scholarly journals Prevalence of lifestyle characteristics in glucocorticoid users and non-users: a Danish population-based cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030780
Author(s):  
Kristina Laugesen ◽  
Irene Petersen ◽  
Lars Pedersen ◽  
Finn Breinholt Larsen ◽  
Jens Otto Lunde Jørgensen ◽  
...  

ObjectivesLifestyle may affect observed associations between glucocorticoid use and adverse events. This study aimed to investigate whether lifestyle differ according to use of systemic glucocorticoids.DesignPopulation-based cross-sectional study.SettingThe Central Denmark Region.Participants30 245 adults (≥25 years of age) who participated in a questionnaire-based public health survey in 2010.Outcome measuresSystemic glucocorticoid use was categorised as never use, current use (prescription redemption ≤90 days before completing the questionnaire), recent use (prescription redemption 91–365 days before completing the questionnaire), former use (prescription redemption >365 days before completing the questionnaire) and according to cumulative dose expressed in prednisolone equivalents (<100, 100–499, 500–999, 1000–1999, 2000–4999, ≥5000 mg). We computed the prevalence of lifestyle factors (body mass index, smoking, alcohol intake, physical activity and dietary habits) according to glucocorticoid use. We then estimated age-adjusted prevalence ratios (aPRs) and 95% CIs, comparing the categories of glucocorticoid users versus never users. All analyses were stratified by sex.ResultsOf the 30 245 participants (53% women, median age 53 years), 563 (1.9%) were current users, 885 (2.9%) were recent users, 3054 (10%) were former users and 25 743 (85%) were never users. Ever users of glucocorticoids had a slightly higher prevalence of obesity than never users (18% vs 14%, aPR=1.4, 95% CI 1.2 to 1.5 in women and 17% vs 15%, aPR=1.2, 95% CI 1.1 to 1.4 in men). In women, ever users of glucocorticoids had a slightly lower prevalence of high-risk alcohol consumption compared with never users (17% vs 20%, aPR=0.8, 95% CI 0.7 to 1.0). Smoking, diet and physical activity did not differ substantially according to use of glucocorticoids.ConclusionOur study provides a framework for quantifying potential uncontrolled confounding by lifestyle factors in studies of systemic glucocorticoids.

2020 ◽  
Vol 17 (1) ◽  
pp. 82-93
Author(s):  
Mary-Joe Youssef ◽  
Antoine Aoun ◽  
Aline Issa ◽  
Lana El-Osta ◽  
Nada El-Osta ◽  
...  

Background: The prevalence of gastroesophageal reflux disease (GERD) is increasing worldwide and the related chronic symptoms can be associated with morbidity and poor quality of life. Objective: The objective of this study was to identify foods and beverages consumed by the Lebanese population, dietary habits, socio-demographic and lifestyle factors, health parameters and perceived stress, implicated in increasing GERD symptoms. Methods: This observational cross-sectional study was carried among Lebanese adults in 2016. A convenient sample of 264 participants was equally divided into a GERD group and a control group. Data on socio-demographic characteristics, lifestyle, health status and dietary habits including Lebanese traditional dishes were collected. The perceived stress scale (PSS) was also used to assess the participants’ perception of stress. Logistic regression analyses were conducted with GERD symptoms (presence or absence) being the dependent variable. Results: The GERD symptoms were significantly associated with age (-p-value=0.017), family history of GERD symptoms (-p-value<0.001), smoking (-p-value=0.003) and chronic medical conditions (-p-value<.001). Regarding the dietary factors, participants who ate three meals or less/day, between meals and outside homes were 2.5, 2.9 and 2.4 times at a higher risk of experiencing GERD symptoms than others, respectively. Moreover, the logistic regression model showed that the GERD symptoms were significantly associated with the consumption of coffee (-p-value=0.037), Lebanese sweets (-p-value=0.027), fried foods (-p-value=0.031), ‘Labneh’ with garlic (-p-value<0.001), pomegranate molasses (-p-value=0.011), and tomatoes (-p-value=0.007). Conclusion: Some specific lifestyle factors and components of the Lebanese Mediterranean diet could be associated with GERD symptoms.


Author(s):  
Wafaa Husain ◽  
Fatemah Ashkanani

Abstract Background The coronavirus pandemic has transformed and continues to transform and affect the daily lives of communities worldwide, particularly due to the lockdown restrictions. Therefore, this study was designed to understand the changes in dietary and lifestyle behaviours that are major determinants of health during the COVID-19 outbreak. Methods A cross-sectional study was conducted through an online questionnaire using a convenience sample of 415 adults living in Kuwait (age range 18–73 years). Results The rate of skipping breakfast remained consistent, with a slight increase during the pandemic. Lunch remained the main reported meal before and during COVID-19. Compared to before COVID-19, people were much more likely have a late-night snack or meal during COVID-19 (OR = 3.57 (95% CI 1.79–7.26), p < 0.001). Moreover, there was a drastic decrease in the frequency of fast-food consumption during COVID-19, up to 82% reported not consuming fast food (p < 0.001). There was a significant increase in the percentage of participants who had their main meal freshly made (OR = 59.18 (95% CI 6.55–1400.76), p = 0.001). Regarding food group patterns, no significant differences were found before and during the pandemic in terms of the weekly frequency of consumption, except in the case of fish and seafood. There were no remarkable changes in beverage consumption habits among participants before and during the pandemic, except for Americano coffee and fresh juice. Furthermore, there was a great reduction in physical activity and an increase in the amount of screen time and sedentary behaviours. A notable increase was detected in day-time sleep and a decrease in night-time sleep among participants. Conclusion In general, this study indicates some changes in daily life, including changes in some eating practices, physical activity and sleeping habits during the pandemic. It is important that the government considers the need for nutrition education programmes and campaigns, particularly during this critical period of the pandemic in Kuwait.


