scholarly journals Size matters: exploring the links between food portion sizes and diet quality in Irish children

2011 ◽  
pp. 112-117
Author(s):  
Jacqueline Lyons

Food portions have increased over the last 20 years. This has been shown to be true for the foods we eat at home, those consumed at restaurants and fast-food outlets, and for foods sold in packages. Along with this increase in food portion sizes has been an increase in both child and adult obesity, leading to the obvious question: could larger food portion sizes be contributing to the obesity epidemic? The World Health Organisation (WHO) has cited large portion sizes as a ‘possible’ dietary risk factor for obesity, which according to their definition means that ‘more trials are needed to support the tentative associations’. Their caution is based on the fact that the evidence comes mainly from cross-sectional studies, which typically include a large number of individuals but are essentially observational, and therefore cannot conclude that the relationship between large portion sizes and obesity is a causative one. The WHO ...

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 510
Author(s):  
Lauren Périères ◽  
Fabienne Marcellin ◽  
Gora Lo ◽  
Camelia Protopopescu ◽  
El Ba ◽  
...  

Detailed knowledge about hepatitis B virus (HBV) vaccination coverage and timeliness for sub-Saharan Africa is scarce. We used data from a community-based cross-sectional survey conducted in 2018–2019 in the area of Niakhar, Senegal, to estimate coverage, timeliness, and factors associated with non-adherence to the World Health Organisation-recommended vaccination schedules in children born in 2016 (year of the birth dose (BD) introduction in Senegal) and 2017–2018. Vaccination status was assessed from vaccination cards, surveillance data, and healthcare post vaccination records. Among 241 children with available data, for 2016 and 2017–2018, respectively, 31.0% and 66.8% received the BD within 24 h of birth (BD schedule), and 24.3% and 53.7% received the BD plus at least two pentavalent vaccine doses within the recommended timeframes (three-dose schedule). In logistic regression models, home birth, dry season birth, and birth in 2016 were all associated with non-adherence to the recommended BD and three-dose schedules. Living over three kilometres from the nearest healthcare post, being the firstborn, and living in an agriculturally poorer household were only associated with non-adherence to the three-dose schedule. The substantial proportion of children not vaccinated according to recommended schedules highlights the importance of considering vaccination timeliness when evaluating vaccination programme effectiveness. Outreach vaccination activities and incentives to bring children born at home to healthcare facilities within 24 h of birth, must be strengthened to improve timely HBV vaccination.


Author(s):  
Claire Sunyach ◽  
Barbara Antonelli ◽  
Sophie Tardieu ◽  
Michele Marcot ◽  
Jeanne Perrin ◽  
...  

The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations. Quantitative and qualitative information was collected via auto-questionnaire. Questionnaires were completed by 962 participants, mainly midwives (41.1%), physicians (25.6%) and nursery nurses (11%). Indoor/outdoor air quality and endocrine disruptors were the best-mastered topics, whereas electromagnetic fields and diet gave rise to unsure responses. Overall, perinatal HPs were ill-trained and -informed about the reproductive risks linked to daily environmental exposure. HPs reported scarce knowledge, fear of patient reaction and lack of solutions as the main barriers to providing information regarding EH to the public. Our findings highlight the need to set up EH training programmes focused on scientific knowledge and to provide simple messages and tips to help perinatal HPs deliver advice to populations to mitigate exposure to environmental toxicants.


Author(s):  
Nuralia Akma ◽  
Mohamad Mustafa ◽  
Siti Aishah Suran ◽  
Abdul Aziz Marwan ◽  
Mohd Rahman Omar

Malaysia is categorized as an intermediate tuberculosis (TB) burden country by World Health Organisation. This cause great challenge as an occupational hazard for healthcare providers (HCPs) in Malaysia, as they received two- to three-fold greater risk of contracting TB than the general population. This cross-sectional questionnaire study aimed to assess HCPs' knowledge, attitude, practice, and stigma (KAPS) towards TB in Hospital Sultan Haji Ahmad Shah, Temerloh. A pilot-tested questionnaire was designed based on the WHO recommendation for KAPS study in TB. A survey was carried out between September 2018 and February 2019. Data were analyzed using SPSS version 25.The majority of respondents have moderate knowledge (75%) and practice (93%) on tuberculosis whilst scored lower on attitude (49%). Average self-perceived stigma was observed (67%) with higher sympathy (73%). Overall knowledge and practice on tuberculosis among HCPs in HOSHAS was good with some misconceptions about disease transmission. However, more works needed to improve the attitude and stigma towards TB, as it may affect health services delivery towards TB patients.


2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.


