MODEST OVERWEIGHT AND HEALTHY DIETARY HABITS REDUCE RISK OF DEMENTIA: A NATIONWIDE SURVEY IN TAIWAN

Author(s):  
C.-Y. Lee ◽  
Y. Sun ◽  
H.-J. Lee ◽  
T.-F. Chen ◽  
P.-N. Wang ◽  
...  

Background: Evidence of the associations of dietary habits and body mass index with dementia is inconsistent and limited in East Asian countries. Objective: We aim to explore the associations of dietary habits and body mass index with the odds of dementia. Design: Cross-sectional observational study. Setting: A nationwide, population-based, door-to-door, in-person survey. Participants: Selected by computerized random sampling from all 19 counties in Taiwan. Measurement: Diagnosis of dementia using the criteria recommended by the National Institute on Aging-Alzheimer’s Association. Lifestyle factors, dietary habits and demographic data were compared between normal subjects and participants with dementia. Results: A total of 10432 residents were assessed, among whom 2049 were classified as having a mild cognitive impairment (MCI), 929 were diagnosed with dementia, and 7035 were without dementia or MCI. After adjustment for age, gender, education, body mass index (BMI), dietary habits, habitual exercises and co-morbidities, including hypertension, diabetes and cerebrovascular diseases, we found inverse associations of dementia with the consumption of fish (OR 0.62, 95% CI 0.41-0.94), vegetables (OR 0.35, 95% CI 0.13-0.95), coffee (OR 0.59, 95% CI 0.35-0.97), green tea (OR 0.51, 95% CI 0.34-0.75) and other types of tea (OR 0.41, 95% CI 0.28-0.60). There was no association between dementia and fruit consumption. Compared with people who had a normal BMI (18 < BMI <= 24), older overweight people (24 < BMI <=30) had a reduced risk of dementia with an adjusted OR of 0.77 (95% CI 0.61-0.96). Conclusions: Our study provides preliminary evidence that suggests that the consumption of fish, vegetables, tea, and coffee has potential benefits against dementia in East Asian population. Being modestly overweight (nadir risk at BMI = 25) in late life was associated with decreased odds of dementia. The benefit of fruits may be offset by their high sugar content.

2020 ◽  
Vol 11 (3) ◽  
pp. 62-66
Author(s):  
Renu Yadav ◽  
Nisha Ghimire ◽  
Soumitra Mukhopadhyay ◽  
Subodh Kumar Yadav

Background: Studies have concluded that the medical students of hostels are at high risk of anemia due to inappropriate diet and their long schedules that indirectly affect their performance. Thus, concerning for the long duration of medical studies, it has become a serious medical issue. Aims and Objective: Thus, our objective is to determine the prevalence of anemia among medical students in Nobel Medical College and Teaching Hospital, Nepal. Materials and Methods: This is a descriptive cross-sectional study which was conducted and Teaching Hospital from January 2017 to December 2017 where all the subjects were selected with convenient sampling technique. The total of 150 MBBS students (male=95, female=55), age 18-25 years were included in the study who were clinically healthy. The demographic data (name, age, sex, address) and anthropometric variables (height, weight, body mass index) were recorded and hemoglobin was estimated by Sahli’s acid hematin method. Results: Only 42.1% of total were mild anemic and 11.6 % were moderately anemic. Among female, 1.8% were severely anemic, 9.1% were moderately anemic and 41.8% were mild anemic. Compared to male, anemia in female medical students was found to be more extensive. Conclusions: It has been concluded from the above study that the mild anemia is highly prevalent among medical students regardless of gender. Though the subjects are not severely affected, it is a concerned issue since the cause might be inappropriate food habit or the food facilities available at hostels.


2021 ◽  
Vol 71 (9) ◽  
pp. 2135-2138
Author(s):  
Niaz Hussain Jamali ◽  
Zulfiqar Ali Laghari ◽  
Anwar Ali Jamali ◽  
Arsalan Ahmer ◽  
Rao Irfan ◽  
...  

