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Ren Z, Sun Y, Li X, He M, Shi H, Zhao H, Li Y, Pu Y, Liu H, Zhang X. How Do Presenteeism and Family Functioning Affect the Association Between Chinese Nurses' Job Stress and Intention to Stay? J Am Psychiatr Nurses Assoc 2024; 30:559-568. [PMID: 36457173 DOI: 10.1177/10783903221140329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
BACKGROUND Despite a great deal of existing research on nurses' job stress and intention to stay, it is still unclear how the association between Chinese nurses' job stress and intention to stay is affected by presenteeism and family functioning. AIMS This study aimed to investigate the correlations of Chinese nurses' job stress, presenteeism, and family functioning with their intention to stay and clarify the mediating effect of presenteeism and the moderating effect of family functioning on the association between their job stress and intention to stay. METHOD A cross-sectional study of 1,008 nurses was performed in a major general hospital in Qiqihar City, Heilongjiang Province, China. The participants were invited to engage in a questionnaire survey regarding job stress, presenteeism, family functioning, and intention to stay. A moderated mediation analysis was conducted through multiple linear regression analysis and the PROCESS macro. RESULTS Job stress and presenteeism were negatively correlated with intention to stay, whereas family functioning was positively correlated with intention to stay. The effect of job stress on intention to stay was partially mediated by presenteeism (Effect = -0.147, 95% CI = [-0.305, -0.003]). In addition, family functioning moderated the direct effect of job stress on intention to stay (Index = -0.134, 95% CI = [-0.274, -0.001]). CONCLUSIONS Presenteeism and family functioning were found to play mediating and moderating roles, respectively, in the relationship between job stress and intention to stay. Relevant interventions or family-friendly programs should be developed to enhance nurses' intention to stay.
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Affiliation(s)
- Zheng Ren
- Zheng Ren, PhD, Jilin University, Changchun, China
| | - Yan Sun
- Yan Sun, MD, RN, Jilin University, Changchun, China; The First Hospital of Qiqihar City, Qiqihar, China
| | - Xiangrong Li
- Xiangrong Li, PhD, Jilin University, Changchun, China
| | - Minfu He
- Minfu He, PhD, Jilin University, Changchun, China
| | - Hong Shi
- Hong Shi, PhD, Jilin University, Changchun, China
| | - Hanfang Zhao
- Hanfang Zhao, MD, Jilin University, Changchun, China
| | - Yuyu Li
- Yuyu Li, MD, Jilin University, Changchun, China
| | - Yajiao Pu
- Yajiao Pu, MD, Jilin University, Changchun, China
| | - Hongjian Liu
- Hongjian Liu, PhD, Jilin University, Changchun, China
| | - Xiumin Zhang
- Xiumin Zhang, PhD, Jilin University, Changchun, China
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Wang L, Sun Y, Li Y, He L, Niu Y, Yan N. The association between trouble sleeping and obesity among the U.S. elderly from NHANES 2011-2014: A moderated mediation model of depressive symptoms and cognitive function. J Affect Disord 2024; 350:58-64. [PMID: 38220111 DOI: 10.1016/j.jad.2024.01.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Revised: 12/08/2023] [Accepted: 01/09/2024] [Indexed: 01/16/2024]
Abstract
BACKGROUND Studies have shown a close association between trouble sleeping and obesity in older adults. However, no studies have explored the underlying mechanism of this relationship. The present study was designed to evaluate the roles of depressive symptoms and cognitive function in the association between trouble sleeping and obesity in older American adults. METHODS A cross-sectional study with 2575 participants (≥60 years old) in the National Health and Nutrition Examination Survey (NHANES) 2011-2014 was used for analysis. Obesity, depressive symptoms, and cognitive function (including Established Consortium for Word Learning in Alzheimer's Disease (CERAD-WL) (immediate learning and recall and delayed recall), Animal Fluency Test (AFT), and Digit Symbol Substitution Test (DSST)) were objectively measured, and trouble sleeping was assessed using a self-reported questionnaire. The moderated mediation analysis was conducted by Hayes' PROCESS macro. RESULTS Trouble sleeping was positively associated with obesity among older adults. Depressive symptoms partially and indirectly mediated this association, and DSST moderated the association between trouble sleeping and depressive symptoms. Trouble sleeping had a lower impact on depressive symptoms in older adults with higher cognitive function. LIMITATIONS The cross-sectional design prevents making causal inferences, and part of self-reported information was not objective enough. CONCLUSION Cognitive function moderated the mediation of depressive symptoms on the indirect, positive association between trouble sleeping and obesity; hence, incorporating methods to strengthen cognitive function and alleviate depressive symptoms may help weak the link between trouble sleeping and obesity among older adults.
