scholarly journals Overview of Ageing, Urbanization, and Nutrition in Developing Countries and the Development of the Reconnaissance Project

1997 ◽  
Vol 18 (3) ◽  
pp. 1-5 ◽  
Author(s):  
Corazon V. C. Barba ◽  
Lucila B. Rabuco

Two of the major demographic trends in the developing and transitional countries are urbanization (the growth of cities and metropolitan populations) and ageing (the increase in the number of persons over 70 years of age, due to extended life expectancy). These two trends are felt to present unresolved challenges regarding health, well-being, and quality of life. These uncertainties gave rise to the multicentre Reconnaissance project carried out in five Asian countries (China, Indonesia, Malaysia, the Philippines, and Thailand) and three Latin American countries (Brazil, Guatemala, and Mexico), in collaboration with institutions in the Netherlands, Germany, and Italy, with financial support from the European Community. The findings, experience, and lessons from the preliminary qualitative (community), and quantitative (individual) surveys were shared among the investigators at a conference held at Wageningen, Netherlands.

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 996.1-996
Author(s):  
R.M. Xavier ◽  
J. Morales-Torres ◽  
D.C.R. Ramos-Remus ◽  
P. Chalem ◽  
J.F. Molina ◽  
...  

2016 ◽  
Vol 10 (1) ◽  
pp. 75-80
Author(s):  
Claudia Elena Gafare ◽  
Mauro Serafini ◽  
Giulia Lorenzoni ◽  
Dario Gregori

Given the rising cost of healthcare, the increase in life expectancy and the wish for a better quality of life, the request for foods and beverages producing a beneficial effect on health has increased worldwide. “Functional food” is a new concept and may play a key role in diseases’ prevention and management. Although its meaning is currently under definition, its role in global health improvement is growing constantly. This article aims at giving a description of existing legislation on functional food in South America, identifying future directions for health and marketing policies. Furthermore, authors provide a literature revision on two products widely consumed in Latin American countries: Yerba Mate and Quinoa. Thanks to their beneficial health effects in terms of disease prevention and promotion of well-being, they may be considered as functional foods with a potential key role in health care.


Author(s):  
Jennifer Vanessa Zaldumbide Vaca ◽  
Angie Nathaly Santacruz Mediavilla ◽  
Pamela Fernanda Heredia Pazmiño

Better regulation is a public policy that governments implement to improve the quality of life of their citizens. These policies bring significant benefits to all market players, among the most palpable are innovation, administrative simplification, a clear commitment by the government, and competitiveness. A fundamental entity for the development of this type of regulation is the Organization for Economic Cooperation and Development (OECD), whose main objective is to create policies that improve the quality of life of citizens around the world. Among the members of this organization are first world countries such as the United States and Spain, as well as third world Latin American countries such as Mexico and Colombia, whose government administration serves as a model for the Ecuadorian people. It is because, without considering that their economies are not as large, developed, and stable, they have managed with the commitment, perseverance, and responsibility to be supported by this international institution. Nowadays, the problem of over and deregulation that has remained in Ecuador. Since the beginning of its history, it serves as an axis of study to propose the implementation of regulatory improvement within its political system. In order do this, it must be considering the principles of governance, proper preparation for its application, and the professionalism of all market players.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Elvira Estorninos ◽  
Rachel Lawenko ◽  
Katherine Buluran ◽  
Yipu Chen ◽  
Jowena Lebumfacil ◽  
...  

Abstract Objectives Health-related quality of life (QoL) is an important component of overall wellbeing. The study aimed to describe the parent-perceived infant quality of life of exclusively breastfed infants along with their mother's physical and mental health in a Filipino cohort. Methods Healthy term infants, who were exclusively breastfed since birth and whose mothers had decided to exclusively breastfeed until 6 months (m) of age, were enrolled at 21–26 days of age from a single center in the Philippines. Parents completed the Infant Toddler Quality of Life Questionnaire (ITQoL) and the Short Form Health Survey (SF-36v2) (assessing maternal QoL) at enrollment and when infants were 2.5 m, 4 m, and 6 m of age. Infants’ anthropometrics were measured and parents completed gastrointestinal (GI) diaries and Infant Gastrointestinal Symptoms Questionnaire (IGSQ) throughout the study. Results Among 75 enrolled infants, 70 completed the study at age 6 m. Infant QoL mean scores were high throughout the study (range 0–100 for each concept; Table 1). Nonetheless, noticeable improvements were observed between enrollment and 2.5 m, especially in the infant-focused concept of Temperament and Moods as well as in all three parent-focused concepts (Emotional, Time, and Family Cohesion) which measure impact of child's health on parents. Between 2.5 and 6 m, the scores remained relatively stable. For maternal QoL mean scores (scores standardized to Mean = 50, SD = 10 for each scale; Table 1), noticeable improvements were observed between enrollment and 2.5 m, with Physical Health showing more pronounced improvements. The Role-Emotional scale, which measures role limitations due to emotional problems, showed the lowest scores. From enrollment to age 6 m, mean z-scores for weight-for-age, length-for-age and head circumference-for-age stably tracked WHO Growth Standards. Additionally, infant stool consistency became more formed, and incidences of spitting up/vomiting and flatulence decreased. The overall GI burden also decreased (IGSQ index score: range 13–65; 15.8 ± 3.2 at enrollment and 14.0 ± 1.2 at 6 m). Conclusions In a cohort of exclusively breastfed Filipino mother-infant dyads, parent-perceived infant health-related quality of life was high and comparable to that reported in literature1. Maternal quality of life, particularly their perceived state of emotional well-being, warrants further investigation. Funding Sources Nestec Ltd. Supporting Tables, Images and/or Graphs


