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Chrisopoulos S, AlKhtib AO, Al Darwish MS, Mohamed HGS, Mathew T, Al Mannai GA, Abdulmalik M, Al Thani M, de Vries J, Do LG, Spencer AJ. Correlates of childhood caries: A study in Qatar. Int J Paediatr Dent 2024; 34:179-189. [PMID: 37908038 DOI: 10.1111/ipd.13123] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 08/09/2023] [Accepted: 09/07/2023] [Indexed: 11/02/2023]
Abstract
BACKGROUND The prevalance of dental caries in children in Qatar is high, which necessitates preventive efforts. AIM To identify the sociodemographic and behavioural correlates of dental caries in the primary dentition of children 4- to 8-year-olds in Qatar. DESIGN Weighted data from the Qatar Child Oral Health Survey 2017 were analysed for caries prevalence (dmft>0) and experience (dmft). Sociodemographic and behavioural variables were also drawn from the survey. RESULTS AND CONCLUSION Among the 1154 children, caries prevalence was 69.3% (95%CI [63.4, 74.5]) and experience at 3.8 dmft (95%CI [3.3, 4.2]). The prevalence ratio (PR) 0.82 (0.72, 0.94) was lower among younger than in older children; those for non-Qatari nationality Arabic PR 0.91 (0.82, 1.00) and Other PR 0.75 (0.57, 0.99) than for Qatari nationality; those attending international kindergartens/schools PR 0.89 (0.80, 0.99) than independent schools; and whose parents had university-level education PR 0.85 (0.75,0.95) than did not. Caries prevalence was lower among those toothbrushing by age 3 years PR 0.88 (0.80,0.99) than later; children with low/intermediate sugar exposures PR 0.85 (0.74,0.97) and 0.89 (0.79,1.00) than those with high exposures; children with a dental check-up PR 0.68 (0.53,0.87) than those without; and children who drank bottled water with some fluoride PR 0.89 (0.80,0.99) than those who did not. Findings were similar for dmft. In conclusion caries prevalence varied but was high across sociodemographic correlates indicating vulnerablity. Interventions focusing on behaviours - such as toothbrushing, reducing sugar intake, check-up and encouraging intake of water with fluoride - are needed.
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Affiliation(s)
- Sergio Chrisopoulos
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, South Australia, Australia
| | | | | | - Hasaan Gassim Saad Mohamed
- Primary Health Care Corporation (PHCC), Doha, Qatar
- College of Dental Medicine, Qatar University, Doha, Qatar
| | - Tintu Mathew
- Primary Health Care Corporation (PHCC), Doha, Qatar
| | | | | | | | | | - Loc Giang Do
- School of Dentistry, University of Queensland, Brisbane, Queensland, Australia
| | - Andrew John Spencer
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, South Australia, Australia
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Leventakou V, Al Thani M, Sofroniou A, Butt HI, Eltayeb SM, Hakim IA, Thomson C, Nair US. Feasibility and Acceptability of a Telephone-Based Smoking Cessation Intervention for Qatari Residents. Int J Environ Res Public Health 2022; 19:16509. [PMID: 36554389 PMCID: PMC9779462 DOI: 10.3390/ijerph192416509] [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] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 11/30/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
The steady increase in smoking rates has led to a call for wide-reaching and scalable interventions for smoking cessation in Qatar. This study examined the feasibility and acceptability of an evidence-based smoking cessation program delivered by telephone for Qatari residents. A total of 248 participants were recruited through primary care centers and received five weekly scheduled proactive behavioral counseling calls from personnel trained in tobacco cessation and navigation to obtain cessation pharmacotherapy from clinics. Outcomes were assessed at end of treatment (EOT), and 1- and-3-month follow up. The Mann-Whitney test was used to compare the average number of participants recruited per month pre- and post-COVID. We recruited 16 participants/month, the majority (85.5%) attended at least one counselling session, and 95.4% used some of pharmacotherapy. Retention rates were 70% at EOT, 64.4% and 71.7% at 1- and 3-month follow up, respectively; 86% reported being 'extremely satisfied' by the program. Our ITT 7-day point prevalence abstinence was 41.6% at EOT, 38.4% and 39.3% at 1-and 3-month, respectively. The average number of participants recruited per month was significantly higher for pre vs. post-COVID (18.9 vs. 10.0, p-value = 0.02). Average number of participants retained at EOT per recruitment month showed a slight decrease from 8.6 pre- to 8.2 post-COVID; average number who quit smoking at EOT per recruitment month also showed a decrease from 6 to 4.6. The study results indicated that our telephone-based intervention is feasible and acceptable in this population and presents a new treatment model which can be easily disseminated to a broad population of Qatari smokers.
