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de Menezes MC, Duran AC, Langellier B, Pérez-Ferrer C, Barnoya J, Mayén AL. Socioeconomic Position, Pre-Obesity and Obesity in Latin American Cities: A Systematic Review. INTERNATIONAL JOURNAL OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH SERVICES 2024; 54:224-232. [PMID: 38489831 DOI: 10.1177/27551938241238677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/17/2024]
Abstract
Currently the socioeconomic gradient of obesity it is not well understood in the urban population in Latin American. This study reviewed the literature assessing associations between pre-obesity, obesity, and socioeconomic position (SEP) in adults living in urban areas in Latin American countries. PubMed and SciELO databases were used. Data extraction was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We extracted data on the association between SEP (e.g., education, income), pre-obesity (body mass index [BMI] ≥ 25 and < 30 kg/m2) and obesity (BMI ≥ 30 kg/m2). Relative differences between low and high SEP groups were assessed and defined a priori as significant at p < 0.05. Thirty-one studies met our inclusion criteria and most were conducted in Brazil and Mexico (22 and 3 studies, respectively). One study presented nonsignificant associations. Forty-seven percent of associations between education or income and pre-obesity were negative. Regarding obesity, 80 percent were negative and 20 percent positive. Most negative associations were found in women while in men they varied depending on the indicator used. Pre-obesity and obesity by SEP did not follow the same pattern, revealing a reversal of the obesity social gradient by SEP, especially for women in Latin America, highlighting the need for articulated policies that target structural and agentic interventions.
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Affiliation(s)
- Mariana Carvalho de Menezes
- Department of Social and Clinical Nutrition, Federal University of Ouro Preto, Campus Morro do Cruzeiro, Escola de Nutrição - Ouro Preto, Rua Dois, Brazil, CEP 35.400-000
| | - Ana C Duran
- Center for Food Studies, University of Campinas, Av. Albert Einstein, 291, Campinas, Sao Paulo, Brazil
| | - Brent Langellier
- Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Carolina Pérez-Ferrer
- National Institute of Public Health, Avenida Universidad 655, Santa María Ahuacatitlán, 62100 Cuernavaca, Mexico
| | - Joaquin Barnoya
- Unit of Cardiovascular Surgery, UNICAR, 9A Avenida 8, 01011 Guatemala, GT, Guatemala
| | - Ana-Lucia Mayén
- Department of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala city, Guatemala
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Omelan AA, Borysławski K, Podstawski RS. Body composition and level of physical activity of elderly people living in north-eastern Poland associated with socioeconomic factors. ANTHROPOLOGICAL REVIEW 2022. [DOI: 10.18778/1898-6773.85.3.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
Introduction: Studies conducted in various regions of the world have indicated that physical activity level, body composition and socioeconomic variables can be associated. Therefore, the objective of this study was to determine whether socioeconomic factors are associated with level of physical activity and differences in the body composition of elderly people living in north-eastern Poland.
Materials and Methods: The study involved 774 older residents (60 years or more). Physical activity levels were measured with the International Physical Activity Questionnaire. The respondents’ body composition was determined with an InBody 270 analyser. Pairs of means were compared with Student’s t-test; more than two means were compared with one-way ANOVA; and proportions were compared with the chi-square test. Statistical significance was defined as p≤0.05.
Results: The marital status of men and women was significantly associated with differences in physical activity level and body composition. The place of residence and level of education of women (but not of men), were also significantly associated with differences in body composition. Age and material situation were not significantly associated with differences in body composition and physical activity level.
Conclusion: The mean values of parameters of body composition in the surveyed group exceeded the norms. The level of physical activity of the subjects is at a sufficient level, but in the case of women it depends on socio-economic characteristics. Therefore, there is a need to find effective ways to support older adults in maintaining (or increase) their physical activity with a particular focus on women.
