scholarly journals Surgery and Financial Toxicity are Risk Factors for Distress in Cancer Survivors: A Cross-sectional Study

2020 ◽  
Author(s):  
Huihui Yu ◽  
Tingting Zuo ◽  
Xue Bi ◽  
Hui Li ◽  
Haiyang Xing ◽  
...  

Abstract Background: Patients with cancer often face some level of distress, regardless of disease stage. Distress in cancer survivors has a negative impact on their quality of life. The goal of this study was to identify risk factors for distress, under­stand how treatment associated with distress and reveal the relationship between the psychological and financial distress. Methods: This was a multi-center cross-sectional study of patients with cancer requiring surgery or chemotherapy. Patients completed questionnaires regarding their demographics, disease characteristics, psychological distress, and financial toxicity. A multivariable logistic regression model was used to examine factors associated with distress in surgical versus chemotherapy treatment groups.Results: A total of 409 patients participated in the study. Patients treated with surgery (n = 172) were more likely to be female, unemployed, early stage compared with patients undergoing chemotherapy (n = 237). Multivariable analysis revealed that surgical patients tended to have a higher risk of distress compared with patients receiving chemotherapy (OR, 95% CI: 3.086, 1.854–5.137) due to higher rates of nervousness, pain, and difficulty with bathing/dressing, and patients with high financial toxicity had a higher risk of distress compared with those with low financial toxicity (OR, 95% CI: 2.000, 1.278–3.130). The relationship between financial toxicity and psychological distress was stronger in the chemotherapy group, with the correction coefficient -0.294 and slope -1.196. Conclusion: Patients who underwent surgery and reported higher financial toxicity were more likely to experience distress. Multidimensional distress screening and psychosocial interventions should be provided pre- and post-operatively for patients.

2020 ◽  
Author(s):  
Maryam Sabbari ◽  
Atieh Mirzababaei ◽  
Farideh Shiraseb ◽  
Khadijeh Mirzaei

Abstract Objective: No studies have examined the relationship between recommended food score (RFS), none recommended food score (NRFS) and cardiovascular risk factors. This study was conducted to evaluate the association of RFS and NRFS with cardiovascular risk factors in overweight and obese women.Methods: This cross-sectional study was performed on 379 overweight and obese (BMI ≥25 kg/m2) women aged 18-48 years. Anthropometric measurements and body composition analysis were assessed in all participants. Dietary intake was assessed by a valid and reliable food frequency questionnaire (FFQ) containing 147 items and RFS and NRFS calculated. Biochemical assessments including TC, HDL, LDL, TG, FBS, insulin, HOMA-IR and hs-CRP were quantified by ELISA.Results: The mean age and BMI of participants were 36.73±9.21 (y) and 31.17±4.22 (kg/m²) respectively. Binary logistic analysis showed that participants in the highest quartile of the RFS compared to the lowest quartile had 82% lower risk for Hypertriglyceridemia [OR=0.18, 95%CI=0.06-0.53, P=0.002] and 91% lower risk for abdominal obesity [OR=0.09, 95%CI=0.008-1.04, P=0.05]. in addition, Participants who were in the highest quartile of the RFS compared to the lowest quartile had lower HOMA-IR [OR=0.29, 95%CI=0.08-1.00, P=0.05]. subjects with high adherence to the NRFS had lower HDL [OR=2.11, 95%CI=1.08-4.12, P=0.02] and higher risk for Hypertriglyceridemia [OR=2.95, 95%CI=1.47-5.94, P=0.002] compared to low adherence. Conclusions: There was an inverse significant association between adherence to RFS and risk of Hypertriglyceridemia, insulin resistance, and abdominal obesity. There was a significant association between NRFS and Hypertriglyceridemia, and also we found an inverse relationship between NRFS and HDL.


Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1041 ◽  
Author(s):  
Pilar Pérez-Ros ◽  
Rafael Vila-Candel ◽  
Lourdes López-Hernández ◽  
Francisco Miguel Martínez-Arnau

Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35; p < 0.001). Conclusions: The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.