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Affiliation(s)
- Liqun Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Ningxia Medical University, Yinchuan 750004, China; Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan 750004, China
| | - Yanli Sun
- Department of Health Management Center, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750021, China
| | - Yan Li
- The Center for Disease Control and Prevention of Yinchuan City, Yinchuan 750011, China
| | - Lin He
- Heart Centre & Department of Cardiovascular Diseases, General Hospital of Ningxia Medical University, Yinchuan 750004, China
| | - Yang Niu
- Key Laboratory of the Ningxia Ethnomedicine Modernization, Ministry of Education, Ningxia Medical University, Yinchuan 750004, China.
| | - Ning Yan
- Heart Centre & Department of Cardiovascular Diseases, General Hospital of Ningxia Medical University, Yinchuan 750004, China.
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3
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O'Brien T, Rose K, Focht B, Al Kahlout N, Jensen T, Heareth K, Nori U, Daloul R. The feasibility of Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients using a pre/posttest design. Pilot Feasibility Stud 2023; 9:190. [PMID: 37993961 PMCID: PMC10664655 DOI: 10.1186/s40814-023-01417-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 11/08/2023] [Indexed: 11/24/2023] Open
Abstract
BACKGROUND Weight gain after a kidney transplant remains a major problem that can lead to adverse effects on morbidity and mortality. The posttransplant phase provides a window of opportunity to improve the engagement of self-management of care for lifestyle modifications for diet and physical activity. The purpose of our study was to (1) test the feasibility of recruitment, retention, and adherence for using the Technology, Application, Self-Management for Kidney (TASK) intervention in post-kidney transplant recipients (≥ 18 years of age) at baseline, 4, 8, and 12 weeks; and (2) estimate the preliminary effects of the TASK intervention in producing change over time for blood pressure (BP), weight, fruits/vegetable intake, fiber intake, sodium intake, self-efficacy to exercise, and perceived stress. METHODS This study used a 12-week pre/posttest design using to test the feasibility of the TASK intervention. We applied paired t-tests and McNemar's test to compare the outcomes at weeks 4, 8, and 12. RESULTS We met our recruitment goal (N = 20) and found a 15% attrition rate (n = 3) at Week 12. Adherence rate among the study completers for recording daily food intake was 83-94% over the 12 weeks and for recording daily physical activity was 17-33% over the 12 weeks. We observed improvements over time for BP, weight, fruits/vegetable intake, fiber intake, and sodium intake; these differences were non-significant, although clinically important. We did find a significant difference from baseline to 12 weeks in weight reduction (p = 0.02), self-efficacy to exercise (p = 0.003), and perceived stress (p = 0.04). CONCLUSIONS The data suggest the TASK intervention was feasible for kidney recipients to use and resulted in weight control, increased self-efficacy to exercise, and decreased perceived stress. TRIAL REGISTRATION ClinicalTrials.gov #:NCT05151445.
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Affiliation(s)
- Tara O'Brien
- The Ohio State University College of Nursing, Newton Hall, 1585 Neil Ave, Columbus, OH, 43210 , USA.
