scholarly journals Energy density, energy costs and income – how are they related?

2010 ◽  
Vol 13 (10) ◽  
pp. 1599-1608 ◽  
Author(s):  
Wilma E Waterlander ◽  
Wendy E de Haas ◽  
Inge van Amstel ◽  
Albertine J Schuit ◽  
Jos WR Twisk ◽  
...  
Keyword(s):  
Energy Density ◽  
The Netherlands ◽  
Vegetable Intake ◽  
Food Prices ◽  
Community Dwelling ◽  
Future Research ◽  
Energy Costs ◽  
Cross Sectional ◽  
Income Levels ◽  
Food Items

AbstractObjectiveTo examine the association between energy density and energy costs in single food items and composed diets, and to explore differences in energy density and energy cost between income levels.DesignA cross-sectional study using data from two Dutch cohort studies and recent national food prices. Food prices were retrieved from two market leader supermarkets. Data on dietary intake were measured using a computerized face-to-face interview (cohort 1) and 24 h recalls (cohort 2).SettingThe Netherlands.SubjectsA sample of 373 young adults from the Amsterdam Growth and Health Longitudinal Study (AGHLS, measured in 2000) and a sample of 200 community-dwelling elderly from the Longitudinal Ageing Study Amsterdam (LASA, measured in 2007).ResultsWe found significant inverse associations between energy density and energy costs in single food items (r = −0·436, P < 0·01) and composed diets (AGHLS men r = −0·505, women r = −0·413, P < 0·001; LASA men r = −0·559, women r = −0·562, P < 0·001). Furthermore, we found that people stratified into higher energy density quartiles consumed significantly more energy per day, less fruits and vegetables, and had significantly lower diet costs. Explorative analyses on income did not reveal significant differences regarding energy density, costs, or fruit and vegetable intake.ConclusionsIn the Netherlands also, energy density was inversely related with energy costs, implying that healthier diets cost more. However, we could not find differences in energy density or costs between income levels. Future research, using precise food expenditures, is of main importance in studying the economics of obesity and in the aim of making the healthier choice easier.

scholarly journals Complementary Medicine and Self-Care Strategies in Women with (Recurrent) Urinary Tract and Vaginal Infections: A Cross-Sectional Study on Use and Perceived Effectiveness in The Netherlands

Antibiotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 250
Author(s):  
Louise Witteman ◽  
Herman A. van Wietmarschen ◽  
Esther T. van der Werf
Keyword(s):  
Urinary Tract ◽  
The Netherlands ◽  
Complementary Medicine ◽  
Self Care ◽  
Future Research ◽  
Perceived Effectiveness ◽  
Vaginal Infections ◽  
Cross Sectional ◽  
Treatment Implementation ◽  
Specific Symptoms

Due to the excessive use of antibiotic and antimycotic treatments, the risk of resistant microbes and fungi is rapidly emerging. Previous studies have demonstrated that many women with (recurrent) urinary tract infection (UTI) and/or vaginal infections (VIs) welcome alternative management approaches to reduce the use of antibiotics and antifungals and avoid short- and long-term adverse effects. This study aims to determine which complementary medicine (CM) and self-care strategies are being used by women suffering from (recurrent) UTI and VI in The Netherlands and how they perceive their effectiveness in order to define directions for future research on safety, cost-effectiveness, and implementation of best practices. A cross-sectional online survey was performed among women, ≥18 years old, with a history of UTIs; 162 respondents were included in the data analysis, with most participants aged between 50 and 64 years (36.4%). The women reported having consulted a CM practitioner for UTI-specific symptoms (23.5%) and VI-specific symptoms (13.6%). Consultations of homeopaths, acupuncturists, and herbal physicians are most often reported. Overall, 81.7% of the women suffering from UTI used complementary or self-care strategies besides regular treatment, and 68.7% reported using CM/self-care strategies to treat vaginal symptoms. UTI- related use of cranberries (51.9%), vitamin C (43.8%), and D-mannose (32.7%) were most reported. Perceived effectiveness was mostly reported for homeopathic remedies and D-mannose. The results showed a substantial burden of UTI and VI on daily and sexual activities. Besides the frequency of use, the indication of perceived effectiveness seems to be an important parameter for further and rigorously designed research to encourage nonantibiotic/antifungal treatment implementation into daily clinical practice.

