Several Components of the Lebanese Mediterranean Diet and Particular Sociodemographic, Medical and Lifestyle Factors may be Associated with Gastroesophageal Reflux Disease in Adults: A Cross-sectional Study in a Middle Eastern Setting

2020 ◽  
Vol 17 (1) ◽  
pp. 82-93
Author(s):  
Mary-Joe Youssef ◽  
Antoine Aoun ◽  
Aline Issa ◽  
Lana El-Osta ◽  
Nada El-Osta ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Gastroesophageal Reflux Disease ◽  
Perceived Stress ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gerd Symptoms

Background: The prevalence of gastroesophageal reflux disease (GERD) is increasing worldwide and the related chronic symptoms can be associated with morbidity and poor quality of life. Objective: The objective of this study was to identify foods and beverages consumed by the Lebanese population, dietary habits, socio-demographic and lifestyle factors, health parameters and perceived stress, implicated in increasing GERD symptoms. Methods: This observational cross-sectional study was carried among Lebanese adults in 2016. A convenient sample of 264 participants was equally divided into a GERD group and a control group. Data on socio-demographic characteristics, lifestyle, health status and dietary habits including Lebanese traditional dishes were collected. The perceived stress scale (PSS) was also used to assess the participants’ perception of stress. Logistic regression analyses were conducted with GERD symptoms (presence or absence) being the dependent variable. Results: The GERD symptoms were significantly associated with age (-p-value=0.017), family history of GERD symptoms (-p-value<0.001), smoking (-p-value=0.003) and chronic medical conditions (-p-value<.001). Regarding the dietary factors, participants who ate three meals or less/day, between meals and outside homes were 2.5, 2.9 and 2.4 times at a higher risk of experiencing GERD symptoms than others, respectively. Moreover, the logistic regression model showed that the GERD symptoms were significantly associated with the consumption of coffee (-p-value=0.037), Lebanese sweets (-p-value=0.027), fried foods (-p-value=0.031), ‘Labneh’ with garlic (-p-value<0.001), pomegranate molasses (-p-value=0.011), and tomatoes (-p-value=0.007). Conclusion: Some specific lifestyle factors and components of the Lebanese Mediterranean diet could be associated with GERD symptoms.

scholarly journals Effects of Life style factors on the symptoms of gastro esophageal reflux disease: A cross sectional study in a Pakistani population

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Shahid Ahmed ◽  
Sajjad Jamil ◽  
Hafeezullah Shaikh ◽  
Maryam Abbasi
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Reflux Disease ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Sectional Study ◽  
Esophageal Reflux ◽  
Cross Sectional ◽  
Disease Symptoms ◽  
Pakistani Population ◽  
Gerd Symptoms

Background & Objective: Gastro esophageal reflux disease (GERD) broadly includes the whole spectrum of reflux disease symptoms like heartburn or acid regurgitation to endoscopic, reflux esophagitis or Barrett’s esophagus. Our aim therefore was to study the association between Gastroesophageal reflux disease symptoms and various lifestyle factors. Methods: A descriptive cross-sectional study was carried out in the outpatient department of Darul Sehat Hospital, Zubaida Medical Center and Liaquat National Hospital & Medical College, Karachi, Pakistan from January 2018 to October 2018. The selected candidates were asked to fill a validated GERD questionnaire and they were also asked about their lifestyle factors. Odds ratio and their 95% confidence interval were estimated using binary logistic regression with GERD symptoms as the study outcome. Results: A total of 2000 respondents completed the questionnaire. 69.3% gastroesophageal reflux disease cases were found in participants above 35 years of age while 56.9% subjects were male. The most common lifestyle factors associated with GERD were less exercise time (90.9%) (OR, 6.47; 95% CI, 4.91-8.53), 78.3% participants had habit of eating midnight snacks (OR, 5.08; 95% CI, 4.03-6.40), 87.3% participants reported less interval between dinner and sleep (OR, 6.98; 95% CI, 5.36-9.08). The most important factor relieving GERD symptoms was raising the head of bed during sleep (79.4%) while 43.3% subjects with the habit of post dinner walk reported fewer symptoms of GERD. Conclusion: Lifestyle factors particularly less physical activity, late evening meals, inadequate sleep, smoking and post dinner lying were found to be associated with GERD symptoms. doi: https://doi.org/10.12669/pjms.36.2.1371 How to cite this:Ahmed S, Jamil S, Shaikh H, Abbasi M. Effects of Life style factors on the symptoms of gastro esophageal reflux disease: A cross sectional study in a Pakistani population. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1371 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Parent-Young People Communication on Sexual and Reproductive Health Issues and Associated Factors Among Students in Agaro Town, Ethiopia: A Cross-sectional Study

