Medicine and Health, Institut Teknologi Sepuluh Nopember, Surabaya, Indonesia
| | - Shaif Jarallah
- Department of Finance and Economics, College of Business and Economics, Qatar University, Doha, Qatar
| | - Abdulaziz Al-Mahrezi
- Director General, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman
| | - Mouyad Alsamara
- Department of Finance and Economics, College of Business and Economics, Qatar University, Doha, Qatar
| | - Karim Barkat
- Department of Finance and Economics, College of Business and Economics, Qatar University, Doha, Qatar
| | - Moon Fai Chan
- Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
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166
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Slayter J, Casey L, O’Connell C. Patient Reported Outcome Measures in Adult Spinal Muscular Atrophy: A Scoping Review and Graphical Visualization of the Evidence. J Neuromuscul Dis 2023; 10:239-250. [PMID: 36530090 PMCID: PMC10041426 DOI: 10.3233/jnd-221595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2022] [Indexed: 12/15/2022]
Abstract
BACKGROUND Spinal Muscular Atrophy (SMA) is a hereditary neuromuscular disease with an estimated prevalence of 1/10 000 births. SMA is increasingly recognized as a multi-system disease with a need to study additional under-recognized health domains such as quality of life, fatigue, bulbar function, respiratory function, and independence. OBJECTIVE Identify and assess reported evidence from the literature investigating Patient Reported Outcome Measures (PROMs) in adults with SMA. Develop a novel method drawing from network theory to graphically depict the literature, PROMs, and supporting psychometric evidence. METHODS A scoping review was completed following PRISM-ScR, COSMIN and JBI scoping review guidelines. Literature investigating PROMs in adult SMA or neuromuscular disease was identified from peer-reviewed and grey databases. A network graph was derived from extracted data. RESULTS 5292 articles were retrieved, 81 articles met inclusion criteria; corresponding to 31 unique PROMs. Only two PROMs were developed specifically for SMA. Few PROMs covered multiple domains of health. Most PROMs were incompletely validated, focusing on concurrent validity, and few assessed responsiveness or internal consistency. CONCLUSIONS PROMs are emerging tools for monitoring and assessing adults with SMA. Despite their potential benefits, additional validation studies should be completed prior to their use for clinical decision-making. Network graphics may represent a technique to aid in the visualization of evidence supporting a scoping review.
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Affiliation(s)
- Jeremy Slayter
- Dalhousie Medicine New Brunswick, Faculty of Medicine, Dalhousie University, Saint John, NB, Canada
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, NB, Canada
| | - Lauren Casey
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, NB, Canada
| | - Colleen O’Connell
- Dalhousie Medicine New Brunswick, Faculty of Medicine, Dalhousie University, Saint John, NB, Canada
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, NB, Canada
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167
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Dourgnon P, Jusot F, Marsaudon A, Sarhiri J, Wittwer J. Just a question of time? Explaining non-take-up of a public health insurance program designed for undocumented immigrants living in France. Health Econ Policy Law 2023; 18:32-48. [PMID: 35927936 DOI: 10.1017/S1744133122000159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
State Medical Aid is a public health insurance program that allows undocumented immigrants with low financial resources to access health care services for free. However, the low take-up rate of this program might threaten its efficiency. The purpose of this study is therefore to provide the determinants of such a low take-up rate. To this end, we rely on the Premier Pas survey. This is an original representative sample of undocumented immigrants attending places of assistance to vulnerable populations in France. Determinants of State Medical Aid take-up are analyzed through probit and Cox modeling. The results show that only 51% of those who are eligible for the State Medical Aid program are actually covered, and this proportion is higher among women than among men. The length of stay in France is the most important determinant of take-up. It is worth noting that State Medical Aid take-up is not associated with chronic diseases or functional limitations and is negatively associated with poor mental health. There is, therefore, mixed evidence of health selection into the program. Informational barriers and vulnerabilities experienced by undocumented immigrants are likely to explain this low take-up.
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168
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Pumipak B, Jittimanee S, Thananun S, Mathong K, Poungdok J, Sinsap M, Sueathong T, Kongruang O, Faungprachakorn S, Thunyaphun T, Insook P, Soontornmon K. Symptom Experience and Perceived Health Status of People With Long COVID in Thailand. SAGE Open Nurs 2023; 9:23779608231206748. [PMID: 37854789 PMCID: PMC10580730 DOI: 10.1177/23779608231206748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 09/12/2023] [Accepted: 09/23/2023] [Indexed: 10/20/2023] Open
Abstract
Introduction Despite the World Health Organization declaring COVID-19 no longer a public health emergency, reports of long COVID persist globally, raising concerns about its impact on individuals. Objective This retrospective study aimed to explore the symptom experiences of individuals with long COVID-19 and examine the relationship between those experiences and perceived negative health status in Thailand. Methods The study focused on individuals with moderate to severe COVID-19 infections. Between July 3, 2022 and December 1, 2022, we conducted telephone interviews with 86 individuals who tested positive for SARS-CoV-2 and received outpatient care in Bangkok. The COVID-19 Yorkshire Rehabilitation Screening was utilized to measure symptom occurrence, duration, severity, and health status on an 11-point numerical rating scale from 0 (none or excellent) to 10 (the worst). A Spearman rank correlation was used to analyze the relationships between long COVID symptoms and negative perception of health status. Results Among the participants, 75.6% had long COVID, with a median of three symptoms lasting for a median duration of 5.6 months. Difficulties in performing daily activities were most common, reported by 50.8% of participants. The majority (80.0%) experienced itching, headache, cognition, muscle pain, continence, and sleeping problem for 6 months. Loss of taste was the most severe symptom, with a mean severity rating of 8.8. There were significant positive relations between a negative perception of health status and multiple symptoms, symptom severity, functional disability, and additional symptoms. Conclusion Individuals with moderate to severe COVID-19 infection who experienced long COVID had poorer perceived health status. To effectively manage and improve the health status of individuals with long COVID, nurses should provide follow-up care, assess not only the occurrence of symptoms but also their duration and severity, and evaluate performance outcomes.
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Affiliation(s)
- Bangern Pumipak
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | | | - Sirima Thananun
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | - Kaewjai Mathong
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | - Jomtien Poungdok
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | - Manthana Sinsap
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | - Thatsanee Sueathong
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | - Oranong Kongruang
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | | | - Thunyarut Thunyaphun
- Department of Disease Control, Institute for Urban Disease Control and Prevention, Nonthaburi, Thailand
| | - Poramate Insook
- Faculty of Nursing, Rajamangala University of Technology Thanyaburi
| | - Kaewalee Soontornmon
- Department of Disease Control, Rayong Occupational Health and Environmental Development Center (ROHED Center), Nonthaburi, Thailand
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169
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Fehrmann E, Ebenbichler G, Tüchler K, Habenicht R, Mair P, Fischer-Grote L, Hasenbring M, Kienbacher T. Do the WHO-ICF personal factors "age" and "sex" impact limited activity and restricted participation category profiles differently between younger and older women and men in multimodal chronic back pain rehabilitation? Disabil Rehabil 2023; 45:41-50. [PMID: 35040736 DOI: 10.1080/09638288.2021.2023665] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
PURPOSE To investigate if the International Classification of Functioning and Health (ICF) context factors "age" and "sex" would impact the disablement and respective improvement with rehabilitation defined with the ICF core set for chronic low back pain (cLBP). Furthermore, associations between limitations/restrictions and measures of body function or quality of life were of interest. MATERIALS AND METHODS One thousand five hundred and twelve employed cLBP patients who completed 6 months of outpatient rehabilitation and for whom complete assessments were available before and after rehabilitation. Rehabilitation comprised of progressive resistance training, psychological counseling, and educational sessions. Main outcome measures were the ICF-activity/participation core categories automatically predicted from random forests and utilizing information from the Roland Morris Disability Questionnaire and Pain Disability Index. RESULTS Generalized linear-mixed models revealed that upon completion of rehabilitation the presence of a limitation within the ICF activity "walking" significantly decreased with significant between-group differences. The category "doing housework" demonstrated gender-specific differences, and both gender- and age-specific differences were observed for work-related participation categories. There were no meaningful associations between ICF limitation/restriction categories and body function measures (point-biserial/Spearman's correlations). CONCLUSIONS The personal factors "age" and "sex" impact some ICF limitation/restriction categories in cLBP; appropriately addressing these personal features could further improve phase III rehabilitation outcome.Implications for rehabilitationConsistent with calls to explore the age and sex/gender influence on health and disease, little is known how these factors affect the disablement of individuals with chronic back pain.The factors "age" and "sex" drive differences in some categories within the ICF activity/restriction categories.If age- and gender-specific features in activities and participation are not appropriately addressed through interventions, rehabilitation outcome may remain suboptimal in cLBP.
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Affiliation(s)
- Elisabeth Fehrmann
- Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria.,Karl Landsteiner Privatuniversität für Gesundheitswissenschaften, Krems, Austria
| | - Gerold Ebenbichler
- Department of Physical Medicine, Rehabilitation and Occupational Medicine, Vienna Medical University, Vienna, Austria
| | - Kerstin Tüchler
- Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria
| | - Richard Habenicht
- Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria
| | - Patrick Mair
- Department of Psychology, Harvard University, Cambridge, MA, USA
| | - Linda Fischer-Grote
- Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria
| | - Monika Hasenbring
- Department of Medical Psychology and Medical Sociology, Ruhr University of Bochum, Bochum, Germany.,Department of Psychology, University of Southern Denmark, Odense, Denmark
| | - Thomas Kienbacher
- Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria
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170
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Garcia RC, dos Santos NQ, do Nascimento DE, Antunes MD, Kerber VL, Bertolini SMMG. Morphofunctional parameters, physical fitness and musculoskeletal symptoms in cooperative recyclers. Rev Bras Med Trab 2023; 21:e2023827. [PMID: 37197344 PMCID: PMC10185395 DOI: 10.47626/1679-4435-2023-827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 07/22/2021] [Indexed: 05/19/2023] Open
Abstract
Introduction Members of solid waste recycling cooperatives are exposed to serious conditions and complications in their everyday life, which makes them likely to present poor quality of life and unfavorable health conditions in their work environment. Objectives To evaluate morphofunctional parameters, physical fitness, and musculoskeletal symptoms of workers at solid waste recycling cooperatives in Maringá, state of Paraná, Brazil. Methods This was a quantitative, cross-sectional, descriptive study. Data were collected from 60 cooperative members of both sexes linked to the Popular and Solidarity Recycling Association of Maringá. Participants underwent a medical screening at the cooperative, involving anamnesis, pulmonary and cardiac auscultation, and blood pressure measurement. In a second moment, they underwent physical assessment in the laboratory, using instruments for physical tests and questionnaires. Results There was a predominance of females in the sample (54%), with a mean age of 41.82±12.03 years, and most participants did not practice physical activity (70%). With regard to body composition, women had the highest body mass index (28.29±6.61 kg/m2); as for the variables physical and aerobic fitness, men showed better scores than women (p < 0.05). In relation to musculoskeletal symptoms, most participants complained of lower back pain (56.66%). Conclusions Although the results for anthropometric variables are within normal standards in most cooperative members, most of them present with musculoskeletal symptoms and do not practice physical activity, which can have negative implications in their health conditions in the medium and long term.
