The epidemiology of muscle-strengthening activity among adolescents from 28 European countries

2021 ◽  
pp. 140349482110313
Author(s):  
Jason A. Bennie ◽  
Guy Faulkner ◽  
Jordan J. Smith
Keyword(s):  
Large Scale ◽  
Linear Models ◽  
Error Variance ◽  
European Countries ◽  
Eastern European ◽  
European Regions ◽  
Muscle Strengthening ◽  
European Health ◽  
European Health Interview Survey ◽  
Prevalence Ratios

Aims: This study aimed to describe the prevalence and socio-demographic and lifestyle-related correlates of muscle-strengthening activity (MSA; strength/resistance training, sit-ups/push-ups, etc.) among a large sample of European adolescents. Methods: Data were drawn from the European Health Interview Survey Wave 2 (2013–2014), including 8818 adolescents (15–17 years) from 28 European countries. Self-reported MSA was assessed using a previously validated survey item. Population-weighted prevalence ratios were calculated for (a) ‘none’ (0 days/week), (b) ‘insufficient MSA’ (1–2 days/week) or (c) ‘sufficient MSA’ (⩾3 days/week). Generalised linear models using Poisson regression with robust error variance were used to calculate the prevalence ratios for adolescents reporting sufficient MSA by socio-demographic/lifestyle characteristics and by European region. Results: Overall, 19.4% (95% confidence interval (CI) 18.3–20.7) reported sufficient (⩾3 days/week) MSA and 57.9% (95% CI 56.4–59.6) reported none. Females, adolescents from Southern and Eastern European regions, those not meeting the aerobic guideline and adolescents classified as overweight were significantly associated with a lower likelihood of reporting sufficient MSA, independent of other characteristics. Conclusions: The majority of European adolescents do not meet the MSA guidelines. Future large-scale MSA public-health interventions should target female and currently inactive adolescents, as well as those from Southern and Eastern European regions.

Health-Enhancing Physical Activity in Europe—Combined Aerobic Physical Activity and Muscle-Strengthening Exercise Guideline Adherence Among 280,605 Adults From 28 European Countries

2021 ◽  
pp. 1-7
Author(s):  
Jason A. Bennie ◽  
Glen H. Wiesner
Keyword(s):  
Physical Activity ◽  
Guideline Adherence ◽  
European Countries ◽  
Muscle Strengthening ◽  
Health Interview Survey ◽  
Health Interview ◽  
Strengthening Exercise ◽  
Interview Survey ◽  
European Health ◽  
European Health Interview Survey

Background: Compared with engaging in aerobic physical activity (aerobic PA; eg, walking, running, cycling) or muscle-strengthening exercise (MSE; eg, weight/resistance training) alone, epidemiological evidence suggests that combining both is linked to better health. However, the assessment of both PA modes is rare in health surveillance. This article provides the first multicountry study on the descriptive epidemiology of combined moderate to vigorous PA–MSE guideline adherence. Methods: Data were drawn from the European Health Interview Survey wave 2 (2013–2014), comprising samples from 28 European countries (n = 280,605). Self-reported aerobic PA and MSE were assessed using the validated European Health Interview Survey Physical Activity Questionnaire. The authors calculated the weighted proportions meeting the health-enhancing PA guideline (aerobic PA ≥ 150 min/wk and MSE ≥ 2 sessions/wk). Poisson regression assessed the prevalence ratios for meeting the combined guideline across sociodemographic factors and by country. Results: A total of 15.0% met the health-enhancing PA guideline. The lowest prevalence was from respondents from Southern and Central European countries (Romania, Poland, and Croatia, range: 0.5%–5.7%). Poorer self-rated health, older age, lower income, being female, and being obese had a lower likelihood of meeting the combined guideline. Conclusions: Most European adults do not meet the health-enhancing PA guideline that includes both aerobic PA and MSE.

scholarly journals The epidemiology of muscle-strengthening exercise in Europe: A 28-country comparison including 280,605 adults

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242220
Author(s):  
Jason A. Bennie ◽  
Katrien De Cocker ◽  
Jordan J. Smith ◽  
Glen H. Wiesner
Keyword(s):  
Physical Activity ◽  
European Countries ◽  
Muscle Strengthening ◽  
Health Interview Survey ◽  
Self Rated Health ◽  
Health Interview ◽  
Strengthening Exercise ◽  
Interview Survey ◽  
European Health ◽  
European Health Interview Survey

