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Bogdan T, Xie W, Talaat H, Mir H, Venkataraman B, Banfield LE, Georgiades K, Duncan L. Longitudinal studies of child mental disorders in the general population: A systematic review of study characteristics. JCPP ADVANCES 2023; 3:e12186. [PMID: 37720586 PMCID: PMC10501698 DOI: 10.1002/jcv2.12186] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 07/01/2023] [Indexed: 09/19/2023] Open
Abstract
Introduction Longitudinal studies of child mental disorders in the general population (herein study) investigate trends in prevalence, incidence, risk/protective factors, and sequelae for disorders. They are time and resource intensive but offer life-course perspectives and examination of causal mechanisms. Comprehensive syntheses of the methods of existing studies will provide an understanding of studies conducted to date, inventory studies, and inform the planning of new longitudinal studies. Methods A systematic review of the research literature in MEDLINE, EMBASE, and PsycINFO was conducted in December 2022 for longitudinal studies of child mental disorders in the general population. Records were grouped by study and assessed for eligibility. Data were extracted from one of four sources: a record reporting study methodology, a record documenting child mental disorder prevalence, study websites, or user guides. Narrative and tabular syntheses of the scope and design features of studies were generated. Results There were 18,133 unique records for 487 studies-159 of these were eligible for inclusion. Studies occurred from 1934 to 2019 worldwide, with data collection across 1 to 68 time points, with 70% of studies ongoing. Baseline sample sizes ranged from n = 151 to 64,136. Studies were most frequently conducted in the United States and at the city/town level. Internalizing disorders and disruptive, impulse control, and conduct disorders were the most frequently assessed mental disorders. Of studies reporting methods of disorder assessment, almost all used measurement scales. Individual, familial and environmental risk and protective factors and sequelae were examined. Conclusions These results summarize characteristics of existing longitudinal studies of child mental disorders in the general population, provide an understanding of studies conducted to date, encourage comprehensive and consistent reporting of study methodology to facilitate meta-analytic syntheses of longitudinal evidence, and offer recommendations and suggestions for the design of future studies. Registration DOI: 10.17605/OSF.IO/73HSW.
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Affiliation(s)
- Theodora Bogdan
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
| | - Weiyi Xie
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
| | - Habeba Talaat
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
| | - Hafsa Mir
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
| | - Bhargavi Venkataraman
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
| | | | - Katholiki Georgiades
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
| | - Laura Duncan
- Department of Psychiatry and Behavioural NeurosciencesOfford Centre for Child StudiesMcMaster UniversityHamiltonOntarioCanada
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John JM, Haug V, Thiel A. Physical Activity Behavior from a Transdisciplinary Biopsychosocial Perspective: a Scoping Review. SPORTS MEDICINE-OPEN 2020; 6:49. [PMID: 33068179 PMCID: PMC7568726 DOI: 10.1186/s40798-020-00279-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Accepted: 10/01/2020] [Indexed: 12/03/2022]
Abstract
Background Physical activity behavior is a complex and multidimensional phenomenon. For its analysis, transdisciplinary biopsychosocial approaches yield great potential. In health research, the biopsychosocial model has experienced a renaissance. Researchers have tried to grasp the complex interplay of biological, psychological, and social factors. With this scoping review, we aimed to examine how the ‘biopsychosocial’ has been conceptualized in scientific work related to physical activity behavior. Methods The scoping review was informed by the PRISMA guidelines for scoping reviews (PRISMA-ScR). A systematic literature search was conducted in Web of Science, SportDiscus, PsycArticles, PsycInfo, and PubMed. Only articles published in peer-reviewed journals that contained all three components of a biopsychosocial approach (e.g., bio/physio/genetic, psycho/mental, and socio/cultural/environmental) were included. We only included articles in our narrative synthesis that integrated physical activity behavior into a biopsychosocial model, or investigated or described physical activity behavior on the basis of such a model. Results Thirteen studies met the inclusion criteria; eight articles pursued a biopsychosocial approach in the tradition of Engel, five employed a socio-ecological approach. The models in the analyzed articles referred to either correlates of physical activity behavior, or the influence of physical activity on health or aging. Only a minority of the articles, however, referred to interactions between biological, psychological, and social factors. Conclusions The included articles were quite heterogeneous in their approach to physical activity from a biopsychosocial perspective. The included articles illustrate that the adoption of a biopsychosocial perspective may assist to capture and understand the complex phenomenon of physical activity behavior and might inform future transdisciplinary physical activity research.
