scholarly journals Clustering of lifestyle factors and association with overweight in adolescents of the Kiel Obesity Prevention Study

2010 ◽  
Vol 13 (10A) ◽  
pp. 1708-1715 ◽  
Author(s):  
Beate Landsberg ◽  
Sandra Plachta-Danielzik ◽  
Dominique Lange ◽  
Maike Johannsen ◽  
Jasmin Seiberl ◽  
...  

AbstractObjectiveTo identify lifestyle clusters in adolescents and to characterize their association with overweight and obesity.DesignCross-sectional and longitudinal data of the Kiel Obesity Prevention Study.SettingSchools in Kiel, Germany.Subjects and methodsCross-sectional data of 1894 adolescents aged 14 years and 4-year longitudinal data of a subsample of 389 children aged 10 and 14 years. Self-reported data of physical activity, modes of commuting to school, media time, nutrition, alcohol consumption and smoking were used to identify lifestyle clusters with two-step cluster analysis. Obesity indices (height, weight, waist circumference and fat mass (FM)) were measured.ResultsThree lifestyle clusters were identified: a ‘low activity and low-risk behaviour’ cluster (cluster 1: n 740, 39·1 %); a ‘high media time and high-risk behaviour’ cluster (cluster 2: n 498, 26·3 %); and a ‘high activity and medium-risk behaviour’ cluster (cluster 3: n 656, 34·6 %). Strictly speaking, none of these clusters was considered to be markedly healthy. The prevalence of overweight and obesity tended to be lower in cluster 3 (15·9 %) than in clusters 1 (20·4 %) and 2 (20·5 %; P = 0·053). Longitudinally, 4-year changes in FM were found to be lowest in cluster 2, but the 4-year incidence rate of obesity was lowest in cluster 3.ConclusionsExplicit healthy lifestyles do not exist, but an active lifestyle reduces the incidence of obesity. In adolescents, health promotion should take into account the diversity of lifestyles and address specific lifestyle clusters.

Author(s):  
Evan Su Wei Shang ◽  
Eugene Siu Kai Lo ◽  
Zhe Huang ◽  
Kevin Kei Ching Hung ◽  
Emily Ying Yang Chan

Although much of the health emergency and disaster risk management (Health-EDRM) literature evaluates methods to protect health assets and mitigate health risks from disasters, there is a lack of research into those who have taken high-risk behaviour during extreme events. The study’s main objective is to examine the association between engaging in high-risk behaviour and factors including sociodemographic characteristics, disaster risk perception and household preparedness during a super typhoon. A computerized randomized digit dialling cross-sectional household survey was conducted in Hong Kong, an urban metropolis, two weeks after the landing of Typhoon Mangkhut. Telephone interviews were conducted in Cantonese with adult residents. The response rate was 23.8% and the sample was representative of the Hong Kong population. Multivariable logistic regressions of 521 respondents adjusted with age and gender found education, income, risk perception and disaster preparedness were insignificantly associated with risk-taking behaviour during typhoons. This suggests that other factors may be involved in driving this behaviour, such as a general tendency to underestimate risk or sensation seeking. Further Health-EDRM research into risk-taking and sensation seeking behaviour during extreme events is needed to identify policy measures.


2008 ◽  
Vol 100 (1) ◽  
pp. 208-218 ◽  
Author(s):  
Sandra Plachta-Danielzik ◽  
Beate Landsberg ◽  
Maike Johannsen ◽  
Dominique Lange ◽  
Manfred James Müller

The aim of the present study was to compare individual associations of BMI, triceps skinfold (TSF), waist circumference (WC) and percentage fat mass (%FM) with blood pressure (BP) and blood lipids in children and adolescents. Cross-sectional data on BMI, TSF, WC, %FM as well as on BP, TAG and HDL were analysed in 4220 (BP) and 729 (lipids) 9–11-year-old children and 3174 (BP) and 536 (lipids) 13–16-year-old adolescents as part of the Kiel Obesity Prevention Study. All obesity indices were similarly associated with BP and blood lipids. In girls, WC had closer correlations to BP than BMI (systolic BP: 0·27 and 0·24 for BMI, 0·34 and 0·28 for WC in 9–11- and 13–16-year-olds). Subjects with an obesity index ≥ 90th percentile had higher prevalences of elevated BP and blood lipids than subjects with a normal index. In children with normal BMI or WC, an additionally elevated second obesity index was associated with a 2·5–7·4-fold higher prevalence of high BP when compared with children with normal indices. In adolescents, an elevated WC plus an elevated second obesity index was associated with a 2·6–8·2-fold higher prevalence of high BP when compared with adolescents with an elevated WC plus a normal second index. We conclude that (i) both BMI and WC are appropriate to estimate CVD risk, (ii) the use of a second obesity index is recommended in children with normal BMI or normal WC as well as in adolescents with elevated WC and (iii) all obesity indices seemed to be appropriate for risk assessment.


