scholarly journals Awareness, treatment, control, and determinants of dyslipidemia among adults in China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sampson Opoku ◽  
Yong Gan ◽  
Emmanuel Addo Yobo ◽  
David Tenkorang-Twum ◽  
Wei Yue ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Blood Cholesterol ◽  
Special Focus ◽  
Final Report ◽  
General Obesity ◽  
Middle Aged ◽  
Chinese Adults ◽  
Treatment Control ◽  
Multivariable Logistic Regression

AbstractEffective management of dyslipidemia is important. This study aimed to determine the awareness, treatment, control, and determinants of dyslipidemia in middle-aged and older Chinese adults in China. Using data from the 2015 China National Stroke Screening and Prevention Project (CNSSPP), a nationally representative sample of 135,403 Chinese adults aged 40 years or more were included in this analysis. Dyslipidemia was defined by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults final report (NCEP-ATP III) and the 2016 Chinese guidelines for the management of dyslipidemia in adults. Models were constructed to adjust for subjects’ characteristics with bivariate and multivariable logistic regression analyses. Overall, 51.1% of the subjects were women. Sixty-four percent were aware of their condition, of whom 18.9% received treatment, and of whom 7.2% had adequately controlled dyslipidemia. Dyslipidemia treatment was higher in men from rural areas than their urban counterparts. The multivariable logistic regression models revealed that women, urban residents, and general obesity were positively related to awareness. Women, married respondents, and current drinkers had higher odds of treatment. Age group, overweight, general obesity, urban residence, and women were independent determinants of control. Dyslipidemia awareness rate was moderately high, but treatment and control rates were low. Results can be used to develop policies and health promotion strategies with special focus on middle-aged and older adults.

scholarly journals Levels and Determinants of Complementary Feeding Pattern Exclusive of Minimum Meal Frequency and Dietary Diversity among Children of 6 to 23 Months in Bangladesh

2020 ◽  
Vol 9 (3) ◽  
pp. 28-44
Author(s):  
Naznin Pervin ◽  
Darryl Macer ◽  
Shamima P. Lasker
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Secondary Data ◽  
Feeding Pattern ◽  
Multivariable Logistic Regression Analysis ◽  
Multivariable Logistic Regression ◽  
Effective Interventions ◽  
The Government

Objective: To estimate the level of complementary feeding pattern (CFP) among children aged between 6 to 23 months and to identify the determinants in individual, household and community level in Bangladesh. Methods: From secondary data of Bangladesh Demographic Health Survey (BDHS) 2011 was used in this study. A total of 2,373 children aged between 6 to 23 months were selected. To estimate the level of CFP dimension index and the “score of the index” was used as dependent variables. Statistical analyses and tests were guided by the nature of the variables. Multivariable logistic regression analyses were performed to identify the significant determinants of CFP. Results: The overall level of CFP among children aged between 6 to 23 months was low. More than 95% of the children experienced inadequate (92.7%) CFP level. The mean levels of CFP as well as percentages of no or inadequate (94.1%) CFP were significantly lower among children of the youngest age group (06 months), uneducated parents, unemployed/laborer fathers, socio-economically poor families, food insecure families and rural areas. However, only few variables remained significant for adequate CFP in the multivariable logistic regression analysis. Adequate CFP was significantly lower among the children aged between 6 to 23 months (OR: 0.22, 95% CI: 0.10-0.47), children of illiterate fathers (OR: 0.32, 95% CI: 0.11-0.95) and socio-economically middle-class families (OR: 0.28, 95% CI: 0.09-0.86) as compared to their reference categories. Conclusion: Inappropriate and inadequate CFP may cause serious health hazards among children of 6 to 23 months in Bangladesh. It is ethical to take effective interventions and strategies by the government and other concerned stakeholders to improve the overall situation of CFP in Bangladesh.

scholarly journals 1400Central but not general obesity is positively associated with risk of hyperhomocysteinemia in middle-aged women

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Yingying Wang
Keyword(s):  
Cardiovascular Disease ◽  
Logistic Regression ◽  
Regression Models ◽  
Central Obesity ◽  
Multiple Logistic Regression ◽  
Obese Women ◽  
General Obesity ◽  
Middle Aged ◽  
Logistic Regression Models ◽  
The Relationship