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Affiliation(s)
- Raiane Caroline Garcia
- Departamento de Pós-Graduação Strictu Sensu em
Promoção da Saúde, Universidade Cesumar, Maringá, PR,
Brazil
- Correspondence address: Raiane Caroline Garcia - Rua Andirá,
107 - Bairro Jardim São Marcos - CEP: 86975-00 - Mandaguari (PR), Brazil
- E-mail:
| | - Natália Quevedo dos Santos
- Departamento de Pós-Graduação Strictu Sensu em
Promoção da Saúde, Universidade Cesumar, Maringá, PR,
Brazil
| | | | - Mateus Dias Antunes
- Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional,
Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP,
Brazil
| | - Vera Lúcia Kerber
- Departamento de Pós-Graduação Strictu Sensu em
Promoção da Saúde, Universidade Cesumar, Maringá, PR,
Brazil
| | - Sônia Maria Marques Gomes Bertolini
- Departamento de Pós-Graduação Strictu Sensu em
Promoção da Saúde, Universidade Cesumar, Maringá, PR,
Brazil
- Instituto Cesumar de Ciência, Tecnologia e
Inovação ICETI, Universidade Cesumar, Maringá, PR, Brazil
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Mokina NA, Mokin ED. [Regional experience of a comprehensive dynamic assessment of the adolescents' health status with post-COVID-19 syndrome during aftercare in a sanatorium]. Vopr Kurortol Fizioter Lech Fiz Kult 2023; 100:39-44. [PMID: 37141521 DOI: 10.17116/kurort202310002139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
OBJECTIVE To determine the characteristics of sanatorium-resort therapy impact on children with post-COVID-19 syndrome of various severity, as well as to reveal association of its severity with family history data and genetic polymorphisms of alpha-1-antitrypsin-serpin-1 complex. MATERIAL AND METHODS This 2-week retrospective cohort study involved 42 adolescents after new coronavirus infection (COVID-19). The first group included 28 (67%) patients (mean age 13.1±0.8 years) after mild COVID-19 (without confirmed coronavirus pneumonia), the second group - 14 (33%) patients (mean age 14.5±0.1.2 years) after moderate or severe disease (with confirmed coronavirus pneumonia). A complex of procedures, according to the approved standard, was prescribed for all patients admitted after outpatient and hospital treatment to the pulmonology department of the state children's sanatorium in order to aftercare. The certain follow-up parameters were evaluated: symptoms severity, life quality, respiratory function and respiratory gases, as well as family medical history and alpha-1-antitrypsin-serpin-1 complex. RESULTS Patients after moderate and severe COVID-19 had initially lower and less dynamic growth of integral life quality index, more torpid follow-up rates of spirometry, pulse oximetry and exhaled gases. Additionally, the higher incidence degree of adverse family medical history associated with respiratory illnesses was established in the group after new coronavirus infection. Moreover, relatively more deficient alpha-1-antitrypsin and more frequent heterozygous polymorphism type of serpin-1 were found in the group after severe new coronavirus infection. CONCLUSION The revealed complex of epigenetic and genetic factors may indicate various risk and development phenotypes of both acute and chronic respiratory diseases.
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Affiliation(s)
- N A Mokina
- Samara State children's sanatorium «Yunost», Samara, Russia
| | - E D Mokin
- Samara State Medical University, Samara, Russia
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172
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Garr Barry V, Chiang JL, Bowman KG, Johnson KD, Gower BA. Bioimpedance-Derived Membrane Capacitance: Clinically Relevant Sources of Variability, Precision, and Reliability. Int J Environ Res Public Health 2022; 20:686. [PMID: 36613010 PMCID: PMC9819400 DOI: 10.3390/ijerph20010686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 12/23/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
Membrane capacitance (CM), a bioimpedance-derived measure of cell membrane health, has been suggested as an indicator of health status. However, there are few published data to support its use in clinical settings. Hence, this study evaluated clinically relevant sources of variation, precision, and reliability of CM measurements. This longitudinal study included 60 premenopausal women. Sources of variability (e.g., demographics, body composition, serum measures, diet) were identified by stepwise regression. Precision and reliability were assessed by the coefficient of variation (CV), intraclass correlation coefficients (ICC), and technical error of the measurement (TEM) for intra-day (30 min apart) and inter-day measurements (7-14 days apart). Body composition, temperature, and metabolic activity were identified as sources of variability. CM measurements had high precision (CV = 0.42%) and high reliability for intra-day (ICC = 0.996) and inter-day (ICC = 0.959) measurements, independent of menstrual cycle and obesity status. Our results showed that CM measurements are sensitive to clinical factors and have high precision and reliability. The results of this study suggest that CM is sufficiently reliable for health status monitoring in conditions with variation in body composition, metabolic activity, or body temperature among premenopausal women.
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Affiliation(s)
- Valene Garr Barry
- Department of Obstetrics and Gynecology, Division of Clinical Research, School of Medicine in St. Louis, Washington University, St. Louis, MO 63108, USA
| | - Jasmine L. Chiang
- Department of Obstetrics and Gynecology, School of Medicine, The University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Kaylan G. Bowman
- Department of Nutrition Sciences, School of Health Professions, The University of Alabama at Birmingham; Birmingham, AL 35294, USA
| | - Kristina D. Johnson
- Department of Nutrition Sciences, School of Health Professions, The University of Alabama at Birmingham; Birmingham, AL 35294, USA
| | - Barbara A. Gower
- Department of Nutrition Sciences, School of Health Professions, The University of Alabama at Birmingham; Birmingham, AL 35294, USA
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173
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Fernández-Carballido C, Jovaní V, Catalán EB, Moreno-Ramos MJ, Sanz Sanz J, Gallego A, García Vivar ML, Rodríguez-Heredia JM, Sanabra C, Sastré C. Disease activity indexes might not capture the same disease aspects in males and females with ankylosing spondylitis: A real-world nationwide analysis. Front Med (Lausanne) 2022; 9:1078325. [PMID: 36619648 PMCID: PMC9811117 DOI: 10.3389/fmed.2022.1078325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 12/05/2022] [Indexed: 12/24/2022] Open
Abstract
Background To evaluate gender differences in disease activity and health status (HS) in patients with radiographic axial spondyloarthritis (r-axSpA)/ankylosing spondylitis (AS). Methods Ancillary analysis of the MIDAS study, an observational, non-interventional, cross-sectional and retrospective multicenter nationwide study to assess disease activity and its relationship with HS in clinical practice. Adult patients with AS diagnosis, fulfilling ASAS and modified New York criteria, treated for ≥3 months upon study inclusion according to clinical practice were included. The primary outcome was "disease control" assessed by the percentage of patients in remission and low disease activity (BASDAI and ASDAS-CRP scores). HS was evaluated using the ASAS health index (ASAS-HI). Patients' responses and characteristics were analyzed by gender. Results We analyzed 313 patients with AS, 237 (75.7%) males and 76 (24.3%) females. A total of 202 (64.5%) patients had adequate disease control (BASDAI < 4); 69.2% of males [mean (SD) BASDAI 2.9 (2.1)] and 50.0% of females [mean (SD) BASDAI 3.8 (2.4); p = 0.01]. According to ASDAS-CRP, 57.5% of patients were adequately controlled (ASDAS-ID +ASDAS-LDA); 138 (58.2%) males and 42 (55.3%) females. The mean (SD) ASDAS-CRP was 1.9 (1.1); being 1.9 (1.0) in males and 2.0 (1.1) in females. Overall, the impact of AS on HS was low to moderate [mean (SD) ASAS-HI 5.8 (4.4)]; being 5.5 (4.4) for males and 6.8 (4.2) for females (p = 0.02). Conclusion This study showed a higher proportion of females with AS and active disease using the BASDAI definition. When using the ASDAS-CRP definition these differences by gender were less pronounced. The impact of disease activity on HS appears to be higher in females than males.
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Affiliation(s)
- Cristina Fernández-Carballido
- Department of Rheumatology, Hospital Universitario San Juan de Alicante, Alicante, Spain,*Correspondence: Cristina Fernández-Carballido ✉
| | - Vega Jovaní
- Department of Rheumatology, Hospital General Universitario Dr. Balmis, Alicante Institute of Health and Biomedical Research (ISABIAL), Alicante, Spain
| | | | | | - Jesús Sanz Sanz
- Department of Rheumatology, Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - Adela Gallego
- Department of Rheumatology, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain
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174
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Wiśniowska-Szurlej A, Ćwirlej-Sozańska A, Wilmowska-Pietruszyńska A, Sozański B. Determinants of Physical Activity in Older Adults in South-Eastern Poland. Int J Environ Res Public Health 2022; 19:ijerph192416922. [PMID: 36554802 PMCID: PMC9779636 DOI: 10.3390/ijerph192416922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 12/10/2022] [Accepted: 12/12/2022] [Indexed: 05/13/2023]
Abstract
The aim of our study is to assess factors determining the uptake of physical activity (PA) by older people living in south-eastern Poland. This is a cross-sectional study. The study included 858 older people aged 75 and over living in south-eastern Poland. PA was assessed by asking about the time spent on any at least moderate PA per week and about doing planned strengthening exercises to improve muscle strength and muscular endurance. Functional status, disability and quality of life in older people were also assessed. Logistic regression models were used to identify the factors related to PA. In the study group, only 25.64% performed a minimum of 150 min of moderate-intensity exercise, while strengthening exercises were performed by 22.49%. The most important factors influencing the uptake of PA were age, number of chronic diseases, place of residence, education, social activity, housing conditions, quality of life and health status. In summary, the study population represents a low level of PA uptake, with the majority not meeting the World Health Organization recommendations for PA uptake by older people. Our findings suggest individualized efforts to promote public health and increase PA among older people over 75 years of age.