| | - Karen Rose
- The Ohio State University College of Nursing, Newton Hall, 1585 Neil Ave, Columbus, OH, 43210 , USA
| | - Brian Focht
- The Ohio State University College of Education and Human Ecology, 152 PAES, 305 Annie and John Glenn Ave, Columbus, OH, 43210, USA
| | - Noor Al Kahlout
- The Ohio State University College of Nursing, Newton Hall, 1585 Neil Ave, Columbus, OH, 43210 , USA
| | - Tad Jensen
- The Ohio State University College of Nursing, Newton Hall, 1585 Neil Ave, Columbus, OH, 43210 , USA
| | - Kenzie Heareth
- The Ohio State University College of Nursing, Newton Hall, 1585 Neil Ave, Columbus, OH, 43210 , USA
| | - Uday Nori
- The Ohio State University College of Medicine, 300 West 10Th Avenue Suite 1150, Columbus, OH, 43210, USA
| | - Reem Daloul
- Division of Nephrology, Kidney and Pancreas Transplant Program, Allegheny General Hospital, Erie, PA, 16505, USA
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Singh SS, Stranges S, Wilk P, Tang ASL, Frisbee SJ. Influence of the Social Environment on Ideal Cardiovascular Health. J Am Heart Assoc 2023; 12:e026790. [PMID: 36789849 PMCID: PMC10111502 DOI: 10.1161/jaha.122.026790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Background The environment plays a large role in the health of individuals; however, more research is needed to better understand aspects of the environment that most influence health. Specifically, our study examines how the social environment influences cardiovascular health (CVH). Methods and Results The social environment was characterized using measures of belonging and life and work stress in individuals, as well as nationally derived measures of marginalization, deprivation, economic status, and community well-being in neighborhoods. CVH was defined by the American Heart Association's Cardiovascular Health Index-a summed score of 7 clinical and behavioral components known to have the greatest impact on CVH. Data were obtained from the Canadian Community Health Survey 2015 to 2016 and multiple national data sources. Multilevel regression models were used to analyze the associations between CVH and the social environment. Overall, 27% of Canadians reported ideal CVH (6-7 score points), 68% reported intermediate CVH (3-5 score points), and 5% reported poor CVH (0-2 score points). The neighborhood environment contributed up to 7% of the differences in CVH between individuals. Findings indicated that residing in a neighborhood with greater community well-being (odds ratio [OR], 1.33 [95% CI, 1.26-1.41]) was associated with achieving higher odds of ideal CVH, while weaker community belonging (OR, 0.67 [95% CI, 0.62-0.72]) and residing in a neighborhood with greater marginalization (OR, 0.87 [95% CI, 0.82-0.91]) and deprivation (OR, 0.67 [95% CI, 0.64-0.69]) were associated with achieving lower odds of ideal CVH. Conclusions Aspects of individual-level social environment and residing in a neighborhood with a more favorable social environment were both independently and significantly associated with achieving ideal CVH.
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Affiliation(s)
- Sarah S Singh
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry University of Western Ontario London Ontario Canada
| | - Saverio Stranges
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry University of Western Ontario London Ontario Canada.,Department of Medicine, Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada.,Department of Family Medicine, Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada.,Department of Precision Medicine Luxembourg Institute of Health Strassen Luxembourg
| | - Piotr Wilk
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry University of Western Ontario London Ontario Canada.,Department of Paediatrics, Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada
| | - Anthony S L Tang
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry University of Western Ontario London Ontario Canada.,Department of Medicine, Division of Cardiology, Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada
| | - Stephanie J Frisbee
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry University of Western Ontario London Ontario Canada.,Department of Pathology & Laboratory Medicine, Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada.,Lawson Health Research Institute London Ontario Canada
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5
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Burke LE, Kline CE, Mendez DD, Shiffman S, Chasens ER, Zheng Y, Imes CC, Cajita MI, Ewing L, Goode R, Mattos M, Kariuki JK, Kriska A, Rathbun SL. Nightly Variation in Sleep Influences Self-efficacy for Adhering to a Healthy Lifestyle: A Prospective Study. Int J Behav Med 2022; 29:377-386. [PMID: 34478106 PMCID: PMC10061542 DOI: 10.1007/s12529-021-10022-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Self-efficacy, or the perceived capability to engage in a behavior, has been shown to play an important role in adhering to weight loss treatment. Given that adherence is extremely important for successful weight loss outcomes and that sleep and self-efficacy are modifiable factors in this relationship, we examined the association between sleep and self-efficacy for adhering to the daily plan. Investigators examined whether various dimensions of sleep were associated with self-efficacy for adhering to the daily recommended lifestyle plan among participants (N = 150) in a 12-month weight loss study. METHOD This study was a secondary analysis of data from a 12-month prospective observational study that included a standard behavioral weight loss intervention. Daily assessments at the beginning of day (BOD) of self-efficacy and the previous night's sleep were collected in real-time using ecological momentary assessment. RESULTS The analysis included 44,613 BOD assessments. On average, participants reported sleeping for 6.93 ± 1.28 h, reported 1.56 ± 3.54 awakenings, and gave low ratings for trouble sleeping (3.11 ± 2.58; 0: no trouble; 10: a lot of trouble) and mid-high ratings for sleep quality (6.45 ± 2.09; 0: poor; 10: excellent). Participants woke up feeling tired 41.7% of the time. Using linear mixed effects modeling, a better rating in each sleep dimension was associated with higher self-efficacy the following day (all p values < .001). CONCLUSION Our findings supported the hypothesis that better sleep would be associated with higher levels of reported self-efficacy for adhering to the healthy lifestyle plan.
