The Association Between Dietary Insulin Index and Load With Mental Health

Abstract Background: Depression, anxiety, and stress are common mental problems in different populations. The aim of this cross-sectional study is to investigate the association between dietary insulin index (DII) and insulin load (DIL) and psychological disorders. Method: Participants (n = 10,000) aged 20-69 were randomly selected from 200 clusters in Yazd from the recruitment phase of Yazd Health Study. Dietary intake of study participants was collected by a reliable and validated food frequency questionnaire (FFQ) consisting of 178 food items. DII and DIL were calculated from the FFQ data using previously published reference values. To assess psychological disorders an Iranian validated short version of a self-reported questionnaire (Depression Anxiety Stress Scales 21 [DASS21]) was used.Results: No significant association was observed between DIL and DII with odds of depression or anxiety in crude and adjusted models. The individuals in the highest quartiles of DIL had the lowest odds of stress (OR: 0.69; 95% CI: 0.48–1.01, P-trend = 0.047). This association remained significant after adjustment for potential confounders in model II (OR: 0.38; 95% CI: 0.16–0.91, P-trend = 0.039) and the third and final model (OR: 0.39; 95% CI: 0.16–0.91, P-trend = 0.041).Conclusion: Overall, consumption of foods with higher II as well as IL was associated with lower feelings of stress; however, no significant relation was observed between DII or DIL and risk of depression and anxiety. Further studies with longitudinal design are needed to confirm these results.

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The Association of Legume Consumption and Psychological Health among Women: A Cross-Sectional Study

Journal of Nutrition and Food Security ◽

10.18502/jnfs.v6i2.6061 ◽

2021 ◽

Author(s):

Manije Darooghegi Mofrad ◽

Fereydoun Siassi ◽

Bijan Guilani ◽

Leila Azadbakht

Keyword(s):

Psychological Health ◽

Psychological Disorders ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Sectional Study ◽

Validity And Reliability ◽

Medical Sciences ◽

Cross Sectional ◽

Independent Association ◽

Study Participants

Background: Independent association between legume intake and psychological disorders is not well documented. This study was carried out to examine legume consumption in relation todepression, anxiety, and stress in women in Tehran city of Iran. Methods: In this cross-sectional study, 458 women aged 20-50 years who referred to the health centers of Tehran University of Medical Sciences were selected by multistage cluster sampling method. The usual dietary intake in the past year was evaluated using a 168-item semi-quantitative food frequency questionnaire with confirmed validity and reliability. Legume intake was calculated by summing up the consumption of lentils, peas, chickpeas, and different kinds of beans including broad beans and chickling vetch. Psychological disorders were assessed using a validated depression, anxiety, stress scales questionnaires with 21items. In the logistic regression analysis, the results were adjusted to the confounding factors. Results: The mean age of the study participants was 31.85 ± 7.67 years. The prevalence of depressive symptoms, anxiety, and psychological distress among study participants was 34.6%, 40.6%, and 42.4%, respectively. After adjustment of the confounding variables, legume consumption had no significant association with depression (P = 0.72), anxiety (P = 0.17), and stress (P = 0.89). However, a significant association was found between moderate legume consumption and depression (OR: 0.52; 95% CI: 0.30–0.90; P = 0.01). Conclusion: Higher legume consumption has no significant relationship with depression, anxiety, and anxiety in women. However, a significant association was observed between moderate legume consumption and depression. Prospective studies are needed to confirm these findings.

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Adherence to Healthy Eating Index-2015 and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort Study

10.21203/rs.3.rs-754347/v2 ◽

2021 ◽

Author(s):

Sahar Sarkhosh-Khorasani ◽

Azadeh Nadjarzadeh ◽

Hassan Mozaffari-Khosravi ◽

Masoud Mirzaei ◽

Mahdieh Hosseinzadeh

Keyword(s):

Cohort Study ◽

Healthy Eating ◽

Central Obesity ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Health Study ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Study Participants

Abstract Objectives: Data demonstrated a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. Inconsistent data regarding the association between adherence of Healthy Eating Index-2015 (HEI-2015) and obesity is identified. Thus, this study intends to address this relationship among a large sample of both urban and suburb areas of Iranian adults.Methods: This cross-sectional study was performed by 10693 participants of Shahedieh cohort study (n=3943) and TAghzieh Mardom-e-Yazd (TAMYZ) which was conducted on Yazd Health Study participants, (n=6750) living in urban and suburb areas. Dietary intake was assessed by using a validated Food Frequency Questionnaire (FFQ). In all participants, anthropometric indices including body mass index were measured. Multivariate logistic regression analysis was utilized to assess the relationship of HEI-2015 with obesity.Results: No significant association was found between adherence to the HEI-2015 diet and odds of general and central obesity. Conclusions: Our findings showed adherence to HEI-2015 might have no protective effect on odds of general obesity. Also, in suburb region and whole population of both urban and suburb regions greater compliance of men to HEI-2015 diet might have a positive effect on odds of central obesity. Moreover, in suburb area participants in the highest quintile significantly were smoker and had higher level of SES. Finally, the casual effect of HEI-2015 on obesity needs to be investigated further in prospective studies and among different populations.

