scholarly journals Diet, Health Concerns, Perceptions of the Diet – Disease Link, and Their Associated Factors in Urban Chinese Population: Results from an Eight-City Cross-Sectional Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 225-225
Author(s):  
Zhongyu Li ◽  
Ai Zhao ◽  
Yumei Zhang

Abstract Objectives Over the past decades, social changes and rapid economic development had significantly impacted people's lifestyle and physical health in China. This study aimed to examine nutrition and diet-related perceptions, knowledge, and concerns for chronic diseases as well as their relationships with dietary intake in the general Chinese population. Methods A health survey was conducted among 1708 participants living in urban areas in eight cities in mainland China in 2016. Food frequency questionnaire and a 24-hour recall were used for dietary assessment. The intake of nutrients was estimated based on the Chinese food database. Non-proportional odds ordinal and multi-nominal regression models were performed on Stata 15.1 to analyze the associations. Results Participants (66% female, mean age: 50.6 y-o) consumed, on average, 33.4%, 14%, and 52% of calories from fat, protein, and carbohydrate respectively. 42.9% of the participants perceived low fruits and vegetable intake as their major dietary problem. And the average intake of dietary fiber is 12.5 grams in the study population. Total of 57.5% of the participants have overweight or obesity (OWOB) and 34.4% self-reported at least one chronic disease. People who were older, OWOB, more educated, or have reported any chronic disease were more likely to be more concerned about their health. 45% – 50% of participants indicated a strong belief that an improved diet can benefit the prognosis of Type II diabetes, hypertension, and hyperlipidemia. Higher education, being younger (aged 18–33 y-o), and never smokers were associated with stronger beliefs. After adjusting for age, gender, income, education, BMI, and total energy intake, people from the highest quantile of belief scores ate more protein (β = 4.1, 95% CI: 0.8, 7.4), and have lower sodium to potassium ratio (β = –0.6, 95% CI: –0.9, –0.2) in their diets compared to those from the lowest quantile. Conclusions Factors such as age, education, and health status influence people's perception of nutrition and disease, which contribute to the difference in dietary intake. This study provided insights into factors that should be taken into consideration when designing and implementing nutritional education and interventions targeting the Chinese population. Funding Sources National key research and development projects YFD0400602.

2015 ◽  
Vol 3 ◽  
pp. 1-7 ◽  
Author(s):  
Mary Adjepong ◽  
Pius Agbenorku ◽  
Patricia Brown ◽  
Ibok Oduro

Abstract Background Burn injury results in emotional stress affecting dietary intake and antioxidant micronutrient intake, which is known to have effects on recovery outcomes. The study aimed to assess dietary intake of antioxidant micronutrients and recovery outcomes of burn patients. Methods Questionnaires were administered to 40 burn patients at Komfo Anokye Teaching Hospital (Ghana) from January 1, 2014 to May 30, 2014. The data taken include anthropometric measurements and dietary assessment. Their nutrient intakes were assessed with the Nutrient Analysis Template. The average intakes were compared to the recommended daily allowance. Assessment of recovery was based on records of wound healing assessments and infection rates from the health practitioners. Results A cross-sectional study of 40 patients revealed an average total burn surface area (TBSA) of 31.4 %, where 70.0, 35.0, 75.0, 52.5, 12.5 and 32.5 % patients were deficient in vitamins A, C and E, zinc, copper and selenium, respectively and adequate amounts of vitamin C intake were related with significantly better wound healing progress. Positive wound healing outcomes were observed for patients with adequate vitamins A and E and zinc intake. Less infection presented among patients with adequate amount of vitamins A and C and zinc, but this was not observed for patients with adequate vitamin E, copper and selenium. Conclusions Most burn patients did not meet their dietary requirements for antioxidant micronutrients and this was due to meals not tailored to suit individual requirements. Adequacy of the antioxidants especially vitamin C resulted in positive wound healing outcomes. Hence, there is need for planned well-balanced meals of high vitamin C.


