scholarly journals Acceptability of Mobile Health Interventions to Increase Diabetic Risk Factor Awareness Among the Commuter Population in Johannesburg: Descriptive Cross-Sectional Study

JMIR Diabetes ◽  
10.2196/12600 ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. e12600 ◽  
Author(s):  
Alex Fischer ◽  
Martha Chadyiwa ◽  
Ndumiso Tshuma ◽  
Vusumuzi Nkosi
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Risk Factor ◽  
Mobile Health ◽  
Information Delivery ◽  
Diabetes Risk ◽  
Comfort Level ◽  
Background Characteristics ◽  
Delivery Methods ◽  
Diabetes Risk Factor

Background Developing countries are experiencing a shift from infectious diseases such as HIV and tuberculosis to noncommunicable diseases (NCDs) such as diabetes. Diabetes accounts for more disability-adjusted life years than any other NCD in South Africa, and research has identified a number of preventable risk factors; however, there is not enough evidence from lower resource settings as to how best to disseminate this information to the population. Today, 90% of the world’s population lives in mobile phone coverage areas, and this provides a unique opportunity to reach large populations with health information. Objective This study aimed to investigate how potential mobile health (mHealth) platforms should be paired with diabetes risk factor education so that at-risk communities are empowered with information to prevent and manage diabetes. Methods A Likert-style survey was distributed to commuters in the City of Johannesburg in July 2018 that explored participants’ background characteristics as well as their knowledge and awareness surrounding diabetic risk factors (such as exercise, smoking, and hypertension) and their comfort level with various information delivery methods (such as WhatsApp, short message service, and email). The grouped variables from diabetic risk factors and information delivery methods were described with mean Likert scores and then investigated for relationships with Spearman Rho correlation coefficients. Results Background characteristics revealed that the self-reported prevalence of diabetes was twice as high in this studied commuter population than the national average. WhatsApp was the most favorable mHealth information delivery method and had a moderate correlation coefficient with diet and nutrition (0.338; P<.001) as well as a weaker correlation with physical activity (0.243; P<.001). Although not as robust as the WhatsApp correlations, each of the other information delivery methods also showed weaker, yet statistically significant, relationships with one or more of the risk factors. Conclusions The elevated self-reported diabetes prevalence reinforces the need for diabetes risk factor education in the studied commuter population of Johannesburg. The most feasible mHealth intervention for diabetic risk factor education should focus on WhatsApp messaging while also offering content across other mHealth and traditional platforms to remove barriers to access and enhance the user experience. The content should emphasize diet and nutrition as well as physical activity while also incorporating information on secondary risk factors.

scholarly journals Acceptability of Mobile Health Interventions to Increase Diabetic Risk Factor Awareness Among the Commuter Population in Johannesburg: Descriptive Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Alex Fischer ◽  
Martha Chadyiwa ◽  
Ndumiso Tshuma ◽  
Vusumuzi Nkosi
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Risk Factor ◽  
Mobile Health ◽  
Information Delivery ◽  
Diabetes Risk ◽  
Comfort Level ◽  
Background Characteristics ◽  
Delivery Methods ◽  
Diabetes Risk Factor

BACKGROUND Developing countries are experiencing a shift from infectious diseases such as HIV and tuberculosis to noncommunicable diseases (NCDs) such as diabetes. Diabetes accounts for more disability-adjusted life years than any other NCD in South Africa, and research has identified a number of preventable risk factors; however, there is not enough evidence from lower resource settings as to how best to disseminate this information to the population. Today, 90% of the world’s population lives in mobile phone coverage areas, and this provides a unique opportunity to reach large populations with health information. OBJECTIVE This study aimed to investigate how potential mobile health (mHealth) platforms should be paired with diabetes risk factor education so that at-risk communities are empowered with information to prevent and manage diabetes. METHODS A Likert-style survey was distributed to commuters in the City of Johannesburg in July 2018 that explored participants’ background characteristics as well as their knowledge and awareness surrounding diabetic risk factors (such as exercise, smoking, and hypertension) and their comfort level with various information delivery methods (such as WhatsApp, short message service, and email). The grouped variables from diabetic risk factors and information delivery methods were described with mean Likert scores and then investigated for relationships with Spearman Rho correlation coefficients. RESULTS Background characteristics revealed that the self-reported prevalence of diabetes was twice as high in this studied commuter population than the national average. WhatsApp was the most favorable mHealth information delivery method and had a moderate correlation coefficient with diet and nutrition (0.338; P<.001) as well as a weaker correlation with physical activity (0.243; P<.001). Although not as robust as the WhatsApp correlations, each of the other information delivery methods also showed weaker, yet statistically significant, relationships with one or more of the risk factors. CONCLUSIONS The elevated self-reported diabetes prevalence reinforces the need for diabetes risk factor education in the studied commuter population of Johannesburg. The most feasible mHealth intervention for diabetic risk factor education should focus on WhatsApp messaging while also offering content across other mHealth and traditional platforms to remove barriers to access and enhance the user experience. The content should emphasize diet and nutrition as well as physical activity while also incorporating information on secondary risk factors.

