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Luo J, Liu XB, Yao Q, Qu Y, Yang J, Lin K, Pan SR, Wang TY, Dai Y, Chen HY, Chen JM, Yang Z. The relationship between social support and professional identity of health professional students from a two-way social support theory perspective: chain mediating effects of achievement motivation and meaning in life. BMC MEDICAL EDUCATION 2024; 24:473. [PMID: 38685015 PMCID: PMC11059822 DOI: 10.1186/s12909-024-05391-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 04/04/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND Studies has suggested that receiving social support improves the professional identity of health professional students. According to the two-way social support theory, social support includes receiving social support and giving social support. However, the effect of the two-way social support on health professional students' professional identity has not been clarified yet. METHODS To explore the mechanism of how two-way social support affects health professional students' professional identity, an observational, cross-sectional study was conducted among a convenience and cluster sample of 1449 health professional students from two medical schools in western China. Measures included a short version of the two-way social support scale, a health professional students' professional identity questionnaire, an achievement motivation scale, and a meaning in life scale. Data were analyzed by use of SPSS26.0 software and PROCESSv4.0 plug-in. RESULTS Receiving social support, giving social support, achievement motivation, meaning in life, and professional identity were positively correlated with each other. Receiving and giving social support not only directly predicted health professional students' professional identity, but also indirectly predicted health professional students' professional identity through the mediating roles of achievement motivation and meaning in life, and the chain mediating roles of achievement motivation and meaning in life, respectively. The effectiveness of predicting health professional students' professional identity varied among different types of two-way social support, which could be depicted as two-way social support > mainly giving social support > mainly receiving social support > low two-way social support. CONCLUSION In the medical education, the awareness and ability of health professional students to receive and give social support should be strengthened. More attention should be drawn on the chain mediating effect of achievement motivation and meaning in life between two-way social support and professional identity. The current results shed new light on exploring effective ways of improving health professional students' professional identity, which suggested that more attention should be paid to the positive effects of mainly giving social support and two-way social support rather than only on the effects of receiving social support.
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Affiliation(s)
- Jian Luo
- School of Nursing, Chengdu Medical College, Chengdu, 610500, China
| | - Xiao-Bo Liu
- School of Acupuncture and Tuina, Chengdu University of Chinese Medicine, Chengdu, 611137, China
| | - Qian Yao
- School of Nursing, Chengdu Medical College, Chengdu, 610500, China
| | - Yi Qu
- Security Department of Chengdu Medical College, Chengdu, 610500, China
| | - Jin Yang
- School of Nursing, Chengdu Medical College, Chengdu, 610500, China
| | - Ke Lin
- School of Nursing, Chengdu Medical College, Chengdu, 610500, China
| | - Shi-Rong Pan
- School of Nursing, Chengdu Medical College, Chengdu, 610500, China
| | - Tian-Yi Wang
- School of Nursing, Chengdu Medical College, Chengdu, 610500, China
| | - Yun Dai
- School of Clinical Medicine, Chengdu Medical College, Chengdu, 610500, China
| | - Huan-Yu Chen
- School of Basic Medicine, Chengdu Medical College, Chengdu, 610500, China.
| | - Jian-Min Chen
- School of Basic Medicine, Chengdu Medical College, Chengdu, 610500, China.
| | - Zheng Yang
- School of Basic Medicine, Chengdu Medical College, Chengdu, 610500, China.
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Ramaiah P, Jamel Baljon K, Alsulami SA, Lindsay GM, Chinnasamy L. Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study. Front Nutr 2024; 10:1251861. [PMID: 38260062 PMCID: PMC10800572 DOI: 10.3389/fnut.2023.1251861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 11/02/2023] [Indexed: 01/24/2024] Open
Abstract
Objectives There are only limited studies investigating the impact of dietary quality indicators, such as dietary quality index (DQI), dietary diversity score (DDS), and alternative healthy eating index (AHEI), on metabolic dysfunction-associated fatty liver disease (MASLD). Furthermore, these indicators may have different components that could lead to varying results. Therefore, this study aims to assess the nutritional quality indicators and their potential association with MASLD. Methods The study included 128 recently diagnosed MASLD patients and 256 controls aged between 20 and 60 years. The dietary intake of participants was evaluated using a validated semi-quantitative food frequency questionnaire that consisted of 168 items. In this study, the method used to evaluate dietary diversity was based on five main food groups, specifically bread and grains, vegetables, fruits, meat, and dairy. The AHEI-2010 was computed using data collected from the FFQ. Results After adjusting for confounders in the fully adjusted model, a significant negative correlation was observed between DDS and the risk of MASLD (OR 0.41, 95% CI 0.20, 0.97). Participants in the top quartile of AHEI had a 76% lower risk of MASLD compared with those in the bottom quartile after controlling for all potential confounders in the fully adjusted model (OR 0.24, 95% CI 0.12, 0.56). Conclusion The results of our study suggest that there is a significant association between adherence to a high-diversity diet and a reduced likelihood of developing MASLD. Similarly, we observed a similar association between adherence to the AHEI diet and a lower risk of MASLD.