2015 ◽  
Vol 38 (3) ◽  
pp. 130-136
Author(s):  
Md Naimur Rahman ◽  
Sabuj Kanti Mistry ◽  
Md Ikbal Hossain

Background: Nearly 7.9 million children are working in Bangladesh; many of which in urban areas, particularly in Dhaka city. Working during childhood impedes the children’s growth potential leading to malnutrition. The objective of this study was to investigate the nutritional status and food intake pattern of child laborers of Dhaka city, Bangladesh. Methodology: The study followed a cross-sectional study design and was conducted among 100 randomly selected child laborers (aged 5-17 years) from an NGO led school of Dhaka. Anthropometric measurements were taken using standard methods while socio-economic status and dietary intake were assessed through interviewing the respondents with a pretested questionnaire. Data were analyzed using SPSS, Epi info and MS excel DANS(R) software. Results: Forty five percent children were fixed salary earners and 89% of them worked to support their family. Anthropometric assessment reveled that, 26%, 15% and 26% respondents were stunted, wasted and underweight respectively. According to BMI for age, 39% of the children were thinner. Overall, 52.1% and 60.8% of the calorie requirement and 77.6% and 82.2% of the protein requirement were fulfilled by boys and girls respectively. Almost all the micronutrients’ requirement except that of thiamin and vitamin C were very poorly fulfilled. Conclusions: Overall, nutritional status of the child laborers were below acceptance. Per capita dietary intake was poor and imbalanced containing very low amount of micronutrients leading to malnutrition. Nutrition intervention program needs to be administered especially targeting working children. Adult unemployment and underemployment should be reduced and parents need to make aware of the harmful nutritional impact of working in childhood. DOI: http://dx.doi.org/10.3329/bjch.v38i3.22821 Bangladesh J Child Health 2014; VOL 38 (3) :130-136


2019 ◽  
Vol 25 (5) ◽  
pp. 449 ◽  
Author(s):  
Deborah A. Askew ◽  
Warren J. Jennings ◽  
Noel E. Hayman ◽  
Philip J. Schluter ◽  
Geoffrey K. Spurling

Many Aboriginal and Torres Strait Islander people live in urban areas, but epidemiological data about their health status and health needs are lacking. This knowledge is critical to informing and evaluating initiatives to improve service delivery and health outcomes. One potential data source is de-identified routinely collected clinical data. This cross-sectional study, conducted in an urban Aboriginal and Torres Strait Islander primary healthcare service, involved randomly selecting a sample of 400 patients aged ≥15 years, and manually extracting electronic health record data. In the sample, 49% of patients were aged <35 years, 56% were female and 38% were employed. Overall, 56% of females and 47% of males aged 35–54 years had depression, 26% had experienced a bereavement within the last 12 months, and while 44% were alcohol abstainers, 35% were drinking at high-risk levels. The present study cannot demonstrate causal relationships between the observed high rates of chronic disease in older people and frequent experiences of bereavement and high levels of mental ill health in young- and middle-aged adults. However, a life course approach provides a framework to understand the interconnectedness of these results, and suggests that strategies to blunt the intergenerational burden of chronic disease need to address the social and emotional wellbeing of youth.


Author(s):  
Agus Purnamasari ◽  

ABSTRACT Background: Stunting, a chronic malnutrition of children, remains a global health concern. In Indonesia, around 37% (almost 9 million) of children under five are stunted. The difference in the prevalence of stunting in coastal and urban areas needs attention for the comprehensive handling of stunting. This study aimed to analyze the comparison of nutritional status in coastal and urban areas for toddlers aged 1-2 years. Subjects and Method: This was a cross-sectional study conducted at coastal and urban areas, Tarakan, North Kalimantan from October to November 2016. A total of 94 toddlers aged 1-2 years was selected by total sampling. The dependent variables were dietary intake and nutritional status. The independent variables were living in coastal and urban areas. The data were collected using questionnaires. The data were analyzed by independent t-test. Results: Mean of nutritional status of toddlers in urban area was higher (Mean= -4.24; SD= 1.27) than in coastal area (Mean= -3.17; SD= 1.14), and it was statistically significant (p= 0.002). There was no significant difference in dietary intake of toddlers between coastal and urban areas. Conclusion: There is significant difference of nutritional status in toddlers aged 1-2 years between coastal and urban areas. Keywords: nutritional status, dietary intake, coastal, urban, toddlers Correspondence: Agus Purnamasari. Midwifery Program, Faculty of Health, Universitas Borneo Tarakan. Jl. Amal Lama No.1 Tarakan, North Kalimantan. Email: [email protected]. Mobile: +628214399469. DOI: https://doi.org/10.26911/the7thicph.03.58


2015 ◽  
Vol 4 ◽  
Author(s):  
Rikke Andersen ◽  
Anja Biltoft-Jensen ◽  
Tue Christensen ◽  
Elisabeth W. Andersen ◽  
Majken Ege ◽  
...  

