scholarly journals More Adherence To A Mediterranean Dietary Pattern is Associated With A Lower Insomnia Score

Author(s):  
Zahra yaghtin ◽  
Emad Yuzbashian ◽  
Majid Ghayour-mobarhan ◽  
Sayyed Saeid Khayyatzadeh

Abstract Background: Previous studies has shown that low quality diet is correlated with chronic sleep disorders. Mediterranean dietary pattern is considered as a high quality diet which has been shown to have beneficial effects on overall health. Thus, the aim of our study was to investigate the correlation between adherence to Mediterranean dietary pattern and insomnia score in a population of adolescent girls.Methods: Total Data of 734 adolescent girls between 12-18 years old has been considered in this cross-sectional study. To assess dietary intake, a food frequency questionnaire was used. To assess the inherence to Mediterranean dietary style, a modified model of Mediterranean diet was applied and the scores were ranged from 0-9. A valideated version of Insomnia Severity Index questionnaire wss used to assess insomnia. To explore the associations between MED-style diet and insomnia, logistic regression was conducted in crude and adjusted models.Results: The participants with higher adherence to MED-style diet had higher intake of fruits, vegetables, nuts, fish, total energy intake, carbohydrate, dietary fiber, potassium, Beta-carotene, vitamin C, iron and folate. A significant inverse association between adherence to the MED-style diet score and insomnia score was obtained in crude model (β= -0.125; P-value = 0.019) and also after adjustment for confounding variables (β= -0.120; P=0.048).Conclusion: There is an inverse relationship between adherence to the Mediterranean dietary style and the prevalence of insomnia among Iranian adolescent girls. Prospective studies are necessary to confirm these results and clarify whether a causal relationship exists.

2018 ◽  
Vol 48 (5) ◽  
pp. 722-732 ◽  
Author(s):  
Asal Neshatbini Tehrani ◽  
Hossein Farhadnejad ◽  
Amin Salehpour ◽  
Reza Moloodi ◽  
Azita Hekmatdoost ◽  
...  

PurposeTo the best of our knowledge, the studies on determining adherence to the Mediterranean dietary pattern (MDP) in Iran as a non-Mediterranean country are scarce. Thus, the aim of the study is to determine the adherence to the MDP in a sample of female adolescents who are residents of Tehran, Iran.Design/methodology/approachIn this cross-sectional study, 263 female adolescents aged 15-18 years were studied. Information on socio-demographic, lifestyle and anthropometric variables were obtained using a structured questionnaire. Also, dietary intakes were determined using a validated 168-item food frequency questionnaire. Adherence to MDP was characterized using Mediterranean-style dietary pattern score (MSDPS).FindingsTypically, the mean ± SD MSDPS was low in the present study (15.9 ± 5.6). The mean ± SD age and body mass index of the study population was 16.2 ± 0.9 years and 22.2 ± 4.1 kg/m2, respectively. In this study, the maximum MSDPS was 34.3, which was only one-third of maximum possible score (100). Multiple linear regression analyses showed that higher MSDPS scores were positively associated with age (standardizedβ= 0.1;p= 0.006), higher energy intake (standardizedβ= 0.2;p< 0.001) and marginally higher physical activity (standardizedβ= 0.1;p= 0.079).Originality/valueUnderstanding low adherence to MDP in Tehranian female adolescents can provide basic knowledge to launch systematic programmes for gravitation toward MDP.


Author(s):  
Andrea Rivera-Sepulveda ◽  
Timothy Maul ◽  
Katherine Dong ◽  
Kylee Crate ◽  
Talia Helman ◽  
...  

ABSTRACT Objective: To determine how the early stages of the COVID-19 pandemic affected the utilization of the Pediatric Emergency Department (PED). Methods: Cross-sectional study of PED visits during January through April, 2016-2020. Data included: total PED visits, emergency severity index (ESI), disposition, chief complaint, age (months), time from first Provider to Disposition (PTD), and PED length of stay (PED-LOS). P-value <0.01 was statistically significant. Results: In total, 67,499 visits were reported. There was a significant decrease in PED visits of 24-71% from March to April 2020. Chief complaints for fever and cough were highest in March 2020; while April 2020 had a shorter mean PED-LOS (from 158 to 123 minutes), an increase of admissions (from 8% to 14%), a decrease in ESI 4 (10%), and an increase in ESI 3 (8%) (p<0.001). There was no difference in mean monthly PTD time. Conclusions: Patient flow in the PED was negatively affected by a decrease in PED visits and increase in admission rate that may be related to higher acuity. By understanding the interaction between hospital processes on PEDs and patient factors during a pandemic, we are able to anticipate and better allocate future resources.


2021 ◽  
Vol 9 (3) ◽  
pp. 154-159
Author(s):  
Dr. Sanjay Kumar Bharty ◽  
◽  
Dr. Jitendra Kishore Bhargava ◽  
Dr. Brahma Prakash ◽  
Dr. Vikas Patel ◽  
...  

Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratoryviral infections. Breathing exercises with other interventions, could enhance the total lung capacityand symptom alleviation in patients with virus-related acute respiratory distress syndrome (ARDS).Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19diseases. Method: This was an Observational (prospective, cross-sectional) study. 187 patientswere recruited and diagnosed as COVID-19 as per RTPCR at NSCB Medical College, Jabalpur (MP).Patients were randomised into the physiotherapy group and controlled group. Patients in thephysiotherapy group were undergone positional changes, prone ventilation, Breathing exercise,Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, enduranceexercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rateand peripheral blood saturation were recorded before and after intervention and compared with thecontrolled group. Result: There was significant improvement found in MMRC grade and respirationrate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea andcough severity index significant deceased in physiotherapy group. The positive change was found inperipheral blood saturation. There was decreased in hospitalization stay in the physiotherapy groupas compared to the controlled group. Conclusion: Our study revealed the positive effect ofphysiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among thephysiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19disease.