Author(s):  
Bina Aquari Bina Aquari

ABSTRAK   Kontrasepsi Hormonal sebagai salah satu alat Kontrasepsi meningkat dan tajam. Menurut World Health Organization (WHO) 2014, Pengguna alat kontrasepsi suntik yaitu 35,3%, pil yaitu 30,5%, IUD yaitu 15,2%, Implant 7,3%, dan 11,7% Kontrasepsi lainnya. Tujuan penelitian ini untuk mengetahui apakah ada hubungan peningkatan berat badan dan ketidakteraturan siklus haid dengan KB suntik pada akseptor KB di Puskesmas Pembina Palembang Tahun 2018.Rumusan masalah penelitian ini adalah hubungan antara umur dan pengetahuan akseptor tentang KB Suntik di Puskesmas Pembina Palembang Tahun 2018.Penelitian ini menggunakan survey analitik dengan pendekatan cross sectional yang dilakukan dengan kuesioner.Uji Statistic yang dipakai adalah Uji Chi-Square. Populasi dalam penelitian ini berjumlah 62 orang dan seluruh Populasi dijadikan sampel. Dari hasil analisa univariat responden yang memakai KB Suntik lebih besar yaitu sebanyak 36 orang (58,1%), dan 26 orang (41,9%) yang tidak memakai KB Suntik. Responden yang berat badannya meningkat memakai kontrasepsi sebanyak 33 orang (53,2%), sedangkan responden yang berat badannya tidak meningkat sebanyak 29 orang (46,8%) dibandingkan dengan responden yang siklus haidnya tidak teratur adalah sebanyak 32 orang (51,6%). Hasil analisa statistik dengan menggunakan Uji Chi-Square dengan df = 1 ada hubungan yang bermakna peningkatan berat badan dengan KB Suntik pada akseptor KB diperoleh p value (0.006) lebih kecil dari (0,05) dan ada hubungan yang bermakna ketidakteraturan siklus haid dengan KB suntik pada akseptor KB diperoleh p value (0,011) lebih kecil dari (0,05). Saran agar petugas kesehatan meningkatkan kinerja dan sistem informasi mengenai masalah yang berhubungan dengan pemakaian KB Suntik.       ABSTRACT   The hormonal contraception as becoming on of the contraceptions tools which is increasing sharply. Based on world Health Organitation (WHO) the user of injected contraception is 35,3%, pill 30,5%, IUD 15%, implant 7,3%, and 11,7% for another contraception. The purpose of this research is for knowing wheter there is the increasing of weight and the irregular of monthly period with injected contraception for the acceptor at Puskesmas Pembina Palembang in 2014. The main case of this research is the relationship between the increasing of the weight and the irregular monthly period at Puskesmas Pembina Palembang in 2014. This research using analytic survey with cross sectional closing yhat was done by using questioner, the statistic test which take is Chi-Square test. The population in this reseacrh are 62 peoples, and all off them as becoming the sample from the result of respondent univariat analyze whom using the injected contraception in bigger that is exactly 36 people (58,1%) and 26 people (41,9%) whom do not using it. The respondent with their weight is increasing because of using contraception is 33 people (53,2%), while the respondent whom the weight do not increasing is 29 people (46,8%), when we compare with the respondent whom the monthly period is irregular are 32 people (51,6%). The result for statistic analyze by using the Chi-Square test with the df = 1 says that there is a significant relationship between the weight increasing with the injected contraception for the acceptor we get p value (0,006) is smaller than (0,05) and there is significant relationship between the injected contraception for the acceptor we get p value (0,011) with is smaller than (0,05). The sugestion of the health workes to increasing the performance the information sistem about the problem that is connected with the inject contraception using


2021 ◽  
Vol 21 (2) ◽  
pp. 640-646
Author(s):  
Beril Ozdemır ◽  
Sıddıka Songül Yalçın

Background: The World Health Organization (WHO) recommends the use of tachypnea as a proxy to the diagnosis of pneumonia. Objective: The purpose of this study was to examine the relationship between body temperature alterations and respiratory rate (RR) difference (RRD) in children with acute respiratory infections(ARI). Methods:This cross-sectional study included 297 children with age 2-60 months who presented with cough and fever at the pediatric emergency and outpatient clinics in the Department of Pediatrics, Baskent University Hospital, from January 2016 through June 2018. Each parent completed a structured questionnaire to collect background data. Weight and height were taken. Body temperature, respiratory rate, presence of the chest indrawing, rales, wheezing and laryngeal stridor were also recorded. RRD was defined as the differences in RR at admission and after 3 days of treatment. Results: Both respiratory rate and RRD were moderately correlated with body temperature (r=0.71, p<0.001 and r=0.65, p<0.001; respectively). For every 1°C increase in temperature, RRD increased by 5.7/minutes in overall, 7.2/minute in the patients under 12 months of age, 6.4/minute in the female. The relationship between body temperature and RRD wasn’t statistically significant in patients with rhonchi, chest indrawing, and low oxygen saturation. Conclusion: Respiratory rate should be evaluated according to the degree of body temperature in children with ARI. How- ever, the interaction between body temperature and respiratory rate could not be observed in cases with rhonchi and severe pneumonia. Keywords: Fever; tachypnea; pneumonia; respiratory rate difference; children.


