scholarly journals A high triglyceride glucose index is more closely associated with hypertension than lipid or glycemic parameters in elderly individuals: a cross-sectional survey from the Reaction Study

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Binruo Zhu ◽  
Jie Wang ◽  
Kang Chen ◽  
Wenhua Yan ◽  
Anping Wang ◽  
...  
Keyword(s):  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Reaction Study ◽  
Triglyceride Glucose Index ◽  
High Triglyceride

scholarly journals A high triglyceride glucose index is more closely associated with hypertension than lipid or glycemic parameters in elderly individuals: a cross-sectional survey from the Reaction Study.

2020 ◽  
Author(s):  
Binruo Zhu ◽  
Jie Wang ◽  
Kang Chen ◽  
Wenhua Yan ◽  
Anping Wang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Multivariate Logistic Regression Analysis ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Discriminative Ability ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Reaction Study ◽  
Tyg Index ◽  
Risk Of Cancer

Abstract Background: Both lipid and glucose abnormalities are associated with hypertension (HTN). However, it is unclear whether the triglyceride-glucose (TyG) index is associated with HTN. Therefore the aim of this study is to investigate the association of the TyG index and HTN and to compare the discriminative power of the TyG index, lipid, glycemic parameters for the risk of HTN in elderly individuals.Methods: The present study was nested in a longitudinal (REACTION) study from May 2011 to December 2011, which was designed to demonstrate the association of abnormal glucose metabolism with the risk of cancer in the Chinese population. In total, 47808 participants were recruited in this cross-sectional study. The TyG index was divided into five groups: the <20% group, the 20-39% group, the 40-59% group, the 60-79% group and the ≥80% group, according to quintile division of the subjects. Three multivariate logistic regression models were used to evaluate the association between the TyG vs. lipid parameters, glycemic parameters and HTN.Results: Multivariate logistic regression analysis shows that compared with lipid and glycemic parameters, the TyG index remains significantly associated with HTN in either total subjects or subjects separated into men and women (odds ratio (OR) 1.33, 95% confidence interval (CI) 1.18-1.51, p <0.0001 in total subjects; OR 1.39, 95% CI 1.11-1.74, p=0.0042 in men; OR 1.28, 95% CI 1.11-1.49, p=0.0010 in women). In a stratified analysis, an elevated TyG index is significantly associated with HTN in the subgroup of the oldest age (≥65) (OR 1.67, 95% CI 1.30-2.14, p <0.0001), as well as with obesity (Body mass index (BMI) ≥28 kg/m2) (OR 1.85, 95% CI 1.29-2.66, p=0.0009) or lower estimated glomerular filtration rate (eGFR) (<90 mL/ (min·1.73 m2)) (OR 1.72, 95% CI 1.33-2.21, p <0.0001).Conclusion: The TyG index is significantly associated with HTN and shows the superior discriminative ability for HTN compared with lipid and glycemic parameters in the Chinese elderly population.

scholarly journals High triglyceride glucose index is more closely associated with hypertension than lipid or glycemic parameters in elderly individuals: a cross-sectional survey from the Reaction Study.

2020 ◽  
Author(s):  
Binruo Zhu ◽  
Jie Wang ◽  
Kang Chen ◽  
Wenhua Yan ◽  
Anping Wang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Multivariate Logistic Regression Analysis ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Discriminative Ability ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Reaction Study ◽  
Tyg Index ◽  
Risk Of Cancer