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Affiliation(s)
- Jannika M John
- Institute of Sports Science, Eberhard Karls University Tübingen, Wilhelmstraße 124, 72074, Tübingen, Germany. .,Interfaculty Research Institute for Sport and Physical Activity, Eberhard Karls University Tübingen, Tübingen, Germany.
| | - Vanessa Haug
- Institute of Sports Science, Eberhard Karls University Tübingen, Wilhelmstraße 124, 72074, Tübingen, Germany
| | - Ansgar Thiel
- Institute of Sports Science, Eberhard Karls University Tübingen, Wilhelmstraße 124, 72074, Tübingen, Germany.,Interfaculty Research Institute for Sport and Physical Activity, Eberhard Karls University Tübingen, Tübingen, Germany
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Cori L, Donzelli G, Gorini F, Bianchi F, Curzio O. Risk Perception of Air Pollution: A Systematic Review Focused on Particulate Matter Exposure. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6424. [PMID: 32899325 PMCID: PMC7504632 DOI: 10.3390/ijerph17176424] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 08/28/2020] [Accepted: 08/30/2020] [Indexed: 02/07/2023]
Abstract
The adverse health effects of exposure to air pollutants, notably to particulate matter (PM), are well-known, as well as the association with measured or estimated concentration levels. The role of perception can be relevant in exploring effects and pollution control actions. The purpose of this study was to explore studies that analyse people's perception, together with the measurement of air pollution, in order to elucidate the relationship between them. We conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. In March 2020, PubMed, EMBASE, and Scopus databases were explored in an attempt to search for studies published from 2000 to 2020. The review included 38 studies, most of which were conducted in China (n = 13) and the United States (n = 11) and published over the last four years (n = 26). Three studies were multicenter investigations, while five articles were based on a national-level survey. The air quality (AQ) was assessed by monitoring stations (n = 24) or dispersion models (n = 7). Many studies were population questionnaire-based, air monitoring and time-series studies, and web-based investigations. A direct association between exposure and perception emerged in 20 studies. This systematic review has shown that most of the studies establish a relationship between risk perception measurement. A broad spectrum of concepts and notions related to perception also emerged, which is undoubtedly an indicator of the wealth of available knowledge and is promising for future research.
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Affiliation(s)
- Liliana Cori
- Unit of Environmental Epidemiology and Disease Registries, Institute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124 Pisa, Italy; (F.G.); (F.B.); (O.C.)
| | - Gabriele Donzelli
- Department of Preventive Medicine and Public Health, Food Sciences, Toxicology, and Legal Medicine, School of Pharmacy, University of Valencia, Avenida Vicente Andres Estellés s/n, Burjassot, 46100 Valencia, Spain;
- Department of Health Science, University of Florence, 50134 Florence, Italy
| | - Francesca Gorini
- Unit of Environmental Epidemiology and Disease Registries, Institute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124 Pisa, Italy; (F.G.); (F.B.); (O.C.)
| | - Fabrizio Bianchi
- Unit of Environmental Epidemiology and Disease Registries, Institute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124 Pisa, Italy; (F.G.); (F.B.); (O.C.)
| | - Olivia Curzio
- Unit of Environmental Epidemiology and Disease Registries, Institute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124 Pisa, Italy; (F.G.); (F.B.); (O.C.)
