Relating Factors for Impaired Fasting Glucose in Korean Adult: A Population Based Study

Abstract Background: Individuals with impaired fasting glucose who have poor health behaviors are at a greater risk for a variety of health outcomes. This study aimed to investigate the relationship between health literacy and health behaviors in Korean adults with impaired fasting glucose (IFG). Methods: This study adopted a secondary data analysis of the Korea National Health and Nutrition Examination Survey (KNHANES), which used a stratified, multi-stage, cluster-sampling design to obtain a nationally representative sample. This study analyzed the KNANES Health Examination Survey and Health Behavior Survey from 2016 to 2018. Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors and health literacy to identify the risk factors for impaired fasting glucose.Results: Among the 9919 participants, 7093 (71.5%) were in the normal fasting glucose group and 2826 (28.5%) were in the impaired fasting glucose group. The presence of an impaired fasting glucose level varied significantly by sex, age, economic status, and whether participants dined out regularly, drank alcohol regularly, recognized nutrition fact labels, and utilized nutrition facts labels.Conclusions: Individuals with impaired fasting glucose were less likely to practice health behaviors and had lower health literacy compared with those with non-impaired fasting glucose. Our results suggest that improving health literacy in subjects with impaired fasting glucose is effective in improving their health behaviors.

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Related Factors for Impaired Fasting Glucose in Korean Adults: A Population Based Study

BMC Public Health ◽

10.1186/s12889-021-12276-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hyunjin Lee ◽

Bohyun Kim ◽

Youngshin Song

Keyword(s):

Logistic Regression ◽

Health Literacy ◽

Health Behaviors ◽

Impaired Fasting Glucose ◽

Fasting Glucose ◽

Multiple Logistic Regression Analysis ◽

Health Examination ◽

Multiple Logistic Regression ◽

Related Factors ◽

High Bmi

Abstract Background Individuals with impaired fasting glucose (IFG) who have poor health behaviors are at a greater risk for various health outcomes. This study compared the health behaviors and health literacy between individuals with non-IFG and IFG; factors that were associated with IFG were identified by sex. Methods This study was an observational study with a cross-sectional design based on data from the Korea National Health and Nutrition Examination Survey (KNHANES) that used a stratified, multi-stage, cluster-sampling design to obtain a nationally representative sample. This study analyzed the KNHANES Health Examination Survey and Health Behavior Survey from 2016 to 2018 (N=9919). Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors and health literacy to identify the risk factors for IFG. Results The prevalence of IFG among the total was 29.0% (weighted n=2826, 95% CI 27.8–30.2). In the IFG group, 63.6% were male and 36.4% were female (X2=320.57, p<.001). In multiple logistic regression by sex, the factors associated with IFG in male were as follows: age (50s; OR=2.36, 95% CI 1.79–3.13), high BMI (OR=2.27, 95% CI 1.78–2.90), frequent drinking (OR=1.83, 95% CI 1.23–2.72), and using nutrition fact labels (OR=1.35, 95% CI 1.05–1.75). Low economic status (OR=4.18, 95% CI 1.57–11.15) and high BMI (OR=2.35, 95% CI 1.29–4.28) were the affecting factors in female. On the other hand, employment status, perceived stress, and job type were not related to IFG in both male and female. Conclusions Strategies should be targeted to improve health behaviors and health literacy for those in their 40s and 60s, male in shift work, those who frequently dine out, overweight male, female with low economic statuses, and frequent drinkers. Moreover, healthcare providers should understand the barriers to health behaviors and literacy to effectively deliver healthcare service.

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The Effect of Colonoscopy on the Diagnosis of Impaired Fasting Glucose in Health Examination Subjects

Korean Journal of Family Practice ◽

10.21215/kjfp.2018.8.1.47 ◽

2018 ◽

Vol 8 (1) ◽

pp. 47-51

Author(s):

Na-Rae Kim ◽

Jae-Seok Im ◽

Yong-Jin Cho ◽

Sung-Ho Hong ◽

Choo-Yon Cho ◽

...

