scholarly journals Prevalence and Associated Risk Factors of Sarcopenia Among Elderly With Diabetes in Japan and Taiwan

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 177-178
Author(s):  
Yuko Yamaguchi ◽  
Chieko Greiner ◽  
Hirochika Ryuno ◽  
Pi-Hsia Lee ◽  
Hsin-Yen Yen ◽  
...  

Abstract The aim of this study was to investigate the prevalence of sarcopenia and its associated risk factors among elderly with diabetes in Japan and Taiwan. A cross-sectional study was conducted through convenience sampling. This study was approved by the institutional review boards of Kobe University Graduate School of Health Sciences (No. 543) and Taipei Medical University (No. N201905065). Of the 114 Japanese participants (24.9% females) and 226 Taiwanese participants (75.1% females), the mean age were 73.7±6.9 years and 74.2±6.6 years, respectively. Sarcopenia was found in 10.6% in Japan and 11.1% in Taiwan with no significant difference between both countries. Older age, poor relationships with neighbors, and poor consciousness for health management were significantly associated with sarcopenia in both countries. Additionally, Japanese participants with sarcopenia had significantly longer duration of diabetes, higher level of emotional distress assessed by the Problem Areas In Diabetes (PAID) scale, and lower level of total protein, but no significant differences were shown in Taiwanese participants. Binomial logistic regression analyses were performed to detect risk factors related to sarcopenia. After adjusting for age, sarcopenia was found to be significantly associated with poor consciousness for health management in Japanese participants (OR:0.12 P=0.02) and significantly associated with poor relationships with neighbors and poor consciousness for health management in Taiwanese participants (OR:0.18 P=0.008 and OR:0.45 P=0.04, respectively). These findings are expected to contribute to the development of effective strategies for preventing sarcopenia among elderly with diabetes in Japan and Taiwan.

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043814
Author(s):  
Mesfin Tadese ◽  
Andargachew Kassa ◽  
Abebaw Abeje Muluneh ◽  
Girma Altaye

ObjectivesThe study aimed to provide an association between dysmenorrhoea and academic performance among university students in Ethiopia. Further, the study attempts to determine the prevalence and associated risk factors of dysmenorrhoea.Design and methodInstitution-based cross-sectional study was conducted from 1 April to 28 April 2019. A semistructured and pretested self-administered questionnaire was used to collect data. Binary logistic regression analysis and one-way analysis of variance were performed to model dysmenorrhoea and academic performance, respectively.Setting and participantsEthiopia (2019: n=647 female university students).OutcomesThe primary outcome is dysmenorrhoea, which has been defined as painful menses that prevents normal activity and requires medication. The self-reported cumulative grade point average of students was used as a proxy measure of academic performance, which is the secondary outcome.ResultsThe prevalence of dysmenorrhoea was 317 (51.5%). The educational status of father (adjusted OR (AOR) (95% CI) 2.64 (1.04 to 6.66)), chocolate consumption (AOR (95% CI) 3.39 (95% 1.28 to 8.93)), daily breakfast intake (<5 days/week) (AOR (95% CI) 0.63 (0.42 to 0.95)), irregular menstrual cycle AOR (95% CI) 2.34 (1.55 to 3.54)) and positive family history of dysmenorrhoea AOR (95% CI) 3.29 (2.25 to 4.81)) had statistically significant association with dysmenorrhoea. There was no statistically significant difference in academic performance among students with and without dysmenorrhoea (F (3611)=1.276, p=0.28)).ConclusionsDysmenorrhoea was a common health problem among graduating University students. However, it has no statistically significant impact on academic performance. Reproductive health officers should educate and undermine the negative academic consequences of dysmenorrhoea to reduce the physical and psychological stress that happens to females and their families.