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Guan M. Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults. BMC Geriatr 2022; 22:10. [PMID: 34979973 PMCID: PMC8722069 DOI: 10.1186/s12877-021-02709-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 12/07/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Despite the existing literature highlights the central roles of sociodemographic factors, fruit & vegetable (F&V) intake, and physical activities for maintaining good health, less is known about the associations in the Chinese context. This study attempted to explore the associations of servings of F&V intake and levels of physical activities with poor self-rated health (SRH) among Chinese older adults. METHODS Data were drawn from the Study on Global Ageing and Adult Health-China (SAGE-China) issued by the World Health Organization and included 7560 respondents aged ≥60 years in China. After screening out the potential confounding factors, multiple logistic regression models were adopted to explore the associations of sociodemographic factors, servings of F&V intake, and levels of physical activities with poor SRH. RESULTS Among the sample, nearly a quarter reported poor health status. There were significant gender differences in the case of servings of F&V intake and levels of physical activities. Logistic regressions indicated that higher fruit intake was associated with lower likelihood of vigorous level of physical activity as compared to zero intake. Likewise, higher vegetable intake (≥10 servings) was associated with a higher likelihood of vigorous & moderate level of physical activity when compared to lower intake (≤ 4 servings). Higher fruit intake was associated with a lower likelihood of poor SRH. Similarly, vegetable intake (5 servings: AOR = 0.69, 95%CI: 0.58-0.83; 6-9 servings: AOR = 0.72, 95%CI: 0.59-0.87) was significantly associated with poor SRH. Additionally, vigorous level of physical activity (AOR = 0.79, 95%CI: 0.65-0.97) and vigorous fitness/leisure (AOR = 0.57, 95%CI: 0.39-0.84) were significantly associated with poor SRH. CONCLUSION This study suggested that older adults with high fruit intake had lower probability of performing vigorous & moderate level of physical activity, while those with high vegetable intake had higher probability of performing vigorous & moderate level of physical activity. Likewise, the older adults with high F&V intake and higher probability of performing vigorous level of physical activity, walk/bike activity, and vigorous/moderate fitness/leisure had less likelihood to face the risk for poor SRH outcomes. The appropriate servings of F&V intake and levels of physical activity should be highlighted.
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Affiliation(s)
- Ming Guan
- Family Issues Center, Xuchang University, Road Bayi 88, Xuchang, Henan, China. .,International Issues Center, Xuchang University, Road Bayi 88, Xuchang, Henan, China. .,School of Business, Xuchang University, Road Bayi 88, Xuchang, Henan, China.
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Santos IKSD, Conde WL. [BMI variation, dietary patterns and physical activity among adults aged 21-44 years]. CIENCIA & SAUDE COLETIVA 2021; 26:3853-3863. [PMID: 34468678 DOI: 10.1590/1413-81232021269.2.23562019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 11/18/2019] [Indexed: 11/22/2022] Open
Abstract
The scope of this article is to describe the association between BMI variation, eating patterns and physical activity among adults between 21 and 44 years of age from 2007 to 2012. It is a cross-sectional study using the VIGITEL database. Eating patterns were identified with Principal Components Analysis for the period from 2007 to 2012. Components with eigenvalues >1.0 were retained and factor loadings greater than |0.3| were highlighted. For each individual, a score was calculated per pattern. The Body Mass Index (ΔBMI) difference variable was then created. Linear regression with ΔBMI outcome and Poisson regression with obesity outcomes were conducted. Four eating patterns were retained: Prudent, Transition, Western and Traditional. After multivariate adjustment, ΔBMI was inversely associated with the habit of leisure-time physical activity. Obesity revealed a positive association with the Western pattern, watching television ≥3 hours a day and physical inactivity. Obesity was inversely associated with the Prudent pattern, the Traditional pattern, the practice of leisure-time physical activity and the habit of physical activity at work. Eating patterns based on unprocessed and minimally processed foods and practice of physical activity are protective factors against obesity.
