Factors associated with mobility decrease leading to disability: a cross-sectional nationwide study in Japan, with results from 8681 adults aged 20-89 years

Abstract Background Mobility decrease leading to disability can gradually develop during early life, however, its related factors are not well clarified. Therefore, we investigate the related factors of mobility decrease at various levels, using nationwide data in Japan. Methods In total, 8681 independent community dwellers aged 20-89 years were analysed (average age, 51.6 years; 58.5% women). Three stages of mobility decrease were based on the locomotive syndrome risk test: Stage 1, emerging; Stage 2, progressing; Stage 3, progressed to restrict social engagement. Age was analysed using a simple quadratic function model. Results The prevalence of Stages 1-3 was 31.6% (n = 2746), 5.8% (n = 504), and 3.2% (n = 278), respectively. On the multivariable logistic regression, increased age in participants aged ≥40 years (stage 1: odds ratio[OR] 1.05-1.20, stage 2: OR 1.04-1.22, stage 3: OR 1.05-1.22), female (stage 1: OR 2.28, 95% confidence interval [CI] 1.99-2.61, stage 2: OR 2.40, 95% CI 1.77-3.25, stage 3: OR 1.80, 95% CI 1.19-2.72), overweight status (stage 1: OR 1.56, 95% CI 1.34-1.82, stage 2: OR 3.19, 95% CI 2.38-4.27, stage 3: OR 2.87, 95% CI 1.90-4.32), hypertension (stage 1: OR 1.20, 95% CI 1.01-1.41, stage 2: OR 1.99, 95% CI 1.49-2.64, stage 3: OR 2.10, 95% CI 1.44-3.05), and diabetes mellitus (stage 1: OR 1.62, 95% CI 1.17-2.24, stage 2: OR 1.57, 95% CI 0.93-2.66, stage 3: OR 2.10, 95% CI 1.13-3.90) were positively associated. The frequency of physical activity/sports, even a few per month, was inversely associated with all stages (stage 1: OR 0.59-0.72, stage 2: OR 0.50-0.67, stage 3: 0.36-0.53). A one-year increase in age had a stronger impact on mobility decrease in older adults than in younger ones. Increased age in participants aged < 40 years and smoking were associated with Stage 1, while intake of various foods was inversely associated with Stages 1 and 2. Conclusion Increased age (< 40 years) was associated with emerging mobility decrease, while that (≥ 40 years) was associated with any levels of mobility decrease. Female, lifestyle habits, including physical activities and overweight status, were associated with mobility decrease at every level.

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Prevalence and family factors associated with loneliness during COVID-19: A cross-sectional study from South India

INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES ◽

10.32746/10.32746/ijmhns.2020.v3.i2.52 ◽

2020 ◽

Vol 3 (02) ◽

pp. 61-67

Author(s):

G. Sanjana ◽

Vijaya Raghavan

Keyword(s):

Online Survey ◽

South India ◽

Survey Design ◽

Southern India ◽

Related Factors ◽

Cross Sectional ◽

Health Crisis ◽

Factors Associated ◽

Family Discord ◽

The Impact

Background: Loneliness can affect anyone at any point in their life. It can be detrimental to the wellbeing and quality of life of individuals and communities. In the ongoing COVID-19 pandemic, loneliness is considered as a public health crisis. Hence, the objectives of the study were to estimate the prevalence of loneliness and family related factors associated with loneliness among general population in south India. Materials and Methods: The study employed a crosssectional online survey design. The data was collected in the first phase of the lockdown in 2020 from adults in Southern India. Socio-demographic profile and family related variables were collected using a semistructured proforma. Loneliness was assessed by UCLA loneliness scale. Results: Of 573 total respondents to the survey, aged between 18-65 years, 43% were male and 57% were female. The overall prevalence of loneliness was 63% (358/573). No significant gender differences were observed in the prevalence of loneliness. Family discord was associated with higher rates of loneliness (p less than 0.01). Other factors associated were younger age and being single. Conclusion: Rates of loneliness during the COVID-19 lockdown were high in Southern India. Findings suggest that interventions should prioritize younger people. Increasing social support and improving interpersonal skills, which in turn would help reduce family discord and may reduce the impact of COVID-19 on loneliness.

