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Adherence to the EAT-Lancet sustainable reference diet and cardiometabolic risk profile: cross-sectional results from the ELSA-Brasil cohort study. Eur J Nutr 2023; 62:807-817. [PMID: 36266476 DOI: 10.1007/s00394-022-03032-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 10/05/2022] [Indexed: 11/04/2022]
Abstract
PURPOSE The EAT-Lancet Commission released a reference sustainable diet to improve human health and respect the planetary boundaries. The Planetary Health Diet Index (PHDI) was developed with the purpose of evaluate the adherence to this reference diet. The aim of the present study was to evaluate the association between adherence to the EAT-Lancet diet with cardiometabolic risk profile. METHODS We used the cross-sectional baseline data from 14,155 participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicenter ongoing cohort study. Dietary data were collected using a 114-item validated food frequency questionnaire. The PHDI was used to assess the adherence to the EAT-Lancet diet. It consists of 16 components and the total score can range from 0 to 150 points. Linear, logistic and quasi-Poisson regression models were built to evaluate the associations between PHDI and the outcomes. RESULTS Individuals with higher adherence to EAT-Lancet diet (PHDI, 5th quintile) had lower values for systolic blood pressure (β - 0.84; 95% CI - 1.66: - 0.01), diastolic blood pressure (β - 0.70; 95% CI - 1.24: - 0.15), total cholesterol (β - 3.15; 95% CI - 5.30: - 1.01), LDL-c (β - 4.10; 95% CI - 5.97: - 2.23), and non-HDL-cholesterol (β - 2.57; 95% CI - 4.62: - 0.52). No association was observed for HDL-c, triglycerides and HOMA-IR. CONCLUSIONS Our results indicate that higher adherence to the EAT-Lancet diet is associated with lower levels of blood pressure, total cholesterol, LDL-c, and non-HDL-c.
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Yang HM, Kim HR. Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14121. [PMID: 36360999 PMCID: PMC9656550 DOI: 10.3390/ijerph192114121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 10/26/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
Work-to-family conflicts (WFC), an aggravating factor of stress, may affect cardiovascular health. However, the link between WFC and cardiovascular health behaviors is not fully defined. This study intends to identify the mediating effect of coping strategy on the relation between WFC with cardiovascular health behaviors, such as smoking, stress management, increased physical activity, and healthy diet habits. The study is a cross-sectional online survey with 358 call center counselors. We adopted a linear regression to confirm the relationship between WFC, coping strategy, and cardiovascular health behavior, which are the main variables of the study. Maladaptive coping partially mediated the relationship between WFC and cardiovascular health behavior. Based on the results, we insist that a support system to reduce WFC is necessary, as well as increasing the availability of resources and policies to reduce WFC in the workplace and find ways to improve maladaptive coping to promote healthy behaviors of call center workers.
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Affiliation(s)
- Hwa-Mi Yang
- Department of Nursing, Daejin University, Pocheon-si 11159, Korea
| | - Hye-Ryoung Kim
- College of Nursing, ShinHan University, 30, Beolmadeul-ro 40beon-gil, Dongducheon-si 11340, Korea
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Hegewald J, Romero Starke K, Garthus-Niegel S, Schulz A, Nübling M, Latza U, Jankowiak S, Liebers F, Rossnagel K, Riechmann-Wolf M, Letzel S, Arnold N, Beutel M, Gianicolo E, Pfeiffer N, Lackner K, Münzel T, Wild P, Seidler A. Work-life conflict and cardiovascular health: 5-year follow-up of the Gutenberg Health Study. PLoS One 2021; 16:e0251260. [PMID: 33961688 PMCID: PMC8104925 DOI: 10.1371/journal.pone.0251260] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 04/23/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Work-life conflicts (WLC) may impact health, but few studies prospectively consider the impact of WLC on objective outcomes such as cardiovascular disease. Using data from the Gutenberg Health Study (GHS), we examined if WLC at baseline was associated with an increased five-year incidence of cardiovascular events (myocardial infarct, stroke, atrial fibrillation, peripheral artery disease, coronary artery disease, chronic heart failure, sudden cardiac death). We also considered if WLC was associated with incident hypertension and arterial stiffness and if the effects of WLC on cardiovascular health differ for men and women. METHODS A working subsample of the 15,010 GHS cohort participants completed the Copenhagen Psychosocial Questionnaire, which included five "work-privacy conflict" questions at baseline and at the five-year follow-up. Relative risks for incident hypertension due to increased WLC at baseline (WLC scores exceeding 60 out of 100) were estimated with Poisson regression in the subgroup of participants without hypertension at baseline (n = 2426). Categories of WLC at baseline and follow-up were also used to examine the risk of hypertension due to chronic/recurrent WLC. In this subgroup, we also examined the association between WLC as a continuous score ranging from 0 to 100 with change to arterial stiffness after five years using linear regression. Hazard ratios were estimated for incident cardiovascular events in a larger subsample of participants without prevalent cardiovascular disease at baseline (n = 3698) using Cox regression. We used various multivariable regression models to adjust for sex, age, socioeconomic status, occupational, household, and cardiovascular risk factors. RESULTS We found no association between WLC and incident hypertension or increased arterial stiffness. The fully-adjusted relative risk for WLC >60 at baseline and hypertension was 0.93 (95% 0.74-1.17). The risk of hypertension due to chronic/recurrent WLC >60 was increased but not statistically significant (RR = 1.13, 95% CI 0.83-1.54). Overall, hazard ratios for incident cardiovascular events were also not increased. However, stratifying the results by sex resulted in a hazard ratio of 1.47 (95% CI 0.54-3.98) for incident cardiovascular disease among women in the fully adjusted model. CONCLUSIONS Although our results were not statistically significant, they indicate that WLC is negatively impacting the cardiovascular health of women. While these results need to be confirmed with additional research and a longer follow-up, interventions to prevent WLC will promote health and could be especially beneficial for women.