Author(s):  
Muna Abdella ◽  
WubitTafese Mhatebu

A cross-sectional study was carried out from November 2015 to march 2016 on bovine fasciolosis, to assess the abattoir based prevalence, predominant species of bovine fasciolosis and associated risk factors of the disease in cattle slaughtered in Halaba municipal abattoir. A total of 384 cattle were examined using post mortem examination. Infection rates were (3.64%), 2.34%, 2.08%, and 1.82 % F. gigantic, F. hepatica, mixed and immature respectively with the overall prevalence of 9.88 % (38). F. gigantic was found to be the most prevalent species in cattle of the study area. Multivariable logistic regression analysis showed that the risk of fasciola infection was significantly higher in poor body condition animals than in medium and good body condition animals (p < 0.05). However, in terms of age, sex and breed, no statistically significant difference was found between infected animals (p > 0.05).The present study showed that bovine fasciolosis is one of the important pathogens in cattle in the study area and warrants appropriate disease prevention and control measures and further epidemiological investigations to determine the different agro ecological risk factors on the occurrence of the disease.


2018 ◽  
Vol 5 (2) ◽  
pp. 19-26
Author(s):  
Praveen Bhattarai ◽  
Devavrat Joshi

Background and Objectives: Delirium is one of the most important neuro-psychiatric disorders in Consultation liaison psychiatry. There is a dearth of studies in this subject in Nepalese context. The objective of this study was to find out the demographic profile, source of referral, reason for referral and possible risk factors for delirium and association between risk factors and subtypes of delirium.Material and Methods: This is a descriptive cross-sectional study carried out in a tertiary care center over a period of six months. Delirium was diagnosed by psychiatrist based on International Classification of Disease, 10th revision, Diagnostic Criteria for Research (ICD-10 DCR) and was classified into subtypes using the Liptzin and Levkoff criteria. Data analysis was done using SPSS version 16 and chi- square test was applied to find the association between risk factors and subtypes of delirium.Results: A total of 52 cases of delirium were included in the study. Majority of cases were aged 65 years and above with male preponderance. The most common cause for referral was disturbed behavior and disorientation. Hyperactive delirium was the most common subtype of delirium. Most of the referred cases of delirium were from Medical ward and Intensive Care Unit/Critical Care Unit (ICU/CCU). Infection / Inflammation, Drug/alcohol intoxication or withdrawal and those with multiple etiologies were the most common possible causes of delirium. There was no significant difference in terms of associated risk factors between the clinical subtype (p = 0.8023).Conclusion: The presence of delirium warrants prompt intervention to identify and treat the underlying causes and consultation liaison psychiatric services should be enhanced to achieve this goal.Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 19-26


2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Syed Riazul Hasan ◽  
Zeeshan Hamid ◽  
Muhammad Talha Jawaid ◽  
Rashida Kaizar Ali

Objective: To assess the level of anxiety among doctors during COVID-19 pandemic and the associated risk factors. Methods: This cross-sectional study was conducted from 30th April to 16th May, 2020 in Karachi, Pakistan. The data was collected via an online web-based questionnaire. Questionnaire was used to assess anxiety level using GAD-7 scale among health-care professionals and the risk factors playing role in it. Results: One hundred and fifty-one doctors participated in our study. Out of these 151 participants, 69 (45.7%) had mild, 22 (14.6%) had moderate, and 5 (3.3%) had severe symptoms of anxiety, whereas the remaining 55 (36.4%) had no anxiety according to GAD-7 scale. The median [interquartile range (IQR)] GAD-7 scale scores are 6.0 [3.00-9.00]. Females showed more severe degrees of measurement of anxiety symptoms than males. Doctors dealing with COVID-19 patients showed higher level of anxiety as compared to the doctors who were not dealing with COVID-19 patients, having a significant difference (U = 9.697, p = 0.008). One hundred and forty-one (93.4%) participants were concerned about being exposed to COVID-19 at work and 112 (74.2 %) thought they have inadequate protective equipment for safety. Conclusions: During COVID-19 pandemic, doctors exhibited different grades of anxiety. In order for healthcare workers to perform to the best of their capability, certain guidelines and interventions are needed. doi: https://doi.org/10.12669/pjms.36.6.3113 How to cite this:Hasan SR, Hamid Z, Jawaid MT, Ali RK. Anxiety among Doctors during COVID-19 Pandemic in Secondary and Tertiary Care Hospitals. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.3113 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
pp. 531-539
Author(s):  
Mohamed Said Diab ◽  
Sherif Abd Allah Zidan ◽  
Nermin Abdalla A. Hassan ◽  
Haitham Elaadli ◽  
Ahmed Mohamed Bayoumi