2021 ◽  
Author(s):  
Daba Abdissa ◽  
Workitu Sileshi
Keyword(s):  
Logistic Regression ◽  
Secondary Education ◽  
Young People ◽  
Reproductive Health ◽  
Primary Education ◽  
Educational Status ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Abstract BackgroundSexual and reproductive health (SRH) is at the base of young people's living and wellbeing. A significant number of young peoples are affected by avoidable SRH problems due to a lack of appropriate knowledge regarding SRH. Parent-young communication on SRH is critical in informing them about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. Therefore, the purpose of this study was to evaluate the parent-young communication on SRH issues among secondary and preparatory school students at Agaro town, Southwestern Ethiopia. MethodsSchool based cross-sectional study was conducted from April 13 to April 20, 2019 using stratified random sampling technique. Data were collected using pretested interviewer-administered structured questionnaire entered into Epi data version 3.1; and analyzed using SPSS version 20. A variable having a p-value of <0.25 in the bivariable logistic regression model was subjected to multivariable logistic regression analysis to avoid the confounding variable’s effect. Adjusted odds ratios were calculated at the 95% confidence interval and considered significant with a p-value of <0.05.ResultsA total of 315 students were included to the study. The mean age of the respondents was 20.2±2.6 years. The study finding showed that 61.3% of the participants were discussed on SRH issues with their parents. Educational status of mother [primary education (AOR=3.67; 95%CI=1.93,6.97),secondary education(AOR:2.86;95%CI=1.20,6.80)],educational status of father[primary education (AOR=5.8;95%CI=2.8,12.3,secondary education (AOR=3.21; 95%CI=1.55,6.59)],having family size of <5 (AOR= 6.4; 95%CI= 3.36,12.37) and having boy/girlfriend(AOR=1.99; 95%CI=1.0,3.8) were significantly associated with parent-young people communication. ConclusionAbout two third of the participants communicate with their parents about SRH issues. Parents’ educational status, family size of <5 and having boy/girlfriend were significantly associated with the parent-young people communication. The main reasons for not communicated was cultural taboos, shame and parents lack of knowledge. Therefore, it is necessary to educate and equip students and parents to address the identified problems.

scholarly journals Prevalence and correlates of overweight and obesity among adolescents in northeastern China: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036820
Author(s):  
Ruixin Duan ◽  
Changgui Kou ◽  
Jing Jie ◽  
Wei Bai ◽  
Xiaoxin Lan ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Northeastern China ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Related Factors ◽  
Cross Sectional ◽  
Changchun City

ObjectivesTo estimate the prevalence of overweight/obesity among adolescents and evaluate the associated factors in this group in Changchun City in northeastern China.MethodsA cross-sectional study of 1955 adolescents aged 11–18 years was conducted in Changchun City using stratified cluster sampling. Parents and caregivers of children completed the questionnaires as requested without objection. The questionnaire included demographic characteristics and anthropometric parameters. Univariate and multivariate logistic regression analyses were performed to analyse the relationship between overweight/obesity and related factors.ResultsIn total, the prevalence of overweight was 12.7% (male 17.4%; female 10.1%) and of obesity was 4.9% (male 8.8%; female 3.1%) in Changchun, Jilin Province. The prevalence of overweight and obesity was higher in boys than in girls (p<0.001). Multivariate logistic regression showed that overweight and obesity were significantly associated with male sex (OR=1.91, 95% CI 1.48 to 2.47), eating fresh fruits more than 2 days per week (OR=1.41, 95% CI 1.09 to 1.84) and eating quickly (OR=1.37, 95% CI 1.06 to 1.78). Students who were not picky (OR=0.69, 95% CI 0.53 to 0.90) were less likely to be overweight, and adolescents whose father was overweight or obese (OR=0.67, 95% CI 0.52 to 0.86) or whose mother was overweight or obese (OR=0.72, 95% CI 0.52 to 0.99) were less likely to be overweight.ConclusionThe prevalence of overweight and obesity among adolescents in Changchun has been high in recent years, and the prevalence was higher among boys than among girls. Sex, dietary habits (weekly frequency of fruit consumption, picky eating and slowness in eating) and parental weight were important factors for overweight and obesity in adolescents. Further research should be conducted on the health of adolescents in China, and further intervention measures should be implemented to reduce the prevalence of overweight/obesity.

