scholarly journals Dietary supplements consumption and its association with socioeconomic factors, obesity and main non-communicable chronic diseases in the north of Iran: the PERSIAN Guilan Cohort Study (PGCS)

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Marjan Mahdavi-Roshan ◽  
Arezoo Rezazadeh ◽  
Farahnaz Joukar ◽  
Yasaman Khorshidi ◽  
Mohammadreza Naghipour ◽  
...  
Keyword(s):  
Vitamin D ◽  
Cohort Study ◽  
Chronic Disease ◽  
Socioeconomic Factors ◽  
Dietary Supplements ◽  
Central Obesity ◽  
Supplement Use ◽  
The North ◽  
North Of Iran ◽  
History Of

Abstract Background Dietary supplements (DSs) use have become a growing trend worldwide, and it may be affected by demographic and sociocultural factors. Some people use supplements with the thought that they can improve their health, reduce symptoms and prevent disease. The aim of the present study was to define the frequency of DS use and its association with socioeconomic factors among participants with selected main non-communicable chronic diseases (NCDs) (diabetes, cardiovascular disease (CVD), hypertension (HTN), cancers, and obesity in the north of Iran. Methods This large cross-sectional study was conducted as a part of the PERSIAN Guilan cohort study. Supplement use during last year and its type, demographic factors, socioeconomic status, lifestyle habits were asked by face-to-face interview. The history of chronic disease was defined by a trained team. Data were analyzed using SPSS. The chance of supplement use according to demographic, socioeconomic, and lifestyle variables and history of chronic disease was analyzed by logistic regression. Results 10,520 men and women aged 35–70 years in Some’e Sara County (including urban regions and 39 villages) were studied. About 25% of participants consumed DSs. The highest consumption of DS was calcium/vitamin D (11.1%), ferrous sulfate (8.8%), and vitamin D pearl or ampoule (7.7%). The highest percent of the history of chronic disease was central obesity (62.7%), HTN (43.2%), and general obesity (32.7), respectively. After adjustment for confounders, those with female gender, the highest age ranges (55–65 and > 65 years), high academic education, living in urban regions, and good economic status were more likely to be DSs consumers; however, married and smoker subjects were more likely to consume DS. Participants who had a history of diabetes, HTN, CVD, Obesity, and Central Obesity were more likely to intake DS in comparison with healthy subjects. Conclusion This study showed that a quarter of the participants were DS users. Female sex, older age groups, and higher educated participants, and among chronic disease, patients with HTN, CVD, and diabetes were more likely to be users of any DS.

scholarly journals Use of dietary supplements in pregnant women in relation to sociodemographic factors – a report from The Environmental Determinants of Diabetes in the Young (TEDDY) study

2013 ◽  
Vol 16 (8) ◽  
pp. 1390-1402 ◽  
Author(s):  
Carin Andrén Aronsson ◽  
Kendra Vehik ◽  
Jimin Yang ◽  
Ulla Uusitalo ◽  
Kristen Hay ◽  
...  
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Dietary Supplements ◽  
Dietary Supplement ◽  
Maternal Age ◽  
Environmental Determinants ◽  
Supplement Use ◽  
The Usa ◽  
Dietary Supplement Use ◽  
Prospective Longitudinal