Brucellosis is a worldwide zoonotic disease which is now considered endemic in most parts of Egypt. A cross-sectional study was carried out from December 2018 to February 2020 to investigate the seroprevalence of brucellosis in humans and livestock residing in two regions located in New Valley Governorate, Egypt. A total of 1254 animals (673 cattle, 348 sheep, and 233 goats) and 523 human serum samples were examined for brucellosis using Rose Bengal test (RBT) and then randomly selected sera (15 from cattle, 7 from sheep, 3 from goats, and 45 from humans) were further analyzed by complement fixation test, enzyme-linked immunosorbent assay to compare and detect the sensitivity and specificity of RBT. The prevalence of brucellosis was 0% in cattle, sheep, and goats while it was 23.9% in humans using RBT. Concerning humans, there was a higher percentage of infection in EL Kharga (33.6%). The prevalence of this infection was also at a higher level among individuals aged above 40 years (28.57%). Furthermore, men (26.11%) were more inclined to be inflicted, compared to women (22.5%) with no significant difference. Considering the human occupation, abattoir workers were the most predominant group of people at risk (33.3%), followed by farmers (31.25%) and animal keepers (20.6%) while the lowest prevalence was demonstrated in the housewives where the prevalence was 18.8 %. As a result, risk factors of the age range, locality, time of infection, contact with animals, and occupational groups could significantly affect the prevalence of human brucellosis in the New Valley Governorate. In conclusion, brucellosis is an alarming problem among residents of the New Valley Governorate. Thus, reducing the prevalence in humans and animals in the region of study may include restriction of the marketing the raw milk and enhancing public health awareness.


2021 ◽  
Vol 40 (S1) ◽  
Author(s):  
Nor Azian Mohd Zaki ◽  
Rashidah Ambak ◽  
Fatimah Othman ◽  
Norazizah Ibrahim Wong ◽  
Cheong Siew Man ◽  
...  

Abstract Background Hypertension is one of the most common risk factors for cardiovascular disease and leading cause of mortality globally. The aims of this study were to assess the prevalence of hypertension and its associated risk factors among Malaysian population using data from the Malaysian Community Salt Study (MyCoSS). Methods This study was a cross-sectional study using multi-stage stratified sampling method. Data collection was carried out via face-to-face interview at the respondent’s home from October 2017 until March 2018. A total of 1047 respondents aged 18 years and above completed the questionnaires and blood pressure measurement. A person who reported diagnosis of hypertension by a physician and had systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg on three readings was categorised as hypertensive. Risk factors of hypertension were analysed using multiple logistic regression. Results The prevalence of hypertension in the present study was 49.39% (95% CI 44.27–54.51). There was no statistically significant difference in gender. Age, household income, BMI, and diabetes were significantly associated with hypertension. Hypertension found had inverse association with the level of education. Age was the strongest predictor of hypertension (35–44 years old; OR=2.39, 95% CI=1.39–4.09, 45–54 years old; OR=5.50, 95% CI=3.23–9.38, 55–64 years old OR=13.56, 95% CI=7.77–23.64 and 65 years old and above; OR=25.28, 95% CI=13.33–48.66). Those who had higher BMI more likely to be hypertensive as compared to respondents with normal weight (overweight, OR=1.84; 95% CI=1.18–2.86; obese, OR=4.29% CI=2.56–7.29). Conclusion The findings showed that hypertension is prevalent among adults in Malaysia. Those with older age, higher BMI, and diabetes are more likely to have hypertension. Efforts regarding lifestyle modification and education could be important in hypertension management and prevention.


2021 ◽  
Author(s):  
Daniel Kizza ◽  
Michael Ocaido ◽  
Anthony Mugisha ◽  
Rose Azuba ◽  
Sarah Nalule ◽  
...  