Objective Muscle-strengthening exercise (use of weight machines, free weights, push-ups, sit-ups), has multiple independent health benefits, and is a component of the Global physical activity guidelines. However, there is currently a lack of multi-country muscle-strengthening exercise prevalence studies. This study describes the prevalence and correlates of muscle-strengthening exercise across multiple European countries. Methods Data were drawn from the European Health Interview Survey Wave 2 (2013–14), which included nationally representative samples (n = 3,774–24,016) from 28 European countries. Muscle-strengthening exercise was assessed using the European Health Interview Survey Physical Activity Questionnaire. Population-weighted proportions were calculated for (1) “insufficient” (0–1 days/week) or (2) “sufficient” muscle-strengthening exercise (≥2 days/week). Prevalence ratios were calculated using multivariate Poisson regression for those reporting sufficient muscle-strengthening by country and by sociodemographic/lifestyle characteristics (sex, age, education, income, self-rated health etc.). Results Data were available for 280,605 European adults aged ≥18 years. Overall, 17.3% (95% CI = 17.1%-17.5%) reported sufficient muscle-strengthening exercise (≥2 days/week). Muscle-strengthening exercise was geographically patterned with the lowest prevalence reported in South-eastern European countries (Romania, Malta and Cyprus: range: 0.7%-7.4%), and the highest prevalence in the Nordic countries (Iceland, Sweden, and Denmark: range: 34.1%-51.6%). Older age, insufficient aerobic activity, poorer self-rated health, lower income/education, being female, and being overweight/obese were significantly associated with lower likelihood of reporting sufficient muscle-strengthening exercise, independently of other characteristics. Conclusions Most European adults do not report sufficient muscle-strengthening exercise, and prevalence estimates varied considerably across countries. Low participation in muscle-strengthening exercise is widespread across Europe, and warrants public health attention.

Comparison of Reliability in Seventeen European Countries Using the Quasi-Simplex Model

2021 ◽  
pp. 383-404
Author(s):  
Johana Chylíková
Keyword(s):  
European Union ◽  
The Netherlands ◽  
Reliability Estimation ◽  
European Countries ◽  
Eastern European ◽  
The European Union ◽  
European Regions ◽  
Financial Situation ◽  
Reliability Estimates ◽  
Simplex Model

The aim of this chapter is to illustrate the application of the quasi-simplex model (QSM) for reliability estimation in longitudinal data and to employ it to obtain information about the reliability of the European Union—Survey on Income and Living Conditions (EU-SILC) data collected between 2012 and 2017. Reliability of two survey questions is analysed: one which asks respondents about the financial situation in their households, and one which requests information about respondents’ health. Employing the QSM on the two items resulted in 80 reliability estimates from 17 and 11 European countries, respectively. Results revealed statistically significant differences in reliability between post-communist Central and Eastern European (CEE) countries and the rest of Europe, and similar patterns of the size of reliability estimates were observed for both items. The highest reliability (i.e. reliability over 0.8) was observed in CEE countries such as Bulgaria, Romania, Czechia, Poland, and Hungary. The lowest reliability (i.e. reliability lower than 0.7) was observed for data from Sweden, Slovenia, Norway, Spain, Portugal, Austria, Italy, and the Netherlands. The remarkable variation in longitudinal reliability across culturally and historically different European regions is discussed both from substantive and methodological perspectives.

scholarly journals Towards a Balanced Synergy of Visions and Interests: Latvia’s Perspectives in 16+1 and Belt and Road Initiatives

2017 ◽  
Vol 23 (78) ◽  
pp. 37-56 ◽  
Author(s):  
Andris Spruds
Keyword(s):  
Large Scale ◽  
Economic Benefits ◽  
European Countries ◽  
Eastern European ◽  
Belt And Road ◽  
Eastern European Countries

Abstract The article analyses China’s 16+1 and Belt and Road initiatives from Latvia’s perspective. Although the initiatives provide engagement on a large scale, it is challenging to achieve the task of achieving a synergy between a variety of stakeholders and interests in the context of a diversity of visions and agendas. The strategic dimension of transcontinental initiatives complicates further the building of synergy. Connectivity is an important and promising principle of both initiatives and transcontinental infrastructural linkages are especially high on the agenda. Mutually beneficial progress, however, must yet be achieved. In times of uncertainty, Central and Eastern European countries, including Latvia, are engaged in a balancing process of potential economic benefits and strategic implications of the 16+1 and Belt and Road initiatives.

scholarly journals The Landscape of Mucopolysaccharidosis in Southern and Eastern European Countries: A Survey from 19 Specialistic Centers.