AbstractA child's diet is an important determinant for later health, growth and development. In Denmark, most children in primary school bring their own packed lunch from home and attend an after-school care institution. The aim of the present study was to evaluate the food, energy and nutrient intake of Danish school children in relation to dietary guidelines and nutrient recommendations, and to assess the food intake during and outside school hours. In total, 834 children from nine public schools located in the eastern part of Denmark were included in this cross-sectional study and 798 children (95·7 %) completed the dietary assessment sufficiently (August–November 2011). The whole diet was recorded during seven consecutive days using the Web-based Dietary Assessment Software for Children (WebDASC). Compared with the food-based dietary guidelines and nutrient recommendations, 85 % of the children consumed excess amounts of red meat, 89 % consumed too much saturated fat, and 56 % consumed too much added sugar. Additionally 35 or 91 % of the children (depending on age group) consumed insufficient amounts of fruits and vegetables, 85 % consumed insufficient amounts of fish, 86 % consumed insufficient amounts of dietary fibre, 60 or 84 % had an insufficient Fe intake (depending on age group), and 96 % had an insufficient vitamin D intake. The study also showed that there is a higher intake of fruits and bread during school hours than outside school hours; this is not the case with, for example, fish and vegetables, and future studies should investigate strategies to increase fish and vegetable intake during school hours.


2015 ◽  
Vol 18 (18) ◽  
pp. 3265-3271 ◽  
Author(s):  
Emily O Watson ◽  
Anne-Louise M Heath ◽  
Rachael W Taylor ◽  
Virginia C Mills ◽  
Ashleigh C Barris ◽  
...  

AbstractObjectiveThe study objective was to determine the relative validity and reproducibility of a modified FFQ for ranking the nutrient intakes of New Zealand toddlers aged 12–24 months.DesignCross-sectional study.SettingDunedin, New Zealand.SubjectsOne hundred and fifty-two participants completed a ninety-five-item FFQ twice, and five days of weighed diet recording (WDR), over one month. Validity and reproducibility were assessed for crude data and for data that were weighted for total fruit and vegetable intake (FV-adjusted).ResultsDe-attenuated correlations between FV-adjusted FFQ data and WDR data ranged from 0·45 (Zn) to 0·77 (Ca). The percentage classified to the correct WDR quartile by the FV-adjusted FFQ data ranged from 34·6 % (total fat, Zn) to 50·3 % (Fe). Average gross misclassification was 3 %. Bland–Altman statistics showed crude data had a range of 128–178 % agreement with the WDR and mean FV-adjusted intakes had 112–160 % agreement. FV-adjusted intra-class correlations, assessing reproducibility, ranged from 0·65 (vitamin C) to 0·75 (Ca).ConclusionsThe Eating Assessment in Toddlers (EAT) FFQ showed acceptable to good relative validity, and good reproducibility, for ranking participants’ nutrient intake and is able to identify toddlers at extremes of the nutrient intake distribution. It will be a useful tool for investigating toddlers’ nutrient intakes in studies that require a method of dietary assessment with low respondent burden.


2020 ◽  
Vol 9 (2) ◽  
pp. 96-102
Author(s):  
Zerrin Gamsizkan ◽  
Mehmet Ali Sungur ◽  
Yasemin Çayır

Aim: The aim of the study is to determine the factors that may affect the demands of patients who come with the request to have a blood test without any chronic disease or a planned examination check. Methods: The data of this descriptive, cross-sectional study, were collected with a questionnaire that was prepared to examine the opinions of the patients who claim to have a blood test by coming to the family health center without any complaints. Patients over 18 years of age, who did not have any chronic disease and had no scheduled examination appointments were included in the study. Results: A total of 278 patients who wanted to have a blood test within the 6-months period were included in the study. Female patients who wanted to have a blood test were significantly more than male patients. When we look at the causes of patients who wanted to have a blood test; 61.2% (n=170) patients stated that they are concerned about their health and 6.1% (n=17) stated that they were affected by media warnings. There was no significant relationship between the frequency of blood test requests of patients and their age, gender, education, and general health status. Conclusion: Patients with high expectations and anxiety may be more willing to perform blood tests at inappropriate intervals. Family physicians, whose primary role is preventive medicine, have consultancy and information duties in order to protect their patients from the risk of over-examination and diagnosis. Keywords: blood tests, patient, screening, routine diagnostic tests


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2032
Author(s):  
Judit Companys ◽  
Maria José Gosalbes ◽  
Laura Pla-Pagà ◽  
Lorena Calderón-Pérez ◽  
Elisabet Llauradó ◽  
...  