scholarly journals A Cross-Sectional Study of Antibiotic Self-Medication

Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei ◽  
Azadeh Nazemi ◽  
Atefe Dadashi
Keyword(s):  
Logistic Regression ◽  
Side Effects ◽  
Cross Sectional Study ◽  
Study Data ◽  
P Value ◽  
Sectional Study ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference

Objectives: This research has been conducted to study antibiotic self-medication, prevalence, and reasons. Methods: A questionnaire containing 30 comprehensive questions in terms of the experience of antibiotic self-medication was prepared. In this cross-sectional study, data were analyzed using analytical statistics bases on chi-square and logistic regression. Results: The results showed that 61.3% of the participants were self-antibiotic users. There was a significant difference only between gender and self-medication such that self-medication in males was more than females (P value = 0.027). Conclusions: Self-medication of antibiotics is almost high and requires more information about the side effects of these drugs in order to promote rational and physically prescribed use.

scholarly journals A cross sectional study of dietary patterns and the association of perceived stress on body mass index among undergraduate medical students including compulsory residential rotatory interns

2018 ◽  
Vol 5 (5) ◽  
pp. 2086
Author(s):  
Supritha Nimmala ◽  
Adhiraj Bhattacharya ◽  
Balaji Ramraj
Keyword(s):  
Body Mass Index ◽  
Medical Students ◽  
Perceived Stress ◽  
Dietary Patterns ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Balanced Diet

Background: Medical education proves to be a tough and stressful environment during which these young physicians-in-training gain large amounts of knowledge and skills. Previous studies regarding dietary habits, body mass index (BMI) and perceived stress failed to include Compulsory Residential Rotatory Interns (CRRI). This study encompassing medical undergraduate students of all years including CRRIs aims to identify dietary patterns and significant associations between dietary habits, Perceived Stress and BMI.Methods: Cross-sectional study conducted with sample size of 150 consisting of undergraduate medical students varying from the first year to CRRI at SRM Medical College, Hospital and Research Centre, Tamil Nadu. Dietary habits noted with an information schedule. BMI calculated using Quetelet’s Index. Cohen’s PSS-10 questionnaire provided to quantify Perceived Stress. Associations tested using Chi-square test and Correlation.Results: Prevalence of obesity -7% and overweight -26.7% with males having higher mean BMI. Majority at 52% perceived ‘moderate’ stress with males having higher mean PSS score. Awareness of balanced diet was 94.7% with 32% practicing balanced diet. Diet frequency was regular in 62% and 49.3% was skipping meals. 92.7% consumed junk food often and 13.3% partook in binge eating. 8% participated in crash diets and significant association found between this dietary factor and BMI. Significant correlation and positive linear relationship found between Perceived Stress and BMI.Conclusion: Higher levels of perceived stress among students including CRRIs lead to overall higher values of BMI indicates the need for stricter healthier dietary habits and psychological health services to relieve stress.

scholarly journals The Burden of Overweight and its Risk Factors in Urban Nepalese School Adolescents: A Cross-Sectional Study

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Kamal Chaulagain
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Family Type ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Multivariable Logistic Regression