Abstract Objective: The objective of this study was to analysing the correlation between dietary factors, including meat, milk, egg and fruit to Serum ferritin (S.f) and Haemoglobin (Hb) concentration in students. Methods: In this cross sectional study, 1686 normal volunteers were randomly selected from Government Schools during the period of September 2015 to April 2016. Data concerning dietary intake such as meat, milk, egg and fruits were taken. Baseline levels for volunteers were specified after collection of data like personal, anthropometery and dietary intake to determine Hb and S.f levels. Results: Observation of mean values such as 18.7kg/m2 for Body Mass Index (BMI), 12.2g/dl for Haemoglobin and 88.0µg/l for Serum ferritin were taken from all samples. The mean values for Hb 14.6g/dl, S.f 190.0µg/l, and BMI 21.50kg/m2 were higher for volunteers with high meat intake as compared to other dietary elements. However, dietary factors such as meat, egg and fruits showed significant association with Hb, S.f, BMI and monthly income, however milk consumption has non significant association with haemoglobin at P<0.01 level. Conclusion: Iron status in blood is significantly affected by dietary intake such as meat, milk, fruits and eggs. However, dietary habits in population are highly affected by other socioeconomic factors such as lifestyle and income. Although dietary intake on daily basis, enhanced the Hb and Serum ferritin levels, but meat takers showed higher values than other food components so it is recommended that meat should be taken more for the management of Iron Deficiency Anemia (IDA). Continuous...


2017 ◽  
Vol 47 (1) ◽  
pp. 89-100 ◽  
Author(s):  
Mi-Kyeong Choi ◽  
Yu-Jin Cho ◽  
Myung-Hee Kim ◽  
Yun Jung Bae

Purpose The purpose of this study was to investigate the differences in night eating status according to adolescents’ body mass index (BMI). Design/methodology/approach This was a cross-sectional study that included a total of 688 middle-school students. The subjects were categorized as underweight, normal weight and overweight according to their BMI, and their night eating intake patterns, night eating menu preference and intake frequency were compared and analyzed. Findings With regard to their night eating frequency, 39.8 per cent replied almost never, while 24.3 per cent replied once a week and less and 22.5 per cent replied two to three times a week. Among 11 night eating menus, the preference for fast foods, confectioneries, street foods and noodles was significantly higher in the underweight group than in the overweight group. The intake frequency of night eating menus such as fast foods, confectioneries and breads increased in the following order: overweight, normal and underweight group. The underweight group had a higher frequency of night eating, and they preferred to eat snacks more frequently from their night eating menu. Originality/value In conclusion, it is necessary to form positive dietary habits including nighttime eating for proper dietary management of adolescents.


Author(s):  
Ali Amiri ◽  
Skakiba Bakhtom ◽  
Sara Tarokh

Background: Employee examination is one of the requirements of the occupational health care system. The present study aimed to evaluate the current health status of the staff working in an Iranian gas company to prevent, follow-up, and treat the disease. Methods: This cross-sectional descriptive-analytical study was conducted on the data collected from health screening of 94 service personnel in one of the gas companies in Iran. Data were collected by the 4-sheet forms of occupational examinations containing the following information: demographic data, general health status (blood pressure, smoking, allergy history, surgery, occupational accidents, body mass index), cardiovascular system, musculoskeletal, liver, kidney, gastrointestinal, clinical examination, paraclinical evaluations of the internal gland, cholesterol, triglycerides, liver enzymes, and hematopoietic system (CBC). Data were analyzed using SPSS 25. Results: All participants were male with an average (Standard Deviation) age and BMI of 42.96 ± 8.00 and26.83 ± 4.08, respectively. The participantschr('39') body mass index indicated that 45 staff (48.38%) were overweight and 15 individuals (16.12%) were in the range of obesity. The participants had history of smoking (22.3%), cholesterol above 200 (27.7%), and triglycerides above 300 (8/5%). The rate of hypermetropia, musculoskeletal disease, hypertension, high blood concentration and low blood platelets, hyperglycemia, cardiovascular disease, and kidney disease were 25.80%, 24.5%, 9.6%, 56.4%, 7.4%, 1.1%, and 12.8%, respectively. Conclusion: Although the studied company has a yearly occupational medical examination, the workers have not been provided with a comprehensive report and appropriate feedback. Therefore, it is essential to follow up the health reports and examinations and refer the patients to the related physicians.


2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Elaine Cristina Caon de Souza ◽  
Marcia Margaret Menezes Pizzichini ◽  
Mirella Dias ◽  
Maíra Junkes Cunha ◽  
Darlan Lauricio Matte ◽  
...  

