scholarly journals Workshop: NCDs prevention through integrated approaches: reducing obesity from individuals to populations

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Risk Factor ◽  
Food Industry ◽  
Overweight And Obesity ◽  
The Body ◽  
Special Focus ◽  
Common Risk Factor ◽  
Power Game ◽  
Integrated Approaches

Abstract Non-communicable diseases, the slow motion disaster, represent one of the main global threats to health in the 21st century. Overweight and obesity are major risk factors for a number of chronic diseases and obesity has nearly tripled since 1975. Obesity can be prevented through healthy food, healthy lifestyle and anti-obesogenic environments. Effective multidisciplinary and intersectorial approaches are needed now more than ever and public health strategies should tackle the social determinants of health through the adoption of a common risk factor approach, which start from the mouth to reach the rest of the body. This applies to preventive actions, investments and advocacy with the government and the food industry. This workshop aims to discuss challenges and leverages to increase integrated approaches to prevent NCDs through healthy nutrition, focusing on the need to tackle the body as a whole as well as providing the skills necessary to understand and play the power game related to food and food industry. The workshop will start with a critical analysis of the key actions and debates at the global level, focusing afterwards on the sugar-sweetened beverage (SBB) laws and the need to re-legitimate the mouth as an integral part of the body to increase the effectiveness of prevention. The country case of Italy will give an important perspective from a country that has always been associated to the healthy Mediterranean diet but has reverted the trend in the last few years, especially among children. The debate will then lead to an analysis of the effective approaches, which can be applied to fight the obesity trend with a special focus on government roles and wrestling with industry. The obesity prevention strategies as described above will be analysed through the Global Charter for the Public’s Health (The Charter) lens, a joint effort of WFPHA, multiple stakeholders, as well as the WHO, which has been developed to provide a comprehensive, clear and flexible framework to adapt today’s public health to its global context. The implementation of The Charter functions and services, through a flexible approach, paves the path to reverse the obesity trend and facilitate the development of effective measures through multidisciplinary and intersectorial partnerships and effective laws. An integral part of the process is leadership from inside and outside the health sector along with people, communities, organizations, governments, concerned corporates and citizens. This workshop will provide delegates with the information, examples and skills necessary to understand and play an active role in the “food power game” through the adoption of common risk factor approach and increased advocacy skills by applying The Charter in Europe and globally. Key messages Integrated and multidisciplinary approaches, including the common risk factors approach, and effective advocacy with governments and concerned corporates are key elements to prevent obesity and NCDs. The Charter is the flexible and innovative framework to be applied from the communities up to their governments, at national and international levels to prevent diseases such as obesity and NCDs.

scholarly journals Urbanization and greenness in HBSC survey: association with overweight and obesity in adolescents

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Bellisario ◽  
R Bono ◽  
G Squillacioti ◽  
M Caputo ◽  
I Gintoli ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Risk Factors ◽  
Air Pollution ◽  
Population Density ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Green Spaces ◽  
Children Health ◽  
Public Health Strategies

Abstract Background Childhood obesity is an important public health issue worldwide and includes different risk factors, such as environmental pollutants exposure or physical activity. Neighborhood composition and green spaces availability could contrast obesogenic lifestyles and promote healthy habits, whereas, urbanization and traffic volume exposure are inversely associated with physical activity and worsen effects on childhood health. Methods This project analyzed students involved in the HBSC survey from the Piedmont Region. Data were collected in 2018, following the protocol. All the subjects were georeferenced within buffers around schools. Green-spaces availability was measured by Normalised Difference Vegetation Index (NDVI-satellite images) while urbanization was calculated by population density, traffic intensity (satellite measurements) and air pollution concentration (sampling stations). Results Overall, the sample included 3022 subjects, with amount 50% male/female and 30% for each age group (11-13-15 years old). Concerning weight status, above 14% of the all sample is obese or overweight, with, respectively, 20% among boys and 11% among girls. Preliminary analyses showed an association between weight status and population density (rural vs urbanized areas). Currently, we are analyzing the association with greenness and the other measures of urbanization. Conclusions Our preliminary findings suggest that high urbanization levels impact health implementing weight in children. We are testing the hypothesis that greenness positively influences weight status and reduce negative effects of urbanization and air pollution. The managing of these risk factors must be deepened and corroborated by active preventive Public Health strategies for improving children health. Key messages Urbanization and greenness may influence weight status in children. Public Health strategies must be improved for children health.

scholarly journals Informing the public health response to COVID-19: a systematic review of risk factors for disease, severity, and mortality