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Affiliation(s)
- Vasiliki Leventakou
- Health Research Governance Department, Ministry of Public Health, Doha P.O. Box 42, Qatar
| | - Mohammed Al Thani
- Public Health Department, Ministry of Public Health, Doha P.O. Box 42, Qatar
| | - Angeliki Sofroniou
- Public Health Department, Ministry of Public Health, Doha P.O. Box 42, Qatar
| | - Hamza I. Butt
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
| | - Safa M. Eltayeb
- Public Health Department, Ministry of Public Health, Doha P.O. Box 42, Qatar
| | - Iman A. Hakim
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
| | - Cynthia Thomson
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
| | - Uma S. Nair
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA
- College of Nursing, University of South Florida, Tampa, FL 33612, USA
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Al Thani M, Leventakou V, Sofroniou A, Butt HI, Hakim IA, Thomson C, Nair US. Factors associated with baseline smoking self-efficacy among male Qatari residents enrolled in a quit smoking study. PLoS One 2022; 17:e0263306. [PMID: 35085368 PMCID: PMC8794180 DOI: 10.1371/journal.pone.0263306] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 01/16/2022] [Indexed: 11/25/2022] Open
Abstract
Smoking self-efficacy, described as confidence in one’s ability to abstain from smoking in high-risk situations is a key predictor in cessation outcomes; however, there is a dearth of research on factors that influence self-efficacy surrounding smoking behavior. This study examines factors associated with baseline self-efficacy among treatment seeking participants enrolled in a pilot feasibility smoking cessation study. Participants (n = 247) were daily male smokers, residents of Doha in Qatar (18–60 years) who were enrolled in a telephone-based smoking cessation study. Baseline assessments included self-efficacy, home smoking rules, socio-demographic variables, smoking history, and psychosocial characteristics. Factors associated with self-efficacy were assessed using multiple linear regression analysis. Results showed that after controlling for relevant variables, number of cigarettes smoked ( β^ = -0.22; 95% CI: -0.37, -0.06), having at least one quit attempt in the past year ( β^ = 2.30; 95% CI: 0.27, 4.35), and reporting a complete home smoking ban ( β^ = 3.13; 95% CI: 0.56, 5.70) were significantly associated with higher self-efficacy to quit smoking. These results provide data-driven indication of several key variables that can be targeted to increase smoking self-efficacy in this understudied population.
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Affiliation(s)
| | - Vasiliki Leventakou
- Health Research Governance Department, Ministry of Public Health, Doha, Qatar
- * E-mail:
| | | | - Hamza I. Butt
- Epidemiology and Biostatistics Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, United States of America
| | - Iman A. Hakim
- Epidemiology and Biostatistics Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, United States of America
| | - Cynthia Thomson
- Epidemiology and Biostatistics Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, United States of America
| | - Uma S. Nair
- Epidemiology and Biostatistics Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, United States of America
- Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona, United States of America
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Al Thani M, Leventakou V, Sofroniou A, Eltayeb SM, Sadoun E, Hakim IA, Thomson C, Nair U. A Telephone-Based Tobacco Cessation Program in the State of Qatar: Protocol of a Feasibility Study. Int J Environ Res Public Health 2021; 18:ijerph18094750. [PMID: 33946848 PMCID: PMC8125450 DOI: 10.3390/ijerph18094750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 04/27/2021] [Accepted: 04/27/2021] [Indexed: 12/05/2022]
Abstract
In Qatar, tobacco is the leading preventable cause of death and disease. Telephone-based interventions for smoking are cost-effective and scalable interventions that are effective in promoting smoking behavior change. While many countries have implemented these services within their tobacco control programs, there is a distinct dearth of a telephone-based smoking cessation intervention that is adapted and tailored to meet the needs of people who smoke in Qatar. This study presents the protocol of a primary health care center integrated smoking quitline program in Qatar. Participants will be recruited from seven smoking clinics (recruitment sites). Trained clinic staff will provide brief advice on quitting followed by a referral to the quitline. Eligible participants (male smokers over 18 years of age) will complete baseline questionnaires and receive five weekly proactive counseling calls, an end-of-treatment assessment (approx. 1 week after Session 5), and 1- and 3-month follow-up assessments. The main aim of this study is to assess the feasibility and acceptability, which include the recruitment and retention rate, compliance to pharmacotherapy, and participant satisfaction. This is the first study to integrate an evidence-based smoking cessation intervention delivered via telephone within the healthcare system in Qatar. If effective, results can inform the development of a large-scale telephone-based program that widely reaches users of tobacco in Qatar as well as in the Middle East.
