scholarly journals The association of health behavioral risk factors with quality of life in northern Sweden—A cross‐sectional survey

2020 ◽  
Vol 21 (5) ◽  
pp. 167-177
Author(s):  
Ali K. Q. Al‐Rubaye ◽  
Klara Johansson ◽  
Laith Alrubaiy
Author(s):  
Poonam Banga ◽  
Tarundeep Singh ◽  
Rajesh Kumar

Background: Habits get established during the transitional age of adolescence making it important to conduct surveillance to detect high risk behaviours at an early age. Feasibility of such a surveillance system was tested for monitoring the risk factors in schools.Methods: A cross sectional survey was conducted in randomly selected schools of Chandigarh in India, by enrolling 226 students of class V to XII. A pretested structured questionnaire on dietary pattern, physical activity, tobacco and alcohol consumption, drug abuse, mental health, sexual behaviour etc., was administered after ensuring privacy and confidentiality.Results: A total of 226 students with a mean age of 14years (range 10 to 19years) participated in the study. The prevalence of tobacco use was 8%, alcohol consumption was 3%, and drug abuse was 4%. About 47% were involved in a physical fight. Around 7% students were overweight. About 50% of the students skipped breakfast during previous week, and 6% had no intake of fruits and vegetables in last one month. Only 53% reported consistent use of seat belts.Conclusions: Several behavioral risk factors were prevalent among school children in Chandigarh. Behaviour surveillance to monitor trends should be conducted at regular intervals.


2015 ◽  
Vol 9 (04) ◽  
pp. 402-408 ◽  
Author(s):  
Sanaa M. Filemban ◽  
Yasser A. Yasein ◽  
Magdy H. H. Abdalla ◽  
Raafat Al-Hakeem ◽  
Jaffar A. Al-Tawfiq ◽  
...  

Introduction: Sexually transmitted infections (STI) are a major public health, social, and economic problem leading to morbidity, mortality, and stigma. This study was conducted to determine the prevalence of STIs, investigate behavioral risk factors and the relationship between the STIs/HIV and demographic factors. Methodology: A cross-sectional survey was conducted between 2013 and 2014 among attendees of the Ministry of Health hospitals. Results: The total number of participants was 3,994 (2,441 males and 1,553 females), with a mean age of 31.95 ± 9.45 years (range 12 to 77 years). The prevalence of STIs and HIV was 6.2% and 0.05% respectively. The mean age for infected people with STIs was 29.42 ± 7.51, vs. 32.12 ± 9.55 for non infected (p < 0.05). There was no diffference between infected and non infected people regarding gender, occupation and marital status. The prevalence of STIs was more commonly reported among non-Saudi (10.9%). Drug use (OR = 4.74; 95%; CI: 3.47–6.48), intravenous drug use (OR = 4.51; 95% CI: 1.45–13.12), illegal sex (OR = 10.7; 95% CI: 7.62–13.32), sex for money (OR = 6.36; 95% CI: 4.52–8.93), sex for pleasure (OR=9.76; 95% CI: 7.29–13.07) were significantly associated with STIs. Conclusion: The prevalence of STIs including HIV in Saudi Arabia is low compared to other countries in the region and globally.


2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
MT Todorova

Abstract Funding Acknowledgements Type of funding sources: None. Introduction. Cardiovascular Disease is the most common cause of mortality worldwide and causes major social and economic problems to society. Despite significant progress in prevention, satisfactory results are still being reported. The education of nurses in Bulgaria includes preparation for promotional, preventive, and health-educational activities, which can be performed in a medical team and independently. Nurses resources could be used effectively to prevent Ischemic Heart Disease. Purpose. The aim of the study is to establish the quality of life in patients with IHD and to promote nursing interventions, including health counseling to address certain behavioral risk factors and monitoring. Methods. The study was conducted in two stages. A case-control study was performed in 146 patients with chronic ischemic heart disease and the same number of controls. The two groups are equal in gender. For the purposes of the research, a standardized questionnaire for the study of health-related quality of life was used (EQ-5D-3L, an adapted Bulgarian version). The experimental part included 52 patients with IHD, who are monitored in Primary medical care. Health education was provided by a nurse to reduce behavioral risk factors and monitor indicators. The study covers adults who have given informed consent to participate, in compliance with the ethical principles outlined in the Helsinki Declaration. Results. The results of the quality of life test EQ-5D-3L show more problems in the group of patients in the field of mobility (41.1%) (U = 5.58; p &lt;0.05). There was a significant difference in the relative proportions of patients and controls with problems in the field of self-care, usual routine and pain/discomfort (U = 3.13; p &lt;0.05), which is reflected in a lower self-assessment of quality of life. There is a statistically significant difference in the mean values between patients and controls (t = 13.5, p = 0.001). Short health sessions were conducted with 52 patients to correct behavioral risk factors: guidelines for physical activity, diet, creating an appropriate daily routine, patient diary for blood pressure control, weight reduction, smoking cessation and others. Conclusions. The nurse can contribute to improving the prevention of CVD by educating patients in a healthy lifestyle, self-management and reducing behavioral risk factors. The delegation of preventive activities within the competence of the nurse can improve the health services and quality of life of patients with coronary heart disease.


