Investigating the Relationship between Depression and Dietary Patterns in Students of Zabol University of Medical Sciences

2021 ◽  
Author(s):  
Ali Miri ◽  
Mostafa Norouzzadeh ◽  
Fatemeh Mozafari ◽  
Elham Rajabipour ◽  
Najmeh Souri-Naseri ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Human Life ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
P Value ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
The Relationship

affect different aspects of human life. Today because of changing in lifestyle and unhealthy dietary patterns, there is augment in the incidence of obesity, chronic disease and mental disorders like depression. In this study, we have investigated the prevalence of depression and dietary patterns in the students of Zabol University of Medical Sciences. Methods: A descriptive cross-sectional study carried out on 313 students of Zabol city using simple random sampling in 2019. Results: The prevalence of depression in studied students was 58%. Two major dietary patterns were identified: the healthy dietary pattern and the unhealthy dietary pattern. After adjusting confusing variables, individuals who gained higher scores in unhealthy dietary pattern, had higher probability (OR = 2.19, 95%CI: 1.10 to 4.36, p value = 0.02) of depression, however healthy dietary patterns showed no significant association with the risk of depression. Conclusion: Findings indicate a higher prevalence of depression and positive relationship between unhealthy dietary patterns with the risk of depression in studied students.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KECELAKAAN KERJA (Studi Pada Tenaga Kerja Bagian Produksi PT. Arto Metal Internasional Sidoarjo)

2013 ◽  
Vol 11 (2) ◽  
Author(s):  
Havilia Ayu Haznany ◽  
Winarko .
Keyword(s):  
Occupational Injuries ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Workplace Accidents ◽  
Level Of Knowledge ◽  
The Relationship

PT Arto Metal International is one of the metal components manufacturers, where theproduction processes are using machinaries which its operations may lead to accidents. One ofthe effects that can be caused by the production machines might happen if workers are notcareful, they might got pinched by plong engine, etched plates and exposed debris grams.Therefore, this study aims to determine the factors associated with the incidence of workplaceaccidents in this company.The methods used in this study were analytical methods, because this researchexamined the relationship between 2 (two) variables. Based on its times, this study wascategorized as cross-sectional study, due to variables such as risk factors and effect factorswere observed at the same time. Sampling technique was done by simple random sampling,and analysis was used to determine the relationship between 2 (two) variables using Chi Square.The results showed that employees injured at workplace as much as 94.3%. Theresults of analysis of Chi - Square showed that there were four variables significantlyassociated with the incidence of workplace accidents, they were the use of PPD to theincidence of occupational injuries (p value = 0.025), the level of knowledge to the incidence ofoccupational injuries (p value = 0.047), the ages to the incidence of occupational injuries (pvalue 0.025) and the length of services to the incidence of occupational injuries (p value0.005).Therefore, it is suggested that the company perform incident controlling actionswhether technically, administratively as well as adding a number of Personal ProtectiveDevices (PPD) for workers so that all workers can use it while working.Keywords: Workplace Accident, Personal Protective Devices

scholarly journals A Survey on the Relationship between Quality of life and Happiness among Children and Adolescents under the Supervision of Welfare Organization of Ahwaz in 2017

2019 ◽  
pp. 1-8
Author(s):  
Maryam Khormehr ◽  
Azam Honarmandpour ◽  
Mohammad Adineh ◽  
Azam Jahangirimehr ◽  
Elham Abdolahi Shahvali
Keyword(s):  
Quality Of Life ◽  
Children And Adolescents ◽  
Human Life ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
P Value ◽  
Childhood And Adolescence ◽  
Cross Sectional ◽  
The Relationship

Background: Childhood and adolescence is one of the most important, most sensitive and also most decisive periods of human life. Events during this period, for children and adolescents under the supervision of the welfare organisation, can lead to behavioural-cognitive and emotional problems and face the natural process of transition from this period with serious challenges. This study was conducted to evaluate the relationship between quality of life and happiness among children and adolescents under the supervision of welfare organisation of Ahwaz in 2015. Methodology: This descriptive-analytical cross-sectional study was conducted on 75 children and adolescents aged 8-18, under the supervision of the welfare organisation, using the available sampling method. The data collection tool was a demographic information questionnaire, the Kidscreen quality of life and the Oxford happiness. The collected data were analysed using SPSS software version 20 and independent t-test, Pearson correlation coefficient, Spearman and Chi-square tests. P value less than 0.05 was considered significant. Results: The results showed that there was a significant and direct correlation between quality of life and happiness in children and adolescents under the supervision of the welfare (P <0.001 and r = 0.656). All aspects of the quality of life in the group who did not show happiness reported to be lower. Conclusion: The quality of life of children and adolescents under the supervision of welfare is related to their happiness. The effect of the use of pharmaceutical supplements/drugs and its relationship with the happiness of children should be studied in future.