Abstract Background: Both lipid and glucose abnormalities are associated with hypertension (HTN). However, it is unclear whether triglyceride-glucose (TyG) index is associated with HTN. Therefore, the aim of this study is to investigate the association of TyG index and HTN and compare the discriminative power of TyG index, lipid, glycemic parameters for the risk of HTN in the elderly individuals.Methods: The present study was nested in a longitudinal (REACTION) study from May 2011 to December 2011, which was designed to demonstrate the association of abnormal glucose metabolism with the risk of cancer in the Chinese population. 43591 participants were recruited in this cross-sectional study. TyG index were divided into 5 groups: <20% group, the 20-39% group, the 40-59% group, the 60-79% group and the ≥80% group according quartile division of the subjects. Three multivariate logistic regression models were used to evaluate the association between TyG v.s lipid parameters, glycemic parameters and HTN.Results: Multivariate logistic regression analysis shows that compared with lipid and glycemic parameters, TyG index remains significantly associated with HTN in either total subjects or subjects separated into men and women (odds ratio (OR) 1.33, 95% confidence interval (CI) 1.18-1.51, p <0.0001 in total subjects; OR 1.39, 95% CI 1.11-1.74, p=0.0042 in men; OR 1.28, 95% CI 1.11-1.49, p=0.0010 in women). In stratified analysis, elevated TyG index is significantly associated with HTN in the subgroup of oldest age (≥65) (OR 1.67, 95% CI 1.30-2.14, p <0.0001), obesity (Body mass index (BMI) ≥28 kg/m2) (OR 1.85, 95% CI 1.29-2.66, p 0.0009) or lower estimated glomerular filtration rate (eGFR) (<90 mL/ (min·1.73 m2)) (OR 1.72, 95% CI 1.33-2.21, p <0.0001).Conclusion: TyG index is significantly associated with HTN and shows the superior discriminative ability for HTN compared with lipid and glycemic parameters in the Chinese elderly population.

scholarly journals Impact of physical distancing measures against COVID-19 on contacts and mixing patterns: repeated cross-sectional surveys, the Netherlands, 2016–17, April 2020 and June 2020

2021 ◽  
Vol 26 (8) ◽  
Author(s):  
Jantien A Backer ◽  
Liesbeth Mollema ◽  
Eric RA Vos ◽  
Don Klinkenberg ◽  
Fiona RM van der Klis ◽  
...  
Keyword(s):  
The Netherlands ◽  
Age Groups ◽  
Interquartile Range ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Normal Contact ◽  
Elderly Individuals ◽  
Baseline Levels ◽  
Mixing Patterns

Background During the COVID-19 pandemic, many countries have implemented physical distancing measures to reduce transmission of SARS-CoV-2. Aim To measure the actual reduction of contacts when physical distancing measures are implemented. Methods A cross-sectional survey was carried out in the Netherlands in 2016–17, in which participants reported the number and age of their contacts the previous day. The survey was repeated among a subsample of the participants in April 2020, after strict physical distancing measures were implemented, and in an extended sample in June 2020, after some measures were relaxed. Results The average number of community contacts per day was reduced from 14.9 (interquartile range (IQR): 4–20) in the 2016–17 survey to 3.5 (IQR: 0–4) after strict physical distancing measures were implemented, and rebounded to 8.8 (IQR: 1–10) after some measures were relaxed. All age groups restricted their community contacts to at most 5, on average, after strict physical distancing measures were implemented. In children, the number of community contacts reverted to baseline levels after measures were eased, while individuals aged 70 years and older had less than half their baseline levels. Conclusion Strict physical distancing measures greatly reduced overall contact numbers, which likely contributed to curbing the first wave of the COVID-19 epidemic in the Netherlands. However, age groups reacted differently when measures were relaxed, with children reverting to normal contact numbers and elderly individuals maintaining restricted contact numbers. These findings offer guidance for age-targeted measures in future waves of the pandemic.

scholarly journals Elderly individuals living by themselves: knowledge and measures to prevent the novel coronavirus

2020 ◽  
Vol 28 ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
Nayara Gomes Nunes Oliveira ◽  
Gianna Fiori Marchiori ◽  
Mariana Silva Freitas Guimarães ◽  
Lenniara Pereira Mendes Santana
Keyword(s):  
Preventive Measures ◽  
Descriptive Analysis ◽  
Signs And Symptoms ◽  
The Elderly ◽  
The Novel ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Factors Associated ◽  
Novel Coronavirus

Objective: to describe the occurrence of COVID-19 and the health services used by elderly individuals living by themselves; identify the knowledge held by elderly individuals regarding the transmission, signs and symptoms of COVID-19, as well as factors associated with poor knowledge of preventive measures according to sociodemographic and clinical variables. Method: cross-sectional survey conducted by telephone or mobile with 123 elderly individuals living by themselves in the Health Macro-Region of Triângulo Sul in the state of Minas Gerais, Brazil. Descriptive analysis was performed along with bivariate and multiple linear regression (p<0.05). Results: most elderly individuals did not present COVID-19 signs and symptoms (97.5%), were aware of how it is transmitted (86.6%), and of its signs and symptoms (90.8%). The elderly individuals were familiar with four preventive measures on average. After social distancing began, 85.7% of them left home and implemented three preventive measures on average, the most frequent of which was the use of face masks (99.0%). Being a man (p=0.001), 80 years old or older (p=0.045), and having fewer years of schooling (p=0.010) were associated with having less knowledge regarding the COVID-19 preventive measures. Conclusion: the elderly individuals were knowledgeable on COVID-19, but did not implement all the preventive measures. Male elderly individuals living by themselves with a low educational level are more vulnerable to COVID-19.

