The association of eating challenges with energy intake is moderated by the mealtime environment in residential care homes

2020 ◽  
Vol 32 (7) ◽  
pp. 863-873 ◽  
Author(s):  
Susan E. Slaughter ◽  
Jill M. Morrison-Koechl ◽  
Habib Chaudhury ◽  
Christina O. Lengyel ◽  
Natalie Carrier ◽  
...  

ABSTRACTObjectives:Given the increased risk of malnutrition in residential care homes, we studied how specific aspects of the mealtime environment are associated with residents’ eating challenges and energy intake in general and dementia care units of these homes.Design:Cross-sectional study.Participants:624 residents and 82 dining rooms.Setting:32 residential care homes across Canada.Measurements:Eating challenges were measured using the Edinburgh Feeding Evaluation in Dementia Questionnaire (Ed-FED-q). Energy intake was estimated over nine meals. Physical, social, person-centered, functional, and homelike aspects of the mealtime environment were scored using standardized, valid measures. Effects of interactions between dining environment scores and eating challenges on daily energy intake were assessed using linear regression.Results:More eating challenges were associated with decreased energy intake on the general (β = −36.5, 95% confidence interval [CI] = −47.8, −25.2) and dementia care units (β = −19.9, 95% CI = −34.6, −5.2). Among residents living on general care units, the functional (β = 48.5, 95% CI = 1.8, 95.2) and physical (β = 56.9, 95% CI = 7.2, 106.7) environment scores were positively and directly associated with energy intake; the social and person-centered aspects of the mealtime environment moderated the relationship between eating challenges and energy intake.Conclusions:Resident eating challenges were significantly associated with energy intake on both dementia care and general care units; however on general care units, when adjusting for eating challenges, the functional and physical aspects of the environment also had a direct effect on energy intake. Furthermore, the social and person-centered aspects of the dining environment on general care units moderated the relationship between eating challenges and energy intake. Dementia care unit environments had no measurable effect on the association between resident eating challenges and energy intake.

Author(s):  
Menglin Jiang ◽  
Dandan Gong ◽  
Yu Fan

AbstractElevated serum uric acid (SUA) levels may increase the risk of prehypertension. However, the findings from these studies remain conflicting. The objective of this study was to determine the relationship between SUA levels and risk of prehypertension by conducting a meta-analysis. We conducted a comprehensive literature search of PubMed, Embase, China National Knowledge Infrastructure, VIP, and the Wangfang database without language restrictions through May 2015. Observational studies assessing the relationship between SUA levels and prevalence of prehypertension were included. Pooled adjust odds ratio (OR) and corresponding 95% confidence intervals (CI) of prehypertension were calculated for the highest vs. lowest SUA levels. Prehypertension was defined as systolic blood pressure (BP) ranging from 120 to 139 mmHg or diastolic BP ranging from 80 to 89 mmHg. Eight cross-sectional studies with a total of 21,832 prehypertensive individuals were included. Meta-analysis showed that elevated SUA levels were associated with increased risk of prehypertension (OR: 1.84; 95% CI: 1.42–2.38) comparing the highest vs. lowest level of SUA levels. Subgroup analyses showed that elevated SUA levels significantly increased the risk of prehypertension among men (OR: 1.60; 95% CI: 1.12–2.21) and women (OR: 1.59; 95% CI: 1.17–2.16). Elevated SUA levels are positively associated with the risk of prehypertension in the general population. However, more well-designed longitudinal studies are needed before a definitive conclusion can be drawn due to the cross-sectional studies included are susceptible to bias.