scholarly journals Relationship of Length of Work and Nutritional Status with Work Fatigue at Gold Craftsmen

2021 ◽  
Vol 4 (1) ◽  
pp. 38-46
Author(s):  
Nur Juliana ◽  
Firnasrudin Rahim ◽  
Hamzah B ◽  
Wa Ode Megasari
Keyword(s):  
Nutritional Status ◽  
Simple Random Sampling ◽  
Industrial Sector ◽  
Cross Sectional Study ◽  
Observational Research ◽  
P Value ◽  
Cross Sectional ◽  
Study Approach ◽  
Relationship Of ◽  
The Relationship

The problem that often arises for workers in the industrial sector, including household industries such as gold craftsmen, is work fatigue. Data shows the prevalence of work fatigue in workers reaches from 10% to 40%. Gold craftsmen who are still working manually, working longer than 8 hours/day and having a body posture that is not ideal so they are at risk of experiencing work fatigue. This study aims to determine the relationship between length of work and nutritional status with work fatigue on gold craftsmen in Malimongan Village, Wajo District, Makassar City. This type of analytic observational research uses a cross sectional study approach, involving 30 gold craftsmen as respondents who were taken by simple random sampling. Collecting data using questionnaires, body scales and stature meters which are then analyzed using non-parametric methods with the Kruskal Wallis test. The results showed that the length of work 8 hours/day was 44,3%, normal nutritional status was 70% and work fatigue was 60%. Statistical analysis showed that there was a relationship between length of work and work fatigue for gold craftsmen (p-value=0,016) while nutritional status and work fatigue were obtained (p-value=0,311). In conclusion, it is known that there is a relationship between length of work and work fatigue, and there is no relationship between nutritional status and work fatigue in gold craftsmen.

scholarly journals Dietary Pattern and Nutrient Intakes in Association with Non-Communicable Disease Risk Factors among Filipino Adults: A Cross-sectional Study

2020 ◽  
Author(s):  
Imelda Angeles Agdeppa ◽  
Ye Sun ◽  
Keith V Tanda
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Ldl Cholesterol ◽  
Communicable Disease ◽  
Cross Sectional Study ◽  
Dietary Quality ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Disease

Abstract Background: This study evaluated the relationship between dietary quality and food patterns of Filipino adults and the rising prevalence of selected cardiometabolic non-communicable disease (NCD) risk factors. Methods: This is a cross-sectional study that examined the association of dietary pattern and NCDs using data collected in the 2013 National Nutrition Survey. A total of 19,914 adults aged 20 years and above were included in the analyses. The Alternative Healthy Eating Index (AHEI-2010) was used to characterize the dietary quality, and principal component analysis (PCA) was used to identify dietary patterns specific to the study population. Logistic regression models were applied to assess the association between the dietary pattern scores and selected cardiometabolic NCD indices including diabetes, hypertension, dyslipidemia and overweight and obesity with adjustment for potential confounders. Results: The mean AHEI-2010 score was 19.7 for women and 18.9 for men out of a total possible score of 100. Three major dietary patterns were identified through PCA: 1) meat and sweetened beverages (MSB); 2) rice and fish (RF) and 3) fruit, vegetables and snack (FVS). After adjustment for potential confounding factors, the AHEI pattern was associated with higher odds of overweight/obesity [extreme-tertile odds ratio (OR) 1.10, 95% confidence interval (CI) 1.02-1.21]. Subjects in the highest tertile of the MSB pattern had greater odds for overweight/obesity, diabetes, high total cholesterol, low HDL-cholesterol, high LDL-cholesterol, and high triglycerides (OR ranging 1.20 to 1.70, all p-value <0.001). The RF pattern was associated with higher probability of overweight/obesity (OR 1.20, 95% CI 1.08-1.32) high LDL-cholesterol (OR 1.20, 95% CI 1.07-1.37), and less likelihood of diabetes (OR 0.87, 95% CI 0.77-0.98). The FVS pattern was associated with lower probability of overweight/obesity, diabetes, high triglycerides, and hypertension (OR ranging 0.85 to 0.90, all p-value <0.05). Conclusions: Diet quality of Filipino adults is extremely poor. MSB and RF patterns were associated with a higher risk of cardiometabolic NCD indices, while FVS pattern was associated to lower risks. Identifying healthy and detrimental dietary patterns in the local diet could be informative for future local-based dietary recommendation and area-specific intervention programs.

