scholarly journals Healthy lifestyle reduces incidence of trace/positive proteinuria and rapid kidney function decline after 2 years: from the Japan Ningen Dock study

Author(s):  
Rieko Okada ◽  
Kazuyo Tsushita ◽  
Kenji Wakai ◽  
Kiminori Kato ◽  
Takashi Wada ◽  
...  

Abstract Background Lifestyle modification is recommended for subjects with trace proteinuria during health checkups. However, whether overall healthy lifestyle reduces the incidence of trace/positive proteinuria or rapid decline in estimated glomerular filtration rate (eGFR) is not clarified. Methods A total of 451 534 people (277 494 men and 174 040 women) ages 20–79 years with negative proteinuria were included. The number of three healthy lifestyle factors (LFs) was assessed: noncurrent smoking, healthy eating habits (late dinner, snacking and skipping breakfast <3 times/week) and body mass index <25. The incidence of trace (±) and positive (≥1+) proteinuria by the dipstick method and eGFR decline ≥20% over 2 years were compared with the number of healthy LFs. Results The incidence of trace/positive proteinuria and rapid eGFR decline decreased with an increasing number of healthy LFs as follows: odds ratios (ORs) for trace proteinuria, 0.91 [95% confidence interval (CI) 0.86–0.96], 0.82 (0.78–0.87) and 0.72 (0.68–0.77); ORs for positive proteinuria, 0.76 (95% CI 0.67–0.86), 0.56 (0.50–0.63) and 0.46 (0.40–0.53); and ORs for an eGFR decline ≥20%, 0.93 (95% CI 0.82–1.05), 0.90 (0.79–1.02) and 0.81 (0.70–0.93) for those with one, two and three healthy LFs compared with those with none of the three healthy LFs, respectively. Overall, subjects with a healthy lifestyle showed 28, 54 and 19% reduced risk of developing trace proteinuria, positive proteinuria and eGFR decline ≥20%, respectively, compared with those with an unhealthy lifestyle after 2 years. This association was similarly observed even among subjects without hypertension (HT) or diabetes mellitus (DM). Conclusions Subjects with an overall healthy lifestyle showed a lower incidence of trace/positive proteinuria by dipstick test and rapid eGFR decline over 2 years in a nationwide general population. Thus lifestyle modification should be recommended for subjects with trace proteinuria during health checkups, even for subjects without HT or DM.

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Eleni Tympa ◽  
Vasiliki Karavida

Experiences with food preferences begin in infancy and continue to develop on children transition to solid food. Children’s food preferences are influenced by availability and familiarity with foods as well as parental modeling and health related picture books. The aim of the study was to evaluate whether picture-books regarding healthy lifestyle can influence children’s eating preferences. A questionnaire related to the use of picture-books at home and lifestyle habits was distributed to all parents. Picture-books were provided to all parents. At the same time children were allocated in two groups: the intervention group, which took part in further activities (cooking), and to a comparison group. Interviews were addressed to the parents after the program. The ethical concern included confidentiality assurance and the choice to withdraw. Findings revealed that the daily reading of books about food was increased in both groups. Most of the families of the intervention group reduced fast food and sweet consumption and increased outdoor activities. Implications on the influence of books and additional activities on promoting child attitudes on healthy food will be discussed. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0740/a.php" alt="Hit counter" /></p>


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Kuitunen ◽  
A Cavrak

Abstract In Sweden, we know that half of the women and two thirds of the men have one or more unhealthy lifestyle habits. We also know that 90% of all diabetes type 2, 80% of all heart attacks and 30% of all cancer can be prevented, if one has a healthy lifestyle. Consultative conversations have been proved very helpful while changing ones habits. The lifestyle habits of Swedes are similar to those of other countries in Europe, and by making our research available and the concept known to other countries, the overall health in Europe can improve. In August 2017 an online practice opened in a county in south west of Sweden, were we performed lifestyle interventions with people who applied and needed it. The practice specialized in eating habits, physical exercise, alcohol and tobacco use. We have 4-6 consultative meetings during 3 to 4 months, where we help our clients set realistic goals to reach, that work in their day to day life. While using coaching techniques and motivational interviewing, we have met over 200 people, and helped improve their lifestyle. We have seen that in regarding to self-assessed health (1-10), our clients score is higher after both completed health coaching and a year after completed coaching than at start. Calculating QALY, we can see that the impact the coach makes on our clients is cost effective and one person being coached saves the amount in hospital costs that we can use to coach 30 more. We have learned that online meetings are more cost effective and practical for this type of concept. Our clients feel more relaxed and open to the process at a location of their choosing and it saves time for them, time they might not have taken otherwise - therefore, we can help more people. Meetings online enables us to reach all over the Västra Götaland region, and not only the close proximity where the coaches are located. Key messages Online health coaching supports our health care and helps the citizens to improve their lifestyle habits and their overall health. The online method is cost effective and it saves money for both health care and society.


