Clustering of lifestyle characteristics and their association with cardio-metabolic health: the Lifestyles and Endothelial Dysfunction (EVIDENT) study

AbstractLittle is known about the clustering patterns of lifestyle behaviours in adult populations. We explored clusters in multiple lifestyle behaviours including physical activity (PA), smoking, alcohol use and eating habits in a sample of adult population. A cross-sectional and multi-centre study was performed with six participating groups distributed throughout Spain. Participants (n 1327) were part of the Lifestyles and Endothelial Dysfunction (EVIDENT) study and were aged between 20 and 80 years. The lifestyle and cardiovascular risk (CVR) factors were analysed using a clustering method based on the HJ-biplot coordinates to understand the variables underlying these groupings. The following three clusters were identified. Cluster 1: unhealthy, 677 subjects (51 %), with a slight majority of men (58·7 %), who were more sedentary and smokers with higher consumption of whole-fat dairy products, bigger waist circumference as well as higher TAG levels, systolic blood pressure (SBP) and CVR. Cluster 2: healthy/PA, 265 subjects (20 %), including 24·0 % of males with high PA. Cluster 3: healthy/diet, including 29 % of the participants, with a higher consumption of olive oil, fish, fruits, nuts, vegetables and lower alcohol consumption. Using the unhealthy cluster as a reference, and after adjusting for age and sex, the multiple regression analysis showed that belonging to the healthy/PA cluster was associated with a lower waist circumference, body fat percentage, SBP and CVR. In summary, the three clusters were identified according to lifestyles. The ‘unhealthy’ cluster had the least favourable clinical parameters, the ‘healthy/PA’ cluster had good HDL-cholesterol levels and low SBP and the ‘healthy/diet’ cluster had lower LDL-cholesterol levels and clinical blood pressure.

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Normal weight obesity among young adults in Trinidad and Tobago: prevalence and associated factors

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2015-0042 ◽

2017 ◽

Vol 29 (2) ◽

Cited By ~ 2

Author(s):

Cherrita Ramsaran ◽

Rohan G. Maharaj

Keyword(s):

Young Adults ◽

Waist Circumference ◽

Trinidad And Tobago ◽

Associated Factors ◽

Adult Population ◽

Normal Weight ◽

Normal Body Mass Index ◽

Fat Percentage ◽

Cross Sectional ◽

Normal Weight Obesity

Abstract Background: Patients with normal weight obesity (NWO) have a normal body mass index (BMI) but elevated body fat percentage (BF%), thereby increasing their risk of cardiovascular and metabolic disorders. The purpose of this research was to determine the prevalence of NWO and its associated factors in a sample of young adults in Trinidad and Tobago (T&T). Methods: A cross sectional study involving a convenience non-voluntary sample of participants with a normal BMI of 18.5–24.9 kg/m2 was conducted. The following information was collected: history, basic anthropometric measurements, including BF% via the Tanita Ironman Body Composition Analyzer (BC554), physical examination and basic blood investigations. Participants were divided into two groups; normal BF% (<23.1% males, <33.3% females) and elevated BF% (≥23.1% males, ≥33.3% females). Results: Two hundred and thirty-six students participated, F:M (2.1:1), aged 18–28 years [Mean 21.33 (SD 2.5)], mean BMI 21.66 (SD 1.9). A response rate of 80.3%. The prevalence of NWO for this population was 19.9% [95% confidence interval (CI) 15.1–25.7]. Males 14.4% (95% CI 10.3–19.7) and females 5.5% (95% CI 3.1–9.5). Variables with a statistically significant association with NWO included gender, waist circumference, waist-to-hip ratio (WHR), systolic blood pressure (BP), the ratio of total cholesterol (TC) to high density lipoprotein and in females, the presence of polycystic ovarian syndrome (PCOS) (p<0.05). Binary logistic regression revealed that predictors of NWO were male gender and waist circumference. Conclusions: One in five of this young adult population was found to have NWO. Long-term studies are recommended to study the full implications of these findings.