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Adherence to Healthy Eating Index-2015 and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort Study

10.21203/rs.3.rs-754347/v1 ◽

2021 ◽

Author(s):

sahar sarkhosh khorasani ◽

Azadeh Nadjarzadeh ◽

Hassan Mozaffari-Khosravi ◽

Masoud Mirzaei ◽

Mahdieh Hosseinzadeh

Keyword(s):

Cohort Study ◽

Healthy Eating ◽

Central Obesity ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Health Study ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Study Participants

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Prevalence of psychological disorders in the COVID-19 epidemic in China: A real world cross-sectional study

Journal of Affective Disorders ◽

10.1016/j.jad.2020.11.118 ◽

2021 ◽

Vol 281 ◽

pp. 312-320

Author(s):

Minghuan Wang ◽

Qian Zhao ◽

Caihong Hu ◽

Yang Wang ◽

Jie Cao ◽

...

Keyword(s):

Real World ◽

Psychological Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Undernutrition and associated factors in orphan children aged 6–59 months in Gambella Southwest, Ethiopia: A community-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-045892 ◽

2021 ◽

Vol 11 (7) ◽

pp. e045892

Author(s):

Solomon Feleke ◽

Gudina Egata ◽

Firehiwot Mesfin ◽

Gizachew Yilak ◽

Abebaw Molla

Keyword(s):

Associated Factors ◽

Wealth Index ◽

Cross Sectional Study ◽

Sectional Study ◽

Access To Health Services ◽

Cross Sectional ◽

Orphaned Children ◽

Access To Health ◽

Study Participants ◽

Children Under 5

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.

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Association of breastfeeding and risk of metabolic syndrome and its components in postmenopausal parous women: Korea national health and nutrition examination survey (2010 ~ 2016)

Archives of Public Health ◽

10.1186/s13690-021-00607-2 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Jusuk Lee ◽

Taehong Kim

Keyword(s):

Metabolic Syndrome ◽

Laboratory Data ◽

Multivariate Logistic Regression Analysis ◽

Density Lipoprotein ◽

Cross Sectional Study ◽

Korean Women ◽

Cross Sectional ◽

Increased Risk ◽

Nationally Representative ◽

Study Participants

Abstract Background Understanding the relationship between breastfeeding (BF) and metabolic syndrome (Mets) is important for maternal long-term health benefits and disease prevention. This study aimed to examine the association between BF and Mets and its components among postmenopausal parous Korean women. Methods This cross-sectional study on 10,356 Korean women used nationally representative data from the KNHANES from 2010 to 2016. Anthropometric, laboratory data and manual BP were measured. A multivariate logistic regression analysis was conducted to examine the association of BF with Mets and its components after adjusting for potential confounding variables. A p-value < 0.05 was to be considered statistically significant. Results Mets was present in 42% of the study participants. The BF group had low household income and education level. The prevalence of Mets in the BF group was higher than that in the non-BF group (42.69% vs. 34.76%, p < 0.001). BF was associated with increased risk of Mets (odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.18–1.65, p < 0.001). The BF group was at higher risks for diabetes (OR: 1.5, 95%CI: 1.14–1.98), hypertension (OR: 1.32, 95%CI: 1.03–1.68), hypertriglyceridemia (OR: 1.42, 95%CI: 1.02–1.99) and low high-density lipoprotein cholesterol (OR: 1.32, 95%CI: 1.06–1.65). Conclusion In this study, BF did not affect decreasing the prevalence of Mets and its components.

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Knowledge and attitude of pregnant women towards preeclampsia and its associated factors in South Gondar Zone, Northwest Ethiopia: a multi‐center facility‐based cross‐sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03647-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maru Mekie ◽

Dagne Addisu ◽

Minale Bezie ◽

Abenezer Melkie ◽

Dejen Getaneh ◽

...

Keyword(s):

Associated Factors ◽

First Trimester ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Level Of Knowledge ◽

Knowledge And Attitude ◽

Study Participants ◽

South Gondar

Abstract Background Preeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. This study was designed to assess the knowledge and attitude towards preeclampsia and its associated factors in South Gondar, Northwest Ethiopia. Methods A multicenter facility-based cross-sectional study was implemented in four selected hospitals of South Gondar Zone among 423 pregnant women. Multistage random sampling and systematic random sampling techniques were used to select the study sites and the study participants respectively. Data were entered in EpiData version 3.1 while cleaned and analyzed by Statistical Package for Social Sciences (SPSS) version 23. Descriptive and inferential statistics were performed. Adjusted odds ratio with 95 % confidence interval were used to identify the significance of the association between the level of knowledge on preeclampsia and its predictors. Results In this study, 118 (28.8 %), 120 (29.3 %) of the study participants had good knowledge and a positive attitude towards preeclampsia respectively. The likelihood of having good knowledge on preeclampsia was found to be low among women with no education (AOR = 0.22, 95 % CI (0.06, 0.85)), one antenatal care visit (ANC) (AOR = 0.13, 95 % CI (0.03, 0.59)). Whereas, those who booked for ANC in the first trimester (AOR = 6.59, 95 % CI (1.43, 30.33)), gave the last birth at a health facility (AOR = 2.61, 955 CI (1.03, 6.61)), and experienced a complication during previous births (AOR = 3.67, 95 % CI (1.78, 7.57)) were more likely to be knowledgeable on preeclampsia. Conclusions No formal education and not attending four ANC visits were associated with poor knowledge of preeclampsia. While participants who visited health facilities during the first trimester, who gave birth at health facilities, and those who experienced a complication in previous births were more likely to be knowledgeable on preeclampsia. Improving the numbers of ANC visits and encouraging facility delivery are important measures to improve women’s knowledge on preeclampsia. Health education regarding preeclampsia risk factors, symptoms, and complications shall be emphasized.

