scholarly journals Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052814
Author(s):  
Mohammad Rocky Khan Chowdhury ◽  
Hafiz T A Khan ◽  
Mamunur Rashid ◽  
Russell Kabir ◽  
Sazin Islam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Parental Education ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Multiple Forms ◽  
Cross Sectional ◽  
Single Form ◽  
Nationally Representative ◽  
Children Under 5

ObjectivesThe study aims to differentiate the risk factors of single and multiple concurrent forms of undernutrition among children under 5 in Bangladesh.DesignA nationally representative cross-sectional study.SettingBangladesh.RespondentsChildren age under 5 years of age.Outcome measureThis study considered two dichotomous outcomes: single form (children without single form and with single form) and multiple concurrent forms (children without multiple forms and with multiple forms) of undernutrition.Statistical analysisAdjusted OR (AOR) and CI of potential risk factors were calculated using logistic regression analysis.ResultsAround 38.2% of children under 5 in Bangladesh are suffering from undernutrition. The prevalence of multiple concurrent forms and single form of child undernutrition was 19.3% and 18.9%, respectively. The key risk factors of multiple concurrent forms of undernutrition were children born with low birth weight (AOR 3.76, 95% CI 2.78 to 5.10); children in the age group 24–35 months (AOR 2.70, 95% CI 2.20 to 3.30) and in the lowest socioeconomic quintile (AOR 2.57, 95% CI 2.05 to 3.23). In contrast, those children in the age group 24–35 months (AOR 1.94, 95% CI 1.61 to 2.34), in the lowest socioeconomic quintile (AOR 1.79, 95% CI 1.45 to 2.21) and born with low birth weight (AOR 1.52, 95% CI 1.11 to 2.08) were significantly associated with a single form of undernutrition. Parental education, father’s occupation, children’s age and birth order were the differentiating risk factors for multiple concurrent forms and single form of undernutrition.ConclusionOne-fifth of children under 5 years of age are suffering multiple concurrent forms of undernutrition, which is similar to the numbers suffering the single form. Parental education, father’s occupation, children’s age and birth order disproportionately affect the multiple concurrent forms and single form of undernutrition, which should be considered to formulate an evidence-based strategy for reducing undernutrition among these children.

scholarly journals Cross-sectional study of perceived neighborhood collective efficacy and risk of adhd among a nationally-representative sample of children

2015 ◽  
Vol 2 (1) ◽  
pp. 71 ◽  
Author(s):  
Chris Derauf ◽  
Diana Pandey ◽  
Juliette T. Liesinger ◽  
Euijung Ryu ◽  
Jeanette Y. Ziegenfuss ◽  
...  
Keyword(s):  
Risk Factors ◽  
Built Environment ◽  
Collective Efficacy ◽  
Cross Sectional Study ◽  
Socioeconomic Conditions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neighborhood Collective Efficacy ◽  
The Us ◽  
Nationally Representative

Objectives: The development and severity of attention deficit hyperactivity disorder (ADHD) has been linked to a number of psychosocial risk factors. Research has shown that the amount of social capital in a community influences the physical and mental health of community members. We assessed the independent role of perceived neighborhood context, including physical and socioeconomic characteristics, and collective efficacy, a form of social capital, on ADHD prevalence. Methods: Cross-sectional study utilizing the 2007 National Survey of Children’s Health, a nationally representative dataset. The population of interest was children between the ages of four and seventeen living in randomly selected households. Multiple logistic regression models were used to assess the association between indices of perceived neighborhood socioeconomic conditions, built environment, and collective efficacy (study exposures) on risk of ADHD (outcome), controlling for pertinent individual and family risk factors.Results: 9.8 percent of children in the US (ages 4‐17) had ADHD as reported by their caregiver. In multivariate analysis, white race, male gender, increased geographic mobility, exposure to household smoke, exposure to > 2 hours/day TV, and maternal mental illness increased the odds of ADHD, while a two‐parent household reduced the odds. The highest level of perceived neighborhood collective efficacy was associated with reduced risk of ADHD compared to lower levels of perceived collective efficacy (adjusted OR: 0.785; 95% CI: 0.650-0.946; p=.011). Perceived neighborhood socioeconomic conditions and built environment were not associated with ADHD risk.Results: Nine percent of children in the US (ages 4-17 ) had ADHD as reported by their caregiver. Univariately, all 3 neighborhood characteristics were associated with risk of ADHD (p-value =.01, .04, and .0002 for socioeconomic conditions, built environment, and collective efficacy, respectively). After accounting for well-established risk factors for ADHD, perceived neighborhood socioeconomic conditions and built environment were no longer associated with ADHD, while collective efficacy remained significant (p=.0002).  Lower level of perceived neighborhood collective efficacy was associated with increased risk of ADHD (OR: 1.7; 95\% CI: 1.3-2.2, comparing the lowest with the highest level).Conclusions: Our study suggests that perceived neighborhood collective efficacy may buffer the impact of individual-and family-level risk factors for ADHD in children.