Neighborhood Social Cohesion and Mobility Limitations Among Community-dwelling Older Americans: The Mediating Roles of Depressive Symptoms and Mastery

2021 ◽  
pp. 009141502110376
Author(s):  
Fei Wang ◽  
Weidi Qin ◽  
Jiao Yu
Keyword(s):  
Depressive Symptoms ◽  
Social Cohesion ◽  
Ordinary Least Squares ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Future Research ◽  
Social Aspect ◽  
Mobility Limitations ◽  
Cross Sectional ◽  
Neighborhood Social Cohesion

Neighborhood environment plays an important role in late-life health; yet, the social aspect of neighborhood environment and its impact on mobility limitations have rarely been examined. This nonexperimental, cross-sectional study examines the relationship between neighborhood social cohesion and mobility limitations and the potential mediators (i.e., depressive symptoms, mastery) of this relationship. A total of 8,317 Americans aged 65 years and older were selected from the Health and Retirement Study. Using ordinary least squares regressions, this study shows that neighborhood social cohesion was negatively associated with mobility limitations ( B  =  −0.04, p < .01). A Sobel test of mediation indicated that this relationship was significantly mediated by depressive symptoms ( z  =  −9.10, p < .001) and mastery ( z  =  −8.86, p < .001). Findings suggest that neighborhood cohesion can reduce mobility limitations through mitigating depressive symptoms and increasing mastery. Future research should disentangle the temporal ordering of the mediators.

scholarly journals The Relative Caloric Prices of Healthy and Unhealthy Foods Differ Systematically across Income Levels and Continents

2019 ◽  
Vol 149 (11) ◽  
pp. 2020-2033 ◽  
Author(s):  
Derek D Headey ◽  
Harold H Alderman
Keyword(s):  
Soft Drink ◽  
Food Group ◽  
Food Composition ◽  
Food Prices ◽  
Future Research ◽  
Food Groups ◽  
Relative Prices ◽  
Income Levels ◽  
Food Composition Tables ◽  
Overweight Prevalence

ABSTRACT Background Relative prices of healthy/unhealthy foods have been implicated in the obesity epidemic, but never extensively quantified across countries or empirically linked to undernutrition. Objectives This study compared relative caloric prices (RCPs) for different food categories across 176 countries and ascertained their associations with dietary indicators and nutrition outcomes. Methods We converted prices for 657 standardized food products from the 2011 International Comparison Program into caloric prices using USDA Food Composition tables. We classified products into 21 specific food groups. We constructed RCPs as the ratio of the 3 cheapest products in each food group, relative to the weighted cost of a basket of starchy staples. We analyzed RCP differences across World Bank income levels and regions and used cross-country regressions to explore associations with Demographic Health Survey dietary indicators for women 15–49 y old and children 12–23 mo old and with WHO indicators of the under-5 stunting prevalence and adult overweight prevalence. Results Most noncereal foods were relatively cheap in high-income countries, including sugar- and fat-rich foods. In lower-income countries, healthy foods were generally expensive, especially most animal-sourced foods and fortified infant cereals (FICs). Higher RCPs for a food predict lower consumption among children for 7 of 9 food groups. Higher milk and FIC prices were positively associated with international child stunting patterns: a 1-SD increase in milk prices was associated with a 2.8 percentage point increase in the stunting prevalence. Similarly, a 1-SD increase in soft drink prices was associated with a reduction in the overweight prevalence of ∼3.6 percentage points. Conclusions Relative food prices vary systematically across countries and partially explain international differences in the prevalences of undernutrition and overweight adults. Future research should focus on how to alter relative prices to achieve better dietary and nutrition outcomes.

scholarly journals The home food environment of overweight gatekeepers in the Netherlands

2014 ◽  
Vol 18 (10) ◽  
pp. 1815-1823 ◽  
Author(s):  
Maartje P Poelman ◽  
Emely de Vet ◽  
Elizabeth Velema ◽  
Jacob C Seidell ◽  
Ingrid HM Steenhuis
Keyword(s):  
The Netherlands ◽  
Living Room ◽  
Snack Food ◽  
Food Environments ◽  
Cross Sectional ◽  
Level Of Education ◽  
Snack Foods ◽  
Food Items ◽  
Home Food ◽  
High Level