Wybrane czynniki ryzyka chorób układu sercowo-naczyniowego związane z miażdżycą tętnic jako problem zdrowotny wśród młodzieży ponadgimnazjalnej

2018 ◽  
Vol 21 (1A) ◽  
Author(s):  
Zdzisława Chmiel ◽  
Grażyna Hejda ◽  
Monika Binkowska-Bury
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Risk Factor ◽  
Cardiovascular Diseases ◽  
World Health ◽  
Study Group ◽  
Atherosclerosis Risk ◽  
Atherosclerosis Risk Factors ◽  
Atherosclerosis Risk Factor ◽  
Recommended Physical Activity

Introduction. A World Health Organization (WHO) conference on a “second wave” epidemic of cardiovascular diseases, directly linked to arterial sclerosis (AS), predicts that in 2020 cardiovascular diseases will most likely be the leading cause of death in the world. The development of AS begins in youth and progresses with age. It’s intensity depends on the risk factors involved, such as: smoking, hypertension, obesity and fat and sugar disorders in the body. Aim. The aim of this study was to establish the risk factors of cardiovascular diseases and their existence, among the youth of the upper gymnasium school. Material and methods. The research was conducted using 511 volunteer students from upper and lower gymnasium schools, between 16-19 years of age. Our research methods included: a diagnostic questionnaire, the measurement of blood pressure (BP) and anthropometric measurements. In the statistical study, we used chi-square independence testing, the V-Kramer test and the tau-b Kendall test; the level of changes α = 0.05 – was used. Results. Over a half of the study group (52.5%) was characterised with the lack of recommended physical activity, much more common in girls than boys (p = 0.000), just like smoking (p = 0.009) which was declared by 39.7% of the interviewed youth. In turn, a heightened value of systolic and diastolic pressure occurred more often in boys (19.6%) than in girls (12.1%); (p = 0.000 vs. p = 0.003). Excessive body mass was noted in 15.7% of the respondents, also more often in boys than in girls (p = 0.02), and abdominal obesity occurred in 10.2% of the respondents, with no significant differences between the sexes. 42.3% of the respondents showed one, 29.9% showed two and 18.8% showed three atherosclerosis risk factors. 9.0% of the study group showed 4 and more such risk factors. Accumulation of atherosclerosis risk factors occurred significantly more often in girls than in boys (p = 0.002). Conclusions. In all the respondents at least one atherosclerosis risk factor was found, and in over half of the study group, more frequently in girls than in boys, an accumulation of two or more risk factors was observed. Lack of recommended physical activity was the most frequent atherosclerosis risk factor occurring in the youth.

Abstract TMP98: Could Mobile Health be an Effective Strategy for Enhancing Stroke Prevention?

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Shimeng Liu ◽  
Wuwei Feng ◽  
Pratik Y Chhatbar ◽  
Bruce I Ovbiagele
Keyword(s):  
Risk Factors ◽  
Smoking Cessation ◽  
Risk Factor ◽  
Glycemic Control ◽  
Mobile Health ◽  
Meta Analysis ◽  
Vascular Risk Factor ◽  
Smoking Abstinence ◽  
Vascular Risk ◽  
Risk Factor Control