scholarly journals Dietary Pattern and Nutrient Intakes in Association with Non-Communicable Disease Risk Factors among Filipino Adults: A Cross-sectional Study

2020 ◽  
Author(s):  
Imelda Angeles Agdeppa ◽  
Ye Sun ◽  
Keith V Tanda
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Ldl Cholesterol ◽  
Communicable Disease ◽  
Cross Sectional Study ◽  
Dietary Quality ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Disease

Abstract Background: This study evaluated the relationship between dietary quality and food patterns of Filipino adults and the rising prevalence of selected cardiometabolic non-communicable disease (NCD) risk factors. Methods: This is a cross-sectional study that examined the association of dietary pattern and NCDs using data collected in the 2013 National Nutrition Survey. A total of 19,914 adults aged 20 years and above were included in the analyses. The Alternative Healthy Eating Index (AHEI-2010) was used to characterize the dietary quality, and principal component analysis (PCA) was used to identify dietary patterns specific to the study population. Logistic regression models were applied to assess the association between the dietary pattern scores and selected cardiometabolic NCD indices including diabetes, hypertension, dyslipidemia and overweight and obesity with adjustment for potential confounders. Results: The mean AHEI-2010 score was 19.7 for women and 18.9 for men out of a total possible score of 100. Three major dietary patterns were identified through PCA: 1) meat and sweetened beverages (MSB); 2) rice and fish (RF) and 3) fruit, vegetables and snack (FVS). After adjustment for potential confounding factors, the AHEI pattern was associated with higher odds of overweight/obesity [extreme-tertile odds ratio (OR) 1.10, 95% confidence interval (CI) 1.02-1.21]. Subjects in the highest tertile of the MSB pattern had greater odds for overweight/obesity, diabetes, high total cholesterol, low HDL-cholesterol, high LDL-cholesterol, and high triglycerides (OR ranging 1.20 to 1.70, all p-value <0.001). The RF pattern was associated with higher probability of overweight/obesity (OR 1.20, 95% CI 1.08-1.32) high LDL-cholesterol (OR 1.20, 95% CI 1.07-1.37), and less likelihood of diabetes (OR 0.87, 95% CI 0.77-0.98). The FVS pattern was associated with lower probability of overweight/obesity, diabetes, high triglycerides, and hypertension (OR ranging 0.85 to 0.90, all p-value <0.05). Conclusions: Diet quality of Filipino adults is extremely poor. MSB and RF patterns were associated with a higher risk of cardiometabolic NCD indices, while FVS pattern was associated to lower risks. Identifying healthy and detrimental dietary patterns in the local diet could be informative for future local-based dietary recommendation and area-specific intervention programs.

scholarly journals HUBUNGAN POLA ASUH DENGAN KEJADIAN STUNTING PADA BALITA USIA 24-59 BULAN DI DESA MULIO REJO KEC. SUNGGAL

2021 ◽  
Vol 16 (2) ◽  
pp. 411-420
Author(s):  
Urbanus Sihotang
Keyword(s):  
Feeding Habits ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Measurement Tool ◽  
P Value ◽  
Height Measurement ◽  
Chi Square ◽  
Cross Sectional ◽  
Inadequate Nutrition ◽  
The Relationship