AbstractObjectiveThe aim of the present study was to gain insight into (i) processed snack-food availability, (ii) processed snack-food salience and (iii) the size of dinnerware among households with overweight gatekeepers. Moreover, associations between gatekeepers’ characteristics and in-home observations were determined.DesignA cross-sectional observation of home food environments was conducted as part of a baseline measurement of a larger study.SettingHome food environments of overweight and obese gatekeepers in the Netherlands.SubjectsHousehold gatekeepers (n278). Mean household size of the gatekeepers was 3·0 (sd1·3) persons. Mean age of the gatekeepers was 45·7 (sd9·2) years, 34·9 % were overweight and 65·1 % were obese. Of the gatekeepers, 20·9 % had a low level of education and 42·7 % had a high level of education.ResultsIn 70 % of the households, eight or more packages of processed snack foods were present. In 54 % of the households, processed snack foods were stored close to non-processed food items and in 78 % of households close to non-food items. In 33 % of the households, processed snack foods were visible in the kitchen and in 15 % of the households processed snack foods were visible in the living room. Of the dinnerware items, 14 % (plates), 57 % (glasses), 78 % (dessert bowls), 67 % (soup bowls) and 58 % (mugs) were larger than the reference norms of the Netherlands Nutrition Centre Foundation. Older gatekeepers used significantly smaller dinnerware than younger gatekeepers.ConclusionsEnvironmental factors endorsing overconsumption are commonly present in the home environments of overweight people and could lead to unplanned eating or passive overconsumption.

scholarly journals Associations of sleep quality, quantity and nutrition in oldest-old men The Helsinki Businessmen Study (HBS)

2020 ◽  
Author(s):  
Satu K. Jyväkorpi ◽  
Annele Urtamo ◽  
Mika Kivimäki ◽  
Timo E. Strandberg
Keyword(s):  
Nutritional Status ◽  
Sleep Quality ◽  
Nutritional Assessment ◽  
Vegetable Intake ◽  
Short Form ◽  
Oldest Old ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Old Men

Abstract Introduction Sleep quality and quantity often decline as people age, which may negatively impact health. We examined how nutrition is associated with self-reported sleep quality and quantity in oldest-old community-dwelling men. Methods In this cross-sectional analysis of the Helsinki Businessmen Study (HBS), a random sample of 130 surviving participants underwent a clinical examination in 2017–2018. Food and nutrient intakes were retrieved from 3-day food diaries in 126 men, and sleep quality and quantity were determined with a questionnaire. Nutritional status was assessed using Mini Nutritional Assessment Short Form (MNA-SF), General Health and Vitality were measured with RAND-36/SF-36 health-related quality of life instrument, and albumin and creatinine levels were analyzed from fasting serum samples. Results Mean age of the survivors was 87 years (range 83–99). Self-reported sleep quality and quantity were highly correlated (p < 0.001, η2 = 0.693). Nutritional status (MNA-SF) (p = 0.006, η2 = 0.076), vegetable intake (p = 0.030. η2 = 0.041) and vitality (p = 0.008, η2 = 0.101) were associated with better sleep quality and fish (p = 0.028, η2 = 0.051) intake was associated with longer sleep duration. This association remained after adjusting for age, sleep quality, carbohydrate energy %, and albumin levels. Conclusion Healthy nutrition may be an important contributor to sleep hygiene in oldest-old men.

scholarly journals Ethnic differences in frailty: a cross-sectional study of pooled data from community-dwelling older persons in the Netherlands

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e022241 ◽  
Author(s):  
Carmen Betsy Franse ◽  
Amy van Grieken ◽  
Li Qin ◽  
Rene J F Melis ◽  
Judith A C Rietjens ◽  
...  
Keyword(s):  
The Netherlands ◽  
Older Persons ◽  
Living Arrangement ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Ethnic Background ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pooled Data