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Affiliation(s)
- Lora E Burke
- School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
- Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
- Department of Health & Community Systems, School of Nursing, University of Pittsburgh, 415 Victoria Building, Pittsburgh, PA, 15261, USA.
| | - Christopher E Kline
- Department of Health and Human Development, University of Pittsburgh, Pittsburgh, PA, USA
| | - Dara D Mendez
- Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Saul Shiffman
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Eileen R Chasens
- School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA
| | - Yaguang Zheng
- Rory Meyers College of Nursing, New York University, New York, NY, USA
| | | | - Mia I Cajita
- Department of Biobehavioral Health Science, University of Illinois, Chicago, IL, USA
| | - Linda Ewing
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Rachel Goode
- School of Social Work, University of North Carolina, Chapel Hill, NC, USA
| | - Meghan Mattos
- School of Nursing, University of Virginia, Charlottesville, VA, USA
| | - Jacob K Kariuki
- School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA
| | - Andrea Kriska
- Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Stephen L Rathbun
- Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA, USA
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6
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Geda NR, Feng CX, Yu Y. Examining the association between work stress, life stress and obesity among working adult population in Canada: findings from a nationally representative data. Arch Public Health 2022; 80:97. [PMID: 35351179 PMCID: PMC8966340 DOI: 10.1186/s13690-022-00865-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 03/23/2022] [Indexed: 11/29/2022] Open
Abstract
Background Obesity is a priority public health concern in Canada and other parts of the world. The study primarily aims at assessing the role of self-perceived work and life stress on obesity among working adults in Canada. Methods The study was conducted based on a total of 104,636 Canadian adults aged 18 and above, extracted from the 2017–2018 Canadian Community Health Survey (CCHS) data. We used a mixed-effect logistic regression model to determine the possible association between two stress variables and obesity, controlling for other variables in the model. The random effect term accounts for the correlation among the observations from the same health region. Results A total of 63,815 adult respondents (aged 18 and above) who were working during the 12 months prior to the survey were studied. Of those, 18.7% were obese based on their self-reported BMI > =30.0 kg/m2. More than two-thirds of the respondents reported that their stress level is a bit stressful to extremely stressful. The results of multivariable mixed-effect logistic regression showed that the odds of obesity were 1.432 times (95% CI: 1.248–1.644) among those who reported extremely work-related stress, compared to those who had no work-related stress. Perceived life stress was not significantly associated with obesity risk among working adult population, after adjusting other factors. Conclusion The study concluded that obesity among Canadian adults is 18.7% of the working adult population being obese. Given the reported high prevalence of stress and its effect on obesity, the findings suggested improving social support systems, individual/group counseling, and health education focusing on work environments to prevent and manage stressors and drivers to make significant program impacts. Supplementary Information The online version contains supplementary material available at 10.1186/s13690-022-00865-8.
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Affiliation(s)
- Nigatu Regassa Geda
- Center for Population Studies, College of Development Studies, Addis Ababa University, Addis Ababa, Ethiopia.
| | - Cindy Xin Feng
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
| | - Yamei Yu
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada
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Harvanek ZM, Fogelman N, Xu K, Sinha R. Psychological and biological resilience modulates the effects of stress on epigenetic aging. Transl Psychiatry 2021; 11:601. [PMID: 34839356 PMCID: PMC8627511 DOI: 10.1038/s41398-021-01735-7] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 10/31/2021] [Accepted: 11/10/2021] [Indexed: 11/09/2022] Open
Abstract
Our society is experiencing more stress than ever before, leading to both negative psychiatric and physical outcomes. Chronic stress is linked to negative long-term health consequences, raising the possibility that stress is related to accelerated aging. In this study, we examine whether resilience factors affect stress-associated biological age acceleration. Recently developed "epigenetic clocks" such as GrimAge have shown utility in predicting biological age and mortality. Here, we assessed the impact of cumulative stress, stress physiology, and resilience on accelerated aging in a community sample (N = 444). Cumulative stress was associated with accelerated GrimAge (P = 0.0388) and stress-related physiologic measures of adrenal sensitivity (Cortisol/ACTH ratio) and insulin resistance (HOMA). After controlling for demographic and behavioral factors, HOMA correlated with accelerated GrimAge (P = 0.0186). Remarkably, psychological resilience factors of emotion regulation and self-control moderated these relationships. Emotion regulation moderated the association between stress and aging (P = 8.82e-4) such that with worse emotion regulation, there was greater stress-related age acceleration, while stronger emotion regulation prevented any significant effect of stress on GrimAge. Self-control moderated the relationship between stress and insulin resistance (P = 0.00732), with high self-control blunting this relationship. In the final model, in those with poor emotion regulation, cumulative stress continued to predict additional GrimAge Acceleration even while accounting for demographic, physiologic, and behavioral covariates. These results demonstrate that cumulative stress is associated with epigenetic aging in a healthy population, and these associations are modified by biobehavioral resilience factors.
