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Kim HJ, Ghang B, Kim J, Ahn HS. Regional variations of cardiovascular risk in gout patients: a nationwide cohort study in Korea. JOURNAL OF RHEUMATIC DISEASES 2023; 30:185-197. [PMID: 37476678 PMCID: PMC10351371 DOI: 10.4078/jrd.2023.0011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 04/29/2023] [Accepted: 05/01/2023] [Indexed: 07/22/2023]
Abstract
Objective The extent of regional variations in cardiovascular risk and associated risk factors in patients with gout in South Korea remains unclear. Therefore, we aimed to investigate the risk of major cardiovascular events in gout patients in different regions. Methods This was a nationwide cohort study based on the claims database of the Korean National Health Insurance and the National Health Screening Program. Patients aged 20 to 90 years newly diagnosed with gout after January 2012 were included. After cardiovascular risk profiles before gout diagnosis were adjusted, the relative risks of incident cardiovascular events (myocardial infarction, cerebral infarction, and cerebral hemorrhage) in gout patients in different regions were assessed. Results In total, 231,668 patients with gout were studied. Regional differences in cardiovascular risk profiles before the diagnosis were observed. Multivariable analysis showed that patients with gout in Jeolla/Gwangju had a significantly high risk of myocardial infarction (adjusted hazard ratio [aHR], 1.27; 95% confidence interval [CI], 1.02~1.56; p=0.03). In addition, patients with gout in Gangwon (aHR, 1.38; 95% CI, 1.09~1.74; p<0.01), Jeolla/Gwangju (aHR, 1.41; 95% CI, 1.19~1.67; p<0.01), and Gyeongsang/Busan/Daegu/Ulsan (aHR, 1.37; 95% CI, 1.19~1.59; p<0.01) had a significantly high risk of cerebral infarction. Conclusion We found there were regional differences in cardiovascular risk and associated risk factors in gout patients. Physicians should screen gout patients for cardiovascular risk profiles in order to facilitate prompt diagnosis and treatment.
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Affiliation(s)
- Hyun Jung Kim
- Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea
| | - Byeongzu Ghang
- Division of Rheumatology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
| | - Jinseok Kim
- Division of Rheumatology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
| | - Hyeong Sik Ahn
- Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea
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Skinner AC, Staiano AE, Armstrong SC, Barkin SL, Hassink SG, Moore JE, Savage JS, Vilme H, Weedn AE, Liebhart J, Lindros J, Reilly EM. Appraisal of Clinical Care Practices for Child Obesity Treatment. Part II: Comorbidities. Pediatrics 2023; 151:190446. [PMID: 36622098 DOI: 10.1542/peds.2022-060643] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
The objective of this technical report is to provide clinicians with actionable evidence-based information upon which to make treatment decisions. In addition, this report will provide an evidence base on which to inform clinical practice guidelines for the management and treatment of overweight and obesity in children and adolescents. To this end, the goal of this report was to identify all relevant studies to answer 2 overarching key questions: (KQ1) "What are effective clinically based treatments for obesity?" and (KQ2) "What is the risk of comorbidities among children with obesity?" See Appendix 1 for the conceptual framework and a priori Key Questions.