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Bakhtawar S, Sheikh S, Qureshi R, Hoodbhoy Z, Payne B, Azam I, von Dadelszen P, Magee L. Risk factors for postpartum sepsis: a nested case-control study. BMC Pregnancy Childbirth 2020; 20:297. [PMID: 32410594 PMCID: PMC7227107 DOI: 10.1186/s12884-020-02991-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Accepted: 05/04/2020] [Indexed: 11/10/2022] Open
Abstract
Background The Majority (99%) of maternal deaths occur in low and middle-income countries. The three most important causes of maternal deaths in these regions are postpartum hemorrhage, pre-eclampsia and puerperal sepsis. There are several diagnostic criteria used to identify sepsis and one of the commonly used criteria is systematic inflammatory response syndrome (SIRS). However, these criteria require laboratory investigations that may not be feasible in resource-constrained settings. Therefore, this study aimed to develop a model based on risk factors and clinical signs and symptoms that can identify sepsis early among postpartum women. Methods A case-control study was nested in an ongoing cohort of 4000 postpartum women who delivered or were admitted to the study hospital. According to standard criteria of SIRS, 100 women with sepsis (cases) and 498 women without sepsis (controls) were recruited from January to July 2017. Information related to the socio-demographic status, antenatal care and use of tobacco were obtained via interview while pregnancy and delivery related information, comorbid and clinical sign and symptoms were retrieved from the ongoing cohort. Multivariable logistic regression was performed and discriminative performance of the model was assessed using area under the curve (AUC) of the receiver operating characteristic (ROC). Results Multivariable analysis revealed that 1–4 antenatal visits (95% CI 0.01–0.62). , 3 or more vaginal examinations (95% CI 1.21–3.65), home delivery (95% CI 1.72–50.02), preterm delivery, diabetes in pregnancy (95% CI 1.93–20.23), lower abdominal pain (95% CI 1.15–3.42)) vaginal discharge (95% CI 2.97–20.21), SpO2 < 93% (95% CI 4.80–37.10) and blood glucose were significantly associated with sepsis. AUC was 0.84 (95% C.I 0.80–0.89) which indicated that risk factors and clinical sign and symptoms-based model has adequate ability to discriminate women with and without sepsis. Conclusion This study developed a non-invasive tool that can identify postpartum women with sepsis as accurately as SIRS criteria with good discriminative ability. Once validated, this tool has the potential to be scaled up for community use by frontline health care workers.
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Affiliation(s)
- Samina Bakhtawar
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Sana Sheikh
- Department of obstetrics and gynecology, Aga Khan University, Karachi, Pakistan.
| | - Rahat Qureshi
- Department of obstetrics and gynecology, Aga Khan University, Karachi, Pakistan
| | - Zahra Hoodbhoy
- Department of obstetrics and gynecology, Aga Khan University, Karachi, Pakistan
| | - Beth Payne
- University of British Columbia, Vancouver, Canada
| | - Iqbal Azam
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | | | - Laura Magee
- Global Women's Health, King's College, London, UK
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Padilla-Moledo C, Fernández-Santos JDR, Izquierdo-Gómez R, Esteban-Cornejo I, Rio-Cozar P, Carbonell-Baeza A, Castro-Piñero J. Physical Fitness and Self-Rated Health in Children and Adolescents: Cross-Sectional and Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072413. [PMID: 32252318 PMCID: PMC7177446 DOI: 10.3390/ijerph17072413] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 03/25/2020] [Accepted: 03/29/2020] [Indexed: 11/18/2022]
Abstract
Self-rated health (SRH) is an independent determinant for all-cause mortality. We aimed to examine the independent and combined associations of components of physical fitness with SRH at baseline (cross-sectional) and two years later (longitudinal) in children and adolescents. Spanish youth (N = 1378) aged 8 to 17.9 years participated at baseline. The dropout rate at 2-year follow-up was 19.5% (n = 270). Participants were categorized as either children (8 to 11.9 years age) or adolescents (12 to 17.9 years age). The ALPHA health- related fitness test battery for youth was used to assess physical fitness, and SRH was measured by a single-item question. Cumulative link, ANOVA and ANCOVA models were fitted to analyze the data. Cardiorespiratory fitness, relative upper body isometric muscular strength, muscular strength score, and global physical fitness were positively associated with SRH in children (OR, 1.048; 95% CI, 1.020–1.076; OR, 18.921; 95% CI, 3.47–104.355; OR, 1.213; 95% CI, 1.117–1.319, and OR, 1.170; 95% CI, 1.081–1.266, respectively; all p < 0.001) and adolescents (OR, 1.057; 95% CI, 1.037–1.076; OR, 5.707; 95% CI, 1.122–29.205; OR, 1.169; 95% CI, 1.070–1.278, and OR, 1.154 95% CI, 1.100–1.210, respectively; all p < 0.001); and motor fitness was positively associated with SRH only in adolescents at baseline (OR, 1.192; 95% CI, 1.066–1.309; p < 0.01). Cardiorespiratory fitness and global physical fitness were positively associated with SRH in children two years later (OR, 1.056; 95% CI, 1.023–1.091; p < 0.001; and OR, 1.082; 95% CI, 1.031–1.136; p < 0.01; respectively). Only cardiorespiratory fitness was independently associated with SRH in children and adolescents at baseline (OR, 1.059; 95% CI, 1.029–1.090; and OR, 1.073; 95% CI, 1.050–1.097, respectively; both p < 0.001) and two years later (OR, 1.075; 95% CI, 1.040–1.112; p < 0.001; and OR, 1.043; 95% CI, 1.014–1.074; p < 0.01, respectively). A high level of cardiorespiratory fitness at baseline or maintaining high levels of cardiorespiratory fitness from the baseline to 2-year follow-up were associated with a higher level of SRH at 2-year follow-up in children (p < 0.01) and adolescents (p < 0.05). These findings emphasize the importance of cardiorespiratory fitness as strong predictor of present and future SRH in youth. Intervention programs to enhance cardiorespiratory fitness level of the youth population are urgently needed for present and future youth’s health.