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Flook ◽  
C. Jackson ◽  
E. Vasileiou ◽  
C. R. Simpson ◽  
M. D. Muckian ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Systematic Review ◽  
At Risk ◽  
Risk Factor ◽  
Disease Severity ◽  
Severe Disease ◽  
Public Health Response ◽  
Wide Range ◽  
Multivariable Analyses

Abstract Background Severe Acute Respiratory Syndrome coronavirus-2 (SARS-CoV-2) has challenged public health agencies globally. In order to effectively target government responses, it is critical to identify the individuals most at risk of coronavirus disease-19 (COVID-19), developing severe clinical signs, and mortality. We undertook a systematic review of the literature to present the current status of scientific knowledge in these areas and describe the need for unified global approaches, moving forwards, as well as lessons learnt for future pandemics. Methods Medline, Embase and Global Health were searched to the end of April 2020, as well as the Web of Science. Search terms were specific to the SARS-CoV-2 virus and COVID-19. Comparative studies of risk factors from any setting, population group and in any language were included. Titles, abstracts and full texts were screened by two reviewers and extracted in duplicate into a standardised form. Data were extracted on risk factors for COVID-19 disease, severe disease, or death and were narratively and descriptively synthesised. Results One thousand two hundred and thirty-eight papers were identified post-deduplication. Thirty-three met our inclusion criteria, of which 26 were from China. Six assessed the risk of contracting the disease, 20 the risk of having severe disease and ten the risk of dying. Age, gender and co-morbidities were commonly assessed as risk factors. The weight of evidence showed increasing age to be associated with severe disease and mortality, and general comorbidities with mortality. Only seven studies presented multivariable analyses and power was generally limited. A wide range of definitions were used for disease severity. Conclusions The volume of literature generated in the short time since the appearance of SARS-CoV-2 has been considerable. Many studies have sought to document the risk factors for COVID-19 disease, disease severity and mortality; age was the only risk factor based on robust studies and with a consistent body of evidence. Mechanistic studies are required to understand why age is such an important risk factor. At the start of pandemics, large, standardised, studies that use multivariable analyses are urgently needed so that the populations most at risk can be rapidly protected. Registration This review was registered on PROSPERO as CRD42020177714.

scholarly journals Body Weight at Birth: The Only Risk Factor Associated with Contralateral Clavicular Fracture in Patients with Congenital Muscular Torticollis

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Zeeihn Lee ◽  
Joo Young Cho ◽  
Byung Joo Lee ◽  
Jong Min Kim ◽  
Donghwi Park
Keyword(s):  
Risk Factors ◽  
Body Weight ◽  
Risk Factor ◽  
The Body ◽  
Youden Index ◽  
Clavicular Fracture ◽  
Congenital Muscular Torticollis ◽  
Factors Associated ◽  
Significant Difference ◽  
Muscular Torticollis

Abstract To date and to the best of our knowledge, there have been limited studies on the risk factor of clavicle fracture combined with congenital muscular torticollis (CMT), despite it being the most common fracture in newborns. So, the aim of this study was to investigate the risk factors associated with clavicular fracture combined with CMT, and its effect on prognosis. In this study, a total of 134 infants with CMT were included. The risk factors associated with clavicular fracture combined with CMT were analyzed. To analyze the correlation between the clinical parameters and the clavicular fracture in patients with CMT, demographic data, such as body weight at birth, maternal age, gender, gestational age, delivery method, sternocleidomastoid (SCM) thickness of ipsilateral side, its ratio between the ipsilateral and contralateral side, and the first visitation date after birth were evaluated. In the results of this study, the clavicular fracture was found in 15 of 134 patients with CMT (19%). In multivariate logistic analysis, the body weight at birth was the only significant parameter for predicting clavicular fracture in patients with CMT (p-value < 0.05). However, there was no significant difference of treatment duration between CMT infants with or without clavicular fracture. In infants with CMT, the area under the ROC curve of the body weight at birth for predicting clavicular fracture was 0.659 (95% CI, 0.564–0.745.; p < 0.05). The optimal cut-off value obtained from the maximum Youden index J was 3470 g (sensitivity: 57.14%, specificity: 75.76%), and the odd ratio of clavicular fracture in patients with CMT increased by 1.244 times for every 100 g of body weight at birth. In conclusion, birth weight appears to be a clinical predictor of clavicular fracture in infants with CMT. More studies and discussions are needed on whether any screening should be recommended for detecting the concurrent clavicular fracture in subjects with CMT.