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Affiliation(s)
- Iolanda Karla Santana Dos Santos
- Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil. .,Fundação Universidade Federal do ABC. Santo André SP Brasil
| | - Wolney Lisbôa Conde
- Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
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Chung W, Lim S. Factors contributing to educational differences in obesity among women: evidence from South Korea. BMC Public Health 2020; 20:1136. [PMID: 32690084 PMCID: PMC7370452 DOI: 10.1186/s12889-020-09221-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 07/06/2020] [Indexed: 11/30/2022] Open
Abstract
Background Obesity is more prevalent among less-educated women than highly-educated women around the world. However, little is known about the factors which cause this difference in obesity, and almost nothing is known about how the individual factors which explain differences in education among women alone contribute to obesity. In this study, we identified the factors which help explain the relationship between education and obesity in women, and quantified their separate contributions to obesity. Methods We analyzed information on 14,577 women aged 25 years or over using datasets from the Korea National Health and Nutrition Examination Survey (2010–2014). We divided the women into two education groups: women who had, at most, finished high school (less-educated women), and women who had college degrees and beyond (highly-educated women). Using an extended Oaxaca-Blinder method, we decomposed the difference in obesity prevalence between the two education groups into the contributions (%) due to two effects: composition effect and association effect. Results Obesity was more than twice as prevalent among the less-educated women (34.3%) than it was among the highly-educated women (16.0%). The composition effect—contribution of differences in the distribution of observed characteristics compared to that of the difference in obesity prevalence between the two education groups—was 38.2%. The association effect—contributions of differences in the estimated coefficients of characteristics compared to that of the difference in obesity prevalence between the two education groups—was 55.8%, of which lifestyle factors were the most important contributor (43.6%). Of the separate contributions of each factor, the association effect of the factor related to women’s stress exhibited the largest contribution (23.0%). Conclusion We suggest that to effectively mitigate the high prevalence of obesity among less-educated women, it may be necessary to help low-educated women who do not feel stressful develop strategies to combat their higher risk of obesity. We also suggest the need to conduct decomposition studies in countries which show significant relationships between education and obesity among women, and to create targeted policies to reduce this population’s overall risk of obesity.
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Affiliation(s)
- Woojin Chung
- Department of Health Policy and Management, Graduate School of Public Health and Institute of Health Services Research, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
| | - Seungji Lim
- Health Insurance Research Institute, National Health Insurance Service, 32, Sambo-ro, Wonju-si, Gangwon-do, 26464, Republic of Korea.
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Ferreira FG, Juvanhol LL, Silva-Costa A, Longo GZ. The mediating role of visceral adiposity in the relationship among schooling, physical inactivity, and unhealthy metabolic phenotype. Am J Hum Biol 2020; 32:e23425. [PMID: 32335996 DOI: 10.1002/ajhb.23425] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Revised: 03/27/2020] [Accepted: 04/06/2020] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVE To explore the mediating role of visceral adiposity, as assessed by the visceral adiposity index (VAI), in the relationship among schooling, physical inactivity, and unhealthy metabolic phenotype (UMP). METHODS A cross-sectional population-based study was conducted with 854 adult individuals of both sexes from a Brazilian city. Data were collected through interviews, anthropometric evaluation, and clinical and laboratorial tests. We used multivariate path analysis, which simultaneously analyzes multiple relationships between variables. The analyses were adjusted by sex and age and stratified according to nutritional status. RESULTS A positive direct effect of visceral adiposity on the UMP was observed for normal weight, standardized estimate (SE) = 0.632; confidence interval (CI 95%) = 0.547, 0.707) and overweight individuals (SE = 0.732; CI 95% = 0.647, 0.808), and negative direct effect of schooling on physical inactivity (normal weight: SE = -0.408; CI 95% = -0.550, -0.265) and overweight (SE = -0.304; CI 95% = -0.479, -0.129). Among normal-weight individuals, there was a positive direct effect (SE = 0.193; CI 95% = 0.059, 0.328) of physical inactivity on VAI. In relation to indirect effects, there was a mediating role of visceral adiposity in the association of schooling level and physical inactivity with the UMP only among normal-weight individuals. CONCLUSIONS Visceral adiposity has a direct effect on the UMP regardless of nutritional status, and there is a mediating effect of VAI on the relationship among schooling, physical inactivity, and UMP in normal-weight individuals.