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Affiliation(s)
- Carmen Padilla-Moledo
- GALENO research group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 115010 Puerto Real, Spain (R.I.-G.); (P.R.-C.); (A.C.-B.); (J.C.-P.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, 11008 Cádiz, Spain
- Correspondence: ; Tel.: +34-956016222
| | - Jorge DR Fernández-Santos
- GALENO research group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 115010 Puerto Real, Spain (R.I.-G.); (P.R.-C.); (A.C.-B.); (J.C.-P.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, 11008 Cádiz, Spain
| | - Rocio Izquierdo-Gómez
- GALENO research group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 115010 Puerto Real, Spain (R.I.-G.); (P.R.-C.); (A.C.-B.); (J.C.-P.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, 11008 Cádiz, Spain
| | - Irene Esteban-Cornejo
- PROFITH “PROmoting FITness and Health through physical activity” research group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain;
- Center for Cognitive and Brain Health, Department of Psychology, Northeastern University, Boston, MA 02115, USA
| | - Paula Rio-Cozar
- GALENO research group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 115010 Puerto Real, Spain (R.I.-G.); (P.R.-C.); (A.C.-B.); (J.C.-P.)
| | - Ana Carbonell-Baeza
- GALENO research group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 115010 Puerto Real, Spain (R.I.-G.); (P.R.-C.); (A.C.-B.); (J.C.-P.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, 11008 Cádiz, Spain
| | - Jose Castro-Piñero
- GALENO research group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 115010 Puerto Real, Spain (R.I.-G.); (P.R.-C.); (A.C.-B.); (J.C.-P.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, 11008 Cádiz, Spain
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Wu XY, Zhuang LH, Li W, Guo HW, Zhang JH, Zhao YK, Hu JW, Gao QQ, Luo S, Ohinmaa A, Veugelers PJ. The influence of diet quality and dietary behavior on health-related quality of life in the general population of children and adolescents: a systematic review and meta-analysis. Qual Life Res 2019; 28:1989-2015. [PMID: 30875010 DOI: 10.1007/s11136-019-02162-4] [Citation(s) in RCA: 77] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2019] [Indexed: 12/16/2022]
Abstract
OBJECTIVE The association between diet quality, dietary behavior and health-related quality of life has been mostly examined in children and adolescents with specific chronic diseases. No systematic review has synthesized the influence of diet quality and dietary behavior on health-related quality of life in the general population of children and adolescents. The purpose of this study was to systematically review the primary studies that evaluated the association between diet quality, dietary behavior and health-related quality of life in the general population of children and adolescents and to synthesize the findings for the association. METHODS A computer search in the databases of MEDLINE, EMBASE and PSYCINFO was performed to retrieve English language studies that were published from 1946 up to April 8, 2018. We also screened the PubMed-related articles and the reference lists of the existing relevant literature to identify other eligible studies. We synthesized the association between diet quality, dietary behavior and health-related quality of life using both a qualitative method and meta-analysis. We reported the review following up the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline. RESULTS Seventeen studies were included in the synthesis including twelve cross-sectional studies and five longitudinal studies. We found that diet quality and dietary behavior were associated with health-related quality of life in children and adolescents. The positive effect of healthy diets on health-related quality of life was observed for multiple domains of health-related quality of life, including physical, school and emotional functioning, and psychosocial quality of life. We observed a dose-response relationship between the diet exposure and health-related quality of life, where an unhealthy dietary behavior or lower diet quality was associated with decreased health-related quality of life among children and adolescents. CONCLUSION The findings of the systematic review suggest the importance of promoting healthy diets and nutrition for good health-related quality of life among children and adolescents. Future research is needed to strengthen the evidence for prospective relationships and for the dose-response effect between diet quality, dietary behavior and health-related quality of life among children and adolescents.
