Sleep Duration and Bedtime in the PURE Poland Cohort Study and the Link with Noncommunicable Diseases

(1) Background: The objective was to investigate the association between sleep duration, bedtime, and noncommunicable diseases in the PURE Poland cohort study. (2) Methods: The baseline study was conducted in 2007–2010. The study group comprised 2023 adult inhabitants of urban and rural areas in Lower Silesia, Poland. The study protocol included questionnaires, blood pressure measurements, blood draws, and anthropometric measurements. Sleep duration and bedtime were self-reported. (3) Results: The median sleep duration of women was 30 min longer than men (8 h vs. 7.5 h; p = 0.001). The average time of sleep increased along with the age of the participants. A sleep duration of >8 h was more common in rural than in urban participants (40.2% vs. 27.1%; respectively; p < 0.001). The relative risk of diabetes, stroke, hypertension, cardiovascular diseases (CVD), and obesity was significantly higher in participants who went to bed between 6 p.m. and 10 p.m. in comparison to those who went to bed between 10 p.m. and 12 a.m. (RR 2.23, 95%CI 1.06–4.67; RR 2.52, 95%CI 1.28 to 4.97; RR 1.12, 95%CI 1.04–1.20; RR 1.36; 95%CI 1.1–1.68; RR 1.38; 95%CI 1.15–1.66, respectively). The relative risk of respiratory diseases was two-fold higher in those who went to bed after midnight in comparison to those who went to bed between 10 p.m. and 12 a.m. (RR 2.24; 95%CI 1.19–4.22). (4) Conclusions: In our study, an earlier bedtime was associated with a higher risk of diabetes, stroke, obesity, hypertension, and CVD.

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Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084185 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4185

Author(s):

Katarzyna Zatońska ◽

Piotr Psikus ◽

Alicja Basiak-Rasała ◽

Zuzanna Stępnicka ◽

Maria Wołyniec ◽

...

Keyword(s):

Cohort Study ◽

Alcohol Consumption ◽

Rural Areas ◽

Urban Areas ◽

Level Of Education ◽

Adult Participants ◽

Frequent Consumption ◽

Urban And Rural Areas ◽

Socio Demographic Factors ◽

High Level

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007–2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64–10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03–2.17; OR 1.66, CI 1.27–2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05–2.85; OR 1.76, CI 1.22–2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.

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Differences in energy and selected macronutrients intake with diet between men and women from urban and rural areas of the Lower Silesia in Poland: the Polish arm of the Prospective Urban Rural Epidemiological (PURE) study

Journal of Health Inequalities ◽

10.5114/jhi.2016.65355 ◽

2016 ◽

Vol 2 ◽

pp. 148-154 ◽

Cited By ~ 1

Author(s):

Dorota Różańska ◽

Bożena Regulska-Ilow ◽

Rafał Ilow ◽

Katarzyna Zatońska ◽

Maria Wołyniec ◽

...

Keyword(s):

Rural Areas ◽

Men And Women ◽

Urban Rural ◽

Urban And Rural Areas ◽

Lower Silesia

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Noncommunicable Diseases in The Southwest of Iran, A Region of High Altitude with Distinctive Ethnic Groups: Results of The Shahrekord Cohort Study

10.21203/rs.3.rs-76600/v1 ◽

2020 ◽

Author(s):

ALI Ahmadi

Keyword(s):