Abstract Background Obesity and homocysteine (Hcy) are two important risk factors for cardiovascular disease (CVD); however, there were conflicting results for the relationship between them. Our study is to explore the associations of general and central obesity with hyperhomocysteinemia (HHcy) in middle-aged women. Methods The current analysis was based on data from 11007 women aged 40-60 years. Height, weight, and waist circumference (WC) were measured and serum homocysteine was determined. Multiple logistic regression models were used to assess the associations of the risk of hyperhomocysteinemia (HHcy, Hcy>15μmol/L) with BMI and WC. Results 13.71% women had HHcy. The prevalences of BMI-based general obesity and WC-based central obesity were 11.17% and 22.88%, respectively. Compared with non-obese women, the mean serum Hcy concentration was significantly higher in WC-based central obese women (P = 0.002), but not in BMI-based general obese women (P > 0.05). In the multiple logistic regression models, central obesity was positively related to the risk of HHcy (OR = 1.30, 95%CI=1.10 to 1.52), while general obesity was inversely related to the risk of HHcy (OR = 0.82, 95%CI=0.72 to 0.93 and OR = 0.71,95% CI = 0.57 to 0.89). Conclusions Central obesity was positively, while general obesity was negatively related to the risk of HHcy. Menopause showed no effect modification on these associations. Key messages Homocysteine; Central obesity; Menopause; Cardiovascular Disease

Visceral fat is associated with elevation of serum alanine aminotransferase and gamma glutamyltransferase in middle-aged Chinese adults

2018 ◽  
Vol 94 (1117) ◽  
pp. 641-646 ◽  
Author(s):  
Lizhi Tang ◽  
Bo Yuan ◽  
Fang Zhang ◽  
Hongyi Cao ◽  
Zhe Yan ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Logistic Regression ◽  
Adipose Tissue ◽  
Linear Regression ◽  
Alanine Aminotransferase ◽  
Hepatic Enzymes ◽  
Middle Aged ◽  
Chinese Adults ◽  
Serum Alanine Aminotransferase ◽  
Gamma Glutamyltransferase

Background Elevation of hepatic enzymes is associated with insulin resistance, dyslipidaemia and obesity. However, the factors behind elevation of liver enzymes remain unclear. The aim of this study was to compare the role of abdominal visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) in relation with serum alanine aminotransferase (ALT) and gamma glutamyltransferase (GGT) in middle-aged Chinese adults.Methods We performed a cross-sectional study on 959 adults aged 40–65 without hepatitis. VAT and SAT were measured at the level of L4–L5 by MRI. Pearson correlation and linear regression were performed to assess the association of VAT/SAT with serum ALT and GGT. Logistic regression was used to evaluate the association of VAT and SAT with high ALT (≥40 U/L) and high GGT (≥35 U/L).ResultsVAT had higher correlation coefficient r with ALT and GGT than SAT. VAT, but not SAT, was associated with ALT (males: β=0.15, p=0.01; females: β=0.17, p=0.02) and GGT (males: β=0.39, p<0.0001) in linear regression. VAT remained to be associated with GGT in males (β=0.33, p=0.0001) when was further adjusted. Logistic regression showed that VAT was associated with elevated GGT (OR=2.218, p=0.043) in males but not in females and no such association was observed for SAT.ConclusionsIncreased VAT, but not SAT, was associated with elevation of hepatic enzymes including ALT and GGT. Moreover, VAT was associated with elevated GGT independent of insulin resistance and subcutaneous fat in males.

scholarly journals Socioeconomic Factors and Inequality in the Prevalence and Treatment of Diabetes among Middle-Aged and Elderly Adults in China

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Zhonghua Wang ◽  
Xiangjun Li ◽  
Mingsheng Chen
Keyword(s):  
Socioeconomic Factors ◽  
Rural Areas ◽  
Urban Areas ◽  
Diabetes Treatment ◽  
Antidiabetic Medication ◽  
Middle Aged ◽  
Chinese Adults ◽  
Elderly Chinese ◽  
Treatment Of Diabetes ◽  
The Rich

