scholarly journals Gastrointestinal carriage of Klebsiella pneumoniae in a general adult population: a cross-sectional study of risk factors and bacterial genomic diversity

Gut Microbes ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 1939599
Author(s):  
Niclas Raffelsberger ◽  
Marit Andrea Klokkhammer Hetland ◽  
Kristian Svendsen ◽  
Lars Småbrekke ◽  
Iren Høyland Löhr ◽  
...  
BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e022184 ◽  
Author(s):  
Josefine Atzendorf ◽  
Christian Apfelbacher ◽  
Elena Gomes de Matos ◽  
Ludwig Kraus ◽  
Daniela Piontek

ObjectivesLifestyle risk factors, such as drinking or unhealthy diet, can expotentiate detrimental health effects. Therefore, it is important to investigate multiple lifestyle risk factors instead of single ones. The study aims at: (1) identifying patterns of lifestyle risk factors within the adult general population in Germany and (2) examining associations between the extracted patterns and external factors.DesignCross-sectional study.SettingGeneral German adult population (aged 18–64 years).ParticipantsParticipants of the 2015 Epidemiological Survey of Substance Abuse (n=9204).Primary outcome measuresLifestyle risk factors (daily smoking, at-risk alcohol consumption, unhealthy diet, low physical activity, weekly use of pharmaceuticals, as well as consumption of cannabis and other illicit drugs).ResultsA latent class analysis was applied to identify patterns of lifestyle risk factors, and a multinomial logistic regression was carried out to examine associations between the extracted classes and external factors. A total of four classes were extracted which can be described as healthy lifestyle (58.5%), drinking lifestyle (24.4%), smoking lifestyle (15.4%) and a cumulate risk factors lifestyle (1.7%). Individuals who were male, at younger age and single as well as individuals with various mental health problems were more likely to show multiple lifestyle risk factors.ConclusionsHealthcare professionals should be aware of correlations between different lifestyle risk factors as well as between lifestyle risk groups and mental health. Health promotion strategies should further focus especially on younger and single men.


2020 ◽  
pp. 1-10
Author(s):  
Yang Xia ◽  
Yashu Liu ◽  
Shunming Zhang ◽  
Qing Zhang ◽  
Li Liu ◽  
...  

Abstract This cross-sectional study aimed to examine the associations between dietary fibre (DF) intake and depressive symptoms in a general adult population in Tianjin, China. A total of 24 306 participants (mean age 41 years; range 18–91 years) were enrolled. DF intake was assessed using a validated self-administered FFQ. Depressive symptoms were assessed using the Self-Rating Depression Scale. Associations between DF intake and depressive symptoms were estimated using logistic regression analysis. Socio-demographic, behavioural, health status and dietary factors were adjusted. In men, compared with participants in the lowest quartiles for total, soluble, vegetable and soya DF, OR for depressive symptoms in the highest were 0·83 (95 % CI 0·69, 0·99), 0·74 (95 % CI 0·63, 0·87), 0·79 (95 % CI 0·65, 0·96) and 0·69 (95 % CI 0·60, 0·81), respectively. In women, compared with participants in the lowest quartiles for vegetable and soya DF, the OR for depressive symptoms in the highest were 0·77 (95 % CI 0·64, 0·93) and 0·82 (95 % CI 0·70, 0·95), respectively. No association was found between total or soluble DF intake and depressive symptoms in women. No association was found between insoluble, cereal, fruit or tuber DF intake and depressive symptoms in men and women. Linear associations between DF intake and depressive symptoms were only detected for soya DF (men, β = –0·148, P < 0·0001; women, β = –0·069, P = 0·04). Results suggest that intake of soluble, vegetable and soya DF was inversely associated with depressive symptoms. These results should be confirmed through prospective and interventional studies.


2017 ◽  
Vol 21 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Yaneth Herazo-Beltrán ◽  
Yisel Pinillos ◽  
José Vidarte ◽  
Estela Crissien ◽  
Damaris Suarez ◽  
...  

2018 ◽  
Vol 2018 (1) ◽  
Author(s):  
Bouchra Bakr Mouhtadi ◽  
Reem Mohamad Najib Kanaan ◽  
Mohammad Iskandarani ◽  
Mohamad Khaled Rahal ◽  
Dalal Hammoud Halat

Background: The prevention and control of hypertension is an essential component for reducing cardiovascular disease burden. Hypertension is an important public health issue, yet few studies have examined its current status among the Lebanese population. Objective: To examine the prevalence, awareness, treatment and control of hypertension and its associated risk factors among Lebanese adults. Methods: A cross-sectional study was conducted between December 2014, and May 2015, on adults from the five districts of Lebanon. Multistage sampling was used to enroll participants. Hypertension was defined as an average of two blood pressure (BP) measurements with systolic/diastolic blood pressure of at least 140/90 mm Hg, using an automated digital device, or the use of antihypertensive medication. A questionnaire was used to assess hypertension risk factors, awareness, treatment and control. Results: Of the 1362 Lebanese adults interviewed, 399 (29.3%) had hypertension. Of these, 106 (26.5%) were aware of their condition. Sixty-nine patients (65%) of those aware, were receiving treatment, and 38 (55%) participants from those treated were controlled. The significant risk factors were sex, gender, age, family history of hypertension, obesity, and a low level of education. Conclusions: Hypertension is prevalent among the Lebanese adult population and is multifactorial, but remains incompletely recognized, leading to insufficient control. Hypertension was highly prevalent in males in the age category 18-29 years. These findings show that improvements in detection, treatment, and control of hypertension among Lebanese adults, is much needed. 


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