Findings on health and nutrition-related factors.

Author(s):  
Ian J. Deary ◽  
Lawrence J. Whalley ◽  
John M. Starr
Author(s):  
Yuxuan Gu ◽  
Yansu He ◽  
Shahmir H. Ali ◽  
Kaitlyn Harper ◽  
Hengjin Dong ◽  
...  

This study was to investigate the association of long-term fruit and vegetable (FV) intake with all-cause mortality. We utilized data from the China Health and Nutrition Survey (CHNS), a prospective cohort study conducted in China. The sample population included 19,542 adult respondents with complete mortality data up to 31 December 2011. Cumulative FV intake was assessed by 3 day 24 h dietary recalls. Cox proportional hazards regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of all-cause mortality. Covariates included sociodemographic characteristics, lifestyle factors, health-related factors, and urban index. A total of 1409 deaths were observed during follow-up (median: 14 years). In the fully adjusted model, vegetable intake of the fourth quintile (327~408 g/day) had the greatest negative association with death compared to the lowest quintile (HR = 0.63, 95% CI: 0.53–0.76). Fruit intake of the fifth quintile (more than 126 g/day) had the highest negative association (HR = 0.24, 95% CI: 0.15–0.40) and increasing general FV intake were also negatively associated with all-cause mortality which demonstrated the greatest negative association in the amount of fourth quintile (HR = 0.59, 95% CI: 0.49–0.70) compared to the lowest quintile. To conclude, greater FV intake is associated with a reduced risk of total mortality for Chinese adults. High intake of fruit has a stronger negative association with mortality than differences in intake of vegetables. Our findings support recommendations to increase the intake of FV to promote overall longevity.


Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 4
Author(s):  
I Re Heo ◽  
Ho Cheol Kim ◽  
Tae Hoon Kim

Background and Objectives: preserved ratio impaired spirometry (PRISm) is a common spirometric pattern that causes respiratory symptoms, systemic inflammation, and mortality. However, its impact on health-related quality of life (HRQOL) and its associated factors remain unclear. We aimed to identify these HRQOL-related factors and investigate the differences in HROOL between persons with PRISm and those with normal lung function. Materials and Methods: we reviewed the Korea National Health and Nutrition Examination Survey data from 2008 to 2013 to evaluate the HRQOL of persons with PRISm, as measured while using the Euro Quality of Life-5D (EQ-5D) and identify any influencing factors. PRISm was defined as pre-bronchodilator forced expiratory volume in 1 s (FEV1) <80% predicted and FEV1 to forced vital capacity (FVC) ratio (FEV1/FVC) ≥0.7. Individuals with FEV1 ≥80% predicted and FEV1/FVC ≥0.7 were considered as Controls. Results: of the 27,824 participants over the age of 40 years, 1875 had PRISm. The age- and sex-adjusted EQ-5D index was lower in the PRISm group than in the control group (PRISm, 0.930; control, 0.941; p = 0.005). The participants with PRISm showed a significantly higher prevalence of hypertension (p < 0.001), diabetes (p < 0.001), obesity (p < 0.001), low physical activity (p = 0.001), ever-smoker (p < 0.001), and low income (p = 0.034) than those in the control group. In participants with PRISm, lower EQ-5D index scores were independently associated with old age (p = 0.002), low income (p < 0.001), low education level (p < 0.001), and no economic activity (p < 0.001). Three out of five EQ-5D dimensions (mobility, self-care, and usual activity) indicated a higher proportion of dissatisfied participants in the PRISm group than the control group. Conclusions: the participants with PRISm were identified to have poor HRQOL when compared to those without PRISm. Old age and low socioeconomic status play important roles in HRQOL deterioration in patients with PRISm. By analyzing risk factors that are associated with poor HRQOL, early detection and intervention of PRISm can be done in order to preserve patients’ quality of life.


2016 ◽  
Vol 42 (6) ◽  
pp. 728-738 ◽  
Author(s):  
Shiela M. Strauss ◽  
Mary T. Rosedale ◽  
David M. Rindskopf

Purpose The purpose of the study was to identify the sex-specific characteristics that predict depression among adult women with diabetes. Methods Data from the 2007-2012 National Health and Nutrition Examination Survey in the United States were used to identify the predictors of depression in a large sample of women ages 20 years and older with diabetes (n = 946). Results When extrapolated to almost 9 million women in the United States ≥ 20 years of age with diabetes, 19.0% had depression. Female-specific significant predictors of depression included younger age (< 65 years old), less than high school graduation, self-rated fair or poor health, inactivity due to poor health, and pain that interferes with usual activities. Marital status and diabetes-related factors (years living with diabetes, use of insulin, parent or sibling with diabetes) were not significant predictors of depression in adult women with diabetes. Conclusion When educating and counseling women with diabetes, diabetes educators should be aware that some of the predictors of depression in women with diabetes differ from those of populations that include both sexes. Depression screening, although important for all women with diabetes, should especially be performed among women with female-specific depression predictors.