Background. In China, the prevalence of diabetes has increased significantly over recent decades, owing to the county’s rapidly aging population. Although many studies have examined the prevalence of diabetes worldwide, there has been little analysis of the inequalities in its prevalence and treatment among middle-aged and elderly people. Objectives. This study evaluates influence factors and inequality in respect to the prevalence of diabetes and medication treatment among middle-aged and elderly Chinese adults. Methods. Data were obtained from the China Health and Retirement Longitudinal Study, a nationally representative household survey of middle-aged and elderly people (i.e., 45 years of age or older). Logistic regression models and the concentration index were used to estimate socioeconomic factors and inequalities in diabetes prevalence and treatment. Results. The prevalence of self-reported diabetes among middle-aged and elderly Chinese adults was 8.4%; this figure was significantly higher in urban areas than in rural areas. Concentrations of prevalence were observed among the poor in urban areas and among the rich in rural areas. Overall, the incidence of receiving antidiabetic medication among diabetes patients was 64.3%; this was significantly higher for individuals in urban areas than those in rural areas, suggesting that awareness of diabetes treatment in urban areas is better than that in rural areas. A disproportionate concentration of incidence of receiving antidiabetic medication was observed among the rich in both urban and rural areas. Socioeconomic factors significantly affected the prevalence of diabetes and the likelihood of receiving medication and are major contributors to inequality. Conclusion. In China, policies and strategies regarding diabetes prevention and control should further focus on associated socioeconomic factors and major contributors to reduce diabetes prevalence, improve diabetes treatment and management, and alleviate current inequality in the prevalence and treatment of diabetes among middle-aged and elderly adults.

scholarly journals Central But Not General Obesity Is Positively Associated with the Risk of Hyperhomocysteinemia in Middle-Aged Women

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1614 ◽  
Author(s):  
Yingying Wang ◽  
Yonggen Jiang ◽  
Na Wang ◽  
Meiying Zhu ◽  
Xing Liu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Models ◽  
Central Obesity ◽  
Multiple Logistic Regression ◽  
Obese Women ◽  
General Obesity ◽  
Middle Aged ◽  
Logistic Regression Models ◽  
Serum Homocysteine ◽  
The Mean

Objective: Obesity and homocysteine (Hcy) are two important risk factors for cardiovascular disease (CVD). However, evidence on the association between obesity and Hcy concentration was conflicting. The aim of our study is to explore the associations of general and central obesity with hyperhomocysteinemia (HHcy) in middle-aged women. Methods: The current analysis was based on data from 11,007 women aged 40–60 years. Height, weight, and waist circumference (WC) were measured and serum homocysteine was determined. Multiple logistic regression models were used to assess the associations of the risk of hyperhomocysteinemia (HHcy, Hcy > 15 μmol/L) with BMI and WC. Results: 13.71% women had HHcy. The prevalences of BMI-based general obesity and WC-based central obesity were 11.17% and 22.88%, respectively. Compared with non-obese women, the mean serum Hcy concentration was significantly higher in WC-based central obese women (p = 0.002), but not in BMI-based general obese women (p > 0.05). In the multiple logistic regression models, central obesity was positively related to the risk of HHcy (OR = 1.30, 95% CI = 1.10 to 1.52), while general obesity was inversely related to the risk of HHcy (OR = 0.82, 95% CI = 0.72 to 0.93 and OR = 0.71, 95% CI = 0.57 to 0.89). Conclusions: Central obesity was positively related to the risk of HHcy, while general obesity was negatively related. Menopause showed no effect modification on these associations.

scholarly journals Prevalence and Associated Factors of Metabolic Syndrome in Chinese Middle-Aged and Elderly Population: A Nationally Cross-Sectional Study

2021 ◽  
Author(s):  
Yang Xiong ◽  
Yangchang Zhang ◽  
Song Wen ◽  
Feng Qin ◽  
Jiuhong Yuan
Keyword(s):  
Metabolic Syndrome ◽  
Logistic Regression ◽  
Rural Areas ◽  
Urban Areas ◽  
Associated Factors ◽  
Elderly Population ◽  
Age Groups ◽  
International Diabetes Federation ◽  
High Risk Population ◽  
Middle Aged