Author(s):  
Bambang Irawan ◽  
Erizal

Badan kesehatan dunia yaitu World Health Organisation (WHO) berupaya agar pelayanan kesehatan di dunia ini dapat memberikan suatu sistem pelayanan yang baik untuk meningkatkan derajat kesehatan masyarakat diberbagai belahan dunia. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik perawat dan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019. Penelitian ini bersifat analitik dengan desain penelitian cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden yang merupakan pasien rawat inap. Data dianalisa secara univarat dan bivariat menggunakan uji Chi square. Hasil penelitian diperoleh ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,007) dan ada hubungan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,030).


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
A. I. Reeder ◽  
E. E. Iosua ◽  
B. McNoe ◽  
A.-C. L. Petersen

Background. The head and neck are exposed to the highest solar ultraviolet radiation levels and experience a disproportionate skin cancer burden. Sun protective hats can provide an effective barrier. Since early life exposure contributes to skin cancer risk, the World Health Organisation recommends prevention programmes in schools. The New Zealand SunSmart Schools programme is one example. Two criteria concern wearing hat outdoors: students are required to wear a hat providing protection for the face, neck, and ears; if a suitable hat is not worn, students must play in shaded areas. Objectives. To investigate two internationally relevant interventions as plausible statistical predictors of hat policy strength: (1) skin cancer primary prevention programme membership, (2) use of a professional policy drafting service. Methods. Of 1,242 (62%) eligible schools participating in a 2017 national survey, 1,137 reported a sun protection policy and 842 were available for categorising and allocating protective scores (0–3). Results. In multinomial (polytomous) logistic regression models of cross-sectional association, adjusted for school characteristics, SunSmart accredited schools and those utilising a policy drafting service were independently significantly more likely than their counterparts to obtain the most protective compared to the least protective hat score (respectively, RRR 6.48: 95% CI 3.66, 11.47; 7.47: 3.67, and 15.20). For the dichotomous shade measure, similar associations were found using adjusted logistic regression (OR 3.28: 95% CI 2.11, 5.09; 2.70: 1.54, 4.74). Conclusions. Our findings provide support for two plausible interventions that could potentially be implemented beneficially in primary schools via established infrastructure in any jurisdiction, internationally.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Grace Sum ◽  
Gerald Choon-Huat Koh ◽  
Stewart W. Mercer ◽  
Lim Yee Wei ◽  
Azeem Majeed ◽  
...  

Abstract Background The burden of non-communicable diseases (NCDs) is rising rapidly in middle-income countries (MICs), where NCDs are often undiagnosed, untreated and uncontrolled. How comorbidity impacts diagnosis, treatment, and control of NCDs is an emerging area of research inquiry and have important clinical implications as highlighted in the recent National Institute for Health and Care Excellence guidelines for treating patients suffering from multiple NCDs. This is the first study to examine the association between increasing numbers of comorbidities with being undiagnosed, untreated, and uncontrolled for NCDs, in 6 large MICs. Methods Cross-sectional analysis of the World Health Organisation Study of Global Ageing and Adult Health (WHO SAGE) Wave 1 (2007–10), which consisted of adults aged ≥18 years from 6 populous MICs, including China, Ghana, India, Mexico, Russia and South Africa (overall n = 41, 557). Results A higher number of comorbidities was associated with better odds of diagnosis for hypertension, angina, and arthritis, and higher odds of having treatment for hypertension and angina. However, more comorbidities were associated with increased odds of uncontrolled hypertension, angina, arthritis, and asthma. Comorbidity with concordant conditions was associated with improved diagnosis and treatment of hypertension and angina. Conclusion Patients with more comorbidities have better diagnosis of chronic conditions, but this does not translate into better management and control of these conditions. Patients with multiple NCDs are high users of health services and are at an increased risk of adverse health outcomes. Hence, improving their access to care is a priority for healthcare systems.


2009 ◽  
Vol 12 (2) ◽  
Author(s):  
Charles Courtemanche

Additional work hours may lead to weight gain by decreasing exercise, causing substitution from meals prepared at home to fast food and pre-prepared processed food, or reducing sleep. Substitution toward unhealthy convenience foods could also influence the weight of one's spouse and children, while longer work hours for adults may further impact child weight by reducing parental supervision. I examine the effects of adult work hours on the body mass index (BMI) and obesity status of adults as well as the overweight status of children. Longer hours increase one's own BMI and probability of being obese, but have a smaller and statistically insignificant effect on these outcomes for one's spouse. Mothers', but not mother's spouse's, work hours affect children's probability of being overweight. My estimates imply that changes in labor force participation account for only 1.4% of the rise in adult obesity in recent decades, but a more substantial 10.4% of the growth in childhood overweight.


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