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Affiliation(s)
- Mohammed Al Thani
- Public Health Department, Ministry of Public Health, Doha P.O. Box 42, Qatar; (M.A.T.); (A.S.); (S.M.E.)
| | - Vasiliki Leventakou
- Health Research Governance Department, Ministry of Public Health, Doha P.O. Box 42, Qatar;
- Correspondence: ; Tel.: +974-4407-0773
| | - Angeliki Sofroniou
- Public Health Department, Ministry of Public Health, Doha P.O. Box 42, Qatar; (M.A.T.); (A.S.); (S.M.E.)
| | - Safa M. Eltayeb
- Public Health Department, Ministry of Public Health, Doha P.O. Box 42, Qatar; (M.A.T.); (A.S.); (S.M.E.)
| | - Eman Sadoun
- Health Research Governance Department, Ministry of Public Health, Doha P.O. Box 42, Qatar;
| | - Iman A. Hakim
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA; (I.A.H.); (C.T.); (U.N.)
| | - Cynthia Thomson
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA; (I.A.H.); (C.T.); (U.N.)
| | - Uma Nair
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA; (I.A.H.); (C.T.); (U.N.)
- Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ 85721, USA
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Al Thani M, Sadoun E, Sofroniou A, Jayyousi A, Baagar KAM, Al Hammaq A, Vinodson B, Akram H, Bhatti ZS, Nasser HS, Leventakou V. The effect of vitamin D supplementation on the glycemic control of pre-diabetic Qatari patients in a randomized control trial. BMC Nutr 2020; 5:46. [PMID: 32153959 PMCID: PMC7050821 DOI: 10.1186/s40795-019-0311-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Accepted: 09/24/2019] [Indexed: 01/12/2023] Open
Abstract
Background Vitamin D deficiency is associated with indicators of pre-diabetes including, insulin resistance, β-cell dysfunction and elevated plasma glucose with controversial findings from current trials. This study aims to investigate the long-term effect of vitamin D on glucose metabolism and insulin sensitivity in pre-diabetic and highly vitamin-deficient subjects. Methods One hundred thirty-two participants were randomized to 30,000 IU vitamin D weekly for 6 months. Participants underwent oral glucose tolerance test (OGTT) at 3-month intervals to determine the change in plasma glucose concentration at 2 h after 75 g OGTT (2hPCG). Secondary measurements included glycated hemoglobin, fasting plasma glucose and insulin, post-prandial insulin, indices of insulin sensitivity (HOMA-IR, Matsuda Index), β-cell function (HOMA-β, glucose and insulin area under the curve (AUC), disposition and insulinogenic indices), and lipid profile. Results A total of 57 (vitamin D) and 75 (placebo) subjects completed the study. Mean baseline serum 25(OH) D levels were 17.0 ng/ml and 14.9 ng/ml for placebo and vitamin D group, respectively. No significant differences were observed for 2hPC glucose or insulin sensitivity indices between groups. HOMA-β significantly decreased in the vitamin D group, while area under curve for glucose and insulin showed a significant reduction in β-cell function in both groups. Additionally, HOMA-β was found to be significantly different between control and treatment group and significance persisted after adjusting for confounding factors. Conclusion Vitamin D supplementation in a pre-diabetic and severely vitamin-deficient population had no effect on glucose tolerance or insulin sensitivity. The observed reduction in β-cell function in both placebo and vitamin D groups could be attributed to factors other than supplementation. Trial registration NCT02098980, 28/03/2014 (www.clinicaltrials.gov).