Introduction: Adolescent’s overweight is rising in both developing and developed countries. Overweight and obese adolescents are more likely to become obese adults which stimulate the risk of non-communicable diseases such as diabetes, cardiovascular diseases and so on. Adolescence is the critical period for development of unhealthy lifestyles and food choices which increases the risk of NCDs. The loss of productivity, premature deaths and disability has been associated with NCDs at younger ages. This study focuses on identifying the prevalence and associated risk factors with adolescents’ overweight. Methods: A school based cross-sectional study was conducted between August-October 2020 in Gokarneshwor municipality of Nepal. A random sample of 558 students aged 10-19 years from nine schools was included in the study. A self-administered questionnaire was filled out by the study participants. Anthropometric indices were measured and categorized using BMI for age Z-score. Descriptive statistics were carried out. Variables were considered for multivariable logistic regression if a Wald test p-value was ≤0.25 during bivariate logistic regression. The odds ratio with a 95% CI was calculated and a p-value of ≤0.05 was considered to declare the statistical significance of variables after fitting into the multivariable logistic regression. Results: The prevalence of overweight among school adolescents was 17.9% (95% CI 14.7 to 21.1). The female adolescents were more likely to get overweight as compared to male adolescents (AOR 1.53, 95% CI 0.97 to 2.39). Similarly, the adolescents staying with more than four family members were less likely to get overweight as compared to their counterparts (AOR 0.57, 95% CI 0.35 to 0.95). There was no statistical significant association between adolescent overweight and age group, family type, school type, mothers’ occupation or fruits consumption. Conclusion: The study findings highlighted the accelerated increase in the prevalence of overweight among school adolescents in Nepal. Therefore, appropriate nutritional intervention focusing on tackling overweight should be formulated and implemented so that the prevalence of overweight-associated non-communicable diseases can be minimized.

Factors associated with childbearing intention of women on Antiretroviral Therapy in Northwest Ethiopia: A cross sectional study

2020 ◽  
Author(s):  
Amare Simegn Ayele ◽  
Demeke Mesfin Belay ◽  
Biniam Minuye Birihane
Keyword(s):  
Logistic Regression ◽  
Antiretroviral Therapy ◽  
Information Needs ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
P Value ◽  
Fertility Desire ◽  
Sectional Study ◽  
Hiv Diagnosis ◽  
Cross Sectional

Abstract Background: Though, childbearing intention is normal, it is imperative in Human Immune Virus positive women and identifying their intention has significant in reducing mother to child transmission. This study was intended to assess childbearing intention and associated factors among women on antiretroviral therapy in South Gondar Hospitals, Northwest Ethiopia.Methods: Institution based cross sectional study was employed. The sample for each Hospitals was allocated proportionally. Systematic random sampling method was used to select the study participants. Data were coded and entered into epidata 4.2 software and exported to statistical package for social sciences version 25 for analysis. Binary logistic regression was used to saw the association between each independent variable and dependent variable. All variables with P-value < 0.25 during bi-variable analyses were considered for multivariable logistic regression analyses. Odds ratio along with 95%CI were estimated to measure the strength of the association. Level of statistical significance was declared at p value less or equal to 0.05.Results: - A total of 418 women on antiretroviral therapy participated in the study. Child bearing intention was 42.6%. History of pregnancy after HIV diagnosis [Adjusted Odd Ratio (AOR) =5.19, 95% CI: (1.83, 14.7)], Partners fertility desire [AOR=10.99, 95% CI: (4.34, 27.86)], having alive children [AOR=0.23, 95% CI: 0.23(0.81, 0.63)] were significantly associated with childbearing intention.Conclusion. Childbearing intention of women on antiretroviral treatment was low. Having partner’s fertility desire, had pregnancy after HIV diagnosis and have alive child were significantly associated with childbearing intention. Information needs to be shared for the clients by using counseling protocols developed to achieve their desired reproductive goals.

scholarly journals Modifiable risk factors related to burnout levels in the medical workplace in Taiwan: cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032779 ◽  
Author(s):  
Yu-Li Lin ◽  
Cing-Hua Chen ◽  
Wei-Min Chu ◽  
Sung-Yuan Hu ◽  
Yi-Sheng Liou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Sleep Duration ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Burnout Risk ◽  
Catch Up

