scholarly journals Progress and setbacks in socioeconomic inequalities in adolescent health-related behaviours in Brazil: results from three cross-sectional surveys 2009–2015

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025338 ◽  
Author(s):  
Catarina Machado Azeredo ◽  
Leandro F M de Rezende ◽  
Poppy Alice Carson Mallinson ◽  
Camila Zancheta Ricardo ◽  
Sanjay Kinra ◽  
...  
Keyword(s):  
Physical Activity ◽  
Domestic Violence ◽  
Adolescent Health ◽  
Soft Drink ◽  
Socioeconomic Inequalities ◽  
Unsafe Sex ◽  
Cross Sectional ◽  
Soft Drink Consumption ◽  
Health Related ◽  
Bullying Victimisation

ObjectivesDespite some progress, Brazil is still one of the most unequal countries, and the extent of socioeconomic inequalities in adolescent health is unclear. We assessed trends in socioeconomic inequalities in adolescent’s health-related behaviours in Brazil between 2009 and 2015.DesignWe used cross-sectional data from the Brazilian National Survey of School Health carried out in 2009, 2012 and 2015.SettingBrazilian state capitals.ParticipantsStudents attending ninth grade from public and private schools in Brazilian state capitals in 2009 (60 973 students), 2012 (61 145 students) and 2015 (51 192 students).Main outcome measureWe assessed 12 health-related behaviours (irregular fruit, vegetables and bean consumption; regular soft drink consumption; irregular physical activity; alcohol, drug and tobacco use; unsafe sex; involvement in gun fights; bullying victimisation and domestic violence victimisation), under the broad domains of lifestyle risk behaviours, engagement in risky activities and exposure to violence. Socioeconomic status was assessed through an asset-based wealth index derived from principal component analysis. Absolute and relative inequalities in these health behaviours and inequalities trends were investigated.ResultsFrom 2009 to 2015, prevalence of certain harmful health-related behaviours increased, such as unsafe sex (21.5% to 33.9%), domestic violence (9.5% to 16.2%), bullying victimisation (14.2% to 21.7%) and irregular consumption of beans (37.5% to 43.7%). Other indicators decreased: alcohol use (27.1% to 23.2%), irregular physical activity (83.0% to 75.6%) and consumption of soft drinks (37.2% to 28.8%). Over the period, we found consistent evidence of decreasing health inequalities for lifestyle behaviours (fruit, bean and soft drink consumption) and alcohol use, set against increasing inequalities in violence (domestic violence, fights using guns and bullying victimisation).ConclusionSocioeconomic inequality increased in the violence domain and decreased for lifestyle behaviours among Brazilian adolescents. Widening gaps in violence domain urge immediately policy measures in Brazil.

scholarly journals Patterns of daily energy drink consumption differ by gender among Belgian adolescents

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Theresa Lebacq ◽  
Maud Dujeu ◽  
Camille Pedroni ◽  
Nathalie Moreau ◽  
Véronique Desnouck ◽  
...  
Keyword(s):  
Physical Activity ◽  
Soft Drink ◽  
Old French ◽  
Energy Drink ◽  
Cross Sectional ◽  
Physically Active ◽  
Logistic Regression Models ◽  
Soft Drink Consumption ◽  
Adverse Health Effects ◽  
French Speaking