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Prevalence of Overweight and Obesity among Primary Healthcare Workers In Perak, Malaysia

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v19i1.1327 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Low Pei Kit ◽

Hazizi Abu Saad ◽

Rosita Jamaluddin ◽

Chee Huei Phing

Keyword(s):

Waist Circumference ◽

Body Fat ◽

Primary Healthcare ◽

Healthcare Workers ◽

Adult Population ◽

Overweight And Obesity ◽

Fat Percentage ◽

Intervention Programme ◽

Cross Sectional ◽

Obesity Indices

Introduction: Overweight and obesity has been emerging as one of the most common and preventable nutritional problems worldwide. In 2016, 39% and 13% of the adult population worldwide was classified as overweight and obese, respectively. Materials and Methods: We conducted a cross-sectional study at 12 selected health clinics in Perak, Malaysia, and we used multi-stage cluster random sampling to determine the prevalence of overweight and obesity among the primary healthcare workers and the associate factors of obesity indices. Each respondent was required to complete a self-administered questionnaire on their socio-demographic characteristics. In addition, we took anthropometric measurements, including height, weight, BMI, waist circumference, and body fat percentage, of the participants. Results: We recruited 261 primary healthcare workers. Overall, 49.9% of the healthcare workers were overweight or obese, 51.0% were at risk of having abdominal obesity, and 79.6% had a high body fat percentages. Age and self-reported health status were significantly associated with all the obesity indices. Educational level showed significant association with BMI and waist circumference, while occupational status showed an association only with BMI. Older age and professionals were predictors for high obesity indices. Conclusion: The prevalence of obesity among the primary healthcare workers was higher than among the general population. An immediate intervention programme is needed to reduce the prevalence of overweight and obesity among primary healthcare workers.

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The prevalence of non-communicable diseases among academic staff members in rural university, SA

Proceedings of The Nutrition Society ◽

10.1017/s0029665120001743 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Lindelani Fhumudzani Mushaphi ◽

Sedzani Madala

Keyword(s):

Blood Pressure ◽

Family History ◽

Waist Circumference ◽

Academic Staff ◽

Adult Population ◽

Communicable Diseases ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Staff Members ◽

History Of

AbstractBackgroundGlobally non-communicable diseases (NCDs) remain unacceptably high amongst adult population and its prevalence increases yearly.AimThe aim of the study was to determine the prevalence of non-communicable diseasesMethodsThe study design used was cross-sectional. The study population was academic staff members, whereas the targeted population was UNIVEN academic staff members. Convenience sampling was used to select participants. Data was collected using a questionnaire. Anthropometric, clinical and biochemical measurements were also taken. Descriptive data statistics were used to interpret data. Percentage and tables were used to present data.ResultsAlmost all participants (93%) were Africans while very few were from other race such as European and Asian. More than one third (39.2%) of the participants had no family history of diseases, 23.8% had family history of hypertension and diabetes. The majority of the participants (82.3%) did not suffer from any chronic diseases of lifestyle. About 7.7% had SBP between 140–159mmHg, while very few participants (5.4%) had > / = 160mmHg. About 13.8% had DBP between 90–99mmHg, while very few participants (5.4%) had > / = 100mmHg. About 43.8% of the participants were pre-diabetic. Nearly two thirds (66.2%) of the participants fell within high borderline of cholesterol, while 13.8% of participants had normal total cholesterol. About 40% of the participants were overweight, 20.7% were obese class I, about 43.8% of the participants had low waist circumference, more than one thirds (35.4%) had high waist circumference.ConclusionThe study revealed that majority of academic staff members are at risk of developing NCDs. Nearly half of participants (49.3%) their systolic blood pressure was above normal and the diastolic blood pressure was 48.4%. The blood glucose levels showed that 43.8% of participants were pre-diabetic and 13.1% were diabetic. Furthermore, majority of participants (83.1%) showed that the cholesterol level was above borderline and had high cholesterol. Majority of participants (80.8%) were overweight and obese.

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Prehypertension and hypertension prevalence and risk factors among adult population in Republic of Serbia: A cross-sectional study

Vojnosanitetski pregled ◽

10.2298/vsp180330114s ◽

2020 ◽

Vol 77 (6) ◽

pp. 590-600

Author(s):

Sandra Sipetic-Grujicic ◽

Dragan Miljus ◽

Ivan Soldatovic ◽

Aleksandra Nikolic ◽

Isidora Vujcic

Keyword(s):