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Affiliation(s)
| | | | - Sana A. Alsulami
- Faculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Grace M. Lindsay
- Faculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia
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Du Q, Lu Y, Hu F, Feng X, Zhang Y, Li S, Zhang C, Zhang H, Zeng Y, Yao Y, Lu Z, Zhang W, Gao X. Dietary diversity and possible sarcopenia among older people in China: a nationwide population-based study. Front Nutr 2023; 10:1218453. [PMID: 37457980 PMCID: PMC10348914 DOI: 10.3389/fnut.2023.1218453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Accepted: 06/05/2023] [Indexed: 07/18/2023] Open
Abstract
Background Sarcopenia is a common geriatric disease. Many dietary factors may contribute to the development of sarcopenia. Few studies have been conducted on dietary diversity and sarcopenia in Chinese older adults. Among a nationwide sample, the objective of this study is to assess the association between the dietary diversity score (DDS) and the prevalence of possible sarcopenia. We considered the different patterns of dietary diversity in relation to possible sarcopenia. Methods We conducted this analysis utilizing the cross-sectional data from the 2012, 2014, and 2018 waves of the Chinese longitudinal healthy longevity survey (CLHLS). A standard developed by the Asian Working Group for Sarcopenia 2019 (AWGS2019) was used to assess the possibility of sarcopenia. On the basis of the DDS generated by previous studies, we have constructed four new indicators as follows: total diet, animal-based diet, plant-based diet, and plant-based diet without the consumption of legume products and nuts. We used the generalized estimation equation (GEE) model to evaluate the associations between the DDS of the total diet, animal-based diet, plant-based diet, and plant-based diet without the intake of legume products and nuts and possible sarcopenia. These associations were statistically adjusted for a variety of potential confounders. Sensitivity analysis was performed by excluding some participants who were long-term bedridden, had Alzheimer's disease, or were terminally ill. Results The analysis included 6,624 participants (mean age 83.4 years at baseline). In our study, we found that participants with a higher DDS of the total diet (OR = 0.62; 95% CI: 0.51-0.77), animal-based diet (OR = 0.62; 95% CI: 0.49-0.79), and plant-based diet (OR = 0.64;95% CI: 0.51-0.80) were at a lower risk of developing sarcopenia. In sensitivity analyses, the associations remained unchanged. Conclusion Taking a diversified diet, including animal foods, may reduce the risk of developing sarcopenia. According to the findings of this study, adopting a diversified diet might reduce the risk of sarcopenia for older adults.
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Affiliation(s)
- Qiaoqiao Du
- Health Management Center, The Second Affiliated Hospital of Soochow University, Suzhou, China
| | - Yanhui Lu
- Department of Endocrinology, The Second Medical Center & National Clinical Research Center for Geriatric Disease, Chinese PLA General Hospital, Beijing, China
| | - Fan Hu
- Department of Endocrinology, The Second Medical Center & National Clinical Research Center for Geriatric Disease, Chinese PLA General Hospital, Beijing, China
| | - Xinglin Feng
- Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China
| | - Yunquan Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University of Science and Technology, Wuhan, China
| | - Shaojie Li
- China Center for Health Development Studies, Peking University, Beijing, China
| | - Chi Zhang
- The Key Laboratory of Geriatrics, Institute of Geriatric Medicine, Chinese, Academy of Medical Sciences, National Center of Gerontology of National Health Commission, Beijing, China
| | - Hua Zhang
- Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China
| | - Yi Zeng
- Center for Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, China
| | - Yao Yao
- China Center for Health Development Studies, Peking University, Beijing, China
| | - Zhaohui Lu
- Health Management Center, The Second Affiliated Hospital of Soochow University, Suzhou, China
| | - Wenya Zhang
- Health Management Center, The Second Affiliated Hospital of Soochow University, Suzhou, China
| | - Xiangyang Gao
- Health Management Institute, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
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