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Affiliation(s)
- Xiu Yun Wu
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China.
| | - Li Hui Zhuang
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China.
| | - Wei Li
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Hong Wei Guo
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Jian Hua Zhang
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Yan Kui Zhao
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Jin Wei Hu
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Qian Qian Gao
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Sheng Luo
- School of Public Health and Management, Weifang Medical University, 7166 Baotong West Street, 261053, Weifang, Shandong, China
| | - Arto Ohinmaa
- School of Public Health, University of Alberta, 350 University Terrace, 8303 - 112 Street, Edmonton, AB, T6G 2T4, Canada
| | - Paul J Veugelers
- School of Public Health, University of Alberta, 350 University Terrace, 8303 - 112 Street, Edmonton, AB, T6G 2T4, Canada
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Associations between health-related quality of life and physical fitness in 4–7-year-old Spanish children: the MOVIKIDS study. Qual Life Res 2019; 28:1751-1759. [DOI: 10.1007/s11136-019-02136-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/11/2019] [Indexed: 02/02/2023]
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Rhubart DC. Disparities in individual health behaviors between medicaid expanding and non-expanding states in the U.S. SSM Popul Health 2018; 6:36-43. [PMID: 30186935 PMCID: PMC6122151 DOI: 10.1016/j.ssmph.2018.08.005] [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: 06/20/2018] [Revised: 08/18/2018] [Accepted: 08/19/2018] [Indexed: 11/28/2022] Open
Abstract
Following the roll out of the Affordable Care Act, a significant amount of research has focused on health insurance coverage disadvantages experienced by those in states that chose not to expand Medicaid. This line of research has been used as a way to conceptualize potential disparities in future population health outcomes between states that did and did not expand Medicaid. While health insurance is certainly associated with health outcomes, health behaviors are equally, if not more, important. Therefore, to understand potential future population health outcomes - or lack thereof - this paper examines whether adults in states that did not expand Medicaid are also more likely to engage in health damaging behaviors (i.e. smoking, heavy drinking, physical inactivity, and overweight and obesity) than adults in states that expanded Medicaid. I find that those in states that did not expand Medicaid are more likely to be overweight and obese but are less likely to drink heavily compared to adults in states that did expand Medicaid. In part, higher rates of demographic and socioeconomic disadvantage explain higher rates of health damaging behaviors in states that did not expand Medicaid. This paper raises concerns about added long term consequences for population health and growing health disparities between states that did and did not expand Medicaid. Policy and practice implications of these findings are discussed.