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Affiliation(s)
- Asheley C Skinner
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina
| | - Amanda E Staiano
- Louisiana State University Pennington Biomedical Research Center, Baton Rouge, Louisiana
| | - Sarah C Armstrong
- Departments of Pediatrics and Population Health Sciences, Duke Clinical Research Institute, Duke University, Durham, North Carolina
| | - Shari L Barkin
- Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia
| | - Sandra G Hassink
- Medical Director, American Academy of Pediatrics, Institute for Healthy Childhood Weight, Wilmington, Delaware
| | - Jennifer E Moore
- Institute for Medicaid Innovation, University of Michigan Medical School, Ann Arbor, Michigan
| | - Jennifer S Savage
- Center for Childhood Obesity Research, Pennsylvania State University, Department of Nutritional Sciences, Pennsylvania State University, University Park, Pennsylvania
| | - Helene Vilme
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina
| | - Ashley E Weedn
- Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
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Souza MR, Neves MEA, Gorgulho BM, Souza AM, Nogueira PS, Ferreira MG, Rodrigues PRM. Breakfast skipping and cardiometabolic risk factors in adolescents: Systematic review. Rev Saude Publica 2021; 55:107. [PMID: 34932697 PMCID: PMC8664063 DOI: 10.11606/s1518-8787.2021055003077] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 04/09/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To systematically review the results of the association between breakfast skipping and cardiometabolic risk factors in adolescents. METHODS The articles were searched in May 2020 from PubMed, Virtual Health Library, Scopus, Web of Science and Scientific Electronic Library Online (SciELO). The review included observational studies conducted with adolescents (10-19 years old), which estimated the association of breakfast skipping with at least one outcome (markers of body adiposity, blood pressure, serum lipid and glucose levels). Regarding the risk of bias, the articles were evaluated using the Research Triangle Institute (RTI) Item Bank on bias risk and accuracy of observational studies. The quality of the evidence was assessed by the Grade rating. RESULTS A total of 43 articles involving 192,262 participants met the inclusion criteria and were considered in this review. The prevalence of breakfast skipping ranged from 0.7% to 94% and 60.5% of studies were classified with low risk of bias. The significant association between breakfast skipping and cardiometabolic risk factors was found in twenty-nine cross-sectional articles (n = 106,031) and four longitudinal articles (n = 5,162) for excess adiposity, in three articles (n = 8,511) for high total cholesterol levels, low-density lipoprotein and triglycerides, and in three studies (n = 6,303) for high blood pressure levels. However, there was no significant association between breakfast skipping and glycemic profile. According to the Grade rating, all the associations had low quality of evidence. CONCLUSION The results of this review suggest that breakfast skipping is associated with cardiometabolic risk factors in adolescents aged 10 to 19 years. However, considering the low quality of the evidence, the present results should be interpreted carefully. In addition, our findings highlight the importance of standardizing the definition of breakfast skipping and that more prospective studies are needed to determine how skipping breakfast can affect cardiometabolic risk factors in the long time.
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Affiliation(s)
- Marielly Rodrigues Souza
- Universidade Federal de Mato Grosso. Faculdade de Nutrição. Programa de Pós-Graduação em Nutrição, Alimentos e Metabolismo. Cuiabá, MT, Brasil
| | - Morgana Egle Alves Neves
- Universidade Federal de Mato Grosso. Faculdade de Nutrição. Programa de Pós-Graduação em Nutrição, Alimentos e Metabolismo. Cuiabá, MT, Brasil
| | - Bartira Mendes Gorgulho
- Universidade Federal de Mato Grosso. Faculdade de Nutrição. Departamento de Alimentos e Nutrição. Cuiabá, MT, Brasil
| | - Amanda Moura Souza
- Universidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Departamento de Epidemiologia e Bioestatística. Rio de Janeiro, RJ, Brasil
| | - Patrícia Simone Nogueira
- Universidade Federal de Mato Grosso. Faculdade de Nutrição. Departamento de Alimentos e Nutrição. Cuiabá, MT, Brasil