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Affiliation(s)
- Fabrícia Geralda Ferreira
- Escola Preparatória de Cadetes do Ar, Barbacena, Brazil.,Programa de Pós-Graduação em Ciência da Nutrição, Universidade Federal de Viçosa, Viçosa, Brazil
| | - Leidjaira Lopes Juvanhol
- Programa de Pós-Graduação em Ciência da Nutrição, Universidade Federal de Viçosa, Viçosa, Brazil
| | - Aline Silva-Costa
- Departamento de Saúde Coletiva, Universidade Federal do Triângulo Mineiro, Uberaba, Brazil
| | - Giana Zarbato Longo
- Programa de Pós-Graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brazil
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Batman B, Altun H. Mid-Term Effects of Laparoscopic Sleeve Gastrectomy on Metabolic Syndrome. Bariatr Surg Pract Patient Care 2020. [DOI: 10.1089/bari.2019.0052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Affiliation(s)
- Burcin Batman
- Department of General Surgery, Istinye University, Istanbul, Turkey
| | - Hasan Altun
- Department of General Surgery, Istinye University, Istanbul, Turkey
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Boccia D, Rudgard W, Shrestha S, Lönnroth K, Eckhoff P, Golub J, Sanchez M, Maciel E, Rasella D, Shete P, Pedrazzoli D, Houben R, Chang S, Dowdy D. Modelling the impact of social protection on tuberculosis: the S-PROTECT project. BMC Public Health 2018; 18:786. [PMID: 29940906 PMCID: PMC6020219 DOI: 10.1186/s12889-018-5539-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 05/03/2018] [Indexed: 11/21/2022] Open
Abstract
Background Tackling the social determinants of Tuberculosis (TB) through social protection is a key element of the post-2015 End TB Strategy. However, evidence informing policies are still scarce. Mathematical modelling has the potential to contribute to fill this knowledge gap, but existing models are inadequate. The S-PROTECT consortium aimed to develop an innovative mathematical modelling approach to better understand the role of social protection to improve TB care, prevention and control. Methods S-PROTECT used a three-steps approach: 1) the development of a conceptual framework; 2) the extraction from this framework of three high-priority mechanistic pathways amenable for modelling; 3) the development of a revised version of a standard TB transmission model able to capture the structure of these pathways. As a test case we used the Bolsa Familia Programme (BFP), the Brazilian conditional cash transfer scheme. Results Assessing one of these pathways, we estimated that BFP can reduce TB prevalence by 4% by improving households income and thus their nutritional status. When looking at the direct impact via malnutrition (not income mediated) the impact was 33%. This variation was due to limited data availability, uncertainties on data transformation and the pathway approach taken. These results are preliminary and only aim to serve as illustrative example of the methodological challenges encountered in this first modelling attempt, nonetheless they suggest the potential added value of integrating TB standard of care with social protection strategies. Conclusions Results are to be confirmed with further analysis. However, by developing a generalizable modelling framework, S-PROTECT proved that the modelling of social protection is complex, but doable and allowed to draw the research road map for the future in this field. Electronic supplementary material The online version of this article (10.1186/s12889-018-5539-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- D Boccia
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
| | - W Rudgard
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - S Shrestha
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
| | - K Lönnroth
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - P Eckhoff
- Institute for Disease Modeling, Bellevue, USA
| | - J Golub
- Department of Medicine, Epidemiology & International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
| | - M Sanchez
- Federal University of Brasilia, Brasilia, Brazil
| | - E Maciel
- Federal University of Espírito Santo, Maruipe, Vitória, Brazil
| | - D Rasella
- Oswaldo Cruz Foundation (FIOCRUZ), Brasília, DF, Brazil
| | - P Shete
- Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland.,Division of Pulmonary and Critical Care Medicine, University of California San Francisco, San Francisco, USA
| | - D Pedrazzoli
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - R Houben
- TB Modelling Group, TB Centre and CMMID, London School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, London, UK
| | - S Chang
- Institute for Disease Modeling, Bellevue, USA
| | - D Dowdy
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
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10
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Szczuko M, Komorniak N, Hoffmann M, Walczak J, Jaroszek A, Kowalewski B, Kaseja K, Jamioł-Milc D, Stachowska E. Body Weight Reduction and Biochemical Parameters of the Patients After RYGB and SG Bariatric Procedures in 12-Month Observation. Obes Surg 2017; 27:940-947. [PMID: 27730465 PMCID: PMC5339321 DOI: 10.1007/s11695-016-2400-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Background The aim of this study was to evaluate the effect of sleeve gastrectomy (SG) and Roux-en-Y-bypass (RYGB) on anthropometric and biochemical parameters, including changes in glucose levels, lipid profile and liver function. Drastic decrease in all lipid fractions a few weeks or months after the surgery could be regarded as favourable, but low level of HDL is an independent risk factor for heart diseases. Extreme load on the liver without preparation of the patient to the surgery can have negative consequences. Methods The test group comprised of 40 female patients at the age of 42.96 with average body weight of 131.56 kg and BMI 46.49. Biochemical analyses were performed using calorimetric method. Results No statistically significant differences were observed in glucose levels between the two types of procedures. The highest differences were noted for triglycerides levels, which decreased, as well as all cholesterol fractions, after RYGB, but were increasing during the first months after SG procedure. Changes in lipid profile, caused by the reduction of all lipid fractions, were more visible after RYGB. The decrease in total cholesterol directly and activity of liver enzymes after the procedure was as higher after RYGB as after SG. Increased activity of transaminases indicates significant liver overload. Conclusions With the selection of groups of patients with similar initial parameters, it is not clear whether the differences between the two procedures when assessing the improvement of glycaemia are significant. However, due to invasive character of RYGB, liver overload lasting several months and lifelong limited absorption of nutrients, the possibility of SG procedure should be considered as a first option.
