Culturally based health assumptions in Sub-Saharan African immigrants: Body mass index predicting self-reported health status

2016 ◽  
Vol 24 (6) ◽  
pp. 750-760 ◽  
Author(s):  
Arlette J Ngoubene-Atioky ◽  
Claudette Williamson-Taylor
Keyword(s):  
Body Mass Index ◽  
Health Status ◽  
Body Mass ◽  
African Immigrants ◽  
The United States ◽  
Index Score ◽  
Body Mass Index Score ◽  
Reported Health ◽  
Sub Saharan ◽  
Self Reported Health Status

This study examined whether Sub-Saharan African adult immigrants maintained cultural preferences for curvier/higher body size post-migration to the United States. Linear and multiple regression analyses were utilized to discern the predicting effects of Sub-Saharan African immigrants’ body mass index score on their self-reported health status at two post-migration data collection points. The initial assessment reveals that Sub-Saharan African immigrants’ overweight body mass index score predicted better self-reported health status. Four to six years later, higher body mass index score predicted a better self-reported health status and lower dietary acculturation moderated the predicting effect of body mass index on self-reported health status. Limitations of the study and implications for research and practice are explored.

scholarly journals Trends in Dietary Supplement Use Among US Adults Between 2009 and 2018

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 701-701
Author(s):  
Longgang Zhao ◽  
Nyrobi Tyson ◽  
Jihong Liu ◽  
James Hébert ◽  
Susan Steck
Keyword(s):  
Body Mass Index ◽  
Health Status ◽  
Dietary Supplements ◽  
Dietary Supplement ◽  
Body Mass ◽  
Supplement Use ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Dietary Supplement Use ◽  
The U.S

Abstract Objectives A previous study reported that overall use of dietary supplements among United States (U.S.) adults remained stable from 1999 to 2012. However, little is known about trends over the last ten years. We examined trends in dietary supplement use in recent cycles of the National Health and Nutrition Examination Survey (NHANES). Methods The NHANES, a serial cross-sectional study of noninstitutionalized adults and children residing in the U.S., was used to estimate the prevalence of overall dietary supplements use among adults (age ≥ 19 y) between 2009 and 2018 (five continuous 2-year cycles). Information about dietary supplement use was collected in an in-home interview by asking the participants whether they used any dietary supplements in the preceding 30 days. Survey-weighted prevalence was calculated to be nationally representative of the U.S. population. We also evaluated the trends across cycles and conducted subgroup analyses by age, sex, race/ethnicity, education status, body mass index, and self-reported health status. Results Over five NHANES cycles, data from 28,415 adults ≥ 19 y were included in current analyses. The sample size ranged from 5,600 to 6,215 across survey cycles. Mean age was 47.2 years. The overall use of any dietary supplements increased between 2009 and 2018 (49.5% in 2009–2010 and 57.4% in 2017–2018, P for trend < 0.001). Use of four or more supplement products also increased from 7.8% to 14.1% between 2009–2010 and 2017–2018 cycles (Ratio = 1.94, 95% Confidence Intervals: 1.52, 2.48, P for trend < 0.001). The observed trend toward increasing was consistent across different age and sex groups, and more pronounced among participants with higher education, higher body mass index, and fair or poor self-reported health status. Conclusions The overall use of any dietary supplements among U.S. adults increased during the last ten years. The trend was robust among different population groups. Underlying reasons for these trends warrant further investigation. Funding Sources The author(s) received no specific funding for this work.

scholarly journals Measurement properties of EQ-5D-3L and EQ-5D-5L in recording self-reported health status in older patients with substantial multimorbidity and polypharmacy

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Arjun Bhadhuri ◽  
Paul Kind ◽  
Paola Salari ◽  
Katharina Tabea Jungo ◽  
Benoît Boland ◽  
...  
Keyword(s):  
Health Status ◽  
Barthel Index ◽  
Older Patients ◽  
Discriminant Validity ◽  
Index Score ◽  
Psychometric Analyses ◽  
Evenness Index ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Anxiety Depression