| | - Márcia Gonçalves Ferreira
- Universidade Federal de Mato Grosso. Faculdade de Nutrição. Departamento de Alimentos e Nutrição. Cuiabá, MT, Brasil
| | - Paulo Rogério Melo Rodrigues
- Universidade Federal de Mato Grosso. Faculdade de Nutrição. Departamento de Alimentos e Nutrição. Cuiabá, MT, Brasil
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Mirzayi C, Ferris E, Ozcebe H, Swierad E, Arslan U, Ünlü H, Araz O, Yardim MS, Üner S, Bilir N, Huang TT. Structural equation model of physical activity in Turkish schoolchildren: an application of the integrated behavioural model. BMJ Open 2021; 11:e046317. [PMID: 34903531 PMCID: PMC8671916 DOI: 10.1136/bmjopen-2020-046317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES Childhood obesity is increasingly prevalent in the developing world including Turkey. This study examined constructs of the integrated behavioural model associated with physical activity in a sample of schoolchildren in Ankara, Turkey using structural equation modelling. DESIGN Cross-sectional survey by probability sampling. SETTING Fifteen schools of different socioeconomic strata in Ankara, Turkey with grade 4 students. PARTICIPANTS 2066 (969 girls and 1097 boys) grade 4 schoolchildren and their parents selected using a probability-based sampling frame. PRIMARY OUTCOME MEASURES Three primary outcomes were used: moderate-to-vigorous physical activity, team sport participation, sedentary behaviour. RESULTS Data were collected from 2066 fourth-grade children from schools of three socioeconomic strata. Missing data were imputed using multiple imputation. To examine the integrated behavioural model, a structural equation model containing latent constructs for physical activity outcome expectancies, self-efficacy, home environment and social norms were fitted with the three outcomes above. Adequate model fit was achieved in the structural equation model (χ2=1821.97, df=872, p<0.001, Comparative Fit Index=0.91, Tucker Lewis Index=0.91, root mean square error of approximation=0.02, standardised root mean square residual=0.04). All scale items were significantly associated with their respective latent constructs (all p<0.001). Several significant pathways between latent constructs and outcomes of interest were observed (p<0.05). Self-efficacy was positively associated with moderate-to-vigorous physical activity (p<0.001) and team sport participation (p<0.001) and negatively associated with sedentary behaviour (p<0.001). Negative outcome expectancies were negatively associated with moderate-to-vigorous physical activity (p<0.01) and sedentary behaviour (p<0.01) while positive outcome expectancies were positively associated with team sport behaviour (p<0.001) and negatively associated with sedentary behaviour (p<0.05). Home support was positively associated with moderate-to-vigorous physical activity (p<0.01) and team sport participation (p<0.05). Finally, physical activity social norms were negatively associated with sedentary behaviour only (p<0.05). CONCLUSIONS This study supported the extension to Turkish children of the integrated behavioural model in relation to physical activity behaviours. Results illustrate multiple targets for interventions to increase physical activity.
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Affiliation(s)
- Chloe Mirzayi
- Center for Systems and Community Design, Graduate School of Public Health and Health Policy, City University of New York, New York, New York, USA
| | - Emily Ferris
- Center for Systems and Community Design, Graduate School of Public Health and Health Policy, City University of New York, New York, New York, USA
| | - Hilal Ozcebe
- Department of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Ewelina Swierad
- Center for Systems and Community Design, Graduate School of Public Health and Health Policy, City University of New York, New York, New York, USA
| | - Umut Arslan
- Department of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Hande Ünlü
- Department of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Ozgur Araz
- Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA
- College of Business Administration, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - Mahmut Saadi Yardim
- Department of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Sarp Üner
- Department of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Nazmi Bilir
- Department of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Terry T Huang