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Affiliation(s)
| | - Eman Sadoun
- 2Biomedical Research Department, Ministry of Public Health, P.O. Box 42, Al Khaleej Str, Al Rumaila, Doha, Qatar
| | | | - Amin Jayyousi
- 3Diabetes and Endocrine Department, Hamad Medical Corporation, Doha, Qatar
| | | | | | | | - Hammad Akram
- 1Public Health Department, Ministry of Public Health, Doha, Qatar
| | - Zaid Shakoor Bhatti
- 2Biomedical Research Department, Ministry of Public Health, P.O. Box 42, Al Khaleej Str, Al Rumaila, Doha, Qatar
| | | | - Vasiliki Leventakou
- 2Biomedical Research Department, Ministry of Public Health, P.O. Box 42, Al Khaleej Str, Al Rumaila, Doha, Qatar
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Al Romaihi HE, Ganesan N, Farag EA, Smatti MK, Nasrallah GK, Himatt SM, Derbala MF, Alshamali M, Mahadoon LK, Khogali HS, Sallam M, Al Thani AA, Al Thani M, Al Kaabi S, Yassine HM. Demographics and Epidemiology of Hepatitis B in the State of Qatar: A Five-Year Surveillance-Based Incidence Study. Pathogens 2019; 8:pathogens8020068. [PMID: 31117254 PMCID: PMC6630982 DOI: 10.3390/pathogens8020068] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 05/09/2019] [Accepted: 05/18/2019] [Indexed: 01/29/2023] Open
Abstract
Background: Expatriates represent >80% of Qatar’s population, mostly arriving from countries in Africa and Asia that are endemic with many diseases. This increases the risk for introducing new pathogens into the country and provides a platform for maintenance of endemic pathogen circulation. Here, we report on the incidence and epidemiological characteristics of hepatitis B in Qatar between 2010 and 2014. Methods: We performed a retrospective epidemiological data analysis using the data available at the surveillance system of the Ministry of Public Health (MOPH) in Qatar. Data were collected from distinctive public and private incorporates around the nation. Reported cases of hepatitis B patients represent those who met the stringent case definition as per World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) guidelines and eventually reported to MOPH. Results: The annual incidence rates of hepatitis B cases were 30.0, 34.2, 30.5, 39.4, and 19.8 per 100,000 population in 2010, 2011, 2012, 2013, and 2014, respectively. There was no specific trend or seasonality for the reported cases. The incidence rates were higher in females compared to males between 2010 and 2012, but similar in 2013 and 2014. The highest incidence rates were reported among individuals between 25 and 34 years of age. No cases were reported in children younger than five years in 2013 and 2014. Rates of hepatitis B cases declined dramatically in 2014, in both Qataris and non-Qataris, as compared to the previous years. Conclusion: Our results indicate a dramatic decline of hepatitis B cases in Qatar but mandate improved surveillance and vaccination efforts in expatriates in the nation.
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Affiliation(s)
| | | | | | - Maria K Smatti
- Biomedical Research Center, Qatar University, Doha 2713, Qatar.
| | - Gheyath K Nasrallah
- Biomedical Research Center, Qatar University, Doha 2713, Qatar.
- College of Health Sciences, Qatar University, QU Health, Doha 2713, Qatar.
| | | | - Moutaz F Derbala
- Gastroenterology and Hepatology Department, Hamad Medical Corporation, Doha 3050, Qatar.
| | | | | | | | | | - Asmaa A Al Thani
- Biomedical Research Center, Qatar University, Doha 2713, Qatar.
- College of Health Sciences, Qatar University, QU Health, Doha 2713, Qatar.
| | | | - Saad Al Kaabi
- Gastroenterology and Hepatology Department, Hamad Medical Corporation, Doha 3050, Qatar.
| | - Hadi M Yassine
- Biomedical Research Center, Qatar University, Doha 2713, Qatar.
- College of Health Sciences, Qatar University, QU Health, Doha 2713, Qatar.