AbstractOver the past decade, energy drinks (ED) have become increasingly popular among adolescents. Due to their high content in caffeine, sugar and other energy-promoting components, frequent ED consumption may have adverse health effects, like cardiovascular symptoms, sleep impairment, and nervousness. Previous studies have shown that ED consumption was more frequent among males. To extend this knowledge, our analysis examined how sociodemographic and lifestyle determinants of frequent ED consumption may differ by gender among Belgian adolescents. This study was based on data self-reported by 9,119 12–19 year-old French-speaking Belgian adolescents in secondary school, within the 2014 cross-sectional Health Behaviour in School-Aged Children survey. Pupils reporting they usually consumed ED once a day or more were considered as “high ED consumers”. Sociodemographic and lifestyle characteristics were described in relation to ED consumption, for boys and girls separately. We used multiple logistic regression models, stratified by gender, to assess the associations between the sociodemographic and lifestyle variables, with high ED consumption. Daily ED consumption was reported by 7.9% of boys and 4.6% of girls. In both genders, the proportion of high ED consumers was significantly higher among adolescents of grades 1–3, those of lower family affluence, in first- and second-generation immigrants, those watching TV more than 6 hours/day, those reporting later bedtimes, and those consuming soft drinks daily. In girls only, higher percentages were observed in girls from single- (7.6%) or blended-families (5.2%), than in girls from two-parent families (3.5%). In boys only, this percentage was higher among adolescents meeting physical activity recommendations (14.5% vs 6.5%). Multivariate analyses showed that high ED consumption was associated with lower grades, long screen time, later bedtimes, and daily soft drink consumption in both genders. In girls only, adolescents from single-parent families were more likely to consume ED daily (OR 1.70; 95% CI 1.23–2.37) (vs. two-parent families). In boys only, first-generation immigrants (OR 1.53; 95% CI 1.06–2.21) (vs. natives) and youth sufficiently physically active (OR 2.19; 95% CI 1.65–2.90) were more likely to consume ED daily. High ED consumption was more frequent among boys and showed gender-specific patterns, with associations with family structure in girls only, and with migration status and physical activity in boys only. Our findings provide evidence about patterns of high ED consumption among adolescents and should be used to inform the development of prevention strategies.

scholarly journals Food insecurity and its association with changes in nutritional habits among adults during the COVID-19 confinement measures in Belgium

2020 ◽  
pp. 1-7
Author(s):  
Stefanie Vandevijvere ◽  
Karin De Ridder ◽  
Sabine Drieskens ◽  
Rana Charafeddine ◽  
Finaba Berete ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Multinomial Logistic Regression ◽  
Soft Drink ◽  
Household Composition ◽  
Healthy Diet ◽  
Cross Sectional ◽  
Nutritional Habits ◽  
Logistic Regression Models ◽  
Soft Drink Consumption ◽  
Snack Consumption

Abstract Objective: To assess food insecurity and its association with changes in nutritional habits among Belgian adults during confinement due to COVID-19. Design: Three cross-sectional online health surveys were conducted during March–May 2020. Multinomial logistic regression models were used to determine associations between self-reported changes in fruit, vegetable, soft drink and sweet and salted snack consumption or weight as dependent variables and food insecurity indicators as independent variables, adjusted for gender, household composition, educational attainment and household income. Setting: Belgium. Participants: In total, 8640 adults recruited by convenience sampling. Results: About 10·4 % of Belgians often or sometimes feared food shortages, 5·0 % were often or sometimes short of food without money to buy more and 10·3 % often or sometimes could not afford to eat a healthy diet during confinement. These percentages were highest among single-parent families (26·7, 14·4 and 23·4 %, respectively). Adults who often or sometimes feared that food would run out during confinement had significantly higher odds of decreased v. unchanged fruits (3·53; 95 % CI = 2·06, 6·05) and vegetables (5·42; 95 % CI = 2·90, 10·11) consumption and significantly higher odds of increased v. unchanged soft drink consumption (3·79; 95 % CI = 2·20, 6·54). Similar results were found for adults who often or sometimes ran out of food and for adults who often or sometimes were not able to afford a healthy diet. Conclusion: Food insecurity during the COVID-19 confinement measures in Belgium was associated with adverse changes in most dietary behaviours. A strong government response is needed to tackle malnutrition and food insecurity to protect public health from ongoing and future pandemics.

scholarly journals Impact of Coffee/Green Tea/Soft Drink Consumption on the Risk of Hyperuricemia: A Cross-Sectional Study