Abstract Background: Bovine trypanosomosis transmitted by tsetse flies is a major constraint to cattle health and productivity in sub- Saharan countries including Uganda. The objectives of this study were to determine the prevalence of bovine trypanosomosis and its associated risk factors and the species of trypanosomes associated with the disease.Methodology: A cross sectional study was conducted around Murchision Falls National Park, Uganda from January 2020 to April 2020. Blood samples were collected from 460 cattle and were screened for trypanosomes using ITS-PCR. Results: From 460 samples collected, 136 (29.6%) of the samples were positive for trypanosomosis infections while 324 (70.4%) samples were negative. The overall trypanosome prevalence was 29.6% (95% CI 25.4-33.8). T. vivax (n = 130, 28.3%) was the most prevalent trypanosome specie detected and two mixed infection types (T.vivax + T. congolense (n = 2, 0.4%) and T.vivax + T. brucei (n = 1.0, 0.2%) were detected during the analysis. There was a significant difference when Trypanosome prevalence was compared with sex, age, breed of the sampled animals (P < 0.05 for sex), (P = 0.0043 for age) and (P = 0.001 for breed). Conclusion; Trypanosomosis is still a major limitation to cattle production around Murchision Falls National Park and interventions are urgently needed .The prevalence of trypanosomosis was high and T.vivax was identified as the major trypanosome species in the cattle herd.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Bekalu Gerem ◽  
Muhammed Hamid ◽  
Ayalew Assefa

Camel trypanosomosis (surra), caused by Trypanosoma evansi , is a life-threatening disease with negative impacts on health, production, and working efficiency of camels in different camel-rearing areas of the world, including Ethiopia. A cross-sectional study was carried out from November 2016 to May 2017 to determine the prevalence of camel trypanosomosis (surra) and assess the associated potential risk factors in Dubti and Asayita districts of Afar region, Ethiopia. Blood samples were collected from 200 camels. Wet film and Giemsa-stained blood smears were used for the detection of trypanosomes. Out of 200 examined, 9(4.5%) were positive for Trypanosoma evansi. The higher prevalence of the disease was observed in Dubti (6.97%) than in Asayita (2.63%) districts. Highest infection was observed in the age group >4 years old camels (7.47%), followed by <4 years old camels (1.07%). Previously aborted camels were found at higher risk (P=0.03; OR = 5.11, 95% CI = 1.174–22.317) than camels without an abortion history. There was no statistically significant difference in between body condition categories and herd size of camels with the occurrence of the disease (X2 = 3.839; P=0.147 and X2 = 0.718; P=0.698), respectively. The result of the current study revealed that camel trypanosomosis is substantially prevalent in the study area, indicating the need for designing control and prevention strategies.


2011 ◽  
Vol 26 (S2) ◽  
pp. 717-717 ◽  
Author(s):  
K.C. Fragkos ◽  
C.C. Frangos ◽  
I. Sotiropoulos ◽  
A.N. Giovanis ◽  
I. Tilikidou ◽  
...  

AimsTo estimate the prevalence of eating disorders (EDs) and associated risk factors in a sample of undergraduate students.MethodsThis is a cross-sectional study. We used a questionnaire consisting of the following sections: demographics, SCOFF questionnaire for screening EDs, the Achievement Anxiety Test (AAT) and the Depression, Anxiety and Stress Scale (DASS). Our sample was selected randomly. Sample size was 535 students (44% men, 56% women), and 33% of students were between 18 and 20 years old (age range 16–28).ResultsSCOFF's reliability measured by Cronbach's alpha was 0.542; AAT's alpha for its facilitating scale was 0.682 and debilitating scale 0.821; finally, DASS's depression, anxiety and stress sections’ alpha were 0.923, 0.896 and 0.876 respectively. The prevalence of EDs was 42.2%. The associated factors with the presence of EDs was gender (62% women, 38% men; X2 = 5.007, p = 0.025) and personal family status (X2 = 18.862, p = 0.002), while having divorced parents was a borderline association (OR = 1.53, 95% CI 0.97–2.42). Mann-Whitney’s U test showed that there was a significant difference in the scale of stress between those with an ED and those without (p = 0.026) but not for depression and anxiety. According to multiple logistic regression, risk factors for having an eating disorder were depression, stress, female gender, being married and searching for a romantic relationship (overall model fit p < 0.0001).ConclusionThis is the first study on EDs from Greece. Depression and stress were significant predictors of EDs, which shows the importance of these two factors in the pathogenesis of EDs.


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