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Affiliation(s)
- Janice Hegewald
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
- Institute of Sociology, Faculty of Behavioral and Social Sciences, TU Chemnitz, Chemnitz, Germany
| | - Karla Romero Starke
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
- Institute of Sociology, Faculty of Behavioral and Social Sciences, TU Chemnitz, Chemnitz, Germany
| | - Susan Garthus-Niegel
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
- Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway
| | - Andreas Schulz
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Matthias Nübling
- FFAW: The Freiburg Research Centre for Occupational Sciences, Freiburg, Germany
| | - Ute Latza
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Sylvia Jankowiak
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Falk Liebers
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Karin Rossnagel
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Merle Riechmann-Wolf
- Institute for Teachers’ Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Stephan Letzel
- Institute of Occupational, Social, Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Natalie Arnold
- Center for Cardiology I, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Department of Medicine 2, Preventive Cardiology and Preventive Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Center for Translational Vascular Biology (CTVB), University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Manfred Beutel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Emilio Gianicolo
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Norbert Pfeiffer
- Department of Ophthalmology, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Karl Lackner
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
| | - Thomas Münzel
- Center for Cardiology I, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Center for Translational Vascular Biology (CTVB), University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
- DZHK (German Center for Cardiovascular Research), Partner Site Rhine-Main, Mainz, Germany
| | - Philipp Wild
- Department of Medicine 2, Preventive Cardiology and Preventive Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Center for Translational Vascular Biology (CTVB), University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
- DZHK (German Center for Cardiovascular Research), Partner Site Rhine-Main, Mainz, Germany
- Center of Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany
| | - Andreas Seidler
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
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Silva-Costa A, Toivanen S, Rotenberg L, Viana MC, da Fonseca MDJM, Griep RH. Impact of Work-Family Conflict on Sleep Complaints: Results From the Longitudinal Study of Adult Health (ELSA-Brasil). Front Public Health 2021; 9:649974. [PMID: 33968886 PMCID: PMC8097026 DOI: 10.3389/fpubh.2021.649974] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 03/25/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Balancing work and family demands is often a challenge. Family and job responsibilities may affect many aspects of health, and sleep is an important issue. Work-family conflict (WFC) refers to situations where it is difficult to reconcile family and professional demands. WFC can act in two directions: work-to-family conflicts occur when job demands interfere in family life; family-to-work conflicts arise when family demands interfere with job performance. This study evaluated whether dimensions of WFC-time- and strain-related, work-to-family conflict; family-to-work conflict; and lack of time for self-care and leisure due to work and family demands-were cross-sectionally and longitudinally associated with sleep complaints, by gender. Methods: The sample comprised 9,704 active workers (5,057 women and 4,647 men) from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Standardized questionnaires were used to collect data. WFC was measured at baseline (2008-2010), and sleep complaints were measured at baseline and approximately 4 years after the first visit (2012-2014). To test the association between the four WFC dimensions and sleep complaints, crude and multiple logistic regressions were conducted to estimate odds ratios and 95% confidence intervals. The adjusted model included age, education, marital status, hours worked and work schedule. Results: Mean age at baseline was 48.2 years. Most participants were educated to University degree level (54.5%), married (68.2%) and worked ≤ 40 h/week (66.1%). At baseline, 48.3% of women and 41.1% of men reported sleep complaints. Frequent WFC was reported by women and men, respectively, as follows: time-related work-to-family conflict (32.6 and 26.1%), strain-related work-to-family conflict (25.3 and 16.0%), family-to-work conflict (6.6 and 7.6%) and lack of time for self-care (35.2 and 24.7%). For both women and men, time- and strain-related work-to-family conflicts and conflicts for lack of time for self-care were cross-sectionally and longitudinally associated with sleep complaints. The findings also suggest a weaker and non-significant association between family-to-work conflict and sleep complaints. Conclusions: The statistically significant associations observed here underline the importance of reducing WFC. In the modern world, both WFC and sleep problems are increasingly recognized as frequent problems that often lead to ill health, thus posing a public health challenge.
