scholarly journals A new measure of health motivation influencing food choices and its association with food intakes and nutritional biomarkers in European adolescents

2020 ◽  
pp. 1-11 ◽  
Author(s):  
Thanise Sabrina Souza Santos ◽  
Cristina Julián ◽  
Silvana Ligia Vincenzi ◽  
Dalton Francisco de Andrade ◽  
Betzabeth Slater ◽  
...  

Abstract Objective: To develop a scale to assess health motivation influencing food choices and to explore its performance in the associations with food intakes and nutritional biomarkers. Design: Psychometric study using cross-sectional self-report questionnaires and nutritional biomarkers. Setting: Multi-centre investigation conducted in ten European cities. Participants: 2954 adolescents who were included in the HELENA study and completed the Food Choices and Preferences (FCP) questionnaire. Results: Nineteen out of 124 items of the FCP questionnaire were in the same dimension. Sixteen presented adequate parameters for the Scale of evaluatiOn of Food choIcEs (SOFIE). The scores were positively associated with the intakes of cereals, dairy products, meats and eggs, and fish, as well as with blood concentrations of vitamin C, β-carotene, n-3 fatty acids, cobalamin, holo-transcobalamin and folate; scores were negatively associated with the intake of alcohol. Conclusions: SOFIE can improve the assessment of motivation influencing food choices based on items with the best performance and is proposed as a new measure to health-related studies.

2021 ◽  
pp. 002076402110025
Author(s):  
Bárbara Almeida ◽  
Ana Samouco ◽  
Filipe Grilo ◽  
Sónia Pimenta ◽  
Ana Maria Moreira

Background: Physicians, including psychiatrists and general practitioners (GPs), have been reported as essential sources of stigma towards people diagnosed with a mental disorder (PDMDs), which constitutes an important barrier to recovery and is associated with poorer clinical outcomes. Therefore, psychiatrists and GPs are key populations where it is crucial to examine stigma, improve attitudes and reduce discrimination towards psychiatric patients. Aims: This study is the first to explore mental health-related stigma among Portuguese psychiatrists and GPs, examining the differences between these two specialities and assessing whether sociodemographic and professional variables are associated with stigma. Method: A cross-sectional study was performed between June 2018 and August 2019. A consecutive sample of 55 Psychiatrists and 67 GPs working in Porto (Portugal) filled a 25-item self-report questionnaire to assess their attitudes towards PDMDs in clinical practice. The instrument was designed by the authors, based on previous mental health-related stigma studies and validated scales. The questionnaire includes 12 stigma dimensions ( Autonomy, Coercion, Incompetence, Dangerousness, Permanence, Pity, Responsibility, Segregation, Labelling, Diagnostic Overshadowing, Shame and Parental Incompetence), and its total score was used to measure Overall Stigma (OS). Sample characteristics were examined using descriptive statistics, and the factors affecting stigma were assessed through regression analysis. Results: GPs exhibit significantly higher OS levels than psychiatrists, and present higher scores in the dimensions of dangerousness, parental incompetence, diagnostic overshadowing and responsibility. Besides medical speciality, several other sociodemographic variables were associated with sigma, including age, gender, having a friend with a mental disorder, professional category, agreement that Psychiatry diverges from core medicine and physician’s interest in mental health topics. Conclusions: Our data suggest that both psychiatrists and GPs hold some degree of stigmatizing attitudes towards PDMDs. Overall, these results bring new light to stigma research, and provide information to tailor anti-stigma interventions to Portuguese psychiatrists and GPs.


2021 ◽  
Author(s):  
Shinya Tsuzuki ◽  
Yusuke Miyazato ◽  
Mari Terada ◽  
Shinichiro Morioka ◽  
Norio Ohmagari ◽  
...  

