Abstract 62: The Role of Physical Activity in the Hypertension Pathway: A longitudinal pathway-based analysis across 18 years in modernizing China

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Annie Green Howard ◽  
Penny Gordon-Larsen ◽  
Amy Herring ◽  
Shufa Du ◽  
Barry Popkin

Background: Urbanization is associated with a decline in physical activity and an increase in CVD, particularly hypertension in lower and middle income countries. We investigate the impact of modernization-related declines in physical activity and pathways through body mass to hypertension in Chinese adults. Methods: Data come from the China Health and Nutrition Survey (CHNS), a household-based study that covers 9 diverse Chinese provinces from 1991 to 2009 across eight waves of data (n=12,018 adults; aged 18-66). We used detailed activity recall across multiple domains (leisure, work, and home), 3 repeated 24-hour-dietary-recalls, measured anthropometry and blood pressure at each exam. We created a multi-level structural equation model in Mplus to estimate direct pathways from specific domains of physical activity to hypertension and indirect paths through BMI. All pathways, including pathways to physical activity domains, were adjusted for gender, age, socioeconomic factors, urbanicity and region. Hypertension-related dietary factors were included in all pathways to BMI and hypertension. Results: The impact of physical activity on hypertension was most notable in the direct pathway to hypertension. Occupational and leisure activity were significantly associated with hypertension (p-value < 0.001), and individuals who were more active were less likely to have hypertension. Estimated from this model, a typical active, highly-educated, high-income middle aged female has a 12% probability of having hypertension, compared to a 43% probability for a similar non-active woman. There was however no direct association between physical activity and BMI. Conclusions: In China, declining physical activity over 18 years of modernization is strongly and directly related to increasing hypertension prevalence, with little evidence for effects along the pathway through BMI. Given continued declines in leisure and occupational activity, it is unlikely that hypertension will decline without additional intervention.

Author(s):  
EVA MOEHLECKE DE BASEGGIO ◽  
OLIVIA SCHNEIDER ◽  
TIBOR SZVIRCSEV TRESCH

The Swiss Armed Forces (SAF), as part of a democratic system, depends on legitimacy. Democracy, legitimacy and the public are closely connected. In the public sphere the SAF need to be visible; it is where they are controlled and legitimated by the citizens, as part of a deliberative discussion in which political decisions are communicatively negotiated. Considering this, the meaning of political communication, including the SAF’s communication, becomes obvious as it forms the most important basis for political legitimation processes. Social media provide a new way for the SAF to communicate and interact directly with the population. The SAF’s social media communication potentially brings it closer to the people and engages them in a dialogue. The SAF can become more transparent and social media communication may increase its reputation and legitimacy. To measure the effects of social media communication, a survey of the Swiss internet population was conducted. Based on this data, a structural equation model was defined, the effects of which substantiate the assumption that the SAF benefits from being on social media in terms of broadening its reach and increasing legitimacy values.


Land ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 339
Author(s):  
Jiancheng Lu ◽  
Xiaolong Luo ◽  
Ningning Yang ◽  
Yang Shen

Greenspace exposure (GSE) may have a positive impact on mental health. However, existing research lacks a classification analysis of the influence pathways of different GSE on mental health. Meanwhile, the research method is limited to the measurement of the green space ratio (GSR) based on remote sensing data, which ignores people’s real perception of greenspace. This paper aims to further expand the measurement method of GSE, taking Hangzhou, China as an example, and to reveal the influence mechanism of different GSE modes on mental health. We obtained the personal information, mental health, physical activity, and other data of the interviewees through a questionnaire (n = 461). Combined with a remote sensing satellite and the Baidu Street view database, the method of image interpretation and deep learning was used to obtain the GSR, green visual ratio (GVR), and green visual exposure (GVE). The structural equation model is used to analyze the relationship between different variables. The results showed that: (1) GSE has a certain positive effect on mental health; (2) there are differences in the influence mechanism of multiple measures of GSE on mental health—the GVR and GVE measures based on the interaction perspective between human and greenspace make the influence mechanism more complicated, and produce direct and indirect influence paths; and (3) greenspace perception, sense of community, and physical activity can act as mediators, and have indirect effects. Finally, we call for expanding the measurement index and methods of GSE and integrating them into the management and control practices of urban planning to promote the healthy development of communities and even cities.


