scholarly journals Prevalence, Awareness, Treatment, and Control of Hypertension among Chinese First-Generation Migrants and Italians in Prato, Italy: The CHIP Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Pietro A. Modesti ◽  
Maria Calabrese ◽  
Ilaria Marzotti ◽  
Hushao Bing ◽  
Danilo Malandrino ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
First Generation ◽  
Primary Outcome Measure ◽  
Cross Sectional Survey ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Parental History ◽  
Chinese Migrants ◽  
First Generation Migrants

Data on health needs of Chinese living in the South of Europe are lacking. To compare prevalence, awareness, treatment, control, and risk factors for hypertension between Chinese migrants and Italian adults, a sample of 1200 first-generation Chinese migrants and 291 native Italians aged 35–59 years living in Prato (Italy) was recruited in a community-based participatory cross-sectional survey. Primary outcome measure was hypertension, diagnosed for blood pressure values ≥ 140/90 mmHg or current use of antihypertensive medications. Associations with exposures (including age, gender, body mass index, waist, education level, total cholesterol, and triglycerides) were examined using logistic regression. When compared with Italians, Chinese had higher hypertension prevalence (27.2% versus 21.3%,p<0.01), with comparable levels of awareness (57.4% and 48.4%) but lower treatment rates (70.6% and 90.0%, resp.). In both ethnic groups age and parental history of hypertension were predictors of awareness and treatment, body mass index being predictor of hypertension diagnosis. In Chinese participants, where the optimum cut-off point for body mass index was ≥23.9 kg/m2, the sensibility and specificity prediction for hypertension were 61.7% and 59.8%, respectively (area under the ROC curve = 0.629). Implementation of specific, culturally adapted health programs for the Chinese community is now needed.

scholarly journals Assessment of respiratory muscle strength in children according to the classification of body mass index

2014 ◽  
Vol 32 (2) ◽  
pp. 250-255 ◽  
Author(s):  
George Jung da Rosa ◽  
Camila Isabel S. Schivinski
Keyword(s):  
Body Mass Index ◽  
Muscle Strength ◽  
Body Mass ◽  
School Children ◽  
Respiratory Muscle ◽  
Forced Expiratory Volume ◽  
The Body ◽  
Respiratory Muscle Strength ◽  
Cross Sectional Survey ◽  
Cross Sectional

OBJECTIVE: To assess and compare the respiratory muscle strength among eutrophic, overweight and obese school children, as well as to identify anthropometric and respiratory variables related to the results.METHODS: Cross-sectional survey with healthy schoolchildren aged 7-9 years old, divided into three groups: Normal weight, Overweight and Obese. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was applied. The body mass index (BMI) was evaluated, as well as the forced expiratory volume in one second (FEV1) with a portable digital device. The maximal inspiratory and expiratory pressures (MIP and MEP) were measured by a digital manometer. Comparisons between the groups were made by Kruskal-Wallis test. Spearman's correlation coefficient was used to analyze the correlations among the variables.RESULTS: MIP of eutrophic school children was higher than MIP found in overweight (p=0.043) and obese (p=0.013) children. MIP was correlated with BMI percentile and weight classification (r=-0.214 and r=-0.256) and MEP was correlated with height (r=0.328). Both pressures showed strong correlation with each other in all analyses (r≥0.773), and less correlation with FEV1 (MIP - r=0.362 and MEP - r=0.494). FEV1 correlated with MEP in all groups (r: 0.429 - 0.569) and with MIP in Obese Group (r=0.565). Age was correlated with FEV1 (r=0.578), MIP (r=0.281) and MEP (r=0.328).CONCLUSIONS: Overweight and obese children showed lower MIP values, compared to eutrophic ones. The findings point to the influence of anthropometric variables on respiratory muscle strength in children.

scholarly journals Chemotherapy-Induced Peripheral Neurotoxicity in Cancer Survivors: Predictors of Long-Term Patient Outcomes

2021 ◽  
Vol 19 (7) ◽  
pp. 821-828
Author(s):  
Eva Battaglini ◽  
David Goldstein ◽  
Peter Grimison ◽  
Susan McCullough ◽  
Phil Mendoza-Jones ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cancer Survivors ◽  
Body Mass ◽  
Management Strategies ◽  
Symptom Burden ◽  
Cross Sectional Survey ◽  
Peripheral Neurotoxicity ◽  
Cross Sectional ◽  
Burning Pain ◽  
The Impact

