Risk factors of anxiety and depression in children and adolescents with headache: A cross-sectional study

2013 ◽  
Vol 63 (5) ◽  
pp. 295-302 ◽  
Author(s):  
C. Rousseau-Salvador ◽  
R. Amouroux ◽  
R. Gooze ◽  
A. Salvador ◽  
B. Tourniaire ◽  
...  
BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016048 ◽  
Author(s):  
José Castro-Piñero ◽  
Alvaro Delgado-Alfonso ◽  
Luis Gracia-Marco ◽  
Sonia Gómez-Martínez ◽  
Irene Esteban-Cornejo ◽  
...  

ObjectiveEarly detection of cardiovascular disease (CVD) risk factors, such as obesity, is crucial to prevent adverse long-term effects on individuals’ health. Therefore, the aims were: (1) to explore the robustness of neck circumference (NC) as a predictor of CVD and examine its association with numerous anthropometric and body composition indices and (2) to release sex and age-specific NC cut-off values to classify youths as overweight/obese.DesignCross-sectional study.Setting23 primary schools and 17 secondary schools from Spain.Participants2198 students (1060 girls), grades 1–4 and 7–10.MeasuresPubertal development, anthropometric and body composition indices, systolic and diastolic blood pressure (SBP and DBP, respectively), cardiorespiratory fitness, blood sampling triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), glucose and inflammatory markers. Homoeostasis model assessment (HOMA-IR) and cluster of CVD risk factors were calculated.ResultsNC was positively correlated with all anthropometric and body composition indices. NC was negatively associated with maximum oxygen consumption (R2=0.231, p<0.001 for boys; R2=0.018, p<0.001 for girls) and positively associated with SBP, DBP, TC/HDL-c, TG, HOMA, complement factors C-3 and C-4, leptin, adiponectin and clustered CVD risk factor in both sexes (R2from 0.035 to 0.353, p<0.01 for boys; R2from 0.024 to 0.215, p<0.001 for girls). Moreover, NC was positively associated with serum C reactive protein, LDL-c and visfatin only in boys (R2from 0.013 to 0.107, p<0.05).ConclusionNC is a simple, low-cost and practical screening tool of excess of upper body obesity and CVD risk factors in children and adolescents. Paediatricians can easily use it as a screening tool for overweight/obesity in children and adolescents. For this purpose, sex and age-specific thresholds to classify children and adolescents as normal weight or overweight/obese are provided.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Giancarlo Ripabelli ◽  
Manuela Tamburro ◽  
Michela Lucia Sammarco ◽  
Guglielmo de Laurentiis ◽  
Andrea Bianco

2020 ◽  
Vol 8 (2) ◽  
pp. 26-32
Author(s):  
Pem Tamang

Background: Diabetes mellitus is one of the most predominant, chronic disease afflicting globally with its amplifying burden. The association of diabetes with psychological disorders exists with depression and anxiety being the most common, often remains undiagnosed or unidentified eventually leading to a decline in functional abilities and self-care, worsening the health profile of the patients and contributing to both morbidity and mortality. This study explores the association of psychiatric problems with diabetes mellitus and their related risk factors. Objectives: To investigate the association and the prevalence of psychiatric disorders (depression and anxiety) among diabetic patients and access their associated risk factors. Methods: A prospective cross-sectional study was conducted for six months in 105 diabetic patients from the outpatient department. Hospital Anxiety and Depression Scale (HADS) was used to evaluate the symptoms of anxiety and depression. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 25.0. Results: Overall 53(50.5%) were observed with the symptoms of anxiety while 45(42.9%) with symptoms of depression respectively. The prevalence of marked anxiety and depression was observed higher in a female. Anxiety and depression were also common among participants with moderate social support. Anxiety and depression were greater among patient who were illiterate (OR=1.50, 95% CI 0.92-5.38), unemployed (OR=7.50, 95% CI 1.29-43.61) with low income (PR=3.09 95% CI 0.92-10.36) and who were retired (OR=6.00, 95% CI 0.81-44.35).Conclusion: The result showed a high prevalence of depression and anxiety among female than in the male. Most of the patients developed moderate or severe anxiety and depression. Various factors such as low income, age, low education, unemployed, uncontrolled diabetes were associated with anxiety and depression. Awareness programs and health education should be conducted. Counseling and appropriate medication should be initiated to reduce future complications.   Key words: 


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