2021 ◽  
Vol 18 (14) ◽  
pp. 7299
Author(s):  
Joong Seob Lee ◽  
Tae Jun Kim ◽  
Sung Kwang Hong ◽  
Chanyang Min ◽  
Dae Myoung Yoo ◽  
...  
Keyword(s):  
Green Tea ◽  
Reference Group ◽  
Smoking Status ◽  
Soft Drink ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Soft Drink Consumption ◽  
Increased Risk

This cross-sectional study aimed to investigate the association between hyperuricemia and the frequency of coffee, tea, and soft drink consumption, based on data from the Korean Genome and Epidemiology Study (KoGES) (2004–2016). We used the KoGES health examinee data, obtained from urban residents aged ≥ 40 years. Information on the participants’ medical history, nutrition (total calorie, protein, fat, and carbohydrate intake), frequency of alcohol consumption, smoking status, household income, and frequency of coffee/green tea/soft drink intake was collected. A logistic regression model was used to analyze the data. Subgroup analyses were performed according to the participant’s age and sex. Among 173,209 participants, there were 11,750 and 156,002 individuals with hyperuricemia and non-hyperuricemia controls, respectively. In an adjusted model, frequent coffee and green tea consumption did not increase the risk of hyperuricemia, compared to the “no intake” reference group. However, an adjusted odds ratio of hyperuricemia was 1.23 (95% confidence interval, 1.11–1.35, p < 0.001) for participants who reported consuming soft drinks ≥ 3 times per day, compared to the respective “no drink” reference group. Even after adjusting for nutritional and sociodemographic factors, frequent soft drink intake was associated with an increased risk of hyperuricemia. Meanwhile, neither coffee nor green tea intake was associated with an increased risk of hyperuricemia.

scholarly journals Engagement in a Community Physical Activity Program and Its Effects Upon the Health-Related Quality of Life of Elderly People: A Cross-Sectional Study

2018 ◽  
Vol 17 ◽  
pp. 183-188 ◽  
Author(s):  
Claudio Andre Barbosa de Lira ◽  
Henrique Viana Taveira ◽  
Weverton Rufo-Tavares ◽  
Alexandre dos Santos Amorim ◽  
Lucas Matos Costa Ferreira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cross Sectional Study ◽  
Health Related Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Activity Program ◽  
Related Quality ◽  
Health Related

scholarly journals PREVALENCE OF CARBONATED SOFT DRINK CONSUMPTION AND ASSOCIATED FACTORS AMONG MALAYSIAN ADOLESCENTS: A NATIONWIDE CROSS-SECTIONAL STUDY 2017

2020 ◽  
Vol 20 (3) ◽  
pp. 156-162
Author(s):  
Ruhaya Salleh ◽  
Rashidah Ambak ◽  
S. Maria Awaluddin ◽  
Mohamad Hasnan Ahmad ◽  
Noor Safiza Mohamad Noor ◽  
...  
Keyword(s):  
Rural Areas ◽  
Fast Food ◽  
Associated Factors ◽  
Soft Drink ◽  
Cross Sectional Study ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Soft Drink Consumption ◽  
Nationally Representative ◽  
Malaysian Adolescents

Carbonated soft drinks (CSD) consumption is one of the contributing factors to weight gain, dental caries and non-communicable diseases among adolescents. This study aims to determine CSD consumption among Malaysian adolescents and their associated factors. The Adolescent Health Survey 2017, was a nationally representative survey sampled school-going adolescents aged 13 to 17 years. Findings reported that 36.9% of adolescents reported CSD consumption at least once daily in the past 30 days, and the prevalence was higher than a similar study conducted in 2012. Boys, schools in rural areas, lower secondary schoolers, not physically active, consuming fast food, having food insecurity, and truancy problem reported significantly higher odds of consuming CSD compared to their counterparts. By ethnicity, Bumiputera Sarawak adolescents showed the highest odds of consuming CSD and followed by Bumiputera Sabah. Thus, interventions to limit CSD consumption among Malaysian adolescents should consider the factors highlighted in this study.