- Center for Systems and Community Design, Graduate School of Public Health and Health Policy, City University of New York, New York, New York, USA
- Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA
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Skipping breakfast is associated with the presence of cardiometabolic risk factors in adolescents: Study of Cardiovascular Risks in Adolescents - ERICA. Br J Nutr 2021; 126:276-284. [PMID: 33040745 DOI: 10.1017/s0007114520003992] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Breakfast is considered as the most important meal of the day. The habit of skipping this meal in adolescence tends to remain until adulthood and has been associated with cardiometabolic risk factors. The present study estimated the prevalence of skipping breakfast and its association with cardiometabolic risk factors. This is a cross-sectional study with data from the Study of Cardiovascular Risks in Adolescents (ERICA), with a nationally representative sample of 36 956 Brazilian adolescents, aged 12-17 years, enrolled in public and private schools. The outcomes were excess body weight (BMI), central obesity (waist circumference and waist:height ratio), lipid profile (total cholesterol (TC), LDL-cholesterol, HDL-cholesterol and TAG) and glycidic profile (fasting glycaemia, fasting insulin and glycated Hb). The association between skipping breakfast and each outcome was estimated using multiple Poisson regression models (prevalence ratio (PR) and 95 % CI). Prevalence of skipping breakfast was 68·7 % and, after adjustments, it was associated with excess body weight (PR = 1·30; 95 % CI 1·18, 1·43), central obesity both by waist circumference (PR = 1·27; 95 % CI 1·00, 1·61) and by waist:height ratio (PR = 1·32; 95 % CI 1·13, 1·54) and high fasting glucose levels (PR = 1·54; 95 % CI 1·09, 2·18), fasting insulin (PR = 1·64; 95 % CI 1·21, 2·22), glycated Hb (PR = 1·16; 95 % CI 1·03, 1·31) and total cholesterol (PR = 1·14; 95 % CI 1·02, 1·27). Skipping breakfast was associated with cardiometabolic risk factors in adolescence. In this context, the school environment is an ideal space to promote healthy eating habits, favouring the implementation of food and nutrition education activities to make adolescents aware of the importance of consuming breakfast daily.
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Han KT, Kim S. Regional Prevalence of Dyslipidemia, Healthcare Utilization, and Cardiovascular Disease Risk in South Korean: A Retrospective Cohort Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020538. [PMID: 33440700 PMCID: PMC7827736 DOI: 10.3390/ijerph18020538] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 01/07/2021] [Accepted: 01/08/2021] [Indexed: 01/11/2023]
Abstract
Background: Health disparities between different populations have long been recognized as a problem, and they are still an unsolved public health issue. Many factors can make a difference, and disparities for cardiovascular diseases (CVDs) are especially pronounced. This study aimed to assess South Korean regional variations for dyslipidemia prevalence, differences in healthcare utilization, and CVD risk. Methods: We used data from 52,377 patients from the National Health Insurance Sampling. Outcome variables were the risk of CVD, healthcare utilization (outpatient visits), and healthcare expenditures. A generalized estimating equation model was used to identify associations between the region and CVD risk, a Poisson regression model was used for evaluating outpatient visits, and a generalized linear model (gamma and log link function) was used to evaluate healthcare expenditures. Results: A total of 12,443 (23.8%) patients were diagnosed with CVD. Dyslipidemia prevalence varied by region, and the most frequent dyslipidemia factor was high total cholesterol. CVD risk was increased in low population-density regions compared to high-density regions (odds ratio [OR]: 1.133, 95% confidence interval [CI]: 1.037–1.238). Healthcare expenditures and outpatient visits were also higher in low-density regions compared to high-density regions. Conclusions: This study provides a regional assessment of dyslipidemia prevalence, healthcare utilization, and CVD risk. To bridge differences across regions, consideration should be given not only to general socio-economic factors but also to specific regional factors that can affect these differences, and a region-based approach should be considered for reducing disparities in general health and healthcare quality.