ABSTRACT Objective: To estimate the prevalence of respiratory symptoms and asthma, according to body mass index (BMI), as well as to evaluate factors associated with physician-diagnosed asthma, in individuals ≥ 40 years of age. Methods: This was a population-based cross-sectional study conducted in Florianópolis, Brazil, with probability sampling. Data were collected during home visits. Demographic data were collected, as were reports of physician-diagnosed asthma, respiratory symptoms, medications in use, and comorbidities. Anthropometric measurements were taken. Individuals also underwent spirometry before and after bronchodilator administration. Individuals were categorized as being of normal weight (BMI < 25 kg/m2), overweight (25 kg/m2 ≥ BMI < 30 kg/m2), or obese (BMI ≥ 30 kg/m2). Results: A total of 1,026 individuals were evaluated, 274 (26.7%) were of normal weight, 436 (42.5%) were overweight, and 316 (30.8%) were obese. The prevalence of physician-diagnosed asthma was 11.0%. The prevalence of obesity was higher in women (p = 0.03), as it was in respondents with ≤ 4 years of schooling (p < 0.001) or a family income of 3-10 times the national minimum wage. Physician-diagnosed asthma was more common among obese individuals than among those who were overweight and those of normal weight (16.1%, 9.9%, and 8.0%, respectively; p = 0.04), as were dyspnea (35.5%, 22.5%, and 17.9%, respectively; p < 0.001) and wheezing in the last year (25.6%, 11.9%, and 14.6%, respectively; p < 0.001). These results were independent of patient smoking status. In addition, obese individuals were three times more likely to report physician-diagnosed asthma than were those of normal weight (p = 0.005). Conclusions: A report of physician-diagnosed asthma showed a significant association with being ≥ 40 years of age and with having a BMI ≥ 30 kg/m2. Being obese tripled the chance of physician-diagnosed asthma.


2021 ◽  
Vol 50 (4) ◽  
pp. 306-314
Author(s):  
Kumarasan Roystonn ◽  
Edimansyah Abdin ◽  
Rajeswari Sambasivam ◽  
Yunjue Zhang ◽  
Sherilyn Chang ◽  
...  

Introduction: The study assessed whether self-reported height, weight and derived body mass index (BMI) can provide an accurate measure of anthropometric data in a multiethnic adult population in Singapore. Methods: Standardised anthropometric measurements were compared against the self-reported values from 5,132 adult residents in a cross-sectional, epidemiological survey. Discrepancies in self-reports from measurements were examined by comparing overall mean differences. Intraclass correlations, Cohen’s kappa and Bland-Altman plots with limits of agreement, and sub-analysis by sex and ethnicity were also explored. Results: Data were obtained from 5,132 respondents. The mean age of respondents was 43.9 years. Overall, the height was overestimated (0.2cm), while there was an underestimation of weight (0.8kg) and derived BMI (0.4kg/m2). Women had a larger discrepancy in height (0.35cm, 95% confidence interval [CI] 0.22 to 0.49), weight (-0.95kg, 95% CI -1.11 to -0.79) and BMI (-0.49kg/m2, 95% CI -0.57 to -0.41) compared with men. Height reporting bias was highest among Indians (0.28cm, 95% CI 0.12 to 0.44) compared with Chinese and Malays, while weight (-1.32kg, 95% CI -1.53 to -1.11) and derived BMI (-0.57kg/m2, 95% CI -0.67 to -0.47) showed higher degrees of underreporting among Malays compared with Chinese and Indians. Substantially high self-reported versus measured values were obtained for intraclass correlations (0.96–0.99, P<0.001) and kappa (0.74). For BMI categories, good to excellent kappa agreement was observed (0.68–0.81, P<0.0001). Conclusion: Self-reported anthropometric estimates can be used, particularly in large epidemiological studies. However, sufficient care is needed when evaluating data from Indians, Malays and women as there is likely an underestimation of obesity prevalence. Keywords: Body mass index, epidemiology, public health, self-report, validity


