1
|
Donofre GS, Campos JADB, dos Santos PC, Marôco J, Campos LA, da Silva WR. Social Appearance Anxiety Scale: a psychometric investigation and evaluation of the influence of individual characteristics on social appearance anxiety in Brazilian adults who practice physical exercise. Front Psychol 2023; 14:1261605. [PMID: 38106390 PMCID: PMC10723900 DOI: 10.3389/fpsyg.2023.1261605] [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: 07/19/2023] [Accepted: 11/16/2023] [Indexed: 12/19/2023] Open
Abstract
Introduction Evaluating signs of anxiety related to body appearance is becoming increasingly important in contemporary society and, in this sense, the Social Appearance Anxiety Scale (SAAS) seems an interesting alternative of measurement. Objectives To evaluate the psychometric properties of the Portuguese version of the SAAS when applied to Brazilian adults who practice physical exercise and verify the influence of individual characteristics on participants' social appearance anxiety. Methods This was a cross-sectional study conducted online. The participants completed the SAAS and a demographic questionnaire. The psychometric properties of the SAAS one-factor model were evaluated using confirmatory factor analysis. A structural model was built for men and women to verify the influence of individual characteristics of the participants on social appearance anxiety. Results 1,495 individuals participated in the study (70.8% women; mean age = 29.5, SD = 8.9 years). The data obtained with the SAAS presented good indicators of validity and reliability for both genders (CFI > 0.97, TLI > 0.97, SRMR = 0.04, α > 0.97, ω > 0.85). For both men and women, greater levels of social appearance anxiety were observed among younger participants, who had a higher body mass index, self-reported an eating disorder, and perceived a change in their body after the onset of the COVID-19 pandemic. For women specifically, higher income and having started physical exercise more recently were associated with greater levels of social appearance anxiety. Conclusion The findings supported the validity and reliability of the data obtained with the SAAS and revealed that when investigating social appearance anxiety in future research and clinical protocols, specific individual characteristics should be considered.
Collapse
Affiliation(s)
- Giovanna Soler Donofre
- Department of Biological Sciences, School of Pharmaceutical Sciences, São Paulo State University (UNESP), São Paulo, Brazil
| | | | - Priscila Carvalho dos Santos
- Department of Biological Sciences, School of Pharmaceutical Sciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - João Marôco
- William James Center for Research (WJCR), University Institute of Psychological, Social, and Life Sciences (ISPA), Lisbon, Portugal
- Flu Pedagogy, Nord University, Bodø, Norway
| | - Lucas Arrais Campos
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
- Department of Ear and Oral Diseases, Tampere University Hospital, Tampere, Finland
- School of Dentistry, São Paulo State University (UNESP), São Paulo, Brazil
| | - Wanderson Roberto da Silva
- Department of Biological Sciences, School of Pharmaceutical Sciences, São Paulo State University (UNESP), São Paulo, Brazil
- Postgraduate Program in Food, Nutrition, and Food Engineering, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| |
Collapse
|
2
|
Qi M, Gao Y, Zhao X, Jones C, Moyle W, Shen S, Li P. Development and validity of a mentally-passive and mentally-active sedentary time questionnaire in nursing college students. Front Public Health 2023; 11:1180853. [PMID: 37794895 PMCID: PMC10546406 DOI: 10.3389/fpubh.2023.1180853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 08/28/2023] [Indexed: 10/06/2023] Open
Abstract
Objective This study aimed to develop and validate a questionnaire to evaluate nursing college students' mentally-passive and mentally-active sedentary time (M-PAST) in China. Methods An initial M-PAST questionnaire with mentally-passive and mentally-active sedentary behaviors was developed with content validity undertaken through a consensus panel and pilot test where a convenience sample of six nursing students was recruited to assess the relevance, comprehensiveness, and comprehensibility of the refined questionnaire after expert panelists' responses. A cross-sectional online survey using a self-reported questionnaire was distributed to nursing students by email and then conducted using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to assess the construct validity of the M-PAST questionnaire and factor structures. Finally, the criterion validity was examined by exploring the associations between the M-PAST and the IPAQ sitting time, psychological distress, and insomnia. Results Eight items regarding learning and leisure were included in the final version of the M-PAST questionnaire. A group of 650 nursing college students in China completed the study. Principal component analysis revealed two factors (i.e., mentally-passive and mentally-active sedentary behaviors), which explained 41.98% of the variance contributing to the questionnaire. The CFA reached the adaptive standard. Cronbach's α ranged from 0.730 to 0.742. The correlations between M-PAST and IPAQ total sitting time were significant (p < 0.01, r = 0.125-0.396). Mentally-passive sedentary time was associated with psychological distress and insomnia (p < 0.01, r = 0.078-0.163), while no significant associations were found in mentally-active sedentary behaviors. Conclusion and implications for practice The M-PAST questionnaire appears to be a reliable and valid tool that reported both mentally-passive and mentally-active sedentary behaviors in nursing college students in China. However, future studies may need to further examine its validity among international nursing college students. This study further confirmed that mentally-passive sedentary behavior was positively associated with psychological distress and insomnia. Effective strategies are needed to reduce nursing college students' mentally-passive sedentary time to improve their health and wellbeing in China.