2017 ◽  
Vol 4 (2) ◽  
pp. 486
Author(s):  
Ghasem Fattahzadeh-Ardalani ◽  
Rahim Masoumi ◽  
Firouz Amani ◽  
Anahita Zakeri

Background: Overweight and obesity and its problems are the most important health and nutrition issues of adolescents in developed countries. This study aimed to determine prevalence of overweight and obesity among high school girls in Ardabil.Methods: As a cross sectional study height, weight, waist circumference and hip circumference were measured. BMI and WHR were used to assess the overweight and obesity. Data analysed by statistical methods in SPSS.19.Results: The mean age of students was 16.6±1.1 years.  0.25 of students were in age 16.  According to BMI, 8.8% of all students have overweight. According to the WHR, 72 (35.1%) had WHR >0.8 which were in unhealthy high risk group.Conclusions: Results showed that the rate of overweight and obesity in high school girls in Ardabil was lower than many studies in country. So, programming for rising their knowledge about obesity related factors and increasing their physical activity and modify feeding behaviour is essential.


2019 ◽  
Author(s):  
Jung Soo Lee ◽  
Yeo Hyung Kim

Abstract Background: The aim of this study was to investigate the vitamin D status and related factors in community-dwelling Korean stroke survivors. Methods: Data of 23,872 individuals ≥20 years who participated in the Korea National Health and Nutrition Examination Surveys (KNHANES) were analyzed. Participants who had ever been diagnosed with stroke by a doctor were defined as stroke survivors (n = 431). The serum 25-hydroxyvitamin D (25(OH)D) level was measured by radioimmunoassay, and vitamin D deficiency was defined as 25(OH)D <20 ng/mL. The association between vitamin D and stroke status was analyzed using multivariable general linear models and logistic regression models adjusted for sociodemographic and clinical covariates. Results: The adjusted mean 25(OH)D level of stroke survivors was significantly lower than that of nonstroke controls; however, after adjustment for SBP level and use of antihypertensive medication, the difference was no longer statistically significant. The burden of 25(OH)D deficiency was not higher in stroke survivors than in nonstroke controls (adjusted OR = 1.14; 95% CI, 0.81-1.62). Current smoking was independently associated with 25(OH)D deficiency among stroke survivors (adjusted OR = 3.17; 95% CI, 1.33-7.55). Conclusions: These findings indicated that treatment of high blood pressure and smoking cessation may be important measures to control vitamin D levels in stroke survivors.


Author(s):  
Hosik Min

The chapter investigates the effects of social and demographic factors on cardiovascular disease (CVD) controlling health related factors. The data used in this study is the National Health and Nutrition Examination Survey data, and are merged the three waves, 2009-2010, 2011-2012, and 2013-2014. The logit regression analysis is used as a statistical model, and the results of this study confirm the significant associations with CVD in age, race/ethnicity, marital status, and educational attainment as expected ways. Health behaviors also show significant and strong relationships with CVD, which support the current prevention and intervention programs' strategy that focuses on changing lifestyles on an individual and a community level. The results of the social and demographic factors on CVD confirm that having CVD is not only a medical or biological process but also a social outcome. Thus, a better understanding of the social and demographic factors on CVD helps us to not only reduce the mortality rate, but also develop more effective policies and programs.


Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 112
Author(s):  
Jeonghee Jeong ◽  
Mijin Kim

This study aims to identify the awareness of dyslipidemia and the factors affecting it in menopausal women to prevent cardiovascular disease, a major cause of female mortality. This study used data from 2019, the first year of the eighth (2019–2021) Korea National Health and Nutrition Examination Survey conducted by the Korea Disease Control and Prevention Agency. A total of 975 women fulfilled the selection criteria. Dyslipidemia awareness and the related factors were analyzed with SPSS 26.0 complex sample software. Only 27.3% of menopausal women over age 40 with dyslipidemia were aware of the condition. Factors affecting their awareness level were age, subjective health awareness, body mass index, and underlying disease. The prevalence of dyslipidemia in menopausal women was high, but their awareness was significantly low. This finding confirms the need for measures to improve dyslipidemia awareness to prevent cardiovascular diseases in menopausal women.


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