scholarly journals Prevalence of osteoporosis among North Korean women refugees living in South Korea: a comparative cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036230
Author(s):  
Kyeong Jin Kim ◽  
Jee Hyun An ◽  
Kyoung Jin Kim ◽  
Ji Hee Yu ◽  
Nam Hoon Kim ◽  
...  

ObjectiveTo investigate the prevalence of osteoporosis among North Korean women refugees when compared with South Korean women, who have identical genetic backgrounds but experience different environments.DesignComparative cross-sectional study.SettingNorth Korean Refugee Health in South Korea (NORNS) study in South Korea.ParticipantsWe evaluated 122 North Korean women who participated in NORNS study and 366 age-matched/menopausal status-matched South Korean women from the Korea University Medical Center (KUMC) health examination cohort. The median age of the NORNS participants was 46 years (IQR, 40–60 years) with 52 women (42.6%) being postmenopausal.ResultsAmong the postmenopausal women, NORNS participants had a higher body mass index and number of pregnancies and lower physical activity than the KUMC participants. The overall prevalence of osteoporosis was 48% (25/52) and 17% (27/156) in NORNS and KUMC participants, respectively. The bone mineral density (BMD) values at the lumbar spine, femur neck and total hip were significantly lower in postmenopausal NORNS women than in the postmenopausal KUMC women. Old age, low body weight and late age of menarche were associated with low BMD among the postmenopausal North Korean refugees. In premenopausal participants, the NORNS women had lower body weight and physical activity than the KUMC women at baseline. All the NORNS women had normal Z-scores, although the BMD at the lumbar spine was significantly lower in NORNS women than in the KUMC women (0.952 vs 1.002 g/cm2, p<0.001).ConclusionsOsteoporosis is a prevalent health problem in postmenopausal North Korean women refugees living in South Korea. It is conceivable to prepare vigilant countermeasures for bone health deterioration in this growing population, especially for postmenopausal women. Further research is warranted to determine the cause of the differences between participants of the same ethnic group.

Author(s):  
T Prathiba ◽  
G Rajkumar ◽  
M Anbarasi

Introduction: Obesity and sedentary life style are becoming more prevalent among the student generation. Every human being has a very good insight about the outlook. But many are not able to maintain what they perceive. During this survey, the students get a vivid picture of their real body weight and their perception of their body structure. Aim: To compare the self-perceived body weight with actual body weight among medical students and to analyse the perceptions and practice of medical student’s related to physical activity. Materials and Methods: This analytical cross-sectional study included 400 medical students. Self-perceived body image was assessed using Silhouette matching technique. Students represented the figure how they currently look (Feel) and how they actually wanted to look (Ideal). The Feel minus Ideal Discrepancy (FID) score was noted. Actual body weight and height were measured. Body Mass Index (BMI) was calculated using the Quetelet formula- weight(Kg)/height(metres)2. Perceptions and practice of physical activity were assessed using Exercise Benefits/Barrier Scale (EBBS). Comparison of perceived and actual body weight was done by Student’s Independent t-test and Pearson correlation test using Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The actual BMI and perceived BMI showed strong positive correlation (r= 0.726; p=0.0001). Males had high exercise benefit scores (92) when compared with females (86) (p=0.0002). The students had high total score (benefit score plus barrier score); males had 127 and females had 124 (p=0.003) and high benefit/barrier ratio. Conclusion: Actual BMI and self-perceived BMI were well correlated indicating participant’s awareness of their body image. Male participants were more actively involved in physical activity and more concerned about maintaining their body weight. All students had higher benefit scores which is a favourable sign towards a healthy and active physical life.


2021 ◽  
Author(s):  
Amra Zalihic ◽  
Maja Barbaric ◽  
Mirela Mabic ◽  
Marnela Palameta ◽  
Ankica Mijic Maric ◽  
...  

Abstract The number of obese and overweight people around the world rapidly grows and takes on epidemic proportions. The aim of this research is to determine the influence of body weight on quality of life and to investigate our patients' consciousness about their body weight and its impact on their quality of life.Methods : The cross-sectional study was conducted by interviewing 1067 respondents, using the WHOQOL-BREF questionnaire.Results : Out of 1067 patients, 684 were females. 65.5 % of patients had BMI ≥25 kg/m 2 . 21.7% of 699 patients who had BMI ≥25 kg/m 2 think that their increased body weight doesn’t affect their health, 27.9 % of respondents think that their overweight is unrelated to physical activity, 41.8 % of respondents have no problems purchasing the clothes due to their weight and 31.6 % of respondents with BMI ≥25 kg/m 2 think that it doesn’t affect their quality of life.Conclusion : Quality of life is significantly better in respondents with BMI <25 kg/m 2 . The alarming result is that slightly less than half of respondents think that overweight doesn’t affect their health and don’t understand the seriousness of the problem.


