Longitudinal associations of sociodemographic, lifestyle, and clinical factors with alcohol consumption in colorectal cancer survivors up to 2 years post-diagnosis

Abstract Purpose Alcohol consumption can lead to worse prognosis and mortality among colorectal cancer (CRC) patients. We investigated alcohol consumption of CRC survivors up to 2 years post-diagnosis, and how sociodemographic, lifestyle, and clinical factors were associated longitudinally with these habits. Methods We pooled longitudinal data of 910 CRC survivors from the ongoing PROCORE and EnCoRe studies with data collected at diagnosis (baseline) and 3, 6, 12, and 24 months post-diagnosis. Both studies assessed alcohol consumption, including beer, wine, and liquor. Generalized estimated equation models were used to examine changes over time in alcohol consumption and multivariable longitudinal associations of sociodemographic, lifestyle, and clinical factors with alcohol consumption. Results At baseline, participants were on average 67 years old, 332 (37%) were female, and alcohol was consumed by 79%. Most survivors (68–71%) drank less at all follow-ups. Beer, wine, and liquor were consumed by 51%, 58%, and 25% at baseline, respectively, and these declined over time. Males consumed more alcohol, and higher education, more physical activity, and not having a (permanent) stoma were associated with consuming more alcohol. Conclusion CRC survivors decreased their alcohol consumption in the 2 years post-diagnosis. Future studies should take the significant factors that were associated with alcohol post-diagnosis consumption into account, when they investigate CRC health outcomes or for identifying subgroups for interventions. Males with higher education, more physical activity, and no stoma should be reminded after diagnosis for reducing their alcohol consumption.

Download Full-text

Equality and Equity in Chinese Higher Education in the Post-massification Era: An Analysis Based on Chinese Scholarly Literature

The China Quarterly ◽

10.1017/s0305741020001241 ◽

2021 ◽

pp. 1-22

Author(s):

Qiang Zha

Keyword(s):

Higher Education ◽

Literature Review ◽

Bibliometric Analysis ◽

Chinese Higher Education ◽

Scholarly Literature ◽

The Core ◽

Research Questions ◽

Changes Over Time ◽

Core Issues ◽

Over Time

Abstract This paper examines several research questions relating to equality and equity in Chinese higher education via an extended literature review, which in turn sheds light on evolving scholarly explorations into this theme. First, in the post-massification era, has the Chinese situation of equality and equity in higher education improved or deteriorated since the late 1990s? Second, what are the core issues with respect to equality and equity in Chinese higher education? Third, how have those core issues evolved or changed over time and what does the evolution indicate and entail? Methodologically, this paper uses a bibliometric analysis to detect the topical hotspots in scholarly literature and their changes over time. The study then investigates each of those topical terrains against their temporal contexts in order to gain insights into the core issues.

Download Full-text

Rankings Season is Here

International Higher Education ◽

10.6017/ihe.2011.62.8531 ◽

2015 ◽

Cited By ~ 1

Author(s):

Philip Altbach

Keyword(s):

Higher Education ◽

Research Productivity ◽

English Speaking ◽

Zero Sum ◽

Changes Over Time ◽

Over Time

The major international rankings of higher education have appeared in recent months. The ranking is an inevitable result of the massification and commercialization of higher education worldwide. Ranking presumes a zero-sum game, but in reality, improvement is taking place everywhere. The current rankings are largely measured by research productivity, and they are advantageous for major English-speaking countries. Each ranking use different measures, and also changes over time. The user must be aware of the uses and problems of rankings.

Download Full-text

Adhering to the 2017 Dutch Physical Activity Guidelines: A Trend over Time 2001–2018

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17030681 ◽

2020 ◽

Vol 17 (3) ◽

pp. 681

Author(s):

Marjolein Duijvestijn ◽

Saskia W. van den Berg ◽

G. C. Wanda Wendel-Vos

Keyword(s):