AbstractBackgroundThe empirical basis for a quantitative assessment of the disease burden imposed by long-COVID is currently scant. We aimed to assess the disease burden caused by long-COVID in Japan.MethodsWe conducted a cross sectional self-report questionnaire survey. The questionnaire was mailed to 530 eligible patients, who were recovered from acute COVID-19 in April 2021. Answers were classified into two groups; participants who have no symptom and those who have any ongoing symptoms that lasted longer than four weeks at the time of the survey. We compared health-related quality of life scores estimated by the EQ-5D-3L questionnaire between these two groups after adjusting basic characteristics of the participants by propensity score matching.Results349 participants reported no symptoms and 108 reported any symptoms at the time of the survey. The participants who reported any symptoms showed a lower value on a Visual Analogue Scale (median 70 [IQR 60-80]) and on the EQ-5D-3L (median 0.81 [IQR 0.77-1.0]) than those reporting no symptoms (median 85 [IQR 75-90] and 1.0 [IQR 1.0-1.0], respectively). After adjusting for background characteristics, these trends did not change substantially (Visual Analog Scale: median 70 [IQR 60-80] vs 80 [IQR 77-90], EQ-5D-3L: median 0.81 [IQR 0.76-1.0] vs 1.0 [IQR 1.0-1.0]).ConclusionsDue to their long duration, long-COVID symptoms represent a substantial disease burden expressed in impact on health-related quality of life.Trial registrationNot applicable.


2021 ◽  
Author(s):  
Shinya Tsuzuki ◽  
Yusuke Miyazato ◽  
Mari Terada ◽  
Shinichiro Morioka ◽  
Norio Ohmagari ◽  
...  

Abstract Background: The empirical basis for a quantitative assessment of the disease burden imposed by long-COVID is currently scant. We aimed to assess the disease burden caused by long-COVID in Japan.Methods: We conducted a cross sectional self-report questionnaire survey. The questionnaire was mailed to 530 eligible patients, who were recovered from acute COVID-19 in April 2021. Answers were classified into two groups; participants who have no symptom and those who have any ongoing symptoms that lasted longer than four weeks at the time of the survey. We compared health-related quality of life scores estimated by the EQ-5D-3L questionnaire between these two groups after adjusting basic characteristics of the participants by propensity score matching.Results: 349 participants reported no symptoms and 108 reported any symptoms at the time of the survey. The participants who reported any symptoms showed a lower value on a Visual Analogue Scale (median 70 [IQR 60-80]) and on the EQ-5D-3L (median 0.81 [IQR 0.77-1.0]) than those reporting no symptoms (median 85 [IQR 75-90] and 1.0 [IQR 1.0-1.0], respectively). After adjusting for background characteristics, these trends did not change substantially (Visual Analog Scale: median 70 [IQR 60-80] vs 80 [IQR 77-90], EQ-5D-3L: median 0.81 [IQR 0.76-1.0] vs 1.0 [IQR 1.0-1.0]).Conclusions: Due to their long duration, long-COVID symptoms represent a substantial disease burden expressed in impact on health-related quality of life.Trial registration: Not applicable.


Author(s):  
Alexandra Fretian ◽  
Torsten Michael Bollweg ◽  
Orkan Okan ◽  
Paulo Pinheiro ◽  
Ullrich Bauer

Low health literacy is considered to lead to worse health-related outcomes and behaviors and has therefore been recognized as a social determinant of health. While health literacy and its potential determinants have been studied in adults, little research has been conducted with children. This study aims to address this research gap by investigating factors associated with children’s subjective health literacy. Cross-sectional data was collected from fourth graders at German schools with a self-report questionnaire. Sociodemographic characteristics, health-related attitudes, and motivation were analyzed. We used hierarchical multivariate linear regression to explain variance in the dependent variable “subjective health literacy”. A total of n = 907 fourth graders were surveyed. Regarding health literacy, eight out of ten participants (82.2%) reported that it was “rather easy” or “very easy” to deal with health-related information. Family affluence, but not language spoken at home, was significantly related to subjective health literacy, after controlling for confounding. Moreover, parental health orientation, self-efficacy, and motivation are factors significantly associated with health literacy. Based on the results of this study, it is hypothesized that a general motivation to learn new things about health, as well as an environment promoting health-positive behavior, might foster children’s health literacy.


Author(s):  
Johana Alejandra Moreno-Drada ◽  
Alex Junio Silva da Cruz ◽  
Matheus Luis Soares de Faria ◽  
Luís Otávio Miranda Cota ◽  
Maria Auxiliadora Parreiras Martins ◽  
...  