Background: The overwhelming majority of strokes can be prevented via optimal vascular risk factor control. However, there remains an evidence practice gap with regard to treatment of vascular risk factors. With the rapid growth worldwide in cell-phone use, Internet connectivity, and digital health technology, mobile health (mHealth) technology may offer a promising approach to bridge these treatment gaps and reduce the global burden of stroke. Objective: To evaluate the effectiveness of mHealth in vascular risk factor control through a systemic review and meta-analysis. Methods: We searched PubMed from January 1, 2000 to May 17, 2016 using keywords: mobile health, mhealth, short message, cellular phone, mobile phone, stroke prevention and control, diabetes mellitus, hypertension, hyperlipidemia and smoking cessation. We performed a meta-analysis of all eligible randomized control clinical trials that assessed the long-term (at 6 months) effect of mHealth. Results: Of 79 articles identified, 13 of them met eligibility criteria (6 for glycemic control and 7 for smoking cessation) and were included for the final meta-analysis. There were no eligible studies for dyslipidemia or hypertension. mHealth resulted in greater HbA1c reduction at 6 months (6 studies; 663 subjects; SMD: -0.44; 95% CI: [-0.82, -0.06], P =0.02; Mean difference of decrease in HbA1c: -0.39%; 95% CI: [-0.74,-0.04], P =0.03). mHealth also led to relatively higher smoking abstinence rates at 6 months (7 studies; 9,514 subjects; OR: 1.54; 95% CI: [1.24, 1.90], P <0.0001). Conclusion: Use of mHealth improves glycemic control and smoking abstinence rates, two factors that may lead to better stroke outcomes. Future mHealth studies should focus on modifying premier vascular risk factors like hypertension, specifically in people with or at risk of stroke.

scholarly journals THE RESULTS OF PREVENTIVE MEDICAL EXAMINATION FOR ADULTS IN SHPAKOVSKY DISTRICT OF STAVROPOL REGION IN 2015–2017

2018 ◽  
pp. 16-18
Author(s):  
N.E. Afanasev ◽  
A.K. Shishmanidi ◽  
I.V. Koshel
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Risk Factor ◽  
Medical Examination ◽  
Endocrine Disorders ◽  
Main Risk Factor ◽  
Genitourinary System ◽  
Stavropol Region ◽  
Unbalanced Diet

The article presents the results analysis of preventive medical examination for adults in the Shpakovsky region of Stavropol region for 2015–2017. In the disease structure cardiovascular diseases ranks first, endocrine disorders has the second highest rate of incidence, genitourinary system diseases ranked third. The main risk factor for the chronic non-communicable diseases is unbalanced diet (35,74 %). Low physical activity ranks second accroding to the results of questionnaire (31,23 %) and high blood pressure ranked third (24,45 %). Frequency rate of chronic non-comminicable risk factors detection had been decreased during the years.

scholarly journals Faktor risiko obesitas pada ibu rumah tangga miskin

2012 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Digna Niken Purwaningrum ◽  
Hamam Hadi ◽  
I Made Alit Gunawan
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Food Insecurity ◽  
Energy Intake ◽  
Conditional Logistic Regression ◽  
Control Group ◽  
Case Group ◽  
Fat Intake

Background: Food insecurity is associated with allocation of income for high energy density food consumption that may cause obesity in poor family. In addition, low physical activity may lead to obesity, particularly in individual living in disadvantaged situation.Objective: To identify risk factors of obesity among poor housewives in Yogyakarta.Method: This was a case control study, case group was obese housewives and the control group was non obese housewives. The locations of the study were Bumijo and Pringgokusuman which have high population density. The samples were taken purposively. Each group consisted of 70 housewives (1:1) and were matched according to age. Mc.Nemar test and conditional logistic regression were used to identify the risk factors of obesity.Results: There was no difference in characteristics between the two groups. Food insecurity reached 91,43% in the control group, proportion of excessive energy intake reached 37.86% in the case group, higher than in control group (24.29%). Excessive fat intake in the case group reached 30% whereas in the control group was 28.57%. Low physical activity reached 40% in the case group, and 10% in the control group. The result of Mc.Nemar test showed that food insecurity, energy and fat intake had no significant association with obesity (p>0.05). While physical activity was associated with obesity (p=0.0001). The result of conditional logistic regression showed physical activity was dominant risk factor for obesity among poor housewives (R2=0.1916).Conclusion: Food security status was not a risk factor for obesity in poor families; energy intake and fat intake contributed to the prevalence of obesity though the influence was smaller than physical activity.