Dyslipidemia in northeastern China

Open Medicine ◽  
2011 ◽  
Vol 6 (2) ◽  
pp. 220-226 ◽  
Author(s):  
Xiao Shi ◽  
Qinglong Jin ◽  
Yulin Hu ◽  
Xiumei Chi ◽  
Yanhang Gao ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Coronary Artery ◽  
Binary Logistic Regression ◽  
Northeastern China ◽  
Major Risk Factor ◽  
Coronary Artery Diseases ◽  
Factors Associated

AbstractDyslipidemia, is a major risk factor for premature coronary artery disease. Our aim was to estimate the prevalence of dyslipidemia (blood lipid abnormalities) and other risk factors associated with coronary artery diseases among an adult population in northeastern China. Throughout the months of September and October of 2007,a population-based cross-sectional study was conducted and a total of 3,815 individuals were included. Total cholesterol (TC), high-density cholesterol (HDL-C), low-density cholesterol (LDL-C), and triglycerides (TG) were measured. A binary logistic regression analysis was conducted to determine risk factors associated with dyslipidemia. The prevalence of hypercholesterolemia, high LDL-C, low HDL-C, and hypertriglyceridemia were 17.3%, 27.8%, 11.66% and 29.85%, respectively. The prevalence of hypertension, central obesity, alcoholic liver disease (ALD), non-ALD, diabetes and metabolic syndrome was higher in serum lipid abnormality groups than in the non-dyslipidemia group (p < 0.001). In a binary logistic regression, hyperlipidemia was positively correlated with age, male, hypertension, high body mass index, etc. There were negative correlations with being female and the level of education a subject had attained. Dyslipidemia is a major risk factor for premature coronary artery diseases and an important public health issue in the northeastern part of China. Dyslipidemia is more frequent than expected based on previous studies. To control dyslipidemia, routine evaluations in clinics and community centers are needed, as well as effective public health education.

scholarly journals Impact of nutritional risk factors on chronic non-communicable diseases

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Grosso
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Communicable Diseases ◽  
Nutritional Risk ◽  
Special Focus ◽  
High Systolic Blood Pressure ◽  
Non Communicable Diseases ◽  
Dietary Risk Factors ◽  
Dietary Risk ◽  
The Impact

Abstract Background modifiable risk factors, can help to identify emerging threats to population health and opportunities for prevention of chronic non-communicable diseases (NCD). Among various risk factors, poor nutrition quality has been identified as a leading determinant of NCD. Methods The Global Burden of Diseases (GBD) Study provided a comprehensive comparative risk assessment (CRA) of risk factor for NCD, quantifying the impact of behavioural, environmental and occupational, and metabolic risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. Special focus on nutritional risk factors will be dedicated, discussing the proportion of disease-specific burden attributable to each dietary risk factor and the level of intake associated with the lowest risk of mortality. Results In 2017, over 30 million deaths were attributable to risk factors. When ranked, high systolic blood pressure was the leading risk factor, accounting for more than 10 million deaths, followed by, high fasting plasma glucose, and high body-mass index. A total of 11 million deaths were attributable to dietary risk factors. High intake of sodium, low intake of whole grains, and low intake of fruits were the leading dietary risk factors for deaths globally. However, important differences between regions and outcome (i.e., cardiovascular disease vs. cancer) have been registered. Besides the major aforementioned factors, underrated dietary risk factors, such as low calcium intake, have been found important contributors to cancer burden in certain developed countries. Interpretation The combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in NCD at the global level. These data provide a comprehensive picture of the potential impact of suboptimal diet on NCD mortality and morbidity, highlighting the need for improving diet across nations.

scholarly journals Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review

2019 ◽  
Vol 16 (1) ◽  
pp. 130 ◽  
Author(s):  
David H. Seidel ◽  
Dirk M. Ditchen ◽  
Ulrike M. Hoehne-Hückstädt ◽  
Monika A. Rieger ◽  
Benjamin Steinhilber
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Musculoskeletal Disorders ◽  
Well Being ◽  
Special Focus ◽  
Factors Associated ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Physical Risk ◽  
Physical Risk Factors

Background: Work-related musculoskeletal disorders at the elbow are a common health problem, which highly impacts workers’ well-being and performance. Besides existing qualitative information, there is a clear lack of quantitative information of physical risk factors associated with specific disorders at the elbow (SDEs). Objective: To provide evidence-based quantitative measures of physical risk factors associated with SDEs. Methods: Studies were searched from 2007 to 2017 in Medline, EMBASE, and Cochrane Work. The identified risk factors were grouped in main- and sub-categories of exposure using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework for rating evidence. Results: 133 different risk-factor specifications were identified in 10/524 articles and were grouped into 5 main- and 16 sub-categories of exposure. The risk factors were significantly associated with lateral epicondylitis, medial epicondylitis, or ulnar neuropathy. Significant risk factors such as wrist angular velocity (5°/s, with increasing prevalence ratio of 0.10%/(°/s), or forearm supination (≥45° and ≥5% of time combined with forceful lifting) were found. Conclusions: This review delivers a categorization of work-related physical risk-factor specifications for SDEs with a special focus on quantitative measures, ranked for evidence. These results may build the base for developing risk assessment methods and prospective preventive measures.

