scholarly journals A typical working-day breakfast among children, adolescents and adults belonging to the middle and upper socio-economic classes in Mumbai, India – challenges and implications for dietary change

2012 ◽  
Vol 15 (11) ◽  
pp. 2040-2046 ◽  
Author(s):  
Malathi Sivaramakrishnan ◽  
Vidya Kamath

AbstractObjectiveBreakfast has been linked to several aspects of health, yet breakfast skipping is rampant across the globe. Studies in India have focused mostly on children. Hence the present study examined breakfast behaviour across different age and gender groups.DesignCross-sectional sample, purposive sampling. Nutrient intakes of the participants derived from 24 h dietary recall and 3 d breakfast record data were compared with RDA values prescribed by the Indian Council of Medical Research using Student'sttest, withP< 0·05 taken to indicate significance.SettingMumbai, India.SubjectsParticipants (n1027) aged 8 years and above.ResultsNutritional adequacy of the breakfast meal and that of the day's diet were the main outcome measures. Eighty-one per cent of the participants had a nutritionally inadequate breakfast. Intakes of Fe and dietary fibre were notably low. Consumption of just milk or milk plus a milk food-based drink among schoolchildren (49 %) and increased breakfast skipping among adolescents (37 %) were seen.ConclusionsThe study identifies both irregularities and/or nutritional inadequacies with respect to the breakfast meal. Age- and gender-specific challenges in breakfast behaviour need to be addressed. Development of ‘nutrient-dense’ breakfast foods that can be prepared easily, school breakfast programmes and education on the importance of breakfast are the needs of the hour.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei Liao ◽  
Zhicheng Luo ◽  
Yitan Hou ◽  
Ningning Cui ◽  
Xiaotian Liu ◽  
...  

Abstract Background This is a cross-sectional study to explore the age and gender specific association between obesity and depression in Chinese rural adults. Methods A total of 29,900 eligible participants from the Henan Rural Cohort Study were included. Standard anthropometric measurements were undertaken to obtain data on body mass index (BMI) and waist circumference (WC). The Patient Health Questionnaire-2 (PHQ-2) was utilized to discover depressive symptoms. Logistic regression was performed to explore the association between obesity (independent variable) and depressive symptoms (dependent variable). Results There were 1777 subjects with depressive symptoms, accounting for 5.94%. After multivariable adjustment, compared with normal weight group, the odds ratios (ORs) [95% confidence interval (CI)] for depressive symptoms in underweight, overweight and general obese groups were 1.41 (1.08–1.84), 0.87 (0.78–0.97) and 0.86 (0.74–0.99), respectively. Similarly, the OR (95% CI) of abdominal obesity group was 0.84 (0.76–0.93). Besides, there was linear decreasing trend of WC with depressive symptoms, but not BMI. Moreover, the inverse association between obesity and depressive symptoms was stronger in men and the elderly than that in women and the young. Conclusion Underweight was associated with a higher prevalence of depressive symptoms, which indicated that health care should pay attention to underweight as well as obesity, especially for women and the young. Clinical trial registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.


2018 ◽  
Vol 31 (2) ◽  
pp. 185-190
Author(s):  
Vaman Khadilkar ◽  
Shashi Chiplonkar ◽  
Veena Ekbote ◽  
Neha Kajale ◽  
Rubina Mandlik ◽  
...  

Abstract Background: Childhood obesity and its consequences have reached alarming proportions worldwide and in India. Wrist circumference is emerging as an easily measurable reproducible parameter for screening children at risk of obesity-related morbidities such as hypertension and insulin resistance. The objectives of this study were: (1) to compute age and gender-specific wrist circumference percentiles for 3–18-year-old apparently healthy Indian children and adolescents; (2) to assess the relationship of wrist circumference with measures of obesity and adiposity such as body mass index (BMI), fat percentage and blood pressure (BP) and (3) to suggest age and gender-specific cut-offs for wrist circumference percentile for the risk of hypertension in Indian children and adolescents. Methods: This was a cross-sectional study on samples of 10,199 3–18-year-old children (5703 boys) from randomly selected schools from five major cities in India. Height, weight, waist and wrist circumference and BP were recorded. Body composition was measured using bioelectrical impedance analysis (BIA). Wrist circumference percentiles were computed using the LMS method. Results: The average wrist circumference of boys and girls was 10.4 cm and 10.0 cm at 3 years and increased to 15.1 cm and 13.9 cm, respectively, at 18 years. Compared to their Caucasian counterparts, Indian children’s wrists were smaller. Receiver operating characteristic (ROC) curve analysis derived the 70th percentile of wrist circumference as the cut-off for identifying the risk of hypertension. Conclusions: Contemporary cross-sectional reference percentile curves for wrist circumference for 3–18-year-old Indian children are presented. The 70th percentile of the current study is proposed as the cut-off to screen children for cardiometabolic risk factors such as hypertension.