Background: Chemotherapy-induced peripheral neurotoxicity (CIPN) is a major adverse effect of cancer treatment. However, its impact remains poorly understood. This study aimed to investigate the impact associated with CIPN on the lives of cancer survivors. Patients and Methods: A volunteer sample of 986 individuals who had received neurotoxic chemotherapy completed an anonymous, cross-sectional survey. Outcomes assessed included CIPN symptoms, pain, neuropathic pain, quality of life (QoL), physical activity, and comorbid health conditions via the Self-Administered Comorbidity Questionnaire. Results: Respondents had a mean age of 58 years (SD, 10.7), and 83.2% were female. Most were treated for breast (58.9%) or colorectal cancer (13.5%); had received docetaxel (32.7%), paclitaxel (31.6%), or oxaliplatin (12.5%); and had completed treatment 3.6 ± 3.5 years previously. We found that 76.5% of respondents reported current CIPN. Respondents reporting severe CIPN had poorer QoL, more comorbidities, and higher body mass index, and more often received multiple neurotoxic chemotherapies than those with mild CIPN. Respondents who completed the survey ≤1 year after completing chemotherapy did not differ in reported CIPN or pain compared with respondents who completed chemotherapy ≥6 years earlier. However, respondents who completed chemotherapy ≥6 years earlier reported better QoL. Multivariable linear regression analyses revealed predictors of CIPN severity as follows: F(7, 874) = 64.67; P<.001; R2 = 0.34, including pain (β = −0.36; P<.001), burning pain (β = 0.25; P<.001), sex (male sex associated with greater CIPN: β = 0.14; P<.001), years since completing chemotherapy (shorter time associated with greater CIPN; β = −0.10; P<.001), age (β = 0.80; P=.006), number of comorbid conditions (β = 0.07; P=.02), and body mass index (β = 0.07; P=.02). Conclusions: Respondents with a high CIPN symptom burden experienced poorer general health and QoL. Improvements in CIPN may be more likely soon after treatment. However, improvements in QoL may occur over time in those with chronic symptoms. CIPN seems to have lasting impacts on cancer survivors, and understanding risk factors is important to enable the design of further preventive and therapeutic management strategies.

scholarly journals Use of Quantile Regression in Determining Factors Associated with BMI Among Vulnerable Adolescents in Rivers State, Nigeria

2017 ◽  
Vol 5 (4) ◽  
pp. 39
Author(s):  
Oyindamola B. Yusuf ◽  
Ayo S. Adebowale ◽  
Elijah A. Bamgboye ◽  
Temitayo Odusote ◽  
Olusanmi Iyabode ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Quantile Regression ◽  
Body Mass ◽  
Policy Decision ◽  
Normal Weight ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rivers State

Body Mass Index has been investigated using the traditional regression methods which may not provide a complete picture of the effects of the independent variables when the outcome is continuous and skewed. Information on the nutritional status of vulnerable adolescents in Nigeria is scanty thereby hindering appropriate intervention by policy decision-makers. We investigated the nutritional status of vulnerable adolescents by examining their body mass index (BMI). A cross-sectional survey of vulnerable adolescents, aged 10-17 years was conducted in three local government areas in Rivers state, Nigeria. A structured questionnaire was used to gather information on the economic status, means of livelihood and accessibility to education, nutrition and health of the adolescents. Quantile regression models were fitted to the data. About 39% of the 494 adolescents were underweight, 49.8% had normal weight, 5.5% were overweight while 6.1% were obese. Age was a significant predictor of BMI for the males at the 50th quantile. Adolescent males that experienced food insecurity showed lower BMI compared to those who were food secured. Age, sex, food insecurity and household economy were determinants of BMI among vulnerable adolescents.

Geographical variations in the prevalence of hypertension in France: Cross-sectional analysis of the CONSTANCES cohort

2019 ◽  
Vol 26 (12) ◽  
pp. 1242-1251 ◽  
Author(s):  
Lola Neufcourt ◽  
Séverine Deguen ◽  
Sahar Bayat ◽  
François Paillard ◽  
Marie Zins ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Socioeconomic Factors ◽  
Body Mass ◽  
Logistic Models ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertension Prevalence ◽  
The North ◽  
Geographical Variations ◽  
Unit Increase

Aims While international variations in the prevalence of hypertension are well described, less is known about intra-national disparities and their determinants. We wanted to describe the variations in hypertension prevalence within France and to determine how much lifestyle and socioeconomic factors contributed to explain these regional variations. Methods Participants (62,247 French adults aged 18 to 69 years) were recruited in the 16 centres of the CONSTANCES study between 2012 and 2015. Hypertension was defined as blood pressure higher than 140/90 mmHg and/or taking antihypertensive medications. The contribution of lifestyle and socioeconomic factors to hypertension prevalence variations among centres was examined using sequential hierarchical logistic models. Results Hypertension prevalence was 37.3% (95% confidence interval (CI) = 36.6–38.0) in men and 23.2% (95% CI = 22.7–23.8) in women. Hypertension prevalence rates varied by almost two-fold among centres (1.9 in men, 1.6 in women) with the highest prevalence in the north and the east of France. Body mass index was strongly associated with hypertension in women (odds ratio (OR)1-unit increase = 1.11 (95% CI = 1.11–1.12)) and was the highest contributor to between-centre variations (27% in women), followed by socioeconomic characteristics (e.g. ORhigh versus low education = 0.85 (95% CI = 0.83–0.87), contributing to 14% of variations in women). Together, family history of hypertension, body mass index, education, occupation and residential area socioeconomic level explained about 30% and 40% of between-centre variations in men and women, respectively. Conclusion Hypertension prevalence greatly varies among French regions and this is partly explained by known lifestyle and socioeconomic factors. Nevertheless, these variations and all the hypertension determinants have not been fully deciphered yet.

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