scholarly journals 1240Socioeconomic Inequalities in Adolescent Metabolic Syndrome and Depression: no mediation by parental depression and parenting

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Alexander Lepe ◽  
Sijmen A. Reijneveld ◽  
Josué Almansa ◽  
Andrea F. de Winter ◽  
Marlou L.A. de Kroon
Keyword(s):  
Metabolic Syndrome ◽  
Social Services ◽  
Parenting Style ◽  
Indirect Effects ◽  
Structural Equation ◽  
Parental Education ◽  
Structural Equation Models ◽  
Parental Depression ◽  
Socioeconomic Health Inequalities

Abstract Background We assessed to what extent parental depression and parenting style mediate the relationships between different measures of parental socioeconomic status (SES) and both depression and metabolic syndrome (MetS) in adolescents, and whether these mechanisms differ by sex. Methods Data were from the prospective multigenerational Dutch Lifelines Cohort Study. Our sample consisted of 1,217 adolescents with an average follow-up of 33.3 (SD = 7.33) months and a median baseline age of 13 (IQR:13-14) years. We used structural equation models to assess the direct and indirect effects of SES on baseline and changes at follow-up in both depression and MetS, and to assess moderation by sex. Results Parental education had a small direct effect on adolescent cMetS. For each additional year of education, cMetS scores were 0.098 (95%CI: 0.020; 0.184) units lower at baseline and decreased 0.079 (95%CI: 0.004; 0.158) units at follow-up. No indirect effects via parenting style or parental depression were found, and there was no moderation by sex. Additionally, parenting style was consistently associated with baseline cMetS and depression, and improvements in parenting style were consistently associated with decreasing depression scores. Conclusions The results indicate that improving parenting style may improve health for all adolescents. However, in this study parental depression and parenting style did not account for adolescent socioeconomic health inequalities. This may be partly due to good access to social services within the Netherlands. Key messages Improvements in parenting style may improve adolescent health. Additionally, pathways to counteract socioeconomic differences require further elucidation.

scholarly journals Socioeconomic Health Inequalities in Adolescent Metabolic Syndrome and Depression: No Mediation by Parental Depression and Parenting Style

2021 ◽  
Vol 18 (14) ◽  
pp. 7716
Author(s):  
Alexander Lepe ◽  
Sijmen A. Reijneveld ◽  
Josué Almansa ◽  
Andrea F. de Winter ◽  
Marlou L. A. de Kroon
Keyword(s):  
Metabolic Syndrome ◽  
Social Services ◽  
Health Inequalities ◽  
Parenting Style ◽  
Indirect Effects ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Parental Depression ◽  
Socioeconomic Health Inequalities

We assessed to what extent parental depression and parenting style mediate the relationships between different measures of parental socioeconomic status (SES) and both depression and metabolic syndrome (MetS) in adolescents, and whether sex moderates these mechanisms. Data were from the prospective multigenerational Dutch Lifelines Cohort Study. Our sample consisted of 1217 adolescents with an average follow-up of 33.3 (SD = 7.33) months and a median baseline age of 13 (IQR:13–14) years. We used structural equation models to assess the direct and indirect effects of SES on baseline and changes at follow-up in both depression and MetS, and to assess moderation by sex. For each additional year of education, continuous MetS scores were 0.098 (95%CI: 0.020; 0.184) units lower at baseline and decreased 0.079 (95%CI: 0.004; 0.158) units at follow-up. No other direct or indirect effects of SES were found, and there was no moderation by sex. Additionally, warmer parenting style was generally associated with more favorable outcome scores. Therefore, improving parenting style may improve health for all adolescents. However, in this study parental depression and parenting style did not account for adolescent socioeconomic health inequalities. This may be partly due to good access to social services within the Netherlands.

scholarly journals Validity and calibration of the FFQ used in the Melbourne Collaborative Cohort Study

2016 ◽  
Vol 19 (13) ◽  
pp. 2357-2368 ◽  
Author(s):  
Julie K Bassett ◽  
Dallas R English ◽  
Michael T Fahey ◽  
Andrew B Forbes ◽  
Lyle C Gurrin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Dietary Assessment ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Monounsaturated Fat ◽  
Melbourne Collaborative Cohort Study ◽  
Calibration Coefficients