Abstract Background The EQ-5D-3L and EQ-5D-5L are two generic health-related quality of life measures, which may be used in clinical and health economic research. They measure impairment in 5 aspects of health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The aim of this study was to assess the performance of the EQ-5D-3L and EQ-5D-5L in measuring the self-reported health status of older patients with substantial multimorbidity and associated polypharmacy. Methods Between 2017 and 2019, we administered EQ-5D-3L and EQ-5D-5L to a subset of patients participating in the OPERAM trial at 6 months and 12 months after enrolment. The OPERAM trial is a two-arm multinational cluster randomised controlled trial of structured medication review assisted by a software-based decision support system versus usual pharmaceutical care, for older people (aged ≥ 70 years) with multimorbidity and polypharmacy. In the psychometric analyses, we only included participants who completed the measures in full at 6 and 12 months. We assessed whether responses to the measures were consistent by assessing the proportion of EQ-5D-5L responses, which were 2 or more levels away from that person’s EQ-5D-3L response. We also compared the measures in terms of informativity, and discriminant validity and responsiveness relative to the Barthel Index, which measures independence in activities of daily living. Results 224 patients (mean age of 77 years; 56% male) were included in the psychometric analyses. Ceiling effects reported with the EQ-5D-5L (22%) were lower than with the EQ-5D-3L (29%). For the mobility item, the EQ-5D-5L demonstrated better informativity (Shannon’s evenness index score of 0.86) than the EQ-5D-3L (Shannon’s evenness index score of 0.69). Both the 3L and 5L versions of EQ-5D demonstrated good performance in terms of discriminant validity, i.e. (out of all items of the EQ-5D-3L and EQ-5D-5L, the pain/discomfort and anxiety/depression items had the weakest correlation with the Barthel Index. Both the 3L and 5L versions of EQ-5D demonstrated good responsiveness to changes in the Barthel Index. Conclusion Both EQ-5D-3L and EQ-5D-5L demonstrated validity and responsiveness when administered to older adults with substantial multimorbidity and polypharmacy who were able to complete the measures.

scholarly journals Association of regular leisure-time physical activity with self-reported body mass index and obesity risk among middle-aged and older adults in Taiwan

2021 ◽  
Author(s):  
Yun-Tsung Chen ◽  
Po-Fu Lee ◽  
Chi-Fang Lin ◽  
Andy Chang ◽  
Yu-Chun Chung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Mass Index ◽  
Health Status ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Obesity Risk ◽  
Middle Aged ◽  
Reported Health ◽  
Self Reported Health Status

Abstract Background Through this study, we aimed to determine the association of regular leisure-time physical activity (LTPA) with self-reported body mass index (BMI) and obesity risk among middle-aged and older adults in Taiwan. Methods We conducted a cross-sectional study and reviewed the data derived from the Taiwan’s National Physical Activity Survey (TNPAS). Responses from 12,687 participants aged 45–108 years from the database were collected in this study. All participants completed a standardized, structured questionnaire that solicitated information regarding their demographic characteristics (age, gender, education, occupation, and self-reported health status), physical activity behaviors (regular/nonregular LTPA), and self-reported anthropometrics (height, weight, and BMI). Multiple linear and logistic regression were used to examine the association between regular LTPA and BMI as well as between regular LTPA and obesity status, respectively. Results Regular LTPA was associated with a male preponderance, normal weight, excellent or good self-reported health status, and a lower rate of underweight compared with nonregular LTPA. Regular LTPA was significant negatively associated with underweight (OR = 0.71, p < 0.05), whereas it had no significant relationship with BMI and obesity (p > 0.05). Conclusions Regular LTPA was associated with a reduced risk of underweight among middle-aged and elderly adults in Taiwan. Further research on the relevant mechanism underlying this phenomenon is warranted.

scholarly journals Association of Regular Leisure-Time Physical Activity with Self-Reported Body Mass Index and Obesity Risk among Middle-Aged and Older Adults in Taiwan

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1719
Author(s):  
Yun-Tsung Chen ◽  
Po-Fu Lee ◽  
Chi-Fang Lin ◽  
Andy Chang ◽  
Yu-Chun Chung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Mass Index ◽  
Health Status ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Obesity Risk ◽  
Middle Aged ◽  
Reported Health ◽  
Self Reported Health Status

Through this study, we aimed to determine the association of regular leisure-time physical activity (LTPA) with self-reported body mass index (BMI) and obesity risk among middle-aged and older adults in Taiwan. We conducted a cross-sectional study and reviewed the data derived from the Taiwan National Physical Activity Survey (TNPAS). Responses from 12,687 participants aged 45–108 years from the database were collected in this study. All the participants completed a standardized structured questionnaire that solicitated information regarding their demographic characteristics (age, gender, education, occupation, and self-reported health status), physical activity behaviors (regular/nonregular LTPA), and self-reported anthropometrics (height, weight, and BMI). Multiple linear and logistic regressions were used to examine the association between regular LTPA and BMI, and between regular LTPA and obesity status, respectively. Regular LTPA was associated with male gender, normal weight, excellent or good self-reported health status, and a lower rate of being underweight compared with nonregular LTPA. Regular LTPA was significant negatively associated with being underweight (OR = 0.71, p < 0.05), whereas it had no significant relationship with BMI and obesity (p > 0.05). Regular LTPA was associated with a reduced risk of being underweight among middle-aged and elderly adults in Taiwan. Further research on the relevant mechanism underlying this phenomenon is warranted.

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