scholarly journals Association between Living Conditions and Admission to an Inappropriate Ward in Elderly Patients

2021 ◽  
Author(s):  
Diane Naouri ◽  
Henri Panjo ◽  
Laura Moïsi ◽  
Carlos El Khoury ◽  
Patrice Serre ◽  
...  
Keyword(s):  
Health Care ◽  
Descriptive Analysis ◽  
Living Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Care Outcomes ◽  
Elderly Individuals ◽  
Care Outcomes ◽  
Ed Visits ◽  
At Home

Abstract INTRODUCTION. Half of elderly patient hospitalizations are preceded by an emergency department (ED) visit, and a higher proportion is observed among those living in institutions. These patients are more often exposed to problems related to hospital occupancy and overcrowding, which may lead to hospitalization in inappropriate wards (IWs) and increased morbidity and health care costs. At the same time, elderly individuals living in institutions, due to their high vulnerability, are the most exposed to these negative health care outcomes and might have priority in geriatric beds. The aim of this study was to explore whether living conditions were associated with admission to an IW after visiting an ED. METHOD. The French Emergency Survey was a one-day, nationwide, cross-sectional survey in 2013 in all EDs in France. We focused on patients ≥ 75 years old who had been hospitalized. Descriptive analysis and multilevel logistic regression were used. RESULTS. Among the 3,285 patients, 16.5% were admitted to an IW: 15.7% among those living in institutions and 16.6% among those living at home. ED visits during peak periods and reaching the ED by her/his own means were the only factors associated with an increased likelihood of admission to an IW. There was no association with living conditions. CONCLUSION. Living conditions were not observed to be associated with the likelihood of being hospitalized in an IW after an ED visit. Given the limited bed resources and the greater vulnerability of elderly individuals living in institutions (compared with those living at home), progress can be made in the coordination of acute geriatric care.

Testing the Strain Theory of Suicide – The Moderating Role of Social Support

Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Bob Lew ◽  
Ksenia Chistopolskaya ◽  
Yanzheng Liu ◽  
Mansor Abu Talib ◽  
Olga Mitina ◽  
...  
Keyword(s):  
Social Support ◽  
Suicidal Behavior ◽  
Online Survey ◽  
Perceived Social Support ◽  
Strain Theory ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Strains ◽  
Moderating Role

Abstract. Background: According to the strain theory of suicide, strains, resulting from conflicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.

Fit and Congruency

2019 ◽  
Vol 18 (3) ◽  
pp. 148-156
Author(s):  
Mary Hogue ◽  
Lee Fox-Cardamone ◽  
Deborah Erdos Knapp
Keyword(s):  
Role Theory ◽  
Social Role ◽  
Gender Diversity ◽  
Job Fit ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Working Adults ◽  
Role Congruity ◽  
Self Selection ◽  
Selection Of

Abstract. Applicant job pursuit intentions impact the composition of an organization’s applicant pool, thereby influencing selection outcomes. An example is the self-selection of women and men into gender-congruent jobs. Such self-selection contributes to a lack of gender diversity across a variety of occupations. We use person-job fit and the role congruity perspective of social role theory to explore job pursuit intentions. We present research from two cross-sectional survey studies (520 students, 174 working adults) indicating that at different points in their careers women and men choose to pursue gender-congruent jobs. For students, the choice was mediated by value placed on the job’s associated gender-congruent outcomes, but for working adults it was not. We offer suggestions for practitioners and researchers.

Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education

2018 ◽  
Vol 10 (1) ◽  
pp. 10202
Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay
Keyword(s):  
Patient Education ◽  
Psychological Health ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Therapeutic Patient Education ◽  
French Speaking ◽  
Health Objectives ◽  
Self Administered Questionnaire

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.

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