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Michels N, Susi K, Marques-Vidal PM, Nydegger A, Puder JJ. Psychosocial Quality-of-Life, Lifestyle and Adiposity: A Longitudinal Study in Pre-schoolers (Ballabeina Study). Int J Behav Med 2017; 23:383-392. [PMID: 26809517 DOI: 10.1007/s12529-016-9537-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE In obesity prevention, understanding psychosocial influences in early life is pivotal. Reviews reported contradictory results and a lack of longitudinal studies focusing on underlying lifestyle factors. This study tested whether psychosocial Quality-Of-Life (QOL) was associated with pre-schoolers' lifestyle and adiposity changes over one school year and whether lifestyle moderated the latter. It was hypothesised that QOL might not impact adiposity in everybody but that this might depend on preceding lifestyle. METHOD Longitudinal data from 291 Swiss pre-schoolers (initially 3.9-6.3 years) was available. The following measures were used in longitudinal regressions: psychosocial QOL by PedsQL, adiposity (BMI z-score, waist, fat%), diet (food frequency), sedentary time and accelerometer-based activity. RESULTS Concerning lifestyle, low psychosocial QOL was only related to unfavourable changes in diet (less fruit β = 0.21 and more fat intake β = -0.28) and lower physical activity (β = 0.21). Longitudinal QOL-adiposity relations appeared only after moderation by lifestyle factors (beta-range 0.13-0.67). Low psychosocial QOL was associated with increased adiposity in children with an unhealthy diet intake or high sedentary time. By contrast, low psychosocial QOL was associated with decreasing adiposity in high fruit consumers or more physically active pre-schoolers. CONCLUSION Results emphasise the need for testing moderation in the QOL-adiposity relation. An unhealthy diet can be a vulnerability factor and high physical activity a protective factor in QOL-related adiposity. Consequently, QOL and lifestyle should be targeted concurrently in multi-factorial obesity prevention. The environment should be an 'activity encouraging, healthy food zone' that minimises opportunities for stress-induced eating. In addition, appropriate stress coping skills should be acquired.
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Affiliation(s)
- Nathalie Michels
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, B-9000, Belgium.
| | - Kriemler Susi
- Institute for Social and Preventive Medicine, University of Zürich, Zürich, Switzerland
| | - Pedro M Marques-Vidal
- Department of Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland
| | - Andreas Nydegger
- Department of Pediatrics, Pediatric Gastroenterology Unit, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
| | - Jardena J Puder
- Diabetes and Metabolism & Division of Pediatric Endocrinology, Service of Endocrinology, Diabetes and Obesity, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
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Knox-Kazimierczuk F, Geller K, Sellers S, Taliaferro Baszile D, Smith-Shockley M. African American Women and Obesity Through the Prism of Race. HEALTH EDUCATION & BEHAVIOR 2017; 45:371-380. [PMID: 28851240 DOI: 10.1177/1090198117721610] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND There are minimal studies focusing on African American women and obesity, and there are even fewer studies examining obesity through a critical race theoretical framework. African American obesity research has largely focused on individual and community interventions, which have not been sufficient to reverse the obesity epidemic. PURPOSE The purpose of this study was to examine the relationship between race and body mass index (BMI) for African American women. METHOD Previously collected data from the National Survey of American Life Self-Administered Questionnaire, 2001-2003 (NSAL-SAQ) was analyzed for this study. The NSAL-SAQ dedicated a section to the exploration of group and personal identity, along with having anthropometric data and health habit questions to be able to conduct analyses for associations between the racial identity dimensions and obesity. RESULTS Multiple linear regression was used to examine the constructs of racial identity on BMI comparing standardized coefficients (β) and R2adj values. Results indicated participants ascribing more to the stereotype of "Blacks giving up easily" (β = 0.527, p = .000) showed an increased BMI. Additionally, the negative stereotype of "Blacks being violent" (β = 0.663, p = .000) and "Blacks being lazy" (β = 0.506, p = .001) was associated with an increased BMI. CONCLUSIONS Based on these finds high negative racial regard is associated with increased weight. This study contributes uniquely to the scientific literature, focusing on the construct of racial identity and obesity in African American women.