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Al-Romaihi H, Al-Masri H, Shawky S, Al Thani M, Al Awaidy S, Janahi MA, Derbala M, Al-Ansari K, Allison R. Assessment of hepatitis B immunization programme among school students in Qatar. East Mediterr Health J 2018; 24:736-744. [PMID: 30328604 DOI: 10.26719/2018.24.8.736] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Accepted: 07/19/2017] [Indexed: 11/09/2022]
Abstract
Background In 2010, Qatar adopted the target of reducing hepatitis B prevalence to < 1% in children by 2015. The World Health Organization Region for the Eastern Mediterranean is identified with intermediate hepatitis B virus (HBV) endemicity, ranging from 2% to 7%. It is estimated that 4.3 million individuals are living with HBV infection in the Region. Aims This study was conducted to assess hepatitis B seroprevalence in children, hepatitis B vaccination coverage, potential exposure to risk factors, and knowledge among parents/guardians about hepatitis B infection. Methods We carried out this cross-sectional study in Qatar during the academic year 2015/16. Multistage cluster sampling was used to select a nationally representative sample of 2735 grade 1 school students aged ≥ 5 years. Blood was collected by finger prick and tested using the point-of-care test/rapid test. A self-administered, precoded questionnaire was used to assess parent/guardian knowledge about HBV and collect information on the child's HBV vaccination coverage. Results All blood samples were HBsAg negative. Qataris had a vaccination card and were totally vaccinated but 17.7% of non-Qataris did not hold a vaccination card and most parents/guardians were not aware of the vaccination status of their children. Children were exposed to various hepatitis B risk practices. Knowledge about hepatitis B among parents/ guardians was low. Conclusions Qatar has averted the hepatitis B threat and maintained high vaccination coverage for children.
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Affiliation(s)
| | | | - Sherine Shawky
- Social Research Center, American University in Cairo, Cairo, Egypt
| | | | | | | | | | | | - Robert Allison
- Clinical Center, National Institutes of Health, Bethesda, Maryland, United States of America
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Al Romaihi HE, Farag E, Al-Hajri MA, Al Thani M, Al-Masri H, Ismail A, Shawky Drph S, Al Molawi N. Viral hepatitis C serological and behavioral survey among single male laborers in Qatar. Journal of Emergency Medicine, Trauma and Acute Care 2016. [DOI: 10.5339/jemtac.2016.icepq.99] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Background: Hepatitis C viral infection is a public health concern worldwide and a major cause of morbidity and mortality in several countries that supply the State of Qatar with many of its laborers. The objectives were to measure the prevalence of hepatitis C viral infection among single male laborers; detect the practices that may catalyze the spread of the infection; and assess the knowledge gap.
Methods: A cross-sectional study was conducted in 2014 and involved 504 expatriate single male laborers seeking health care in two Qatar Red Crescent health centers.
Results: Results showed that only 5% of the total participants have ever been tested for hepatitis C and positive serology was detected in 4 respondents (0.8%), three of them from Egypt and one from Nepal. Three out of the 4 positive cases did not know they were infected and 2.5% lived with someone harboring the infection. Respondents appeared to have varying healthcare needs with 57% subject to medical procedures outside Qatar. Various risk practices for hepatitis C infection were reported including ear/body piercing (21.9%), tattooing (13.3%), contact with blood (17.0%), sharing personal equipment (12.2%) and injecting with used needles or syringes (7.4%). Less than 40% of respondents had knowledge of all modes of hepatitis C transmission.
Conclusion: Further actions notably building HCV monitoring system, setting a prevention plan, building screening strategy were need to be complemented by a contract renewal or a 3-year screening policy.
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Al Thani M, Al Thani AA, Al-Chetachi W, Al Malki B, Khalifa SAH, Haj Bakri A, Hwalla N, Nasreddine L, Naja F. A 'High Risk' Lifestyle Pattern Is Associated with Metabolic Syndrome among Qatari Women of Reproductive Age: A Cross-Sectional National Study. Int J Mol Sci 2016; 17:ijms17060698. [PMID: 27271596 PMCID: PMC4926323 DOI: 10.3390/ijms17060698] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Revised: 04/18/2016] [Accepted: 04/29/2016] [Indexed: 11/16/2022] Open
Abstract
This study investigated the effect of lifestyle patterns, as a combination of diet, physical activity and smoking, on Metabolic Syndrome (MetS) among Qatari women of childbearing age (n = 418), a population group particularly vulnerable to the health sequela of this syndrome. Using data from the National WHO STEPwise survey conducted in Qatar in 2012, Principal Component Factor Analysis was performed to derive lifestyle patterns with survey variables related to the frequency of consumption of 13 foods/food groups, physical activity levels, and smoking status. MetS was diagnosed using ATPIII criteria. Three lifestyle patterns were identified: 'High Risk' pattern, characterized by intakes of fast foods, sweets and sugar sweetened beverages, in addition to lower levels of physical activity and higher smoking prevalence; 'Prudent' pattern, driven mainly by higher intakes of fruits, vegetables, fish, and whole grains; and 'Traditional' pattern which included beans, meat, dairy products, and a low prevalence of smoking. Among these three lifestyle patterns, only the 'High Risk' was associated with MetS, whereby subjects belonging to the third tertile of this pattern's score had 2.5 times the odds of MetS compared to those belonging to the first tertile. The findings of this study demonstrated the synergy among high risk behaviors among Qatari women in increasing the odds of MetS; the latter being a major risk factor for cardiovascular diseases.