Collapse
Affiliation(s)
- Meiling Qi
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- College of Xinjiang Uyghur Medicine, Hetian, Xinjiang, China
| | - Yiming Gao
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Xiangyu Zhao
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Cindy Jones
- Menzies Health Institute Queensland, Griffith University, Nathan Campus, Brisbane, QLD, Australia
- Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia
| | - Wendy Moyle
- Menzies Health Institute Queensland, Griffith University, Nathan Campus, Brisbane, QLD, Australia
- School of Nursing and Midwifery, Griffith University, Nathan Campus, Brisbane, QLD, Australia
| | - Shiyu Shen
- Jinan Vocational College of Nursing, Jinan, Shandong, China
| | - Ping Li
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| |
Collapse
|
3
|
Chen J, Liu K, Zhang J, Liu S, Wang Y, Cao R, Peng X, Han M, Han H, Yao R, Fu L. Parental Pressure on Child Body Image, BMI, Body Image Dissatisfaction Associated with Eating Disorders in School-Age Children in China: A Path Analysis. Psychol Res Behav Manag 2023; 16:3247-3258. [PMID: 37609642 PMCID: PMC10440685 DOI: 10.2147/prbm.s418535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 08/05/2023] [Indexed: 08/24/2023] Open
Abstract
Background Children's eating behaviors, body shape and body image cognition may be more susceptible to the influence of their parents, but these influences may be weakened with age. There may be different association pathways between parental pressure on children's body image (PPCBI), body mass index (BMI), body image dissatisfaction (BID) and eating disorders (EDs) among children and adolescents at different developmental stages. Methods The stratified cluster sampling method (Stratified by grade, and took the classes as clusters) was used to select 486 students aged 8-15 years in two 9-year schools. Children's body height, weight, testicular volume and breast development were measured. PPCBI, BID, and EDs were investigated using the Appearance-related Social Stress Questionnaire, Body Size Questionnaire (BID-14), and EDI-1 scale, respectively. Results The boys before puberty initiation had significantly higher EDs score (182.3±50.8) than girls before puberty initiation (164.1±58.1) (P<0.05). There were significant association pathways of PPCBI→BMI→BID→EDs and PPCBI→BID→EDs in boys before puberty initiation (β=0.035, P<0.01; β=0.059, P<0.01), in boys after puberty initiation (β=0.032, P<0.01; β=0.175, P<0.001), and in girls after puberty initiation (β=0.026, P<0.01; β=0.172, P<0.001). There was a positive association pathway of PPCBI→EDs in boys before puberty initiation (β=0.30, P<0.001) and PPCBI→BID→EDs in girls before puberty initiation (β=0.176, P<0.01). Conclusion Parental pressure on children's body image may positively associate with children's eating disorders through BMI and body image dissatisfaction in boys and girls after puberty initiation and directly associate with eating disorders in boys before puberty initiation; however, it may indirectly associate with eating disorders only through BID in girls before puberty initiation.
Collapse
Affiliation(s)
- Jiaoyan Chen
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Keke Liu
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Juan Zhang
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Songhui Liu
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Yuanyuan Wang
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Ruiyao Cao
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Xingwang Peng
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Mei Han
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Hui Han
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Rongying Yao
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| | - Lianguo Fu
- Department of Child and Adolescent Health, School of Public Health, Bengbu Medical College, Bengbu, Anhui, 233030, People’s Republic of China
| |
Collapse
|
4
|
Feter N, de Paula D, dos Reis RCP, Alvim Matos SM, Barreto SM, Duncan BB, Schmidt MI. Association Between 24-Hour Movement Behavior and Cognitive Function in Brazilian Middle-Aged and Older Adults: Findings From the ELSA-Brasil. Innov Aging 2023; 7:igad030. [PMID: 37197282 PMCID: PMC10184510 DOI: 10.1093/geroni/igad030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Indexed: 05/19/2023] Open
Abstract
Background and Objectives The relationship between 24-hr movement behavior and specific domains of cognitive function is unclear. The purpose of this study was to identify the joint association of daily time spent in light (light-intensity physical activity [LPA]) and moderate-to-vigorous physical activity (MVPA), sedentary behavior (SB), and sleep with cognitive function in middle-aged and older adults. Research Design and Methods Cross-sectional data from Wave 3 (2017-2019) of the Brazilian Longitudinal Study of Adult Health were analyzed. The study included adults aged 41-84 years old. Physical activity was assessed using a waist-worn accelerometer. Cognitive function was examined using standardized tests to assess memory, language, and Trail-Making test. Global cognitive function score was calculated by averaging domain-specific scores. Compositional isotemporal substitution models were performed to identify the association between the reallocation of time spent in LPA, MVPA, sleep, and SB with cognitive function. Results Participants (n = 8,608) were 55.9% female (mean age 58.9 [8.6] years). Reallocating time from SB to MVPA was associated with higher cognitive function: Reallocating 15 min to MVPA by reducing 5 min from each other behavior was associated with increased odds of better cognitive function in both insufficient (<7 hr/day; odds ratio [OR]: 0.64; 95% confidence interval [CI]: 0.54-0.77) and sufficient (≥7 hr/day; OR: 0.62; 95% CI: 0.58-0.67) sleep groups. Among those with insufficient sleep, reallocating time to MVPA and sleep from SB was associated with higher global cognitive performance. Discussion and Implications Small reductions in SB and increments in MVPA were associated with higher cognitive function in middle-aged and older adults.
Collapse
Affiliation(s)
- Natan Feter
- Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Danilo de Paula
- Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rodrigo Citton P dos Reis
- Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
- Statistics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Sheila Maria Alvim Matos
- Post Graduate Program in Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Sandhi Maria Barreto
- Faculdade de Medicina & Hospital das Clinicas/EBSERH, Universidade Federal de Minas Gerais, Brazil
| | - Bruce Bartholow Duncan
- Post Graduate Program in Epidemiology and Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
| | - Maria Inês Schmidt
- Post Graduate Program in Epidemiology and Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
| |
Collapse
|
5
|
de Macedo TTS, Sheets D, Ribeiro FMSES, Santos CADST, Patrão AL, Mussi FC. Sociodemographic and academic factors associated with unhealthy lifestyle among Brazilian nursing students. Nurs Health Sci 2023. [PMID: 37076112 DOI: 10.1111/nhs.13021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 01/25/2023] [Accepted: 03/27/2023] [Indexed: 04/21/2023]
Abstract
This study aimed to identify sociodemographic and academic factors associated with unhealthy lifestyles among Brazilian undergraduate nursing students. A cross-sectional study was completed by 286 nursing students in Brazil. Multinomial logistic regression was conducted to examine the association between sociodemographic and academic variables with the latent lifestyle indicator. The model fit's validity was assessed using Akaike information coefficient estimation, Hosmer-Lemeshow test, and the ROC curve. A high health risk lifestyle was 2.7 times more likely among students aged 18-24 years than students aged 25 years or older (OR = 2.7, 95% CI = [1.18, 6.54] p = 0.02); 2.3 times more likely among students with ≥400 h of semester time (OR = 2.3, 95% CI = [0.93, 5.90], p = 0.07); and 3.8 times more likely among female students (OR = 3.8, 95% CI = [0.82, 8.12], p = 0.09). A moderate health risk lifestyle was 1.8 times more likely among students from the 6th to 10th semesters (OR = 1.8, 95% CI = [-0.95, 3.75], p = 0.07). Sociodemographic and academic factors were associated with unhealthy lifestyles. Health promotion efforts are necessary to improve nursing students' health behaviors.