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Fatigue and Its Related Factors Among Iranian Cancer Survivors

Journal of Caring Sciences ◽

10.34172/jcs.2021.032 ◽

2021 ◽

Vol 10 (4) ◽

pp. 210-215

Author(s):

Musab Ghaderi ◽

Arman Azadi ◽

Azad Rahmani ◽

Zohreh Sanaat ◽

Hosein Nazemiyeh ◽

...

Keyword(s):

Cancer Survivors ◽

Serum Levels ◽

Cross Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Factors Affecting ◽

Fatigue Score ◽

Factors Associated ◽

Effective Interventions ◽

High Level

Introduction: Cancer-related fatigue (CRF) is one of the major problems experienced by cancer patients. Identifying the prevalence and factors associated with CRF may be effective in designing appropriate interventions to reduce this problem. This study aimed to examine the prevalence of CRF and its related factors among Iranian cancer survivors. Methods: The samples of this descriptive cross-sectional study included 131 cancer survivors referred to outpatient clinic of Shahid Gazi Hospital affiliated to Tabriz University of Medical Sciences. Brief fatigue inventory (BFI) questionnaire was used for data collection. The data were analyzed using SPSS software version 13, descriptive statistics, and regression analysis. Results: The mean (SD) fatigue score was 6.41 (1.68) and 89% of survivors reported that they had suffered from CRF. The factors affecting CRF included blood pressure, diabetes mellitus, anemia, serum levels of blood urea nitrogen (BUN), marital status, type of cancer, and physical activity. Conclusion: High level of CRF in cancer survivors requires special attention and designing effective interventions through considering the identified factors associated with CRF.

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Completion and Factors Associated with Maternity Continuum of Care among Mothers Who Gave Birth in the Last One Year in Enemay District, Northwest Ethiopia

Journal of Pregnancy ◽

10.1155/2020/7019676 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Anguach Shitie ◽

Nega Assefa ◽

Merga Dhressa ◽

Tenagework Dilnessa

Keyword(s):

Health Care ◽

Multivariable Analysis ◽

Continuum Of Care ◽

Northwest Ethiopia ◽

Cross Sectional ◽

Health Care Decision ◽

Factors Associated ◽

One Year ◽

Care Decision ◽

The Continuum

Background. Ethiopia still suffers high levels of neonatal and maternal mortality, so the maternity continuum of care is a continuous framework for the delivery of maternal care from pregnancy to the postnatal period. Skilled care during pregnancy, childbirth, and the postpartum period is an important intervention in reducing maternal and neonatal morbidity and mortality. But in Ethiopia, there are limited studies on the completion of the maternity continuum of care, so this study will help to suggest interventions in order to reduce the dropout of the maternity continuum of care. Objective. To assess the completion of the maternity continuum of care and factors associated with it among mothers who gave birth in the last one year in Enemay District, Northwest Ethiopia. Method and Materials. A community-based cross-sectional study was conducted from February 25 to March 10, 2019, on 651 women who gave birth in the last one year. The data were collected by a face-to-face interview through pretested and structured questionnaires. Binary logistic regression was used to identify predictors of the completion of the maternity continuum of care. Variables with a P value < 0.05 in multivariable analysis were declared as statistically significant associated factors. Results. This study revealed that about 45% (95% CI: 40.9%, 48.8%) of respondents completed the continuum of care. Women with secondary education (AOR=6, 95% CI: 2.26, 16.6), women whose occupation is farming (AOR=0.18, 95%, CI: 0.1, 0.32), women who have autonomy in health care decision (AOR=4, 95% CI: 2.26, 7.2), women who have exposure to media (AOR=1.97, 95% CI: 1.2, 3.27), women with wanted pregnancies (AOR=3.33, 95% CI: 1.87, 5.9), para five and above women (AOR=2.85, 95% CI: 1.28, 6.3), and women whose husbands are employed (AOR=4.97, 95% CI: 1.16, 21.2) were significantly associated with the completion of the maternity continuum of care. Conclusions and Recommendation. This study showed that less than half of the participants had achieved the continuum of care and education level, and both respondents and their husband’s occupation, parity, autonomy in health care decision, exposure to the mass media, and wantedness of pregnancy were associated with the completion of the maternity continuum of care; therefore, working on enhancing the capacity of women’s autonomy in health care and decision-making and preventing unintended pregnancy helps to improve the completion of the maternity continuum of care.