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Affiliation(s)
- Kyu-Tae Han
- Division of Cancer Control and Policy, National Cancer Center, Goyang 10408, Korea;
| | - SeungJu Kim
- Department of Nursing, College of Nursing, Eulji University, Seongnam 13135, Korea
- Correspondence: ; Tel.: +82-31-740-7405; Fax: +82-031-740-7359
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Yayıcı Köken Ö, Kara C, Can Yılmaz G, Aydın HM. Prevalence of Obesity and Metabolic Syndrome in Children with Type 1 Diabetes: A Comparative Assessment Based on Criteria Established by the International Diabetes Federation, World Health Organisation and National Cholesterol Education Program. J Clin Res Pediatr Endocrinol 2020; 12:55-62. [PMID: 31434460 PMCID: PMC7127892 DOI: 10.4274/jcrpe.galenos.2019.2019.0048] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Accepted: 08/16/2019] [Indexed: 01/04/2023] Open
Abstract
Objective To determine the prevalence of obesity and metabolic syndrome (MetS) in children and adolescents with type 1 diabetes (T1D) and to compare the widely accepted and used diagnostic criteria for MetS established by the International Diabetes Federation (IDF), World Health Organisation (WHO) and National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII). Methods We conducted a descriptive, cross sectional study including T1D patients between 8-18 years of age. The three sets of criteria were used to determine the prevalence of MetS and findings compared. Risk factors related to MetS were extracted from hospital records. Results The study included 200 patients with T1D (52% boys). Of these, 18% (n=36) were overweight/obese (body mass index percentile ≥85%). MetS prevalence was 10.5%, 8.5% and 13.5% according to IDF, WHO and NCEP criteria, respectively. There were no statistically significant differences in age, gender, family history of T1D and T2D, pubertal stage, duration of diabetes, hemoglobin A1c levels and daily insulin doses between patients with or without MetS. In the overweight or obese T1D patients, the prevalence of MetS was 44.4%, 38.8% and 44.4% according to IDF, WHO and NCEP-ATPIII criteria, respectively. Conclusion Obesity prevalence in the T1D cohort was similar to that of the healthy population of the same age. Prevalence of MetS was higher in children and adolescents with T1D compared to the obese population in Turkey. The WHO criteria include microvascular complications which are rare in childhood and the NCEP criteria do not include a primary criterion while diagnosing non-obese patients according to waist circumference as MetS because the existence of diabetes is considered as a direct criterion. Our study suggests that IDF criteria which allows the diagnosis of MetS with obesity and have accepted criteria for the childhood are more suitable for the diagnosis of MetS in children and adolescents with T1D.
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Affiliation(s)
- Özlem Yayıcı Köken
- University of Health Sciences Turkey, Dr. Sami Ulus Training and Research Hospital, Clinic of Pediatric Neurology, Ankara, Turkey
| | - Cengiz Kara
- İstinye University Faculty of Medicine, Department of Pediatrics, İstanbul, Turkey
| | - Gülay Can Yılmaz
- Mardin State Hospital, Clinic of Pediatric Endocrinology, Mardin, Turkey
| | - Hasan Murat Aydın
- Ondokuz Mayıs University Faculty of Medicine, Department of Pediatric Endocrinology, Samsun, Turkey
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Santos PCD, Silva KSD, Silva JAD, Santos CESD, Duca GFD, Lopes ADS, Nahas MV. Change in overweight and obesity over a decade according to sociodemographic factors in Brazilian adolescents. CIENCIA & SAUDE COLETIVA 2019; 24:3335-3344. [PMID: 31508754 DOI: 10.1590/1413-81232018249.29052017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Accepted: 02/11/2018] [Indexed: 11/22/2022] Open
Abstract
The aims were to examine changes in the prevalence of overweight and obesity among students from 2001 to 2011, and to verify if these changes differ according to age group, area of residence, and family income. We analyzed two cross-sectional surveys conducted in 2001 and 2011 with brazilian adolescents. Sociodemographic and anthropometric characteristics were self-reported using a questionnaire. Multinomial logistic regression was used to analyze changes in overweight and obesity between the two surveys. The nutritional status was the outcome of the present study and the surveys (2001 and 2011) were the exposure. The odds of being overweight and obese were higher among boys and girls in urban areas in the 2011 survey compared to the 2001. Boys and girls with higher income were also more likely to present overweight and obesity in the second survey compared to the first. An increase of overweight and obesity was observed over a decade. We suggest that future interventions consider the area of residence and the family income to strengthen the effectiveness of actions developed to prevent and control these indicators among adolescents.
