1
|
Huang N, Zhuang Z, Song Z, Wang W, Li Y, Zhao Y, Xiao W, Dong X, Jia J, Liu Z, Smith CE, Huang T. Associations of Modified Healthy Aging Index With Major Adverse Cardiac Events, Major Coronary Events, and Ischemic Heart Disease. J Am Heart Assoc 2023; 12:e026736. [PMID: 36870958 PMCID: PMC10111455 DOI: 10.1161/jaha.122.026736] [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: 03/06/2023]
Abstract
Background The Healthy Aging Index (HAI) has been regarded as useful in capturing the health status of multiple organ systems. However, to what extent the HAI is associated with major cardiovascular events remains largely unknown. The authors constructed a modified HAI (mHAI) to quantify the association of physiological aging with major vascular events and explored how the effects of a healthy lifestyle can modify this association. Methods and Results The participants with either missing values of any individual mHAI component or major illnesses such as heart attack, angina and stroke, and self-reported cancer at baseline were excluded. The mHAI components include systolic blood pressure, reaction time, forced vital capacity, serum cystatin c, and serum glucose. The authors used Cox proportional hazard models to quantify the association of mHAI with major adverse cardiac events, major coronary events, and ischemic heart disease. Cumulative incidence at 5 and 10 years was estimated, and joint analyses were stratified by age group and 4 mHAI categories. The mHAI was significantly correlated with major cardiovascular events, which is a better reflection of the aging level of the body than chronological age. An mHAI was calculated in 338 044 participants aged 38 to 73 years in the UK Biobank. Each point increase in the mHAI was associated with a 44% higher risk of major adverse cardiac events (adjusted hazard ratio [aHR], 1.44 [95% CI, 1.40-1.49]), 44% higher risk of major coronary events (aHR, 1.44 [95% CI, 1.40-1.48]), and 36% higher risk of ischemic heart disease (aHR, 1.36 [95% CI, 1.33-1.39]). The percentage of population-attribution risk was 51% (95% CI, 47-55) for major adverse cardiac events, 49% (95% CI, 45-53) for major coronary events, and 47% (95% CI, 44-50) for ischemic heart disease, which means that a substantial portion of these events could be prevented. Systolic blood pressure was the factor most significantly associated with major adverse cardiac events (aHR, 1.94 [95% CI, 1.82-2.08]; percentage of population-attribution risk, 36%), major coronary events (aHR, 2.01 [95% CI, 1.85-2.17]; percentage of population-attribution risk, 38%), and ischemic heart disease (aHR, 1.80 [95% CI, 1.71-1.89]; percentage of population-attribution risk, 32%). A healthy lifestyle significantly attenuated mHAI associations with incidence of vascular events. Conclusions Our findings indicate that higher mHAI is associated with increased major vascular events. A healthy lifestyle may attenuate these associations.
Collapse
Affiliation(s)
- Ninghao Huang
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Zhenhuang Zhuang
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Zimin Song
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Wenxiu Wang
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Yueying Li
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Yimin Zhao
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Wendi Xiao
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Xue Dong
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China
| | - Jinzhu Jia
- Department of Biostatistics, School of Public Health Peking University Beijing China
| | - Zhonghua Liu
- Department of Biostatistics Columbia University NY New York
| | - Caren E Smith
- Nutrition and Genomics Laboratory JM-USDA Human Nutrition Research Center on Aging at Tufts University Boston MA
| | - Tao Huang
- Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China.,State Key Laboratory of Remote Sensing Science, Faculty of Geographical Science Beijing Normal University Beijing China.,Key Laboratory of Molecular Cardiovascular Sciences (Peking University) Ministry of Education Beijing China.,Center for Intelligent Public Health, Academy for Artificial Intelligence Peking University Beijing China
| |
Collapse
|
2
|
Al-Ghabeesh SH, Al-Awayssa RM, Rayan AH, Assaf EA. Perceived Occupational Stressors and the General Health of Critical Care Nurses During COVID-19 Pandemic. SAGE Open Nurs 2022; 8:23779608221134770. [PMID: 36387047 PMCID: PMC9643755 DOI: 10.1177/23779608221134770] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 10/04/2022] [Accepted: 10/09/2022] [Indexed: 10/20/2023] Open
Abstract
INTRODUCTION The COVID-19 situation is placing nurses under great stress which may negatively influence their health. OBJECTIVE The purpose of this study was to examine the association between occupational stress and general health of critical care nurses during COVID-19 pandemic. METHODS A descriptive, cross-sectional design was used. A convenience sample of 150 Jordanian critical care nurses completed the study. RESULTS Occupational stress was a significant predictor of nurses' general health. Female gender, young, living with elderly or persons having chronic diseases, and little nursing experience were associated with worse general health, while living with elderly or persons having chronic diseases were associated with more occupational stress. CONCLUSION Providing psychological support services for critical care nurses is required to reduce the impact of occupational stress on nurses' poor general health.