ABSTRACT   Background: Stunting is a chronic condition of growth disruption which is described in the z-score of TB / U <-2 SD due to inadequate nutrition during the growth mass Stunting in toddlers is a time that is prone to experiencing malnutrition problems, because toddlers' bodies experience relatively fast growth and development and will determine the quality of growth in the future Objective: Knowing the Relationship between Parenting Pattern and the Incidence of Stunting in Toddlers Aged 24-59 Months in Mulio Rejo Village, Kec. Sunggal. Methods: This study is an observational study with cross sectional study design. Respondents were 48 mothers who have toddlers aged 24-59 months were chosen by simple random sampling method. The data taken regarding feeding habits, parenting habits, hygiene habits, and habits of getting health services were obtained through questionnaires, and the incidence of child stunting obtained from measurements of children's height using a toddler's height measurement tool. Data analysis to observe the relationship between variables using the Chi-Square test. Results: The results showed the proportion of toddler stunting in village Mulio Rejo was 20,8%. There was no a significant correlation between feeding habits (p-value = 1,000) on the incidence of toddler’s stunting Conclusion :  There was no correlation between mother's parenting habits, feeding habits, parenting habits, hygiene habits and health care habits with the incidence of stunting. ABSTRAK Latar Belakang : Stunting merupakan salah satu permasalahan status gizi pada balita yang digambarkan sebagai bentuk kegagalan pertumbuhan akibat gizi buruk dan kesehatan selama periode prenatal dan postnatal. Dampak stunting tidak hanya pada segi kesehatan tetapi juga mempengaruhi tingkat kecerdasan anak. Stunting akan berdampak dan dikaitkan dengan proses kembang otak yang terganggu, dimana dalam jangka pendek berpengaruh pada kemampuan kognitif. Dampak jangka panjang dapat mengurangi kapasitas untuk berpendidikan lebih baik dan hilangnya kesempatan untuk peluang kerja dengan pendapatan lebih baik.   Tujuan: Mengetahui Hubungan Pola Asuh Dengan Kejadian Stunting Pada Anak Balita Usia 24-59 Bulan di Desa Mulio Rejo Kec. Sunggal. Metode : :Penelitian ini merupakan penelitian observasional yang menggunakan dengan desain Cross Sectional. Responden adalah  48 orang ibu yang mempunyai balita usia 24-59 bulan dengan metode pengambilan sampel secara acak sederhana. Data yang diambil mengenai kebiasaan pemberian makan, kebiasaan pengasuhan, kebiasaan kebersihan, dan kebiasaan mendapatkan pelayanan kesehatan yang didapat melalui kuisioner, dan kejadian stunting anak yang didapat dari hasil pengukuran tinggi badan anak menggunakan alat ukur tinggi badan balita. Analisis data untuk melihat hubungan antara variabel menggunakan uji Chi-Square. Hasil : Hasil penelitian menunjukkan prevalensi stunting sebesar 20,8%. Tidak ada hubungan pola asuh ibu tentang kebiasaan pemberian makan, kebiasaan pengasuhan, kebiasaan kebersihan dan kebiasaan mendapatkan pelayanan kesehatan dengan kejadian stunting Kesimpulan : Tidak ada hubungan yang signifikan antara pola asuh ibu dengan kejadian stunting di desa Mulio Rejo.

HUBUNGAN KUALITAS KEHIDUPAN KERJA TERHADAP KINERJA PERAWAT PELAKSANA

2019 ◽  
Vol 9 (4) ◽  
pp. 413-420
Author(s):  
Amella Gusty ◽  
Dachriyanus Dachriyanus ◽  
Leni Merdawati
Keyword(s):  
District Hospital ◽  
Simple Random Sampling ◽  
Work Life ◽  
Quality Of Work Life ◽  
P Value ◽  
Work Context ◽  
Cross Sectional ◽  
Quality Of Work ◽  
The Relationship

Kinerja perawat merupakan hasil yang dicapai dalam melaksanakan asuhan keperawatan di rumah sakit. Terciptanya asuhan keperawatan yang optimal sangat diperlukan dukungan dari pihak rumah sakit salah satunya adalah menciptakan kualitas kehidupan kerja baik bagi perawat. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas kehidupan kerja terhadap kinerja perawat pelaksana di RSUD Teluk Kuantan. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel 120 responden yang diperoleh melalui proportionate simple random sampling. Hasil penelitian menunjukkan kualitas kehidupan kerja perawat RSUD Teluk Kuantan berada pada kategori sedang, kinerja perawat berada pada kategori kurang baik. Berdasarkan analisis kedua variabel teridentifikasi bahwa tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana dengan  p value 0,817. Dimensi work context merupakan komponen yang memiliki hubungan dengan kinerja perawat pelaksana dengan p value 0,008, dimensi work life  tidak berhubungan secara signifikan dengan kinerja perawat. Kesimpulan penelitian diketahui tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana. Ada hubungan dimensi work context dengan kinerja perawat pelaksana. Tidak ada hubungan dimensi work life dengan kinerja perawat.   Kata kunci: kualitas kehidupan kerja, kinerja, perawat pelaksana   THE RELATIONSHIP BETWEEN THE QUALITY OF WORK LIFE AND THE PERFORMANCE OF IMPLEMENTERS NURSES   ABSTRACT Nurse performance is the result achieved in implementing nursing care in a hospital. The creation of optimal nursing care is very much needed support from the hospital, one of which is to create a good quality of work life for nurses. This study aims to determine the relationship between the quality of work life and the performance of nurses at the Kuantan District Hospital. This type of quantitative research with cross sectional approach. The number of samples of 120 respondents obtained through proportionate simple random sampling. The results showed that the quality of work life of nurses at the Kuantan District Hospital was in the medium category, the nurses' performance was in the unfavorable category. Based on the analysis of the two variables, it was identified that there was no relationship between the quality of work life with the performance of implementing nurses with a p value of 0.817. The work context dimension is a component that has a relationship with the performance of nurses implementing with p value 0.008, the dimension of work life does not significantly correlate with nurse performance. The conclusion of the research is that there is no relationship between the quality of work life and the performance of the implementing nurses. There is a relationship between the dimensions of the work context and the performance of the nurses. There is no relationship between the dimensions of work life and nurse performance.   Keywords: quality of work life, performance, implementers nurse