Physical Activity ◽

Multiple Logistic Regression Analysis ◽

Positive Trend ◽

Time Data ◽

Physical Activity Guidelines ◽

Muscle Strengthening ◽

Nationally Representative ◽

Health Enhancing Physical Activity ◽

Changes Over Time ◽

Over Time

Recently, new physical activity (PA) guidelines were adopted in the Netherlands consisting of two components: (1) addressing duration of moderate and vigorous PA, (2) bone and muscle strengthening activities. The aim of this study is to retrospectively assess the long-term trend in fulfilling the criteria of the new PA guidelines and to gain insight into which activities contribute to changes over time. Data were available for 2001–2018 of a nationally representative sample of approximately 7000 Dutch citizens aged 12 years and over using the Short Questionnaire to Assess Health-enhancing physical activity (SQUASH). Multiple logistic regression analysis was performed by age, sex, and level of education. Overall, a positive trend was found from 39.9% adherence in 2001 to 46.0% in 2018. Adherence levels among adolescents decreased and increased among adults and seniors. Intermediate and higher educated groups showed positive trends over time whereas a stable trend was observed among lower educated. Activities contributing most to changes over time were sports, leisure time walking, and strenuous occupational activities. In the period 2001–2018, though an increasing trend was found, less than half of the population was sufficiently active. Special effort is necessary to reach adolescents, seniors, and lower educated groups in PA promotion programs.

Download Full-text

The relationship between physical activity and body composition changes over time in children

The FASEB Journal ◽

10.1096/fasebj.21.6.a937 ◽

2007 ◽

Vol 21 (6) ◽

Author(s):

Rebecca Christine Mollard ◽

Kristy Diane Marie Wittmeier ◽

Dean Johannes Kriellaars

Keyword(s):

Physical Activity ◽

Body Composition ◽

Changes Over Time ◽

The Relationship ◽

Composition Changes ◽

Over Time

Download Full-text

HEALTH TRAJECTORIES OVER TIME IN THE ATHLOS PROJECT: FINDINGS FROM MULTIPLE COHORTS

Innovation in Aging ◽

10.1093/geroni/igz038.2939 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S798-S798

Author(s):

Matthew Prina

Keyword(s):

Physical Activity ◽

Alcohol Consumption ◽

Cohort Studies ◽

Healthy Ageing ◽

The Third ◽

Health Trajectories ◽

Working Together ◽

The Impact ◽

Over Time

Abstract The ATHLOS (Ageing Trajectories of Health: Longitudinal Opportunities and Synergies) project is a consortium of 15 partners across Europe who are working together to understand patterns of healthy ageing trajectories, and to seek the factors that determine those patterns, in a harmonised dataset of 17 international cohort studies of ageing. During this symposium we will be presenting some of the work that has recently been carried out within this project. The symposium will consist of four talks: the first talk will introduce the project, and describe the preliminary work that took place within the first few years of the project, and the challenges faced by the consortium. The second talk will focus on the harmonisation process and on the development of the health metric, an indicator used to measure healthy ageing in this project. The third talk will focus on inequalities in healthy ageing, specifically investigating the impact of education and wealth across cohorts. Finally, in the last talk we will describe the role of lifestyle behaviours (specifically physical activity, smoking and alcohol consumption) and their impact on healthy ageing trajectories.

Download Full-text

High School Physical Activity and Nutrition Policy: Summarizing Changes Over Time Using Latent Class Analysis

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2019.04.019 ◽

2019 ◽

Vol 57 (3) ◽

pp. e69-e76

Author(s):

Bryan S. Blette ◽

Annie Green Howard ◽

Leah M. Frerichs

Keyword(s):

Physical Activity ◽

High School ◽

Latent Class Analysis ◽

Latent Class ◽

Nutrition Policy ◽

Class Analysis ◽

Changes Over Time ◽

Over Time

Download Full-text

Chinese Higher Education Finance: Changes over Time and Perspectives to the Future

Procedia - Social and Behavioral Sciences ◽

10.1016/j.sbspro.2013.03.095 ◽

2013 ◽

Vol 77 ◽

pp. 388-411 ◽

Cited By ~ 3

Author(s):

Li Wenli ◽

Liu Qiang

Keyword(s):

Higher Education ◽

Education Finance ◽

Higher Education Finance ◽

Chinese Higher Education ◽

The Future ◽

Changes Over Time ◽

Over Time

Download Full-text

Longitudinal associations between cardiorespiratory fitness and stress-related exhaustion, depression, anxiety and sleep disturbances

BMC Public Health ◽

10.1186/s12889-019-8081-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Agneta Lindegård ◽

Gunilla Wastensson ◽

Emina Hadzibajramovic ◽

Anna Grimby-Ekman

Keyword(s):