Collapse
Affiliation(s)
| | | | | | - Enas A Assaf
- Collage of Nursing, Applied Science Private University, Amman,
Jordan
| |
Collapse
|
3
|
Faust K, Casteel C, McGehee DV, Peek-Asa C, Rohlman D, Ramirez MR. Examining the Association Between Age and Tractor Driving Performance Measures Using a High-Fidelity Tractor Driving Simulator. J Agric Saf Health 2021; 27:159-175. [PMID: 34350743 PMCID: PMC8607457 DOI: 10.13031/jash.14403] [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] [Indexed: 11/11/2022]
Abstract
HIGHLIGHTS This study uses a new tractor driving simulator to examine the impact of age on perception response time in an emergency braking situation. The results demonstrate increased risk for crash among older farm equipment operators. ABSTRACT. Transportation-related incidents are the leading cause of occupational fatalities for all industries in the U.S. In the agriculture industry, where tractor-related incidents are the leading cause of occupational fatality, fatal crashes occur more frequently among senior farm equipment operators (FEOs) than younger FEOs. This study examined the association between age and driving performance among FEOs using a simulated driving environment. We demonstrated that older FEOs have longer perception response times when encountering an incurring semi-truck during a simulated drive than younger FEOs. These results persisted when adjusted for selected medical diagnoses and medications, tractor generation, and tractor horsepower. However, due to the small sample size and limitations of the tractor driving simulator, its use for event perception response time research is questionable. The tractor driving simulator used in this study may be better suited for distracted driving studies and studies comparing the ways in which FEOs drive passenger vehicles compared to tractors.
Collapse
|
4
|
Neuroth LM, Galos D, Li L, Zhao S, Zhu M. Driving contradictions: behaviors and attitudes regarding handheld and hands-free cellphone use while driving among young drivers. Inj Epidemiol 2021; 8:18. [PMID: 34059114 PMCID: PMC8167957 DOI: 10.1186/s40621-021-00312-2] [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: 12/15/2020] [Accepted: 03/03/2021] [Indexed: 11/10/2022] Open
Abstract
Background Cellphone use while driving (CUWD) is a frequent source of distraction for young drivers. These distractions commonly lead to motor vehicle crashes and, in some cases, death. Crash risk differs depending on if the driver is engaging in handheld or hands-free CUWD. This pilot study sought to investigate the differences between handheld versus hands-free CUWD behaviors in younger drivers and the attitudes and social norms that inform them. Methods Young drivers (mean age: 19.6 years, standard deviation: 0.8 years) were recruited from a large Midwestern city in the United States as part of a pilot study. The 62 enrolled drivers (51 females, 43 non-Hispanic white) completed an online survey measuring behavioral frequencies, attitudes, and social norms regarding talking on the phone, sending messages, and reading messages. These cross-sectional data were then categorized and used for a descriptive analysis. Results The majority of young drivers reported participating in some form of handheld CUWD, with reading messages being the most popular (95%). Only 43% of participants used hands-free technology for sending messages and 30% for reading messages, while half reported not using the technology at all. Whereas handheld messaging behaviors were viewed negatively by the participants, they were unsure of the impact on their driving ability and the legality surrounding hands-free messaging behaviors. Conclusions Handheld CUWD behaviors were more popular among young drivers compared to hands-free CUWD. Further, even though young drivers understood handheld cellphone use while driving is unsafe, they engaged in it anyway. The findings of this pilot study highlight the importance of better educational initiatives and optimizing hands-free interventions for young driver use cases.
Collapse
Affiliation(s)
- Lucas M Neuroth
- The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, 575 Children's Crossroad, Columbus, OH, 43215, USA
| | - Dylan Galos
- Office of Statewide Health Improvement Initiatives, Community Health Division, Minnesota Department of Health, 85 East 7th Place, Suite 220, PO Box 64882, Saint Paul, MN, 55164, USA
| | - Li Li
- The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, 575 Children's Crossroad, Columbus, OH, 43215, USA.,Division of Epidemiology, College of Public Health, The Ohio State University, Cunz Hall 1841 Neil Avenue, Columbus, OH, 43210, USA
| | - Songzhu Zhao
- Department of Biomedical Informatics, Center for Biostatistics, The Ohio State University, 320 Lincoln Tower, 1800 Cannon Drive, Columbus, OH, 43210, USA
| | - Motao Zhu
- The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, 575 Children's Crossroad, Columbus, OH, 43215, USA. .,Division of Epidemiology, College of Public Health, The Ohio State University, Cunz Hall 1841 Neil Avenue, Columbus, OH, 43210, USA. .,Department of Pediatrics, College of Medicine, The Ohio State University, 370 W. 9th Avenue, Columbus, OH, 43210, USA.
| |
Collapse
|