Author(s):  
Vijay Kumar ◽  
Deepika Dewan ◽  
Dinesh Kumar

Background: Adolescence is a transition period of rapid growth and development which makes this age group more vulnerable. These vulnerabilities manifest in risk behaviours that predispose them to injuries, violence, suicidal tendencies and sexual abuse in adolescence and in later stages of life. The objective of present study was to assess the health risk behaviour of rural and urban male adolescents concerning injuries, violence and sexuality. Methods: This cross sectional study was conducted among 848 school going adolescents (15-19 years) over a period of one year (2014-2015). Schools were randomly selected using multistage simple random sampling. The youth risk behaviour survey (YRBS) questionnaire was used for data collection. Behaviours regarding driving, carrying weapons, violence, suicidal thoughts and sexual activities were explored. Descriptive statistics was used in form of percentages and proportions. Chi square test was used as a test of significance. Results: Less than half of adolescents surveyed used helmet and seatbelt while 22%reported using mobile phone while driving. Out of total adolescents, 13.7% carried weapons to school while 23.8% damaged or stole other students' property. Adolescents in the urban area were more often threatened or injured with a weapon by someone on school premises as compared to rural counterparts. Nearly half of (47%) urban and 33% of rural ever felt so sad leading to stoppage of usual activities. Only 10.7% adolescents reported having first sexual intercourse out of which nearly one third (38.4%) had not used any method to prevent pregnancy. Conclusions: Adolescents frequently reported high risk behaviour regardless of place of residence and type of school. 


2019 ◽  
Vol 23 (3) ◽  
pp. 437-445 ◽  
Author(s):  
J Sira ◽  
M Brown ◽  
S Ambegaokar ◽  
L Modin ◽  
DA Kelly

Blood borne virus (BBV) infection in adults involved in high risk behaviour is well recognized. There are limited reported data on young people involved in high risk behaviour. A descriptive questionnaire was used to ascertain risk behaviour at the Young People’s Substance Misuse Service (Birmingham). Data collection included risk behaviour and serological tests for hepatitis B, C and HIV. Sixty-five of one-hundred three (63%) young people participated; 37/65 male; age range 13.9–18.9 (median 17.4 years). Risk behaviour included 6 intravenous drug, 58 cannabis, and 61 had sexual partners, of whom 52 (85%) engaged in unprotected sex. Sixty-five participants were negative for BBV infection: 9 were HBV immune. HB vaccination was not available at the centre (for <18 year), and all refused referral to their general practitioner for vaccination due to fear of disclosure. The main risk for BBV acquisition was unprotected sex with multiple sexual partners and illicit drug use. Most were unaware of the risks related to high risk behaviour. Effective education programmes of relevant risk factors with HBV vaccination should be implemented during preadolescence. We recommend an integrated service via specialized centres, to work together to improve awareness and increase efforts to vaccinate adolescents at risk for HBV infection.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Low Pei Kit ◽  
Hazizi Abu Saad ◽  
Rosita Jamaluddin ◽  
Chee Huei Phing

  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.


2016 ◽  
Vol 94 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Yan-qiu Yu ◽  
Jun-jie Xu ◽  
Qing-hai Hu ◽  
Hong-Jing Yan ◽  
Zhe Wang ◽  
...  

ObjectivesTraditionally, subjects' migration status has usually been defined on the basis of their registered residency status. We attempted to redefine migration based on the duration of residency in their cities of migration and to explore more precisely the impact of migration on HIV infection risk in men who have sex with men (MSM).MethodsA multisite cross-sectional study was conducted during 2012–2013 in seven Chinese cities. Questionnaire surveys were conducted and blood was drawn to test for antibodies to HIV, syphilis and herpes simplex virus-2 (HSV-2). MSM who were unregistered local residents and had resided in their cities of migration for ≤1 or >1 year were defined as migrant MSM, or transitional MSM, respectively.ResultsCompared with transitional MSM and local MSM, migrant MSM had poorer HIV knowledge and higher rates of high-risk behaviour, including earlier sexual debut, multiple sexual partners, participation in commercial sex and recreational drug use. Multivariate logistic regression analysis showed that HIV prevalence among migrant MSM was higher than local MSM (p<0.05). This relationship, however, did not hold for transitional MSM and local MSM (p>0.05). Male sex work, recreational drug use, syphilis infection and HSV-2 infection were independently associated with HIV infection among migrant MSM.ConclusionsNon-local MSM with shorter residence were at greater risk of HIV acquisition. More focus should be placed on HIV behavioural interventions targeting non-local MSM with temporary residence.


Author(s):  
Mehar S. Punia ◽  
Anita Punia ◽  
Anish . ◽  
Mayank . ◽  
Sanjeet . ◽  
...  

Background: Use of psychoactive substances by truckers is a common occurrence globally. Truckers have been the objects of a great deal of attention for their high-risk behaviour. Intake of drugs and alcohol by truckers is closely interlinked with high risk sex behaviour. Thus, the present study was pursued to know drug and alcohol consumption pattern.Methods: Cross-sectional study among truckers for more than a year in occupation, aged 18 years and above having residence/operating base in Haryana. Sample of 4000 truckers, 1000 from each from four administrative divisions of Haryana, was taken.Results: About three fourth truckers (77%) were less than 40 years. More than half of truckers (53.2%) consumed alcohol. Only 0.4% truckers confessed of using injectable drugs during last 12 months. 14.9% of truckers confessed of using non-injectable drugs. Ganja, Bhurki and Affim were some of the commonly consumed drugs.Conclusions: Majority truckers (53.2%) consumed alcohol. Drug intake was comparatively less common (14.9%). Injectables were used the least. Directly proportional association of alcohol and drug intake with age, duration of job, non-veg diet among truckers primarily indicated as consequences of long, lonely and harsh occupational conditions. Hence, comprehensive interventions including, improvement in road conditions, entertainment and health facility at halt places, stringent driving license terms and conditions to ensure professional competency and better wages to make truckers life worth living. This will also make them amenable to health education promoting healthy and risk-free behavior among them.


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