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Affiliation(s)
- Małgorzata Szczuko
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland.
| | - Natalia Komorniak
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland
| | - Monika Hoffmann
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland
| | - Joanna Walczak
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland
| | - Agata Jaroszek
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland
| | - Bartosz Kowalewski
- Department of General and Vascular Surgery, Specialist Hospital named. prof. Alfred Sokołowski, Zdunowo, Poland
| | - Krzysztof Kaseja
- Department of General and Vascular Surgery, Specialist Hospital named. prof. Alfred Sokołowski, Zdunowo, Poland
| | - Dominika Jamioł-Milc
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland
| | - Ewa Stachowska
- Department of Biochemistry and Human Nutrition, Pomeranian Medical University, Broniewskiego 24, 71-460, Szczecin, Poland
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Guimarães RA, Mesquita NS, Lopes RS, Lucchese R, Felipe RLD, Vera I, Fernandes IL, Castro PAD, Monteiro LHB, Silva GC. Prevalence and Factors Associated With Criminal Behavior Among Illicit Drug Users: A Cross-Sectional Study. Subst Use Misuse 2017; 52:1393-1399. [PMID: 28430081 DOI: 10.1080/10826084.2017.1284231] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Studies indicate high rates of criminal behavior, violent activities, and legal problems among illicit drug users (IDU) in Brazil. The aim of this study was to estimate the prevalence and factors associated with criminal behavior among IDU undergoing treatment for chemical dependency in Central Brazil. METHODS Cross-sectional study carried out with IDU undergoing treatment for chemical dependence. Data were collected by means of face-to-face interviews and analyzed using logistic regression. RESULTS Of the total participants (n = 274), 46.7%, 15.7%, and 10.9% reported involvement in robbery, drug trafficking and homicide, respectively. Robbery was associated with young age, withdrawal symptoms, prison record, sex work, and crack use, while drug trafficking was associated with young age, low education, and marijuana use. Homicides were associated with cocaine and marijuana use. CONCLUSION The results show high rates of criminal behavior among drug users, demonstrating associations between socio-demographic and behavioral characteristics, illicit drug use, and practices of illegal activities. These variables must be considered when planning programs and policies to reduce harm related to drug use and abuse.