2021 ◽  
Author(s):  
Juping Liu ◽  
Jie Hao ◽  
Ye Zhang ◽  
Kai Cao ◽  
Xiaorong Li ◽  
...  

Abstract Background The sagittal abdominal diameter (SAD) is more precise than body mass index (BMI) for predicting adverse events in elderly. While physical function and BMI is related, the relationship is uncertain. BMI and gait speed (GS) is related and have a U-shaped distribution. The objective was to examine the relationship between GS and SAD in men and women aged 50 years and older. Methods This was a cross-sectional analysis. Data from the Handan Eye Study (HES), a Chinese prospective longitudinal study with participants randomly selected from the Yongnian county. Usual GS was measured over a 4 meters-track. SAD was categorized by interquartile: <18.0cm; 18.0-19.79cm; 19.8-21.89cm; ≥21.9cm. Unadjusted and adjusted analyses of covariance were performed to estimate the gender-specific means (and 95% CI) of GS (in m/s) according to SAD categories. Results The current analyses were performed in 2852 participants. Mean age was 56.16 years for women and 56.54 years for men. The unadjusted means of GS were 0.995 (95% CI 0.972-1.019) m/s in SAD Q1 participants, 0.991 (95% CI 0.968-1.014) m/s in SAD Q2, 0.986 (95% CI 0.964-1.007) m/s in SAD Q3 and 0.961 (95% CI 0.937-0.985) m/s in SAD Q4 individuals in women. The similar trend presented in men [Q1: 0.993 (95%CI 0.969-1.016) m/s; Q2: 0.980 (95%CI 0.956-1.004); Q3: 0.944 (95%CI 0.918-0.970); Q4: 0.948 (95%CI 0.923-0.973)]. After adjustment for age, the reported trends between GS and SAD in categories were largely confirmed in women, but not in men. Conclusions Age and gender should be considered when we explore the relationship between GS and SAD in elderly.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028333 ◽  
Author(s):  
Rey-Hsing Hu ◽  
Fei-Yuan Hsiao ◽  
Li-Ju Chen ◽  
Pei-Ting Huang ◽  
William Wei-Yuan Hsu

ObjectiveAlthough there is accumulating evidence regarding multimorbidity in Western countries, this information is very limited in Asian countries. This study aimed to estimate population-based, age-specific and gender-specific prevalence and trends of multimorbidity in the Taiwanese population.DesignThis was a cross-sectional study based on claims data (National Health Insurance Research Database, Taiwan).ParticipantsThe participants included a subset of the National Health Insurance Research Database, which contains claims data for two million randomly selected beneficiaries (~10% of the total population) under Taiwan’s mandatory National Health Insurance system.Outcome measurementsThe prevalence of multimorbidity in different age groups and in both sexes in 2003 and 2013 was reported. We analysed data on the prevalence of 20 common diseases in each age group and for both sexes. To investigate the clustering effect, we used graphical displays to analyse the likelihood of co-occurrence with one, two, three, and four or more other diseases for each selected disease in 2003 and 2013.ResultsThe prevalence of multimorbidity (two or more diseases) was 20.07% in 2003 and 30.44% in 2013. In 2013, the prevalence varied between 5.21% in patients aged 20–29 years and 80.96% in those aged 80–89 years. In patients aged 50–79 years, the prevalence of multimorbidity was higher in women than in men. In men, the prevalence of chronic pulmonary disease and cardiovascular-related diseases was predominant, while in women the prevalence of osteoporosis, arthritis, cancer and psychosomatic disorders was predominant. Co-occurring diseases varied across different age and gender groups.ConclusionsThe burden of multimorbidity is increasing and becoming more complex in Taiwan, and it was found to vary across different age and gender groups. Fulfilling the needs of individuals with multimorbidity requires collaborative work between healthcare providers and needs to take the age and gender disparities of multimorbidity into account.


2012 ◽  
Vol 21 (5-6) ◽  
pp. 29-48 ◽  
Author(s):  
John Singhammer

Abstract Background: Little is known about age and gender specific attitudes to performance enhancing drugs and methods or other characteristics by which attitudes may vary. Methods: Using a population based cross-sectional sample of 1,703 Danish men and women aged 15-60 years, the present study examined age and gender variation in attitudes to performance enhancing drugs and methods. Response rate was 34 %. Information on attitudes was collected by questionnaire. Results: Overall, participants held negative attitudes to drugs and methods enhancing predominantly cognitive abilities enhancing performance drugs and to appearance modifying methods, but were positive to drugs for restoring physical functioning conditions. However, attitudes varied nonlinearly across age. Lenient attitudes peaked at age around 25 and subsequently decreased. Lenient attitudes to use of drugs against common disorders decreased in a linear fashion. No gender differences were observed and attitude did not vary with level of education, self-reported health or weekly hours of physical activity. Conclusion: The present study expands existing knowledge about attitudes toward PEDM with respect to age and gender specific differences. Future studies should take age variations into account, when examining attitudes to PEDM in the general population.