2021 ◽  
Author(s):  
Anna Tylki-Szymańska ◽  
Zsuzsanna Almássy ◽  
Violetta Christophidou Anastasiadou ◽  
Daniela Avdjieva-Tzavella ◽  
Ingeborg Barisic ◽  
...  
Keyword(s):  
European Countries ◽  
Eastern European ◽  
Survey Analysis ◽  
Lysosomal Storage ◽  
European Regions ◽  
Enzyme Replacement ◽  
European Guidelines ◽  
Mps Iva ◽  
Eastern European Countries

Abstract Background: Mucopolysaccharidoses (MPS) are a group of lysosomal storage disorders caused by defects in genes coding for different lysosomal enzymes which degrade glycosaminoglycans. Impaired lysosomal degradation causes cell dysfunction leading to progressive multiorgan involvement, disabling consequences and poor life expectancy. Enzyme replacement therapy (ERT) is now available for most MPS types, offering beneficial effects on disease progression and improving quality of life of patients. The landscape of MPS in Europe is not completely described and studies on availability of treatment show that ERT is not adequately implemented, particularly in Southern and Eastern Europe. In this study we performed a survey analysis in main specialist centers in Southern and Eastern European countries, to outline the landscape of disease management in the region and understand ERT implementation, with particular reference to MPS IVA.Results: 19 experts from 14 Southern and Eastern European countries in total responded to the survey. Results outlined a picture of MPS management in the region, with a high number of MPS patients managed in the centers and a high level of care. MPS II was the most prevalent followed by MPS IVA, with a particular high number of adult patients. The study particularly focused on management and treatment of MPS IVA patients. Adherence to current European Guidelines for follow-up of MPS IVA patients is generally adequate, although some important assessments are reported as difficult due to the lack of MPS skilled specialists. Availability of ERT in Southern and Eastern European countries is generally in line with other European regions, even though regulatory, organizational and reimbursement constrains are demanding. Conclusions: The landscape of MPS in Southern and Eastern European countries is generally comparable to that of other European regions on the epidemiology, treatment accessibility and follow up difficulties. However, issues limiting ERT availability and reimbursement should be simplified, to start treatment as early as possible and make it available for more patients. Besides, educational programs dedicated to specialists should be implemented, particularly for pediatricians, clinical geneticists, surgeons, anesthesiologists and neurologists.

scholarly journals Different Trends in Excess Mortality in a Central European Country Compared to Main European Regions in the Year of the COVID-19 Pandemic (2020): a Hungarian Analysis

2021 ◽  
Vol 27 ◽  
Author(s):  
Krisztina Bogos ◽  
Zoltan Kiss ◽  
Anna Kerpel Fronius ◽  
Gabriella Temesi ◽  
Jenő Elek ◽  
...  
Keyword(s):  
Excess Mortality ◽  
European Countries ◽  
Mortality Data ◽  
Eastern European ◽  
Reference Period ◽  
European Regions ◽  
Central European ◽  
Eastern European Countries ◽  
Second Wave ◽  
Excess Deaths

Objective: This study examined cumulative excess mortality in European countries in the year of the Covid-19 pandemic and characterized the dynamics of the pandemic in different countries, focusing on Hungary and the Central and Eastern European region.Methods: Age-standardized cumulative excess mortality was calculated based on weekly mortality data from the EUROSTAT database, and was compared between 2020 and the 2016–2019 reference period in European countries.Results: Cumulate weekly excess mortality in Hungary was in the negative range until week 44. By week 52, it reached 9,998 excess deaths, corresponding to 7.73% cumulative excess mortality vs. 2016–2019 (p-value = 0.030 vs. 2016–2019). In Q1, only Spain and Italy reported excess mortality compared to the reference period. Significant increases in excess mortality were detected between weeks 13 and 26 in Spain, United Kingdom, Belgium, Netherland and Sweden. Romania and Portugal showed the largest increases in age-standardized cumulative excess mortality in the Q3. The majority of Central and Eastern European countries experienced an outstandingly high impact of the pandemic in Q4 in terms of excess deaths. Hungary ranked 11th in cumulative excess mortality based on the latest available data of from the EUROSTAT database.Conclusion: Hungary experienced a mortality deficit in the first half of 2020 compared to previous years, which was followed by an increase in mortality during the second wave of the COVID-19 pandemic, reaching 7.7% cumulative excess mortality by the end of 2020. The excess was lower than in neighboring countries with similar dynamics of the pandemic.

scholarly journals The Recent Protest Movements in Eastern Europe as an Indicator for Multiple Crises?

