scholarly journals To what extent is the altitude at which we live associated with 10-year cardiovascular risk?

2021 ◽  
Author(s):  
Andrea Cevallos Guerrero ◽  
Heidi Angela Fernández ◽  
Ángela León-Cáceres ◽  
Luciana Armijos-Acurio ◽  
Carlos Erazo ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Cardiovascular Health ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Incidence Rates ◽  
Income Quintile ◽  
Public Health Perspective ◽  
Cross Sectional ◽  
Using Data ◽  
Laboratory Biomarkers

AbstractIntroductionThere is evidence that demonstrates lower incidence rates of cardiometabolic factors at the highlands. There are no studies which correlate the altitude with formally calculated cardiovascular risk by a meter-by-meter approach. Under the hypothesis that cardiovascular risk is inversely associated with altitude, this study was aimed to assess such association.Materials and methodsCross sectional study using data from the Ecuadorian National Health Survey of 2012. We analyzed available information of adults of ≥ 40 to 60 years old who have sociodemographic, anthropometric, cardiovascular risk factors, and laboratory biomarkers that were included in the survey. We assessed the independent association between altitude of the housing in which survey participants lived at, on a meter-by-meter approach, and cardiovascular health risk at ten years, formally calculated by Framingham equations.ResultsLinear regression model showed that participants had 0.0005 % less probability of developing cardiovascular disease at 10 years per each increase in a meter in the altitude that participants live at (p<0.001), adjusted for sex, age, ethnicity, educational level, availability of social security, immigrants in family, area, income quintile, overcrowding (≥ 7 inhabitants in the house), any alcohol consumption, history of hypertension, body mass index, hematocrit, and triglycerides.ConclusionFrom a public health perspective, altitude at which individuals live is an important health determinant of cardiovascular risk. Specifically, per each increase of 1000 m in the altitude that people live at, there is a reduction of almost half a percentual point in the cardiovascular risk at 10 years.

scholarly journals Obesity Inequalities According to Place of Birth: The Role of Education

2018 ◽  
Vol 15 (8) ◽  
pp. 1620 ◽  
Author(s):  
Elena Rodriguez-Alvarez ◽  
Nerea Lanborena ◽  
Luisa Borrell
Keyword(s):  
Health Survey ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Lower Probability ◽  
Significant Heterogeneity ◽  
Place Of Birth ◽  
Cross Sectional ◽  
Before And After ◽  
European Health ◽  
Using Data

This study examined obesity inequalities according to place of birth and educational attainment in men and in women in Spain. A cross-sectional study was conducted using data from the Spanish National Health Survey 2011–2012 and from the European Health Survey in Spain 2014. We used data for 27,720 adults aged 18–64 years of whom 2431 were immigrants. We used log-binomial regression to quantify the association of place of birth with obesity before and after adjusting for the selected characteristics in women and in men. We found a greater probability of obesity in immigrant women (PR: 1.42; 95% CI: 1.22–1.64) and a lower probability of obesity in immigrant men (PR: 0.73; 95% CI: 0.59–0.89) relative to natives after adjustment. Significant heterogeneity was observed for the association of place of birth and obesity according to education in men (p-interactions = 0.002): Men with lower educational levels (PR: 0.47; 95% CI: 0.26–0.83) have a protective effect against obesity compared with their native counterparts. This study suggests that place of birth may affect obesity in women and in men. However, this effect may be compounded with education differently for women and men.

scholarly journals Evaluation of Benign Prostatic Hyperplasia Patients in Regards to Co-Morbid Conditions and Personal Habits

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1784-1787
Author(s):  
Archana S ◽  
Kumaresan M ◽  
Sangeetha A ◽  
Balaji Karunakaran ◽  
Yuvaraj Maria Francis
Keyword(s):  
Erectile Dysfunction ◽  
Benign Prostatic Hyperplasia ◽  
Alcohol Consumption ◽  
Medical Condition ◽  
Cross Sectional Study ◽  
Incidence Rates ◽  
Prostatic Hyperplasia ◽  
Public Health Perspective ◽  
Cross Sectional ◽  
Morbid Conditions

Benign prostatic hyperplasia (BPH) is one of the most common diseases encountered in urology practice which commonly occurs in the ageing man. Similarly, diabetes, hypertension, cardiovascular disease and erectile dysfunction also increases with ageing. This study is an attempt to look at the percentage of patients presenting with any associated illness and then to assess the risk of smoking and alcohol consumption and their socioeconomic status of our group of patients by taking a thorough history of BPH patients. The study was conducted in the urology department saveetha medical college and hospital. This was a prospective cross-sectional study from October 2019 till February 2020. In this study, 150 BPH patients history was taken, and data regarding their co-morbid conditions, smoking habits and alcohol consumption were taken, and results were analyzed. Among the co-morbid conditions in this group of patients, the most typical medical condition found was diabetes (46%) and the second most common cause was erectile dysfunction (32%). Further, public health perspective research with factual data collected through various hospitals to assess future trends in BPH incidence rates and co-morbid conditions must be strongly encouraged to identify risk factors for the Indian population.

