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Feng X, Zhu J, Hua Z, Shi Q, Zhou J, Luo P. The prevalence and determinant of overweight and obesity among residents aged 40-69 years in high-risk regions for upper gastrointestinal cancer in southeast China. Sci Rep 2023; 13:8172. [PMID: 37210438 DOI: 10.1038/s41598-023-35477-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 05/18/2023] [Indexed: 05/22/2023] Open
Abstract
Being overweight or obese is one of the public health concerns worldwide, and its prevalence is gradually increasing. Obesity has been proven to be associated with some cancers, including upper gastrointestinal cancer (UGC). However, studies on the prevalence of obesity among residents of areas at high risk of UGC in China are minimal. The aim of this study is to assess the prevalence of obesity and its influencing factors among people aged 40-69 years (high-risk population) in high-risk areas for UGC in Jiangsu Province, southeast China. This cross-sectional study involved 45,036 subjects aged 40-69 years identified in the Rural Early Diagnosis and Treatment of UGC Project database in Jiangsu Province from 2017 to 2021. Differences in prevalence across gender and age were assessed using the Chi-square test. Using a multinomial logistic regression model, we examined independent risk factors for overweight/obesity and their gender and age differences. The prevalence of overweight, obesity, and overweight/obesity varied based on the standards used: Chinese standard (42.1%, 11.9%, and 54.0%) and WHO standard (34.7%, 4.7%, and 39.4%), respectively. Being overweight was more common in men than women, while obesity was more common in women than men. Age of 50-59 years, married, household size of 7-9, drinking, soy products, pickled food, and hot food intake were positively associated with overweight/obesity. Females, 60-69 years, higher education level, household size of 4-6, annual family income of more than 60,000 CNY, smoking, and fresh fruit intake were negatively associated with overweight/obesity. Stratified analysis showed that the effects of age, education and meat, egg and dairy products on overweight/obesity were different across gender. The impact of fresh fruit and vegetables on overweight/obesity was also heterogeneous between the younger (40-59 years) and older (60-69 years) groups. In conclusion, the prevalence of overweight and obesity is high among adults aged 40-69 years from high-risk areas for UGC of Jiangsu Province, southeast China. Independent influencing factors of being overweight/obese included gender, age, marital status, education, household size, annual family income, smoking, drinking, fresh fruit, soy products, pickled food and hot food intake, and may vary by gender and age. Screening-based interventions should be considered to control obesity levels among screened participants. Besides, heterogeneity of influencing factors across subgroups could be focused on to improve intervention effectiveness.
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Affiliation(s)
- Xiang Feng
- Institute of Tumour Prevention and Control, Yangzhong People's Hospital, Yangzhong, 212200, China
| | - Jinhua Zhu
- Institute of Tumour Prevention and Control, Yangzhong People's Hospital, Yangzhong, 212200, China.
- Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing, 210000, China.
| | - Zhaolai Hua
- Institute of Tumour Prevention and Control, Yangzhong People's Hospital, Yangzhong, 212200, China
| | - Qiuping Shi
- Institute of Tumour Prevention and Control, Yangzhong People's Hospital, Yangzhong, 212200, China
| | - Jinyi Zhou
- Department of Non-communicable Disease Prevention and Control, Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, 210009, China.
| | - Pengfei Luo
- Department of Non-communicable Disease Prevention and Control, Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, 210009, China
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Karasiewicz M, Chawłowska E, Lipiak A, Wiȩckowska B. How to Improve Cancer Prevention Knowledge? A Way to Identify Gaps and Tackle the Limited Availability of Health Education Services in Primary Health Care Using the European Code Against Cancer. Front Public Health 2022; 10:878703. [PMID: 35586014 PMCID: PMC9109786 DOI: 10.3389/fpubh.2022.878703] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 04/12/2022] [Indexed: 11/21/2022] Open
Abstract
Introduction The first line of action against cancer is primary and secondary prevention. Increased efforts are needed in countries where cancer mortality is high and the healthcare system is inefficient. Objectives: Our aim was to present a new solution to identify and fill gaps in health education services in accordance with the European Code Against Cancer (ECAC). Materials and Methods This study was carried out in a rural population of 122 beneficiaries of health education workshops financed by the Polish Cancer League. A self-developed questionnaire was used. PQStat v1.6.8. was also applied. Results Our respondents were mostly farmers (53.3%) and manual workers (16.4%). Most participants self-assessed their health knowledge as good (46.7%). While 42% of all respondents claimed to know the healthy eating pyramid, only 8.2% correctly recognised all of its principles and 23.8% realised the importance of limiting the consumption of red meat. The most commonly recognised cancer risk factor were genetics (72.1%), stimulants such as alcohol or tobacco (51.5%) and environmental pollution (45.1%). UV radiation was not commonly recognised as a risk factor by respondents despite high occupational exposure in this population. We found a high percentage of male smokers. As many as 64.8% of respondents had not been counselled on cancer prevention in their clinics. A family history of cancer (FHC) did not differentiate respondents' health knowledge, health behaviors, or frequency of receiving cancer prevention counselling. Health education and health promotion in the region were unsatisfactory. Conclusions Primary health care (PHC) should become more involved in promoting cancer prevention knowledge. One way could be to encourage health professionals to promote the ECAC. Cancer prevention should target especially persons with FHC and focus on modifiable cancer risk factors. At the workshops we were able to adjust the strength of each ECAC recommendation to best fit the target audience. By diagnosing and targeting specific communities, we can draw the attention of PHC staff and decision-makers to local health promotion needs, which is a good starting point for improving the situation. However, larger scale projects are needed to help design specific solutions to support primary healthcare in promoting ECAC.