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Affiliation(s)
- Agnieszka Wiśniowska-Szurlej
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, University of Rzeszow, 35-310 Rzeszow, Poland
- Correspondence: ; Tel.: +48-60-418-1162
| | - Agnieszka Ćwirlej-Sozańska
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, University of Rzeszow, 35-310 Rzeszow, Poland
| | | | - Bernard Sozański
- Institute of Medicine, College of Medical Sciences of the University of Rzeszow, University of Rzeszow, 35-310 Rzeszow, Poland
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175
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Bushueva EV, Mingazova EN, Gerasimova LI, Sharapova OV, Dianova TI, Ivanova ON. [The health of children of adolescent age delivered on time with light and large body mass]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2022; 30:1240-1244. [PMID: 36541301 DOI: 10.32687/0869-866x-2022-30-6-1240-1244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Indexed: 12/24/2022]
Abstract
The need to preserve and promote health of children determine one of the basic directions of development of public social policy. It is the most important strategic purpose of modern children health care, since from it depend health of the nation, increasing of life expectancy and national economic potential.Purpose of the study is to assess health status of children of adolescent age born at term with diagnosis "fetus with low birth weight for gestational age" and with large body mass. The bibliographic, information-analytical and comparative analysis methodology were applied.
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Affiliation(s)
- E V Bushueva
- The Federal State Budget Educational Institution of Higher Education "The I. N. Ulyanov Chuvash State University"
| | - E N Mingazova
- N. A. Semashko National Research Institute of Public Health.,The Federal State Budget Educational Institution of Higher Education "The Kazan State Medical University"
| | - L I Gerasimova
- The State Budget Institution of Health Care of Moscow "The V. V. Vinogradov Municipal Clinical Hospital of the Moscow Health Care Department"
| | - O V Sharapova
- The State Budget Institution of Health Care of Moscow "The V. V. Vinogradov Municipal Clinical Hospital of the Moscow Health Care Department"
| | - T I Dianova
- The Federal State Budget Educational Institution of Higher Education "The I. N. Ulyanov Chuvash State University"
| | - O N Ivanova
- The Federal State Budget Educational Institution of Higher Education "The I. N. Ulyanov Chuvash State University"
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176
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Short VL, Hand DJ, Pyfer L, Steiger H, Gannon M, Jaffe G, Abatemarco DJ. Health Status and Preventive Health Services Among Reproductive-Aged Women in Treatment for Opioid Use Disorder. Womens Health Rep (New Rochelle) 2022; 3:998-1005. [PMID: 36636314 PMCID: PMC9811839 DOI: 10.1089/whr.2022.0057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/17/2022] [Indexed: 12/23/2022]
Abstract
Objective To assess the utilization of preventive health services and the prevalence of chronic health conditions among a cohort of women in treatment for opioid use disorder (OUD). Methods Ninety-seven women who were receiving treatment for OUD from a single urban treatment program completed a self-administered anonymous online questionnaire that asked about demographics, health, receipt of preventive health services, and utilization of health care. Descriptive statistics were used to describe data. Results More than one-third of respondents reported that their health was fair or poor, whereas one-quarter were very concerned with their health. Most participants (59%) reported at least one chronic health condition; nearly 1 in 5 reported two or more conditions. Less than half of respondents had received a routine medical examination in the past year. Vaccine uptake was low; 56% received the coronavirus disease 2019 vaccine and 36% received the annual influenza vaccine. Conclusions Women in treatment for OUD could benefit from enhanced health care to address the high rates of chronic diseases and risk factors and underutilization of recommended preventive health services. Interventions and models of care that aim to enhance utilization of such services, and ultimately improve the health of this vulnerable population, may be worth exploring.
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Affiliation(s)
- Vanessa L. Short
- College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.,Address correspondence to: Vanessa L. Short, PhD, MPH, College of Nursing, Thomas Jefferson University, 1233 Locust St. Suite 401, Philadelphia, PA 19107, USA.
| | - Dennis J. Hand
- College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Lauren Pyfer
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Hanna Steiger
- College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Meghan Gannon
- College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Gregory Jaffe
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Diane J. Abatemarco
- College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
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177
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Murillo-Llorente MT, Montagud-Hidalgo P, Pérez-Murillo J, Legidos-García ME, Palau-Ferré A, Pérez-Bermejo M. Nutritional Assessment of the Infant Population of the Chirikyacu Indigenous Community of Peru. Nutrients 2022; 14. [PMID: 36558378 DOI: 10.3390/nu14245217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Revised: 12/03/2022] [Accepted: 12/06/2022] [Indexed: 12/13/2022] Open
Abstract
Malnutrition is one of the main public health problems affecting early childhood development, compromising the health and quality of life of thousands of Peruvian children. The main contribution of this work is the analysis of the nutritional status of the infant population of the Chirikyacu Indigenous Community of Peru in order to evaluate current and future food policies. It is a cross-sectional study with a sample of 19 children between 6 months and 6 years of age. Sociodemographic, anthropometric, clinical variables and dietary habits were analyzed from 7 January to 4 February 2018. The mean age of the children was 29.74 months (SD = 23.91). We found statistically significant differences between the BMI values of boys and girls (p < 0.05; Mann−Whitney test). According to the z-scores, 35.29% suffer from malnutrition, although in no case is it severe. Hair, nails and skin were in good condition in general, except for some cases showing signs of nutritional deficiency. Dietary patterns are based on legumes, vegetables, dairy products, ice cream, cookies and sweets, and are considered insufficient to cover basic needs; water intake was also insufficient. Breastfeeding lasted an average of 14 months (SD = 2.9). We found a prevalence of malnutrition higher than that established by the WHO in Latin America among the children of Chirikyacu. The dietary pattern is insufficient to cover basic needs, so it is necessary to continue with nutritional educational interventions to improve it.
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178
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Machado FVC, Vogelmeier CF, Jörres RA, Watz H, Bals R, Welte T, Spruit MA, Alter P, Franssen FME. Differential Impact of Low Fat-Free Mass in People With COPD Based on BMI Classifications: Results From the COPD and Systemic Consequences-Comorbidities Network. Chest 2022; 163:1071-1083. [PMID: 36470414 DOI: 10.1016/j.chest.2022.11.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 11/27/2022] [Indexed: 12/08/2022] Open
Abstract
BACKGROUND Alterations in body composition, including a low fat-free mass index (FFMI), are common in patients with COPD and occur regardless of body weight. RESEARCH QUESTION Is the impact of low FFMI on exercise capacity, health-related quality of life (HRQL), and systemic inflammation different among patients with COPD stratified in different BMI classifications? STUDY DESIGN AND METHODS We analyzed baseline data of patients with COPD from the COPD and Systemic Consequences-Comorbidities Network cohort. Assessments included lung function, bioelectrical impedance analysis, 6-min walk distance (6MWD), HRQL, and inflammatory markers. Patients were stratified in underweight, normal weight (NW), preobese, and obese according to BMI and as presenting low, normal, or high FFMI using 25th and 75th percentiles of reference values. Linear mixed models were used to investigate the associations between fat-free mass (FFM) and fat mass with secondary outcomes in each BMI group. RESULTS Two thousand one hundred thirty-seven patients with COPD (Global Initiative for Chronic Obstructive Lung Disease stages 1-4; 61% men; mean ± SD age, 65 ± 8 years; mean ± SD FEV1, 52.5 ± 18.8% predicted) were included. The proportions of patients in underweight, NW, preobese, and obese groups were 12.3%, 31.3%, 39.6%, and 16.8%, respectively. The frequency of low FFMI decreased from lower to higher BMI groups (underweight, 81%; NW, 53%; preobese, 42%; and obese, 39%). FFM was associated with the 6MWD in the underweight group, even when adjusting for a broad set of covariates (P < .05). HRQL was not associated with FFM after adjustment for lung function or dyspnea (P > .32). Fat mass was associated with higher systemic inflammation in the NW and preobese groups (P < .05). INTERPRETATION In patients with COPD with lower weight, such as underweight patients, higher FFMI is associated independently with better exercise capacity. In contrast, in preobese and obese patients with COPD, a higher FFMI was not consistently associated with better outcomes.
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Affiliation(s)
- Felipe V C Machado
- Department of Research and Development, Ciro, Horn; Department of Respiratory Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands; REVAL-Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Agoralaan Diepenbeek, Belgium.
| | - Claus F Vogelmeier
- Department of Medicine, Pulmonary and Critical Care Medicine, Philipps-University of Marburg (UMR), Member of the German Center for Lung Research (DZL), Marburg, Germany
| | - Rudolf A Jörres
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Member of the German Center for Lung Research (DZL), University Hospital, LMU Munich, Comprehensive Pneumology Center Munich (CPC-M), Munich, Germany
| | - Henrik Watz
- Pulmonary Research Institute at LungenClinic Grosshansdorf, Airway Research Center North (ARCN), Member of the German Center for Lung Research (DZL), Grosshansdorf, Germany
| | - Robert Bals
- Department of Internal Medicine V-Pulmonology, Allergology, Respiratory Intensive Care Medicine, Saarland University Hospital, Homburg, Germany
| | - Tobias Welte
- Department of Pneumology, Hannover Medical School, Hannover, Germany
| | - Martijn A Spruit
- Department of Research and Development, Ciro, Horn; Department of Respiratory Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands
| | - Peter Alter
- Department of Medicine, Pulmonary and Critical Care Medicine, Philipps-University of Marburg (UMR), Member of the German Center for Lung Research (DZL), Marburg, Germany
| | - Frits M E Franssen
- Department of Research and Development, Ciro, Horn; Department of Respiratory Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands
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179
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Ronaldson A, Arias de la Torre J, Ashworth M, Hansell AL, Hotopf M, Mudway I, Stewart R, Dregan A, Bakolis I. Associations between air pollution and multimorbidity in the UK Biobank: A cross-sectional study. Front Public Health 2022; 10:1035415. [PMID: 36530697 PMCID: PMC9755180 DOI: 10.3389/fpubh.2022.1035415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 10/28/2022] [Indexed: 12/03/2022] Open
Abstract
Background Long-term exposure to air pollution concentrations is known to be adversely associated with a broad range of single non-communicable diseases, but its role in multimorbidity has not been investigated in the UK. We aimed to assess associations between long-term air pollution exposure and multimorbidity status, severity, and patterns using the UK Biobank cohort. Methods Multimorbidity status was calculated based on 41 physical and mental conditions. We assessed cross-sectional associations between annual modeled particulate matter (PM)2.5, PMcoarse, PM10, and nitrogen dioxide (NO2) concentrations (μg/m3-modeled to residential address) and multimorbidity status at the baseline assessment (2006-2010) in 364,144 people (mean age: 52.2 ± 8.1 years, 52.6% female). Air pollutants were categorized into quartiles to assess dose-response associations. Among those with multimorbidity (≥2 conditions; n = 156,395) we assessed associations between air pollutant exposure levels and multimorbidity severity and multimorbidity patterns, which were identified using exploratory factor analysis. Associations were explored using generalized linear models adjusted for sociodemographic, behavioral, and environmental indicators. Results Higher exposures to PM2.5, and NO2 were associated with multimorbidity status in a dose-dependent manner. These associations were strongest when we compared the highest air pollution quartile (quartile 4: Q4) with the lowest quartile (Q1) [PM2.5: adjusted odds ratio (adjOR) = 1.21 (95% CI = 1.18, 1.24); NO2: adjOR = 1.19 (95 % CI = 1.16, 1.23)]. We also observed dose-response associations between air pollutant exposures and multimorbidity severity scores. We identified 11 multimorbidity patterns. Air pollution was associated with several multimorbidity patterns with strongest associations (Q4 vs. Q1) observed for neurological (stroke, epilepsy, alcohol/substance dependency) [PM2.5: adjOR = 1.31 (95% CI = 1.14, 1.51); NO2: adjOR = 1.33 (95% CI = 1.11, 1.60)] and respiratory patterns (COPD, asthma) [PM2.5: adjOR = 1.24 (95% CI = 1.16, 1.33); NO2: adjOR = 1.26 (95% CI = 1.15, 1.38)]. Conclusions This cross-sectional study provides evidence that exposure to air pollution might be associated with having multimorbid, multi-organ conditions. Longitudinal studies are needed to further explore these associations.