2018 ◽  
Vol 6 ◽  
pp. 816-821
Author(s):  
Svetlana Usca ◽  
Helēna Vecenāne ◽  
Dina Bethere

This publication analyses and discusses the aspects of healthy lifestyle implementation competence in the personal life of students and future teachers, viewing it as a potential contribution to their professional career. The correlation of internal factors such as students' attitudes, knowledge, skills and abilities and influence of external factors of social environment are analysed as healthy lifestyle competence. The empirical study focuses on two priority healthy lifestyle components –physical activity and the development of healthy eating habits in relation to the conditions provided by a higher education microsystem formulating a proposal for improving the interaction of these factors. For achieving the research goal, emerging teachers have been surveyed using the methodology developed by Corbin et al. (2008). For statistical analysis of the research data, the SPSS 22.0 program was employed: a method of descriptive statistics, Kruskal-Wallis test, and Kendall's tau-b correlation test. The results of this study prove the differences in competence indicators in relation to the respondents’ age and chosen specialization, as well as show the lack of support from professional management and medical staff for implementation of a healthy lifestyle.


sjesr ◽  
2021 ◽  
Vol 4 (1) ◽  
pp. 486-492
Author(s):  
Azmat Ali ◽  
Dr. Farooq Hussain ◽  
Muhammad Shah

University is a critical stage of life in which students are more likely to engage in unhealthy health behaviors such as physical inactivity, stress, and bad dietary habits. Health-promoting behaviors are an important component of a healthy lifestyle and have been reported as a key factor in sustaining and improving one's health. This study aimed to determine the healthy and unhealthy lifestyles of students in KPK universities by gender and location. In total, 384 university students took part in the study, with 200 authentic and fully completed questionnaires used to determine the overall sample. Data was gathered from six universities in the province of Khyber Pakhtunkhwa. Males made up the majority of participants (109, 54.2 percent), while females made up the rest (91, 45.3 percent). The findings revealed that the causes had a significant effect on the health of university students. Adherence to guidelines for physical activity and healthy eating habits was found to be insufficient among students.


2014 ◽  
Vol 04 (02) ◽  
pp. 125-128
Author(s):  
Elstin Mary S. ◽  
Anjalin D'souza ◽  
Erna Judith Roach

Abstract:Increasing incidence of lifestyle disorders among Indians are largely attributed by unhealthy lifestyle practices like poor dietary pattern, inadequate physical activity, smoking, alcohol consumption and stress. Lifestyle modification programs are proved effective in behaviour modification and promotion of healthy lifestyle practices among adolescents. A school based interventional study was conducted among adolescents with the objective determine the effectiveness of the lifestyle management program in terms of gain in knowledge on lifestyle disorders and change in self-reported lifestyle practices. The study was conducted in two phases. Initially, a baseline data on the lifestyle practices and knowledge on lifestyle disorders was obtained from the adolescents, which was utilized to select the adolescents with poor and average knowledge and unhealthy practices for whom the intervention was implemented. Changes in lifestyle disorder related knowledge and lifestyle practices were tested using a structured knowledge questionnaire and lifestyle assessment scale. After two weeks of the intervention, a post-test was carried out and a significant improvement in knowledge (Z= 12.39, P = 0.001) and lifestyle practice (Z= 5.52, P = 0.001) were identified. The educational package for lifestyle modification was successful in improving the knowledge on lifestyle diseases and lifestyle practices among adolescents and thereby in prevention of lifestyle disorders.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 383
Author(s):  
Mirella Nicodemo ◽  
Maria Rita Spreghini ◽  
Melania Manco ◽  
Rita Wietrzykowska Sforza ◽  
Giuseppe Morino

Childhood obesity is a worldwide health emergency. In many cases, it is directly linked to inappropriate eating habits and a sedentary lifestyle. During lockdown aimed at containing the coronavirus disease (COVID-19) spread, children have been forced to stay at home. The present study aimed at investigating the lifestyles of outpatients (aged 5–17 years) with complicated obesity enrolled in the day-hospital food education program at the Children’s Hospital Bambino Gesù in Rome. A survey was performed based on a structured questionnaire, investigating dietary habits and lifestyles. The questionnaire answers were rated as “yes/no/sometimes” or “often/never/sometimes”. Eighty-eight families correctly completed the questionnaire between March and May 2020. The results highlighted that 85.2% (N = 75) of the patients ate breakfast regularly, and 64.3% (N = 72) consumed fruit as an afternoon snack. However, 21.6% (N = 19) did just “often” home workouts, and 50.0% (N = 44) reported an increase of feeling hungry with “sometimes” frequency. There is a significant relationship of feeling hungry with gender (p < 0.0001) and age (p = 0.048) and, also, between gender with having breakfast (p = 0.020) and cooking (p = 0.006). Living a healthy lifestyle during lockdown was difficult for the outpatients, mainly due to the increase in a sedentary lifestyle and the increase in feeling hungry, but some healthy eating habits were maintained, as advised during the food education program provided before lockdown.