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Affiliation(s)
- Monika Karasiewicz
- Laboratory of International Health, Department of Preventive Medicine, Poznan University of Medical Sciences, Poznań, Poland
- *Correspondence: Monika Karasiewicz
| | - Ewelina Chawłowska
- Laboratory of International Health, Department of Preventive Medicine, Poznan University of Medical Sciences, Poznań, Poland
| | - Agnieszka Lipiak
- Laboratory of International Health, Department of Preventive Medicine, Poznan University of Medical Sciences, Poznań, Poland
| | - Barbara Wiȩckowska
- Department of Computer Science and Statistics, Poznan University of Medical Sciences, Poznań, Poland
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Accessibility of Rural Life Space on the Jianghan Plain, China: The Role of Livelihood. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031301. [PMID: 33535573 PMCID: PMC7908104 DOI: 10.3390/ijerph18031301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 01/27/2021] [Accepted: 01/28/2021] [Indexed: 11/25/2022]
Abstract
This article aims to contribute to the relationship between accessibility of rural life space and rural livelihood capital and transitions in rural central China. Employing data produced from a household survey, we developed a composite index for accessibility of rural life space incorporating spatial and temporal attributes of a household’s daily activities and then explored the mediation effect of rural livelihood capital and transitions on accessibility. Results revealed a pattern of diversification in terms of life space accessibility undertaken for daily activities across households. Both livelihood capital and transitions had significant mediation effects on the relationship between socio-economic characteristics of rural households and accessibility of rural life space. The effects of livelihood capital on livelihood transitions also influenced the path on rural households’ accessibility of rural life space. One of the implications of this article is to link rural transformation to the context of urbanization and rural access issues from a perspective of daily activity, and then to figure out the best method for rural development policy and service planning.
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Nepomuceno P, dos Santos CM, Kleinpaul WV, dos Santos PR, Braz CDM, Rusch MH, Duarte APP, Pohl HH. Cardiovascular risk, lifestyle and anthropometric status of rural workers in Pardo River Valley, Rio Grande do Sul, Brazil. Rev Bras Med Trab 2020; 18:91-96. [PMID: 32783009 PMCID: PMC7413692 DOI: 10.5327/z1679443520200482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 01/16/2020] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The state of health of rural workers is influenced by the living conditions to which they are subjected, including social, economic, technological and organizational aspects. Given the scarcity of studies on this population of workers, establishing their profile is necessary. OBJECTIVES To analyze cardiovascular risk according to demographic factors and anthropometric status of rural workers under the Pardo River Valley Regional Development Council (COREDE-VRP). METHODS Cross-sectional analytical study with rural workers in five municipalities in the COREDE-VRP southern region. We administered a structured questionnaire for lifestyle socioeconomic information, physical activity and self-reported health. Anthropometric measurements, resting heart rate and electrocardiogram (ECG) were performed to analyze heart rate variability (HRV). RESULTS Women exhibited higher cardiovascular risk, which in turn did not differ as a function of age, marital status, socioeconomic status or lifestyle. We found a relationship between cardiovascular risk and anthropometric measurements, but not with cardiovascular variables. CONCLUSION Women exhibited higher cardiovascular risk, which was not associated with marital status, socioeconomic status, alcohol use, smoking, sleep disorders or physical activity. Therefore, we emphasize the relationship between cardiovascular risk and anthropometric variables, as well as the lack of association with heart rate and autonomic imbalance.
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Affiliation(s)
- Patrik Nepomuceno
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
| | - Carine Muniz dos Santos
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
| | - William Vinicius Kleinpaul
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
| | - Polliana Radtke dos Santos
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
| | - Cassiane de Mendonça Braz
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
| | - Maiara Helena Rusch
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
| | - Ana Paula Pohl Duarte
- Rollins School of Public Health, Emory University - Atlanta (GA), United States.Emory UniversityRollins School of Public HealthEmory UniversityUSA
| | - Hildegard Hedwig Pohl
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil.Universidade de Santa Cruz do SulDepartment of Physical Education and HealthUniversidade de Santa Cruz do SulBrazil
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Pitilin EDB, Massaroli A, Luzardo AR, Lentsck MH, Baratieri T, Gasparin VA. Factors associated with leisure activities of elderly residents in rural areas. Rev Bras Enferm 2020; 73 Suppl 3:e20190600. [DOI: 10.1590/0034-7167-2019-0600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 03/13/2020] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: To identify factors associated with leisure activities of elderly residents in rural areas. Method: Quantitative cross-sectional study carried out with 258 elderly living in the rural area of Paraná. The collection instrument addressed sociodemographic, economic, and self-reported leisure activities. The association between variables and leisure activities was verified by means of bivariate and multivariate analysis. Results: Among the elderly interviewed, 63.9% were female, and 36.1% were male, with an average of 68.3 years old (± 5.8 years). Participation in leisure activities was high (79.8%), and the factors associated with their practice were: marital status, gender, and education. Conclusion: Considering that the practice of leisure activities promotes better living and health conditions, we reinforce the need to implement actions and instruments that provide individual and collective leisure in rural areas.