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Affiliation(s)
- Amy Ronaldson
- Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom
| | - Jorge Arias de la Torre
- Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom
- CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Institute of Biomedicine (IBIOMED), University of Leon, Leon, Spain
| | - Mark Ashworth
- School of Life Course and Population Sciences, King's College London, London, United Kingdom
| | - Anna L. Hansell
- Centre for Environmental Health and Sustainability, University of Leicester, Leicester, United Kingdom
- National Institute for Health and Care Research, Health Protection Research Unit (HPRU) in Environmental Exposures and Health at the University of Leicester, Leicester, United Kingdom
| | - Matthew Hotopf
- Department of Psychological Medicine, King's College London, IoPPN and South London and Maudsley NHS Foundation Trust, London, United Kingdom
- South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Ian Mudway
- National Institute for Health and Care Research, Health Protection Unit in Environmental Exposures and Health, Imperial College London, London, United Kingdom
- MRC Centre for Environment and Health, School of Public Health, Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Rob Stewart
- Department of Psychological Medicine, King's College London, IoPPN and South London and Maudsley NHS Foundation Trust, London, United Kingdom
- South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Alex Dregan
- Department of Psychological Medicine, King's College London, IoPPN and South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Ioannis Bakolis
- Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, United Kingdom
- Department of Biostatistics and Health Informatics, IoPPN, King's College London, London, United Kingdom
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180
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Foley MA, Sexton C, Spencer AJ, Lalloo R, Do LG. Water fluoridation, dental caries and parental ratings of child oral health. Community Dent Oral Epidemiol 2022; 50:493-499. [PMID: 34514625 DOI: 10.1111/cdoe.12697] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 08/20/2021] [Accepted: 09/05/2021] [Indexed: 01/27/2023]
Abstract
OBJECTIVES Previous studies have identified many demographic, socioeconomic, behavioural and clinical variables associated with subjective parental ratings of child oral health. This study investigated associations between children's lifetime exposure to fluoridated drinking water (LEFW) and dental caries prevalence and parental ratings. METHODS Australia's National Child Oral Health Study 2012-2014 conducted oral epidemiological examinations for 24 664 children aged 5-14 and investigated risk factors for child oral health and disease through questionnaires. Parents also subjectively rated their child's oral health. This cross-sectional study estimated prevalence ratios for associations between LEFW and prevalence of dental caries in the primary and permanent dentitions and parental oral health ratings for 5-8 year old and 9-14 year old children. E-value sensitivity analyses helped assess whether observed effect sizes may have arisen through unmeasured confounding. RESULTS Children aged 5-8 with 0%-10% or 11%-89% LEFW are respectively 1.5 (95% CI 1.2-1.8) and 1.5 (95% CI 1.1-2.0) times more likely than children with 90%-100% LEFW to receive a fair or poor parental oral health rating. Children aged 9-14 with 0%-10% or 11%-89% LEFW are 1.2 (95% CI 1.0-1.4) times more likely than children with 90%-100% LEFW to receive a fair or poor parental oral health rating. Children aged 5-8 with 0%-10% or 11%-89% LEFW are respectively 1.4 (1.3-1.6) and 1.3 (95% CI 1.1-1.4) times more likely than children with 90%-100% LEFW to experience caries in their primary teeth. Children aged 9-14 with 0%-10% or 11%-89% LEFW are respectively 1.4 (95% CI 1.3-1.5) and 1.1 (95% CI 1.0-1.2) times more likely than children with 90%-100% LEFW to experience caries in their permanent teeth. CONCLUSIONS Longer lifetime exposure to fluoridated drinking water is causally associated with a lower childhood dental caries prevalence and more positive parental ratings of child oral health. The associations are stronger for younger children.
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Affiliation(s)
- Michael Anthony Foley
- Australian Research Centre for Population Oral Health, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia.,Metro North Oral Health Services, Queensland Health, Brisbane, QLD, Australia.,School of Dentistry, The University of Queensland, Brisbane, QLD, Australia
| | - Christopher Sexton
- School of Dentistry, The University of Queensland, Brisbane, QLD, Australia
| | - Andrew John Spencer
- Australian Research Centre for Population Oral Health, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia
| | - Ratilal Lalloo
- School of Dentistry, The University of Queensland, Brisbane, QLD, Australia
| | - Loc Giang Do
- Australian Research Centre for Population Oral Health, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia.,School of Dentistry, The University of Queensland, Brisbane, QLD, Australia
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Tufarelli V, Baghban-Kanani P, Azimi-Youvalari S, Hosseintabar-Ghasemabad B, Slozhenkina M, Gorlov I, Viktoronova FM, Seidavi A, Laudadio V. Effect of dietary flaxseed meal supplemented with dried tomato and grape pomace on performance traits and antioxidant status of laying hens. Anim Biotechnol 2022; 33:1525-1532. [PMID: 33955809 DOI: 10.1080/10495398.2021.1914070] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
This study was carried out to determine the effect of dietary flaxseed meal (FSM) supplemented with dried tomato pomace (DTP) and dried grape pomace (DGP) on performance, egg quality, biochemical parameters traits and antioxidant status of laying hens. Birds (1825 ± 87 g of body weight) were divided into 12 dietary groups with six replicates per group (eight birds per replicate), under a completely randomized design with factorial arrangement 2 × 3 × 2 consisted of two levels of DTP (0 and 15%), three FSM levels (0, 4 and 8%) and two levels of DGP (0 and 5%). As a result of this study, there were no significant differences in egg production and weight as well in feed conversion ratio (FCR) among treatments (p > 0.05). Feeding of DGP reduced significantly feed intake and egg mass when compared to control group (p < 0.05). There was no effect (p > 0.05) of dietary treatment on shell thickness and strength, shape index, Haugh unit and egg specific gravity. Hens consuming 15% DTP and 5% DGP revealed a significantly higher yolk color compared to the other dietary treatments (p < 0.05). Moreover, there was no difference among dietary treatments in terms of serum low-density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL) cholesterol, atherogenic index, triglycerides, total cholesterol levels (p > 0.05). Serum antioxidant parameters as glutathione peroxidase (GSH-Px) activity, malondialdehyde (MDA), total superoxide dismutase (TSOD) and total antioxidant capacity (T-AOC) were not influenced by treatments (p > 0.05). Based on findings, FSM and DTP supplements did not significantly impact most of hens' performance indicators and egg quality parameters, whereas significant improvements were observed by feeding of 15% DTP and 5% DGP on egg traits, in particular on egg-yolk color that plays a key-role in consumer's choice. However, the supplementation of FSM and DTP or DGP even in laying hen diet is still controversial and further research is needed.
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Affiliation(s)
- Vincenzo Tufarelli
- Department of DETO - Section of Veterinary Science and Animal Production, University of Bari "Aldo Moro", Valenzano, Italy
| | | | | | | | - Marina Slozhenkina
- Volga Region Research Institute of Manufacture and Processing of Meat-and-Milk Production, Volgograd, Russia
| | - Ivan Gorlov
- Volga Region Research Institute of Manufacture and Processing of Meat-and-Milk Production, Volgograd, Russia
| | - Frolova Maria Viktoronova
- Volga Region Research Institute of Manufacture and Processing of Meat-and-Milk Production, Volgograd, Russia
| | - Alireza Seidavi
- Department of Animal Science, Rasht Branch, Islamic Azad University, Rasht, Iran
| | - Vito Laudadio
- Department of DETO - Section of Veterinary Science and Animal Production, University of Bari "Aldo Moro", Valenzano, Italy
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182
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Hou B, Li Y, Wang H. Internet use and health status among older adults: The mediating role of social participation. Front Public Health 2022; 10:1072398. [PMID: 36504989 PMCID: PMC9732719 DOI: 10.3389/fpubh.2022.1072398] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 11/11/2022] [Indexed: 11/27/2022] Open
Abstract
Background The acceleration of population aging and the arrival of the informatization make more and more older adults use the Internet, and its use is having an impact on their health. However, the relationship between internet use and the health of older adults and the mechanism of the effect of internet use on the health are not very clear. Methods Multiple linear regression models to explore the correlation between internet use and health status in the 3,141 individuals aged ≥60 years were used. Propensity score matching (PSM) method was used to test the robustness of the regression results. In addition, sequential recursive models was used to examine the mediating effect of social participation on the relationship between internet use and health status. Results and discussion We found a significant positive relationship between internet use and health status, and social participation mediated the relationship between internet use and health status. In addition, the effect of internet use on health status was different among older adults in rural and urban areas. Conclusions The development and application of internet products adapted to the development of an aging society should be accelerated to meet their needs for continued socialization. The forms and activities of social participation for the elderly groups should be enriched and public service internet usage training seminars should be conducted to improve internet skills.
