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O'Donovan G, Petermann-Rocha F, Ferrari G, Lee IM, Hamer M, Stamatakis E, Sarmiento OL, Ibáñez A, Lopez-Jaramillo P. Associations of the 'weekend warrior' physical activity pattern with all-cause, cardiovascular disease and cancer mortality: the Mexico City Prospective Study. Br J Sports Med 2024; 58:359-365. [PMID: 38302280 DOI: 10.1136/bjsports-2023-107612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2024] [Indexed: 02/03/2024]
Abstract
OBJECTIVES The objective was to investigate the benefits of the 'weekend warrior' physical activity pattern in Latin America, where many people take part in high levels of non-exercise physical activity. METHODS Participants in the Mexico City Prospective Study were surveyed from 1998 to 2004 and resurveyed from 2015 to 2019. Those who exercised up to once or twice per week were termed weekend warriors. Those who exercised more often were termed regularly active. Analyses were adjusted for potential confounders. RESULTS The main analysis included 26 006 deaths in 154 882 adults (67% female) aged 52±13 years followed for 18±4 years (mean±SD). Compared with those who reported no exercise, the HR (95% CI) was 0.88 (0.83 to 0.93) in the weekend warriors and 0.88 (0.84 to 0.91) in the regularly active. Similar results were observed for cardiovascular disease and cancer mortality, but associations were weaker. Stratified analyses showed that substantial reductions in all-cause mortality risk only occurred when the duration of exercise sessions was at least 30-60 min. The repeated-measures analysis included 843 deaths in 10 023 adults followed for 20±2 years. Compared with being inactive or becoming inactive, the HR was 0.86 (95% CI 0.65 to 1.12) when being a weekend warrior or becoming a weekend warrior and 0.85 (95% CI 0.70 to 1.03) when being regularly active or becoming regularly active. CONCLUSIONS This is the first prospective study to investigate the benefits of the weekend warrior physical activity pattern in Latin America. The results suggest that even busy adults could benefit from taking part in one or two sessions of exercise per week.
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Affiliation(s)
- Gary O'Donovan
- Facultad de Medicina, Universidad de los Andes, Bogotá, Colombia
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Instituto Masira, Universidad de Santander (UDES), Bucaramanga, Colombia
| | - Fanny Petermann-Rocha
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile
- School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK
| | - Gerson Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago, Chile
- Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago, Chile
| | - I-Min Lee
- Harvard Medical School, Boston, MA, USA
- Brigham and Women's Hospital, Boston, MA, USA
| | - Mark Hamer
- Institute Sport Exercise Health, Division Surgery Interventional Science, University College London, London, UK
| | - Emmanuel Stamatakis
- Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Olga L Sarmiento
- Facultad de Medicina, Universidad de los Andes, Bogotá, Colombia
| | - Agustín Ibáñez
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Global Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland
- Cognitive Neuroscience Center (CNC) and CONICET, Universidad de San Andrés, Buenos Aires, Argentina
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Saoud F, AlHenaidi M, AlOtaibi H, AlEnezi A, Mohammed M, AlOtaibi F, AlShammari D, AlKharqawi S, AlMayas H, AlMathkour H, Akhtar S. Prevalence of and factors associated with multimorbidity among adults in Kuwait. BMC Public Health 2024; 24:768. [PMID: 38475726 DOI: 10.1186/s12889-024-18298-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 03/06/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND This cross-sectional study aimed to assess the prevalence of morbidity i.e., one morbidity and multimorbidity (≥ 2 morbid conditions) among adults in Kuwait and to examine the sociodemographic and lifestyle factors associated with morbidity as a multinomial outcome in the study population. METHODS The data were collected from January 26, 2021, to February 3, 2021, using an electronic questionnaire, which was distributed on social media platforms. The consent form was attached with the questionnaire and the participants were requested to sign the consent form before completing the questionnaire. The prevalences (%) of each morbidity and multimorbidity were computed. Multivariable polychotomous logistic regression analysis was used to evaluate the association between the demographic and lifestyle factors with morbidity as a multinomial outcome. RESULTS Of 3572 respondents included, 89% were Kuwaiti, 78.3% females and 66% were 21- 40 years old. The prevalence of multimorbidity and one morbidity respectively was 27.4% and 29.7%. The prevalence of multimorbidity with two, three, four or five ill-health conditions were 14.3%, 7.4%, 3.5%, and 1.2%, respectively. A higher prevalence of multimorbidity was among respondents over 60 years of age (71%) and Kuwaiti nationals (28.9%). The final multivariable polychotomous logistic regression model revealed that age, sex, nativity, sedentary lifestyle, smoking, and alcohol drinking were significantly (p < 0.05) associated with multimorbidity. However, age and alcohol drinking were significant (p < 0.05) predictors of one morbidity. CONCLUSION This study provides evidence that multimorbidity is more prevalent among the elderly, females, and Kuwaiti nationals. Sedentary behaviour, smoking and alcohol consumption were significantly and independently associated with multimorbidity. These findings highlight the burden of multimorbidity and should be considered in the development of future prevention programs.
