Sociodemographic inequalities in lifestyle patterns of the population of a large Brazilian city

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L P B Medina ◽  
M B A Barros ◽  
A A Barros Filho

Abstract Knowledge of avoidable exposures to noncommunicable diseases from the analysis of health behaviors or practices, and of attitudes and care related to lifestyle is an important strategy in identifying issues emerging to health and opportunities for the prevention of these problems. It was intended to analyze the combination of behaviors related to health, food and lifestyle, identify behavioral patterns and verify the inequalities present in its association with sociodemographic characteristics of the population of Campinas, São Paulo. This is a cross-sectional study conducted in 2014/15 that evaluated 1,205 people aged 20 years or older. From the behaviors regular consumption of raw and cooked vegetables, fruit and beans, consumption of low-fat milk, concern with salt intake, habit of reading food label, concern with the use of pesticides, consumption of organic foods, practice of leisure-time physical activity, consumption of meat with fat, frequent consumption of sausages and soft drinks, current smoking, alcohol abuse and short sleep duration were extracted through analysis factorial by main components. The association of these patterns with the variables gender, age and income were tested. Three lifestyle patterns were identified and nomined. The 'Healthy Advanced' lifestyle pattern was associated with females, the elderly and the best income groups can be identified; the 'Healthy Prudent' was associated with older adults, with the elderly and with the intermediate income segment. The 'Unhealthy' pattern was associated with males, with young people and did not have an association with income. It can be concluded that healthy lifestyle patterns were more present in female groups, with older age and better income level. The less healthy pattern was found more frequently among men and young people. It is noteworthy that this last pattern did not differ between income strata indicating that unhealthy practices may be equally disseminated in these groups. Key messages The better lifestyle patterns were more present in female groups, with older age and better income level. The less healthy pattern was found more frequently among men and young people, and did not differ between income strata.

2006 ◽  
Vol 19 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Myriam Juda ◽  
Mirjam Münch ◽  
Anna Wirz-Justice ◽  
Martha Merrow ◽  
Till Roenneberg

Abstract: Among many other changes, older age is characterized by advanced sleep-wake cycles, changes in the amplitude of various circadian rhythms, as well as reduced entrainment to zeitgebers. These features reveal themselves through early morning awakenings, sleep difficulties at night, and a re-emergence of daytime napping. This review summarizes the observations concerning the biological clock and sleep in the elderly and discusses the documented and theoretical considerations behind these age-related behavioral changes, especially with respect to circadian biology.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yanfeng Ren ◽  
Maohua Miao ◽  
Wei Yuan ◽  
Jiangwei Sun

Abstract Background Although a U-shaped association between sleep duration and all-cause mortality has been found in general population, its association in the elderly adults, especially in the oldest-old, is rarely explored. Methods In present cohort study, we prospectively explore the association between sleep duration and all-cause mortality among 15,092 participants enrolled in the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2005 to 2019. Sleep duration and death information was collected by using structured questionnaires. Cox regression model with sleep duration as a time-varying exposure was performed to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs). The dose-response association between them was explored via a restricted cubic spline function. Results During an average follow-up of 4.51 (standard deviation, SD: 3.62) years, 10,768 participants died during the follow-up period. The mean (SD) age of the participants was 89.26 (11.56) years old. Compared to individuals with moderate sleep duration (7–8 hours), individuals with long sleep duration (> 8 hours) had a significantly higher risk of all-cause mortality (HR: 1.13, 95%CI: 1.09–1.18), but not among individuals with short sleep duration (≤ 6 hours) (HR: 1.02, 95%CI: 0.96–1.09). Similar results were observed in subgroup analyses based on age and gender. In the dose-response analysis, a J-shaped association was observed. Conclusions Sleep duration was associated with all-cause mortality in a J-shaped pattern in the elderly population in China.