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Affiliation(s)
- Bin Hou
- School of Cultural Tourism and Public Administration, Fujian Normal University, Fuzhou, China,*Correspondence: Bin Hou
| | - Yumei Li
- Department of Social and Behavioral Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Haixia Wang
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China,Haixia Wang
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183
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Cazzaniga E, Orlando A, Terenzio A, Suardi C, Mognetti C, Gennaro F, Antolini L, Palestini P. Health Status and Nutritional Habits in Maldives Pediatric Population: A Cross-Sectional Study. Int J Environ Res Public Health 2022; 19:15728. [PMID: 36497802 PMCID: PMC9740220 DOI: 10.3390/ijerph192315728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 11/22/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
Chronic noncommunicable diseases (NCDs) have become the major cause of morbidity and mortality in the Maldives, triggered by the nutrition transition to a "Western diet" that dramatically increases the prevalence of excess weight and hypertension. Our study aimed to evaluate dietary habits, blood pressure (BP) and body mass index in Maghoodoo Public School's students. A sample of 145 students (72 males and 73 females, age 9.37 ± 2.97 years) was enrolled. Factors causing excess weight were investigated through descriptive statistics. The relationship between blood pressure percentiles and possible influencing factors was investigated by a linear regression model.. Excess weight was present in 15.07% and 12.5% females and males, respectively. 15.18% of the subjects had elevated BP, with a significant difference according to gender detected only in the PAS z-score. Eating habits were investigated through a parent-filled questionnaire; 70.15% of the students consumed less than two portions of fruit per day, with a significant difference between gender (84.06% and 55.38% for boys and girls, respectively, p < 0.0001) and 71.64% ate less than two servings of vegetables per day. An alarming finding emerged for sweet snacks (30.6% of the students consumed 2-3 servings per day) and sugary drinks (2-3 servings per day for 32.84% of students) consumption. Our findings suggest that excess weight and hypertension in this population could be due to energy-rich, packaged-foods consumption. A nutrition education approach might thus help to reduce cardiovascular risk.
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Affiliation(s)
- Emanuela Cazzaniga
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
- Bicocca Center of Science and Technology for Food, University of Milano-Bicocca, Piazza della Scienza, 2, 20126 Milano, Italy
| | - Antonina Orlando
- Cardiologic Unit, Istituto Auxologico Italiano, IRCCS, 20100 Milan, Italy
| | - Annalisa Terenzio
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
| | - Carlotta Suardi
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
| | - Chiara Mognetti
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
| | - Francesca Gennaro
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
- Department of Experimental Oncology, Istituto Europeo di Oncologia (IEO), European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 20133 Milano, Italy
| | - Laura Antolini
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
| | - Paola Palestini
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, Italy
- Bicocca Center of Science and Technology for Food, University of Milano-Bicocca, Piazza della Scienza, 2, 20126 Milano, Italy
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184
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Januzzi JL, Omar AMS, Liu Y, Murphy S, Butler J, Felker GM, Piña IL, Ward J, Solomon S, Contreras J. Association Between Sacubitril/Valsartan Initiation and Mitral Regurgitation Severity in Heart Failure With Reduced Ejection Fraction: The PROVE-HF Study. Circulation 2022; 146:1638-1640. [PMID: 36183276 PMCID: PMC9674443 DOI: 10.1161/circulationaha.122.061693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- James L. Januzzi
- Massachusetts General Hospital (J.L.J., Y.L., S.M.), Harvard Medical School, Boston.,Baim Institute for Clinical Research, Boston, MA (J.L.J.)
| | - Alaa Mabrouk Salem Omar
- Mount Sinai Morningside, New York, NY (A.M.S.O.).,Icahn School of Medicine at Mount Sinai, New York, NY (A.M.S.O., J.C.)
| | - Yuxi Liu
- Massachusetts General Hospital (J.L.J., Y.L., S.M.), Harvard Medical School, Boston
| | - Sean Murphy
- Massachusetts General Hospital (J.L.J., Y.L., S.M.), Harvard Medical School, Boston
| | - Javed Butler
- Baylor Scott and White Research Institute, Dallas, TX (J.B.).,University of Mississippi, Jackson (J.B.)
| | | | | | - Jonathan Ward
- Novartis Pharmaceuticals Corporation, East Hanover, NJ (J.W.)
| | - Scott Solomon
- Brigham and Women’s Hospital (S.S.), Harvard Medical School, Boston
| | - Johanna Contreras
- Icahn School of Medicine at Mount Sinai, New York, NY (A.M.S.O., J.C.)
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185
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Schiltz NK. Prevalence of multimorbidity combinations and their association with medical costs and poor health: A population-based study of U.S. adults. Front Public Health 2022; 10:953886. [PMID: 36466476 PMCID: PMC9717681 DOI: 10.3389/fpubh.2022.953886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 11/04/2022] [Indexed: 11/21/2022] Open
Abstract
Background Multimorbidity is common, but the prevalence and burden of the specific combinations of coexisting disease has not been systematically examined in the general U.S. adult population. Objective To identify and estimate the burden of highly prevalent combinations of chronic conditions that are treated among one million or more adults in the United States. Methods Cross-sectional analysis of U.S. households in the Medical Expenditure Panel Survey (MEPS), 2016-2019, a large nationally-representative sample of the community-dwelling population. Association rule mining was used to identify the most common combinations of 20 chronic conditions that have high relevance, impact, and prevalence in primary care. The main measures and outcomes were annual treated prevalence, total medical expenditures, and perceived poor health. Logistic regression models with poor health as the outcome and each multimorbidity combination as the exposure were used to calculate adjusted odds ratios and 95% confidence intervals. Results Frequent pattern mining yielded 223 unique combinations of chronic disease, including 74 two-way (dyad), 115 three-way (triad), and 34 four-way combinations that are treated in one million or more U.S. adults. Hypertension-hyperlipidemia was the most common two-way combination occurring in 30.8 million adults. The combination of diabetes-arthritis-cardiovascular disease was associated with the highest median annual medical expenditures ($23,850, interquartile range: $11,593-$44,616), and the combination of diabetes-arthritis-asthma/COPD had the highest age-race-sex adjusted odds ratio of poor self-rated health (adjusted odd ratio: 6.9, 95%CI: 5.4-8.8). Conclusion This study demonstrates that many multimorbidity combinations are highly prevalent among U.S. adults, yet most research and practice-guidelines remain single disease focused. Highly prevalent and burdensome multimorbidity combinations could be prioritized for evidence-based research on optimal prevention and treatment strategies.
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Affiliation(s)
- Nicholas K. Schiltz
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, United States,Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, United States,Center for Community Health Integration, Case Western Reserve University School of Medicine, Cleveland, OH, United States,*Correspondence: Nicholas K. Schiltz
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186
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Abstract
Grape pomace is the most important residual after wine making, and it is considered to be a very abundant source for the extraction of a wide range of polyphenols. These polyphenols exhibit a variety of bioactivities, such as antioxidant, anti-inflammatory, and anti-cancer. They are also beneficial in alleviating metabolic syndrome and regulating intestinal flora, etc. These health effects are most likely contributed by polyphenol metabolite, which are formed by the grape pomace phenolics after a complex metabolic process in vivo. Therefore, understanding the phenolic composition of grape pomace and its metabolism is the basis for an in-depth study of the biological activity of grape pomace polyphenols. In this paper, we first summarize the composition of phenolics in grape pomace, then review the recent studies on the metabolism of grape pomace phenolics, including changes in phenolics in the gastrointestinal tract, their pharmacokinetics in the systemic circulation, the tissue distribution of phenolic metabolites, and the beneficial effects of metabolites on intestinal health, and finally summarize the effects of human health status and dietary fiber on the metabolism of grape polyphenols. It is expected to provide help for the in-depth research on the metabolism and biological activity of grape pomace polyphenol extracts, and to provide theoretical support for the development and utilization of grape pomace.
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Affiliation(s)
- Chenlu Yang
- College of Enology, Northwest A&F University, Yangling, China
| | - Yulei Han
- College of Enology, Northwest A&F University, Yangling, China
| | - Xuelin Tian
- College of Enology, Northwest A&F University, Yangling, China
| | - Marina Sajid
- College of Food Science and Engineering, Northwest A&F University, Yangling, China
- Institute of Food and Nutritional Sciences, PMAS-Arid Agriculture University, Rawalpindi, Pakistan
| | - Sajid Mehmood
- College of Plant Protection, Northwest A&F University, Yangling, China
- Department of Plant Pathology, PMAS-Arid Agriculture University, Rawalpindi, Pakistan
| | - Hua Wang
- College of Enology, Northwest A&F University, Yangling, China
- China Wine Industry Technology Institute, Yinchuan, China
- Shaanxi Engineering Research Center for Viti-Viniculture, Yangling, China
| | - Hua Li
- College of Enology, Northwest A&F University, Yangling, China
- China Wine Industry Technology Institute, Yinchuan, China
- Shaanxi Engineering Research Center for Viti-Viniculture, Yangling, China
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187
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Choi JY, Jeon S, Kim H, Ha J, Jeon GS, Lee J, Cho SI. Health-Related Indicators Measured Using Earable Devices: Systematic Review. JMIR Mhealth Uhealth 2022; 10:e36696. [PMID: 36239201 PMCID: PMC9709679 DOI: 10.2196/36696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 09/23/2022] [Accepted: 10/13/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Earable devices are novel, wearable Internet of Things devices that are user-friendly and have potential applications in mobile health care. The position of the ear is advantageous for assessing vital status and detecting diseases through reliable and comfortable sensing devices. OBJECTIVE Our study aimed to review the utility of health-related indicators derived from earable devices and propose an improved definition of disease prevention. We also proposed future directions for research on the health care applications of earable devices. METHODS A systematic review was conducted of the PubMed, Embase, and Web of Science databases. Keywords were used to identify studies on earable devices published between 2015 and 2020. The earable devices were described in terms of target health outcomes, biomarkers, sensor types and positions, and their utility for disease prevention. RESULTS A total of 51 articles met the inclusion criteria and were reviewed, and the frequency of 5 health-related characteristics of earable devices was described. The most frequent target health outcomes were diet-related outcomes (9/51, 18%), brain status (7/51, 14%), and cardiovascular disease (CVD) and central nervous system disease (5/51, 10% each). The most frequent biomarkers were electroencephalography (11/51, 22%), body movements (6/51, 12%), and body temperature (5/51, 10%). As for sensor types and sensor positions, electrical sensors (19/51, 37%) and the ear canal (26/51, 51%) were the most common, respectively. Moreover, the most frequent prevention stages were secondary prevention (35/51, 69%), primary prevention (12/51, 24%), and tertiary prevention (4/51, 8%). Combinations of ≥2 target health outcomes were the most frequent in secondary prevention (8/35, 23%) followed by brain status and CVD (5/35, 14% each) and by central nervous system disease and head injury (4/35, 11% each). CONCLUSIONS Earable devices can provide biomarkers for various health outcomes. Brain status, healthy diet status, and CVDs were the most frequently targeted outcomes among the studies. Earable devices were mostly used for secondary prevention via monitoring of health or disease status. The potential utility of earable devices for primary and tertiary prevention needs to be investigated further. Earable devices connected to smartphones or tablets through cloud servers will guarantee user access to personal health information and facilitate comfortable wearing.