2021 ◽  
Vol 23 (11) ◽  
pp. 1-12
Author(s):  
Francesca Micallef ◽  
Marisa Vella ◽  
Alan Sciberras Narmaniya ◽  
Glenda Cook ◽  
Juliana Thompson

Background/aims The integral relationship between adequate hydration and good health is widely recognised. Older people with complex needs and frailty can struggle to maintain adequate hydration, with residents in care home settings being at an increased risk of dehydration. The aim of this study was to explore current hydration practices in residential care homes in Malta. Methods An exploratory qualitative approach was adopted to explore staff's views and approaches in supporting residents' hydration. Data was collected via semi-structured, individual and small group interviews with staff from two care homes from the central and southern region of Malta. A process of open coding, followed by axial coding, was used to analyse the data. Peer debriefing was performed throughout, until agreement was reached among the research team about the final themes and sub-themes. Results Three themes emerged from the data: culture of promoting fluid intake; challenges in supporting older people to achieve optimum hydration; hydration practices and approaches. Conclusions A hydration promotion culture was demonstrated through various practices adopted in the care homes. The strong focus on water intake, in response to concerns about consuming sugary beverages, has implications for the promotion of a person-centred approach to hydration care. Inconsistencies in monitoring of fluids and daily recommended targets highlights the importance of policies or guidelines to guide hydration practice. Challenges related to refusal of fluids and language barriers among non-native staff were evident and justify further research is this area.


2019 ◽  
Vol 25 (2) ◽  
pp. 38
Author(s):  
Khaeriya Megauleng ◽  
Mustamin Mustamin ◽  
Sunarto Sunarto

Education influences a changes in knowledge, attitudes, and lifestyle patterns in the selection of the type and amount of food consumed. The health of a pregnant women affects the fetus in her womb. Nutrient content consumed by the mother will be absorbed by the fetus which is important for the growth of the fetus itself. This study aims to determine the relationship of education level, energy intake and protein nutritional status of pregnant women in the Bungoro Health Center Work Area of Bungoro District, Pangkep Regency. This research is an analytical study with cross-sectional design. Samples were pregnant women, amount to 40 people. The level of education is obtained through a questionnaire. Energy and protein intake was obtained through 2x24 hours recall and then processed using menu A software. To find out the relationship between variables of education level, energy and protein intake with nutritional status, Chi-Square was tested using the SPSS program. Data is presented in the form of tables and narratives. The results showed that 77.5% of the sample education level was high. Sample energy intake was classified as less than 82.5% and 17.5% classified as good. Sample protein intake of 95% classified as poor and 5% classified as good. Nutritional status of pregnant women is 70% experiencing KEK and 30% normal. Statistical test results show that there is no relationship between education level, energy and protein intake and nutritional status of pregnant women in the Bungoro Health Center Work Area, Bungoro District, Pangkep Regency.


2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Udi Wahyudi ◽  
Bram Burnamajaya

Bullying merupakan perilaku negatif yang dilakukan secara berulang-ulang oleh seseorang atau sekelompok orang yang bersifat menyerang karena adanya ketidakseimbangan kekuatan antara pihak yang terlibat.Tindakan bullying dapat berdampak buruk bagi korban maupun pelakunya di masa depannya. Dampak tersebut meliputi kesepian, pencapaian akademik yang buruk, kesulitan penyesuaian (adaptasi), meningkatnya risiko penggunaan zat, keterlibatan dalam tindakan kriminal dan kerentanan gangguan mental emosional seperti cemas, insomnia, penyalahgunaan zat, depresi, mempunyai self-esteem rendah, kesulitan interpersonal, gangguan konsep diri, dan depresi (ketidakberdayaan). Tujuan penelitian ini adalah untuk mengetahui hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode cross-sectional study dengan bentuk pendekatan rancangan correlation study. Sampel dalam penelitian ini berjumlah 183 orang didapat dari teknik randomsampling. Hasil penelitian menunjukkan bahwa berdasarkan hasil uji hubungan dengan menggunakan Chi-Square antara konsep diri dengan ketidakberdayaan didapatkan nilai ρ (0,000) lebih kecil daripada nilai α (0,05), sedangkan uji hubungan antara konsep diri dengan risiko bunuh diri didapatkan nilai ρ (0,013) lebih kecil daripada nilai α (0,05). Dengan demikian bahwa ada hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Kata kunci: bullying, konsep diri, ketidakberdayaan, risisko bunuh diri SELF-CONCEPT AND INEQUALITY CONNECTED WITH RISK OF SELF-SUFFICIENT IN ADOLESCENTS WHO HAVE BULLYING ABSTRACTBullying is a negative behavior that is carried out repeatedly by a person or group of people who are attacking because of an imbalance of power between the parties involved. Bullying actions can have a negative impact on victims and perpetrators in the future. These impacts include loneliness, poor academic achievement, adaptation difficulties, increased risk of substance use, involvement in criminal acts and susceptibility to mental emotional disorders such as anxiety, insomnia, substance abuse, depression, low self-esteem, interpersonal difficulties, disturbances self concept, and depression (helplessness). The purpose of this study was to determine the relationship between self-concept and powerlessness with the risk of suicide in adolescents who experienced bullying in SMA Negeri 7 Kota Bogor. This research is a quantitative study using a cross-sectional study method with a correlation study design approach. The sample in this study amounted to 183 people obtained from random sampling techniques. The results showed that based on the results of the relationship test using Chi-Square between self-concept and powerlessness, the value of ρ (0,000) was smaller than the value of α (0.05), while the test of the relationship between self-concept and risk of suicide obtained a value of ρ (0.013 ) is smaller than the value of α (0.05). Thus that there is a relationship between self-concept and powerlessness with the risk of suicide in adolescents who experience bullying in SMA Negeri 7 Kota Bogor. Keywords: bullying, self-concept, helplessness, suicide risk