Abstract Background: Currently, China has an increasingly aging population. However, the prevalence of metabolic syndrome (MetS) in this high-risk population for metabolic diseases remains unknown. To investigate the age and gender specific prevalence and associated factors of MetS in Chinese middle-aged and elderly population, we did the study on it. Methods: Data were retrieved from China Health and Retirement Longitudinal Study (CHARLS) and subjected to descriptive statistics. Further, univariate logistic regression was used to evaluate the relevant factors, and then multivariate logistic regression was selected to construct the final model. Results: In present study, a total of 10,834 participants were included. The overall prevalence of MetS was 32.97% as defined by International Diabetes Federation and 29.75% under National Cholesterol Education Program - The Adult Treatment Panel III criteria. With aging, prevalence of MetS descended in males, while ascended in females. In the >70 years old group, the prevalence of MetS was three times higher in females than that in males (50.43% versus 16.03%). Across all age groups and sexes, the prevalence of MetS in urban areas was significantly higher than in rural areas. In addition, regardless of gender, the prevalence was highest for those living in the north region (28.41% for males & 51.74% for females) and lowest for those living in the southwest region (13.91% for males & 31.58% for females). Finally, two specific correlates, afternoon nap and blood urea nitrogen (BUN), were identified in present study (P < 0.05). Conclusion: The prevalence of MetS varied in different age groups, sexes, living areas and regions and was associated with afternoon nap and BUN.

scholarly journals Community Based Assessment of Unintentional Injuries in a Community Development Block of Purba Bardhaman District, West Bengal

2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Soumyaneel Das ◽  
Rabindra Nath Roy ◽  
Dilip Kumar Das ◽  
Amitava Chakraborty ◽  
Raston Mondal
Keyword(s):  
Logistic Regression ◽  
West Bengal ◽  
Unintentional Injury ◽  
World Health ◽  
Special Focus ◽  
Unintentional Injuries ◽  
Community Based ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Life Years

BACKGROUND፡ Injuries are a focus of public health practice because they pose a serious health threat and are preventable. Currently, injury accounts for 14% of all Disability Adjusted Life Years (DALYs) losses for the world’s entire population. In India, unintentional injuries within the home environment have not so far been recognized to the same extent as traffic and work-related injuries among all age groups. With this background, a community based epidemiological study was conducted with the aim to find out the prevalence and epidemiology of unintentional injuries.METHODS: A cross-sectional study was conducted during July 2018 - June 2019 in Bhatar block of Purba Bardhaman District. Cluster random sampling was applied to select required sample of 555 individuals from 24 villages. The study tools used were a predesigned and pretested schedule developed by the researchers with the help of Guidelines for conducting community surveys on injuries by World Health Organization (WHO) and a checklist for assessing household level injury hazard. The study had approval from Institutional Ethics Committee. Chi square test and multivariable logistic regression were performed using SPSS V16.RESULTS: Prevalence of unintentional injury was 8.8 % in the preceding three months. Multivariable logistic regression revealed that those who were below 18 years of age, severely vulnerable to unintentional injuries and belonged to nuclear families had significantly higher odds of developing unintentional injuries at home.CONCLUSION: Unintentional injury is prevalent in West Bengal. Dissemination of injury prevention information with special focus on household modification is an effective strategy to prevent unintentional injuries.

scholarly journals Prevalence, awareness, treatment, and control of hypertension in Northern China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoqian Xu ◽  
Han Bao ◽  
Zixuan Tian ◽  
Hao Zhu ◽  
Lige Zhu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Educational Level ◽  
Northern China ◽  
Health Concern ◽  
Early Screening ◽  
Lower Educational Level ◽  
Multivariable Logistic Regression ◽  
Current Drinker ◽  
And Control

Abstract Background Hypertension has always been a worldwide health concern. The purpose of this study was to investigate the prevalence, awareness, treatment, and control rates of hypertension among adult residents of northern China, where people usually have a high-fat, high-salt diet and heavy alcohol consumption. Methods Through the Early Screening and Comprehensive Intervention Project for High Risk Groups of Cardiovascular Diseases in the Inner Mongolia of northern China, we collected data of 70,380 residents, from September 2015 to June 2017. We assessed the prevalence, awareness, treatment, and control of hypertension in the total population and sub-populations. Multivariable logistic regression analyses were used to identify the factors associated with the prevalence and control of hypertension. Results Among participants, only 13.4% had optimal blood pressure levels. About 55.7% (95% confidence interval (CI) = 55.3–56.1%) of the participants had hypertension. In addition, the awareness, treatment, control and control under-treatment rate of hypertension were 52.8% (95%CI = 52.3–53.3%), 43.3% (95%CI = 42.8–43.8%), 8.6% (95%CI = 8.3–8.9%) and 19.8% (95%CI = 19.2–20.4%), respectively. Multivariable logistic regression showed that older, male, Han, living in rural areas, current drinker, not married, lower educational level, lower annual income, diabetes, obesity, and dyslipidemia were more likely to be suffered from hypertension (P < 0.05). Controlled hypertension was less common in those younger, Mongol, not married, farmer, current drinker, lower educational level, obesity, diabetes, without prior CHD, and without prior CVD (P < 0.05). Conclusion Among populations aged 35–75 years in Northern China, more than half have hypertension, fewer than one-tenth have successfully controlled hypertension, and fewer than one-fifth of hypertension patients receiving treatment have controlled hypertension.