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Affiliation(s)
- Jin-Young Choi
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Seonghee Jeon
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Hana Kim
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Jaeyoung Ha
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Gyeong-Suk Jeon
- Department of Nursing, College of Natural Science, Mokpo National University, Mokpo, Republic of Korea
| | - Jeong Lee
- Department of Nursing, College of Health and Medical Science, Chodang University, Muan, Republic of Korea
| | - Sung-Il Cho
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
- Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea
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188
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Guo Y, Xu J, Zhou Y. Effects of Internet Adoption on Health and Subjective Well-Being of the Internal Migrants in China. Int J Environ Res Public Health 2022; 19:14460. [PMID: 36361339 PMCID: PMC9655424 DOI: 10.3390/ijerph192114460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 10/30/2022] [Accepted: 11/03/2022] [Indexed: 06/16/2023]
Abstract
During the past decades, the number of rural-urban migrants has dramatically increased in China. Their well-being is important for social development and has attracted the attention of researchers. This paper adopts five waves of repeated cross-sectional datasets within a nine-year span, included in the Chinese General Social Survey (CGSS 2010-2018), to evaluate the impacts and mechanisms of internet adoption on the health status and subjective well-being of rural-urban migrants. Empirical results suggest that there are significant positive correlations between internet adoption and health status as well as subjective well-being. The results of structural equation modeling suggest that the impact of the internet on well-being occurs through increasing, bridging, and bonding social capital for rural-urban migrants. The mediating impact of bonding social capital on subjective well-being is more prominent, while the mediating impact of bridging social capital on health is stronger. Furthermore, we have explored the heterogeneous effects across gender and education. This is an early study which investigates such an important topic in the context of the digital era.
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Affiliation(s)
- Yihan Guo
- Department of Cultural Industries and Management, School of Media and Communication, Shanghai Jiao Tong University, No. 800 Dongchuan Road Minhang District, Shanghai 200422, China
| | - Junling Xu
- School of Public Administration, Central China Normal University, No. 152 Luoyu Road, Wuhan 430079, China
| | - Yuan Zhou
- School of Public Administration, Central China Normal University, No. 152 Luoyu Road, Wuhan 430079, China
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189
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Roland N, Ahogbehossou Y, Hatem G, Yacini L, Feldmann L, Saurel‐Cubizolles M, Bardou M. Violence against women and perceived health: An observational survey of patients treated in the multidisciplinary structure 'The Women's House' and two Family Planning Centres in the metropolitan Paris area. Health Soc Care Community 2022; 30:e4041-e4050. [PMID: 35315551 PMCID: PMC10078639 DOI: 10.1111/hsc.13797] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 02/22/2022] [Accepted: 03/08/2022] [Indexed: 06/14/2023]
Abstract
It is unknown how many women seeking care at French Family Planning Centres (FPCs) endure, or have endured intimate partner violence (IPV). To assess the prevalence of IPV, we surveyed women seeking care at three FPCs in the metropolitan Paris area (Seine-Saint-Denis). We examined the associations between IPV, socio-demographic characteristics and perceptions of health according to six indicators. Of the FPCs included in our survey, two are standalone facilities and one is located in The Women's Home, a multidisciplinary structure dedicated to serving survivors of violence. We conducted an observational survey from December 2018 to February 2019. All women aged 18 years and older were eligible. We solicited data on socio-demographic factors, general stability and history of violence. We measured health status on a 10-point scale for six different symptoms. Of the 274 women who participated, 27% had experienced IPV. Women who reported experiencing, or having experienced IPV were more likely to be between 25 and 44 years old (than under 25), temporarily documented or undocumented, unemployed or seeking employment, and experiencing housing insecurity. Women seeking care at The Women's House were more than twice as likely to report IPV (42%) than those visiting FPC-2 or FPC-3 (20% and 16%, respectively). Reports of violence increase among women with uncertain legal status, housing, employment and lower self-rated health. Results suggest that a FPC located in a structure specifically dedicated to serving women victims-survivors of violence like the Women's House may be more attractive to survivors.
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Affiliation(s)
| | - Yélian Ahogbehossou
- La Maison des femmesSaint‐DenisFrance
- Université de LorraineFaculté de médecine de NancyVandœuvre‐lès‐Nancy CedexFrance
| | - Ghada Hatem
- La Maison des femmesSaint‐DenisFrance
- Service de gynécologie et obstétriqueCentre Hospitalier de Saint DenisSaint‐DenisFrance
| | - Leila Yacini
- Centre de Santé Municipal “Les Moulins”Saint‐DenisFrance
| | - Laure Feldmann
- Centre de Santé Municipal “Docteur Pesqué”AubervilliersFrance
| | - Marie‐Josèphe Saurel‐Cubizolles
- INSERM (French Institute of Medical Research)UMR 1153 –ObstetricalPerinatal and Pediatric Epidemiology Research Team (EPOPé) Centre of Research in Epidemiology and Statistics ‐Sorbonne Paris CitéParis Descartes UniversityParisFrance
| | - Marc Bardou
- CIC 1432 (Center for Clinical Investigation)CHU Dijon BourgogneDijonFrance
- Université Bourgogne Franche ComtéUFR des Sciences SantéDijonFrance
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190
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Flike K, Hayman LL, Byrne T, Song Q, Aronowitz T. The impact of patient-centred care on the relationship between access to care and subjective health outcomes amongst people experiencing homelessness: A mediation analysis. Health Soc Care Community 2022; 30:e5755-e5764. [PMID: 36093584 DOI: 10.1111/hsc.14007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 08/10/2022] [Accepted: 08/20/2022] [Indexed: 06/15/2023]
Abstract
People experiencing homelessness (PEH) have stated that impersonal care and feelings of discrimination are barriers to accessing healthcare which is associated with poor health outcomes amongst PEH. This study examined whether patient-centred care (PCC) mediates the relationship between access to care and subjective health outcomes. Using the 2014-15 Healthcare Center Patient Survey, we identified 1873 homeless and vulnerably housed adults. Items related to the delay or inability to receive primary or mental healthcare, PCC provided by healthcare providers, general health status, and the Kessler-6 psychological distress scale were selected. Ordinary least squares analyses were used to perform mediation analysis. We found that both access to primary care and access to mental healthcare were positively associated with physical health status (β = 0.492, p < 0.001; β = 0.311, p < 0.001) and negatively associated with psychological distress (β = -2.53, p < 0.001; β = -1.85, p < 0.001). PCC partially mediated all associations, but the mediation was stronger in the relationships between access to primary care and health outcomes (ab = 0.25, 95% CI [0.002, 0.052]; ab = -0.21, 95% CI [-0.37, -0.07]) compared to mental healthcare (ab = 0.02, 95% CI [0.01, 0.04]; ab = -0.14, 95% CI [-0.25, -0.06]). The results of this study indicated access to primary and mental healthcare is important in the patient-centred health outcomes of PEH. Additionally, the partial mediation of PCC in these relationships indicated that participants' perception of collaborative, trustworthy, respectful care from healthcare providers impacted the relationship between access to healthcare and health outcomes.
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Affiliation(s)
- Kimberlee Flike
- Center for Healthcare Organization and Implementation Research (CHOIR), Bedford VA Healthcare System, Bedford, Massachusetts, USA
| | - Laura L Hayman
- Robert and Donna Manning College Nursing & Health Sciences, University of Massachusetts, Boston, Massachusetts, USA
| | - Thomas Byrne
- School of Social Work, Boston University, Boston, Massachusetts, USA
| | - Qian Song
- McCormack Graduate School of Policy and Global Studies, University of Massachusetts, Boston, Massachusetts, USA
| | - Teri Aronowitz
- Tan Chingfen Graduate School of Nursing, UMass Chan Medical School, Worcester, Massachusetts, USA
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191
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van der Wal A, Michiels S, De Pauw J, Jacxsens L, Chalimourdas A, Gilles A, Braem M, van Rompaey V, Van de Heyning P, De Hertogh W. ICF domains covered by the Tinnitus Questionnaire and Tinnitus Functional Index. Disabil Rehabil 2022; 44:6851-6860. [PMID: 34523370 DOI: 10.1080/09638288.2021.1972172] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE Tinnitus frequently causes disability as it affects daily living, which is objectified using several tinnitus questionnaires. To what extent they cover domains of the International Classification of Functioning, Disability and Health (ICF) is currently unknown. Therefore, this study aims to investigate which ICF domains are measured by two questionnaires and to describe the health status of somatic tinnitus patients in ICF terms. MATERIALS AND METHODS All questions of the Tinnitus Questionnaire (TQ) and Tinnitus Functional Index (TFI) were linked to the ICF using linking rules. A count-based method was used to link all individual answers of 80 tinnitus patients, to the ICF categories. RESULTS Most of the linked questions concerned "body functions". TFI covered more categories of "activity and participation" than TQ. Patients reported severe impairments in "mental functions", "sensory functions and pain", and "sleep functions". Additionally, severe limitations were scored in "focusing attention". CONCLUSIONS The TFI and TQ measure distinct domains but can be used complementary or solely, depending on the research question. The TFI identifies a broad spectrum of problems, where the TQ focuses on the psychological impact of tinnitus. Somatic patients in our study reported impairments and disabilities in all covered domains, especially in "onset of sleep" and "sound detection".Implications for RehabilitationThe Tinnitus Functional Index (TFI) and the Tinnitus Questionnaire (TQ) cover different domains of the International Classification of Functioning, Disability and Health.The TFI identifies problems in "body functions" and "activity and participation".The TQ focuses on the psychological impact of tinnitus.