ObjectiveFew European studies examined frailty among older persons from diverse ethnic backgrounds. We aimed to examine the association of ethnic background with frailty. In addition, we explored the association of ethnic background with distinct components that are considered to be relevant for frailty.Design and settingThis was a cross-sectional study of pooled data of The Older Persons and Informal Caregivers Survey Minimum DataSet (TOPICS) in the Netherlands.ParticipantsCommunity-dwelling persons aged 55 years and older with a Dutch, Indonesian, Surinamese, Moroccan or Turkish ethnic background were included (n=23 371).MeasurementsFrailty was assessed with the validated TOPICS-Frailty Index that consisted of 45 items. The TOPICS-Frailty Index contained six components: morbidities, limitations in activities of daily living (ADL), limitations in instrumental ADL, health-related quality of life, psychosocial health and self-rated health. To examine the associations of ethnic background with frailty and with distinct frailty components, we estimated multilevel random-intercept models adjusted for confounders.ResultsTOPICS-Frailty Index scores varied from 0.19 (SD=0.12) among persons with a Dutch background to 0.29 (SD=0.15) in persons with a Turkish background. After adjustment for age, sex, living arrangement and education level, persons with a Turkish, Moroccan or Surinamese background were frailer compared with persons with a Dutch background (p<0.001). There were no significant differences in frailty between persons with an Indonesian compared with a Dutch background. The IADL component scores were higher among all groups with a non-Dutch background compared with persons with a Dutch background (p<0.05 or lower for all groups).ConclusionsCompared with older persons with a Dutch background, persons with a Surinamese, Moroccan or Turkish ethnic background were frailer. Targeted intervention strategies should be developed for the prevention and reduction of frailty among these older immigrants.

scholarly journals Religiosity and Spirituality and the Intake of Fruit, Vegetable, and Fat: A Systematic Review

2013 ◽  
Vol 2013 ◽  
pp. 1-18 ◽  
Author(s):  
Min-Min Tan ◽  
Carina K. Y. Chan ◽  
Daniel D. Reidpath
Keyword(s):  
Vegetable Intake ◽  
Positive Association ◽  
Fruit And Vegetable Intake ◽  
Future Research ◽  
Fat Intake ◽  
Religion And Spirituality ◽  
Fruit And Vegetable ◽  
Positive Health ◽  
Cross Sectional ◽  
Religiosity And Spirituality

Objectives. To systematically review articles investigating the relationship between religion and spirituality (R/S) and fruit, vegetable, and fat intake.Methods. PubMed, CINAHL, and PsycInfo were searched for studies published in English prior to March 2013. The studies were divided into two categories: denominational studies and degree of R/S studies. The degree of R/S studies was further analyzed to (1) determine the categories of R/S measures and their relationship with fruit, vegetable, and fat intake, (2) evaluate the quality of the R/S measures and the research design, and (3) determine the categories of reported relationship.Results. Thirty-nine studies were identified. There were 14 denominational studies and 21 degree of R/S studies, and 4 studies were a combination of both. Only 20% of the studies reported validity and 52% reported reliability of the R/S measures used. All studies were cross-sectional, and only one attempted mediation analysis. Most studies showed a positive association with fruit and vegetable intake and a mixed association with fat intake.Conclusion. The positive association between R/S and fruit and vegetable intake may be one possible link between R/S and positive health outcome. However, the association with fat intake was mixed, and recommendations for future research are made.

scholarly journals General parenting styles are not strongly associated with fruit and vegetable intake and social–environmental correlates among 11-year-old children in four countries in Europe

2009 ◽  
Vol 12 (2) ◽  
pp. 259-266 ◽  
Author(s):  
I De Bourdeaudhuij ◽  
SJ te Velde ◽  
L Maes ◽  
C Pérez-Rodrigo ◽  
MDV de Almeida ◽  
...  
Keyword(s):  
The Netherlands ◽  
Parenting Styles ◽  
Primary Schools ◽  
Vegetable Intake ◽  
Health Behaviours ◽  
Fruit And Vegetable ◽  
Cross Sectional ◽  
Environmental Correlates ◽  
Social Environmental ◽  
General Parenting