2021 ◽  
Vol 36 (3) ◽  
pp. 177-198
Author(s):  
Katarzyna Sygulska

Elder people have knowledge and experience – they can share them with other people. Seniors can teach young people different things. Their stories can indicate what is important in life and what should be avoided. The article presents the results of qualitative research (interview) on the lessons learned from the life experiences of the older people. The analysis of own research is preceded by the theoretical introduction about wisdom of life. Respondents highlighted mostly the importance of family, health, self-care and relationships with other people (friendship, honesty and respect towards others). Life showed them how important are: faith in God, enjoying every moment, patience in pursuing a goal, independently deciding about own life, realising your dreams, and work. Life experiences showed them how to deal with problems and that a person learns all life. They learned rules such as: money does not bring happiness, you cannot trust everyone, live the present and the good comes back. The elderly said that a person should make efforts to be happy.


Author(s):  
В.А. Белобородов ◽  
И.А. Степанов ◽  
А.В. Щербатых ◽  
И.И. Томашов ◽  
З.С. Саакян ◽  
...  

В отечественной и зарубежной специализированной литературе отсутствуют исследования, посвященные изучению факторов риска развития неблагоприятного исхода у пациентов старшей возрастной группы с инсультассоциированной нозокомиальной пневмонией. Цель исследования - изучение факторов риска развития неблагоприятного клинического исхода у пациентов пожилого и старческого возраста с нозокомиальной пневмонией на фоне ОНМК. В исследование были включены 247 пациентов пожилого и старческого возраста (139 мужчин, 108 женщин, средний возраст - 74,1±6,3 года), госпитализированных с признаками ОНМК по ишемическому или геморрагическому типу. Согласно модели бинарной логистической регрессии, статистически значимо ассоциированы с развитием неблагоприятного исхода у изучаемой группы респондентов следующие параметры: возраст свыше 75 лет (p=0,011), степень инвалидизации по шкале mRS 3 (р=0,009), а также уровень С-РБ >100 мг/л (р=0,023) и мочевины >7 ммоль/л (р=0,044). Для снижения частоты встречаемости неблагоприятного клинического исхода у пациентов старшей возрастной группы с инсульт-ассоциированной нозокомиальной пневмонией необходимо верифицировать перечисленные выше клинико-лабораторные параметры на ранних этапах госпитализации. In the domestic and foreign specialized literature, there are no studies devoted to the study of risk factors of mortality in the older age patients with stroke-associated nosocomial pneumonia. The purpose of the study was to study the risk factors of adverse clinical outcomes in elderly and senile patients with stroke-associated nosocomial pneumonia. The study included 247 elderly and senile patients (139 men, 108 women, mean age - 74,1±6,3 years) who were hospitalized with signs of ischemic or hemorrhagic stroke. According to the binary logistic regression model, the following parameters are statistically significantly associated with adverse clinical outcomes in the studied group of respondents: age over 75 years (p=0.011), degree of disability according to mRS ≥3 (p=0,009), and C-reactive protein levels over 100 mg/l (p=0,023) and urea more than 7 mmol/l (p=0,044). In order to reduce the incidence of adverse clinical outcomes in patients of the older age group with stroke-associated nosocomial pneumonia, it is necessary to verify the above clinical and laboratory parameters at the early stages of hospitalization.