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Physical Activity and Diet Quality Modify the Association between Comorbidity and Disability among Stroke Patients

Nutrients ◽

10.3390/nu13051641 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1641

Author(s):

Lien T. K. Nguyen ◽

Binh N. Do ◽

Dinh N. Vu ◽

Khue M. Pham ◽

Manh-Tan Vu ◽

...

Keyword(s):

Physical Activity ◽

Diet Quality ◽

Negative Impact ◽

Cross Sectional Study ◽

World Health ◽

Short Version ◽

Linear Regression Models ◽

Stroke Patients ◽

Disability Score ◽

Cross Sectional

Background: Comorbidity is common and causes poor stroke outcomes. We aimed to examine the modifying impacts of physical activity (PA) and diet quality on the association between comorbidity and disability in stroke patients. Methods: A cross-sectional study was conducted on 951 stable stroke patients in Vietnam from December 2019 to December 2020. The survey questionnaires were administered to assess patients’ characteristics, clinical parameters (e.g., Charlson Comorbidity Index items), health-related behaviors (e.g., PA using the International Physical Activity Questionnaire- short version), health literacy, diet quality (using the Dietary Approaches to Stop Hypertension Quality (DASH-Q) questionnaire), and disability (using the World Health Organization Disability Assessment Schedule II (WHODAS II)). Linear regression models were used to analyze the associations and interactions. Results: The proportion of comorbidity was 49.9% (475/951). The scores of DASH-Q and WHODAS II were 29.2 ± 11.8, 32.3 ± 13.5, respectively. Patients with comorbidity had a higher score of disability (regression coefficient, B, 8.24; 95% confidence interval, 95%CI, 6.66, 9.83; p < 0.001) as compared with those without comorbidity. Patients with comorbidity and higher tertiles of PA (B, −4.65 to −5.48; p < 0.05), and a higher DASH-Q score (B, −0.32; p < 0.001) had a lower disability score, as compared with those without comorbidity and the lowest tertile of PA, and the lowest score of DASH-Q, respectively. Conclusions: Physical activity and diet quality significantly modified the negative impact of comorbidity on disability in stroke patients. Strategic approaches are required to promote physical activity and healthy diet which further improve stroke rehabilitation outcomes.

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Factors Associated With Knee Pain and Heel Pain in Youth Soccer Players Aged 8 to 12 Years

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119883370 ◽

2019 ◽

Vol 7 (11) ◽

pp. 232596711988337 ◽

Cited By ~ 1

Author(s):

Toshiyuki Iwame ◽

Tetsuya Matsuura ◽

Naoto Suzue ◽

Joji Iwase ◽

Hirokazu Uemura ◽

...

Keyword(s):

Knee Pain ◽

Cross Sectional Study ◽

Heel Pain ◽

Older Age ◽

Soccer Players ◽

Clinical Factors ◽

Level Of Evidence ◽

Cross Sectional ◽

Youth Soccer ◽

Study Participants

Background: Soccer is played by many children younger than 12 years. Despite its health benefits, soccer has also been linked to a high number of sport-related injuries. Purpose: To investigate the relationship between clinical factors and knee or heel pain in youth soccer players. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Study participants included 602 soccer players aged 8 to 12 years who were asked whether they had experienced episodes of knee or heel pain. Data were collected on age, body mass index, years of playing soccer, playing position, and training hours per week. Associations of clinical factors with the prevalence of knee or heel pain were examined by univariate and multivariate logistic regression analyses. Results: Episodes of knee and heel pain were reported by 29.4% and 31.1% of players, respectively. Multivariate analyses revealed that older age and more years of playing soccer were significantly and positively associated with the prevalence of knee pain ( P = .037 and P = .015 for trend, respectively) but did not identify any significant associations for heel pain. Conclusion: In this study of youth soccer players, knee pain was associated with older age and more years of play, but heel pain was not significantly associated with any factor.

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Low prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, Northwest Ethiopia: a community based cross-sectional study

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01064-x ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Kessete Ayelgn ◽

Tadesse Guadu ◽

Atalay Getachew

Keyword(s):

Rural Communities ◽

Associated Factors ◽

Statistical Significance ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Active Trachoma ◽

Study Participants

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

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