2021 ◽  
pp. 1-9
Author(s):  
Nur Demirbas ◽  
Ruhusen Kutlu ◽  
Aysel Kurnaz

<b><i>Introduction:</i></b> Obesity and overweight are important public health problems. Mindfulness can promote healthier living and dietary habits, which might support weight loss. This study aimed to evaluate the relationship between eating awareness and body mass index (BMI) and body composition in adults. <b><i>Methods:</i></b> This cross-sectional analytical study was conducted with 446 volunteers. The heights, weights, and waist circumferences of the participants were measured, and bioelectrical impedance analyses were performed. A sociodemographic information form prepared by the researchers and the Turkish version of the Mindful Eating Questionnaire (MEQ) were administered to the volunteers. <b><i>Results:</i></b> In this study, 31.2% (<i>n</i> = 139) of the participants were overweight and 46.9% (<i>n</i> = 209) were obese. There was no statistically significant relationship between gender and BMI. The total mean MEQ score was found to be 88.26 ± 13.3 (53–144). The awareness scores of women of normal weight were statistically significantly higher than those of women with obesity (<i>p</i> = 0.001). There was no difference between BMI categories and awareness scores among male participants. While participants with obesity had higher scores for eating disinhibition, their eating control, eating discipline, and interference scores were lower than those of participants with normal weight (<i>p</i> &#x3c; 0.001). A weak statistically significant correlation was found between the awareness subdimension of the scale and the ages, BMIs, waist circumferences, and body fat rates of the participants. <b><i>Conclusion:</i></b> It was observed that mindful eating was lower in women with overweight and obesity than that in women with normal weight. We believe that it is important to increase awareness of eating in order to protect against the diseases caused by obesity and for a healthy life.


2019 ◽  
Vol 13 (1) ◽  
pp. 155798831882257 ◽  
Author(s):  
Jianzhong Zhang ◽  
Bin Yang ◽  
Zhonglin Cai ◽  
Hongjun Li ◽  
Taoli Han ◽  
...  

The objective of the current study was to explore the role of body mass index (BMI) in sperm quality and erectile function in Chinese males of infertile couples. A total of 28 fertility centers in different regions of China were enrolled. Patient data were collected from June 1, 2017, through October 31, 2017. Semen analyses and demographic data were collected and the five-item International Index of Erectile Function (IIEF-5) questionnaire was used to evaluate the erectile function in participants with different BMIs. In total, 3,174 Chinese men of infertile couples with an average age of 33.11 ± 6.08 years were enrolled. The occurrence of obesity, overweight, normal weight, and underweight were 5.4%, 36.6%, 56.8%, and 1.2%, respectively. In addition to hypertension and diabetes, primary infertility, a longer course of infertility, and chronic prostatitis were risk factors for obesity. Compared with men of normal weight, adjusted odds ratios (ORs) for men with obesity, overweight, and underweight for semen volume <2 ml were 2.53 (95% CI [1.61, 3.97]), 1.33 (95% CI [1.09, 1.62]), and 0.84 (95% CI [0.29, 2.43]); for sperm progressive motility (A + B) (%) <32, the ORs were 1.60 (95% CI [1.16, 2.22]), 1.30 (95% CI [1.12, 1.51]), and 1.03 (95% CI [0.54, 1.98]); and for IIEF-5 ≤ 21, the ORs were 1.52 (95% CI [1.10, 2.10]), 1.11 (95% CI [0.96, 1.30]), and 0.62 (95% CI [0.31, 1.26]), respectively. Obesity was associated with lower semen volume, lower sperm motility, and erectile dysfunction in Chinese males of infertile couples.


2007 ◽  
Vol 10 (2) ◽  
pp. 137-144 ◽  
Author(s):  
BJ Smith ◽  
P Phongsavan ◽  
D Havea ◽  
V Halavatau ◽  
T Chey ◽  
...  

AbstractObjectivesTo compare the prevalence of overweight and obesity among adolescents using international and ethnic-specific cut-off points and to examine patterns of physical activity and dietary behaviours.DesignCross-sectional analytical study.SettingSchools on Tongatapu, Vava'u and Hapa'ai islands in the Kingdom of Tonga.SubjectsA total of 443 school students aged 11–16 years underwent anthropometric measures of height and weight and provided self-reported measures of physical activity and dietary behaviours.ResultsMean body mass index (BMI) was higher among girls than boys (23.7 kg m− 2vs. 21.8 kg m− 2) and tended to increase with age. A total of 36.0% of boys and 53.8% of girls were overweight or obese using the international cut-off points, whereas 25.0% of boys and 37.6% of girls were classified in this way using Polynesian-specific cut-off points. Tinned mutton or beef was the food that most participants (56.9%) reported eating once or more per day. Over half of the young people did not eat taro, fruit or vegetables at least once per day. Regular physical activity outside of school hours was reported by 20.7% of respondents, and 58.2% watched 1 h or more of television per day. Physical activity participation was the only behaviour independently associated with a lower risk of overweight or obesity.ConclusionsUsing Polynesian-specific cut-off points for overweight and obesity the prevalence of these conditions was still among the highest found in adolescents. The prevalence of physical inactivity and poor dietary habits indicate that risk factors for chronic disease are well established during adolescence in Tonga.


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