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Musculoskeletal disorders and their associations with health- and work-related factors: a cross-sectional comparison between Swedish air force personnel and army soldiers

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03251-z ◽

2020 ◽

Vol 21 (1) ◽

Cited By ~ 1

Author(s):

Matthias Tegern ◽

Ulrika Aasa ◽

Björn O. Äng ◽

Helena Larsson

Keyword(s):

Musculoskeletal Disorders ◽

Air Force ◽

The Body ◽

Lumbar Region ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated ◽

Work Related ◽

Body Regions ◽

Helicopter Pilots

Abstract Background The high numbers of musculoskeletal disorders (MSD) among soldiers in the Swedish Armed Forces has led to the implementation of an effective prevention program, the musculoskeletal screening protocol (MSP), including questionnaires, physical tests and individual intervention of their MSD. A corresponding MSP for the Swedish Air Force is also needed due to earlier reported high prevalence of MSD. We therefore investigated the prevalence of MSD in Swedish Air Force personnel (AF) and compared this to Swedish Army deployed soldiers (DS). Individual, health- and work-related factors associated with MSD were also investigated. Methods Cross-sectional questionnaire-based study on 166 male AF and 185 DS. AF consisted of fighter pilots, helicopter pilots and rear crew from one Swedish air base. Results The one-year and point prevalence, respectively, of MSD were significantly higher for AF compared to DS with regard to both the upper quarter of the body (i.e. neck, shoulder and thoracic regions) (AF = 54.8 and 31.3%, DS = 26.1 and 13.6%, p = 0.01) and the lumbar region (AF = 38.0 and 18.7%, DS = 22.2 and 7.1%, p = 0.00). No significant differences were present between fighter pilots, helicopter pilots and rear crew regarding MSD prevalence. Factors significantly associated with having both upper quarter and lumbar regions MSD were group (i.e. greater odds for AF than DS) and self-reported physical health as less than excellent. Additionally, being older and taller were also factors associated with lumbar region MSD. Discussion Despite a generally healthy lifestyle, MSD were commonly reported by AF and DS, with generally higher prevalence in AF who mainly reported MSD in the upper quarter of the body. The results from this study indicate that the MSP can be a meaningful tool to prevent MSD in air force personnel and that questions regarding general health and MSD in specific body regions should be included in screening protocols. The development of the preventive program MSP is therefore recommended for the Swedish Air Force.

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Factors associated with workability in Spanish health centre workers

Occupational Medicine ◽

10.1093/occmed/kqaa206 ◽

2020 ◽

Author(s):

I Mateo-Rodríguez ◽

E Knox ◽

A Daponte-Codina ◽

Keyword(s):