scholarly journals Association between Diabetes and Cognitive Function among People over 45 Years Old in China: A Cross-Sectional Study

2019 ◽  
Vol 16 (7) ◽  
pp. 1294 ◽  
Author(s):  
Li Zhang ◽  
Jiao Yang ◽  
Zhangyi Liao ◽  
Xiaomeng Zhao ◽  
Xuefeng Hu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Cardiovascular Risk ◽  
Episodic Memory ◽  
Cardiovascular Risk Factors ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diabetes Status

Objectives: The aim of this study is to identify the relationship between diabetes status including characteristics of diabetes and cognition among the middle-aged and elderly population (≥45 years) in China. Methods: A sample of 8535 people who participated in the China Health and Retirement Longitudinal Study (CHARLS) from June 2011 to March 2012 was analyzed. Two cognitive domains including episodic memory and executive function were measured through questionnaires. People were classified into four groups: no diabetes, controlled diabetes, untreated diabetes, treated but uncontrolled diabetes. Weighted multiple regression model was conducted to explore the association between diabetes and cognition in full sample as well as three different age groups (45–59, 60–74, ≥75). Adjustments were made for demographics and cardiovascular risk factors. Results: After adjusting several covariates, untreated diabetes (β = −0.192, p < 0.05) was significantly associated with episodic memory. In the age group of 45–69 years, untreated diabetes (β = −0.471, p < 0.05) and HbA1c level (β = −0.074, p < 0.05) were significantly associated with episodic memory. When adjusting for cardiovascular risk factors, all correlations were non-significant. Conclusion: The cross-sectional study suggests that untreated diabetes and HbA1c are the potential risk factor for cognitive impairment, and these associations are more significant in the age group of 45–59 years old. Cardiovascular factors are important mediating factors in the pathway between diabetes and cognitive impairment. More longitudinal studies are needed to confirm these associations.

scholarly journals Socio-demographic distribution of hypertension and its risk factors among urban slum adults of Tirupati: a cross sectional study

2017 ◽  
Vol 4 (7) ◽  
pp. 2297 ◽  
Author(s):  
Ravi Sankar Deekala ◽  
Ravi Prabhu G. ◽  
Altaf Hussain R. ◽  
Saritha Kadari
Keyword(s):  
Risk Factors ◽  
Urban Slum ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Lifestyle Changes ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Demographic Distribution ◽  
Urban People

Background: Some of the community surveys have documented that between three and six decades, prevalence of hypertension has increased by about 30 times in urban people and by about 10 times among the rural area people. Urban population of developing countries is showing similar prevalence to that of developed countries. Treating hypertension has been associated with 15% reduction in incidence of myocardial infarction and 40% reduction of stroke. The objectives of the study were to estimate the prevalence of hypertension among adults aged between 30-50 years in selected urban slum areas of Tirupati and to know the associated important risk factors with hypertension in the study subjects.Methods: A community based cross sectional study was conducted in urban slum community of Tirupati, to estimate the prevalence and its risk factors of Hypertension by using the JNC VII criteria. This study was conducted during January 2012 to February 2013, among 2136 subjects of 30-50 years age group. Results: The prevalence of hypertension was found 481 (22.5%), majority of them belongs to the age group of 45-50 years 212 (44.0%) and lowest in 30-35 years 45 (9.3%). Hypertension was predominant in males 186 (30.1%) than females 295 (19.4%). Conclusions: This study found that there is increasing trend of prevalence of hypertension in the urban community. This study suggests to health planners to take remedial measures to address growing hypertension in the community through health education about lifestyle changes, dietary modification, and avoidance of stress. 

scholarly journals A cross sectional study of hypertension and their risk factors in fishermen of Chennai district

2018 ◽  
Vol 5 (6) ◽  
pp. 2464
Author(s):  
Gopal Muthukrishnan ◽  
Suresh Balan Kumaraswamy Pillai Uma ◽  
Anantharaman V. V.
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Tamil Nadu ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Associated Risk Factors

Background: Hypertension is one of the major public health issues in worldwide. The objective of this study was to find out the prevalence of hypertension and its associated risk factors in fishermen of Chennai district, Tamil Nadu, India.Methods: The cross sectional study was conducted among 519 fishermen at the coastal areas of north Chennai district selected by multistage cluster sampling method.Results: In our present study, the significantly associated with the factors included age, level of education, economic status, marital status, BMI, diabetes mellitus, diet, smoking and alcohol user were significantly association (p<0.05) with hypertension. The study included 519 fishermen. Among them, 63% (328) were in the age group of 36–55 years, 24% (124) were in the age group of 18-35 years, 13% (67) were >55 years. The fishermen population showed a prevalence of 46.6% for hypertension. The prevalence of smoking tobacco use and alcohol use were found 34.30% and 71.68%. The average SBP and DBP was 127 and 84 mmHg respectively. The mean BMI was 24 (4.38) kg/m2. The prevalence of hypertension was found in 45% and 38.73% were having abdominal obesity.Conclusions: The prevalence of hypertension was higher than the general population. The present study showed a significant association between the duration of alcohol use and prevalence of hypertension although smoking was not found to have significant association. The present study supports the association of obesity with hypertension.