Daily intake of soft drinks is associated with symptoms of anxiety and depression in Chinese adolescents

2019 ◽  
Vol 22 (14) ◽  
pp. 2553-2560 ◽  
Author(s):  
Xingyu Zhang ◽  
Xiaoyan Huang ◽  
Yi Xiao ◽  
Danrong Jing ◽  
Yuzhou Huang ◽  
...  
Keyword(s):  
Soft Drink ◽  
Daily Intake ◽  
Cross Sectional Study ◽  
Soft Drinks ◽  
Mediation Effect ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Soft Drink Consumption ◽  
Patient Health ◽  
Clinically Significant

AbstractObjective:The association of soft drink consumption with mental problems in Asian adolescents has not been reported. The present study aimed to investigate the association of soft drink consumption and symptoms of anxiety and depression in adolescents in China.Design:A cross-sectional study to investigate the association of intake of soft drinks and sugars from soft drinks with symptoms of anxiety and depression measured by the two-item Generalized Anxiety Disorder (GAD-2) and the Patient Health Questionnaire (PHQ-2), respectively.Setting:A comprehensive university in Changsha, China.Participants:Newly enrolled college students in 2017.Result:In total, 8226 students completed the investigation and 8085 students with no systemic disorders were finally analysed. Students consuming soft drinks ≥7 times/week had significantly higher (mean difference; 95 % CI) GAD-2 (0·15; 0·07, 0·23) and PHQ-2 (0·27; 0·19, 0·35) scores compared with those barely consuming soft drinks, adjusted for demographic and behavioural factors. Those consuming &gt;25 g sugar/d from soft drinks had significantly higher GAD-2 (0·11; 0·04, 0·18) and PHQ-2 (0·22; 0·15, 0·29) scores compared with non-consumers. The mediation effect of obesity in the associations was not clinically significant.Conclusions:Adolescents consuming soft drinks ≥7 times/week, or &gt;25 g sugar/d from soft drinks, had significantly higher levels of anxiety and depression. Dietary suggestion is needed to prevent anxiety and depression in adolescents.

scholarly journals Proximity to Facilities and Its Association with the Health-Related Habits of Functionally Independent Older Adults

2020 ◽  
Vol 17 (22) ◽  
pp. 8677
Author(s):  
Mónica Machón ◽  
Kalliopi Vrotsou ◽  
Isabel Larrañaga ◽  
Itziar Vergara
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Life ◽  
Basque Country ◽  
Community Dwelling ◽  
Green Spaces ◽  
Walking Distance ◽  
Residential Areas ◽  
Cross Sectional ◽  
Health Related

The aim was to examine how proximity to facilities, as a component of community determinants, is associated with the health-related habits of functionally independent community-dwelling older adults. This was a cross-sectional study. Data were collected by face-to-face interviews. Participants were >65 years old, living in 15 municipalities of Gipuzkoa (Basque Country, Spain). Proximity to park-green spaces, cultural-sport centers, market-food stores, retirement associations, religious centers, primary care centers and hospitals was explored. Sociodemographic variables and health-related habits (diet, physical activity and self-perceived social life) were collected. Logistic regression models were performed. The sample comprised of 634 individuals (55% women; mean age: 74.8, SD 6.7 years). Older age (odds ratio-OR: 0.94, 95% CI: 0.91–0.97) was associated with lower physical activity, while being male (OR: 1.71, 95% CI: 1.08–2.68) and proximity to park-green spaces (OR: 1.64, 95% CI: 1.03–2.61) were related to more physical activity. Individuals with good self-perceived health (OR: 3.50, 95% CI: 1.82–6.74) and religious centers within walking distance (OR: 2.66, 95% CI: 1.40–5.04) had higher odds of a satisfactory social life. Encouraging the creation of park-green spaces and leisure centers near residential areas can assist in promoting physical activity and improving the social life of older adults.

scholarly journals Associations between Activity Pacing, Fatigue, and Physical Activity in Adults with Multiple Sclerosis: A Cross Sectional Study