ObjectivesTo detect the combined effects of lifestyle factors on work-related burnout (WB) and to analyse the impact of the number of weekend catch-up sleep hours on burnout risk in a medical workplace.DesignCross-sectional study.SettingHospital-based survey in Taiwan.ParticipantsIn total, 2746 participants completed the hospital’s Overload Health Control System questionnaire for the period from the first day of January 2016 to the end of December 2016, with a response rate of 70.5%. The voluntary participants included 358 physicians, 1406 nurses, 367 medical technicians and 615 administrative staff.Primary and secondary outcome measuresAll factors that correlated significantly with WB were entered into a multinomial logistic regression after adjustment for other factors. The dose–response relationship of combined lifestyle factors and catch-up sleep hours associated with WB was explored by logistic regression.ResultsAbnormal meal time (adjusted OR 2.41, 95% CI 1.85 to 3.15), frequently eating out (adjusted OR 1.49, 95% CI 1.12 to 1.97), lack of sleep (adjusted OR 5.13, 95% CI 3.94 to 6.69), no exercise (adjusted OR 1.41, 95% CI 1.10 to 1.81) and >40 work hours (adjusted OR 2.72, 95% CI 2.08–3.57) were independently associated with WB (for high level compared with low level). As the number of risk factors increased (1–5), so did the proportion of high severity of WB (adjusted OR 1.39, 95% CI 0.45 to 4.27, to adjusted OR 32.98, 95% CI 10.78 to 100.87). For those with more than 7 hours’ sleep on workdays, weekend catch-up sleep (≤0/>0 and ≤2/>2 hours) was found to be related to an increase of burnout risk (adjusted OR 4.91, 95% CI 2.24 to 10.75/adjusted OR 4.94, 95% CI 2.54 to 9.63/adjusted OR 6.74, 95% CI 2.94 to 15.46).ConclusionWB in the medical workplace was affected by five unhealthy lifestyle factors, and combinations of these factors were associated with greater severity of WB. Weekend catch-up sleep was correlated with lower burnout risk in those with a short workday sleep duration (less than 7 hours). Clinicians should pay particular attention to medical staff with short sleep duration without weekend catch-up sleep.

scholarly journals Pica Is Associated With Smoking and Self-Reported Stress Among Palestinian Pregnant Women: Cross-Sectional Study

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 702-702
Author(s):  
Souzan Zidan ◽  
Manal Badrasawi ◽  
May Hamdan
Keyword(s):  
Pregnant Women ◽  
Psychological Stress ◽  
Health Care Professionals ◽  
Dietary Habits ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional

Abstract Objectives 1. To determine the prevalence of pica among Palestinian pregnant women. 2. To identify substance most commonly ingested by Palestinian pregnant women. 3. To explore whether dietary habits and lifestyle factors are associated with pica practice among Palestinian pregnant women. Methods A cross-sectional study was conducted among 170 pregnant women. Interview pre-tested structured questionnaire was administrated to pregnant women who were attending private gynecological clinics in Hebron district. Cronbach Alpha was used to determine the reliability of the questionnaire. The statistical analysis was done using descriptive statistics. Independent t-test and Chi-square test were also used to see whether pica practice is related to sociodemographic characteristics, dietary habits, and lifestyle factors. Results Eight (4.7%) participants reported experiencing pica during pregnancy. Pica prevalence categorized by substances ingested as follows: ice cube (62.5%); dirt (12.5%); cigarette ash residue (12.5%); toothpaste (12.5%). Minority of women who practiced pica reported experiencing pica in previous pregnancy, and health problems-related to pica. Most women who practiced pica reported ingestion of pica item during the first trimester. Pica practice was significantly associated with smoking and psychological stress during pregnancy. Moreover, pica practice was related to the dietary intake of milk and fat. Conclusions Pica practice is not common in the current sample. It was found that pica practice was associated with smoking and psychological stress. Health care professionals need to be conscious of the presence of this behavior. A nation-wide research of pica prevalence among pregnant women is highly needed. The phenomenon obviously needs further research. Funding Sources The authors declare that no external financial support was received for this study.

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