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Irene Ubro

Abstract: Humans need a certain amount of energy in order to support the growth and activity. Energy can arise due to combustion derived from carbohydrates, fats and proteins in foods consumed by the body, therefore to have enough energy one should consume enough and balanced food.Nutritional status is a state of the body that is the final result of a balance between the nutrients into the body and its utilization. Adolescence (10-19 years) is a period that is often prone to nutritional problems, because in this period there is less and over nutrient intake. This study aims to determine the relationship between energy intake and Student’s Nutrition Status of  Faculty of Medical Education, University of Sam Ratulangi Manado Year 2013. This study was an observational analytic using cross - sectional approach. Results of statistical analysis using the Spearman rank test shows that, the value of the correlation coefficient (r) of - 0.234 on IMT and 0.077 on WHR and p value of < α = 0.05 on IMT and 0.514 > α = 0.05 on WHR. From the results it is concluded that there is a significant relationship between energy intake with BMI, while the relationship between energy intake with WHR there is no significant relationship. Keywords : Energy Intake, Nutritional Status    Abstrak: Manusia membutuhkan energi dalam jumlah tertentu guna untuk menunjang proses pertumbuhan dan melakukan aktifitas. Energi dapat timbul karena adanya pembakaran yang diperoleh dari karbohidrat, lemak dan protein dalam makanan yang di konsumsi oleh tubuh, karena itu agar energi tercukupi perlu  mengkonsumsi makanan yang cukup dan seimbang. Status gizi adalah keadaan tubuh yang merupakan hasil akhir dari keseimbangan antara zat gizi yang masuk ke dalam tubuh dan utilisasinya.Masa remaja (10-19 tahun) merupakan masa yang sering rentan terhadap masalah gizi, dikarenakan pada masa ini terjadi asupan gizi kurang dan asupan gizi lebih. Penelitian ini bertujuan untuk mengetahui hubungan asupan energi dengan status gizi pada mahasiswa Program Studi Pendidikan Dokter Angkatan 2013 Fakultas Kedokteran Universitas Sam Ratulangi Manado. Penelitian ini bersifat observasional analitik dengan menggunakan pendekatan cross-sectional (potong lintang). Kesimpulan: Hasil analisis statistik dengan menggunakan uji spearman rank menunjukkan bahwa, nilai koefisien korelasi (r) sebesar -0,234 pada IMT dan 0,077 pada WHR serta nilai p sebesar < α = 0,05 pada IMT dan 0,514 > α = 0,05 pada WHR. Dari hasil tersbut disimpulkan bahwa ada hubungan bermakna antara asupan energi dengan IMT sedangkan hubungan antara asupan energi dengan WHR tidak terdapat hubungan yang bermakna. Kata Kunci : Asupan Energi, Status Gizi