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Affiliation(s)
| | | | | | | | - Rodrigo Lopes de Felipe
- b Federal University of Goiás , Catalão , Brazil.,c Triangle University Center , Uberlândia , Brazil
| | - Ivânia Vera
- b Federal University of Goiás , Catalão , Brazil
| | | | | | | | - Graciele Cristina Silva
- b Federal University of Goiás , Catalão , Brazil.,d Federal University of Uberlândia , Uberlândia , Brazil
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12
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de Oliveira Santos R, Vieira DADS, Miranda AAM, Fisberg RM, Marchioni DM, Baltar VT. The traditional lunch pattern is inversely correlated with body mass index in a population-based study in Brazil. BMC Public Health 2017; 18:33. [PMID: 28724424 PMCID: PMC5518136 DOI: 10.1186/s12889-017-4582-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Accepted: 07/10/2017] [Indexed: 11/17/2022] Open
Abstract
Background The association of obesity and dietary patterns has been well documented in scientific literature; however, information on the impact of meal patterns on obesity is scarce. The objective of this study was to investigate the association of adherence to lunch patterns and body mass index (BMI) in a representative sample of individuals aged 20 years or older in Sao Paulo. Methods Data for 933 participants were retrieved from the Health Survey of São Paulo (ISA-Capital 2008), a cross-sectional population-based survey. The usual dietary intake of individuals with at least one 24-h recall was estimated by the Multiple Source Method. The definition of lunch was self-reported by the participant. Five lunch patterns were derived from twenty-two food groups by exploratory factor analysis: Traditional, Western, Sweetened juice, Salad, and Meats. To estimate the effect of lunch patterns on BMI, we used a generalized linear model with link identity and inverse Gaussian distribution. Analyses were adjusted by age, gender, household income per capita, physical activity levels, smoking status, alcohol consumption, total energy intake, and misreporting status. Results The greater adherence to the traditional pattern at the lunch meal was associated with lower BMI, only in insufficiently active individuals (ß = −0.78; 95% CI -1.57; −0.02). Conclusions The traditional Brazilian lunch pattern might protect the insufficiently active individuals against obesity.
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Affiliation(s)
- Roberta de Oliveira Santos
- Department of Nutrition, School of Public Health, University of Sao Paulo, Avenida Dr. Arnaldo, 715 - Cerqueira César. CEP, São Paulo, SP, 01246-904, Brazil.
| | - Diva Aliete Dos Santos Vieira
- Department of Nutrition, School of Public Health, University of Sao Paulo, Avenida Dr. Arnaldo, 715 - Cerqueira César. CEP, São Paulo, SP, 01246-904, Brazil
| | - Andreia Alexandra Machado Miranda
- Department of Nutrition, School of Public Health, University of Sao Paulo, Avenida Dr. Arnaldo, 715 - Cerqueira César. CEP, São Paulo, SP, 01246-904, Brazil
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, University of Sao Paulo, Avenida Dr. Arnaldo, 715 - Cerqueira César. CEP, São Paulo, SP, 01246-904, Brazil
| | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of Sao Paulo, Avenida Dr. Arnaldo, 715 - Cerqueira César. CEP, São Paulo, SP, 01246-904, Brazil
| | - Valéria Troncoso Baltar
- Department of Epidemiology and Biostatistics, Institute of Collective Health, Federal Fluminense University, Travessa Marquês de Paraná, 303 - Centro. CEP, Niterói, RJ, 24030-210, Brazil
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Nascimento TSD, Mussi FC, Palmeira CS, Santos CAT, Santos MA. Fatores relacionados à inatividade física no lazer em mulheres obesas. ACTA PAUL ENFERM 2017. [DOI: 10.1590/1982-0194201700047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo Verificar os fatores relacionados à inatividade física (IF) no lazer em mulheres com excesso de peso. Métodos Estudo transversal, recorte de um projeto matriz denominado “Monitoramento remoto de enfermagem de mulheres com excesso de peso”, desenvolvido em ambulatório de referência para obesidade, em Salvador, Bahia, Brasil, no qual uma equipe multidisciplinar cerca de 300 usuários do Sistema Único de Saúde, sendo 91% mulheres, razão pela qual foram selecionadas para o estudo. Mediante consulta aos prontuários 174 mulheres foram recrutadas atendendo aos critérios de inclusão para o projeto matriz: ter excesso de peso (IMC ≥25 kg/m2), idade superior a 18 anos, comparecido a consulta médica nos últimos doze meses e telefone fixo e/ou celular. Foram critérios de exclusão: ausência de condições físicas para medidas antropométricas e cognitivas para responder aos instrumentos da pesquisa, distúrbios psiquiátricos, uso de drogas para perda de peso e realização de cirurgia bariátrica. Obedeceu-se as orientações do processamento e de análise dos dados do IPAQ. Resultados Houve alta prevalência de IF (85,2%) e associação significante entre IF e índice de massa corporal, autoeficácia para atividade física, percepção do ambiente, dependentes no domicílio, estado de saúde percebido e número de comorbidades. Na regressão, a IF associou-se ao número de comorbidades (RP:1,31; IC 95% 1,06;1,64); a autopercepção de saúde ruim (RP: 1,28; 1,01;1,61); a baixa autoeficácia (RP:1,27; 1,06; 1,51) e a percepção do ambiente ruim (RP:1,27; IC 95% 1,01;1,60). Conclusão A IF no lazer associou-se a variáveis individuais e ambientais.