AbstractObjectivesThe aim of the present study was to examine the prevalence and associated factors of dietary supplement use, particularly supplements containing vitamin D and fatty acids, in pregnant women enrolled in a multi-national study.DesignThe Environmental Determinants of Diabetes in the Young (TEDDY) study is a prospective longitudinal cohort study. Maternal dietary supplement use was self-reported through questionnaires at month 3 to 4 postpartum.SettingSix clinical research centres; three in the USA (Colorado, Georgia/Florida and Washington) and three in Europe (Sweden, Finland and Germany).SubjectsMothers (n 7326) to infants screened for high-risk HLA-DQ genotypes of type 1 diabetes.ResultsNinety-two per cent of the 7326 women used one or more types of supplement during pregnancy. Vitamin D supplements were taken by 65 % of the women, with the highest proportion of users in the USA (80·5 %). Overall, 16 % of the women reported taking fatty acid supplements and a growing trend was seen in all countries between 2004 and 2010 (P < 0·0001). The use was more common in Germany (32 %) and the USA (24 %) compared with Finland (8·5 %) and Sweden (7·0 %). Being pregnant with the first child was a strong predictor for any supplement use in all countries. Low maternal age (<25 years), higher education, BMI ≥ 25·0 kg/m2 and smoking during pregnancy were factors associated with supplement use in some but not all countries.ConclusionsThe majority of the women used dietary supplements during pregnancy. The use was associated with sociodemographic and behavioural factors, such as parity, maternal age, education, BMI and maternal smoking.

scholarly journals The Use of Dietary Supplements Among African and Caribbean Women Living in the UK: A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 847
Author(s):  
Amanda Rodrigues Amorim Adegboye ◽  
Omorogieva Ojo ◽  
Gulshanara Begum
Keyword(s):  
Vitamin D ◽  
Dietary Supplements ◽  
Dietary Supplement ◽  
High Cholesterol ◽  
Black African ◽  
Supplement Use ◽  
Caribbean Women ◽  
Black Caribbean ◽  
Dietary Supplement Use ◽  
The Uk

Previous studies have shown that the use of dietary supplements is associated with the prevention of birth defects, negative pregnancy outcomes and cardiovascular diseases. However, there might be some ethnic disparities in supplement usage suggesting that women who could benefit from it are not frequent users. This study aimed to characterise the use of dietary supplement among Black African and Black Caribbean women living in the United Kingdom (UK). Furthermore, it evaluated possible associations between the use of dietary supplements and health and diet awareness. A total of 262 women self-ascribed as Black African and Black Caribbean living in the UK completed a comprehensive questionnaire on socio-demographic factors, diet, use of supplements and cultural factors. The main outcome variable was the regular use of any type of dietary supplement. Use of vitamin D and/or calcium was also explored. A stepwise logistic regression analysis was applied to identify predictors of regular use of dietary supplements. A total of 33.2% of women reported regular use of any dietary supplements and 16.8% reported use of vitamin D and/or calcium. There were no significant ethnic differences in the use of dietary supplements. Reporting use of the back of food packaging label (odds ratio (OR) 2.21; 95% CI 1.07–4.55); a self-rated healthy diet (OR 2.86; 95% CI 1.19–6.91) and having cardiovascular disease (CVD), hypertension and/or high cholesterol (OR 3.81; 95% CI 1.53–9.49) increased the likelihood of using any dietary supplement. However, having poorer awareness decreased the likelihood (OR 0.94; 95% CI 0.88–0.99) of using any dietary supplement. For the use of vitamin D and/or calcium supplements, the main predictor was having CVD, hypertension and/or high cholesterol (OR 4.43; 95% CI 1.90–10.35). The prevalence of dietary supplement use was low among African and Caribbean women. Thus, awareness of potential benefits of some dietary supplements (e.g., vitamin D) among the Black population should be promoted.

scholarly journals Vitamin D in pregnancy at high latitude in Scotland

2012 ◽  
Vol 109 (5) ◽  
pp. 898-905 ◽  
Author(s):  
Paul Haggarty ◽  
Doris M. Campbell ◽  
Susan Knox ◽  
Graham W. Horgan ◽  
Gwen Hoad ◽  
...  
Keyword(s):  
Vitamin D ◽  
Dietary Intake ◽  
High Latitude ◽  
Maternity Hospital ◽  
Hydroxyvitamin D ◽  
Supplement Use ◽  
The North ◽  
25 Hydroxyvitamin D ◽  
Vitamin D Supplements ◽  
In Pregnancy