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Affiliation(s)
- Zachary M. Harvanek
- grid.47100.320000000419368710Department of Psychiatry, Yale University, New Haven, CT USA
| | - Nia Fogelman
- grid.47100.320000000419368710Yale Stress Center, Yale University, New Haven, CT USA
| | - Ke Xu
- grid.47100.320000000419368710Department of Psychiatry, Yale University, New Haven, CT USA ,Department of Psychiatry, Connecticut Veteran Healthcare System, West Haven, CT USA
| | - Rajita Sinha
- Department of Psychiatry, Yale University, New Haven, CT, USA. .,Yale Stress Center, Yale University, New Haven, CT, USA. .,Department of Neuroscience, Yale University, New Haven, CT, USA. .,Child Study Center, Yale University, New Haven, CT, USA.
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8
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Woodruff SJ, Coyne P, St-Pierre E. Stress, physical activity, and screen-related sedentary behaviour within the first month of the COVID-19 pandemic. Appl Psychol Health Well Being 2021; 13:454-468. [PMID: 33645893 PMCID: PMC8014671 DOI: 10.1111/aphw.12261] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 01/29/2021] [Accepted: 01/29/2021] [Indexed: 12/12/2022]
Abstract
This study investigated how stress, physical activity and sedentary behaviours, of a small sample of Canadians, changed within the first month (i.e. March/April) of the COVID‐19 pandemic and the reasons/barriers associated with such changes. Individuals who regularly wear activity trackers were recruited via social media. Participants (N = 121) completed fillable calendars (March/April 2020) with their step counts and answered an online survey. Separate paired‐sample t‐tests, one‐way ANOVAs and bivariate chi‐squares were conducted, in addition to qualitative analysis. Daily (p <.001) and work (p =.003) stress increased, physical activity (measured by step count) decreased (p =.0014), and screen‐related sedentary behaviour increased (p <.001) as a result of COVID‐19. A decrease in physical activity, as a result of the pandemic, was also associated with a larger increase in work stress, compared with those who self‐reported their physical activity to have been maintained or increased (p =.005). The most common reasons/barriers to changes in physical activity behaviours were access/equipment, time and motivation. Findings provide initial evidence of the impact of the COVID‐19 pandemic on the health of some Canadians and highlight the need for continued monitoring of the health of Canadians throughout the pandemic.
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Hruska V, Ambrose T, Darlington G, Ma DWL, Haines J, Buchholz AC. Stress is Associated with Adiposity in Parents of Young Children. Obesity (Silver Spring) 2020; 28:655-659. [PMID: 32030916 DOI: 10.1002/oby.22710] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2019] [Accepted: 10/15/2019] [Indexed: 01/24/2023]
Abstract
OBJECTIVE This study investigated associations between stress (general stress, parenting distress, and household chaos) and adiposity among parents of young children. METHODS The sample consisted of 49 mothers and 61 fathers from 70 families with young children living in Ontario, Canada. Linear regression using generalized estimating equations was used to investigate associations between stress measures and BMI, waist circumference (WC), waist to height ratio (WHtR), and percent fat mass. RESULTS General stress was significantly associated with BMI ( β ^ = 0.54; 95% CI: 0.04-1.03) and WC ( β ^ = 1.44; 95% CI: 0.10-2.77). Parenting distress was significantly associated with BMI ( β ^ = 0.16; 95% CI: 0.02-0.31), WC ( β ^ = 0.39; 95% CI: 0.04-0.75), and WHtR ( β ^ = 0.003; 95% CI: 0.001-0.005). Household chaos was significantly associated with all adiposity measures (BMI: β ^ = 0.20 [95% CI: 0.08-0.33]; WC: β ^ = 0.48 [95% CI: 0.21-0.75]; WHtR: β ^ = 0.003 [95% CI: 0.001-0.005]; percent fat mass: β ^ = 0.29 [95% CI: 0.08-0.49]). CONCLUSIONS General stress, parenting distress, and household chaos are associated with adiposity among parents of young children. Future research should elucidate mechanisms by which this occurs and elucidate how this risk may be mitigated.