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Affiliation(s)
- Mohammed Al Thani
- Public Health Department, Ministry of Public Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Al Anoud Al Thani
- Health Promotion and Non Communicable Disease Prevention Division, Ministry of Public Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Walaa Al-Chetachi
- Health Promotion and Non Communicable Disease Prevention Division, Ministry of Public Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Badria Al Malki
- Health Promotion and Non Communicable Disease Prevention Division, Ministry of Public Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Shamseldin A H Khalifa
- Health Promotion and Non Communicable Disease Prevention Division, Ministry of Public Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Ahmad Haj Bakri
- Health Promotion and Non Communicable Disease Prevention Division, Ministry of Public Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Nahla Hwalla
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P.O. BOX 11-0.236, Riad El Solh, 11072020 Beirut, Lebanon.
| | - Lara Nasreddine
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P.O. BOX 11-0.236, Riad El Solh, 11072020 Beirut, Lebanon.
| | - Farah Naja
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P.O. BOX 11-0.236, Riad El Solh, 11072020 Beirut, Lebanon.
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Al Thani M, Al Thani AA, Al-Chetachi W, Al Malki B, Khalifa SAH, Bakri AH, Hwalla N, Nasreddine L, Naja F. Lifestyle Patterns Are Associated with Elevated Blood Pressure among Qatari Women of Reproductive Age: A Cross-Sectional National Study. Nutrients 2015; 7:7593-615. [PMID: 26371041 PMCID: PMC4586550 DOI: 10.3390/nu7095355] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Revised: 08/23/2015] [Accepted: 08/27/2015] [Indexed: 12/28/2022] Open
Abstract
Women of childbearing age are particularly vulnerable to the adverse effects of elevated blood pressure (BP), with dietary and lifestyle habits being increasingly recognized as important modifiable environmental risk factors for this condition. Using data from the National STEPwise survey conducted in Qatar in year 2012, we aimed to examine lifestyle patterns and their association with elevated BP among Qatari women of childbearing age (18–45 years). Socio-demographic, lifestyle, dietary, anthropometric and BP data were used (n = 747). Principal component factor analysis was applied to identify the patterns using the frequency of consumption of 13 foods/food groups, physical activity level, and smoking status. Multivariate logistic regression analyses were used to evaluate the association of the identified lifestyle patterns with elevated BP and to examine the socio-demographic correlates of these patterns. Three lifestyle patterns were identified: a “healthy” pattern characterized by intake of fruits, natural juices, and vegetables; a “fast food & smoking” pattern characterized by fast foods, sweetened beverages, and sweets, in addition to smoking; and a “traditional sedentary” pattern which consisted of refined grains, dairy products, and meat in addition to low physical activity. The fast food & smoking and the traditional & sedentary patterns were associated with an approximately 2-fold increase in the risk of elevated BP in the study population. The findings of this study highlight the synergistic effect that diet, smoking and physical inactivity may have on the risk of elevated BP among Qatari women.
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Affiliation(s)
- Mohammed Al Thani
- Public Health Department, Supreme Council of Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Al Anoud Al Thani
- Health Promotion and Non Communicable Disease Prevention Division, Supreme Council of Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Walaa Al-Chetachi
- Health Promotion and Non Communicable Disease Prevention Division, Supreme Council of Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Badria Al Malki
- Health Promotion and Non Communicable Disease Prevention Division, Supreme Council of Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Shamseldin A H Khalifa
- Health Promotion and Non Communicable Disease Prevention Division, Supreme Council of Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Ahmad Haj Bakri
- Health Promotion and Non Communicable Disease Prevention Division, Supreme Council of Health, Doha, Al Rumaila West, 42 Doha, Qatar.
| | - Nahla Hwalla
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P. O. Box 11-0.236 Riad El Solh, 11072020 Beirut, Lebanon.
| | - Lara Nasreddine
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P. O. Box 11-0.236 Riad El Solh, 11072020 Beirut, Lebanon.
| | - Farah Naja
- Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P. O. Box 11-0.236 Riad El Solh, 11072020 Beirut, Lebanon.
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