To evaluate factors associated with oral health-related quality of life (OHRQoL) in patients under oral anticoagulant therapy with warfarin, a cross-sectional study was conducted. Validated questionnaires assessed self-reported periodontal disease, demographic variables, and OHRQoL using the short version of the Oral Health Impact Profile (OHIP-14) instrument. After calibration (Kappa > 0.60), an examiner evaluated patients’ experience with dental caries and the need for dental prostheses. Statistical analysis involved proportions and measures of central tendency. Negative binomial regression models were used to estimate the rate ratios (RR) and the corresponding 95% confidence interval (CI). The sample consisted of 158 individuals, with a mean age of 58.8 years (SD = 12.1), of which 62.7% of the participants were women. The OHIP-14 mean was 10.62 (SD = 10.92). A higher OHIP-14 total score (worse OHRQoL) was associated with ethnic group, age, periodontal disease self-report, dental caries, and oral health self-report. Demographic and clinical factors can negatively influence the perception of anticoagulated patients on OHRQoL.


2017 ◽  
pp. 12-18 ◽  
Author(s):  
Darío Fernando Gaitán López ◽  
Jorge Enrique Correa Bautista ◽  
Stefano Vinaccia ◽  
Robinson Ramírez Vélez

Objective: To describe by self-report the HRQoL among schoolchildren from Bogotá, Colombia belonging to the FUPRECOL study. Methods: A cross-sectional study in 3,245 children and 3,354 adolescents, between 9 and 17.9 years old, participated in the study. Spanish version of the EQ-5D-Y was self-assessment. Percentages of missing values and reported problems were calculated. The data was analyzed by measurement of central tendency stratified by age group, and to compare them to international references. Results: A total of 58.3%, (n= 3,848) were women. In all ages, the HRQoL was higher in boys than in girls. To compare by sex, the dimensions of the EQ-5D-Y "feeling worried, sad or unhappy" and "having pain or discomfort", showed the highest frequency among women. Overall, our HRQoL were higher than South Africa, Germany and Italy references. Conclusion: The HRQoL was higher in boys than in girls The HRQoL. The dimensions of the EQ-5D-Y "feeling worried, sad or unhappy" and "having pain or discomfort", showed the highest frequency. The HRQoL by age and sex may be used in the evaluation of the health perceived among schoolchildren from Bogotá.


CNS Spectrums ◽  
2020 ◽  
pp. 1-8
Author(s):  
Andre P. Bezerra ◽  
Myrela O. Machado ◽  
Michel Maes ◽  
Donatella Marazziti ◽  
Paulo R. Nunes-Neto ◽  
...  

Abstract Background. Relatively few studies have assessed the prevalence, correlates, and independent impact on quality of life (QoL) of trichotillomania (TTM) in large samples. Methods. Consecutive participants (N = 7639) were recruited from a cross-sectional web-based study. Sociodemographic data were collected and several validated self-reported mental health measures were completed (Minnesota Impulsive Disorders Interview, Hypomania checklist, Fagerström Test for Nicotine Dependence, Alcohol Use Disorders Identification Test, Early Trauma Inventory Self Report–Short Form, and the Symptom Checklist-90–Revised Inventory). Health-related QoL was assessed with the World Health Organization QoL abbreviated scale (WHOQOL-Bref). Multivariable models adjusted associations to potential confounders. Results. The sample was predominantly composed of young females (71.3%; mean age: 27.2 ± 7.9 years). The prevalence of probable TTM was 1.4% (95% confidence intervals [CI]: 1.2-1.7), and was more common among females. Participants with probable TTM had a greater likelihood of having co-occurring probable depression (adjusted odds ratio [ORadj] = 1.744; 95% CI: 1.187-2.560), tobacco (ORadj = 2.250; 95% CI: 1.191-4.250), and alcohol (ORadj = 1.751; 95% CI: 1.169-2.621) use disorders. Probable TTM was also independently associated with suicidal ideation (ORadj = 1.917; 95% CI: 1.224-3.003) and exposure to childhood sexual abuse (ORadj = 1.221; 95% CI: 1.098-1.358). In addition, a positive screen for TTM had more impaired physical and mental QoL. Conclusions. TTM was associated with a positive screen for several psychiatric comorbidities as well as impaired physical and psychological QoL. Efforts towards the recognition and treatment of TTM across psycho-dermatology services are warranted.