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Affiliation(s)
- Valerie Hruska
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada
| | - Tory Ambrose
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada
| | - Gerarda Darlington
- Department of Mathematics and Statistics, University of Guelph, Guelph, Ontario, Canada
| | - David W L Ma
- Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada
| | - Jess Haines
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada
| | - Andrea C Buchholz
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada
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Silva EPD, Rocha APR, Araujo MYC, Turi BC, Fernandes RA, Codogno JS. Sleep pattern, obesity and healthcare expenditures in Brazilian adults. CIENCIA & SAUDE COLETIVA 2019; 24:4103-4110. [PMID: 31664383 DOI: 10.1590/1413-812320182411.26972017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 04/17/2018] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to analyze the relationship between sleep pattern and healthcare expenditures in adults, as well as to identify whether physical activity, biochemical markers and obesity affect this relationship. The sample was composed of 168 adults aged ≥ 50 years attended by two Basic Healthcare Units in Presidente Prudente, SP, Brazil. Health expenditure, sleep pattern, anthropometry, adiposity index, physical activity, metabolic and cardiovascular variables were assessed. Statistical analyses were performed using Kruskal-Wallis, Mann-Whitney and Spearman tests. Sleep disorders were positively correlated to higher costs with medicines and negatively correlated to costs with laboratory tests, even after adjusts by confounders. In addition, healthcare costs were also correlated to physical activity score, blood pressure, obesity and metabolic variables. Severe sleep disorders and high percentage of body fat were associated with increased use of medications. Sleep pattern is correlated to primary care healthcare costs, obesity and physical activity level.
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Affiliation(s)
- Eduardo Pereira da Silva
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
| | | | - Monique Yndawe Castanho Araujo
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
| | - Bruna Camilo Turi
- Physical Education and Exercise Science Department, Lander University. Greenwood, SC, EUA
| | - Rômulo Araújo Fernandes
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
| | - Jamile Sanches Codogno
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
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Health and Fitness Benefits But Low Adherence Rate: Effect of a 10-Month Onsite Physical Activity Program Among Tertiary Employees. J Occup Environ Med 2019; 60:e455-e462. [PMID: 30020214 DOI: 10.1097/jom.0000000000001394] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE The aim of this study was to assess the effects of a 10-month structured physical activity intervention implemented within the workplace on overall health indicators among tertiary (office workers) employees. METHODS In this quasi-experimental study, 224 employees followed a 10-month worksite physical activity program. Overall health was assessed at baseline, after 5 months, and by the end of the intervention. RESULTS Fat mass percentage decreased significantly. There was a time effect favoring push-ups, abdominal strength, flexibility, heart rate postexercise, heart rate +30 seconds, and heart rate +60 seconds postexercise. Anxiety, depression, and eating habits also improved. In total, 45% of participants completed the whole intervention. CONCLUSION Although a structured on-site physical activity program supports improved health indicators, adherence remains a concern and requires specialists to develop new strategies.