scholarly journals Dietary Knowledge, Dietary Adherence, and BMI of Lebanese Adolescents and Their Parents

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2398
Author(s):  
Liliane Said ◽  
Jessica S. Gubbels ◽  
Stef P. J. Kremers
Keyword(s):  
Public Health ◽  
Public Schools ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
The Body ◽  
Dietary Adherence ◽  
Rural Regions ◽  
Dietary Knowledge ◽  
Paediatric Obesity ◽  
Low Levels

Paediatric obesity is a severe public health problem accompanied by several physical and mental complications, mainly due to an imbalance between energy input and output. Dietary behaviours are influenced by many demographic factors and determinants, such as the place of residence and the level of dietary knowledge of the children and their parents. The aim of the current paper is to assess the levels of dietary knowledge, dietary adherence (in relation to recommendations), and the body mass index (BMI) of Lebanese adolescents in association with demographic variables, their parents’ dietary knowledge and adherence levels, and with other lifestyle behaviours. This cross-sectional study included 1535 Lebanese adolescents aged 15 to 18 years, from 16 public and private high schools located in urban and rural regions, and 317 of their parents. Our results showed that 30.2% of the adolescents were overweight or obese. Participants enrolled in private schools and those living in urban regions had a significantly higher BMI z-score compared to those enrolled in public schools and living in rural regions, respectively. In addition, Lebanese adolescents generally had low levels of dietary knowledge and 32.4% had low levels of dietary adherence. Their dietary adherence was significantly associated with their parents’ dietary adherence. The findings underline the significant role of the parents in shaping their children’s eating behaviours, in addition to the other determinants and factors affecting the diet of Lebanese adolescents. As the prevalence of paediatric overweight and obesity has reached alarming rates, the results of the current study have important implications for both public health policies and obesity prevention interventions in the Middle East and worldwide.

scholarly journals Knowledge, Perception, Behavior and Practice Among University Students of Public Health Towards Obesity

2021 ◽  
Author(s):  
Mohamed Osman Elamin Bushara
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factor ◽  
Sleep Apnea ◽  
Diabetes Mellitus Type 2 ◽  
Health Problems ◽  
Overweight And Obesity ◽  
Diabetes Mellitus Type

Background: Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk factor to health. A crude population measure of obesity is the body mass index (BMI), which is used to classify weight status, overweight is the person with a BMI of 25 or more, while a person with a BMI equal to or more than 30 is considered obese. Objectives: The aim of the study was to assess public health students' perception on obesity &amp;overweight health risks, clarify students' knowledge, behaviors and practices that increases risks of obesity and obesity-related diseases. Methods: A cross-sectional study was conducted to evaluate students Knowledge, Perception, Behavior and Practices towards obesity among students of public health in Umm Al-Qura University, in which 50% of students (136)were randomly selected using stratified sampling technique. Results: The study clarified that (69.9%) of students understand BMI-obesity relationship, while (30.9) didn’t know, the study showed that among 136 students,124 (91.2%) understand obesity -diabetes mellitus type 2 relationships. Likewise, 112 (82.4%) understand the relationship between obesity and hypertension. The study found that out of 136 students (72.8%) are aware that obesity is a risk factor for sleep apnea, referring t student’s practice of physical activity, study clarified that only 69.9%of students were practicing physical activity. Conclusion: The study concluded that there was a weakness in the perception and knowledge of students on BMI, study recommended for more concentration in academic activities to change this perception. The study concluded that the knowledge of students on major risk factors of obesity, relations of obesity with diabetes mellitus type 2, hypertension, sleep apnea, physical activity and weight control where acceptable. According to the study there were a problem in monitoring blood glucose and hypertension among overweight and obese students, which may be reflected in other health problems in the future. Recommendations: The study recommends for the introduction of extra educational and non-curricula programs on lifestyle, nutrition and obesity for public health student's, establishment of regular physical activities programs and strengthening of health education programs on overweight, obesity and other associated health problems inside and outside university campus. The study recommends for more researches to evaluate knowledge, perception, practice among public health and other students towards obesity.