1959 ◽  
Vol 57 (4) ◽  
pp. 367-385 ◽  
Author(s):  
Cecily M. Tinker

1. A review of the few studies so far made on the high mortality from tuberculosis among elderly men, and a consideration of the available statistics, indicate that urbanization is one of the principal factors responsible.2. In the present inquiry, which was confined to London, 445 newly diagnosed cases of tuberculosis in men over 40, together with the same number of paired controls, were studied by means of a questionnaire and of personal interview.3. It was found that the tuberculous patients differed significantly from the controls in the following characteristics; Scots, Irish, Welsh, or foreign nationality; single, widower or divorced; resident in common lodging houses or hostels; inadequate or special diet; history of gastrectomy; a winter cough; shortness of breath; insufficient sleep; and heavy drinking and smoking. On the other hand, overtime or night work, diabetes, rheumatoid arthritis, asthma, and mental illness were distributed fairly evenly in the two groups.4. Unfortunately no group of elderly women exists in this country living under the same sort of conditions as the elderly men studied here, so that it was impossible to determine how far the various factors considered were responsible for the high rate of late adult male tuberculosis. A study, however, of a population of established civil servants living under ordinary conditions revealed little difference between the observed rates of tuberculosis and those expected on the basis of national notification figures for men and women in the older age groups.5. It appears that a low standard of personal hygiene, associated especially with heavy smoking and drinking and residence in loading houses, predispose to the development of tuberculosis in the elderly male. Part of the evil effect of living in common lodging houses in particular may be due to the increased risk of exposure to tuberculous infection that it entails.6. It is tentatively concluded that the casual workers of an urbanized community are one of the principal reservoirs of tuberculous infection in large towns, and since there is no numerically comparable female population, this group, and its immediate male contacts, account in large measure for the difference between the male and female tuberculosis rates in the older age groups.This work was initiated during the tenure of a Prophit Scholarship of the Royal College of Physicians, and completed with the aid of a grant from the Medical Research Council.I am indebted to members of the Prophit Committee of the Royal College of Physicians for their support and encouragement, and most particularly to Dr G. S. Wilson, Director of the Public Health Laboratory Service, under whose guidance the work was carried out. Figures relating to the incidence of tuberculosis in the Civil Service are published by kind permission of Dr W. E. Chiesman, Treasury Medical Adviser, and Dr M. C. W. Long, Dr J. W. Parks, and Dr H. Stannus Stannus, whose departmental records were used to compute the figures.I am greatly indebted to the consultants and staff of the seventeen chest clinics who co-operated in the investigation, for their interest and help in tracing patients, and to the medical superintendents of numerous sanatoria and chest hospitals, and to the surgeons who permitted me to interview patients under their care as controls.I should like also to acknowledge the assistance received from the medical officers of health of the metropolitan boroughs who kept me informed of notifications from lodging houses in their areas, and supplied information about the accommodation.


2018 ◽  
Vol 8 (1) ◽  
pp. 63-75 ◽  
Author(s):  
Jana Goriup ◽  
Danijela Lahe

AbstractIntroduction: With the intensive growth in the number of older people and prolonged life span in the contemporary postmodern society, it has become increasingly important to build positive intergenerational cooperation and promote education on aging and older people, especially between younger and older generations. That is why the authors, on the basis of empirical research and scientific literature, examined knowledge about aging among young people and the connection between knowledge about aging and the formation of negative attitudes towards older people.Methods: The study involved 609 secondary school students aged 15 to 19 years.Results: The survey results showed that only one-fifth of the young population has good knowledge about aging. The relationship between knowledge about aging and ageism is negative, which means that young people with less knowledge about aging often have a negative attitude towards older people.Conclusions: Based on the obtained results, the authors underline the importance of integrating gerontology content in all stages of education.


2015 ◽  
Vol 1 (2) ◽  
pp. 47
Author(s):  
Magdalena Magdalena

Hypercholesterolemia is an excess of cholesterol in the blood, can be factors for heart disease and stroke. The cause of hypertension is heredity, age, sex, obesity (overeating), lack of exercise, stress, excessive salt intake, another effect: smoking, alcohol consumption, taking drugs. The purpose of this study was to determine the relationship of fiber intake, cholesterol, sodium and exercise with cholesterol and hypertension in the elderly group S. Parman Banjarmasin. Type of research is descriptive analytic research using cross sectional design of the study, which was conducted in a group of elderly Regional Health Center S. Parman Banjarmasin. This research was conducted in January through June 2015 with a sample size of 50 people. The data obtained is the intake of cholesterol, sodium, exercise and cholesterol and hypertension. The statistical test used is Chi Square test (p <0.005). The results of this study are most of the respondents were female (68%), most of the respondents aged less than 60 years (56%), and respondents work mostly does not work / housewife (48%). Most fiber intake respondents are not good (96%), cholesterol intake was mostly good (82%), sodium intake are all good (100%), most of the sports activities of respondents are less good (88%), there was no association between dietary fiber intake and kolestero cholesterol levels and hypertension, there is no relationship between exercise activities cholesterol levels and hypertension Keywords: fiber intake, sodium intake, exercise, cholesterol levels, hypertension


2019 ◽  
Vol 15 (3) ◽  
pp. 509-530 ◽  
Author(s):  
Istvan Soos ◽  
Ibolya Dizmatsek ◽  
Jonathan Ling ◽  
Adedokun Ojelabi ◽  
Jaromir Simonek ◽  
...  