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1789 ◽  
Author(s):  
Laura Sares-Jäske ◽  
Paul Knekt ◽  
Satu Männistö ◽  
Olavi Lindfors ◽  
Markku Heliövaara

Dieting attempts have become popular worldwide. Dieting, however, seems to have both positive and negative health-related consequences. So far, only a few studies have focused on the determinants of dieting in detail. This study explores the association between self-report dieting attempts and intentional weight loss (IWL) during the previous year and several demographic, lifestyle, health, and psychological factors in a cross-sectional study design using data from the representative Finnish Health 2000 Survey. The sample comprised 2147 men and 2378 women, aged 30–69. Information for potential determinants was assembled via health examinations, interviews, and questionnaires. Approximately 24% of the men and 39% of the women reported dieting attempts and 10% of the men and 15% of the women reported IWL. Dieting attempts were associated with younger age, education, BMI, formerly smoking, more favourable values in lifestyle variables, and unfavorable values in serum HDL and triglycerides, a worse sense of coherence, concerns about one’s appearance, and concerns about one’s health. Among men, diabetics and those sleeping ≤6 h a night more frequently reported dieting attempts and those with osteoarthritis reported IWL. Moreover, the gradient between BMI and dieting attempts was significantly stronger in men than in women. Men seem to attempt dieting when they have actual health-related reasons, while such reasons are not so strongly associated with dieting in women. These findings can be used for determining subpopulations with obesity and real weight-loss needs and, alternatively, subpopulations with normal weight unnecessarily attempting dieting.


2013 ◽  
Vol 10 (5) ◽  
pp. 656-668 ◽  
Author(s):  
Huong Q. Nguyen ◽  
Jerald R. Herting ◽  
Ruth Kohen ◽  
Cynthia K. Perry ◽  
Andrea LaCroix ◽  
...  

Background:The goals of this study were to examine 1) longitudinal trajectories of energy expenditure from recreational physical activity (PA) in postmenopausal women, 2) whether women who belong to different PA trajectories engage in different types of PA, and 3) whether baseline sociodemographic, health, psychosocial, and lifestyle characteristics predict membership in PA trajectories.Methods:Women from the Women’s Health Initiative Observational Study with baseline PA data (n = 92,629) were included. Physical activity, measured via self-report 6 times over 8 years, was converted to MET hr/wk for analysis. Latent growth curve mixture models and latent profile models were used to analyze longitudinal PA trajectories and cross-sectional PA composition, respectively.Results:Three distinct, stable PA trajectories (highly, moderately, and minimally active) were identified with nearly 75% of the women classified as minimally active (≤ 8 MET-hr/wk). The majority of women who were at least moderately active engaged in a balanced combination of walking, moderate, and vigorous PA. Sociodemographic characteristics such as income, education, and past vigorous PA were predictive of PA trajectory, as were some health status indicators (eg, body mass index), but not health related quality of life.Conclusions:Self-reported PA is largely stable across nearly a decade of follow-up in postmenopausal women.


2021 ◽  
Author(s):  
Wei Zhang ◽  
Yadan Wang ◽  
Weijie Li ◽  
Jie Du

Abstract Background: In recent years, with the popularization of Western diet, the prevalence of asthma has continued to rise; Oxidative stress is thought to be an important mechanism of asthma. Carotenoids, as antioxidants, may reduce the risk of asthma, but previous studies have been controversial. In this study, we aimed to investigate the association between dietary carotenoid intakes and asthma using data from a nationally representative sample of U.S. adults.Methods: In this cross-section study, all the data were accessed from National Health and Nutrition Examination Survey (NHANES) 2007–2012. Asthma was defined by self -report questionnaires and the dietary carotenoids data were estimated from a 24-hour recall. Weighted multivariable linear regression models and the smooth curve fittings were applied to explore the association between total carotenoid intake, dietary carotenoid subgenera including (α-carotene, β-carotene, β-cryptoxanthin, lutein with zeaxanthin, and lycopene) and the risk of asthma. Results: The present study included a total of 13039 participants, 1784 of whom were defined as having current asthma. Intakes of all kinds of carotenoids were lower in those participants with current asthma. The odds ratios with 95% confidence intervals of dietary α-carotene, dietary β-carotene, dietary β-cryptoxanthin, total lutein with zeaxanthin, total lycopene and total carotenoid intake for individuals with current asthma after adjusting the confounders in Model 3 were 0.80(0.67-0.95), 0.65(0.55-0.77), 0.67(0.53-0.83), 0.70(0.56-0.87), 0.76(0.60-0.98) and 0.60(0.48-0.75) in the highest versus lowest quartile, respectively. The smooth curve fittings suggested a nonlinear relationship between total carotenoid intake and the risk of current asthma.Conclusions: Higher intake of a-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein with zeaxanthin, and total carotenoid were associated with lower odds of having current asthma in the U.S. adults.


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