2020 ◽  
Vol 5 (2) ◽  
pp. 43 ◽  
Author(s):  
Ulric S. Abonie ◽  
Femke Hoekstra ◽  
Bregje L. Seves ◽  
Lucas H. V. van der Woude ◽  
Rienk Dekker ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Multiple Sclerosis ◽  
Perceived Risk ◽  
Cross Sectional Study ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Fatigue is common in people with multiple sclerosis (MS). Activity pacing is a behavioral way to cope with fatigue and limited energy resources. However, little is known about how people with MS naturally pace activities to manage their fatigue and optimize daily activities. This study explored how activity pacing relates to fatigue and physical activity in people with MS. Participants were 80 individuals (60 females, 20 males) with a diagnosis of MS. The participants filled in questionnaires on their activity pacing, fatigue, physical activity, and health-related quality of life, 3–6 weeks before discharge from rehabilitation. The relationships between the variables were examined using hierarchical regression. After controlling for demographics, health-related quality of life, and perceived risk of overactivity, no associations were found between activity pacing and fatigue (β = 0.20; t = 1.43, p = 0.16) or between activity pacing and physical activity (β = −0.24; t = −1.61, p = 0.12). The lack of significant associations between activity pacing and fatigue or physical activity suggests that without interventions, there appears to be no clear strategy amongst people with MS to manage fatigue and improve physical activity. People with MS may benefit from interventions to manage fatigue and optimize engagement in physical activity.

Is Soft Drink Consumption Linked to Higher Body Mass Index and Energy Intake Among Adults in Mauritius?

2019 ◽  
Vol 7 (3) ◽  
pp. 725-737
Author(s):  
Oundhyalah Devi Padaruth ◽  
Deecksha Gomdola ◽  
Vishwakalyan Bhoyroo ◽  
Rajesh Jeewon
Keyword(s):  
Physical Activity ◽  
Energy Intake ◽  
Soft Drink ◽  
World Health Organisation ◽  
World Health ◽  
Calorie Intake ◽  
Chi Square ◽  
Soft Drink Consumption ◽  
Obesity And Overweight ◽  
Daily Calorie Intake

The World Health Organisation recommends people to keep their calorie intake from soft drink (SD) less than 10% of their daily calorie intake. Even though, calorie intake from soft drink consumption is low, there is an increase in the frequency of consumption. Also, besides, it is well understood that change in weight is not only dependent on soft drink consumption but also factors such as calorie intake and physical activity. The objective of this study is to investigate SD consumption and its association with BMI, physical activity and calorie intake among adults. 511 adults aged 20-60 years (208 male and 303 female) were recruited. The questionnaire used to elicit information included 3-day 24-hour dietary recall, physical activity habits and soft drink consumption. Anthropometric measurements (height, weight and waist circumference) were also taken. The data was analysed using SPSS version 2.0. Chi-square tests, Person coefficient test, and Spearman’s correlation tests were used to infer any relationships between variables. The mean daily calorie intake among the population is 2501 ± 86.46 Kcal/day. Energy intake by both genders is within the range recommended by USDA (males: 2182 ± 33.48 Kcal/day and female: 1925 ± 28.55 Kcal/day). BMI is slightly higher among female 25.00 ± kg/m^2 as compared to male 24.73 kg/m^2. Mean Energy intake from SD is found to be 88.57 ± 3.37 Kcal/day that accounts for 3.54% of the daily calorie intake and hence in line with the WHO recommendation. A significant association is seen between SD consumption and BMI (P= 0.02), however obesity and overweight is seen to be independent of SD consumption. Furthermore, a positive correlation wasfound between SD consumption and physical activity (P=0.01) and it is observed that 26.3 % of the population who had a sedentary lifestyle are overweight. No association was found between calorie intake and SD consumption (P= 0.731) since the percentage calorie from SD does not exceed the recommendation of WHO. A significant relationship is found between SD consumption and BMI. However, it is observed that physical activity has a higher influence on BMI independent of calorie intake and soft drink consumption. Even though soft drink is reported herein not influence on the prevalence of obesity and overweight, long-term soft drink consumption can result in health problems related to obesity.

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