2020 ◽  
Author(s):  
Clécio Gabriel Souza ◽  
Marcelo Cardoso Souza ◽  
Hugo Jario Silva ◽  
Sanderson Assis ◽  
Diego Sousa Dantas

Abstract Background: Osteoarthritis (OA) is considered the third most prevalent chronic non-communicable disease in the Brazilian population, being responsible for a high rate of physical disability and reduced quality of life. Little has been discussed about the social factors associated with this health condition. This study aimed to analyze the social factors associated with OA in the Brazilian population. Methods: This is a cross-sectional study based on data from the 2013 National Health Survey in Brazil with OA as its main outcome. Gender, age, body weight, usual activities, physical activity, self-perceived health and diagnosis of depression were analyzed as independent variables. Descriptive and inferential statistics were used. Poisson multiple regression was performed, and the prevalence ratio (PR) and confidence interval (CI) of 95% were calculated using a significance level of 5% (p≤0.05). Results: A total of 60,202 individuals of both genders took part in this study and the OA prevalence was 6.4%. The individual factors associated with a higher prevalence of OA were female gender (PR = 2.09; CI = 1.95-2.25), age over 35 years (PR = 2.88; CI = 2.57-3.24) and excess body weight (PR = 1.61; CI = 1.25-2.07). The presence of OA showed an association with lower performance of usual activities (PR = 1.61; CI = 1.50-1.73) and self-perceived health as very poor (PR = 3.96; CI = 3.31-4.72). In addition, it was associated with a higher prevalence of mental illnesses such as depression (PR = 1.77; CI = 1.64-1.90). Conclusion: Social and modifiable factors which are associated with a higher prevalence of osteoarthritis can be controlled through incentive measures such as social participation and physical activity.


2021 ◽  
Author(s):  
Sara Yazarloo ◽  
Parvin Sarbakhash ◽  
Behjat Shokrvash ◽  
Mehrangiz Ebahimi-Mamghani ◽  
Maral Hariri-Akbari ◽  
...  

Abstract Background: Obesity and overweight are among the major global health problems. The aim of this study was to identify female BMI predictors.Methods: A cross-sectional study was conducted among 480 women aged 15-49 years in Ramian city of Golestan province. The ethical code: IR.TBZMED.REC1396.688. The sample population was selected through simple random sampling among healthy women who were covered by health centers, with their consent. Data collection using several valid questionnaires and scales including demographic questionnaire, family property, motivation measurement, physical activity levels and flexibility was performed using the new version of the valid International Adult Physical Activity Questionnaire (IPAQ), visual analogue scale (VAS) and Body Mass Index (VAS). Descriptive and analytical statistical methods including percentage, Mean (M) Standard Deviation (SD), Chi-Square, and t-test were used. Predictors of women's BMI levels (normal, overweight, obese and very obese) were used as dependent variables. Data analysis was performed by SPSS software version 21 at a significance level of p<0.05.Results: Out of the total number of women participating in the study, 64.68% were in the age group of 25-39 years, 69.58% were housewives, 46.31% had low economic status and 5.73% had high economic status. The obesity ratio in women 40 years and older was 43.5%. BMI showed a significant difference with women's Body Image (BI) (P <0.01), which in turn defined the levels of women's physical activity (P< 0.01). That is, 7.23% of women with obesity image of their body engaged in moderate, and 1.7% engaged in intense physical activity.The Odd Ratio(OR) of women being in the upper BMI ranks: age[OR=1.32, 95%CI(0.99-1.05)]; occupation(unemployed) [OR=0.59,95%CI(0.35-1.00)]; SES(low) [OR=0.90, 95%CI = (0.16-4.92)]; with increasing score of attitude towards eating too much was [OR=1.32, 95% CI(0.99-1.05)]; attitude towards eating less or eliminating unhealthy or high fat foods such as sweets was [OR=0.69, 95 % CI(0.38-1.26)]; and processed foods such as sausages was [OR= 0.91, 95% CI(0.61-1.36)]; attitude (Intrinsic motivation) to exercise or to walk for at least 30 minutes daily was [OR= 1.13,95% CI(0.72-1.77)]; perceiving the importance of the spouse's opinion (external motivation) about her body shape was [OR=0.88, 95% CI (0.68-1.13)];and about body weight as well as body weight control was [OR = 0.86,95% CI (0.64-1.18)]; Weight control was achieved through control food intake [OR=1.34, 95% CI (0.95-1.99)]; and through light and sedentary levels of physical activity [OR=0.97, 95% CI (0.55-1.68)].Conclusion: The intrinsic motivation of women; that is , their attitude towards eating a lot was the predictor of high levels of BMI; while extrinsic motivation of women related to weight, body shape, eating less, avoiding unhealthy foods, and physical activity were among the predictors of low levels of BMI.Identifying the motivations for women with high BMI levels is not only vital for weight control, but also is one of the essential prerequisites for public health care system.


2020 ◽  
Author(s):  
Amra Zalihic ◽  
Maja Barbaric ◽  
Mirela Mabic ◽  
Marnela Palameta ◽  
Ankica Mijic Maric ◽  
...  

Abstract Background:The number of obese and overweight people around the world rapidly grows and takes on epidemic proportions. Obesity has become one of the leading causes of death although it can be prevented.The aim of this research is to determine the influence of body weight on quality of life and to investigate our patients' consciousness about their body weight and its impact on their quality of life. Methods: The cross-sectional study was conducted by interviewing 1067 respondents, using the WHOQOL-BREF questionnaire. Results: Out of 1067 patients, 684 were females. 65.5 % of patients had BMI ≥25 kg/m2. 21.7 % of 699 patients who had BMI ≥25 kg/m2 think that their increased body weight doesn’t affect their health, 27.9 % of respondents think that their overweight is unrelated to physical activity, 41.8 % of respondents have no problems purchasing the clothes due to their weight and 31.6 % of respondents with BMI ≥25 kg/m2 think that it doesn’t affect their quality of life. Conclusion: Quality of life is significantly better in respondents with BMI <25 kg/m2. The alarming result is that slightly less than half of respondents think that overweight doesn’t affect their health and don’t understand the seriousness of the problem.


Author(s):  
Amro Alzahrani ◽  
Suzan Alainain ◽  
Ahmed Ojaem ◽  
Abdullah Almarzoqi ◽  
Mona Khbrani ◽  
...  

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