Public Health ◽

Risk Factors ◽

Blood Pressure ◽

Waist Circumference ◽

Medical Treatment ◽

Adult Population ◽

Significant Risk ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Background/Aim. Prehypertension and hypertension are an important public health problem worldwide and although they can be modified, they are often a risk for cardiovascular diseases. The aim of this study was to determine the prevalence of prehypertension and hypertension and associated risk factors in the adult population (15+ years) of Serbia. Methods. The cross-sectional study covered 14,623 adult respondents, but 14,422 volunteered to measure their blood pressure according to a pre-defined protocol. A stratified two-stage national representative random sampling approach was used for the selection of the survey sample. Results. In 2013, 17.7% of Serbian population, aged 15 and over, was normotensive, every third (33.1%) person had prehypertension, and every second (49.3%) had hypertension. The standardized prevalence of prehypertension and hypertension was 40.6% and 34.5%, respectively; 57.8% of the hypertensive population were receiving medical treatment. Among those receiving medical treatment, 35.2% (36.4% males and 33.2% females) had a blood pressure within the normal range. According to the results of multivariate logistic regression analysis, independently significant risk factors for hypertension compared to persons with normotension were older age (50 and more) (p < 0.001), overweight (p < 0.001) and obesity (p < 0.001), moderate (p < 0.001) and large (p < 0.001) waist circumference in both sexes, and nonurban place of residence in females (p = 0.006). In females, independently significant risk factors for prehypertension compared to persons with normotension were older age (50 and more) (p < 0.001), overweight (p < 0.001) and obesity (p < 0.001), moderate (p < 0.001) and large (p < 0.001) waist circumference, but high level of physical activity was significantly protective (p = 0.014). In males, overweight (p < 0.001) and obesity (p < 0.001) were independently significant risk factors for prehypertension. Conclusion. Serbia belongs to countries with a high prevalence of prehypertension and hypertension. Our results emphasize the need for a new public health strategy for the prevention, detection and treatment of prehypertension and hypertension.

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Cardiovascular health indicators in soccer exercise during adolescence: systematic review

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2020-0301 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Heloyse Elaine Gimenes Nunes ◽

Evelinn Amarilha Faria ◽

Paula Felippe Martinez ◽

Silvio Assis de Oliveira-Júnior

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Waist Circumference ◽

Methodological Quality ◽

Cardiovascular Health ◽

Longitudinal Design ◽

Health Indicators ◽

Soccer Players ◽

Cross Sectional ◽

Blood Institute

Abstract This review analyzed the studies that evaluated cardiovascular health indicators (blood pressure, waist circumference, heart rate, glucose index and lipid blood) in recreational soccer players during adolescence, and identify possible associated factors. The search was performed in the electronic databases (PubMED, SciELO, LILACS, Scopus, SPORTDiscus and Web of Science). Inclusion criteria were: population composed of children and/or adolescents (10–19 years or average age up to 19 years); studies adolescents engaged in recreational soccer regularly and observational studies with cross-sectional or longitudinal design. The process of analysis of studies involved reading titles, abstracts and full texts. After these phases, seven articles were eligible. Regarding the design, all studies were cross-sectional. Of the total studies included, five presented moderate methodological quality values and two presented low methodological quality values, according to National Heart, Lung, and Blood Institute instrument. The most cardiovascular health indicators used in recreational soccer players during adolescence was waist circumference; three studies analyzed heart rate, two evaluated blood pressure, one analyzed insulin resistance and none of the included studies analyzed lipid profile. Factors associated were analyzed in four studies, being that sedentary time and body mass index (BMI) present association with at least one indicator of cardiovascular health.

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Obesity, Blood Pressure, and Intraocular Pressure: A Cross-Sectional Study in Italian Children

Obesity Facts ◽

10.1159/000514096 ◽

2021 ◽

pp. 1-9

Author(s):

Claudia Pileggi ◽

Rosa Papadopoli ◽

Caterina De Sarro ◽

Carmelo Giuseppe Angelo Nobile ◽

Maria Pavia

Keyword(s):