scholarly journals Analisis Aktivitas Fisik dan Konsumsi Makanan Cepat Saji sebagai Faktor Risiko Terhadap Obesitas pada Siswa-Siswi SMA Negeri 1 Kendari

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Asmarani . ◽  
Andi Uznul Alriansyah ◽  
Juriadi Paddo ◽  
Nina Indriyani N
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
High School ◽  
Risk Factor ◽  
Food Consumption ◽  
Body Fat ◽  
Fast Food ◽  
Senior High School ◽  
Energy Utilization ◽  
Fast Food Consumption

Obesity is a disorder that result from excessive body fat accumulation. Etiology of obesity is not clear, but generally obesity caused by imbalance of intake and energy utilization which energy intake is more than energy utilization. Alteration of consumption pattern and low physical activity at daily life also determine body fat accumulation that cause obesity.This research aimed to analyze physical activity and fast food consumption as risk factors toward obesity at 1st Senior High School of Kendari. This is an observational stuy with case control design. This research’s sample consist of 47th cases and 47th controls that selected by random sampling. Data was analyzed by using Odds Ratio. This research’s instruments were scale, microtoice and questionnaire for physical actovity and fast food consumption among students at age 16-18 years old at 1st Senior High School of Kendari 2018.Result of this research shown that physical activity is a risk factor for obesity (OR = 8,181 ; 95% CI = 3,181-21,035) and fast food consumption is a risk factor for obesity (OR = 14,578 ; 95% CI = 5,083-41,809) among students of 1st Senior High School of Kendari. This research’s conclusion are low physical activity and fast food consumption more than 3 times for a week were risk factors for obesity among students at 1st Senior High School of Kendari.

scholarly journals Is the Pandemic a Risk Factor for Eating Disorders?

2021 ◽  
Author(s):  
Agnieszka Dąbkowska-Mika
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Risk Factor ◽  
Coping Style ◽  
Daily Life ◽  
Unhealthy Food ◽  
Fresh Food ◽  
Media Pressure

COVID-19 has already established direct or indirect effect on the lives of everyone. One of its many consequences is exacerbation of eating disorders´ (ED) triggers. Numerous risk factors for ED are enhanced during pandemic – anxiety, fear, depressed mood. Distance learning or working may result in loss of daily-life routine and feeling of being overwhelmed with duties. Due to forced isolation people are more exposed to social media pressure. Additionally, awareness of limitations of physical activity can develop fear of gaining the weight. These are typical symptoms of Anorexia Nervosa, a disease with the highest mortality rate among psychiatric disorders. Frustration, tedium and lack of external distractors can lead to inappropriate food-related coping style. Especially during the first wave of the pandemic, society was cautious about fresh food supplies and therefore many decided to stock up with processed, unhealthy food. Aggregation of stressors (e.g., worries about health, financial problems, loneliness) may promote binge eating.

scholarly journals Prevalence, risk factors and attitude of parents towards childhood obesity among school children in Bangalore city

2018 ◽  
Vol 5 (2) ◽  
pp. 749 ◽  
Author(s):  
Hemavathi Dasappa ◽  
Farah Naaz Fathima ◽  
Krithika Ganesh ◽  
Shankar Prasad
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Risk Factor ◽  
School Children ◽  
Private School ◽  
Overweight And Obesity ◽  
Parental Attitude ◽  
Obesity And Overweight ◽  
Potential Risk Factors ◽  
Structured Questionnaire

Background: Aim of the study was to determine the prevalence, risk factor attitude of parents towards obesity and overweight among the school children between the age group of 6-13 years.Methods: A structured questionnaire was filled by the parents and weight and height was measured by school nurse in a private school in Bangalore city.Results: Prevalence of overweight was 13.20% and obesity was 17.13%. Birth weight and sport was strongly associated with the prevalence. Sports protect the child from the overweight and obesity. Parent’s perception about their child’s BMI status was good. Parent’s attitude of having meal with their child and their estimation of child’s physical activity was protective and the attitude of controlling diet of the child was a risk factor for overweight and obesity. Though the parents were able to estimate their child as overweight and obese they were not willing for further advice.Conclusions: Prevalence of overweight and obesity is increasing. Higher birth weights, parental attitude of controlling child’s diet are the potential risk factors. Involvement in sports, parental attitude of having food with child and awareness about their physical activity are protective. 

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