2018 ◽  
Vol 120 (3) ◽  
pp. 1-40
Author(s):  
Pascale Benoliel ◽  
Anit Somech

Background/Context Increasingly, educational leadership research has stressed that leadership is not solely embedded in formal roles but often emerges from relationships between individuals. Senior management teams (SMTs) are an important expression of a formal management structure based on the principle of distributed leadership. Such structures may require a reconceptualization of school leadership and the role of the principal in such a way as to better meet new challenges and enable principals to manage SMTs more effectively. Accordingly, it is proposed that to improve effectiveness, principals engage in boundary activities, the principals’ internal activities directed toward the SMT aimed at dealing with internal team matters and the principals’ external activities directed toward external agents in the team's focal environment to acquire resources and protect the team. Purpose/Objective The present study attempts to advance a theoretical model of principals’ internal and external activities toward their SMTs. This study's purpose is twofold: First, the study tries to determine which of the internal and external activities principals engage in more frequently and less frequently and to what extent. Second, the study attempts to determine how these activities are related to the SMT effectiveness outcomes: in-role performance and innovation. Taking on a distributive perspective to school leadership, our goal is to extend our knowledge about the activities that might facilitate SMT effectiveness, by highlighting the principal boundary activities as fundamental. Research Design Quantitative study. Data Collection and Analysis Data were collected from two sources to minimize problems associated with same source bias: 92 SMTs and their principals from 92 public schools in Israel. Principals evaluated the SMTs’ effectiveness through validated surveys of team in-role performance and team innovation, and SMT members evaluated the internal and external activities of the principal. Findings/Results ANOVA analyses indicate significant mean differences between the principal's internal and external activities. Results from Structural Equation Model indicate that internal activities were related to SMT performance, whereas external activities were related to SMT innovation. Conclusions/Recommendations Principals who manage both the internal SMT dynamic by promoting SMT identity and building team trust, while also promoting a common mission, serve the role of coordinator between SMT members and constituencies external to the SMT, enhancing SMT effectiveness. It may be, then, that studying new models of school leadership and management, including the relationship of the principal and the SMT, may deepen our understanding of the increasingly complex role of principals today.


2022 ◽  
Vol 18 (1) ◽  
pp. 0-0

This study examined the impact of E-CRM on customer loyalty with the mediating effect of customer satisfaction in the banking industry. Customer satisfaction is important for loyalty because when the customers are satisfied with the services offered by their service providers, the relationship gets stronger which further leads to positive word-of-mouth. The data was collected using purposive sampling from 836 banks’ customers who were using E-CRM services and the data was analyzed using structural equation model (SEM) through AMOS. The results revealed that E-CRM and customer satisfaction had a significant positive impact on customer loyalty and also customer satisfaction partially mediated the relationship between E-CRM and customer loyalty. This study would offer useful acumen to both academicians and marketers and would help the bank managers to improve the quality of the services provided to their customers.


2016 ◽  
Vol 44 (5) ◽  
pp. 717-726 ◽  
Author(s):  
Chun-Chang Lee ◽  
Yun-Ling Wu ◽  
Wen-Hsin Huang ◽  
Yu-Chen Lee ◽  
Pei-Ru Chen ◽  
...  

We applied a linear structural equation model to explore the impact of information disclosure, social responsibility, trust, and attitude on consumers' loyalty to housing agents. Participants were 466 consumers and potential consumers of housing agency industry services, who completed a survey assessing the variables of interest. Results showed that information disclosure had a direct and significant impact on trust, and an indirect impact on trust through the mediator of corporate social responsibility (CSR), and that trust had an indirect and significant impact on loyalty through the mediator of attitude. The structural relationships among information disclosure, CSR, trust, and attitude should be acknowledged when discussing consumers' loyalty to housing agents.