Collapse
Affiliation(s)
| | - Debra Sheets
- School of Nursing, University of Victoria, Victoria, Canada
| | | | | | - Ana Luísa Patrão
- Center for Psychology at University of Porto (PUP), Faculty of Psychology and Education Science of the University of Porto, Porto, Portugal
- Collective Health Institute, Federal University of Bahia, Salvador, Brazil
| | | |
Collapse
|
6
|
Dionato FAV, Nucci LB, Enes CC. Factors associated with non-adoption of healthy behavior among individuals with diabetes: a population-based study in Brazil. J Public Health (Oxf) 2023; 45:e114-e120. [PMID: 34498089 DOI: 10.1093/pubmed/fdab344] [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: 09/25/2020] [Revised: 05/18/2021] [Accepted: 08/19/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The non-adoption of behavioral changes to control diabetes mellitus contributes to a low adherence to self-care. This study aimed to investigate the factors associated with non-adoption of healthy behaviors among diabetic individuals. METHODS Cross-sectional study using data from the National Health Survey (Pesquisa Nacional de Saúde) carried out in 2013 in Brazil, with adults (≥18 years) (n = 3098). The outcome variable was the non-adoption-two or fewer-of healthy behaviors. Logistic regression model was used to identify the factors associated with non-adoption of healthy behaviors. RESULTS Approximately, 50% of the participants adopted two or fewer healthy habits and the most frequently mentioned were not drinking excessively (94.1%) and not smoking (89.1%). Not using diabetic medication (odds ratio (OR) = 1.37, 95% confidence interval (CI) = 1.02-1.85), not making regular doctor visits (OR = 1.42, 95% CI = 1.08-1.87), no limitation of usual activities (OR = 1.39, 95% CI = 1.01-1.94) and good self-rated health (OR = 1.47, 95% CI = 1.09-1.98) increased the chance of individuals non-adoption of healthy behaviors independently of gender, age, schooling and economic status. CONCLUSIONS Health professionals need to be aware of issues, such as diabetic medication use, frequency of doctor visits, limitation of usual activities and good self-rated health, which are factors that can interfere with the adoption of healthy behaviors of diabetic patients.
Collapse
Affiliation(s)
- F A V Dionato
- Pontifical Catholic University of Campinas (PUC-Campinas), Campinas 13060-904, Sao Paulo, Brazil
| | - L B Nucci
- Center for Life Sciences, Postgraduate Program in Health Sciences, Campinas 13060-904, Sao Paulo, Brazil
| | - C C Enes
- Center for Life Sciences, Postgraduate Program in Health Sciences, Campinas 13060-904, Sao Paulo, Brazil
| |
Collapse
|
7
|
Yıldız E, Çiftçi MÇ. The relationship between COVID-19 fear levels and healthy lifestyle behaviors of elderly individuals: a cross-sectional study. Psychogeriatrics 2023; 23:379-388. [PMID: 36843244 DOI: 10.1111/psyg.12941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 12/27/2022] [Accepted: 01/19/2023] [Indexed: 02/28/2023]
Abstract
BACKGROUND It is known that fear of COVID-19 is associated with many lifestyle behaviours including delays in access to healthcare services and smoking status. However, the relationship between healthy lifestyle behaviours and fear of COVID-19 in older individuals remains unclear. Therefore, there is a need for research that examines the relationship between healthy lifestyle behaviours and fear of COVID-19 in elderly individuals. The purpose of this study is to investigate the relationship between the COVID-19 fear levels of elderly individuals and their healthy lifestyle behaviours. METHODS This cross-sectional study was carried out with individuals at or over the age of 65 registered at a public health centre located in eastern Turkey (N = 494). Data collection tools included a form for descriptive variables and two scales, the Fear of COVID-19 Scale (FCV-19 S) and the Healthy Lifestyle Behaviours Scale-II (HLSBS-II). Descriptive statistics, independent-samples t-test, ANOVA, correlation analyses, and hierarchical linear regression analyses were used in the analysis of the data. RESULTS The mean HLSBS-II and FCV-19 S scores of the participants were 127.61 ± 24.76 and 20.96 ± 7.29, respectively. While fear of COVID-19 alone, as indicated by the FCV-19 S score, explained 2.4% of the total variance in healthy lifestyle behaviours, fear of COVID-19, having a university degree, and high economic status together explained 7.5% of the total variance in healthy lifestyle behaviours indicated by scores on the HLSBS-II. CONCLUSIONS The results of this study showed that fear of COVID-19 and healthy lifestyle behaviours were dynamics that are positively related, albeit to a small extent, to each other for elderly individuals. Additionally, it was revealed that elderly individuals have moderate levels of fear of COVID-19 and healthy lifestyle behaviours.
Collapse
Affiliation(s)
- Erman Yıldız
- Department of Psychiatric Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey
| | | |
Collapse
|
8
|
Akhtar SN, Saikia N, Muhammad T. Self-rated health among older adults in India: Gender specific findings from National Sample Survey. PLoS One 2023; 18:e0284321. [PMID: 37068072 PMCID: PMC10109469 DOI: 10.1371/journal.pone.0284321] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 03/28/2023] [Indexed: 04/18/2023] Open
Abstract
INTRODUCTION The self-rated health (SRH) is a widely adopted indicator of overall health. The sponge hypothesis suggests that predictive power of SRH is stronger among women compared to men. To gain a better understanding of how gender influences SRH, this study examined whether and what determinants of gender disparity exist current self-rated health (SRHcurrent) and change in SRH (SRHchange) among older adults in Indian setting. MATERIALS AND METHODS We used cross-sectional data from the 75th National Sample Survey Organizations (NSSO), collected from July 2017 to June 2018. The analytical sample constitutes 42,759 older individuals aged 60 years or older with 21,902 older men and 20,857 older women (eliminating two non-binary individuals). Outcome measures include two variables of poor/worse SRH status (SRHcurrent and SRHchange). We have calculated absolute gaps in the prevalence of poor SRHcurrent and worse SRHchange by background characteristics. We carried out binary logistic regression models to examine the predictors of poor SRHcurrent and worse SRHchange among older adults. RESULTS The overall absolute gender gap in poor SRHcurrent was 3.27% and it was 0.58% in worse SRHchange. Older women had significantly higher odds of poor SRHcurrent [AOR = 1.09; CI = 0.99, 1.19] and worse SRHchange [AOR = 1.09; CI = 1.02, 1.16] compared to older men. Older adults belonging to middle-aged, oldest-old, economically dependent, not working, physically immobile, suffering from chronic diseases, belonging to Muslim religion, and Eastern region have found to have higher odds of poor SRHcurrent and worse SRHchange. Educational attainments showed lower odds of have poor SRHcurrent and worse SRHchange compared to those with no education. Respondents belonging to richest income quintile and those who were not covered by any health insurance, belonging to Schedule caste, OBC, Western and Southern regions are found to have lower odds of poor SRHcurrent and worse SRHchange. Compared to those in the urban residence, respondents from rural residence [AOR = 1.09; CI = 1.02, 1.16] had higher odds of worse SRHchange. CONCLUSIONS Supporting the sponge hypothesis, a clear gender gap was observed in poor current SRH and worse change in SRH among older adults in India with a female disadvantage. We further found lower socioeconomic and health conditions and lack of resources as determinants of poor current SRH and its worse change, which is crucial to address the challenge of the older people's health and their perception of well-being.