2021 ◽  
Vol 12 ◽  
Author(s):  
Vicky Karkou ◽  
Irene Dudley-Swarbrick ◽  
Jennifer Starkey ◽  
Ailsa Parsons ◽  
Supritha Aithal ◽  
...  

Background: Women's health has received renewed attention in the last few years including health rehabilitation options for women affected by breast cancer. Dancing has often been regarded as one attractive option for supporting women's well-being and health, but research with women recovering from breast cancer is still in its infancy. Dancing with Health is multi-site pilot study that aimed to evaluate a dance programme for women in recovery from breast cancer across five European countries.Methods: A standardized 32 h dance protocol introduced a range of Latin American dances presented within a sports and exercise framework with influences from dance movement therapy. Fifty-four women (M age 53.51; SD 7.99) participated in the study who had a breast cancer diagnosis <3 years, chemotherapy >6 weeks, no indication of metastasis, or scheduled surgery/chemotherapy/radiation treatment for the duration of the intervention. Primary outcome data was collected for anthropometric and fitness measures next to cancer-related quality of life. T-tests and Wilcoxon signed ranked tests were used to establish differences pre and post intervention. Cohen's d was also calculated to determine the effect size of the intervention.Results: Statistically significant changes were found for: (i) weight, right and left forearm circumference and hip; (ii) 6 min walking, right and left handgrip, sit-to-stand and sit-and-reach; (iii) the EORTC-QLQ C30 summary score as well as the subscales of emotional and social functioning and symptoms. In all cases the direction of change was positive, while Cohen's d calculated showed that the effect of the intervention for these parameters ranged from intermediate to large.Conclusion: Changes on the above anthropometric, fitness and quality of life measures suggest that the intervention was of value to the participating women recovering from breast cancer. Results also advocate collaborative efforts across countries to further research.


2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 245-245 ◽  
Author(s):  
Marvin Omar Delgado-Guay ◽  
Alejandra Palma ◽  
Eva Rossina Duarte ◽  
Monica Grez ◽  
Laura Tupper ◽  
...  

245 Background: Caregivers of cancer patients often face physical, and psychosocial hardship. The association between spirituality (S), religiosity (R), spiritual pain (SP), coping, and quality of life (QOL) have not been well characterized. The main purpose of this multicenter study was to determine these associations among LACs. Methods: We interviewed 319 LACs at palliative care clinics in Chile, Guatemala, and the US. LACs completed FICA (S/R assessment), ESAS–FS, PSWQ (worry), B-COPE/B-R-COPE (coping), and FACIT-Sp (spiritual well-being). Results: Median age 47 y, IQR=36, 59; 231 (73%) female, 207 (66%) married, 194 (61%) Catholic, 90 (28%) Non-Catholic Christian, 10 (3%) non-religious affiliation. Relationship: 111 (35%) spouses, 102 (32.5%) children, 31 (10%) siblings, 21 (7%) parents, and 59 (19%) others. 103 (32%) worked full-time, 38 (12%) worked-part-time, 96 (30%) homemaker, and 29 (9%) retired. 278 (92%) considered themselves moderately/highly spiritual and 75% moderately/highly religious, median: 8 (IQR: 6, 9) and 6 (4, 8) respectively. Median importance of S/R in their life was 10 (IQR: 7-10). The frequency and associations among the importance of S/R and different items were as follows: S/R is a source of strength and comfort (98%, r = 0.71; p < 0.0001), helps them to cope with patients’ illness (98%, r = 0.65; p < 0.0001). 44% of LACs reported that their spiritual/religious needs had not been supported by the medical team. 243/301 (81%) of LACs reported spiritual pain (median 6; IQR: 2-9). Spiritual pain significantly correlated with worse pain (r = 0.42, p < 0.0001), fatigue (r = 0.34, p < 0.0001), depression (r = 0.46, p < 0.0001), anxiety (r = 0.48, p < 0.0001), financial distress (r = 0.36, p < 0.0001), well-being (r = 0.3, p < 0.0001), worry (r = 0.42, p < 0.001), denial (r = 0.3, p < 0.0001), behavioral disengagement (r = 0.3, p < 0.0001), FACIT-sp (r = -0.18, p = 0.002), negative religious coping (r = 0.35, p < 0.0001). Conclusions: LACs report high level and importance of S/R in dealing with the patient’s illness and low level of S/R support from clinicians. 81% of LACs expressed spiritual pain that impacts their own symptoms, coping, and QOL. More research is needed.