Multinomial Logistic Regression ◽

Health Centre ◽

Cross Sectional Study ◽

Work And Family ◽

Physical And Mental Health ◽

Related Factors ◽

Cross Sectional ◽

Logistic Regression Models ◽

Factors Associated ◽

Spanish Health

Abstract Background The concept of workability provides a conceptual framework and proposes measures for the evaluation of relevant actions focused on a healthy workforce. In Spain, one of the countries with the highest life expectancy, there are practically no scientific studies on workability and its associated factors. Aims The objective of this study is to examine the associations between workability and variables related to health and work in a sample of workers from Spanish health centres. Methods Cross-sectional study including 1184 health centre workers who completed a questionnaire at baseline, comprising measures of workability, health and other work-related factors. Workability has been analysed as a one-factor construct, and as a two-factor construct. Multinomial logistic regression models were used to analyse factors associated with workability. Results As a one-dimensional construct, workability is associated with physical and mental health, number of hours of worked, insomnia, work and family life balance, adequate training, never having had an accident and type of contract. When the two-factor measure was used, sensitivity of findings increased, and it was identified that those participants who were older, lived alone and have more years of service in their profession also show worse workability. Conclusions The present study identified factors associated with the workability of health centre workers. The two-factor workability index (WAI) has better psychometric properties and used in combination with the global measure of WAI, identifies important additional aspects, specifically, age and years of professional experience as additional considerations for the intervention.

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Double burden: a cross-sectional survey assessing factors associated with underweight and overweight status in Danang, Vietnam

BMC Public Health ◽

10.1186/1471-2458-13-35 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 8

Author(s):

Kiet A Ly ◽

Thanh GN Ton ◽

Quang V Ngo ◽

Tung T Vo ◽

Annette L Fitzpatrick

Keyword(s):

Cross Sectional Survey ◽

Double Burden ◽

Cross Sectional ◽

Overweight Status ◽

Factors Associated

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A cross-sectional study on feather cover damage in Canadian laying hens in non-cage housing systems

BMC Veterinary Research ◽

10.1186/s12917-019-2168-2 ◽

2019 ◽

Vol 15 (1) ◽

Cited By ~ 3

Author(s):

Caitlin Decina ◽

Olaf Berke ◽

Nienke van Staaveren ◽

Christine F. Baes ◽

Tina M. Widowski ◽

...

Keyword(s):

Egg Production ◽

Management Practices ◽

Laying Hens ◽

Control Measure ◽

Cross Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated ◽

Housing Systems ◽

Linear Regression Modeling

Abstract Background Feather damage (FD) resulting from feather pecking remains a concern in non-cage housing systems for laying hens worldwide. This study aimed to identify bird-, housing-, and management-related factors associated with FD in non-cage housing systems as the egg production sector phases out the conventional cage system in Canada. A survey on housing and management practices was developed and distributed to 122 laying hen farms where 39 respondents provided information on non-cage flocks. Farmers visually assessed 50 birds throughout the barn for FD using a 0–2 scoring scale according to severity. Prevalence of FD was calculated as the percentage of birds with any form of FD (score > 0). Multivariable linear regression modeling was used to identify factors associated with FD prevalence. Results Six variables were included in the final model and accounted for 64% of the variation in FD between farms. FD prevalence was higher with increasing flock age (0.9% ± 0.29) and when birds were housed in all wire/slatted barns compared with all litter barns (37.6% ± 13.1). Additionally, FD prevalence tended to be higher in barns with manure removal only after depopulation (20.1% ± 10.70). Enrichment also tended to be associated with higher FD (19.1% ± 8.04), possibly indicating that it was provided after FD was observed as a control measure, or, was not efficient in reducing the development of FD. Conclusions These findings emphasize the role of litter provision and management (e.g., manure removal effects on air quality), and its potential impact on FD among laying hens in non-cage housing systems in Canada. Further longitudinal and/or intervention studies are needed to assess the potential of the identified factors to function as a management strategy to prevent or reduce FD in non-cage housed laying hens.