Collapse
Affiliation(s)
- Saddaf Naaz Akhtar
- Department of Social Work, Ben-Gurion University of the Negev, Beersheva, Israel
| | - Nandita Saikia
- Department of Public Health & Mortality Studies, International Institute for Population Sciences, Mumbai, India
| | - T Muhammad
- Department of Family & Generations, International Institute for Population Sciences, Mumbai, India
| |
Collapse
|
9
|
Patrão AL, da Conceição Almeida M, Henriques A, M Alvim Matos S, Barros H, Harter Griep R, Aquino EML. Body image distortion among Brazilian and Portuguese women with children: A comparative study between the ELSA-Brasil and Generation XXI cohorts. Prev Med 2022; 164:107316. [PMID: 36273617 DOI: 10.1016/j.ypmed.2022.107316] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 10/14/2022] [Accepted: 10/17/2022] [Indexed: 11/28/2022]
Abstract
Solid evidence indicates that body image distortion is associated with various physical and mental health problems in women (e.g. Lee and Lee, 2016; Mölbert et al., 2017; Raj and Ploriya, 2020; Sagar, 2005; Shin et al., 2015). Furthermore, body image has been shown to vary according to life context and stage, particularly after a woman has had children. This scenario justifies the comparison between different countries and cultures. The objective of the present study was to evaluate the prevalence and associated factors of body image distortion/accuracy in Brazilian and Portuguese women with children. The study assessed women selected from two epidemiological cohorts: ELSA-Brasil in Brazil (n = 1468) and Generation XXI in Portugal (n = 3380). The data analyzed were based on multidimensional questionnaires from which sociodemographic and family characteristics as well as data associated with lifestyle and health were obtained. The results show that most women in both cohorts had an accurate perception of their own body size. In cases of distorted self-perception, the likelihood of the Brazilian women perceiving themselves as being heavier was greater if they had had cancer, whereas the Portuguese women were less likely to perceive themselves as heavier when they had less schooling. Perceiving themselves as thinner than they actually are, was associated with poorer self-perception of their own state of health in the Brazilian women and with poorer schooling in both the Brazilian and Portuguese women. The present findings contribute towards improving understanding of the influence of body image distortion on the health and wellbeing of Brazilian and Portuguese women, possibly leading to the implementation of health-promoting policies in both countries.
Collapse
Affiliation(s)
- Ana Luísa Patrão
- Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, R. Alfredo Allen, 4200-135 Porto, Portugal; Collective Health Institute, Federal University of Bahia, R. Basílio da Gama, s/n, Canela, 40110-040 Salvador, Bahia, Brazil.
| | - Maria da Conceição Almeida
- Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Rua Waldemar Falcão, 121, Candeal, 40296-710 Salvador, Bahia, Brazil.
| | - Ana Henriques
- EPIUnit, Institute of Public Health, University of Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.
| | - Sheila M Alvim Matos
- Collective Health Institute, Federal University of Bahia, R. Basílio da Gama, s/n, Canela, 40110-040 Salvador, Bahia, Brazil.
| | - Henrique Barros
- EPIUnit, Institute of Public Health, University of Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal; Department of Public Health and Forensic Sciences and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal.
| | - Rosane Harter Griep
- Laboratory of Education in the Environment and Health, Oswaldo Cruz Institute, FIOCRUZ, Av. Brasil, 4365, Manguinhos, 21040-360 Rio de Janeiro, Brazil.
| | - Estela M L Aquino
- Collective Health Institute, Federal University of Bahia, R. Basílio da Gama, s/n, Canela, 40110-040 Salvador, Bahia, Brazil.
| |
Collapse
|
10
|
Lopes de Oliveira T, Oliveira RVCD, Griep RH, Moreno AB, Melo ECP, Lotufo PA, Toivanen S, Fonseca MDJMD. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Factors Related to Smoking Cessation. Int J Behav Med 2022; 29:718-727. [PMID: 34984649 DOI: 10.1007/s12529-021-10053-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Smoking cessation is not an easy accomplishment. However, the benefits are several for those who do it, such as cardiovascular risk reduction 1 year after quitting smoking. This study aimed to verify the factors related to smoking cessation in civil servants of The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). METHODS This study had a longitudinal design using data from a prospective cohort of civil servants (ELSA-Brasil). Our variable of interest was smoking cessation. The relationship between socio-demographic characteristics, job stress, health-related variables, legislation, and smoking cessation was analyzed by Cox proportional hazard models. The analyses were stratified by gender. Second-hand smoke exposure, age, education, excessive alcohol consumption, common mental disorder, and smoking control law were the variables considered in the final model. RESULTS Information of 2020 women and 2429 men was analyzed. Individuals without second-hand smoke exposure, with up to 49 years of age, with higher education, without excessive alcohol consumption, without common mental disorders, and who initiated smoking in 1989 or after the smoking control law had a higher risk of stopping smoking. The risks magnitudes were higher for women. CONCLUSIONS Our study reinforces the necessity of alcohol consumption regulation, the relevance of Public Health Policies, and the need for more smoking cessation measures focused on men, on people with mental disorders, alcoholism, and older adults. Also, our results did not show significant risks regarding the psychosocial working environment.