2021 ◽  
Vol 1 (3) ◽  
pp. 247-251
Author(s):  
Elsa Rizki Lilian ◽  
Andi Siswandi ◽  
Anggunan Anggunan

ABSTRACT: THE CORRELATIONS OF AGE AND HYPERTENSION WITH THE OCCURRENCE OF BPH IN THE SURGICAL WARD AT RSUD DR.H.ABDUL MOELOEK IN 2020Introduction: Lower Urinary Tractus Symptoms (LUTS) is a problem that is experienced by men around the world and one that often occurs is Benign prostate hyperplasia (BPH). BPH is a histological disorder characterized by the proliferation of prostate cells. It is estimated that 50% of men show BPH histopathology at the age of 60 years old and an increase of 90% at the age of 80 years old. Hypertension is also known to have a role in increasing prostate volume, in a cohort study it was found that hypertension resulted in an increased risk of 1.5 times to cause LUTS/BPH.Objective: To determine the relationship between age and hypertension on the incidence of BPH in Dr. H. Abdul Moeloek in 2020.Methods: This study is quantitative research, an observative analytic study design with a cross-sectional approach was carried out at RSUD Dr. H. Abdul Moeloek which was taken on October 16, 2020. The population was all patients in the Surgical Ward with total sampling. Data collection was obtained from secondary data from medical records. Data analysis was performed Univariate analysis (frequency distribution) and bivariate analysis with chi-square.Results: Respondents with BPH aged >50 years old were 32 respondents (97%) and respondents with BPH and hypertension were 20 respondents (60.6%). The results of the bivariate analysis using chi-square showed a significant relationship between BPH and age p value=0.000 (P<0.05) and the relationship between BPH and hypertension with p value=0.000 (p<0.05).Conclusion: There is a significant relationship between BPH with age and hypertension with the occurrence of BPH in the Surgical polyclinic at RSUD Dr.H.Abdul Moeloek in 2020. Keywords: BPH, Age, Hypertension  INTISARI: HUBUNGAN USIA DAN HIPERTENSI TERHADAP KEJADIAN BPH DI RSUD Dr.H.ABDUL MOELOEK Pendahuluan: Lower Urinary Tractus Symptoms (LUTS) adalah masalah yang banyak dialami oleh laki-laki di seluruh dunia dan salah satu yang sering terjadi adalah Benigna Prostat Hyperplasia (BPH). BPH adalah kelainan histologis yang khas di tandai dengan proliferasi sel-sel prostat. Diperkirakan 50% laki-laki menunjukan histopatologi BPH pada umur 60 tahun dan meningkat 90% pada umur 80 tahun  Hipertensi juga diketahui memiliki peranan dalam peningkatan volume prostat yakni pada suatu penelitian cohort diketahui adanya hipertensi mengakibatkan peningkatan resiko sebanyak 1,5 kali untuk menimbulkan gejala LUTS/BPH.Tujuan: Untuk mengetahui adanya hubungan usia dan hipertensi terhadap kejadian BPH di RSUD Dr. H. Abdul Moeloek Tahun 2020Metode: Jenis penelitian kuantitatif, rancangan penelitian analitik observatif dengan pendekatan cross sectional telah dilakukan di RSUD Dr.H.Abdul Moeloek Provinsi Lampung yang berlangsung pada 16 Oktober 2020. Populasi adalah seluruh pasien di Poli Bedah dengan pengambilan sampel secara total sampling. Pengumpulan data diperoleh dari data sekunder yang diperoleh dari rekam medis. Analisis data secara univariat (distribusi frekuensi) dan uji bivariat mengunakan chi squareHasil: Responden dengan BPH yang berusia >50 tahun sebanyak 32 responden (97%) dan responden dengan BPH dengan hipertensi sebanyak 20 responden (60,6%). Hasil Uji bivariat menggunakan chi square menunjukkan adanya hubungan signifikan antara BPH dengan usia diperoleh nilai p=0,000 (P<0,05) dan hubungan BPH dengan hipertensi nilai p=0,000 (p<0,05).Kesimpulan: Terdapat hubungan signifikan antara BPH dengan usia dan terdapat hubungan sgnifikan antara BPH dengan hipertensi di poli klinik bedah RSUD Dr.H.Abdul Moeloek tahun 2020.Kata kunci: BPH, Usia, Hipertensi