The aims of the present study were to determine compliance with current advice on vitamin D and to assess the influence of season, dietary intake, supplement use and deprivation on vitamin D status in pregnant mothers and newborns in the north of Scotland where sunlight exposure is low. Pregnant women (n 1205) and their singleton newborns were studied in the Aberdeen Maternity Hospital (latitude 57°N) between 2000 and 2006. Plasma 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 were measured at 19 weeks of gestation in mothers and at delivery in newborns. During pregnancy, 21·0 (95 % CI 18·5, 23·5) % of women took vitamin D supplements. The median intake was 5 μg/d and only 0·6 (95 % CI 0·1, 1·0) % took the recommended 10 μg/d. Supplement use, adjusted for season, dietary intake and deprivation, significantly increased maternal 25-hydroxyvitamin D (25(OH)D) by 10·5 (95 % CI 5·7, 15·2) nmol/l (P< 0·001); however, there was no significant effect on cord 25(OH)D (1·4 (95 % CI − 1·8, 4·5) nmol/l). The biggest influence on both maternal and cord 25(OH)D was season of birth (P< 0·001). Compared with the least deprived women (top three deciles), the most deprived pregnancies (bottom three deciles) were characterised by a significantly lower seasonally adjusted 25(OH)D ( − 11·6 (95 % CI − 7·5, − 15·7) nmol/l in the mother and − 5·8 (95 % CI − 2·3, − 9·4) nmol/l in the cord), and a lower level of supplement use (10 (95 % CI 4, 17) v. 23 (95 % CI 20, 26) %). More should be done to promote vitamin D supplement use in pregnancy but the critical importance of endogenous vitamin D synthesis, and known adaptations of fat metabolism specific to pregnancy, suggest that safe sun advice may be a useful additional strategy, even at high latitude.

scholarly journals Dramatic Increase in Dietary Supplement Use During Covid-19

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 207-207
Author(s):  
Elif Aysin ◽  
Murat Urhan
Keyword(s):  
Vitamin D ◽  
Immune System ◽  
Dietary Supplements ◽  
Dietary Supplement ◽  
Nutritional Deficiencies ◽  
Upper Respiratory Tract ◽  
Mineral Supplement ◽  
Supplement Use ◽  
Dietary Supplement Use ◽  
Tract Infections

Abstract Objectives When the SARS-CoV-2 Virus was seen in Wuhan, China at the end of 2019, people's interest in vitamin and mineral supplement use has increased all over the world. This study aims to investigate changes in supplement use during pandemic on Turkish people living in Asia, America, Europe and Turkey. Methods An online cross-sectional survey was carried out among total 1678 individuals (women, n = 1329 and men, n = 369, Asia n = 139, America n = 507, Europe n = 292 and Turkey n = 760) older than 18 years in January 2021. An online questionnaire was taken by the volunteered participants. In this study, individuals were asked about dietary supplement use before and after the pandemic, which dietary supplements they used in the pandemic process, and why they were used. Results Individual's dietary supplement use before and during the pandemic were Asia (29.5% and 71.9%), America (40.6% and 75.7%), Europe (30.8% and 68.7%), and Turkey (21.3% and 62.2%) respectively. Vitamin C (74.7%), Vitamin D (58.2%) and multi vitamins (34.2%), Zinc (19.7%), Fish oil (17.9%), Probiotics (13.4%), and Propolis (11.1%) are the most commonly used dietary supplements in all regions. Individuals stated that improving the immune system was the main reason to use dietary supplements (53%). Individuals use it as a result of the diagnosis of nutritional deficiency (14%). The maximum use of dietary supplements in all regions is in between the ages of 31–50. Conclusions This study showed that dietary supplement use increased during the pandemic in all regions. Although most of the individuals stated that they took supplements to strengthen the immune system, it is known that supplements do not prevent Covid-19. However, it has been stated that the use of vitamin D, C, Zinc and selenium supplements may be beneficial, especially in those with diagnosed nutritional deficiencies and those with upper respiratory tract infections. Healthy individuals should be made aware of supplements and usage conditions. Funding Sources None

scholarly journals Vitamin D exposure during pregnancy, but not early childhood, is associated with risk of childhood wheezing