2021 ◽  
Vol 15 (1) ◽  
pp. 27-30
Author(s):  
Hamzullah Khan ◽  
Fawad Khan ◽  
Zahid Khan ◽  
Naseer Ahmed ◽  
Waseemyar Khan

 Background: In Pakistan 28.7% of the population had some degree of goiter. Out of those 40% of the nodules behaved hyperthyroidism based on the lower-than-normal values of thyroid stimulating hormones (TSH). Present study was designed as to determine the screening of thyroid disorders on the basis Thyroid Stimulating Hormone (TSH) in age and gender groups in a hospital-based study. Patients and methods: This cross-sectional study was conducted in Qazi Hussain Ahmed Medical Complex Nowshera from March 2019 to Jan 2020. Total 392 cases, 167 (42.6%) males and 225 (57.4%) females were included. All patients referred to pathology laboratory for measurement of TSH levels irrespective of age and gender were included to measure incidence of hyper, hypo or euthyroid status. Exclusion criteria were patients taking medications or iodine supplementation. Numerical variables like age and TSH values were presented with Mean with SD, Median and range. Inferential statistics and correlation statistics (chi-Square, ANOVA, Mann-Whitney U test and Spearman correlation) were used to determine the difference of TSH values in gender and age groups. Results: Mean age of the patients was 31+8.1 years. Mean TSH was 5.22+16.5 ng/ml. The difference of TSH values in the age categories using one way ANOVA statistics was insignificant (p = 0.15). Mann Whitney U Test confirmed that the distribution of TSH is the same across the categories of gender (p=0.001). Total 55 (14%) patients were hyperthyroid, and 23 (5.9%) mild hypothyroid and 30 (7.7%) hypothyroid. Chi square test showed the relation of gender with hypo and hyperthyroidism as statistically isignificant ( p= 0.18, p=0.8) respectively. Spearman ranked correlation test showed a mild to moderate inverse correlation of hypothyroidism with increase in age categories (p=0.88, r=-0.47) and a moderate uphill correlation of hyperthyroidism with increase in age categories, again statistically insignificant (p= 0.31, r=0.51). Conclusion: We observed a skewed distribution of TSH in our population. On the basis of the TSH values the thyroid disorders were categorized in hyper and hypothyroidism. There was a negative correlation of Hypothyroidsim (TSH<0.4) with age. While a positive correlation of age was noted with hyperthyroidism. While no significant relationship of hyper or hypothyroidism was noted in gender groups.


2006 ◽  
Vol 35 (5) ◽  
pp. 721-733 ◽  
Author(s):  
C. Shanthi Johnson ◽  
William McLeod ◽  
Laura Kennedy ◽  
Katherine McLeod

The purpose of this study was to compare osteoporosis health beliefs among different age and gender groups. This study used a cross-sectional design, involved 300 participants that represent both genders and three age groups (18 to 25, 30 to 50, and 50-plus), and assessed osteoporosis health beliefs using the Osteoporosis Health Belief Scale (OHBS). Factor analysis revealed three subscales of OHBS: perceived susceptibility, seriousness of the condition, and health motivation to take preventative actions with acceptable levels of reliability. Significant age and gender differences were observed in the susceptibility scores of the OHBS. The perceived seriousness of the osteoporosis scores was similar across all age and gender groups, as was health motivation. These results highlight the need for osteoporosis awareness programs targeting different aspects of belief perceptions, specifically for younger women and men.


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1603-P
Author(s):  
GYORGY JERMENDY ◽  
ZOLTAN KISS ◽  
GYÖRGY ROKSZIN ◽  
IBOLYA FÁBIÁN ◽  
ISTVAN WITTMANN ◽  
...  

Author(s):  
Lene Arnett Jensen

This chapter introduces The Oxford Handbook of Moral Development: An Interdisciplinary Perspective. The handbook provides a comprehensive, international, and up-to-date review of research on moral development, including moral motives and behaviors, ontogeny and developmental pathways, and contexts that children, adolescents, and adults experience with respect to morality. Across more than 40 chapters, experts from disciplines such as anthropology, education, human development, psychology, and sociology address moral development through the entire life course among diverse groups within and across countries. This chapter addresses how the chapters provide literature reviews that are inclusive of highly diverse theoretical and research foci, as well as of diverse cultural, socioeconomic, and gender groups. The aim of the handbook is to contribute to the revitalization and flourishing of the field of moral development.


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