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Affiliation(s)
- Annemarie van der Wal
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium.,Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, University of Antwerp, Edegem, Belgium
| | - Sarah Michiels
- Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.,Faculty of Rehabilitation Sciences, REVAL, University of Hasselt, Hasselt, Belgium
| | - Joke De Pauw
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
| | - Laura Jacxsens
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
| | - Antonios Chalimourdas
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium.,Faculty of Rehabilitation Sciences, REVAL, University of Hasselt, Hasselt, Belgium
| | - Annick Gilles
- Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
| | - Marc Braem
- Lab Dental Materials, University of Antwerp, Edegem, Belgium.,Special Care Dentistry, University Hospital Antwerp, Edegem, Belgium.,Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
| | - Vincent van Rompaey
- Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
| | - Paul Van de Heyning
- Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
| | - Willem De Hertogh
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Edegem, Belgium
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192
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Meng M, Wang Z, Yu J. The impact of medical service on the return behavior: A city-level study in China. Front Public Health 2022; 10:1009454. [PMID: 36353278 PMCID: PMC9638082 DOI: 10.3389/fpubh.2022.1009454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 10/10/2022] [Indexed: 01/27/2023] Open
Abstract
Due to the constraints of the rural-urban household registration systems, the migrants of China currently receive varying degrees of medical services. The fact that many migrants choose to return to their hometowns due to the inequality in medical care has been a social phenomenon. Using data from the 2017 China Migrant Dynamic Survey (CMDS), this paper explores the effect of medical services on population migration. Probit regression analysis method was utilized to examine the relationship between medical service level (MSL) and medical service improvement (MSI) and return behavior (RB), as well as the interaction effect between MSL and MSI, and the moderating effect of health status (HS) and health education (HE). Multiple heterogeneity tests were performed. Grouping regressions were conducted using rural household registration (RHR), grouping regressions were conducted using new rural cooperative medical system (NRCMS), and multinomial Probit regressions were conducted using migration distance and age factors. The following findings were obtained. First, when MSL is low but MSI is high in the locality of household registration, the return probability of migrants will increase. MSL also has a positive interaction effect with MSI, and they jointly increase the return probability of migrants; Second, HS and HE have a positive moderating effect on the relationships between MSL and RB and between MSI and RB; Third, heterogeneity analysis indicates that the migrants with RHR or the migrants not covered by the NRCMS are more prone to return due to the reason of medical service. In addition, the analysis also shows that middle-aged and older people who return across provinces have the highest tendency to return due to medical services and young people have the lowest propensity to return across and within provinces. The study could help local governments change their public medical care policies and close the gap between medical services in different areas. As a result, it is necessary to understand population migration trends and promote New Urbanization Strategies.
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Affiliation(s)
- Mingming Meng
- School of Economics and Management, Beijing Forestry University, Beijing, China
| | - Zheng Wang
- Center of Healthcare Management, School of Economics and Management, Tsinghua University, Beijing, China
| | - Ji'an Yu
- School of Economics and Management, Beijing Forestry University, Beijing, China,*Correspondence: Ji'an Yu
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193
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Zhao F, Tang B, Yang H, Wu J, Chen Q, Zhang L, Liu X. A comparative examination of the health status of earthquake-affected and non-earthquake-affected adolescents in Yushu. Front Public Health 2022; 10:976075. [PMID: 36388266 PMCID: PMC9645053 DOI: 10.3389/fpubh.2022.976075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 10/03/2022] [Indexed: 01/25/2023] Open
Abstract
Background Yushu, Qinghai Province, which is located in the remote Tibetan Plateau in western China, was struck by a disastrous earthquake in 2010. Methods This study aimed to compare the health status of adolescents who had (Exp-Group) and had not (Non-Group) experienced the Yushu earthquake, 7 years after it occurred; additionally, group-specific predictors of health status were identified. A cross-sectional study was adopted among students from two junior schools in Yushu, whereby two groups were compared. Descriptive statistics, t-tests, Wilcoxon rank-sum tests, Kruskal-Wallis H tests, and stepwise linear regression were used to analyze data. Results Exp-Group scored higher than Non-Group on Physiological Component Summary (PCS) but not on Mental Component Summary (MCS). Among Exp-Group participants, lower PCS scores were predicted for "house damaged," "injured," "family member injured," and "family member or friend dead." Lower MCS scores were predicted by "family member or friend dead." Among Non-Group participants, PCS scores were predicted by "residence" and "family member or friend dead." Lower MCS scores were predicted by "not living with parents." Conclusion Lower PCS and MCS scores of Exp-Group adolescents mainly contributed to earthquake-related injuries, while lower PCS and MCS scores of Non-Group are related to poor living conditions and the fact of the left-behind child.
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Affiliation(s)
- Fangjie Zhao
- Department of Health Service, Second Military Medical University, Shanghai, China
| | - Bihan Tang
- Department of Health Service, Second Military Medical University, Shanghai, China
| | - Hongyang Yang
- Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Jing Wu
- School of Nursing, Second Military Medical University, Shanghai, China
| | - Qi Chen
- Department of Health Statistic, Second Military Medical University, Shanghai, China
| | - Lulu Zhang
- Department of Health Service, Second Military Medical University, Shanghai, China,*Correspondence: Xu Liu
| | - Xu Liu
- Department of Health Service, Second Military Medical University, Shanghai, China,Lulu Zhang
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194
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Abstract
Introduction Health information exchange (HIE) exhibits tremendous benefits in improving the quality of healthcare and reducing healthcare costs. However, it also poses challenges related to data security, data privacy, patient engagement, etc. Objective This study aimed to explore the factors affecting patients' opt-in intention to HIE by using an empirical study based on the theory of planned behavior. Methods A Web-based survey was conducted involving 501 valid participants in China (69% validity rate). Results Information sensitivity and perceived HIE transparency affected the patients' opt-in intention to HIE through the mediation of perceived behavior control and trust in HIE. Information sensitivity negatively influenced perceived behavior control (-0.551, P < 0.001) and trust in HIE (-0.489, P < 0.001). Perceived transparency of HIE positively influenced perceived behavior control (0.396, P < 0.001) and trust in HIE (0.471, P < 0.001). Moreover, patients' opt-in intention to HIE can be positively affected by perceived HIE transparency (0.195, P < 0.001) and trust in HIE (0.294, P < 0.001). In addition, the moderating effect of health status was positive and significant between trust in HIE and opt-in intention to HIE but not between the perceived behavior control and opt-in intention to HIE. Conclusion This study contributes to the theory of planned behavior and enriches the literature on HIE efforts. HIE administrators should design personalized health services on the basis of these different health statuses to successfully achieve patients' opt-in intention to HIE.
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195
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Shi X, Zong D, Lu Z, Li S, Kong F. Effects of childcare disagreement with children, social support, and health status on unmet healthcare-seeking behavior among the migrant older with children to Jinan, China. Front Public Health 2022; 10:957619. [PMID: 36299760 PMCID: PMC9589225 DOI: 10.3389/fpubh.2022.957619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 08/11/2022] [Indexed: 01/24/2023] Open
Abstract
Due to the acceleration of China's urbanization, the number of migrant older with children (MOC) continued to increase. This study aimed to clarify the effects of childcare disagreement with children, social support, and health status on unmet healthcare-seeking behavior among the MOC to Jinan, China. A cross-sectional study included 656 MOC (36.3% men and 63.7% women) using multi-stage cluster random sampling in Jinan, China. Childcare disagreement was evaluated by the differences between parents and grandparents on the diet, dressing, education, and childcare consumption. Social support was assessed using the social support rating scale (SSRS). Descriptive analysis, chi-squared test, and binary logistic regression were applied to analyze the association between childcare disagreement with children, social support, health status, and unmet healthcare-seeking behavior of the MOC. Approximately 41.3% of participants had unmet healthcare-seeking behavior. Logistic regression analysis showed that the MOC whose health status compared to last year get better were more likely to have unmet healthcare-seeking behavior, while who were women, had partial will of migration, hired a nanny, had smaller childcare disagreement with children on dressing, had smaller childcare disagreement with children on consumption, and had moderate social support, were less likely to experience unmet healthcare-seeking behavior. Recommendations were given to the government and family members to improve the health services-seeking behavior of the MOC.
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Affiliation(s)
- Xinfei Shi
- 1Centre for Health Management and Policy Research, School of Public Health, Shandong University, Jinan, China,2NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Di Zong
- 1Centre for Health Management and Policy Research, School of Public Health, Shandong University, Jinan, China,2NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Zhongqian Lu
- 1Centre for Health Management and Policy Research, School of Public Health, Shandong University, Jinan, China,2NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Shixue Li
- 1Centre for Health Management and Policy Research, School of Public Health, Shandong University, Jinan, China,2NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China,*Correspondence: Shixue Li
| | - Fanlei Kong
- 1Centre for Health Management and Policy Research, School of Public Health, Shandong University, Jinan, China,2NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China,Fanlei Kong
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196
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Wirayuda AAB, Al-Mahrezi A, Chan MF. Factors Impacting Life Expectancy in Bahrain: Evidence from 1971 to 2020 Data. Int J Health Serv 2022; 53:207314221129052. [PMID: 36214193 DOI: 10.1177/00207314221129052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/18/2024]
Abstract
The factors impacting life expectancy (LE) are important to a country as LE reflects the essential quality of its population. Previous studies showed that other than economic factors, health status and resources (HSR) and sociodemographic (SD) also affect LE. This area has not been previously studied in Bahrain, especially in the past five decades. Hence, this study aims to develop an explanatory model for HSR, macroeconomic (ME), and SD factors on LE in Bahrain. The research was a retrospective, time-series design that collected the annual published data on SD, ME, HSR, and LE in Bahrain's population from 1971 to 2020. The data were analyzed using the partial least squares-structural equation modeling (PLS-SEM) method. The result shows that ME (0.463, P < .001) and HSR (0.595, P < .001) have significant direct effects on LE. ME has an indirect effect (0.488, P < .001) on LE via SD and HSR, and SD has an indirect effect (0.496, P < .001) on LE through HSR. During the socioeconomic downturn, the health resources provision should not be reduced as it directly affects LE. An integrated policy addressing socioeconomic and health-related factors could protect the future of Bahrain's population health outcomes.