scholarly journals Prevalence of hypertension and its associated risk factors in young adults attending a tertiary care institute of Nagpur: a cross sectional study

2017 ◽  
Vol 4 (10) ◽  
pp. 3630
Author(s):  
Chaitanya R. Patil ◽  
Durgesh Prasad Sahoo ◽  
Manjusha Dhoble ◽  
Abhijit Kherde ◽  
Asim Inamdar
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Young Adults ◽  
Odds Ratio ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Associated Risk Factors

Background: Hypertension is a silent killer and global public health problem. With the advent of globalization affecting the lifestyle of the population, non-communicable diseases like hypertension, diabetes etc. is affecting the young adults (18 to 40 years). The aim of the study was to estimate the prevalence of hypertension and its associated risk factors among young adults (18 to 40 years) attending a tertiary care centre of Nagpur.Methods: This was a cross sectional study on 370 participants of age 18 to 40 years attending the outpatient department of urban health training centre in Nagpur. Data was collected using pretested and pre designed questionnaire and anthropometric measurements were done by standard guidelines. Blood pressure was measured using sphygmomanometer in sitting position. Data was analyzed using Epi info version 7.2. Chi square test/ fisher’s exact test has been used to find the difference between two proportions. Unadjusted odds ratio was calculated for various risk factors studied. Stepwise logistic regression analysis was done to calculate the adjusted odds ratio. Results: The prevalence of hypertension was found to be 23.24%. The prevalence was higher among males (25%) when compared to females (22.3%). Body mass index and waist hip ratio were significantly higher among the hypertensive when compared to normotensive study population (p<0.01). For every one year increase in age, the odds ratio increases by 1.06 (1.02 to 1.09) and the subjects who were overweight were having 2.15 odds of being hypertensive. Conclusions: We found a high prevalence of hypertension among the adults of age group of 18 to 40 years. The population with high body mass index, high waist to hip ratio and age group of 30 to 40 years were found to be associated with hypertension. Early surveillance and prompt treatment forms will help in decreasing the cardiovascular risk of young adults in near future. 

scholarly journals Pattern and Risk Assessment of Bedsore in Hospitalized Patients

2014 ◽  
Vol 13 (2) ◽  
pp. 12-16 ◽  
Author(s):  
Md Ruhul Amin ◽  
Md Monoarul Haque ◽  
Pradip Kumar Saha ◽  
Sumaiya Zabin Eusuf Zai ◽  
Sarder Mahmud Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Iliac Crest ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Medial Aspect ◽  
Greater Trochanter ◽  
Cross Sectional ◽  
Cord Injury ◽  
Common Area

Objective: This descriptive type of cross sectional study was conducted to assess pattern and risk factors of bedsore in hospital admitted patients in Dhaka city with a sample size of 114.Methods: A pretested, modified, questionnaire was used to collect the data. All the data were entered and analyzed by using Statistical Package of Social Science 16.0 versions. Results: Study found that 17.5%, 41.2%, 27.2% and 14% of the respondents belonged to age group of 1-20 years, 21-40 years, 41-60 years and 61-80 years respectively with mean age 37.97 +16.909 years.  Responsible diseases for bedsore were spinal cord injury (41.2%), fracture (30%), stroke (24%), unconsciousness (7.2%) and GBS (2.8%) respectively. Study revealed that common area of bedsore were back of the sacrum (57%), back of the scapula (34.2%), medial aspect of knee joint (22.8%), malleoli (21.1%), greater trochanter of femur (15.8%), external occipital protuberance (14%), olecranon process of ulna (9.6%), above the coccyx (9.6%), iliac crest (7%), spine of the scapula (3.5%), posterior superior iliac joint (2.6%) and sacro-iliac joint (1.8%) respectively. Study also found that superficial and deep type of bedsore were 58.8% and 41.2% consecutively. Besides study revealed that 26.3% of the respondents were diabetic, 31.6% obese, 28.1% suffering from malnutrition, 61.4% did not use pneumatic bed and 7.2% patients did not maintain proper positioning 2 hourly and these were the risk factors of this study. Significant association was found between type of bed sore and use of pneumatic bed (P=0.000<0.05) as well as nutritional status (P=0.004<0.05).Conclusions: Changing position and use of pneumatic bed was best methods of prevention of bedsore.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21049

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