Blood Pressure ◽

Intraocular Pressure ◽

School Children ◽

Adult Population ◽

Paediatric Population ◽

Cross Sectional Study ◽

Cross Sectional ◽

Drinking Habits ◽

Physical Examinations ◽

Italian Children

Introduction: Several studies in the adult population have shown that obesity is an independent risk factor for elevated intraocular pressure (IOP), whereas data in the paediatric population are sparse and controversial. The purpose of the present study is to investigate the relationship between body mass index (BMI), blood pressure (BP), and IOP in healthy school children. Methods: The survey was conducted among a random sample of 8-year-old Italian students. Data were collected on their health status and behaviours related to obesity (physical activity, food and drinking habits, etc.). Physical examinations, conducted at school, included measurements of height, weight, BP, and IOP. Results: Five hundred and seventy-six subjects were recruited (92.8% response rate); 42.4% were overweight or obese, 58.9% consumed inadequate daily servings of fruit and vegetables, and 87.5% were involved in sedentary activities. Elevated BP/hypertension (HTN) affected 3.6% and high IOP was revealed in 12.5% of the children. In the multivariate analysis, elevated BP/HTN was the only significant determinant of ocular HTN (OR 5.36, 95% CI 1.95–14.73, p = 0.001). Conclusions: Our results show that high IOP affects 12.5% of 8-year-old school children and appears to be associated with high BP related to a high BMI.

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Abstract WMP57: Declining Blood Pressure is Associated with Subcortical Microinfarcts in Older Adults

Stroke ◽

10.1161/str.48.suppl_1.wmp57 ◽

2017 ◽

Vol 48 (suppl_1) ◽

Author(s):

Mekala R Raman ◽

Jonathan Graff-Radford ◽

Scott A Przybelski ◽

Timothy G Lesnick ◽

Michelle M Mielke ◽

...

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Elderly Population ◽

Adult Population ◽

Blood Pressure Measurement ◽

The Elderly ◽

Pressure Measurements ◽

Autopsy Study ◽

Cross Sectional ◽

Blood Pressures

Hypertension is highly prevalent in the elderly population and microinfarcts are the most common vascular brain pathology identified in older adults at autopsy. We investigated the associations between systolic and diastolic blood pressures measured antemortem and the presence of microinfarcts at autopsy. Study subjects (n=302; age range=71-95) were participants in the population-based Mayo Clinic Study of Aging autopsy study, who had blood pressure measurements recorded during life. We investigated both cross-sectional systolic and diastolic blood pressure measurements at the baseline visit and the change in blood pressure (slope). Presence and location (subcortical or cortical) of chronic microinfarcts was abstracted from the autopsy reports. Of the 302 study subjects, 47 (16%) had cerebral microinfarcts, and, of those, 18 (38%) had subcortical microinfarcts and 29 (62%) had only cortical microinfarcts. The baseline blood pressures were not different between subjects with no microinfarcts, subcortical microinfarcts, and only cortical microinfarcts. In a logistic regression model including time between last blood pressure measurement and death, a greater decline in systolic [OR= 1.06 (1.01, 1.11); p=0.02]) and greater decline in diastolic [OR= 1.11 (1.02, 1.20); p=0.01] blood pressures were predictors of the presence of subcortical microinfarcts at autopsy. However, these variables were not associated with the presence of cortical microinfarcts. In conclusion, microinfarcts are common in the older adult population, and most of them are located in the cortex. A greater decline in both systolic and diastolic blood pressures and their association with subcortical microinfarcts, but not with cortical microinfarcts, may have implications for aggressive lowering of blood pressure in the elderly population.

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An observational study on patient compliance and adverse drug reactions of antihypertensives drugs in a tertiary care center of Bihar

IP International Journal of Comprehensive and Advanced Pharmacology ◽

10.18231/j.ijcaap.2021.033 ◽

2021 ◽

Vol 6 (4) ◽

pp. 190-193

Author(s):

Mrityunjay Kumar Pandit ◽

Kumar Gaurav ◽

Jeetendra Kumar

Keyword(s):

Blood Pressure ◽

Combination Therapy ◽

Antihypertensive Drugs ◽

Care Center ◽

Adult Population ◽

Tertiary Care ◽

Cross Sectional Study ◽

High Dose ◽

Cross Sectional ◽

Institutional Ethics

Hypertension is among the most common non-communicable and lifestyle disease in our country that affects adult population of both the genders from all socio-economic backgrounds and urban and rural population. In-spite of this, early diagnosis and appropriate treatment are suboptimal. Adherence of prescribed treatment has been studied in patients of hypertension in this study. : An observational and cross-sectional study was conducted in the Department of Pharmacology, Jawahar Lal Nehru Medical College and Hospital, Bhagalpur, Bihar. Prior to the initiation of the study, clearance was obtained from the Institutional Ethics Committee. Study period was between January 2021 and June 2021.A predesigned pretested interview schedule was used to collect the data from the 247 study participants. This schedule contained information related to socio-demographic variables, comorbidity, a format to assess the compliance to antihypertensive drugs prescribed and any adverse event. : A significant improvement in maintain optimal in blood pressure was observed in patients treated with one pill per day as compared to patients prescribed with two and three pills per day. Compliance was significantly better in patients in combination therapy as compared to monotherapy. : Low dose combination therapy has been stated to be more effective than high dose monotherapy in controlling blood pressure. It shows better compliance and lesser incidence of side-effects.