POLA ASUH ORANGTUA TERHADAP TINGKAT KEMANDIRIAN PERSONAL HYGIENE CUCI TANGAN DAN GOSOK GIGI PADA ANAK PRASEKOLAH

2020 ◽  
Vol 15 (2) ◽  
pp. 200-205
Author(s):  
Dina Dewi Anggraini
Keyword(s):  
Survey Research ◽  
Quantitative Study ◽  
Parenting Style ◽  
Cross Sectional Study ◽  
Personal Hygiene ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Test Analysis ◽  
The Relationship

ABSTRACT   The study aims todetermine the relationship between parenting style and the level of independence of Personal Hygiene Hand Wasting and Tooth Brush in Preschoolers in Kindergarten Negeri Pembina Blora in 2019. The study is a quantitative study, based on the research location including the type of field reseaerch, based on the ansence of the treatment of subjects including survey research, based on time is a cross sectional study, and based on objectives includin correlation analytics. The population in this study were all parents in Kindergarten Negeri Pembina Blora as many as 85 respondents. Based on the sample calculation, the sample obtained in this study that most parent in Kindergarten Negeri Pembina Blora amounted to 70 respondents. Srearmen’s rho test analysis results parenting parents with the level of independence of personal hygiene hand wasting result obtained p value = 0,000 < α (0,05), and parenting patters with the independence of personal hygiene tooth brush obtained results p value = 0,000 < α (0,05). So it can be concluded that were is a significant relationship between parenting parents with the level of independence of personal hygiene washing hands and brushing their tooth at preschoolers in Kindergarten Negeri Pembina Blora in 2019. Keywords: parenting; personal hygiene, preschool ABSTRAK   Penelitian ini bertujuan untuk mengetahui Hubungan Pola Asuh Orangtua Terhadap Tingkat Kemandirian Personal Hygiene Cuci Tangan dan Gogok Gigi pada Anak Prasekolah di TK Negeri Pembina Blora Tahun 2019. Penelitian ini adalah penelitian kuantitatif, berdasarkan tempat penelitian termasuk jenis penelitian lapangan, berdasarkan tidak adanya perlakuan terhadap subjek termasuk penelitian survey, berdasarkan waktu merupakan penelitian cross sectional, dan berdasarkan tujuan termasuk analitik korelasi. Populasi dalam penelitian ini adalah seluruh orangtua di TK Negeri Pembina Blora sebanyak 85 responden. Berdasarkan perhitungan sampel  maka diperoleh sampel pada penelitian ini adalah sebagian orangtua di TK Negeri Pembina Blora sebanyak 70 responden. Hasil analisis uji spearmen’s rho pola asuh orangtua dengan tingkat kemandirian personal hygiene cuci tangan didapatkan hasil p value = 0,000 < α (0,05), dan pola asuh orangtua dengan kemandirian personal hygiene gosok gigi didapatkan hasil p value = 0,000 < α (0,05). Sehingga dapat disimpulkan bahwa ada hubungan yang signifikan antara pola asuh orang tua dengan tingkat kemandirian personal hygiene cuci tangan dan gosok gigi pada anak prasekolah di TK Negeri Pembina Blora Tahun 2019. Kata kunci: pola asuh; personal hygiene; prasekolah

Is there a relationship between gestational diabetes and postpartum depression?