Collapse
Affiliation(s)
- Thaís Lopes de Oliveira
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | | | - Rosane Harter Griep
- Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Arlinda B Moreno
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Enirtes Caetano Prates Melo
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Paulo Andrade Lotufo
- Center for Clinical and Epidemiological Research, University Hospital, University of São Paulo, São Paulo, Brazil
| | - Susanna Toivanen
- School of Health, Care and Social Welfare, Division of Sociology, Mälardalen University, Västerås, Sweden
| | - Maria de Jesus Mendes da Fonseca
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
| |
Collapse
|
11
|
Trivedi MK, Branton A, Trivedi D, Mondal S, Jana S. Efficacy of a novel proprietary dietary supplement (TRI 360 TM) on psychological symptoms and stress-related quality of life in adult subjects: A randomized controlled clinical trial. Front Psychiatry 2022; 13:919284. [PMID: 36032243 PMCID: PMC9403741 DOI: 10.3389/fpsyt.2022.919284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 07/22/2022] [Indexed: 11/13/2022] Open
Abstract
Nowadays, diet plays an increasingly important role in normal physiology and mental health. Recently, many studies have shown that more use of dietary supplements in mental and psychological disorders. Study objective was to investigate safety and efficacy of proprietary nutraceutical combination (TRI 360TM) on psychological symptoms in adult human subjects with one or more psychological symptoms in open-label, single-center, parallel-group, randomized controlled trial. Eighty-four participants aged 20-45 years with psychological symptoms were completed this trial. Participants were randomly assigned to placebo and treatment groups. Treatment group received TRI 360TM capsules twice a day. TRI 360TM was well-tolerated and didn't show treatment-related adverse-events upto 180 days. All assessed perception scorings on psychological symptoms like fatigue, mental stress, sleep disturbance, anxiety, depression, emotional trauma, mood changes, self-confidence, willpower, and motivation were very significantly (p ≤ 0.0001) improved in TRI 360TM participants than placebo control group. Furthermore, significantly (p ≤ 0.001) increased levels of functional biomarkers: vitamin C and D3 metabolites, neurotransmitters, hormones, antiaging protein (klotho) level; and decreased proinflammatory cytokines and oxidative stress marker, malondialdehyde in TRI 360TM group than placebo. According to these findings, the use of TRI 360TM supplementation as a potentially safe therapeutic option for reducing psychological symptoms in healthy adults.
Collapse
Affiliation(s)
| | | | | | - Sambhu Mondal
- Trivedi Science Research Laboratory Pvt. Ltd., Thane, India
| | - Snehasis Jana
- Trivedi Science Research Laboratory Pvt. Ltd., Thane, India
| |
Collapse
|
12
|
Wu DC, Shannon G, Reynales-Shigematsu LM, Saenz de Miera B, Llorente B, Jha P. Implications of household tobacco and alcohol use on child health and women's welfare in six low and middle-income countries: An analysis from a gender perspective. Soc Sci Med 2021; 281:114102. [PMID: 34118685 DOI: 10.1016/j.socscimed.2021.114102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 05/18/2021] [Accepted: 06/01/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To study the implications of household tobacco and alcohol use on child health and women's welfare using a gender lens in Ethiopia, India, Indonesia, Jordan, Kenya, and Nigeria with varied geographical and cultural characteristics in the pattern of tobacco and alcohol use. METHODS We identified child health and women's welfare outcomes that may be impacted by tobacco and alcohol use, with a focus on the crowding-out effects on household resource allocation. For child health indicators, we focussed on engagement in preventative care, nutrition, and responses to acute illness. For women, we focused on access to resources for health-seeking and intimate partner violence (IPV). We used logistic regression to determine the association between household gender tobacco and/or alcohol use on child health and women's welfare, using data from six nationally-representative Demographic and Health Surveys, with each having a sample size of 5000-30,000 households and conducted after 2010. RESULTS Children in households where men and women use tobacco are significantly less likely to receive the full schedule of Diphtheria-Pertussis-Tetanus (DPT) vaccine in India, Indonesia, and Jordan (Odds ratio or OR; ORIndia = 0.67, p < 0.001; ORIndonesia = 0.55, p = 0.028; ORJordan = 0.45, p = 0.048), and all basic vaccinations as well as receive appropriate treatment for fever/diarrhoea in India and Indonesia (all basic vaccinations: ORIndia = 0.78, p < 0.001, ORIndonesia = 0.43, p = 0.009; treatment for fever/diarrhoea: ORIndia = 0.65, p < 0.001; ORIndonesia = 0.50, p = 0.038). In most countries, women are significantly more likely to experience IPV when their husband/partner uses tobacco and/or alcohol. CONCLUSIONS Across a diverse set of countries with varied cultural characteristics which affect the uptake and use of tobacco and alcohol, tobacco and alcohol use are associated with crowding-out of acute and preventative health-related behaviours and crowding-in of harmful behaviours. This has significant implications for tobacco and alcohol control programmes, and positions tobacco and alcohol control as central to human capital initiatives and in achieving health for all.
Collapse
Affiliation(s)
- Daphne C Wu
- Centre for Global Health Research, Unity Health Toronto, University of Toronto, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada
| | - Geordan Shannon
- Institute for Global Health, University College London, Gower Street, London, WC1E 6BT, United Kingdom
| | - Luz Myriam Reynales-Shigematsu
- Instituto Nacional de Salud Publica, Avenida Universidad 655, Santa María Ahuacatitlan, 62100, Cuernavaca, Morelos, Mexico
| | - Belen Saenz de Miera
- Universidad Autonoma de Baja California Sur, KM 5.5., 23080, La Paz, Baja California Sur, Mexico
| | - Blanca Llorente
- Fundación Anáas, Carrera 11A # 90 - 16, Oficina 509, Bogotá, Colombia
| | - Prabhat Jha
- Centre for Global Health Research, Unity Health Toronto, University of Toronto, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada.
