The distribution of eGFR by age in a community-based healthy population: the Japan specific health checkups study (J-SHC study)

Purpose – The purpose of this paper is to provide an overview of the evidence surrounding the design and delivery of adolescent-specific health services for young people aged 14-25. This aims to make recommendations for National Health Service (NHS) senior management teams on the available literature relating to service design for children’s and young people's services within the UK. Design/methodology/approach – This paper presents a mini-review carried out in Spring 2013 using EMBASE, BNI, PSYCHinfo, MEDLINE and Google Scholar to systematically search available published and unpublished research papers. Systematic reviews, meta-analyses and evaluations of service models were included within this review. Adapted “GRADE” criteria were used to appraise the evidence. Findings – Of 70 papers found, 22 met the inclusion criteria. There were five main service designs found within the literature: hospital-based; school-linked or school-based; community based; combination and integrative; and other methods which did not fit into the four other categories. Research limitations/implications – This review is limited to the literature available within the inclusion criteria and search strategy used. It intends to inform management decisions in combination with other parameters and available evidence. Originality/value – There is range of research and evidence syntheses relating to adolescent services, but none of these have been conducted with a focus on the UK NHS and the information needs of managers re-designing services in the current climate within England.

Download Full-text

Screening for various non communicable diseases: a community based multi-diagnostic mega camp approach study from Raichur, Karnataka

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20214855 ◽

2021 ◽

Author(s):

Amruth Reddy S. ◽

Sai Anurag Reddy A. ◽

Anant A. Takalkar

Keyword(s):

Rural Areas ◽

Research Centre ◽

Healthy Population ◽

Community Based ◽

College Hospital ◽

Middle Income ◽

Medical College ◽

Middle Income Countries ◽

Urban And Rural Areas ◽

Rural Part

Background: The 77% of all non-communicable illnesses (NCDs) deaths are in low-and middle-income countries. Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.3 million), respiratory diseases (4.1 million), and diabetes (1.5 million). These 4 groups of diseases account for over 80% of all premature NCD deaths. Objective was to study prevalence of NCDs and its trends with respect to age and gender.Methods: The present community based descriptive observational study was conducted at Navodaya medical college hospital and research centre, Raichur that caters Urban and rural area of Raichur. The 4063 apparently healthy population from urban and rural part of Raichur were screened during the multi diagnostic mega camp at urban and rural areas around Raichur during the period of January to September 2021. Results: Prevalence of diabetes in our study was 46.3%, hypertension 45.3%, cataract 46.3% and COPD as 20.7%. Prevalence of diabetes was more in 41-60 years i.e., 41.6%. Prevalence of hypertension was more in 41-50 years i.e., 25.3%. Prevalence of diabetes was more in males i.e., 54.1%. Prevalence of hypertension was more in males i.e., 50.8%.Conclusions: Prevalence of all NCDs was more in above 40 years and more in males except COPD.

Download Full-text

Brachial-ankle pulse wave velocity is associated with the risk of osteoporosis: a cross-sectional evidence from a Chinese community-based cohort

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-02125-3 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Kun Tang ◽

Qiao Zhang ◽

Nianchun Peng ◽

Ying Hu ◽

Shujing Xu ◽

...

Keyword(s):

High Risk ◽

Arterial Stiffness ◽

Pulse Wave Velocity ◽

Wave Velocity ◽

Pulse Wave ◽

Assessment Tool ◽

Healthy Population ◽

Self Assessment ◽

Community Based ◽

Cross Sectional

Abstract Background Association of arterial stiffness and osteoporosis has been well documented in elderly population. However, it is not clear whether they co-progress from the early stages through common mechanisms. The object of this study was to evaluate possible associations between arterial stiffness and osteoporosis by measuring brachial-ankle pulse wave velocity (baPWV) and the Osteoporosis Self-Assessment Tool for Asia (OSTA) index among a healthy population of Chinese aged 40 years and older. Whether baPWV can be used as a predictor of osteoporosis on OSTA was further assessed. Methods This study was cross-sectional in design. Of 3984 adults aged 40 years and older in the Yunyan district of Guiyang (Guizhou, China) who underwent both OSTA and baPWV measurements within 1 month, 1407 were deemed eligible for inclusion (women, 1088; men, 319). Results The mean baPWV was 1475 ± 302 cm/s (range,766–3459 cm/s). baPWV in 110 individuals with high risk of osteoporosis (OSTA index < − 4) was higher than that of individuals with non-high risk (1733 ± 461 cm/s vs. 1447 ± 304 cm/s, P < 0.001). OSTA index was negatively correlated with baPWV(ρ = − 0.296, P < 0.001) after adjusting for age, sex, body mass index, waist circumference, diastolic blood pressure, and creatinine clearance rate. baPWV was an independent predictor for the presence of high risk of osteoporosis (β = − 0.001, P < 0.001) and was consistent across age and sex subgroups, and the optimal baPWV cutoff value for predicting the presence of high risk of osteoporosis and fracture was 1693 cm/s. The AUC was 0.722 (95% confidence interval [CI], 0.667–0.777; P < 0.001, sensitivity of 52.8% and specificity of 83.6%). Conclusions We conclude that arterial stiffness measured by baPWV is well correlated with the severity of osteoporosis evaluated by OSTA. baPWV index may be a valuable tool for identifying individuals with risk of developing osteoporosis.