2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi
Keyword(s):  
Gestational Diabetes ◽  
Postpartum Depression ◽  
Odds Ratio ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
University Education ◽  
P Value ◽  
Cross Sectional ◽  
The Relationship

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.

scholarly journals POS1465-HPR THE RELATIONSHIP BETWEEN SEDENTARY BEHAVIOR AND SLEEP IN RHEUMATOID ARTHRITIS: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1017.2-1018
Author(s):  
N. Kelly ◽  
E. Hawkins ◽  
H. O’leary ◽  
K. Quinn ◽  
G. Murphy ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Sleep Quality ◽  
Sedentary Behavior ◽  
Disease Duration ◽  
Cross Sectional Study ◽  
P Value ◽  
Poor Sleep ◽  
Cross Sectional ◽  
The Relationship

Background:Rheumatoid arthritis (RA) is a chronic, autoimmune inflammatory condition that affects 0.5% of the adult population worldwide (1). Sedentary behavior (SB) is any waking behavior characterized by an energy expenditure of ≤1.5 METs (metabolic equivalent) and a sitting or reclining posture, e.g. computer use (2) and has a negative impact on health in the RA population (3). Sleep is an important health behavior, but sleep quality is an issue for people living with RA (4, 5). Poor sleep quality is associated with low levels of physical activity in RA (4) however the association between SB and sleep in people who have RA has not been examined previously.Objectives:The aim of this study was to investigate the relationship between SB and sleep in people who have RA.Methods:A cross-sectional study was conducted. Patients were recruited from rheumatology clinics in a large acute public hospital serving a mix of urban and rural populations. Inclusion criteria were diagnosis of RA by a rheumatologist according to the American College of Rheumatology criteria age ≥ 18 and ≤ 80 years; ability to mobilize independently or aided by a stick; and to understand written and spoken English. Demographic data on age, gender, disease duration and medication were recorded. Pain and fatigue were measured by the Visual Analogue Scale (VAS), anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index. SB was measured using the ActivPAL4™ activity monitor, over a 7-day wear period. Descriptive statistics were calculated to describe participant characteristics. Relationships between clinical characteristics and SB were examined using Pearson’s correlation coefficients and regression analyses.Results:N=76 participants enrolled in the study with valid data provided by N=72 participants. Mean age of participants was 61.5years (SD10.6) and the majority 63% (n = 47) were female. Participant mean disease duration was 17.8years (SD10.9). Mean SB time was 533.7 (SD100.1) minutes (8.9 hours per day/59.9% of waking hours). Mean sleep quality score was 7.2 (SD5.0) (Table 1). Correlation analysis and regression analysis found no significant correlation between sleep quality and SB variables. Regression analysis demonstrated positive statistical associations for SB time and body mass index (p-value=0.03846, R2 = 0.05143), SB time and pain VAS (p-value=0.009261, R2 = 0.07987), SB time and HADS (p-value = 0.009721, R2 = 0.08097) and SB time and HADSD (p-value = 0.01932, R2 = 0.0643).Conclusion:We found high levels of sedentary behavior and poor sleep quality in people who have RA, however no statistically significant relationship was found in this study. Future research should further explore the complex associations between sedentary behavior and sleep quality in people who have RA.References:[1]Carmona L, et al. Rheumatoid arthritis. Best Pract Res Clin Rheumatol 2010;24:733–745.[2]Anon. Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab = Physiol Appl Nutr Metab 2012;37:540–542.[3]Fenton, S.A.M. et al. Sedentary behaviour is associated with increased long-term cardiovascular risk in patients with rheumatoid arthritis independently of moderate-to-vigorous physical activity. BMC Musculoskelet Disord 18, 131 (2017).[4]McKenna S, et al. Sleep and physical activity: a cross-sectional objective profile of people with rheumatoid arthritis. Rheumatol Int. 2018 May;38(5):845-853.[5]Grabovac, I., et al. 2018. Sleep quality in patients with rheumatoid arthritis and associations with pain, disability, disease duration, and activity. Journal of clinical medicine, 7(10)336.Table 1.Sleep quality in people who have RASleep variableBed Time N(%) before 10pm13(18%) 10pm-12pm43 (60%) after 12pm16 (22%)Hours Sleep mean(SD)6.56 (1.54)Fall Asleep minutes mean(SD)33.3(27.7)Night Waking N(%)45(63%)Self-Rate Sleep mean(SD)2.74 (0.90)Hours Sleep mean(SD)6.56 (1.54)Disclosure of Interests:None declared

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