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PINHEIRO MDM, OLIVEIRA JS, LEAL VS, LIRA PICD, SOUZA NPD, CAMPOS FDACES. Prevalência do excesso de peso e fatores associados em mulheres em idade reprodutiva no Nordeste do Brasil. REV NUTR 2016. [DOI: 10.1590/1678-98652016000500006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
RESUMO Objetivo: Determinar a prevalência do excesso de peso e fatores associados em mulheres em idade reprodutiva no município de Vitória de Santo Antão, Pernambuco. Métodos: Estudo transversal com 322 mulheres, conduzido entre os meses de janeiro e abril de 2013 através de busca ativa nos domicílios. O estado nutricional foi classificado pelo índice de massa corporal para as maiores de 18 anos e pelo índice de massa corporal/idade para as adolescentes. A variável dependente foi o excesso de peso (sobrepeso/obesidade) e os fatores associados (variáveis independentes) foram: as condições socioeconômicas e demográficas (idade, escolaridade, alfabetização, trabalho remunerado, classe econômica, condição de segurança alimentar e nutricional, número de pessoas no domicílio, condições de saneamento básico, piso, teto, número de cômodos e de dormitórios), comportamental (prática de atividade física) e história reprodutiva (menarca, número de gestações e método contraceptivo). A regressão de Poisson foi utilizada para a análise dos fatores associados ao excesso de peso. Resultados: A prevalência de excesso de peso nas mulheres foi de 60,9%. O modelo regressão mostrou que a idade (20-39 anos: razões de prevalências 1,84 intervalo de confiança 95% 1,04-3,24; ≥40 anos: razões de prevalências 2,20; intervalo de confiança 95% 1,18-4,08) e a idade da menarca (≤13anos: razões de prevalências 1,37; intervalo de confiança 95% 1,03-1,82) se associaram ao excesso de peso. Conclusão: A prevalência de excesso de peso representou quase dois terços da população estudada e esteve associada com a maior idade cronológica e a menor idade da menarca, o que corrobora outros resultados da literatura científica.
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Yuan YQ, Li F, Meng P, You J, Wu M, Li SG, Chen B. Gender Difference on the Association between Dietary Patterns and Obesity in Chinese Middle-Aged and Elderly Populations. Nutrients 2016; 8:nu8080448. [PMID: 27455322 PMCID: PMC4997363 DOI: 10.3390/nu8080448] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Revised: 07/10/2016] [Accepted: 07/12/2016] [Indexed: 11/16/2022] Open
Abstract
Dietary patterns are linked to obesity, but the gender difference in the association between dietary patterns and obesity remains unclear. We explored this gender difference in a middle-aged and elderly populations in Shanghai. Residents (n = 2046; aged ≥45 years; 968 men and 1078 women) who participated in the Shanghai Food Consumption Survey were studied. Factor analysis of data from four periods of 24-h dietary recalls (across 2012-2014) identified dietary patterns. Height, body weight, and waist circumference were measured to calculate the body mass index. A log binominal model examined the association between dietary patterns and obesity, stratified by gender. Four dietary patterns were identified for both genders: rice staple, wheat staple, snacks, and prudent patterns. The rice staple pattern was associated positively with abdominal obesity in men (prevalence ratio (PR) = 1.358; 95% confidence interval (CI) 1.132-1.639; p = 0.001), but was associated negatively with general obesity in women (PR = 0.745; 95% CI: 0.673-0.807; p = 0.031). Men in the highest quartile of the wheat staple pattern had significantly greater risk of central obesity (PR = 1.331; 95% CI: 1.094-1.627; p = 0.005). There may be gender differences in the association between dietary patterns and obesity in middle-aged and elderly populations in Shanghai, China.
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Affiliation(s)
- Ya-Qun Yuan
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
| | - Fan Li
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
| | - Pai Meng
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
| | - Jie You
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
| | - Min Wu
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
| | - Shu-Guang Li
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
| | - Bo Chen
- Key Laboratory of Public Health Safety of Ministry of Education, Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, Shanghai 200032, China.
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