Author(s):  
I Gede Hendry Kamanjaya ◽  
Wayan Gede Supartha ◽  
IG.A. Manuati Dewi

This study is focused to analyze the impact of servant leadership on employee performance in relation to the organizational commitment mediation. It is a causality research, providing an explanation and understanding about the impact of servant leadership on employee performance and the impact of servant leadership on organizational commitment. The sample of the research are 90 civil servants in Wangaya General Hospital as the respondents. In this study questionares are used as instuments of the research. Descriptive and inferential analysis were applied as method of analysis and Structural Equation Model-Partial Least Square (SEM-PLS) as a tool. The result is that servant leadership does not have any significant effect on employees performance, servant leadership has a positive and significant effect on organizational commitment, organizational commitment has positive and significant effect on employee performance, and the impact on servant leadership and employee performance through the role of organizational commitment as mediating variable is supported.


2017 ◽  
Vol 4 (1) ◽  
pp. 44
Author(s):  
Dimas Khurniawan ◽  
Mohammad Dimyati ◽  
Deasy Wulandari

The purpose of this study acclaims the important of Auditory, Visual and Tactile in affecting consumer’s decision makingbehavior of buying, it is also to figure out it’s impact in Aqua. Thus, it is important to study “The Impact Of SensoryBranding’s Elements On Consumer’s Decision Making Behavior Of Buying Aqua With Neuromarketing Approach InJember”. The population in this study are Aqua’s consumers in Jember. Sampling is taken using purposive sampling methodfrom 100 respondents. Instrument analysis in this study is performed using Structural Equation Model (SEM) withconfirmatory approach. The result shows that: 1) auditory significantly affects consumer’s decision making behavior of buyingAqua in Jember, 2) visual significantly affects consumer’s decision making behavior of buying Aqua in Jember, and 3) tactilesignificantly affects consumer’s decision making behavior of buying Aqua in Jember.


2021 ◽  
Vol 12 ◽  
Author(s):  
Greta Castellini ◽  
Lorenzo Palamenghi ◽  
Mariarosaria Savarese ◽  
Serena Barello ◽  
Salvatore Leone ◽  
...  

Objective: This study aimed to evaluate the impact of the COVID-19 emergency on patients with IBD's psychological distress, understanding the role of patient engagement as a mediator.Methods: An online questionnaire was created, measuring perceived risk susceptibility toward COVID-19, perceived stress, and patient engagement. The questionnaire was distributed to a purposive sample of IBD patients who belonged to the Italian Association for patients with IBD (AMICI Onlus) in April 2020. Structural equation models were implemented.Results: The effect of the perceived risk susceptibility toward COVID-19 contagion on the perceived stress is fully mediated by patient engagement (β = 0.306, p &lt; 0.001). Moreover, the patient engagement mitigates the perceived stress (β = −0.748, p &lt; 0.001) in our sample of IBD patients, and it is negatively influenced by the perceived risk susceptibility toward COVID-19 (β = −0.410, p &lt; 0.001).Conclusion: Patient engagement is the key factor that explains how the perceived risk susceptibility toward COVID-19 affects the perceived psychological distress in patients with IBD, underlining that the perceived risk of contagion increases their perceived level of stress through a decrease of patient engagement.


2019 ◽  
Vol 17 (1) ◽  
pp. 33
Author(s):  
Sri Mulyani ◽  
Hendra Gunawan

<p>The problem of this research was Turnover intention is a factor of discomfort experienced agent in a company. Turnover intention needs to get serious attention to the organization especially to leadership or manager so can applying force leadership proper and improve job satisfaction to reduce job stress in the company.<br />The purpose of this research was the effect of leadership style and job satisfaction toward Turnover intention throught job stress at customer service (frontline) PT Tiki Jalur Nugraha Ekakurir (JNE), Tomang Jakarta.<br />The methodology of this research was testing hypothesis. The data used were primary data collected from questionaire. The samples consisted of 164customer service (frontline)PT Tiki Jalur Nugraha Ekakurir (JNE), which were determined through purposive sampling method. The data were analyzed through Structural Equation Model (SEM) of AMOS version 23.0for Windows.<br />The results of the study showed that there have been negative effect and significant between leadership style and job satisfaction toward Turnover intention throught job stress. The role of job stress very dominant as a mediator the influence of leadership style and job satisfaction toward Turnover intention.<br />Implication of this research is expected to managers can increase the determinants job stress itself for example by raising job satisfaction (salary, reward, job promotion) and applying force leadership proper and able to adjust with all the work situation.</p>


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