Obesity Facts ◽  
2015 ◽  
Vol 8 (5) ◽  
pp. 302-310 ◽  
Author(s):  
Geraldo F. Oliveira ◽  
Teresinha Regina R. Oliveira ◽  
Adauto T. Ikejiri ◽  
Tais F. Galvao ◽  
Marcus T. Silva ◽  
...  

2020 ◽  
Vol 7 (6) ◽  
pp. 498-510
Author(s):  
Maria Chrissini ◽  
◽  
Ioanna Tsiligianni ◽  
Dimitra Sifaki-Pistolla ◽  
Nikolaos Tzanakis

Objective: In this study, we assessed Greek and immigrant kindergarteners’ and their families’ body mass index (BMI), nutritional habits, and level of adherence to the Mediterranean diet during the Greek austerity period beginning in 2009. Methods: A cross-sectional study in Attica, Greece, during the school year 2016-17, enrolling 578 guardian parents and 578 kindergarteners aged ≥ 5-6 years, from 63 public kindergartens in 36 municipalities in Attica’s prefecture. Results: Immigrant mothers experienced twice as high the unemployment rate (21.3%) than Greek mothers (10.5%), with consequent degradation in food products purchasing (p = .03)(non-Greeks 54.3%, Greeks: 49.1%). BMI rates between Greeks and immigrant participants were similar, with significant variations in several lifestyle habits, including Greek parents’ heavier smoking and higher physical activity in parents of different ethnic origin. KIDMED score was “poor” in both Greek and other identity kindergarteners, with slight differences in some of the Mediterranean dietary habits and patterns; strong correlation was expressed between the child’s BMI and KIDMED score, guardian parent’s age, BMI, and overall lifestyle. Conclusions: This study could be a springboard for further research in the understudied population of native and immigrant kindergarteners, reflecting on national and international initiatives and action plans to ensure that their similarities and differences are noted.


Kinesiology ◽  
2018 ◽  
Vol 50 (1) ◽  
pp. 57-67 ◽  
Author(s):  
Elizabeth Acampado ◽  
Madonna Valenzuela

No published study has been tracked to date on the physical activity (PA) and dietary habits (DH) of Filipino college students. Thus, this cross-sectional study aimed to determine (1) the prevalence of regular PA among college students in a Philippine setting and (2) the reasons for either adherence to PA or for being inactive, (3) to describe DH of the students, (4) to compare PA involvement and DH across year levels, and (5) to correlate PA and diet behaviors. Data were collected using a self-administered survey questionnaire. Results showed that only 32.8% of the 1,706 students in this study engaged in regular PA. There were greater proportions of inactivity at higher-year levels (62.5%, 66.5%, 76.5%, and 84.8% in the first, second, third and&nbsp;fourth year, respectively). The major reason for inactivity was lack of time, while the students’ PA adherence was largely due to predisposing factors such as knowledge about PA, beliefs in benefits and enjoyment of PA, and confidence in performing physical activity. About one of every three students in each year level had below-average to poor dietary habits, meaning they seldom eat proper types of food. Findings of this study indicate the need for an intervention that will effectively increase regular PA and ensure proper food intake in the student population.


2006 ◽  
Vol 9 (8) ◽  
pp. 996-1000 ◽  
Author(s):  
Saeed Dastgiri ◽  
Reza Mahdavi ◽  
Helda TuTunchi ◽  
Elnaz Faramarzi

AbstractAimTo document the epidemiological features and influencing factors of obesity in the north-west of Iran, to provide baseline information for setting up a regional population-based centre to control and prevent obesity-related disorders in the area.MethodsIn this cross-sectional study, a total of 300 subjects were selected/studied in Tabriz, one of the major cities in Iran. Data on basic characteristics, anthropometric measurements, dietary assessment and physical activity were collected. Obesity was defined as body mass index ≥ 30 kg m− 2for both women and men.ResultsTotal prevalence of obesity in the area was 22.4% (95% confidence interval (CI): 18.0–27.6). The prevalence of obesity was 24% (95% CI: 18.5–31.4) for women and 18% (95% CI: 12.5–25.6) for men. For both women and men obesity prevalence showed a positive association with age (P < 0.001), while there was a negative correlation of obesity with education and income (P < 0.001). Fruit consumption decreased the risk of obesity in both women and men (odds ratio (OR) = 0.60, 95% CI: 0.49–0.71 vs. OR = 0.62, 95% CI: 0.51–0.74, respectively). The same significant pattern was observed for the consumption of green vegetables (OR = 0.71, 95% CI: 0.57–0.63 vs. OR = 0.86, 95% CI: 0.77–0.98 for women and men, respectively), legumes (OR = 0.70, 95% CI: 0.59–0.84 vs. OR = 0.78, 95% CI: 0.66–0.91 for women and men, respectively) and dairy products (OR = 0.73, 95% CI: 0.61–0.91 vs. OR = 0.77, 95% CI: 0.63–0.93 for women and men, respectively).ConclusionsOur study showed that educational attainment, higher income and consumption of certain food groups (i.e. vegetables, fruits, legumes and dairy products) may decrease the risk of obesity. Our findings also indicate the crucial necessity of establishing a population-based centre for obesity in the area. The essential information is now achieved to propose to local health authorities to act accordingly. However, more population-based investigations on dietary choices are needed to develop effective preventive strategies to control overweight and obesity disorders in different regions.


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