Cohort Study ◽

Health System ◽

High Altitude ◽

Rural Areas ◽

Fasting Blood Glucose ◽

Noncommunicable Diseases ◽

Prospective Longitudinal Study ◽

Alcoholic Fatty Liver ◽

Southwest Of Iran ◽

Prospective Longitudinal

Abstract Background: Critical inter-provincial differences within Iran in the pattern of noncommunicable diseases (NCDs) and difficulties inherent to the identification of prevention methods to reduce mortality from NCDs have challenged the implementation of the provincial health system plan. The Shahrekord Cohort Study was designed to address these gaps in Chaharmahal and Bakhtiari, a province of high altitude of the southwest of Iran, characterized by its large Bakthiari population.Methods: This ongoing cohort, prospective longitudinal study is a unique, rich biobank and a large-scale study conducted for the first time in Chaharmahal and Bakhtiari province in Iran. The study began in 2015, recruited 10075 participants (52.8% female) from both urban and rural (30.2%) areas and participants will be followed up until at least 2035. Diseases and their outcomes are ascertained from clinical examinations, interviews, and linkage with medical records registered in the health system.Results: Preliminary results indicate that the prevalence of NCDs at baseline was relatively high, for example 10.7% for type 2 diabetes mellitus, 20.2% for hypertension, 14.6% for non-alcoholic fatty liver, 11.4% for thyroid disease, and 5.7%, 0.9% and 1.3% for ischemic heart disease, stroke and myocardial infarction respectively. The mean (standard deviation) of BMI, systolic blood pressure, fasting blood glucose and cholesterol were 27.6 (4.6) kg/m2, 115.4 (17.3) mmHg, 96.7 (27.3) mmol/L and 184.1 (42.8) respectively. All NCDs appeared to be more frequent in urban than rural areas, except gastroesophageal reflux (32.3% in rural and 29% in the urban area). Conclusions: The Shahrekord Cohort Study provides a platform for epidemiological studies that will be useful for a better prevention and management of NCDs in the southwest of Iran.

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The associations between carbohydrate and protein intakes with habitual sleep duration among adults living in urban and rural areas

Clinical Nutrition ◽

10.1016/j.clnu.2017.07.024 ◽

2018 ◽

Vol 37 (5) ◽

pp. 1631-1637 ◽

Cited By ~ 8

Author(s):

Xin Liu ◽

Di Wu ◽

Xin Qi ◽

Yulin Niu ◽

Wenyuan Li ◽

...

Keyword(s):

Sleep Duration ◽

Rural Areas ◽

Urban And Rural Areas

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A multi-center longitudinal study on responsive breastfeeding in China from the perspective of health equity: research protocol

International Journal for Equity in Health ◽

10.1186/s12939-021-01430-5 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Wen Shu ◽

Menglong Li ◽

Nubiya Amaerjiang ◽

Xin Fan ◽

Shunna Lin ◽

...

Keyword(s):

Cohort Study ◽

Cognitive Development ◽

Health Equity ◽

Rural Areas ◽

Family Income ◽

Post Partum ◽

Barriers And Facilitators ◽

Breastfeeding Duration ◽

Urban And Rural Areas ◽

Equity Perspective

Abstract Background Socio-economic inequities can strongly influence suboptimal infant feeding outcomes. Factors such as lack of knowledge about breastfeeding, low family income, low educational attainment, social and economic status, cultural norms and ethnicity may negatively affect success with offering breastfeeding following a responsive feeding approach (ie. responsive breastfeeding). Such inequities can indeed shorten breastfeeding duration, and negatively affect behavioral and cognitive infant outcomes. In China, there is a dearth of studies focusing on breastfeeding from the responsive and health equity perspective. Objective The aim of this article is to present a protocol of an ongoing longitudinal cohort study investigating factors associated with responsive breastfeeding behaviors, and the child’s behavioral and cognitive development from birth to12 months post-partum in five centers in China. The study seeks to identify breastfeeding barriers and facilitators from a health equity perspective. Methods We are enrolling 700 women and their singleton full term infants in Chongqing, Huizhou and Guangzhou urban and rural areas. The study questionnaires will be administrated within 72 h, 30 days, 3, 6, 9, and 12 months post-partum during the baby’s vaccination visits. We will investigate the difference between urban and rural areas sociodemographic characteristics, breastfeeding knowledge, attitudes and practice, postnatal depression, maternal emotion regulation and parenting stress, and anthropometric and cognitive development indicators of the infants at each time-point. Conclusion Our article illustrates how a cohort study can be designed to understand the barriers and facilitators of responsive breastfeeding taking equity principles into account to help promote infants’ growth and development in China.

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