Download Full-text

Easier in Practice than in Theory – Experiences of Coaches in Charge of Community-Based Soccer Training for Men with Prostate Cancer: A Descriptive Qualitative Study

10.21203/rs.3.rs-1043732/v1 ◽

2021 ◽

Author(s):

Kickan Roed ◽

Eik Dybboe Bjerre ◽

Julie Midtgaard

Keyword(s):

Prostate Cancer ◽

Hospital Admissions ◽

Qualitative Content Analysis ◽

Sports Participation ◽

Clinical Population ◽

Healthy Population ◽

Community Based ◽

Professional Soccer ◽

Soccer Training ◽

Clinical Populations

Abstract Background Evidence suggests that community-based exercise programs and sports participation benefit long-term physical activity adherence and promote health in clinical populations. Recent research shows that community-based soccer can improve mental health and bone health and result in fewer hospital admissions in men with prostate cancer. However, little knowledge exists on what coaches experience, leading to a scarcity of knowledge on how to assist them in promoting and supporting the sustainability of programs. The purpose of this study was to explore the experiences of non-professional soccer coaches in providing community-based soccer training for men with prostate cancer. Results We interviewed 13 out of 21 eligible non-professional soccer coaches in charge of delivering the Football Club Prostate Community program, which is community-based soccer training for men with prostate cancer at 12 local soccer clubs across Denmark. Qualitative content analysis, as described by Graneheim and Lundman, was applied to analyze the data using NVivo 12 software. We identified the five following overall categories with 10 subcategories on what the coaches experienced: (1) enabling training of a clinical population in a community setting, (2) dedication based on commitment, (3) coaching on the players’ terms, (4) navigating the illness, and (5) ensuring sustainability. Collectively, the findings suggest that, while the coaches felt adequately prepared to coach, their coaching role developed and was refined only through interaction with the players, indicating that coaching clinical populations may be easier in practice than in theory and a potentially transformative learning experience. Conclusions Non-professional soccer coaches in charge of delivering soccer training for men with prostate cancer value being educated about specific illness-related issues. Initial concerns about how to coach a clinical population disappeared once the coaches engaged with the players and developed their own team norms and illness management strategies. They also gained a broader perspective on their own lives, which they valued and would not otherwise have achieved by coaching a healthy population. Our study indicates that sustainable implementation and the program’s sustainability can be promoted and supported through additional formal, easily accessible communication with trained health professionals and by networking with peer coaches.

Download Full-text

SUCCESSFUL AGING IN ALASKA NATIVE ELDERS ACROSS DIVERSE REGIONS

Innovation in Aging ◽

10.1093/geroni/igz038.3060 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S830-S831

Author(s):

Steffi M Kim ◽

Eric Wortman ◽

Keri Boyd

Keyword(s):

Alaska Native ◽

Successful Aging ◽

Qualitative Interviews ◽

Well Being ◽

Community Based ◽

Bristol Bay ◽

Historical Perspectives ◽

Qualitative Research Methodology ◽

Social Components ◽

Specific Health

Abstract Existing conceptualizations of successful aging are mainly based on Western cultures, ignoring the inclusion or exploration of culturally-relevant knowledge within the experience of successful aging. Lewis (2011) drew on the experiences of Elders and identified four elements of Eldership (successfully aging elders) in the Bristol Bay region of Alaska: “a) emotional well-being, b) community engagement, c) spirituality, and d) physical health” (p. 544). Given the unique and distinct environmental locations of this study, this presentation builds upon Lewis previous research and will highlight similarities and differences of Alaska Native successful aging between three rural geographic areas of Alaska. 42 Alaska Native Elders were interviewed from the Norton-Sound subregion, 21 Alaska Native Elders from the Aleutian Pribilof Islands, and 26 Elders from the Bristol Bay region. A community-based, exploratory, qualitative research methodology was used to allow for the collaboration of researchers and communities as equal partners. Qualitative interviews explored the participant’s life, influences on aging well, and their aging process. Thematic analysis was used to establish codes and main themes based on the three different cultural regions of Alaska. Results argue for the expansion and emphasize on social components, historical perspectives, and the importance of place (cultural and geographic differences), as well as generativity and gerotranscendence. Findings will be used to develop community-specific health promotion and prevention programs to help Elders find meaningful activities that promote health and teach individuals to cope with aging-related changes.

Download Full-text