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Affiliation(s)
| | - Abdulaziz Al-Mahrezi
- 108707Department of Family Medicine and Public Health, 37611Sultan Qaboos University, Muscat, Oman
| | - Moon Fai Chan
- 108707Department of Family Medicine and Public Health, 37611Sultan Qaboos University, Muscat, Oman
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197
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Zakar R, Momina AU, Shahzad R, Shahzad S, Hayee M, Zakar MZ, Fischer F. COVID-19 Vaccination Acceptance in the Context of the Health Belief Model: Comparative Cross-Sectional Study in Punjab, Pakistan. Int J Environ Res Public Health 2022; 19:12892. [PMID: 36232189 PMCID: PMC9566713 DOI: 10.3390/ijerph191912892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 09/27/2022] [Accepted: 09/29/2022] [Indexed: 06/16/2023]
Abstract
One of the models that could be used to understand the adoption of vaccine uptake is the Health Belief Model (HBM). The aim of this study is to assess the role of HBM constructs and Perceived Health Status (PHS) on the vaccination status of individuals and to understand the role of socio-demographic variables on HBM scoring. A comparative cross-sectional telephone survey was conducted among 1325 vaccinated (60.0%) and non-vaccinated (40.0%) individuals aged 40 years and above in July 2021 in Punjab province, Pakistan. A higher level of education was the strongest predictor of positive HBM. All constructs of HBM, PHS and cues-to-action were significant predictors of COVID-19 vaccination uptake, with perceived benefits as the strongest predictor. In order to expand the vaccination coverage, double-pronged interventions utilizing both information and communication technology and human resources should be designed that address each barrier perceived by individuals and understandably communicate the benefits of COVID-19 vaccination to the broader population.
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Affiliation(s)
- Rubeena Zakar
- Department of Public Health, University of the Punjab, Lahore 54590, Pakistan
| | - Ain ul Momina
- Health Service Delivery in Punjab, King Edward Medical University, Lahore 54000, Pakistan
| | - Ruhma Shahzad
- Department of Public Health, University of the Punjab, Lahore 54590, Pakistan
| | - Sara Shahzad
- Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 1TN, UK
| | | | - Muhammad Zakria Zakar
- Vice Chancellor Office, University of Poonch Rawalakot, Rawalakot 12350, Azad Jammu and Kashmir, Pakistan
| | - Florian Fischer
- Institute of Public Health, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany
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198
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Butler J, Filippatos G, Siddiqi TJ, Ferreira JP, Brueckmann M, Bocchi E, Böhm M, Chopra VK, Giannetti N, Iwata T, Januzzi JL, Kaul S, Piña IL, Ponikowski P, Rauch-Kröhnert U, Shah SJ, Senni M, Sumin M, Verma S, Zhang J, Pocock SJ, Zannad F, Packer M, Anker SD. Effects of Empagliflozin in Women and Men With Heart Failure and Preserved Ejection Fraction. Circulation 2022; 146:1046-1055. [PMID: 36098051 PMCID: PMC9528945 DOI: 10.1161/circulationaha.122.059755] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
BACKGROUND Women and men with heart failure (HF) and preserved ejection fraction may differ in their clinical characteristics and their response to therapy. The aim of this study was to evaluate the influence of sex on the effects of empagliflozin in patients with HF and preserved ejection fraction enrolled in the EMPEROR-Preserved trial (Empagliflozin Outcome Trial in Patients With Chronic Heart Failure With Preserved Ejection Fraction). METHODS The effects of empagliflozin on the primary outcome of cardiovascular death or hospitalization for HF and on secondary outcomes (including total HF hospitalization, cardiovascular and all-cause mortality, and Kansas City Cardiomyopathy Questionnaire scores) were compared in women and men in the overall cohort and in subgroups defined by left ventricular ejection fraction (41%-49%, 50%-59%, and ≥60%). The effects of empagliflozin on physiological measures, including changes in systolic blood pressure, uric acid, hemoglobin, body weight, and natriuretic peptide levels, were also assessed. RESULTS Of the 5988 patients randomized, 2676 (44.7%) were women. In the placebo arm, women tended to have lower risk for adverse outcomes, including a lower risk of all-cause mortality (hazard ratio, 0.69 [95% CI, 0.56, 0.84]). Compared with placebo, empagliflozin reduced the risk of cardiovascular death or hospitalization for HF to a similar degree in both sexes (hazard ratio, 0.81 [95% CI, 0.69, 0.96] for men; and hazard ratio, 0.75 [95% CI, 0.61, 0.92] for women; Pinteraction=0.54). Sex did not modify the relationship between empagliflozin and outcomes across ejection fraction groups. Similar results were seen for secondary outcomes and physiological measures. Compared with placebo, empagliflozin improved the Kansas City Cardiomyopathy Questionnaire Clinical Summary Score to a similar extent in both sexes (1.38 for men versus 1.63 for women at 52 weeks; Pinteraction=0.77); the results were similar for Kansas City Cardiomyopathy Questionnaire overall summary score and total summary score. CONCLUSIONS Empagliflozin produced similar benefits on outcomes and health status in women and men with HF and preserved ejection fraction. REGISTRATION URL: https://www. CLINICALTRIALS gov; Unique identifier: NCT03057951.
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Affiliation(s)
- Javed Butler
- Department of Medicine, University of Mississippi School of Medicine, Jackson (J.B., T.J.S.).,Baylor Scott and White Research Institute, Dallas, TX (J.B)
| | - Gerasimos Filippatos
- National and Kapodistrian University of Athens School of Medicine, Athens University Hospital Attikon, Greece (G.F.)
| | - Tariq Jamal Siddiqi
- Department of Medicine, University of Mississippi School of Medicine, Jackson (J.B., T.J.S.)
| | - João Pedro Ferreira
- Université de Lorraine, Inserm, Centre d’Investigations Cliniques, Nancy, France (J.P.F., F.Z.).,Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France (J.P.F., F.Z.).,Cardiovascular Research and Development Center, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Portugal (J.P.F.)
| | - Martina Brueckmann
- Boehringer Ingelheim International GmbH, Ingelheim, Germany, and First Department of Medicine, Faculty of Medicine Mannheim, University of Heidelberg, Mannheim, Germany (M. Brueckmann)
| | - Edimar Bocchi
- Heart Failure Department, Heart Institute (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil (E.B.)
| | - Michael Böhm
- Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Saarland University, Homburg/Saar, Germany (M. Böhm)
| | - Vijay K. Chopra
- Max Superspeciality Hospital, Saket, New Delhi, India (V.K.C.)
| | - Nadia Giannetti
- Division of Cardiology, McGill University Health Centre, Montreal, QC, Canada (N.G.)
| | - Tomoko Iwata
- Boehringer Ingelheim Pharma GmbH & Co KG, Biberach, Germany (T.I.)
| | - James L. Januzzi
- Massachusetts General Hospital and Baim Institute for Clinical Research, Boston (J.L.J.)
| | - Sanjay Kaul
- Cedars-Sinai Medical Center, Los Angeles, CA (S.K.)
| | | | | | - Ursula Rauch-Kröhnert
- Department of Cardiology, Charité University Medicine Berlin, Campus Benjamin-Franklin, Germany (U.R.-K.).,German Centre for Cardiovascular Research partner site Berlin (U.R.-K.)
| | - Sanjiv J. Shah
- Northwestern University Feinberg School of Medicine, Chicago, IL (S.J.S.)
| | - Michele Senni
- Cardiovascular Department, Cardiology Division, Papa Giovanni XXIII Hospital, Bergamo, Italy (M. Senni)
| | - Mikhail Sumin
- Boehringer Ingelheim International GmbH, Ingelheim, Germany (M. Sumin)
| | - Subodh Verma
- Division of Cardiac Surgery, St. Michael’s Hospital, University of Toronto, ON, Canada (S.V.)
| | - Jian Zhang
- Fuwai Hospital Chinese Academic of Medical Science, Beijing, China (J.Z.)
| | - Stuart J. Pocock
- Department of Medical Statistics, London School of Hygiene and Tropical Medicine, UK (S.J.P.)
| | - Faiez Zannad
- Université de Lorraine, Inserm, Centre d’Investigations Cliniques, Nancy, France (J.P.F., F.Z.).,Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France (J.P.F., F.Z.)
| | - Milton Packer
- Baylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, TX (M.P.).,Imperial College, London, UK (M.P.)
| | - Stefan D. Anker
- Department of Cardiology and Berlin Institute of Health Center for Regenerative Therapies, Germany (S.D.A.).,German Centre for Cardiovascular Research partner site Berlin (S.D.A.).,Charité Universitätsmedizin Berlin, Germany (S.D.A.)
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199
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Youdan GA, Chihuri ST, Wong CK. Preliminary analysis of reliability and validity of the Life Space Questionnaire as a real-world mobility measure for people with lower limb loss: A technical note. Prosthet Orthot Int 2022; 46:491-495. [PMID: 36215058 PMCID: PMC9551355 DOI: 10.1097/pxr.0000000000000148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 03/23/2022] [Indexed: 02/03/2023]
Abstract
People with lower-limb loss (PLL) often have reduced mobility that translates into limited community access. The Life Space Questionnaire (LSQ) measures a person's real-world mobility within their home environment and community but has not been used among PLL. This study assessed preliminary LSQ test-retest reliability and discriminant validity from subjective and objective balance and walking measures in PLL. In addition, LSQ was hypothesized to have an inverse association with overall health status. Nine subjects were analyzed with mean age 48.2 ± 13.1 years and 4.8 ± 3.9 years' time since amputation. Six had transtibial and three had transfemoral amputations due to diabetes (4), vascular disease (3), and trauma (2). The primary outcome was the LSQ, a 9-level scale quantifying the extent to which people accessed their life space including home, yard, and community. Test-retest reliability for the LSQ was moderate (intraclass coefficient = 0.61 with 90% confidence interval: 0.19-0.87). Discriminant validity from balance and walking function was demonstrated by lack of correlation between LSQ score and the Activities-specific Balance Confidence and Berg Balance Scale and the Prosthetic Evaluation Questionnaire mobility subscale and walking speed (r < 0.50, P > .05). LSQ correlated with health status assessed with the Charlson Comorbidity Index (r = -0.84, P = .005). In this sample of PLL, the LSQ demonstrated moderate test-retest reliability as a measure of real-world mobility distinct as a construct from subjective and objective balance or walking measures. People may access their communities using various levels of assistance and methods of transportation. For this sample of PLL, health status was most strongly associated with LSQ score.
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Affiliation(s)
- Gregory A Youdan
- Columbia University, Teacher's College, New York, NY, USA
- Currently with Brown University, Providence, RI, USA
| | | | - Christopher K Wong
- Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, USA
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200
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Maliha G, Glickman JD, McCoy MS. Ensuring Equitable Access to Dialysis: The Medicare Secondary Payer Act in Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita, Inc.. J Am Soc Nephrol 2022; 33:1814-1816. [PMID: 35922135 PMCID: PMC9528331 DOI: 10.1681/asn.2022020224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Affiliation(s)
- George Maliha
- Department of Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
- Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Joel D. Glickman
- Renal, Electrolyte, and Hypertension Division, Hospital of the University of Pennsylvania, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Matthew S. McCoy
- Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania
- Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
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