AbstractObjectiveTo evaluate the reliability and validity of the FFQ administered to participants in the follow-up of the Melbourne Collaborative Cohort Study (MCCS), and to provide calibration coefficients.DesignA random sample stratified by country of birth, age, sex and BMI was selected from MCCS participants. Participants completed two FFQ and three 24 h recalls over 1 year. Reliability was evaluated by intraclass correlation coefficients (ICC). Validity coefficients (VC) were estimated from structural equation models and calibration coefficients obtained from regression calibration models.SettingAdults born in Australia, Greece or Italy.SubjectsNine hundred and sixty-five participants consented to the study; of these, 459 participants were included in the reliability analyses and 615 in the validity and calibration analyses.ResultsThe FFQ showed good repeatability for twenty-three nutrients with ICC ranging from 0·66 to 0·80 for absolute nutrient intakes for Australian-born and from 0·51 to 0·74 for Greek/Italian-born. For Australian-born, VC ranged from 0·46 (monounsaturated fat) to 0·83 (Ca) for nutrient densities, comparing well with other studies. For Greek/Italian-born, VC were between 0·21 (Na) and 0·64 (riboflavin). Calibration coefficients for nutrient densities ranged from 0·39 (retinol) to 0·74 (Mg) for Australian-born and from 0·18 (Zn) to 0·54 (riboflavin) for Greek/Italian-born.ConclusionsThe FFQ used in the MCCS follow-up study is suitable for estimating energy-adjusted nutrients for Australian-born participants. However, its performance for estimating intakes is poorer for southern European migrants and alternative dietary assessment methods ought to be considered if dietary data are to be measured in similar demographic groups.

scholarly journals Multimorbidity, inflammation, and disability: a longitudinal mediational analysis

2018 ◽  
Vol 10 ◽  
pp. 204062231880684 ◽  
Author(s):  
Elliot M. Friedman ◽  
Daniel K. Mroczek ◽  
Sharon L. Christ
Keyword(s):  
Chronic Conditions ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Functional Limitations ◽  
The United States ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Mediational Analysis

Background: Using longitudinal data from the Survey of Mid-Life Development in the United States, this study examined the role of systemic inflammation in mediating the link between multimorbidity and increases in and onset of functional limitations over a 17–19 year follow-up period. Methods: Participants completed questionnaire assessments of chronic conditions and functional limitations. Interleukin-6, C-reactive protein, and fibrinogen were assayed in serum. Structural equation models were used to predict increases in and onset of functional limitations associated with baseline multimorbidity status; mediation by inflammation was also determined. Results: Multimorbidity ( versus 0–1 conditions) predicted more functional limitations and greater odds of onset of limitations over time. Significant indirect effects showed that inflammation partially mediated the link between multimorbidity and changes in, but not onset of, limitations. Discussion: These results show that inflammation, a nonspecific marker of multiple disease conditions, explains in part the degree to which multimorbidity is disabling.

scholarly journals Genetic and Environmental Influences on the Correlations between Traits of Metabolic Syndrome and CKD

2019 ◽  
Vol 14 (11) ◽  
pp. 1590-1596
Author(s):  
Xu Chen ◽  
Istiak Bhuiyan ◽  
Ralf Kuja-Halkola ◽  
Patrik K. E. Magnusson ◽  
Per Svensson
Keyword(s):  
Metabolic Syndrome ◽  
Abdominal Obesity ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Environmental Influences ◽  
Population Based ◽  
European Ancestry ◽  
Cross Sectional ◽  
Environmental Correlations ◽  
Genes And Environment