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Biernat E, Piątkowska M. Leisure-Time Physical Activity Participation Trends 2014-2018: A Cross-Sectional Study in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 17:ijerph17010208. [PMID: 31892204 PMCID: PMC6982099 DOI: 10.3390/ijerph17010208] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 12/21/2019] [Accepted: 12/23/2019] [Indexed: 11/16/2022]
Abstract
Objective, the aim is an analysis of sociodemographic factors that had an essential relation with undertaking leisure-time physical activity-LTPA (with particular emphasis on World Health Organization (WHO) health recommendations) by adult Poles from a time-trend perspective. Methods, the paper is based on data retrieved from five large-scale surveys carried out on the representative samples of Poles aged 15-69 in 2014-2018 (n = 7347). In each wave, the Polish long version of the International Physical Activity Questionnaire was used. Results, the participation of Poles in LTPA constantly increases (p < 0.001) and the percentage of people meeting the dose of PA required for health recommendations is growing (on average, met by 43.9% of Polish men and 43.5% of women), which indicates a trend of behaviour of citizens of this country. The probability of realisation of WHO norms was determined by sex, age, place of residence and occupational status. Conclusion: it seems reasonable to develop Polish recommendations and guidelines for specific groups, including females and males, those who live in the villages and in the towns, different age groups: children/adolescents, adults (aged 50 to 59-most vulnerable to physical inactivity), the elderly, and various professional groups (especially farmers and physical workers).
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Affiliation(s)
- Elżbieta Biernat
- Collegium of World Economy, Warsaw School of Economics, Al. Niepodległości 162, 02-554 Warsaw, Poland
- Correspondence: ; Tel.: +48-603-680-948
| | - Monika Piątkowska
- Faculty of Physical Education, Josef Pilsudski University of Physical Education in Warsaw, 34 Marymoncka, 00-968 Warsaw, Poland;
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Ostachowska-Gasior A, Kolarzyk E, Majewska R, Gasior A, Kwiatkowski J, Zaleska I. Diet and Physical Activity as Determinants of Lifestyle Chosen by Women from Southern Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E2088. [PMID: 30249020 PMCID: PMC6211119 DOI: 10.3390/ijerph15102088] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 09/19/2018] [Accepted: 09/21/2018] [Indexed: 11/16/2022]
Abstract
The aim of the study was to assess the relationship between the lifestyle of Polish women (characterized by the quality of diets and levels of reported physical activity) and their characteristics such as age, place of residence, physical activity at work or school, reported health status, and BMI. The sample consisted of 882 women from Southern Poland. Diet quality and the level of physical activity were evaluated by the Nutrition Beliefs Questionnaire established by the Polish Academy of Sciences. The lifestyle category (healthy, moderate, or unhealthy) was based on "Prohealthy Diet Index-10" and participant's self-assessed physical activity during their leisure-time. The lifestyle category was significantly associated with age, BMI, physical activity at work/school, and health. Moderate lifestyle (high or moderate levels of physical activity combined with low prohealthy diet) was the most commonly found classification in examined women. Age (>35 years old) and overweight are the main factors determining unhealthy lifestyle behavior. Healthy lifestyle is more often chosen by the women from big cities. More intensive efforts should be undertaken to increase the knowledge and awareness of the health benefits of a healthy lifestyle. The main goal should be concentrated on increasing the level of physical activity, especially in leisure time, and promoting the tenets of a well-balanced diet.
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Affiliation(s)
- Agnieszka Ostachowska-Gasior
- Department of Hygiene and Dietetics, Jagiellonian University Medical College, 7 Kopernika St., Krakow 31-034, Poland.
| | - Emilia Kolarzyk
- Department of Hygiene and Dietetics, Jagiellonian University Medical College, 7 Kopernika St., Krakow 31-034, Poland.
- Cracow High School of Health Promotion, 73 Krowoderska St., Krakow 31-158, Poland.
| | - Renata Majewska
- Department of Epidemiology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, 7A Kopernika St., Krakow 31-034, Poland.
| | - Anna Gasior
- Department of Molecular Biology and Biotechnology, University of Sheffield, Western Bank, Sheffield S10 2TN, UK.
| | - Jacek Kwiatkowski
- Department of Hygiene and Dietetics, Jagiellonian University Medical College, 7 Kopernika St., Krakow 31-034, Poland.
| | - Izabela Zaleska
- The Faculty of Motor Rehabilitation, University of Physical Education in Cracow, Jana Pawla II 78 Road, Krakow 31-571, Poland.
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