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METABOLIC SYNDROME PREVALENCE IS NOT ASSOCIATED WITH DIET QUALITY IN THE CHILEAN ELDERLY POPULATION: A CROSS SECTIONAL ANALYSIS FROM THE NATIONAL HEALTH SURVEY 2009-2010

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2016.104 ◽

2016 ◽

pp. 1-7

Author(s):

C. Dussaillant ◽

G. Echeverría ◽

L. Villarroel ◽

C.B. Yu ◽

A. Rigotti ◽

...

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Waist Circumference ◽

Food Intake ◽

Diet Quality ◽

Elderly Population ◽

The Elderly ◽

National Health Survey ◽

Cross Sectional ◽

Sectional Analysis

Objectives: To analyze the relationship between the prevalence of metabolic syndrome, food intake, and diet quality in elderly (≥65 years old) Chilean population. Design: Cross sectional analysis based on the last national health survey performed in the years 2009 and 2010 (ChNHS 2009-2010). Setting: Non-institutionalized individuals of 65 years or older were selected and visited at home. Participants: A subsample of 505 elderly adults from the ChNHS 2009-2010 who answered a food questionnaire and had appropriate information to diagnose metabolic syndrome following the ATPIII-NCEP guidelines. Measurements: Fasting blood samples were obtained in order to measure blood lipids and fasting blood glucose. Blood pressure, waist circumference, and body mass index (BMI) were also measured. A 5-item food frequency questionnaire was applied to all the participants of NHS 2009-2010. Results: The overall prevalence of metabolic syndrome in the Chilean adult population was 37.7%, increasing in frequency with advancing age. Among the elderly (≥65 years old), metabolic syndrome was found in 57.2% of the sample. Elevated blood pressure and increased waist circumference were the most prevalent metabolic syndrome components among this group (88% and 80%, respectively). Low intake of fruits, vegetables, whole cereals, fish, and dairy was seen among the elderly, and no association was found between food intake nor diet quality and metabolic syndrome prevalence. Conclusion: Metabolic syndrome is highly prevalent among the Chilean elderly population and its prevalence is not associated with food intake or diet quality in this age group.

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HUBUNGAN INDEKSMASSA TUBUH DAN LINGKAR PINGGANG DENGAN TEKANAN DARAH LAKI-LAKI DEWASA

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v9i2.314 ◽

2018 ◽

Vol 9 (2) ◽

pp. 193-199

Author(s):

Tamariani Manullang

Keyword(s):

Blood Pressure ◽

Waist Circumference ◽

Systolic Blood Pressure ◽

Study Design ◽

Computer Software ◽

Adult Males ◽

Cross Sectional ◽

Relationship Of ◽

The Relationship

Prevalence of hypertension in adult males was highest in PuskesmasBasuki Rahmat (16.2%) as many as 648 cases of hypertension patients which hasincreased compared to 2012 by 12% in cases of hypertension totaled 482 patients((Dinkes Kota, 2013). This study aims to determine the relationship of body massindex (BMI) and waist circumference (WC) with systolic blood pressure (BP) in adultmales in Puskesmas Basuki Rahmat Bengkulu City in 2015. The study design wasdescriptive analytic with cross sectional approach. Study location was in PuskesmasBasuki Rahmat City of Bengkulu. Samples were selected using purposive samplingtotalling 68 people. Criterias sample were being adult males who occupied inPuskesmas Basuki Rahmat City of Bengkulu, aged ≥ 18 years, agreed to beinterviewed,and able to communicate actively. Data were obtained include BMI, WCand systolic BP adult males and processed using computer software with pearsoncorrelation analysis.The results showed that there was relationship between BMI andsystolic BP (p = 0.0005; r = 0.395); between WC and systolic BP (p = 0.004 and r =0.347) in adult males. This study concluded that there was relationship between BMIand WC with systolic BP in adult males in Puskesmas Basuki Rahmat Bengkulu Cityin 2015.

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