KEBANGGAAN TERHADAP BATIK MADURA BAGI WARGA SUMENEP

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Sayyida Sayyida ◽  
Nurdody Zakki
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Research Method ◽  
Community Group ◽  
Parametric Regression ◽  
Logit Function ◽  
The Village ◽  
The City ◽  
Level Of Risk ◽  
Non Parametric

Diversity of Indonesian Batik hanging area. One of the very well-known Indonesian batik is Batik Madura. Batik Madura has become a pride for Indonesia, especially for Madura. The purpose of the study is to model the Sumenep pride to Batik Madura and to see the level of risk or tendency of batik madura pride for the community group Sumenep. This research method uses a non parametric regression used a non-parametric regression because the dependent variable in this study is the variable Y are variables not normally distributed. The results of this study states that the level of risk of the village in Sumenep proud of batik is almost 5 times higher than the islands while people in this city who live in the district town at risk Sumenep proud of Batik Madura 8-fold compared to the archipelago. So it can be concluded that the city is much more proud of batik than those who reside in rural areas especially those who reside in the islands. This study uses data from 100 questionnaires were analyzed using logistic regression analysis. The conclusion of this study is the pride of the batik model as follows: Function logistic regression / logit function: g (x) = 0,074 + 1,568X4(1)+2,159X4(2 this is case the islands as a comparison, X4(1)  is the place to stay in the village and X4(2)  is the place to stay in town, so the Model Opportunities p(x) = EXP(g(x))/1+EXP(g(x)).  Hopes for further research is to conduct research on the development of batik in an integrated region, the need to be disseminated to potential areas of particular potential in Madura batik, especially for residents who reside in the Islands.Keywords: Pride, Batik, Sumenep.

scholarly journals Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy

2021 ◽  
Author(s):  
Mike Wenzel ◽  
Felix Preisser ◽  
Matthias Mueller ◽  
Lena H. Theissen ◽  
Maria N. Welte ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Radical Prostatectomy ◽  
Regression Models ◽  
Urethral Sphincter ◽  
Anatomical Characteristics ◽  
Logistic Regression Models ◽  
Pad Test ◽  
Type D ◽  
Multivariable Logistic Regression ◽  
Type C

Abstract Purpose To test the effect of anatomic variants of the prostatic apex overlapping the membranous urethra (Lee type classification), as well as median urethral sphincter length (USL) in preoperative multiparametric magnetic resonance imaging (mpMRI) on the very early continence in open (ORP) and robotic-assisted radical prostatectomy (RARP) patients. Methods In 128 consecutive patients (01/2018–12/2019), USL and the prostatic apex classified according to Lee types A–D in mpMRI prior to ORP or RARP were retrospectively analyzed. Uni- and multivariable logistic regression models were used to identify anatomic characteristics for very early continence rates, defined as urine loss of ≤ 1 g in the PAD-test. Results Of 128 patients with mpMRI prior to surgery, 76 (59.4%) underwent RARP vs. 52 (40.6%) ORP. In total, median USL was 15, 15 and 10 mm in the sagittal, coronal and axial dimensions. After stratification according to very early continence in the PAD-test (≤ 1 g vs. > 1 g), continent patients had significantly more frequently Lee type D (71.4 vs. 54.4%) and C (14.3 vs. 7.6%, p = 0.03). In multivariable logistic regression models, the sagittal median USL (odds ratio [OR] 1.03) and Lee type C (OR: 7.0) and D (OR: 4.9) were independent predictors for achieving very early continence in the PAD-test. Conclusion Patients’ individual anatomical characteristics in mpMRI prior to radical prostatectomy can be used to predict very early continence. Lee type C and D suggest being the most favorable anatomical characteristics. Moreover, longer sagittal median USL in mpMRI seems to improve very early continence rates.

Sign in / Sign up

Export Citation Format

Share Document