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Affiliation(s)
- Priscila Cristina Dos Santos
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Kelly Samara da Silva
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Jaqueline Aragoni da Silva
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Carla Elane Silva Dos Santos
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Giovani Firpo Del Duca
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Adair da Silva Lopes
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Markus Vinícius Nahas
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
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Kalkan I. The impact of nutrition literacy on the food habits among young adults in Turkey. Nutr Res Pract 2019; 13:352-357. [PMID: 31388412 PMCID: PMC6669071 DOI: 10.4162/nrp.2019.13.4.352] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 04/30/2019] [Accepted: 06/21/2019] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND/OBJECTIVES Youth is the crucial stage between childhood and adulthood during which an individual acquires new behavior and practices including dietary habits, that may be influenced by his peers, social circle, nutrition knowledge level and other factors. The increase in awareness of young adults is of special importance from the perspective of health and prevention of obesity related chronic diseases. To measure the nutrition literacy level of university students using the Turkish version of Adolescent Nutrition Literacy Scale (ANLS). We evaluated their food habits using the Adolescent Food Habit Checklist (AFHC) tool and analysed it, if the eating habits were affected by nutrition literacy level. SUBJECTS/METHODS A cross-sectional descriptive study was conducted on randomly selected 276 students studying in the Faculty of Health Sciences of Istanbul Aydin University, Turkey. Data was collected by means of ANLS and AFHC tools by face to face interview method. SPSS statistical sofware (IBM SPSS Statistics 19) was used to analyse the obtained data. RESULTS Participants comprised of 47.1% males and 52.9% females with mean age of 20.0 ± 1.60 years. Mean body mass index (BMI) was determined as 22.4 ± 3.76 (23.6 ± 3.63 males 21.3 ± 3.57 females). Functional, interactive and critical nutritional literacy scores for male participants were 22.49 ± 5.71, 17.45 ± 4.84, and 28.28 ± 7.13 respectively (total 64.98 ± 10.15). For females the values were 24.66 ± 5.13, 20.17 ± 4.28, and 32.20 ± 5.65 (total 69.72 ± 8.59) respectively. For all the three sub-categories of nutrition literacy, the scores acquired by females were significantly higher than males (P < 0.001). In the AFHC tool, the mean score acquired by males were 9.26 ± 4.18 whereas for females it was 10.37 ± 3.40 significantly higher as compared to males (P = 0.007). CONCLUSIONS The food habits of female participants were better than males; in accordance with their nutrition literacy status. It may be concluded that food habits are influenced by nutrition literacy and therefore stress much be given to increase the nutrition awareness among children youth as well as adults.
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Affiliation(s)
- Indrani Kalkan
- Nutrition and Dietetics Department, Besyol Mah. Inonu Cad. No:38, Sefakoy, Kucukcekmece, Istanbul Aydin University, Istanbul, 34295, Turkey
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Alper Z, Ercan İ, Uncu Y. A Meta-Analysis and an Evaluation of Trends in Obesity Prevalence among Children and Adolescents in Turkey: 1990 through 2015. J Clin Res Pediatr Endocrinol 2018; 10:59-67. [PMID: 28901943 PMCID: PMC5838374 DOI: 10.4274/jcrpe.5043] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Accepted: 09/11/2017] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE Obesity in childhood and adolescence is one of the most serious public health problems due to a remarkable increase in prevalence in recent years and its close relationship with non-communicable diseases, such as diabetes and hypertension, resulting in increased adult morbidity and mortality. This study aims to quantify the secular trend in different regions of Turkey from 1990 to 2015 by performing a meta-analysis of childhood and adolescent obesity prevalence studies conducted. METHODS Uludag University Library Database was searched for relevant articles published prior to March 2017. The heterogeneity of the studies in the meta-analysis was tested by the I2 statistic and Cochran's Q test. The obesity trend analyses were examined by chi-square trend analysis with respect to five year periods. The statistical significance level was taken as α=0.05. RESULTS A total of 76 papers were initially identified addressing childhood and adolescent obesity in Turkey. Fifty-eight papers were selected for analysis. The prevalence of obesity increased from 0.6% to 7.3% with an 11.6-fold increase between the periods 1990-1995 to 2011-2015. The prevalence of obesity increased in both genders. However, boys were more likely to be obese than girls. CONCLUSION Studies on obesity prevalence in the 5-19 age group in Turkey have gained importance, especially in the 2000s. While a remarkable number of prevalence studies, mostly regional, have been conducted between 2005-2011, a gradual decline was observed thereafter. Further national and population-based surveys on prevalence of obesity in children and adolescents are definitely needed in Turkey.