We aimed to differentiate gut microbiota composition of overweight/obese and lean subjects and to determine its association with clinical variables and dietary intake. A cross-sectional study was performed with 96 overweight/obese subjects and 32 lean subjects. Anthropometric parameters were positively associated with Collinsella aerofaciens, Dorea formicigenerans and Dorea longicatena, which had higher abundance the overweight/obese subjects. Moreover, different genera of Lachnospiraceae were negatively associated with body fat, LDL and total cholesterol. Saturated fatty acids (SFAs) were negatively associated with the genus Intestinimonas, a biomarker of the overweight/obese group, whereas SFAs were positively associated with Roseburia, a biomarker for the lean group. In conclusion, Dorea formicigenerans, Dorea longicatena and Collinsella aerofaciens could be considered obesity biomarkers, Lachnospiraceae is associated with lipid cardiovascular risk factors. SFAs exhibited opposite association profiles with butyrate-producing bacteria depending on the BMI. Thus, the relationship between diet and microbiota opens new tools for the management of obesity.


2021 ◽  
Vol 5 (1) ◽  
pp. e000958
Author(s):  
Merel M Nap-van der Vlist ◽  
Geertje W Dalmeijer ◽  
Martha A Grootenhuis ◽  
Kors van der Ent ◽  
Marry M van den Heuvel-Eibrink ◽  
...  

ObjectiveTo determine: (1) which biological/lifestyle, psychological and/or social factors are associated with fatigue among children with a chronic disease and (2) how much each of these factors contributes to explaining variance in fatigue.Design and settingThis was a cross-sectional study across two children’s hospitals.PatientsWe included children aged 8–18 years who visited the outpatient clinic with cystic fibrosis, an autoimmune disease or postcancer treatment.Main outcome measuresFatigue was assessed using the PedsQL Multidimensional Fatigue Scale. Generic biological/lifestyle, psychological and social factors were assessed using clinical assessment tools and questionnaires. Multiple linear regression analyses were used to test the associations between these factors and fatigue. Finally, a multivariable regression model was used to determine which factor(s) have the strongest effect on fatigue.ResultsA total of 434 out of 902 children were included (48% participation rate), with a median age of 14.5 years; 42% were male. Among these 434 children, 21.8% were severely fatigued. Together, all biopsychosocial factors explained 74.6% of the variance in fatigue. More fatigue was uniquely associated with poorer physical functioning, more depressive symptoms, more pressure at school, poorer social functioning and older age.ConclusionsFatigue among children with a chronic disease is multidimensional. Multiple generic biological/lifestyle, psychological and social factors were strongly associated with fatigue, explaining 58.4%; 65.8% and 50.0% of the variance in fatigue, respectively. Altogether, almost three-quarters of the variance in fatigue was explained by this biopsychosocial model. Thus, when assessing and treating fatigue, a transdiagnostic approach is preferred, taking into account biological, psychological and social factors.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048554
Author(s):  
Hanyu Wang ◽  
Eric Frasco ◽  
Jie Shang ◽  
Minne Chen ◽  
Tong Xin ◽  
...  

ObjectivesThis study aims to explore the association between maternal depression and the loss of the only child under the family-planning (FP) policy.DesignCross-sectional data from a Chinese population-based study were analysed.SettingPopulation from 10 (5 rural and 5 urban) areas in China.ParticipantsAround 300 000 females were included in the study. The FP group was defined as women with one or two live births. Those with no surviving child were classified into the loss-of-only-child group. The non-FP group included women who had more than two live births. Logistic regression was used to assess the relationship between major depressive disorder (MDD) and family types, after stratification and adjustment.OutcomeMDD was assessed using the Composite International Diagnostic Inventory.ResultsThe odds of MDD are 1.42 times higher in the FP group in general (OR=1.42, 95% CI: 1.28 to 1.57), as opposed to the non-FP group. In particular, the odds of MDD are 1.36 times greater in the non-loss-of-only-child group (OR=1.36, 95% CI: 1.21 to 1.51) and 2.80 (OR=2.80, 95% CI: 0.88 to 8.94) times greater in the loss-of-only-child group, compared with the non-FP group. The associations between FP groups and MDD appeared to be stronger in the elderly population, in those who were married, less educated and those with a higher household income. The association was found progressively stronger in those who lost their only child.ConclusionsPeople in the FP group, especially those who lost their only child, are more susceptible to MDD than their counterparts in the non-FP group. Mental health programmes should give special care to those who lost their only child and take existing social policies and norms, such as FP policies, into consideration.


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