2015 ◽  
Vol 6 (4) ◽  
pp. 308-316 ◽  
Author(s):  
L. N. Anderson ◽  
Y. Chen ◽  
J. A. Omand ◽  
C. S. Birken ◽  
P. C. Parkin ◽  
...  
Keyword(s):  
Vitamin D ◽  
Early Childhood ◽  
Vitamin D Supplementation ◽  
Primary Objective ◽  
Research Network ◽  
Breastfeeding Duration ◽  
Hydroxyvitamin D ◽  
Supplement Use ◽  
History Of ◽  
Vitamin D Supplement

The association between vitamin D and wheezing in early childhood is unclear. The primary objective of this study was to evaluate the association between vitamin D exposure, during both pregnancy and childhood, and early childhood wheezing. Secondary objectives were to evaluate the associations between vitamin D exposures and asthma and wheezing severity. We conducted a cohort study of children (0–5 years) recruited from 2008 to 2013 through the TARGet Kids! primary-care research network. Vitamin D exposures included maternal vitamin D supplement use during pregnancy, child vitamin D supplementation and children’s 25-hydroxyvitamin D (25(OH)D) concentrations. The outcomes measured were parent-reported childhood wheezing, diagnosed asthma and wheezing severity. Vitamin D supplement and wheezing data were available for 2478 children, and blood samples were available for 1275 children. Adjusted odds ratios (aOR) were estimated using logistic regression adjusted for age, sex, ethnicity, body mass index, birth weight, outdoor play, breastfeeding duration, daycare status, parental smoking and family history of asthma. Vitamin D supplementation during pregnancy was associated with lower odds of childhood wheezing (aOR=0.65; 95% CI: 0.46–0.93). In early childhood, neither 25(OH)D (aOR per 10 nmol/l=1.01; 95% CI: 0.96–1.06) nor vitamin D supplementation (aOR=1.00; 95% CI: 0.81–1.23) was associated with wheezing. No significant associations were observed with diagnosed asthma or wheezing severity. Vitamin D supplementation during pregnancy was associated with reduced odds of wheezing, but child vitamin D supplementation and childhood 25(OH)D were not associated with reduced wheezing. The timing of exposure may be important in understanding the association between vitamin D and childhood wheezing.

scholarly journals Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study

2020 ◽  
Vol 17 (22) ◽  
pp. 8643
Author(s):  
Melanie R. Keats ◽  
Yunsong Cui ◽  
Vanessa DeClercq ◽  
Scott A. Grandy ◽  
Ellen Sweeney ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Disease Incidence ◽  
Chronic Respiratory Disease ◽  
Cross Sectional ◽  
Neighborhood Walkability ◽  
History Of ◽  
Using Data

Background: While neighborhood walkability has been shown to positively influence health behaviors, less is known about its impact on chronic disease. Our aim was to examine the association between walkability and self-reported physical activity in relation to chronic health conditions in an Atlantic Canadian population. Methods: Using data from the Atlantic Partnership for Tomorrow’s Health, a prospective cohort study, we employed both a cross-sectional and a prospective analytical approach to investigate associations of walkability and physical activity with five prevalent chronic diseases and multimorbidity. Results: The cross-sectional data show that participants with the lowest neighborhood walkability were more likely to have reported a pre-existing history of cancer and depression and least likely to report chronic respiratory conditions. Participants with low physical activity were more likely to have a pre-existing history of diabetes, chronic respiratory disease, and multimorbidity. Follow-up analyses showed no significant associations between walkability and chronic disease incidence. Low levels of physical activity were significantly associated with diabetes, cancer and multimorbidity. Conclusions: Our data provides evidence for the health protective benefits of higher levels of physical activity, and a reduction in prevalence of some chronic diseases in more walkable communities.