2015 ◽  
pp. 50-58
Author(s):  
Thi Dung Nguyen ◽  
Tam Vo

Background: The patients on hemodialysis have a significantly decreased quality of life. One of many problems which reduce the quality of life and increase the mortality in these patients is osteoporosis and osteoporosis associated fractures. Objectives: To assess the bone density of those on hemodialysis by dual energy X ray absorptiometry and to examine the risk factors of bone density reduction in these patients. Patients and Method: This is a cross-sectional study, including 93 patients on chronic hemodialysis at the department of Hemodialysis at Cho Ray Hospital. Results: Mean bone densities at the region of interest (ROI) neck, trochanter, Ward triangle, intertrochanter and total neck are 0.603 ± 0.105; 0.583 ± 0.121; 0.811 ± 0.166; 0.489 ± 0.146; 0.723 ± 0.138 g/cm2 respectively. The prevalences of osteoporosis at those ROI are 39.8%, 15.1%; 28%; 38.7%; and 26.9% respectively. The prevalences of osteopenia at those ROI are 54.8%; 46.3%; 60.2%; 45.2% and 62.7% respectively. The prevalence of osteopososis in at least one ROI is 52.7% and the prevalence of osteopenia in at least one ROI is 47.3%. There are relations between the bone density at the neck and the gender of the patient and the albuminemia. Bone density at the trochanter is influenced by gender, albuminemia, calcemia and phosphoremia. Bone density at the intertrochanter is affected by the gender. Bone density at the Ward triangle is influenced by age and albuminemia. Total neck bone density is influenced by gender, albuminemia and phosphoremia. Conclusion: Osteoporosis in patients on chronic hemodialysis is an issue that requires our attention. There are many interventionable risk factors of bone density decrease in these patients. Key words: Osteoporosis, DEXA, chronic renal failure, chronic hemodialysis


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Rui Huang ◽  
Jian-Gao Fan ◽  
Jun-Ping Shi ◽  
Yi-Min Mao ◽  
Bing-Yuan Wang ◽  
...  

Abstract Background Health Related Quality of Life (HRQL) is a multi-dimensional construct that can comprehensively evaluate the patient’s health status, including physical, emotional, mental and social well-being. In this study, we aimed to evaluate the impact of non-alcoholic fatty liver disease (NAFLD) on HRQL in a Chinese population. Methods In this national multicenter cross-sectional survey, patients with NAFLD were enrolled. Chronic Liver Disease Questionnaire (CLDQ)-NAFLD was used to qualify HRQL. Univariate and multivariate analysis were used to identify independent risk factors of HRQL. Results A total of 5181 patients with NAFLD from 90 centers were enrolled in this study (mean age, 43.8 ± 13.3 years; male, 65.8%). The overall CLDQ score was 5.66 ± 0.89. Multivariate logistic regression analysis showed that body mass index (BMI: HR, 1.642; 95% CI, 1.330–2.026), alanine transaminase (ALT: HR, 1.006; 95% CI, 1.001–1.011), triglyceride (HR, 1.184; 95% CI, 1.074–1.305), disease severity (HR, 3.203; 95% CI, 1.418–7.232) and cardiovascular disease (HR, 4.305; 95% CI, 2.074–8.939) were independent risk factors for overall CLDQ score. In the logistic analyses of individual domain, BMI and triglyceride were independent risk factors of all domains. ALT, disease severity, diabetes, depression and cardiovascular disease were influencing factors for the CLDQ score of several domains. Conclusions This national multicenter cross-sectional survey in China indicated that the HRQL in patients with NAFLD was impaired. HRQL was found to be significantly associated with sociodemographic and clinical factors. Attention should be paid to the optimally managing care of patients with NAFLD to improve their HRQL.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Min Jung Kim ◽  
Ji Won Park ◽  
Mi Ae Lee ◽  
Han-Ki Lim ◽  
Yoon-Hye Kwon ◽  
...  