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Affiliation(s)
- Aline Silva-Costa
- Department of Collective Health, Federal University of Triângulo Mineiro, Uberaba, Brazil.,Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.,National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ), Rio de Janeiro, Brazil
| | - Susanna Toivanen
- Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.,School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Lúcia Rotenberg
- Laboratory of Health and Environment Education, Oswaldo Cruz Foundation (IOC/FIOCRUZ), Rio de Janeiro, Brazil
| | - Maria Carmen Viana
- Department of Social Medicine and Post-graduate Program in Public Health, Federal University of Espírito Santo, Vitória, Brazil
| | | | - Rosane H Griep
- Laboratory of Health and Environment Education, Oswaldo Cruz Foundation (IOC/FIOCRUZ), Rio de Janeiro, Brazil
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Rocco PTP, Bensenor IM, Griep RH, Barreto SM, Moreno AB, Alencar AP, Lotufo PA, Santos IS. Work-Family Conflict and Ideal Cardiovascular Health Score in the ELSA-Brasil Baseline Assessment. J Am Heart Assoc 2019; 8:e012701. [PMID: 31597505 PMCID: PMC6818030 DOI: 10.1161/jaha.119.012701] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background There are few data about the association between work‐related stress and the American Heart Association ideal cardiovascular health (CVH) metrics. We studied the association between work‐family conflict (WFC) and ideal CVH scores in the ELSA‐Brasil (Brazilian Longitudinal Study of Adult Health) baseline study. Methods and Results We analyzed data of active workers (5424 men and 5967 women), aged 35 to 74 years, from 2008 to 2010. Ideal CVH scores were calculated based on the lifestyle and health metrics proposed by the American Heart Association, using data from questionnaires and clinical and laboratory examinations from the ELSA‐Brasil study baseline. The WFC questionnaire was based on the Frone model, validated for Brazilian Portuguese. WFC domains (time and strain‐based work interference with family, family interference with work, and lack of time for personal care and leisure) and frequency (never to rarely, sometimes, or frequently) were self‐reported. Main models were adjusted for age, sex, race, educational level, income, and study site. Positive relative predicted score differences (rPSDs) indicate higher predicted scores. We found lower lifestyle ideal CVH scores among men (rPSD, −5.7%; P=0.002) and women (rPSD, −10.2%; P<0.001) with frequent lack of time for personal care and leisure. We found lower lifestyle ideal CVH scores among women with frequent strain‐based work interference with family (rPSD, −5.1%; P=0.002), and family interference with work (rPSD, −8.6%; P=0.001). We found higher health ideal CVH scores among men with frequent WFC, which may be attributable to reverse causation. Conclusions We found significant associations between WFC and ideal CVH scores. These associations were heterogeneous according to sex.
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Affiliation(s)
- Priscila T P Rocco
- Centro de Pesquisa Clínica e Epidemiológica Hospital Universitário da Universidade de São Paulo São Paulo Brazil.,Programa de Pós-Graduaçãoem Ciências Médicas Universidade de São Paulo São Paulo Brazil
| | - Isabela M Bensenor
- Centro de Pesquisa Clínica e Epidemiológica Hospital Universitário da Universidade de São Paulo São Paulo Brazil.,Departamento de Clínica Médica Faculdade de Medicina da Universidade de São Paulo São Paulo Brazil
| | - Rosane H Griep
- Laboratório de Educação em Ambiente e Saúde Instituto Oswaldo Cruz Fundação Oswaldo Cruz Rio de Janeiro Brazil
| | - Sandhi M Barreto
- Departamento de Medicina Preventiva e Social Faculdade de Medicina da Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Arlinda B Moreno
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde da Escola Nacional de Saúde Pública Sérgio Arouca Fundação Oswaldo Cruz Rio de Janeiro Brazil
| | - Airlane P Alencar
- Departamento de Estatística Instituto de Matemática e Estatística Universidade de São Paulo São Paulo Brazil
| | - Paulo A Lotufo
- Centro de Pesquisa Clínica e Epidemiológica Hospital Universitário da Universidade de São Paulo São Paulo Brazil.,Departamento de Clínica Médica Faculdade de Medicina da Universidade de São Paulo São Paulo Brazil
| | - Itamar S Santos
- Centro de Pesquisa Clínica e Epidemiológica Hospital Universitário da Universidade de São Paulo São Paulo Brazil.,Departamento de Clínica Médica Faculdade de Medicina da Universidade de São Paulo São Paulo Brazil
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