scholarly journals Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran

2021 ◽  
Vol 7 (4) ◽  
pp. 202-208
Author(s):  
Ali Mohammadzadeh Jouryabi ◽  
◽  
Abbas Sedighinejad ◽  
Cyrus Emir Alavi ◽  
Gelareh Biazar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Dural Puncture ◽  
Demographic Data ◽  
Related Factors ◽  
Early Ambulation ◽  
Post Dural Puncture Headache ◽  
The North ◽  
North Of Iran ◽  
History Of

Background: Spinal Anesthesia (SA) as a safe, reliable, and cost-effective method is widely used for Cesarean Section (CS). However, it is sometimes complicated by Post-Dural Puncture Headache (PDPH). Objectives: We investigated the frequency of PDPH in CS under SA and related risk factors in an academic referral hospital in the north of Iran. Materials & Methods: This descriptive cross-sectional prospective study was conducted at Alzahra hospital as an academic referral center affiliated with the Guilan University of Medical Sciences on 147 eligible cases During from May 2019 to October 2019. Then questionnaires containing questions about patients’ demographic data and some PDPH-related factors were filled out via face-to-face interviews. The collected data were analyzed by SPSS v. 21 using Chi-squared and and Fisher’s exact test. Results: The incidence of PDPH was 6.1%. Early ambulation, the number of attempts, and having a history of headache were significantly associated with a higher incidence of PDPH (P=0.001), while body mass index (P=0.106), age (P=0.093), and residents’ experience (P=0.384) had no significant association. None of our cases experienced a severe or persistent headache. Conclusion: The main predisposing factors for PDPH were found to be the history of HA, early ambulation, and the number of dura punctures. Women at risk for PDPH should be objectively screened before CS under SA.

scholarly journals Use of dietary supplements containing soy isoflavones and breast cancer risk among women aged >50 y: a prospective study

2019 ◽  
Vol 109 (3) ◽  
pp. 597-605 ◽  
Author(s):  
Marina Touillaud ◽  
Amandine Gelot ◽  
Sylvie Mesrine ◽  
Catherine Bennetau-Pelissero ◽  
Françoise Clavel-Chapelon ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Family History ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Dietary Supplements ◽  
Breast Cancers ◽  
Cox Models ◽  
Supplement Use ◽  
Er Positive ◽  
History Of

ABSTRACT Background Soy-based dietary supplements have been promoted as natural alternatives to menopausal hormone therapy, but their potential effect on breast cancer development is controversial. Objectives We examined the relation between the consumption of soy supplements and the risk of breast cancer, overall and by tumor hormone receptor status, among women aged >50 y. Methods In total, 76,442 women from the Etude Epidemiologique aupres de Femmes de la Mutuelle Generale de l’Education Nationale (E3N) cohort, born between 1925 and 1950, were followed from 2000 to 2011 (11.2 y on average, starting at a mean age of 59.5 y; 3608 incident breast cancers), with soy supplement use assessed every 2–3 y. HRs of breast cancer were estimated with the use of multivariable Cox models. Results Compared with never using soy supplements, the HRs associated with current use of soy supplements were 0.92 (95% CI: 0.76, 1.11) for all, 0.78 (95% CI: 0.60, 0.99) for estrogen receptor (ER)–positive, and 2.01 (95% CI: 1.41, 2.86) for ER-negative breast cancers. There was no association between past use of soy supplements and breast cancer. HRs for current use were 1.36 (95% CI: 0.95, 1.93) and 0.82 (95% CI: 0.65, 1.02) among women with and without a family history of breast cancer, respectively (P-interaction = 0.03) and 1.06 (95% CI: 0.87, 1.30) ≥5 y after menopause compared with 0.50 (95% CI: 0.31, 0.81) in premenopause or ≤5 y postmenopause (P-interaction = 0.04). Conclusions In this cohort of women aged >50 y, we report opposing associations of soy supplements with ER-positive and ER-negative breast cancer risk. Our results also caution against the use of these supplements in women with a family history of breast cancer. Whether the risk profile of soy supplements could be more favorable among premenopausal or recently postmenopausal women deserves further investigation.

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