2017 ◽  
Vol 45 (4) ◽  
Author(s):  
Tobias Spöri ◽  
Felix Jaitner
Keyword(s):  
Political Participation ◽  
Eastern Europe ◽  
Economic Crisis ◽  
Large Scale ◽  
State Of The Art ◽  
European Countries ◽  
Eastern European ◽  
Protest Movements ◽  
Unemployment Rates ◽  
Eastern European Countries

Since the outbreak of the financial and economic crisis in 2008, Eastern European countries have been affected severely by the crisis through intensified austerity measures, higher unemployment rates, and increasing dissatisfaction with democracy. Against this backdrop, the region has experienced several large-scale protest movements in recent years. The paper critically assesses the state of the art on political participation in Eastern Europe. Special attention is paid to the still underplayed effects of the global economic crisis. Subsequently, the question is raised whether the increased number of protests indicates a deeper societal crisis. Thereby, the authors conclude, Eastern Europe serves to a certain extend as a trendsetter for similar developments in other parts of Europe.

Knowledge about basic life support in European students

2014 ◽  
Vol 155 (21) ◽  
pp. 833-837 ◽  
Author(s):  
József Marton ◽  
Attila Pandúr ◽  
Emese Pék ◽  
Krisztina Deutsch ◽  
Bálint Bánfai ◽  
...  
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
European Countries ◽  
Eastern European ◽  
Knowledge And Skills ◽  
European Students ◽  
Western European ◽  
Eastern European Countries ◽  
European Youth

Introduction: Better knowledge and skills of basic life support can save millions of lives each year in Europe. Aim: The aim of this study was to measure the knowledge about basic life support in European students. Method: From 13 European countries 1527 volunteer participated in the survey. The questionnaire consisted of socio-demographic questions and knowledge regarding basic life support. The maximum possible score was 18. Results: Those participants who had basic life support training earned 11.91 points, while those who had not participated in lifesaving education had 9.6 points (p<0.001). Participants from former socialist Eastern European countries reached 10.13 points, while Western Europeans had average 10.85 points (p<0.001). The best results were detected among the Swedish students, and the worst among the Belgians. Conclusions: Based on the results, there are significant differences in the knowledge about basic life support between students from different European countries. Western European youth, and those who were trained had better performance. Orv. Hetil., 2014, 155(21), 833–837.

Hungarian diet and nutritional status survey – The OTAP2009 study I. Nutritional status of the Hungarian population

2012 ◽  
Vol 153 (26) ◽  
pp. 1023-1030 ◽  
Author(s):  
Éva Martos ◽  
Viktória Anna Kovács ◽  
Márta Bakacs ◽  
Csilla Kaposvári ◽  
Andrea Lugasi
Keyword(s):  
Nutritional Status ◽  
Abdominal Obesity ◽  
Public Health Problem ◽  
Participation Rate ◽  
Population Level ◽  
Prevalence Of Obesity ◽  
Interview Survey ◽  
European Health ◽  
European Health Interview Survey ◽  
And Gender

Obesity is a leading public health problem, but representative data on measured prevalence among Hungarian adults has been missing since the late eighties. Aim and method: Joining in European Health Interview Survey the aim of the OTAP2009 study was to provide data representative by age and gender on the prevalence of obesity and abdominal obesity among Hungarian adults based on their measured anthropometric data. Results: Participation rate was 35% (n = 1165). Data shows that nearly two-thirds of adults are overweight or obese. 26.2% of men and 30.4% of women are obese. Prevalence of morbid obesity is 3.1% and 2.6% in men and women, respectively. Abdominal obesity is more prevalent among women than men (51.0% vs. 33.2%), and rate is increasing parallel with age in both gender. In elderly, 55% of men and almost 80% of women are abdominally obese. Conclusions: Besides interventions of population level for tackling obesity, individual preventive measures are indispensable. Orv. Hetil., 2012, 153, 1023–1030.

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