Physical Activity ◽

Cardiorespiratory Fitness ◽

Sleep Disturbances ◽

Well Being ◽

Activity Levels ◽

Fitness Level ◽

Physical Activity Levels ◽

Longitudinal Associations ◽

Exhaustion Disorder ◽

Over Time

Abstract Background In the last few years, so-called “common mental disorders”, including adjustment disorder and stress-related exhaustion, have outrivalled musculoskeletal disorders as being the leading cause of long-term sick leave in Sweden. Cardiorespiratory fitness level defined as “the maximal amount of physiological work that an individual can do as measured by oxygen consumption” has in many studies shown to reduce the risk of several life-style related diseases and moreover to improve mood, well-being and physical performance. The aim of the present study was to investigate, longitudinal associations between cardiorespiratory fitness and self-reported physical activity levels and the severity of symptoms connected to stress-related exhaustion, depression, anxiety, and sleep disturbances among women clinically diagnosed with stress-related exhaustion disorder (ED). Methods The study was that of a longitudinal cohort study consisting of women (n = 88) diagnosed with stress-related ED in a specialist clinic in Gothenburg, Sweden. Cardiorespiratory fitness was measured with the Åstrand indirect test of maximal oxygen uptake (VO2max) and subjective measures of physical activity levels were rated on 4-graded physical activity scale. To measure and follow symptoms of ED over time the SMBQ-questionnaire (Shirom Melamed Burnout Questionnaire) was used. The Hospital Anxiety and Depression Scale (HADS) was used to measure depression and anxiety. A proxy variable for capturing overall disturbed sleep used to measure sleep. Longitudinal associations for continuous outcome variables and the dichotomous variable sleep were analysed using mixed- effects regression models with random intercepts. Regression coefficients along with the 95% confidence interval (CI) are presented as measures of association. Both exposures and the outcome were measured simultaneously over six waves (T1–T6). Results The results showed statistically significant associations between level of fitness and reduced symptoms of stress-related exhaustion over time. Best improvements over time were seen in patients having a medium cardiorespiratory fitness level. No associations could be found between cardiorespiratory fitness level over time and anxiety, depression or sleep disturbances. Conclusion Having medium cardiorespiratory fitness was positivity associated with a more sustained reduction in symptoms of ED overtime compared to those having low or high cardiorespiratory fitness levels. The clinical implication following this result is that an individual recommendation based on a medium level of physical activity in line with the recommendations from ACSM (American College of Sports Medicine) is preferable compared to recommendations including more vigorous physical activity in order to restore and sustainably reduce symptoms of exhaustion disorder over time.

Download Full-text

Relationship Over Time Between Psychological Distress and Physical Activity in Colorectal Cancer Survivors

Journal of Clinical Oncology ◽

10.1200/jco.2008.18.5157 ◽

2009 ◽

Vol 27 (10) ◽

pp. 1600-1606 ◽

Cited By ~ 27

Author(s):

Suzanne K. Chambers ◽

Brigid M. Lynch ◽

Joanne Aitken ◽

Peter Baade

Keyword(s):

Physical Activity ◽

Colorectal Cancer ◽

Psychological Distress ◽

Cancer Survivors ◽

Physical Inactivity ◽

Relative Risk Ratio ◽

Colorectal Cancer Survivors ◽

Patients At Risk ◽

After Cancer ◽

Over Time

Purpose Increased physical activity in patients with colorectal cancer is related to improved recurrence-free and overall survival. Psychological distress after cancer may place patients at risk of reduced physical activity, but paradoxically may also act as a motivator for lifestyle change. The relationship between psychological distress and physical activity after cancer over time has not been described. Methods A prospective survey of 1,966 (57% response) colorectal cancer survivors assessed the psychological distress variables of anxiety, depression, somatization, and cancer threat appraisal as predictors of physical activity at 5, 12, 24, and 36 months postdiagnosis; 978 respondents had valid data for all time points. Results Higher somatization was associated with greater physical inactivity (relative risk ratio [RRR] = 1.12; 95% CI, 1.1 to 1.2) and insufficient physical activity (RRR = 1.05; 95% CI, 0.90 to 1.0). Respondents with a more positive appraisal of their cancer were significantly (P = .031) less likely to be inactive (RRR = 0.95; 95% CI, 0.90 to 1.0) or insufficiently active (RRR = 0.96). Fatigued and obese respondents and current smokers were more inactive. Respondents whose somatization increased between two time periods were less likely to increase their physical activity over the same period (P < .001). Respondents with higher anxiety at one time period were less likely to have increased their activity at the next assessment (P = .004). There was no association between depression and physical activity. Conclusion Cancer survivors who experience somatization and anxiety are at greater risk of physical inactivity. The lack of a clear relationship between higher psychological distress and increasing physical activity argues against distress as a motivator to exercise in these patients.

Download Full-text