| |
Collapse
|
13
|
Alvim Matos SM, Duncan BB, Bensenor IM, Mill JG, Giatti L, Molina MDCB, Mendes da Fonseca MDJ, Schmidt MI, Lotufo PA, Griep RH, Barreto SM, Almeida MDCC. Incidence of excess body weight and annual weight gain in women and men: Results from the ELSA-Brasil cohort. Am J Hum Biol 2021; 34:e23606. [PMID: 33909940 DOI: 10.1002/ajhb.23606] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 04/07/2021] [Accepted: 04/08/2021] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE To estimate annual weight gain and the incidence of overweight and obesity, stratified according to gender and socioeconomic factors. METHODS From the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), we included 13 625 women and men aged 35-74 (2008-2010) who attended a follow-up visit after a mean 3.8-years. Standardized questionnaires were used to record sociodemographic data, and height and weight were measured on all participants during in-person visits at research centers. The incidence rate to overweight was calculated among those not having excess weight at baseline, and incident obesity among those not having this condition at baseline. We evaluated the incidence of overweight and obesity in men and women, adjusted by age, through Poisson regression with robust variance. Large annual weight gain by gender was being defined as ≥90th percentile in the cohort. RESULTS A global incidence of 7.7% for overweight and 10.6% for obesity was observed, with higher levels seen among black woman (28.5%), young men (21.1%) and woman with low educational level (35.0%). The proportions of overweight and obesity increased with age at both time points, more commonly among those with the lowest levels of per capita income and fewer years of schooling. Large annual weight gain was greater among participants with an intermediate level of education and those who self-identified as black. CONCLUSIONS A high overall risk of becoming overweight/obese was found, especially among women. The roles of race and education level are fundamental to understanding the effects produced by social inequalities in rates of excess weight.
Collapse
Affiliation(s)
| | - Bruce B Duncan
- Postgraduate Program in Epidemiologia and Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Isabela M Bensenor
- Center for Clinical and Epidemiologic Research, Hospital Universitário, University of São Paulo, São Paulo, Brazil
| | - José Geraldo Mill
- Department of Physiological Sciences, Federal University of Espírito Santo, Vitória, Brazil
| | - Luana Giatti
- Faculty of Medicine & Clinical Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Maria Del Carmen B Molina
- Postgraduate Program in Health and Nutrition - Federal University of Ouro Preto - Brazil and Postgraduate Program in Nutrition and Health - Federal University of Espírito Santo, Brazil
| | | | - Maria Inês Schmidt
- Postgraduate Program in Epidemiologia and Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Paulo A Lotufo
- Center for Clinical and Epidemiologic Research, Hospital Universitário, University of São Paulo, São Paulo, Brazil
| | - Rosane Harter Griep
- Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Sandhi Maria Barreto
- Faculty of Medicine & Clinical Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | | |
Collapse
|
14
|
Patrão AL, de Almeida MDCC, Matos SMA, Menezes G, Gabrielli L, Goes EF, Aquino EML. Healthy lifestyle behaviors and the periodicity of mammography screening in Brazilian women. WOMEN'S HEALTH 2021; 17:17455065211063294. [PMID: 34841999 PMCID: PMC8640279 DOI: 10.1177/17455065211063294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction: Certain behaviors have been associated with health promotion, including mammography screening, in women worldwide. Objective: The objective of this study was to determine whether there is an association between the periodicity of mammography screening and healthy lifestyle behaviors in Brazilian women employed at a public university in Bahia, Brazil. Methods: A total of 635 women of 50–69 years of age at the time of the interview, from the Brazilian Longitudinal Study of Adult Health cohort who were resident in Bahia, participated in the study. Data were collected using a multidimensional questionnaire that included questions on participants’ sociodemographic characteristics and health-related behaviors (smoking, alcohol consumption, leisure-time physical activity and diet) and another questionnaire that dealt with risk factors and breast cancer screening. Measures of association were calculated using simple and multivariate logistic regression. Results: The practice of physical activity, not smoking, moderate alcohol consumption and a healthy diet were the health behaviors most adopted by the women who had last had a mammogram ⩽2 years previously (which is in line with the interval recommended by the Brazilian Ministry of Health). A statistically significant association was found between a lapse of ⩾3 years since last undergoing mammography screening and excessive alcohol consumption, while a borderline association was found between the same screening interval and leisure-time physical inactivity. Conclusion: There was an association between lifestyle risk behaviors and a longer time interval between mammography screenings. The present results contribute to the debate on the use of mammography, lifestyle behaviors and health promotion among women.
Collapse
Affiliation(s)
- Ana Luísa Patrão
- Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal
- Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
- Ana Luísa Patrão, Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Rua Alfredo Allen, 4099-002 Porto, Portugal.
| | | | | | - Greice Menezes
- Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
| | - Ligia Gabrielli
- Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
- Secretary of Health of the State of Bahia, Salvador, Brazil
| | - Emanuelle F Goes
- Center for Integrated Data and Information on Healthcare, Oswaldo Cruz Foundation (FIOCRUZ), Salvador, Brazil
| | - Estela ML Aquino
- Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
| |
Collapse
|
15
|
Araki R, Sasaki K, Onda H, Nakamura S, Kassai M, Kaneko T, Isoda H, Hashimoto K. Effects of Continuous Intake of Rosemary Extracts on Mental Health in Working Generation Healthy Japanese Men: Post-Hoc Testing of a Randomized Controlled Trial. Nutrients 2020; 12:nu12113551. [PMID: 33233510 PMCID: PMC7699484 DOI: 10.3390/nu12113551] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 11/09/2020] [Accepted: 11/18/2020] [Indexed: 11/16/2022] Open
Abstract
We previously performed a 4 week interventional trial that suggested that continuous intake of rosemary extract improves the mood states, fatigue, and cognitive function of working generation healthy adult Japanese men. However, the severity of depression in participants in our previous study was relatively mild. Therefore, in the present study, a post-hoc analysis of our previous study was conducted, limited to participants whose total mood disturbance (TMD) scores, which indicate greater mood disturbance, were above the median at baseline, to evaluate whether rosemary extract was effective for individuals with poor mental health. Following the intervention, the scores of TMD and “Confusion-Bewilderment” were significantly decreased (both p < 0.05), and scores of “Vigor-Activity” were significantly increased in the rosemary group (n = 8) compared with those in the control group (n = 13; p < 0.01). When comparing the scores from pre- and post-intervention, significant improvements in “Tension-Anxiety”, “Vigor-Activity”, “Fatigue on awakening”, “Daytime sleepiness”, and “Psychomotor speed” were observed in the rosemary group only (all p < 0.05). Based on these results, it was expected that rosemary extracts were effective for improving the mental energy and sleep quality of work-age men with poor mental health.