Keyword(s):

Impaired Fasting Glucose ◽

Fasting Glucose ◽

Health Examination

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Dose-Response Relationship between Night Work and the Prevalence of Impaired Fasting Glucose: The Korean Worker’s Special Health Examination for Night Workers Cohort

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041854 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1854

Author(s):

Jae Yong Lee ◽

Ji-Won Lee ◽

Won Seon Choi ◽

Jun-Pyo Myong

Keyword(s):

Impaired Fasting Glucose ◽

Dose Response ◽

Fasting Glucose ◽

Night Work ◽

Multivariate Logistic Regression Model ◽

Medical Institute ◽

Health Examination ◽

Response Relationship ◽

Dose Response Relationship ◽

Special Health

Many studies have been conducted regarding the association between night work and diabetes, but the association between impaired fasting glucose (IFG) and night work is still unclear. The aim of this study was to evaluate this association using the Special Health Examination (SHEW) for Korean night workers. Laboratory, questionnaire, and physical examination data were collected for 80,077 manual workers between 2014 and 2016 from Korea Medical Institute, and associations of the data with IFG were evaluated using a multivariate logistic regression model. The odds ratios for IFG among those who worked night shifts for 2~5 years, 5~12 years, and 12 years or over (ref: <2 years) after adjusting for abdominal obesity were 1.14 (0.90–1.45), 1.41 (1.10–1.81), and 1.75 (1.41–2.19), respectively. A dose–response relationship was identified between the duration of night work and the prevalence of IFG (p for trend <0.05). A dose relationship remained significant when a subgroup of non-obese participants was analyzed. We identified an association and a dose–response relationship between the number of years of night work and IFG. To prevent the development of diabetes in night workers, we suggest that they should be pre-emptively screened and treated from the stage of IFG.

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Parental health literacy and health behaviors in children: a 2017 cross-sectional survey in Germany

European Journal of Public Health ◽

10.1093/eurpub/ckz187.181 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

E de Buhr ◽

A Tannen

Keyword(s):

Health Literacy ◽

Child Health ◽

Health Behaviors ◽

Health Knowledge ◽

Short Form ◽

Economic Status ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Parental Health ◽

Socio Economic Status

Abstract Background Health literacy (HL) is closely associated with leading health indicators. Parents represent a critical subgroup among the adult population since they are not only responsible for their own health but also for the health of their children. Previous research suggests that parents with low HL are less likely to meet the preventive and health care needs of their children but the relationship between parental HL and child health is not yet well understood. Methods A cross-sectional survey was implemented in 2017 in 28 public schools in Germany. The parent questionnaire was completed by 4217 caregivers and included the short form of the HLS-EU-Q16. The child questionnaire examined health knowledge, behaviors and outcomes. For children under 11 years, the caregiver reported on behalf of their children (N = 1518). In all other cases, the children completed the questionnaires (N = 2776). Bivariate and multivariate analyses were carried out. Results Among the interviewed parents, 45.8% showed a problematic or inadequate HL. Parents with higher HL reported a better subjective health and quality of life, and they judged their children as being healthier. The major determinant of high parental HL was socio-economic status (r=.088***). High parental HL was associated with positive health behaviors in children including higher consumption of fruits and vegetables, fewer sweetened beverages, regular tooth brushing and more physical activity. The relationships between parental HL and smoking, alcohol consumption, sexual activity among children and children’s weight were not significant. Conclusions The results confirm a relationship between low parental HL, SES and some problematic health behaviors in children. Strengthening the HL of vulnerable parents may contribute to improved health outcomes particularly in the areas of children’s nutrition, exercise and dental health, and parents should be integrated in school-based activities of health promotion and prevention. Key messages There is a strong statistical relationship between parental health literacy and socio-economic status. Parental health literacy is associated with child health behaviors (e.g., nutrition, exercise).

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