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Affiliation(s)
- Züleyha Alper
- Uludağ University Faculity of Medicine, Department of Family Practice, Bursa, Turkey
| | - İlker Ercan
- Uludağ University Faculity of Medicine, Department of Biostatistics, Bursa, Turkey
| | - Yeşim Uncu
- Uludağ University Faculity of Medicine, Department of Family Practice, Bursa, Turkey
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Abstract
The urban environment has changed vastly over past decades, which also has had an impact on our sleep and dietary patterns and possibly health outcomes. Some studies have shown that sleep duration and sleep quality has declined over past decades, especially in children. In parallel, our lifestyle and dietary patterns have also changed including more shift work, more meals outside the home or family setting and more irregular eating patterns, including breakfast skipping and late-night eating. This new area of research in nutritional sciences studying the impact of the timing of eating on health outcomes is called chrono-nutrition, and combines elements from nutritional research with chrono-biology. The objectives of this paper were to discuss secular trends in sleep patterns and related dietary patterns, introduce basic concepts and mechanisms of chrono-nutrition and discuss the evidence for the importance of sleep and chrono-nutrition in relation to health outcomes. Overall, chrono-nutrition could mediate the effects between sleep, diet and urbanisation, and more research is needed to elucidate the importance of chrono-nutrition for metabolic health and its impact on public health.
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Sarı HY, Yılmaz M, Serin E, Kısa SS, Yesiltepe Ö, Tokem Y, Rowley H. Obesidade e hipertensão em adolescentes e adultos com deficiência intelectual. ACTA PAUL ENFERM 2016. [DOI: 10.1590/1982-0194201600024] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo O objetivo deste estudo foi identificar as taxas de obesidade e hipertensão arterial em indivíduos com deficiência intelectual. Métodos Este estudo foi realizado com adolescentes e adultos com deficiência intelectual em três centros emIzmir, Turquia. O IMC dos adultos foi determinado de acordo com o Programa de Prevenção e Controle da obesidade da Turquia. O IMC dos adolescentes foi avaliado de acordo com as curvas de percentis de IMC para crianças turcas. Para a avaliação dos níveis de pressão arterial de adultos, foi utilizado o sistema de classificação determinado pela Sociedade Turca de Cardiologia. O diagnóstico da pressão sanguínea em adolescentes é diferente dos adultos. Em termos de idade e sexo, pressões arteriais sistólica e diastólica menores que o percentil 90 são considerados normais. Resultados Os valores médios dos adultos foram: altura de 166 ± 0,1 cm, peso de 71,7 ± 1,86 kg, pressão arterial sistólica de 120,8 ± 1,53 mmHg, pressão arterial diastólica de 74,8 ± 1,35 mmHg e IMC de 25,96 ± 5,98. Os valores médios dos adolescentes foram: IMC de 23,02 ± 6,3, pressão arterial sistólica de 117 ± 14,3 mmHg e diastólica de 70 ± 13,8 mmHg. Dentre os adultos, 37,3% estavam com peso normal e 28% estavam acima do peso. A análise do IMC dos adolescentes demonstrou que 46,1% estavam entre o 5ª e 85º percentis, 26,3% encontravam-se acima do percentil 95 e 18,4% estavam abaixo do 5º percentil. Dentre os adultos, 59,8% tinham pressão sistólica ótima e 77,5% tinham pressão diastólica ótima. Conclusão Os resultados deste estudo demonstram que as taxas de obesidade e hipertensão é elevada em adolescentes e adultos com deficiência intelectual e, portanto, estes indivíduos encontram-se em sério risco de desenvolver doença cardiovascular
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