Collapse
Affiliation(s)
- Risa Araki
- Department of Clinical and Translational Research Methodology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, Japan;
- R&D Center for Tailor-Made QOL, University of Tsukuba, 1-2 Kasuga, Tsukuba 305-8550, Japan;
- Open Innovation Laboratory for Food and Medicinal Resource Engineering (Food-Med OIL), AIST-University of Tsukuba, 1-1-1 Higashi, Tsukuba 305-8565, Japan;
| | - Kazunori Sasaki
- Open Innovation Laboratory for Food and Medicinal Resource Engineering (Food-Med OIL), AIST-University of Tsukuba, 1-1-1 Higashi, Tsukuba 305-8565, Japan;
- Faculty of Pure and Applied Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8571, Japan
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Japan
| | - Hiroyuki Onda
- S&B FOODS INC., 38-8 Miyamoto-cho, Itabashi-ku, Tokyo 174-8651, Japan; (H.O.); (S.N.); (M.K.)
| | - Syunsuke Nakamura
- S&B FOODS INC., 38-8 Miyamoto-cho, Itabashi-ku, Tokyo 174-8651, Japan; (H.O.); (S.N.); (M.K.)
| | - Masahiro Kassai
- S&B FOODS INC., 38-8 Miyamoto-cho, Itabashi-ku, Tokyo 174-8651, Japan; (H.O.); (S.N.); (M.K.)
| | - Toshiyuki Kaneko
- Tokyo Skytree Station Medical Clinic, 3-33-13 Sumida-ku, Tokyo 131-0033, Japan;
| | - Hiroko Isoda
- R&D Center for Tailor-Made QOL, University of Tsukuba, 1-2 Kasuga, Tsukuba 305-8550, Japan;
- Open Innovation Laboratory for Food and Medicinal Resource Engineering (Food-Med OIL), AIST-University of Tsukuba, 1-1-1 Higashi, Tsukuba 305-8565, Japan;
- Alliance for Research on the Mediterranean and North Africa (ARENA), University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Japan
- Faculty of Life and Environmental Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Japan
| | - Koichi Hashimoto
- Department of Clinical and Translational Research Methodology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, Japan;
- Correspondence: ; Tel.: +81-298-53-3064
| |
Collapse
|
16
|
Factors associated with not adopting healthy behavior among hypertensive individuals: a population-based study in Brazil. J Hum Hypertens 2020; 35:718-725. [PMID: 32719446 DOI: 10.1038/s41371-020-0382-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 06/24/2020] [Accepted: 07/14/2020] [Indexed: 11/08/2022]
Abstract
Adoption of a healthy lifestyle is strongly recommended for the control of hypertension, but professional advice alone does not ensure uptake of healthy behavior. Therefore, this study aimed to investigate the factors-associated with non-adoption of healthy behaviors among individuals with a medical diagnosis of hypertension. It was a cross-sectional study using data from the National Health Survey (PNS) carried out in Brazil in 2013, based on interviews with adults (≥18 years) (n = 60,202). The outcome variable was the non-adoption-two or fewer-of healthy behaviors (regular physical activity, recommended consumption of fruit and vegetables, no excessive alcohol consumption, no smoking, and very low/low salt intake [self-perceived]). A logistic regression model was used to verify the factors-associated with non-adoption of healthy behaviors. Approximately 64% of the study sample did not adopt healthy behaviors, i.e., they adopted two or fewer healthy habits. The most frequently mentioned healthy behaviors were not drinking excessively (91.5%), followed by not smoking (86%). Short time since disease diagnosis (OR = 1.20, 95% CI: 1.01-1.43), not using antihypertensive medication (OR = 1.38, 95% CI: 1.13-1.68), not making regular doctor visits (OR = 1.43, 95% CI: 1.23-1.65), and good self-rated health (OR = 1.16, 95% CI: 1.01-1.36) increased the chance of individuals not adopting healthy behaviors compared with their respective reference categories, independently of gender, age, schooling, and economic status. Counseling strategies should consider patient particularities, and health professionals need to be aware of issues that can interfere with the adoption of healthy behaviors of hypertensive patients.
Collapse
|
17
|
Adams RCM, Smith C. In utero Exposure to Maternal Chronic Inflammation Transfers a Pro-Inflammatory Profile to Generation F2 via Sex-Specific Mechanisms. Front Immunol 2020; 11:48. [PMID: 32117231 PMCID: PMC7031653 DOI: 10.3389/fimmu.2020.00048] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 01/09/2020] [Indexed: 12/29/2022] Open
Abstract
Generational transfer of maladaptations in offspring have been reported to persist for multiple generations in conditions of chronic inflammation, metabolic and psychological stress. Thus, the current study aimed to expand our understanding of the nature, potential sex specificity, and transgenerational plasticity of inflammatory maladaptations resulting from maternal chronic inflammation. Briefly, F1 and F2 generations of offspring from C57/BL/6 dams exposed to a modified maternal periconception systemic inflammation (MSPI) protocol were profiled in terms of leukocyte and splenocyte counts and cytokine responses, as well as glucocorticoid sensitivity. Overall, F1 male and female LPS groups presented with glucocorticoid hypersensitivity (with elevated corticosterone and increased leukocyte glucocorticoid receptor levels) along with a pro-inflammatory phenotype, which carried over to the F2 generation. The transfer of inflammatory and glucocorticoid responsiveness from F1 to F2 is evident, with heritability of this phenotype in F2. The findings suggest that maternal (F0) perinatal chronic inflammation resulted in glucocorticoid dysregulation and a resultant pro-inflammatory phenotype, which is transferred in the maternal lineage but seems to affect male offspring to a greater extent. Of further interest, upregulation of IL-1β cytokine responses is reported in female offspring only. The cumulative maladaptation reported in F2 offspring when both F1 parents were affected by maternal LPS exposure is suggestive of immune senescence. Given the potential impact of current results and the lack of sex-specific investigations, more research in this context is urgently required.