Universitas ◽  
2021 ◽  
pp. 87-108
Author(s):  
Víctor Castillo-Riquelme ◽  
Patricio Hermosilla-Urrea ◽  
Juan P. Poblete-Tiznado ◽  
Christian Durán-Anabalón

The dissemination of fake news embodies a pressing problem for democracy that is exacerbated by theubiquity of information available on the Internet and by the exploitation of those who, appealing to theemotionality of audiences, have capitalized on the injection of falsehoods into the social fabric. In thisstudy, through a cross-sectional, correlational and non-experimental design, the relationship betweencredibility in the face of fake news and some types of dysfunctional thoughts was explored in a sampleof Chilean university students. The results reveal that greater credibility in fake news is associated withhigher scores of magical, esoteric and naively optimistic thinking, beliefs that would be the meetingpoint for a series of cognitive biases that operate in the processing of information. The highest correlationis found with the paranormal beliefs facet and, particularly, with ideas about the laws of mentalattraction, telepathy and clairvoyance. Significant differences were also found in credibility in fake newsas a function of the gender of the participants, with the female gender scoring higher on average thanthe male gender. These findings highlight the need to promote critical thinking, skepticism and scientificattitude in all segments of society.


Author(s):  
Carla Cruz ◽  
Paula Nelas ◽  
Emília Coutinho ◽  
Cláudia Chaves ◽  
Odete Amaral

Abstract.THE INFLUENCE OF SOCIODEMOGRAPHIC CONTEXT ON PARENT/BABY BONDINGBackground: The bonding process is essential to favors and/or determines the future relationship between parent and baby and influences the cognitive and social development of the child. The bonding is conditioned by a set of interrelated factors with parental and situational conditions that may assist or prevent the establishment of bonding (Pereira, 2009).Objective: Establish the relationship between the sociodemographic context (age, marital status, educational qualifications and length of relationship) and bonding parent/baby.Methods: This study is a cross-sectional study, correlational descriptive, quantitative, attended by 349 parents, aged between 19 and 55, with an average age of 31,84 (sd=6,067). To providing a reliable sample characterization the social-demographic we applied questionnaires and Bonding Scale (Figueiredo et al., 2005).Results: This study reveals that positive bonding is influenced by age (p=0,010), being higher in parents aged 30 years or less. With regard to qualifications, it was found that the smaller the educational level of the parents, the greater the bonding positive (p=0,045). On the other hand the marital status and the length of the relationship did not influence the bonding.Conclusion: Given the importance of the bonding process between parent and baby, whose involvement should exist from the beginning of pregnancy, it’s imperative that the Nurse Specialist in maternal health take responsibility to educate and stimulate the paternal bonding supporting and integrating the father in the process of adaptation to parenthood.Keywords: Father, Baby, Bonding; Pregnancy.Resumo. Enquadramento: O processo de vinculação é indispensável pois favorece e/ou determina a futura relação entre a díade: pai/bebé e influencia o desenvolvimento cognitivo e social da criança. Este processo de vinculação (bonding) é condicionado por um conjunto de fatores interligados com as condições parentais e situacionais que poderão coadjuvar ou impedir o estabelecimento do proceso de vinculação (Pereira, 2009).Objetivo: Estabelecer a relação entre o contexto sociodemográfico (idade, estado civil, habilitações literárias e duração do relacionamento) e a vinculação (bonding) entre o pai e o bebé.Método: Trata-se de um estudo transversal, descritivo-correlacional, de natureza quantitativa, com uma amostra de 349 pais com média de idade de 31,84 anos (dp= 6,067). O instrumento de colheita de dados foi o questionário que permitiu caracterizar a amostra nas variáveis sociodemográficas e a Escala de Bonding (Figueiredo et al., 2005).Resultados: Os resultados demonstram que o bonding positivo é influenciado pela idade (p=0,010), sendo mais elevado nos pais com idade igual ou inferior a 30 anos. No que concerne às habilitações literárias, verificou-se que quanto menor é a escolaridade dos pais, maior é o bonding positivo (p=0,045).Por outro lado o estado civil e a duração do relacionamento não influenciam o bonding.Conclusão: Face à importância do processo de vinculação pai/bebe, cujo envolvimento debe existir desde o início da gravidez, é imprescindível que o Enfermeiro especialista em saúde materna assuma a responsabilidade de educar e estimular o bonding paterno apoiando e integrando o pai no processo de adaptação à parentalidade.Palavras-chave: Pai; Bebé; Bonding; gravidez


Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2042 ◽  
Author(s):  
Eun Ha Seo ◽  
Hyesook Kim ◽  
Oran Kwon

There is increasing evidence emerging that suggests high sugar intake may adversely increase the incidence of chronic diseases. However, there are only a few related studies in Korea. Based on the current Dietary Reference Intakes for Koreans, this study examined whether total sugar intake above 20% of the total energy was a risk factor for metabolic syndrome in middle-aged Korean adults. This cross-sectional study involved 7005 adults (3751 men and 3254 women) aged 40–69 years, who participated in the Korean Genome and Epidemiology Study (KoGES), a large community-based cohort study. Daily total sugar intake was estimated using a validated food frequency questionnaire. About 9% and 16% of the men and women, respectively, derived >20% of energy intake from total sugar. The males in this category had a significantly higher odds of obesity defined as having a BMI ≥ 25 (OR = 1.491, 95% CI = 1.162–1.914), low HDL-cholesterol (OR = 1.313, 95% CI = 1.038–1.660), and metabolic syndrome (OR = 1.332, 95% CI = 1.038–1.709) than those who received a lower proportion of energy intake from total sugar. These results suggest that high (>20%) energy intake from total sugar may be associated with an increased risk of metabolic syndrome in middle-aged Korean men.


2015 ◽  
Vol 44 (3) ◽  
pp. 130-137 ◽  
Author(s):  
Jacquelyn J. Cragg ◽  
Vanessa K. Noonan ◽  
Luc Noreau ◽  
Jaimie F. Borisoff ◽  
John K. Kramer

Background: Individuals with spinal cord injury (SCI) have a more than twofold increased risk of heart disease and stroke compared with able-bodied individuals. The increased risk appears to be in excess of the risk conferred by several well-established risk factors, including diabetes, hypertension, and sex. This raises the question whether other factors, secondary to SCI, are also contributing to the development of cardiovascular disease (CVD). Two potential factors associated with SCI and CVD are pain and depression. Both are frequently reported among individuals with SCI, develop in the acute stages of injury, and are commonly described as severe. Therefore, the primary aim of this study was to examine the relationship between pain (and types of pain) and depression with CVD among individuals with SCI. Methods: A total of 1,493 individuals (referred sample) with chronic SCI participated in a self-report cross-sectional multicenter Canada-wide survey from 2011-2012 (mean age ± standard deviation: 49.6 ± 13.9 years). Results: After adjustment for age, sex, and injury characteristics, neuropathic pain and depression were significantly and independently associated with CVD (adjusted odds ratio and 95% confidence interval: 2.27 (1.21, 4.60) for neuropathic pain; 4.07 (2.10, 7.87) for depression). In contrast to neuropathic pain, non-neuropathic pain was not significantly associated with CVD (p = 0.13). Conclusion: In conclusion, these data illustrate important interrelationships between secondary complications following SCI, as well as raise the possibility of neuropathic pain (versus nociceptive pain) as a novel and emerging risk factor for CVD.


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