Author(s):  
Ali Miri ◽  
Mostafa Norouzzadeh ◽  
Fatemeh Mozafari ◽  
Elham Rajabipour ◽  
Najmeh Souri-Naseri ◽  
...  

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.


Author(s):  
Asma Parveen N ◽  
Sheila John ◽  
Sarah Jane Monica

 Objective: The objective of the study was to evaluate and compare the dietary pattern and nutrient intake of overweight and normal weight adolescent girls.Methods: A cross-sectional study was conducted among 200 adolescent girls aged 18–22 years. Information regarding demographic profile and the dietary pattern was obtained using a questionnaire. Anthropometric measurements such as height, body weight, and waist circumference were measured and body fat percentage was estimated. Nutrient intake was calculated using 3 days dietary recall method. In addition, a nutrition education program was conducted to create an impact on the dietary habits.Results: The study showed that majority of the subjects in both the groups was non-vegetarians. With regards to meal skipping, 76% of the overweight girls had the habit of skipping meal and breakfast was the most common meal that was skipped. There was a significant difference in the anthropometric indices and nutrient intake between normal and overweight subjects. Subjects in both the groups were fond of eating junk foods followed by inadequate intake of fruits. Nutrition education program helped them to change their dietary habits.Conclusion: Providing nutrition education to adolescents is essential as it creates an impact on the eating habits by modifying their dietary pattern and creating awareness about the ill health effects of junk food consumption.


2020 ◽  
Vol 6 (2) ◽  
pp. 44-49
Author(s):  
Naveed Mansoori ◽  
◽  
Hiba Tanweer ◽  
Imtiaz Ahmed ◽  
Abdullah . ◽  
...  

Objectives: To evaluate menstrual hygiene practices among teenage girls and to compare menstrual hygiene practices among secondary and higher secondary school girls in Pakistan Methodology: A cross-sectional study of adolescent girls (grades 9 to 12) from different secondary and higher secondary schools across Pakistan was conducted between November 2017 and September 2018. A pre-tested and standardized questionnaire was administered using a non-probability sampling technique. The menstrual hygiene practices were evaluated and comparisons were made between secondary and higher secondary school girls about these practices. Data was analysed using SPSS version 22. P-value < 0.05 was set for being statistically significant. Results: Out of a total of 2,000 adolescent girls, an equal number of adolescent girls (n=1,000) were chosen from secondary and higher secondary schools. The mean menarchal age was 12.5 ± 1.2 years. Majority of the participants (63.6%) belonged to public sector schools and (71.3%) responded that menstrual blood comes from the womb. One in five (19.3%) girls missed 2 days/month of school due to pain (54.5%). Two-thirds (68.6%) of the participants were using sanitary pads and one of three changed their pads three times/day, and forty-six percent of the girls were unable to carry out daily activities due to menstrual period. Statistically significant (P < 0.05) association was observed between knowledge of menstruation among secondary and higher secondary school girls. Conclusion: The study showed that menstrual hygiene was understood well among young girls. However, a substantial association was noted between secondary and higher secondary school girls’ hygiene practices.


2020 ◽  
Author(s):  
Imelda Angeles Agdeppa ◽  
Ye Sun ◽  
Keith V Tanda

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.


Author(s):  
Asal Neshatbini Tehrani ◽  
Hossein Farhadnejad ◽  
Amin Salehpour ◽  
Bita Beyzai ◽  
Azita Hekmatdoost ◽  
...  

AbstractBackgroundAdherence to a Mediterranean dietary pattern (MDP) has been reported to decrease chronic diseases.ObjectiveThe aim of the present study was to determine the association between nutrition knowledge (NK) and adherence to MDP in Iranian female adolescents.SubjectsThis cross-sectional study was conducted on 297 female adolescents aged 15–18 years.MethodsThe participants were interviewed using a valid and structured questionnaire to collect information on socio-demographic, lifestyle and anthropometric variables. Dietary intakes were assessed using a validated 168-item Food Frequency Questionnaire (FFQ). Adherence to MDP was measured by the Mediterranean-Style Dietary Pattern Score (MSDPS). Each participant’s NK was determined using a 20-item NK questionnaire.ResultsThe mean ± standard deviation (SD) age and body mass index (BMI) of participants were 16.1 ± 0.9 years and 22.3 ± 4.6 kg/m2, respectively. The median [interquartile range (IQR)] of the NK score and the MSDPS were 80.0 (68.0–87.0) and 15.2 (11.9–19.5), respectively. The odds ratio (OR) of higher adherence to MDP in the highest tertile of the NK score was 2.19 [95% confidence interval (CI): 1.22–3.95; p for trend = 0.009], compared to the lowest tertile after adjusting for age and energy intake. In a multivariable-adjusted model, after further adjustment for BMI, mother’s/father’s education level, mother’s/father’s employment status, parent’s marital status and physical activity, the subjects in the highest tertile of the NK score had higher adherence to MDP compared with those in the lowest tertile (OR = 2.05; 95% CI, 1.09–3.83; p for trend = 0.013).ConclusionOur findings support the hypothesis that a higher NK score is significantly associated with a higher MDP adherence score in Iranian female adolescents.


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