Background and objectivesMetabolic syndrome is a cluster of risk factors associated with CKD. By studying the genetic and environmental influences on how traits of metabolic syndrome correlate with CKD, the understanding of the etiological relationships can be improved.Design, setting, participants, & measurementsFrom the population-based TwinGene project within the Swedish Twin Registry, 4721 complete twin pairs (9442 European ancestry participants) were included in this cross-sectional twin study. Metabolic syndrome-related continuous traits were measured, and the binary components as well as the status of metabolic syndrome were defined according to the National Cholesterol Education Program-Adult Treatment Panel III. The eGFR was calculated by cystatin C-based equations from the CKD epidemiology collaboration group, and CKD was defined by eGFR<60 ml/min per 1.73 m2. Genetic and environmental contributions to the correlations between traits of metabolic syndrome and CKD were estimated by using twin-based bivariate structural equation models.ResultsThe correlation between metabolic syndrome and eGFR-defined CKD was 0.16 (95% confidence interval [95% CI], 0.12 to 0.20), out of which 51% (95% CI, 12% to 90%) was explained by genes, whereas 15% (95% CI, 0% to 42%) and 34% (95% CI, 16% to 52%) was explained by the shared and nonshared environment, respectively. The genetic and environmental correlations between metabolic syndrome and CKD were 0.29 (95% CI, 0.07 to 0.51) and 0.27 (95% CI, 0.13 to 0.41), respectively. For the correlation between abdominal obesity and eGFR, 69% (95% CI, 10% to 100%) was explained by genes and 23% (95% CI, 5% to 41%) was explained by environment. The genetic correlation between abdominal obesity and eGFR was −0.30 (95% CI, −0.54 to −0.06), whereas the environmental correlation was −0.14 (95% CI, −0.22 to −0.06).ConclusionsBoth genes and environment contribute to the correlation between metabolic syndrome and eGFR-defined CKD. The genetic contribution is particularly important to the correlation between abdominal obesity and eGFR.

A Between- and Within-Person Analysis of Parenting and Time Spent in Criminogenic Settings During Adolescence: The Role of Self-Control and Delinquent Attitudes

2016 ◽  
Vol 50 (2) ◽  
pp. 229-254 ◽  
Author(s):  
Heleen J. Janssen ◽  
Gerben J. N. Bruinsma ◽  
Maja Deković ◽  
Veroni I. Eichelsheim
Keyword(s):  
Panel Data ◽  
Indirect Effects ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Physical Characteristics ◽  
Self Control ◽  
Adolescent Delinquency ◽  
Multilevel Structural Equation

Although spending time in criminogenic settings is increasingly recognized as an explanation for adolescent delinquency, little is known about its determinants. The current study aims to examine the extent to which (change in) self-control and (change in) delinquent attitudes relate to (change in) time spent in criminogenic settings, and the extent to which they mediate the effects of (change in) parenting. Time spent in criminogenic settings was measured comprehensively, by including social and physical characteristics of micro settings (200 × 200 meters). Multilevel structural equation models on two waves of panel data on 603 adolescents (aged 12-19) showed that self-control and delinquent attitudes contributed to between-person differences in time spent in criminogenic settings. Within-person increases in time spent in such settings were predicted by increased delinquent attitudes. For indirect effects, self-control partially mediated between-person effects of parenting, whereas delinquent attitudes partially mediated both between- and within-person effects.

scholarly journals TQM and market orientation in care home services

2016 ◽  
Vol 33 (8) ◽  
pp. 1076-1098 ◽  
Author(s):  
Eduardo San Miguel ◽  
Iñaki Heras-Saizarbitoria ◽  
Juan José Tarí
Keyword(s):  
Nursing Homes ◽  
Market Orientation ◽  
Social Services ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Care Home ◽  
Dimensional Structure ◽  
Residential Home ◽  
Total Quality ◽  
Content Type

Purpose The purpose of this paper is to operationalize the concepts of total quality management (TQM) and market orientation (MO) and to analyze the relationship between them in a major economic sector of activity, namely, the social services sector. Design/methodology/approach The paper analyzes the aforementioned relationships by means of a quantitative study carried out with information from managers of 137 Spanish organizations in the field of social service provision and, more specifically, in nursing homes for the elderly. Structural equation models were used to contrast the relationships. Findings Evidence is provided for the multi-dimensional structure of TQM and MO. The results confirm that TQM contributes to a greater degree of MO in the organizations analyzed, since a significant positive relationship between a set of components of the first concept (namely, processes, leadership and people) and the second is found. Practical implications Managers need to take into account the fact that the application of a management system in nursing homes that is based on TQM dimensions favors the development of an MO culture. The staff are the key factor in orientating the residential home toward the market. Originality/value The research covers a gap in the literature since these relationships have not been studied empirically in depth in service sectors such as social services and nursing homes, despite great and growing economic importance of this sector.