2021 ◽  
Vol 9 (2) ◽  
pp. 9-27
Author(s):  
Juan Mezzich

Background: Person Centered Medicine places the person at the center of the concept of health and as the proper target of health actions. This makes positive health, including wellbeing and quality of life, a matter of high interest among the concepts, procedures and activities of person centered medicine and health. Objectives: This paper is aimed at exploring, documenting and discussing the concepts and procedures for positive health, particularly well-being and quality of life, within the framework of person centered medicine and health. Method: For addressing these objectives, first, a selective review of the literature was conducted concerning the place of positive health within the recognized concepts and practical procedures of the programmatic movement on Person Centered Medicine. Then, a more systematic review of the medical and health literature was conducted on concepts and procedures for addressing and assessing well-being and quality of life within the framework of person centered medicine. Results: Findings concerning positive health developments (particularly involving well-being and quality of life) produced under the aegis of the International College of Person Centered Medicine included, first, its place in the systematic conceptualization of person centered medicine, where it is part and parcel of the principles on ethics commitment and holistic framework, as well as the principlesbased Person-centered Care Index (PCI). Second, positive health is a distinctive and prominent element of the informational domains of the Person-centered Integrative Diagnosis (PID) model, as well as in practical applications such as the Latin American Guide for Psychiatric Diagnosis developed and published by the Psychiatric Association of Latin America (APAL). A second set of findings emerged from a systematic review of the literature on “Person centered medicine, well-being and quality of life”. It yielded 27 papers, dealing with theoretical concepts and instrumentation, which were tabularly analyzed. The concepts of well-being (WB) and quality of life (QoL) tended to be used interchangeably as well as complementarily, with QoL tending to be seen as more encompassing and often incorporating WB. Some major well-being studies have used a group of instruments to cover key aspects of WB. Several encompassing instruments for the assessment of QoL and WB were identified, having a range of features and applications. Among the most frequently used seem to be the WHO-instrument for Quality of Life and the Multicultural Quality of Life Index. Discussion: The importance ascribed to positive health is growing internationally, with particular focus on WB and QoL. This is illustrated by the United Nations’ Sustainable Development Goals, which formulates its Goal on Health in terms of promoting healthy lives and well-being for all. Conclusions: The importance of QoL and WB in the health field in general and in particular for person-centered medicine has been well documented. Some useful and encompassing instruments for assessing these concepts have been elucidated, which have general applicability and are substantially validated internationally.


2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 246-246
Author(s):  
Marvin Omar Delgado-Guay ◽  
Alejandra Palma ◽  
Eva Rossina Duarte ◽  
Monica Grez ◽  
Laura Tupper ◽  
...  

246 Background: The associations between spirituality (S), religiosity (R), spiritual pain (SP), symptom, coping and quality of life (QOL) have not been well characterized in LAAdCa. The main purpose of this Multicenter study was to analyze these associations. Methods: We interviewed 325 LAAdCa at a Palliative Care clinic in Chile, Guatemala, and USA. They completed FICA (S/R assessment), ESAS–FS (including SP), PSWQ (Worry), B-COPE and B-R-COPE (coping), FACIT-sp-ex (Spiritual Well-being). Results: Median age 58 (range: 19-85), 60% women, 62% Catholic, 30% Christian not Catholics, and 2% with no religion. 97% of LAAdCa considered themselves spiritual and 89% religious, median 7(IQR: 5-10) and 7(5-9) respectively. Median Importance of S/R in life (score 0 = none, 10 = very important) was 10 (IQR:8-10). The frequency and associations among the importance of S/R and different items were: helps them to cope with their illness (98%, r = 0.73; p < 0.0001), is a source of strength and comfort (99%, r = 0.79; p < 0.0001), and has a positive effect in physical symptoms (81%, r = 0.40; p < 0.0001), emotional symptoms (84%, r = 0.42, p < 0.0001), and helps to their caregivers to cope with pts' illness (100%, r = 0.66, p < 0.0001). 60% of LAAdCa reported that their S/R needs had not been supported by the medical team. 24% had received pastoral attention inside the hospital. 162/311 (52%) of LAAdCa reported spiritual pain (median 6; IQR: 5-8). Spiritual pain significantly correlated with worse pain (p = 0.02), fatigue (p = 0.0002), depression (p < 0.0001), anxiety (p < 0.0001), Financial distress (p < 0.0001), worry (p < 0.001), behavioral disengagement (p = 0.01), FACIT-sp-Ex (p = 0.0002), negative religious coping strategies (p < 0.0001), caregiver’s SP (p = 0.02), caregiver’s depression (p < 0.0001), caregiver’s anxiety (p = 0.0007), and worse caregiver’s QOL (p = 0.001). Conclusions: Majority of LAAdCa considered themselves spiritual and religious. S/R help to deal with their illness and correlates with less emotional distress, positive coping strategies and QOL. Still more than 50% LAAdCa reported SP and their S/R needs are not totally supported by the medical team. More research is needed.


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