2021 ◽  
Vol 51 ◽  
pp. 101929
Author(s):  
Omid Rasouli ◽  
Malin Aarseth Bø ◽  
Trude Reinfjell ◽  
Unni Karin Moksnes ◽  
Mary-Elizabeth B. Eilertsen

2015 ◽  
Vol 22 (09) ◽  
pp. 1150-1158
Author(s):  
Atiq ur Rehman ◽  
Syeda Farhana Kazmi

Objectives: The main purpose of this research was to compare the level ofpsychological distress between HBV and HCV patients and to determine the effect of genderand age on psychological distress. Determine the relationship between coping strategies andpsychological distress. Method: For the present study 100 HBV patients (50 male and 50 female)and 100 HCV patients (50 male and 50 female) were selected. The sample was selected fromLiver Centre, district headquarter hospital Faisalabad. This was a cross sectional study. MHI-38was used to measure the psychological distress and CRI was used to measure the copyingstyles among HBV and HCV patients. Result: HCV patients have higher levels of psychologicaldistress t (198) = 6.54, p< .05 compared to HBV patients. Female hepatitis patients weresuffering from high levels of psychological distress t (198) = 3.90, p < .05 as compared to malehepatitis patients, with male, age is positively correlated with psychological distress, r = .32,p < .01 but with female age is negatively correlated with psychological distress r = -.49, p <.01. Approach coping is negatively correlated with psychological distress in male and femalehepatitis patients, respectively, r = -.45, p < .01 and, r = -.29, p <.01. Conclusion: HCV andfemale patients have higher levels of psychological distress comparatively of HBV and malepatients. Age is correlated with psychological distress. The approach coping styles play animportant role in controlling the psychiatric comorbidity in HBV and HCV patients.


2011 ◽  
Vol 35 (2) ◽  
pp. 147
Author(s):  
Delmi Sulastri ◽  
Sidhi Sidhi

AbstrakHipertensi pada anak dan remaja sudah merupakan masalah kesehatan mesyarakat yang ada di Indonesia maupun di beberapa negara yang ada di dunia. Hampir 95% kasus hipertensi tidak diketahui penyebabnya atau disebut hipertensi esensial. Beberapa faktor risiko diduga berhubungan dengan peningkatan prevalensi hipertensi ini.Telah dilakukan penelitian dengan desain cross sectional study pada siswa SMU Adabiah yang berusia antara 15 tahun sampai 18 tahun, bertujuan untuk melihat hubungan faktor risiko riwayat keturunan, obesitas, aktifitas fisik dan kebiasaan merokok dengan kejadian hipertensi. Sampel sebanyak 61 orang, kemudian dilakukan wawancara mengenai karakteristik, riwayat keturunan, aktifitas fisik dan kebiasaan merokok serta pemeriksaan tekanan darah dan antropometri. Data yang diperoleh selanjutnya dianalisis menggunakan uji chi-square serta ditampilkan dalam bentuk tabel, gambar dan narasi.Hasil penelitian ini adalah 66.7% siswa mengalami obese, 20.7% mempunyai keturunan hipertensi, 30% dengan aktifitas fisik rendah dan 33.3% mempunyai kebiasaan merokok mengalami hipertensi.Tidak didapat hubungan antara obesitas, riwayat keturunan dan aktifitas fisik dengan kejadian hipertensi dan terdapat hubungan antara merokok dengan kejadian hipertensi (p=0.033).Perlu dilakukan kebijakan yang mengatur tentang peraturan merokok pada anak remaja.Kata kunci : Hipertensi, Riwayat keturunan dan ObesitasAbstractHypertension in children and adolescents is a health problem of the community is in Indonesia as well as in several countries of the world. Almost 95% of the hypertension cases have no cause yet identified or it can be referred to as essential hypertension. Some of the risk factors associated with an increased prevalenceofhypertension. . A research has be made based on cross sectional study study with a cross sectional study Adabiah high school students aged between 15 years to 18 years. The aims to examine the relationship of risk factors history of heredity, obesity, physical activity and smoking habits with the incidence of hypertension. Sample of 61 people were interviewed about the characteristics, history of heredity, physical activity and smoking habits and blood pressure and anthropometry. The dataARTIKEL PENELITIAN148obtained were then analyzed using the chi-square test and displayed in the form of tables, figuresandnarratives.The results of this study were 66.7% of students had obese, 20.7% had a descendants of hypertension, 30% with low physical activity, and 33.3% having ever smoked had hipertensi.Tidak obtained relationship between obesity, a history of heredity and physical activity with the incidence of hypertension and the relationship between smoking with the incidence of hypertension (p = 0033). There needs to be policy regarding smoking regulations in adolescents. Key word : Hypertension, Heredity and Obesity


Maturitas ◽  
2019 ◽  
Vol 130 ◽  
pp. 6-12 ◽  
Author(s):  
S.W.M.C. Maass ◽  
L.M. Boerman ◽  
P.F.M. Verhaak ◽  
J. Du ◽  
G.H. de Bock ◽  
...  

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