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Affiliation(s)
- Fajer Saoud
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Maryam AlHenaidi
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Hajer AlOtaibi
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Asayel AlEnezi
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Mariam Mohammed
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Fatemah AlOtaibi
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Danah AlShammari
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Sebakah AlKharqawi
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Hadil AlMayas
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Hatoun AlMathkour
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait
| | - Saeed Akhtar
- Department of Community Medicine and Behavioural Sciences, College of Medicine, Kuwait University, PO Box 24923, 13110, Safat, Kuwait.
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Roberti J, Leslie HH, Doubova SV, Ranilla JM, Mazzoni A, Espinoza L, Calderón R, Arsenault C, García-Elorrio E, García PJ. Inequalities in health system coverage and quality: a cross-sectional survey of four Latin American countries. Lancet Glob Health 2024; 12:e145-e155. [PMID: 38096887 PMCID: PMC10716623 DOI: 10.1016/s2214-109x(23)00488-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Revised: 07/14/2023] [Accepted: 10/10/2023] [Indexed: 12/17/2023]
Abstract
The premise of health as a human right in Latin America has been challenged by health system fragmentation, quality gaps, a growing burden of chronic disease, sociopolitical upheaval, and the COVID-19 pandemic. We characterised inequities in health system quality in Colombia, Mexico, Peru, and Uruguay. We did a cross-sectional telephone survey with up to 1250 adults in each country. We created binary outcomes in coverage, user experience, system competence, and confidence in the system and calculated the slope index of inequality by income and education. Although access to care was high, only a third of respondents reported having a high-quality source of care and 25% of those with mental health needs had those needs met. Two-thirds of adults were able to access relevant preventive care and 42% of older adults were screened for cardiovascular disease. Telehealth access, communication and autonomy in most recent visit, reasonable waiting times, and receiving preventive health checks showed inequalities favouring people with a high income. In Uruguay, inequality between government and social security services explained a substantial proportion of disparities in preventive health access. In other study countries, inequalities were also substantial within government and social security subsectors. Essential health system functions are unequal in these four Latin American countries.
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Affiliation(s)
- Javier Roberti
- Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina; Epidemiology and Public Health Research Centre, National Council for Scientific and Technical Research, Buenos Aires, Argentina.
| | - Hannah H Leslie
- Division of Prevention Science, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Svetlana V Doubova
- Epidemiology and Health Services Research Unit, Mexican Institute of Social Security, Mexico City, Mexico
| | | | - Agustina Mazzoni
- Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina
| | - Laura Espinoza
- School of Public Health, Cayetano Heredia University, Lima, Peru
| | - Renzo Calderón
- School of Public Health, Cayetano Heredia University, Lima, Peru; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada
| | - Catherine Arsenault
- Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA
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