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Factors Associated With Physical Activity in Australians With Hip or Knee Osteoarthritis

Journal of Physical Activity and Health ◽

10.1123/jpah.8.3.340 ◽

2011 ◽

Vol 8 (3) ◽

pp. 340-351 ◽

Cited By ~ 1

Author(s):

Kristiann Corbusier Heesch ◽

Norman Ng ◽

Wendy Brown

Keyword(s):

Physical Activity ◽

Leisure Time ◽

Management Strategies ◽

Related Factors ◽

Cross Sectional ◽

Physically Active ◽

Factors Associated ◽

Strengthening Exercises ◽

Health Related ◽

Stretching Exercises

Background:Physical activity (PA) is recommended for managing osteoarthritis (OA). However, few people with OA are physically active. Understanding the factors associated with PA is necessary to increase PA in this population. This cross-sectional study examined factors associated with leisure-time PA, stretching exercises, and strengthening exercises in people with OA.Methods:For a mail survey, 485 individuals, aged 68.0 years (SD = 10.6) with hip or knee OA, were asked about factors that may influence PA participation, including use of non-PA OA management strategies and both psychological and physical health-related factors. Associations between factors and each PA outcome were examined in multivariable logistic regression models.Results:Non-PA management strategies were the main factors associated with the outcomes. Information/education courses, heat/cold treatments, and paracetamol were associated with stretching and strengthening exercises (P < .05). Hydrotherapy and magnet therapy were associated with leisure-time PA; using orthotics and massage therapy, with stretching exercises; and occupational therapy, with strengthening exercises (P < .05). Few psychological or health-related factors were associated with the outcomes.Conclusions:Some management strategies may make it easier for people with OA to be physically active, and could be promoted to encourage PA. Providers of strategies are potential avenues for recruiting people with OA into PA programs.

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Prevalence and family factors associated with loneliness during COVID-19: A cross-sectional study from South India

INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES ◽

10.32746/ijmhns.2020.v3.i2.52 ◽

2020 ◽

Vol 3 (02) ◽

pp. 61-67

Author(s):

G. Sanjana ◽

Vijaya Raghavan

Keyword(s):

Online Survey ◽

South India ◽

Survey Design ◽

Southern India ◽

Related Factors ◽

Cross Sectional ◽

Health Crisis ◽

Factors Associated ◽

Family Discord ◽

The Impact

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Factors associated with low back pain among construction workers in Nepal: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0252564 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0252564

Author(s):

Bikram Adhikari ◽

Anup Ghimire ◽

Nilambar Jha ◽

Rajendra Karkee ◽

Archana Shrestha ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Healthcare Services ◽

Cross Sectional Study ◽

Construction Workers ◽

Low Back ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

One Year

Background Low back pain (LBP) is the commonest cause of disability throughout the world. This study aimed to determine the prevalence and factors associated with LBP among the construction workers in Nepal. Methods A community-based cross-sectional study was conducted among the construction workers working in Banepa and Panauti municipalities of Kavre district, from September 2019 to February 2020. Data was collected purposively by face-to-face interview from 402 eligible participants from the both municipalities using semi-structured questionnaire. Mobile-based data collection was done using KoboCollect. Data were exported to and analysed using R-programming software (R-3.6.2). Univariate and multivariate logistic regressions were performed. All tests were two tailed and performed at 95% confidence interval (CI). Result One-year prevalence of LBP among construction workers were 52.0% (95%CI: 47.0–57.0). The higher odds of LBP was reported among females [adjusted odds ratio (aOR) = 2.42; 95%CI: 1.12–5.23], those living below poverty-line (aOR = 2.35; 95%CI: 1.32–4.19), participants with more than five years of work experience (aOR = 1.66; 95%CI: 1.01–2.73) and those with intermediate sleep quality (aOR = 2.06; CI: 1.03–4.11). About 80.0% of construction workers with LBP never seek healthcare services due to: a) time constraints (90.9%), b) financial constraints (18.1%) and c) fear of losing wages on seeking healthcare services (40.9%). The majority of the participants (94.8% among those without LBP and 72.3% among those with LBP) did nothing to prevent or manage LBP. Conclusion The prevalence of LBP in the past one year was high among construction workers where majority of workers never did anything to prevent or manage LBP. Therefore, the public health professionals should set up the health promotion, education, and interventions aimed at increasing awareness on preventive techniques and predisposing factors of LBP.

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