scholarly journals Lack of Social Support and Its Role on Self-Perceived Health in a Representative Sample of Spanish Adults. Another Aspect of Gender Inequality

2021 ◽  
Vol 10 (7) ◽  
pp. 1502
Author(s):  
Julia Wärnberg ◽  
Napoleón Pérez-Farinós ◽  
María Julia Ajejas-Bazán ◽  
Jéssica Pérez-López ◽  
Juan Carlos Benavente-Marín ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
Gender Inequality ◽  
Perceived Health ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Social Support Scale ◽  
Using Data

Self-perceived health has been used as a good estimator of health status and receiving affection can be a determining factor for good self-perceived health. The aim of the present study was to assess whether lack of social support (measured through Duke scale, which ranges from 11 to 55) was associated with poorer health status measured as self-perceived health, and whether that association was different between women and men. A cross-sectional study was conducted using data from the 2017 Spanish National Health Survey. A descriptive study was performed, and logistic regression models were applied using self-perceived health as a dependent variable. Mean Duke score was 47.6 for men and 47.9 for women (p = 0.016). Moreover, 36.3% of women and 27.6% of men reported poor self-perceived health (p < 0.001). The multivariate analysis revealed that lower scores in Duke-UNC social support scale were associated with poorer health status. That association was higher in women than in men. Poor self-perceived health was also associated with low level of education and obesity, especially among women. There was gender inequality as regards health status associated with lack of social support. These results can help design prevention strategies to improve health.

scholarly journals Factors associated with feeding practices among Brazilian children aged 12 to 23 months old

2020 ◽  
Vol 20 (4) ◽  
pp. 1025-1040
Author(s):  
Adriana Gama Rebouças ◽  
Ítalo de Macedo Bernardino ◽  
Emiliane Rodrigues Dutra ◽  
José Carlos Pettorossi Imparato ◽  
Danilo Antonio Duarte ◽  
...  
Keyword(s):  
Feeding Practices ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Housing Conditions ◽  
Food Groups ◽  
Cross Sectional ◽  
White Children ◽  
The North ◽  
Using Data ◽  
Brazilian Children

Abstract Objectives: a quantitative analytical cross-sectional study aimed to identify demographic characteristics to access health services and housing conditions in relation to inadequate feeding practices among Brazilian children from 12 to 23 months of age. Methods: the analysis of the feeding practices (consumption of recommended food groups) of 2541 Brazilian children (aged 12-23 months old) was performed using data from the Pesquisa Nacional de Saúde 2013 (National Health Survey). Descriptive and multivariate statistics used the Decision Tree Analysis based on CHAID (Chi-squared Automatic Interaction Detector) algorithm, as well as hierarchically adjusted Poisson regression analyses were performed. The variables were entered in a hierarchical model at distal (demographic), intermediate (access to health) and proximal (housing conditions) levels. Results: the results showed a high prevalence of sugar consumption (85.5%; CI95%=83.7-87.2) and highlighted inadequate feeding practices among non-white children (p=0.001), resident in the North (p<0.001) and Northeast (p=0.010) of Brazil and in towns in the countryside (p<0.001) presented feeding practices that were not recommended for consumption in the food groups. Conclusions: non-white children, who lived in the North and Northeast regions of Brazil and in the countryside, which are known to be more socioeconomically vulnerable, were more likely to experience inadequate feeding practices.

scholarly journals Motives for requesting an electrocardiogram in primary health care

2015 ◽  
Vol 20 (5) ◽  
pp. 1549-1554 ◽  
Author(s):  
Paulo Santos ◽  
Carlos Martins ◽  
Luísa Sá ◽  
Alberto Hespanhol ◽  
Luciana Couto
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Cross Sectional Study ◽  
Urban Region ◽  
Health Examination ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Primary Health ◽  
Using Data

The management of requests for diagnostic exams presents its own inherent characteristics in primary health care and reflects the specific nature of the physician-patient relationship. The scope of the study was to identify the reasons for requesting an electrocardiogram (ECG) in primary health care. A cross-sectional study was conducted in an urban region in Portugal, establishing the motives to ask for an ECG consecutively over two years, starting on 01/03/2007 using data retrieved from structured forms filled out by the physician at the moment of requesting the exam. A total of 870 ECGs of 817 patients were included. Symptoms manifested during the patient visit justified 48.5% of the ECGs, and follow-up of cardiovascular risk factors motivated 25.2%. A global health examination accounted for 22.8% of the requests. Multivariate analysis showed that the presence of symptoms (p < 0.001), presence of any cardiovascular risk factor (p = 0.002), hypertension (p < 0.001), diabetes (p = 0.002), and urgency (p < 0.001) were the main factors associated with the requests. The requests for electrocardiograms are predominantly for clinical reasons as a result of patients symptoms. The integration of expectations and beliefs of the patients is present in the decision-making process.

scholarly journals Prevalence and Determinants of Antibiotic Consumption in the Elderly during 2006–2017