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Kim WK, Chung WC, Oh DJ. The effects of physical activity and sedentary time on the prevalence rate of metabolic syndrome and perceived stress in Korean adults. J Exerc Rehabil 2019; 15:37-43. [PMID: 30899734 PMCID: PMC6416495 DOI: 10.12965/jer.1836552.276] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Accepted: 12/20/2018] [Indexed: 01/21/2023] Open
Abstract
This study examined adult health related factors of the Korea National Health and Nutrition Examination Survey in 2017. Metabolic syndrome prevalence and perceived stress with physical activity and sedentary time were analyzed. Subjects are 4,459 over 40 year adults. The data were analyzed odds ratio (OR) and confidence interval by logistic regression analysis. First, male, moderate intensity occupational physical activity (OPA) and high intensity leisure time physical activity (LTPA) (OR, 1.337) between metabolic syndrome prevalence tended to increase. Vigorous intensity OPA (OR, 0.847), transport physical activity (TPA) (OR, 0.968), and moderate intensity LTPA (OR, 0.927) between metabolic syndrome prevalence tends to decrease. Female, vigorous intensity OPA (OR, 1.238) between metabolic syndrome prevalence tended to increase. Moderate intensity OPA (OR, 0.878), TPA (OR, 0.875), vigorous intensity LTPA (OR, 0.691), and moderate intensity LTPA (OR, 0.479) between metabolic syndrome prevalence tended to decrease. Male, vigorous intensity OPA (OR, 1.584), moderate intensity OPA (OR, 1.752), and vigorous intensity LTPA (OR, 1.316) between perceived stress tended to increase. TPA (OR, 0.753) and moderate intensity LTPA (OR, 0.983) between perceived stress tended to decrease. Female, moderate intensity OPA (OR, 2.331) between perceived stress tended to increase. Vigorous intensity OPA (OR, 0.732), TPA (OR, 0.836), vigorous intensity LTPA (OR, 0.990), and moderate intensity LTPA (OR, 0.837) between perceived stress tended to decrease.
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Affiliation(s)
- Woo-Kyung Kim
- College of Liberal Art, Anyang University, Anyang, Korea
| | - Won-Chung Chung
- Department of Physical Education, Sangji University, Wonju, Korea
| | - Deuk-Ja Oh
- Department of Physical Education, Pusan National University, Busan, Korea
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Jones AM, Koehoorn M. Work stress and recognition of need and intention to improve physical health. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2018. [DOI: 10.1080/15555240.2018.1542309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Andrea Marie Jones
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
| | - Mieke Koehoorn
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
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Daly A, Carey RN, Darcey E, Chih H, LaMontagne AD, Milner A, Reid A. Workplace psychosocial stressors experienced by migrant workers in Australia: A cross-sectional study. PLoS One 2018; 13:e0203998. [PMID: 30235255 PMCID: PMC6147467 DOI: 10.1371/journal.pone.0203998] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 08/31/2018] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To explore work-related psychosocial stressors among people of Chinese, Vietnamese and Arabic-speaking backgrounds currently working in Australia. METHODS In 2015, a telephone survey of 585 Vietnamese, Chinese and Arabic-speaking workers asked about workplace bullying, ethnic discrimination, job complexity, degree of control, security and fairness of payment along with demographic and employment information. Estimates of job-related psychosocial stressors were derived and regression analyses used to identify significant associations. RESULTS At least one workplace stressor was reported by 83% of the workers in the study. Education was significantly associated with experiencing any psychosocial stressor and also with the total number of stressors. Workers aged 45 years and older were more likely to be bullied or experience racial discrimination compared with younger workers of any ethnicity. There was a greater likelihood of reporting low control over a job when the interview was conducted in a language other than English and the workers were either Chinese or Arabic. Workers on a fixed-term contract, independent of ethnicity were more likely to report a job with low security. Overall psychosocial job quality decreased with education and was associated with occupation type which interacted with ethnicity and gender. CONCLUSIONS The results suggest that job-related psychosocial stressors are widespread but not uniform across ethnic groups. Further research into what drives differences in work experience for migrant groups would provide information to guide both employers and migrants in ways to reduce workplace psychosocial stressors.
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Affiliation(s)
- Alison Daly
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Renee N. Carey
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Ellie Darcey
- Centre for Genetic Origins of Health and Disease, Royal Perth Hospital Medical Research Foundation, Perth, Australia
| | - HuiJun Chih
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Anthony D. LaMontagne
- Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia
- Centre for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Allison Milner
- Centre for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Alison Reid
- School of Public Health, Curtin University, Perth, Western Australia, Australia
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Fang L, Hsiao LP, Fang SH, Chen BC. The associations with work stress, social support and overweight/obesity among hospital nurses: A cross-sectional study. Contemp Nurse 2018; 54:182-194. [DOI: 10.1080/10376178.2018.1476166] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Li Fang
- Department of Nursing, Fooyin University, Kaohsiung, Taiwan, R.O.C
| | - Li-Ping Hsiao
- Department of Nursing, Pingtung Christian Hospital, Pingtung, Taiwan
| | - Shu-Hui Fang
- Department of Foreign Languages, Fooyin University, Kaohsiung, Taiwan
| | - Bao-Chen Chen
- Department of Nursing, Pingtung Christian Hospital, Pingtung, Taiwan
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