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Langlois J, Omorou AY, Vuillemin A, Briançon S, Lecomte E. Association of socioeconomic, school-related and family factors and physical activity and sedentary behaviour among adolescents: multilevel analysis of the PRALIMAP trial inclusion data. BMC Public Health 2017; 17:175. [PMID: 28178972 PMCID: PMC5299678 DOI: 10.1186/s12889-017-4070-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2016] [Accepted: 01/24/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social differences among adolescents in physical activity and sedentary behaviour have been identified but are not well explained. The current study aimed to identify socioeconomic, family and school-related associated factors with physical activity and sedentary behaviour among high-school adolescents. METHODS This was a cross-sectional analysis of T0 physical activity and sedentary behaviour of 2523 students 14 - 18 years old recruited for the PRALIMAP trial from 24 French state-run high schools. Data were collected by self-administered questionnaire at the start of grade 10. Adolescents completed the International Physical Activity Questionnaire for physical activity and sedentary behaviour and an ad hoc questionnaire for active commuting and sport participation. Statistical analyses involved linear and logistic regressions. RESULTS Socioeconomic, family or school variables were associated with levels of physical activity and sedentary behaviour for both boys and girls, but no factor, except perceived parental physical activity level, was associated with total energy expenditure (total physical activity) for either gender. Adolescents with privileged and less privileged socioeconomic status reported the same total amount of energy expenditure. CONCLUSIONS Total physical activity score alone is not sufficient to assess the physical activity of adolescents. These findings may have implications for better understanding of social inequalities in this context and recommendations to prevent overweight. TRIAL REGISTRATION This trial is registered at ClinicalTrials.gov ( NCT00814554 ). The date of registration: 23 December 2008. Registration was not required at the time of the start of PRALIMAP for public health and prevention programmes and trials.
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Affiliation(s)
- Johanne Langlois
- University of Lorraine, EA 4360 APEMAC, Nancy, 54000, France. .,National Conservatory of Arts and Crafts (CNAM), 4 rue du Docteur Heydenreich, Nancy, 54000, France.
| | - Abdou Y Omorou
- University of Lorraine, EA 4360 APEMAC, Nancy, 54000, France.,CIC-EC 1433, CHRU Nancy, Clinical Epidemiology and Evaluation, Nancy, 54000, France
| | - Anne Vuillemin
- University of Lorraine, EA 4360 APEMAC, Nancy, 54000, France
| | - Serge Briançon
- University of Lorraine, EA 4360 APEMAC, Nancy, 54000, France
| | - Edith Lecomte
- National Conservatory of Arts and Crafts (CNAM), 4 rue du Docteur Heydenreich, Nancy, 54000, France
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Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, Saunders TJ, Katzmarzyk PT, Okely AD, Connor Gorber S, Kho ME, Sampson M, Lee H, Tremblay MS. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab 2016; 41:S240-65. [DOI: 10.1139/apnm-2015-0630] [Citation(s) in RCA: 656] [Impact Index Per Article: 82.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
This systematic review is an update examining the relationships between objectively and subjectively measured sedentary behaviour and health indicators in children and youth aged 5–17 years. EMBASE, PsycINFO, and Medline were searched in December 2014, and date limits were imposed (≥February 2010). Included studies were peer-reviewed and met the a priori-determined population (apparently healthy children and youth, mean age: 5–17 years), intervention (durations, patterns, and types of sedentary behaviours), comparator (various durations, patterns, and types of sedentary behaviours), and outcome (critical: body composition, metabolic syndrome/cardiovascular disease risk factors, behavioural conduct/pro-social behaviour, academic achievement; important: fitness, self-esteem) study criteria. Quality of evidence by outcome was assessed using the Grading of Recommendations Assessment, Development, and Evaluation framework. Due to heterogeneity, a narrative analysis was conducted. A total of 235 studies (194 unique samples) were included representing 1 657 064 unique participants from 71 different countries. Higher durations/frequencies of screen time and television (TV) viewing were associated with unfavourable body composition. Higher duration/frequency of TV viewing was also associated with higher clustered cardiometabolic risk scores. Higher durations of TV viewing and video game use were associated with unfavourable behavioural conduct/pro-social behaviour. Higher durations of reading and doing homework were associated with higher academic achievement. Higher duration of screen time was associated with lower fitness. Higher durations of screen time and computer use were associated with lower self-esteem. Evidence ranged from “very low” to “moderate” quality. Higher quality studies using reliable and valid sedentary behaviour measures should confirm this largely observational evidence.
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Affiliation(s)
- Valerie Carson
- Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Stephen Hunter
- Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Nicholas Kuzik
- Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Casey E. Gray
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Veronica J. Poitras
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Travis J. Saunders
- Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | | | - Anthony D. Okely
- Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, Wollongong, New South Wales, 2522, Australia
| | - Sarah Connor Gorber
- Office of the Task Force on Preventive Health Care, Public Health Agency of Canada, Ottawa, ON K1A 0K9, Canada
| | - Michelle E. Kho
- School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, Canada
| | - Margaret Sampson
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Helena Lee
- Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
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