2020 ◽  
Vol 17 (9) ◽  
pp. 3243
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
Health Status ◽  
Health Survey ◽  
The Elderly ◽  
Antibiotic Consumption ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Cross Sectional ◽  
Antibiotic Overuse ◽  
European Health ◽  
Using Data

Elderly people are a particularly important population with regard to antibiotic overuse, using around 50% more antibiotics per capita than younger adults. The aim of this study was to analyze the prevalence, associated factors and evolution over time of antibiotic consumption among the Spanish population aged ≥ 65 years from 2006 to 2017. A descriptive cross-sectional study was conducted using data from the Spanish National Health Survey in 2006, 2011/2012 and 2017, and from the European Health Survey in Spain in 2009 and 2014. The sample consisted of 26,891 non-institutionalized individuals ≥ 65 years. Antibiotic consumption was the dependent variable, and sociodemographic variables, lifestyle habits and health status were analyzed using a logistic regression model. The prevalence of antibiotic consumption was 4.94%, with a marked increase from 2006 (4.64%) to 2017 (5.81%) (p < 0.0001). Higher antibiotic consumption was associated with poor or very poor self-perceived health status, no polypharmacy and not having been in hospital during the previous twelve months, while a lower consumption was linked to being limited but not severely due to a health problem and not being at all limited.

Correlation of Glycemic Control Parameters in Non-Diabetic Persons with Cardiovascular Risk Scores - Results from a Cross- Sectional Study

2017 ◽  
Vol 68 (1) ◽  
pp. 108-110
Author(s):  
Gina Botnariu ◽  
Norina Forna ◽  
Alina Popa ◽  
Raluca Popescu ◽  
Alina Onofriescu ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Glycemic Control ◽  
Tolerance Test ◽  
Cross Sectional Study ◽  
Risk Scores ◽  
Oral Glucose ◽  
Cross Sectional ◽  
University Of Edinburgh ◽  
Fasting Glycaemia ◽  
The University

To assess the correlation between main parameters of glycemic control and cardiovascular risk scores in non-diabetic persons. Risk scores were calculated by using the University of Edinburgh Risk Calculator. Risk scores are used to estimate the probability of cardiovascular disease in individuals who have not already developed major atherosclerotic disease. We correlated the results of these scores with the parameters that describes the glycaemic profile: preprandial glicaemia, HbA1c and 1 hour and 2 h post-prandial glycaemia, determined during Oral Glucose Tolerance Test (OGTT).Both fasting glycaemia and HbA1c significantly correlated with cardiovascular risk scores calculated for a period of 10 years. The recorded post-prandial glycaemic values at 1h and 2h after glucose loading didn�t significantly correlate with calculated scores, in the study group. The observed correlations underline the importance of glycaemia in the pathogenesis of cardiovascular diseases.

Regular consumption of red meat and health behaviors in the Brazilian population

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D de Assumpção ◽  
S M Álvares Domene ◽  
A M Pita Ruiz ◽  
P M Stolses Bergamo Francisco
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Meat Consumption ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Red Meat ◽  
Alcoholic Beverages ◽  
Cross Sectional ◽  
Unhealthy Eating ◽  
Regular Consumption

Abstract Background The consumption of red meat should not surpass 500 g of cooked weight per week. Regular consumption can exceed this recommendation, increasing the risk of chronic diseases. Objective Estimate the prevalence of the regular consumption of red meat according to health behaviors in Brazilian adults (≥18 years). Methods A cross-sectional study was conducted with data from the 2013 National Health Survey, which is a household inquiry with a representative sample of the population ≥18 years of age. The regular consumption of red meat (beef, pork, goat) was defined as ≥ 5 days/week. Prevalence ratios (PR) and 95% confidence intervals (CI) were estimated according to health behaviors (healthy and unhealthy eating patterns, smoking, practice of physical activity during leisure and alcohol intake). Results A total of 60,202 adults were interviewed, 52.9% of whom were women and mean age was 42.9 years (95%CI: 42.6-43.2). The prevalence of regular red meat consumption was 36.7% (95%CI: 36.0-37.5) and was higher among those who ingested soft drinks/artificial juice (PR = 1.08) and sweets (PR = 1.05) ≥3 days/week, ingested beans (PR = 1.07) and raw vegetables (PR = 1.03) ≥5 days/week, ingested fatty meat (PR = 1.09), smokers (PR = 1.05), individuals who were inactive during leisure (PR = 1.04) and those who consumed alcohol ≥2 times/week (PR = 1.06). The prevalence was lower among those who ate fruit (PR = 0.99) and chicken (PR = 0.95) ≥5 days/week, those who ate fish (PR = 0.90) at least 1 day/week and those who drank no fat/low fat milk rather than whole milk. Conclusions The regular consumption of red meat was higher among individuals who ingested unhealthy foods more often, those who ingested fatty meat, smokers, those who ingested alcoholic beverages and those who did not practice physical activity. Actions are needed to reduce the frequency of red meat consumption. Key messages Regular consumption of red meat can exceed the recommendation of 500 g of cooked weight per week. The regular consumption of red meat was associated with the more frequent ingestion of unhealthy foods and fatty meat.

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