Adolescence is a special stage in the development of obesity and implicitly for interventions to control it. From a nutritional point of view, the adolescent with weight problems is going through an extremely vulnerable period, the increased need of nutrients necessary for the correct physical and mental development being often unsatisfied due to poor eating habits. This article refers to the importance of sport and physical activity of any kind as an adjuvant treatment of childhood obesity and was conceived as a plea for the holistic approach to infantile obesity. The study briefly presents the pathological substrate of childhood obesity (statistics, causes, consequences, methods of diagnosis and treatment) and the solutions considered most effective in ameliorating and curing this problem. It highlights the role of movement in implementing specific treatments for childhood obesity, along with the modern approach to nutrition in contrast to lifestyle, and also the influence of family patterns on the manifestation of exercise and eating habits and their transmission from one generation to another. Evidence based on empirical research in the literature regarding intervention programmes in the treatment of childhood obesity is also presented. Healthy lifestyle modification programmes for weight control in children should be directed by health professionals (primary health care professionals, nutrition/diet professionals, teachers, physical activity professionals), who are specially trained in the field of infantile obesity.


2017 ◽  
Vol 2 (3) ◽  
pp. 121-132
Author(s):  
Joanna Sikora ◽  
Justyna Ryba ◽  
Dominika Zoldi

Introduction: The period of adolescence is extremely difficult due to the fact of developmental health issues. The lifestyle of the youth will have an impact on their future life. Among health behaviors the attitudes towards a healthy lifestyle and an unhealthy lifestyle can be distinguished. Healthy lifestyle attitudes concern: proper nutrition, physical activity, coping with stress, appropriate social relationships, taking care of personal hygiene and visiting a GP for preventive examinations. Unhealthy lifestyle attitudes concern: alcohol abuse, smoking cigarettes and psychogenic drug abuse. Objective: To assess the health behaviors in young people of secondary schools in Dąbrowa Tarnowska. Materials and methods: The study included 402 secondary school students in Dabrowa Tarnowska, in the Malopolska province. The study was conducted in November 2015. 135 students attended technical schools, 133 secondary schools and 134 basic vocational schools. Our original survey and the standard questionnaire – the Behavioral Health Inventory by Zygfryd Juczyński, were used in this study. Results: The average number of points obtained by the respondents in the Behavioral Health Inventory questionnaire was 73.06 (SD=11.22) and ranged from 32 to 105 points, so a typical outcome in the study group was between 66 and 80, 75 points. 221 survey participants received a low score in the BHI, 154 average, and 27 high. More than 45% of the respondents assessed their fitness as below average, only 12% of the respondents claimed that they are definitely physically active. 45% of the respondents cared for their proper nutrition from time to time. Conclusions: W omen d efinitely h ad much better eating habits, preventive health care activities and health care services in comparison to men. Students attending secondary schools had better eating habits than students from basic vocational schools. People with an excessive body weight presented significantly worse eating habits, worse preventive health behaviuors and health care services than those with the weight within normal limits.


Author(s):  
E. A. Lyalyukova ◽  
I. V. Druk ◽  
I. V. Dolgalev ◽  
E. N. Chernysheva ◽  
E. N. Loginova ◽  
...  

Metabolically associated fatty liver disease is a widespread disease (MAFLD).The main treatment strategy for MAFLD is the correction of metabolic factors, changes in lifestyle, normalization of body weight, which is achieved by the use of diet therapy and physical activity.The purpose of this review is to present the characteristics of diets that have been studied in the treatment of patients with MAFLD.Results. The greatest evidence base on the effectiveness of treatment of MAFLD and the safety profile is the use of the Mediterranean diet and the diet with a low glycemic index. Patients should be advised to reduce their sugar intake, reduce their intake of saturated fatty acids and trans fats, and increase their intake of dietary fiber. Eating a balanced, calorie-restricted diet can help to provide healthy lifestyle and healthy eating habits, which are essential for the prevention and treatment of MAFLD. Hereditary factors, the composition of the intestinal microbiota, comorbid pathology can affect the results of diet therapy, which emphasizes the urgent need for an individualized approach in the treatment of this disease.


2019 ◽  
Vol 25 (3-4) ◽  
pp. 113-117
Author(s):  
Olasunkanmi R. Adeleke ◽  
George O.  Ayenigbara

In this systematic review, we explored the effects of physical activity, diet, and lifestyle on the prevention of diabetes mellitus in Nigeria. Diabetes is an autoimmune disease which occurs when the body does not produce or respond properly to insulin, a hormone essential for daily life. Diabetes is an incurable disease, which has no racial, social, or sex barrier. The risk factors include a poor diet, lack of physical activity, obesity, and an unhealthy lifestyle. About 100 million people in the United States have diabetes mellitus, and the total economic costs of diabetes exceed USD 132 billion a year. Diabetes accounts for 1 of every 10th USD spent on health care in the United States, and an estimated 48 million Americans may develop diabetes by 2050. However, it is estimated that in 90% of the patients with type 2 diabetes the disease could be prevented if people adopted a healthy lifestyle, including regular physical activity, a moderate-good diet, and modest weight. Because of the deleterious health consequences which include blindness; kidney damage; cardiovascular disease; and reduced life span, as well as high treatment costs, prevention of the disease in Nigeria, where you are confronted with a poor health care system, poverty, and ignorance, but also have ample opportunities for physical activity and rich local nutrients to supply an ideal diet, is a viable option. Consequent upon this, the paper recommends, among others, that available local resources be used for this purpose.


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