Physical education focuses on the development of sports skills as well as fitness for health. In Central European countries there has been a shift in these focuses since the fall of Communism to follow internationally-recognised health-related physical activity recommendations, similar to Western European countries. In this study we investigated the extent to which motivation from school physical education transfers to leisure-time physical activity providing autonomy support by three social agents: school (physical education teachers), family and peers. Our study utilised the Aetological Approach (AA), Ecological Model (EM) and the Trans-Contextual Model (TCM) that consists of the Theory of Planned Behaviour (TPB) and the Self-Determination Theory (SDT) to explore how autonomous motivation is transferred between contexts (physical education, leisure-time and current behaviour). Nine-hundred and seventy-four students aged 11–18 (55% girls) participated in our study from four countries: Hungary, United Kingdom, Romania and Slovakia. A prospective research design was employed, and questionnaires were administered at three time points. Using 7-point Likert scales, attitude, usefulness, and affectiveness were measured. Furthermore, subjective norms and perceived behavioural control (PBC) were tested within TPB. Autonomous and controlling motivation were measured within SDT by administering the Behavioural Regulation in Exercise questionnaires (BREQ and BREQ-2). Finally, past physical activity, intention and current physical activity behaviours were tested. Results indicated that perceived autonomy support from family and friends predicted autonomous motivation towards leisure-time physical activity in all four countries. However, teachers’ behaviour in some Eastern European countries did not predict this transfer. In general, in line with previous literature, boys reported more physical activity than girls. A strong influencing factor in the path model was that past behaviour predicted current behaviour, and according to that factor, boys reported being more active than girls.Boys also perceived more support from PE teachers than girls which was likely to have influenced their autonomous motivation in PE, which in turn transferred to leisure time. We discuss these results in the context of theories exploring the role of motivation and social environment on children’s choices related to physical activity. In conclusion, we suggest providing more autonomy support, especially by schools, for the enhancement of autonomous motivation of young people to promote their leisure time physical activity.


2018 ◽  
Vol 9 ◽  
pp. 117967071775143 ◽  
Author(s):  
Naoya Miyashita ◽  
Yasuhiro Yamauchi

Bacterial pneumonia is one of the most important infectious diseases in terms of incidence, effect on quality of life, mortality, and impact on society. Pneumonia was the third leading cause of death in Japan in 2011. In 2016, 119 650 Japanese people died of pneumonia, 96% of whom were aged 65 years and above. The symptoms of pneumonia in elderly people are often atypical. Aspiration pneumonia is seen more frequently than in young people because of swallowing dysfunction in the elderly. The mortality rate is also higher in the elderly than in young people. In Japan, the population is aging at an unprecedented rate, and pneumonia in the elderly will be increasingly important in medicine and medical economics in the future. To manage pneumonia in the elderly, it is important to accurately evaluate its severity, administer appropriate antibiotic treatment, and implement effective preventive measures.


Author(s):  
Ann Buchanan

This chapter analyzes the importance of protective factors in family relationships. In Confucian societies, where services for older people may be limited, intergenerational family relationships are crucial in providing care for the elderly. Confucian societies are better at recognizing the protective influence of the family, but scholars from these areas suggest that the culture may be changing. As the “One child” norm extends (not only in China) across many Asian societies, the challenges for young people in supporting their parents and grandparents may become overwhelming. This chapter suggests that at every stage of the life cycle, some families will need state support in order to carry out their protective role in mitigating the risks experienced by both the young and the old. A state/family partnership approach is likely to be more acceptable, more effective, and more economic than state care alone.


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