AbstractTo identify low anterior resection syndrome (LARS) patterns and their associations with risk factors and quality of life (QOL). This cross-sectional study analyzed patients who underwent restorative anterior resection for left-sided colorectal cancer at Seoul National University Hospital, Seoul, Republic of Korea. We administered LARS questionnaires to assess bowel dysfunction and quality of life between April 2017 and November 2019. LARS patterns were classified based on factor analyses. Variable effects on LARS patterns were estimated using logistic regression analysis. The risk factors and quality of life associated with dominant LARS patterns were analyzed. Data of 283 patients with a median follow-up duration of 24 months were analyzed. Major LARS was observed in 123 (43.3%) patients. Radiotherapy (odds ratio [OR]: 2.851, 95% confidence interval [95% CI]: 2.504–43.958, p = 0.002), low anastomosis (OR: 10.492, 95% CI: 2.504–43.958, p = 0.001), and complications (OR: 2.163, 95% CI: 1.100–4.255, p = 0.025) were independently associated with major LARS. LARS was classified into incontinence- or frequency-dominant types. Risk factors for incontinence-dominant LARS were radiotherapy and complications, whereas those for frequency-dominant LARS included low tumor location. Patients with incontinence-dominant patterns showed lower emotional function, whereas those with frequency-dominant patterns showed lower global health QOL, lower emotional, cognitive, and social functions, and higher incidence of pain and diarrhea. Frequency-dominant LARS had a greater negative effect on QOL than incontinence-dominant LARS. These patterns could be used for preoperative prediction and postoperative treatment of LARS.


2021 ◽  
Vol 61 (1) ◽  
Author(s):  
Alexandre Moura dos Santos ◽  
Rafael Giovani Misse ◽  
Isabela Bruna Pires Borges ◽  
Bruno Gualano ◽  
Alexandre Wagner Silva de Souza ◽  
...  

Abstract Background Modifiable cardiovascular risk factors (MCRFs), such as those related to aerobic capacity, muscle strength, physical activity, and body composition, have been poorly studied in Takayasu arteritis (TAK). Therefore, the aim of the study was to investigate MCRFs and their relationships with disease status and comorbidities among patients with TAK. Methods A multicenter cross-sectional study was conducted between 2019 and 2020, in which 20 adult women with TAK were compared with 16 healthy controls matched by gender, age, and body mass index. The following parameters were analyzed: aerobic capacity by cardiopulmonary test; muscle function by timed-stands test, timed up-and-go test, and handgrip test; muscle strength by one-repetition maximum test and handgrip test; body composition by densitometry; physical activity and metabolic equivalent by IPAQ, quality of life by HAQ and SF-36; disease activity by ITAS2010 and NIH score; and presence of comorbidities. Results Patients with TAK had a mean age of 41.5 (38.0–46.3) years, disease duration of 16.0 (9.5–20.0) years, and a mean BMI of 27.7±4.5 kg/m2. Three out of the 20 patients with TAK had active disease. Regarding comorbidities, 16 patients had systemic arterial hypertension, 11 had dyslipidemia, and two had type 2 diabetes mellitus, while the control group had no comorbidities. TAK had a significant reduction in aerobic capacity (absolute and relative VO2 peak), muscle strength in the lower limbs, increased visceral adipose tissue, waist-to-hip ratio, reduced walking capacity, decreased weekly metabolic equivalent, and quality of life (P< 0.05) as compared to controls. However, there were no correlations between these MCRFs parameters and disease activity. Conclusions TAK show impairment in MCRFs; therefore, strategies able to improve MCRF should be considered in this disease.


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