AbstractObjectivesTo investigate whether fruit and vegetable (F&V) intake in 11-year-olds, and social–environmental correlates of F&V intake such as parental modelling and encouragement, family food rules and home availability, differ according to general parenting styles in Belgium, The Netherlands, Portugal and Spain.DesignCross-sectional study.SettingPrimary schools in four countries.SubjectsPupils and one of their parents completed questionnaires to measure F&V intake, related social–environmental correlates and general parenting styles. The sample size was 4555 (49·3 % boys); 1180 for Belgium, 883 for The Netherlands, 1515 for Portugal and 977 for Spain. Parenting styles were divided into authoritative, authoritarian, indulgent and neglectful.ResultsNo differences were found in F&V intake across parenting styles and only very few significant differences in social–environmental correlates. The authoritarian (more parental encouragement and more demands to eat fruit) and the authoritative (more availability of fruit and vegetables) parenting styles resulted in more favourable correlates.ConclusionDespite earlier studies suggesting that general parenting styles are associated with health behaviours in children, the present study suggests that this association is weak to non-existent for F&V intakes in four different European countries.

scholarly journals Utilization of Screening Mammograms in the Medicare Population Before and After the Affordable Care Act Implementation

2018 ◽  
Vol 32 (1-2) ◽  
pp. 25-32
Author(s):  
Laura M. Bozzi ◽  
Bruce Stuart ◽  
Eberechukwu Onukwugha ◽  
Sarah E. Tom
Keyword(s):  
Affordable Care Act ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Future Research ◽  
Fee For Service ◽  
Cross Sectional ◽  
Before And After ◽  
The Affordable Care Act ◽  
Screening Mammograms ◽  
Adjusted Logistic Regression

Objective: This study examined screening mammograms in women aged 65 to 74 years and 75+ years before and after the Affordable Care Act (ACA) implementation. Method: This repeated cross-sectional study of community-dwelling women age 65+ years without a history of breast cancer or mastectomy utilized the Medicare Current Beneficiary Survey and Medicare fee-for-service claims data from 2001 to 2013. We used covariate-adjusted logistic regression with generalized estimating equations, stratified by age group. Results: The adjusted odds of screening mammograms in women aged 65-74 ( n = 742) and 75+ years ( n = 681) were lower in 2013 (odds ratio [OR]: 0.75, 95% confidence interval [CI]: [0.67, 0.83]; OR: 0.67, 95% CI: [0.60, 0.75], respectively) than the odds of screening mammograms in 2001. Discussion: Annual screening mammograms decreased in women aged 65 to 74 years and 75+ years, despite increased access from the ACA implementation. Future research as to why women are no longer receiving screening mammograms, such as changes in physician specialty guidelines, is warranted.

Gender Differences in Health Literacy Among Korean Adults

2014 ◽  
Vol 9 (5) ◽  
pp. 370-379 ◽  
Author(s):  
Hee Yun Lee ◽  
Jiwoo Lee ◽  
Nam Keol Kim
Keyword(s):  
Gender Differences ◽  
Health Literacy ◽  
Health Care Providers ◽  
Community Dwelling ◽  
Future Research ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Men And Women ◽  
Korean Adults

The role of gender in determining the level of health literacy in Korean adults is unclear. This study aimed to investigate the level of health literacy in Korean adults and identify factors associated with health literacy by gender. This study employed a cross-sectional survey design with a convenient sample of 585 community-dwelling Korean adults age19 years and older. Health literacy was measured by using eight items selected from Chew et al.’s 16-question self-reported health literacy measure. In accordance with Andersen’s health behavior model, predisposing, enabling, and need factors were included in the multiple regression model. Women indicated a higher level of health literacy than men in understanding medical forms, directions on medication bottles, and written information offered by health care providers. Additionally, for Korean women, a higher level of health literacy was associated with attaining a higher education level and having a consistent place to receive care. Unmarried men and men who had higher self-rated health reported a higher level of health literacy compared with their counterparts. Lower level of depression and higher monthly income were significantly linked to a higher level of health literacy in both men and women. This study has established the importance of gender differences in health literacy and suggests gender-specific intervention may be warranted to reduce the existing gap in health literacy in both Korean men and women. Future research should replicate this study to confirm whether or not our finding is an international phenomenon.

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