scholarly journals Risk factor of pneumonia on toddler at puskesmas (public health center) I South Denpasar

2018 ◽  
Vol 6 (7) ◽  
pp. 2217
Author(s):  
Ethi Yudiastuti Kadek ◽  
Dewianti Ni Made
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Risk Factor ◽  
Health Center ◽  
Multivariate Analyses ◽  
Case Control ◽  
Research Data ◽  
Bivariate Analysis ◽  
Public Health Center ◽  
Emergency Fund

Background: The death of toddler due to pneumonia is still high because its risk factor still exist and has not been managed properly. United Nations International Children’s Emergency Fund (UNICEF) states that in 2011 there was 1.3 million deaths of children below five years old (toddler) and 14% of the number was caused by pneumonia.Methods: The design for this research was case control with 27 cases and 27 controls. The case was toddlers who were diagnosed with pneumonia by doctor of public health center (hereafter Puskesmas), aged 0-59 months and were recorded in the ill toddler register from January 1, 2016 until December 31, 2016, meanwhile control was healthy toddlers who were invited to Puskesmas during the research. Data was collected through interview, observation and measurement using questionnaire. Univariate, bivariate, multivariate analyses were performed using Stata SE 12.1.Results: Bivariate analysis showed that two years of breastfeeding and ARI frequency, as the risk factors of pneumonia on toddler. From bivariate analysis, it was found that the risk factor which was proven to be significant and increased pneumonia on toddler was OR ARI with the value of 5.67 (95% CI:1.16-27.82).Conclusions: ARI frequency as the risk factor of pneumonia on toddler at Puskesmas I South Denpasar.

scholarly journals Faktor Risiko Lingkungan dengan Kejadian ISPA pada Balita Di Wilayah Kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar

2017 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Sofia Sofia
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Risk Factor ◽  
Health Center ◽  
Smoking Habit ◽  
Public Health Problem ◽  
Air Humidity ◽  
Chi Square ◽  
Cross Sectional ◽  
Public Health Center

Acute Respiratory Infection (ARI) is still one public health problem that is important to note, because it is an acute illness and can even cause death in infants in developing countries, including Indonesia. In general, there are three the risk factors of ARI namely environmental factors, individual factors of children, and behavioral factors. The aim of research to find out the environmental risk factors with the incidence of  ARI  in Toddlers in Public Health Center of Ingin Jaya, Aceh Besar district. This type of research is an analytic survey with cross-sectional study approach. The sample size is calculated using the formula Lemeshow of 100 respondents, samples were taken randomly. Data analysis using Chi-Square test. The results showed that the level of humidity in the home (p= 0,039), smoking habits of family members in the home (p= 0,001), and the habit of using mosquito coils in the home (p= 0,003) as a risk factor for ISPA to children in Region Public Health Center of Ingin Jaya, Aceh Besar district. Conclusion, risk factor of ARI in the toddler that is a smoking habit, usage habit of mosquito coil and air humidity. Suggestions, the public in order to maintain air quality in the home environment to avoid various transmission of infectious diseases.Keywords: Air humidity, habits, environment, ARIPenyakit Infeksi Saluran Pernafasan Akut (ISPA) masih menjadi salah satu masalah kesehatan masyarakat yang penting untuk diperhatikan, karena merupakan penyakit akut dan bahkan dapat menyebabkan kematian pada balita di berbagai negara berkembang termasuk  Indonesia. Secara umum ada 3 (tiga) faktor risiko terjadinya ISPA yaitu faktor lingkungan, faktor individu anak, serta faktor perilaku. Tujuan penelitian untuk mengetahui faktor risiko lingkungan dengan kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Jenis penelitian adalah survey analitik dengan pendekatan Crossectional study. Besarnya sampel dihitung dengan menggunakan rumus lameshow yaitu 100 responden, sampel diambil secara acak sederhana. Analisa data dengan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa tingkat kelembaban udara dalam rumah (p=0,039), kebiasaan merokok anggota keluarga dalam rumah (p=0,001), dan kebiasaan menggunakan obat nyamuk bakar di dalam rumah (p=0,003) sebagai faktor risiko kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Kesimpulan, faktor risiko ISPA pada balita yaitu kebiasaan merokok, kebiasaan penggunaan obat nyamuk bakar dan kelembaban udara. Saran, masyarakat agar dapat menjaga kualitas udara dilingkungan rumah agar terhindar dari berbagai penularan penyakit infeksi. Kata kunci: Kelembaban udara, kebiasaan, lingkungan, ISPA

Sign in / Sign up

Export Citation Format

Share Document