Collapse
Affiliation(s)
| | - Carine Smith
- Department of Physiological Sciences, Stellenbosch University, Stellenbosch, South Africa
| |
Collapse
|
18
|
Pereira IFDS, Gonzaga MR, Lyra CDO. [Multidimensional profiles of lifestyle risk factors: application of the Grade of Membership method]. CAD SAUDE PUBLICA 2019; 35:e00124718. [PMID: 31291426 DOI: 10.1590/0102-311x00124718] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Accepted: 02/15/2019] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to identify multidimensional profiles of lifestyle risk factors, verifying sociodemographic characteristics and self-rated health. Data were obtained from the Brazilian National Health Survey (2013) for 45,881 individuals 30 years and older. Identification of the profiles used the Grade of Membership (GoM) method, with 12 variables. Analysis of associated characteristics used Pearson's chi-square test and logistic regression. Two profiles were identified: "healthy profile" (61.6%), characterized by adequate consumption of fruits, vegetables, and fish, non-regular consumption of sodas, meat with fat, and beans, normal weight, and recommended leisure-time physical activity, and "risk profile" (38.4%), characterized by lack of consumption of healthy markers, except consumption of beans, consumption of all the unhealthy dietary markers, replacing meals with snacks, alcohol consumption, smoking, and leisure-time physical inactivity. The healthy profile was associated with female gender, old age, white skin color, residents in the North and Northeast of Brazil, widows/widowers, married marital status, more schooling, and better self-rated health. The risk profile was associated with male gender, young adults, residents in the Central and South, single marital status, less schooling, and worse self-rated health. Although more prevalent, the percentage of individuals with complete classification in the healthy profile was low. Lifestyle risk factors are associated with sociodemographic characteristics.
Collapse
|
19
|
Patrão AL, Almeida MDC, Matos SMA, Goes EF, Nogueira C, Aquino EML. Association Between Perceived Discrimination and Alcohol and Tobacco Consumption in ELSA-Brasil Cohort: Focusing on Gender Differences. Subst Use Misuse 2019; 54:1214-1225. [PMID: 30799670 DOI: 10.1080/10826084.2019.1573838] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Discrimination is detrimental to physical and mental health, particularly insofar as health-risk behaviors are concerned. Particular attention has been paid to excess alcohol consumption and smoking in view of the ready availability of these substances in Western societies. OBJECTIVES To determine whether an association exists between perceived discrimination and excess alcohol intake and smoking in women and men enrolled in the ELSA-Brasil cohort study. METHODS The sample included in the ELSA-Brasil cohort consisted of 15,105 civil servants. Data from waves 1 and 2 of the study were used. A multidimensional questionnaire was used to collect sociodemographic characteristics and evaluate perceived discrimination, alcohol consumption, and smoking. RESULTS An association was found between excess alcohol intake and perceived discrimination only in the men, with this association remaining significant in the youngest age group, in university-educated individuals, and in the group classified as middle-class. An association was found between smoking and lifetime perceived discrimination in women, particularly in those ≥60 years of age, brown-skinned women, those who had completed elementary school, and those classified as upper social class. This same association was found in the men, mainly those of 50-59 years of age, white-skinned males, those who had completed high school, those with a university education, and those classified as upper social class. Conclusions/Importance: Investing in public health policies aimed at combating the different forms of discrimination would appear essential. Not only does discrimination contribute to social injustice, but it also encourages health-risk behaviors such as excess alcohol intake and smoking.
Collapse
Affiliation(s)
- Ana Luísa Patrão
- a Institute of Collective Health , Federal University of Bahia , Salvador , Brazil
| | | | - Sheila M Alvim Matos
- a Institute of Collective Health , Federal University of Bahia , Salvador , Brazil
| | | | - Conceição Nogueira
- c c Faculty of Psychology and Educational Sciences , Porto University , Porto , Portugal
| | - Estela M L Aquino
- a Institute of Collective Health , Federal University of Bahia , Salvador , Brazil
| |
Collapse
|
20
|
de Oliveira APDN, Maia EG, Silva FM, Martins APB, Claro RM. Needed Improvements in Diabetes Prevention and Management in Brazil. Prev Chronic Dis 2018; 15:E153. [PMID: 30522580 PMCID: PMC6292142 DOI: 10.5888/pcd15.180269] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Introduction Diabetes mellitus is one of the most common chronic diseases worldwide and its prevalence continues to increase. Adherence to good health behaviors provides better control of the disease. This study analyzed trends in the prevalence of diabetes among Brazilian adults between 2006 and 2016 and compared the frequency of key health behaviors between people with and without diabetes. Methods We analyzed data from 572,437 Brazilian adults interviewed between 2006 and 2016 by using the Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel). We used regression models to investigate significant trends in the prevalence of diabetes and differences in adherence to health behaviors between people with and without diabetes. Results The prevalence of diabetes increased significantly from 5.5% to 8.9% (P <.001), being higher among women, older adults, and those with less than a high school education. The greatest increase was observed among these groups with higher prevalence. People with diabetes had a lower frequency of risk behaviors and a higher frequency of protective behaviors when compared to people without diabetes. The greatest differences were observed in the consumption of soft drinks and sugar-sweetened beverages (9.5% vs 25.0%) and alcoholic beverages (9.0% vs 17.9%), and the smallest differences were related to regular consumption of fruits and vegetables (40.7% vs 34.0%) and meats with excess fat (24.3% vs 32.2%). People with diabetes reported less leisure-time physical activity (PRa, 0.92 [P < .001]) and less transport-related physical activity (PRa, 0.84 [P <.001]) than those without diabetes. Conclusion Diabetes prevalence increased between 2006 and 2016. People with diabetes had better dietary habits than those without diabetes, but still had risk behaviors such as insufficient physical activity.
Collapse
Affiliation(s)
| | - Emanuella Gomes Maia
- Doctoral Program in Nursing, School of Nursing, Federal University of Minas Gerais, Belo Horizonte (MG), Brazil.,Federal University of Minas Gerais, Avenue Professor Alfredo Balena, 190, Santa Efigênia. Zip code: 30130-100. Belo Horizonte (MG), Brazil.
| | - Flávia Moraes Silva
- Nutrition Department, School of Nursing, Federal University of Minas Gerais, Belo Horizonte (MG), Brazil
| | - Ana Paula Bortoletto Martins
- Center for Epidemiological Research in Nutrition and Health, Faculty of Public Health, University of São Paulo, São Paulo (SP), Brazil
| | - Rafael Moreira Claro
- Nutrition Department, School of Nursing, Federal University of Minas Gerais, Belo Horizonte (MG), Brazil
| |
Collapse
|