scholarly journals The Influence of Education and Home Environment on the Cognitive Outcomes of Preschool Children in Germany

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Nicole Biedinger
Keyword(s):  
Home Environment ◽  
Cognitive Abilities ◽  
Structural Equation ◽  
Parental Education ◽  
Structural Equation Models ◽  
Preschool Education ◽  
Educational Background ◽  
Migrant Children ◽  
Cognitive Outcomes ◽  
Main Question

Educational inequality is a well-established topic among the scientific community in Western countries. Major individual differences emerge well before children arrive at school. Therefore the following analysis deals with the explanation of early differences in cognitive outcomes. However, there is not much research done in Germany. The main question is if the strong effect of the educational background and the home environment on their outcomes and on the improvement exists as well. To test this, data of the project “Preschool Education and Educational Careers among Migrant Children” was used. The results of structural equation models confirm that the home environment and the education of the parents are important for children's outcomes at the age of 3 to 4. In addition both factors also play a major role for the explanation of the improvement of the cognitive abilities. The results show that in Germany the home environment and parental education are important predictors of cognitive abilities. As a main result the study shows that it is very important to control for earlier abilities of the children and to encourage low educated parents to be active with their children, since in that way they can compensate for their lower educational background.

scholarly journals Obesity and Mental Health: A Longitudinal, Cross-Cultural Examination in Germany and China

2021 ◽  
Vol 12 ◽  
Author(s):  
Kristen L. Lavallee ◽  
Xiao Chi Zhang ◽  
Silvia Schneider ◽  
Jüergen Margraf
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Male Students ◽  
Health State ◽  
One Year ◽  
The Relationship ◽  
Chinese Male

The present study examines the relationship between obesity and mental health using longitudinal data. Participants with data at baseline and one-year follow-up were included from two countries: Germany (364) and China (9007). A series of structural equation models with three mediators and one moderator were conducted separately for female and male students in Germany and China. Zero-order correlations indicated that overweight/obesity was significantly related to later depression and anxiety in Chinese males. Additional effects of obesity on later mental health flowed through effects on attractiveness (Chinese and German females, and Chinese males), physical health (Chinese males), and life satisfaction (German females). Though overweight/obesity is related to mental health across many other studies, results in this study yield total effects between overweight/obesity and follow-up mental health only in Chinese males. The relationship between overweight/obesity and follow-up mental health was significantly mediated by follow-up attractiveness, or health state, or life satisfaction in German females, Chinese females, and Chinese male students, with no significant indirect effects found in German male students. This highlights the possible importance of culture in examining these effects.

scholarly journals Structural equation model of the effect of biological maturation on metabolic syndrome risk and C-reactive protein: effect of trunk fat and sports participation

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
André O. Werneck ◽  
Enio R. V. Ronque ◽  
Rômulo A. Fernandes
Keyword(s):  
Metabolic Syndrome ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Sports Participation ◽  
Equation Model ◽  
C Reactive Protein ◽  
Lower Trunk ◽  
Reactive Protein ◽  
Negative Effect ◽  
One Year

AbstractOur aim was to analyze the association between somatic maturation and alterations in metabolic syndrome (METs) risk and C-reactive protein (CRP), focusing on the effect of changes in trunk fat and sports practice. This was a longitudinal study with a one-year follow-up. The sample was composed of 139 adolescents (46 without sports participation and 93 young athletes), aged 10–17 years. As outcomes, we adopted CRP and METs risk (triglycerides, HDL-c, fasting glucose, and mean blood pressure). Somatic maturation was estimated using Mirwald’s method. Structural equation models were used. Somatic maturation was not associated with sports practice, trunk fat, METs risk neither CRP. Sports practice was associated with a reduction in METs risk (β = −0.926; 95%CI:−1.773, −0.080) and reduction in trunk fat (−10.957; −19.630, −2.283), which was associated with increases in METs risk (0.020; 0.004, 0.036). In the CRP model, sports practice was associated with a reduction in trunk fat (−10.324; −18.637, −2.010), which in turn was associated with a reduction in CRP (0.007; 0.001, 0.013). Sports practice and lower trunk adiposity were associated with reductions in trunk fat, METs risk, and CRP through direct and indirect pathways. Our findings highlight the role of sports practice in attenuating the negative effect of trunk adiposity.

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