scholarly journals Common Mental Disorders, Functional Limitation and Diet Quality Trends and Related Factors among COPD Patients in Spain, 2006–2017: Evidence from Spanish National Health Surveys

2021 ◽  
Vol 10 (11) ◽  
pp. 2291
Author(s):  
Silvia Portero de la de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
Physical Activity ◽  
Diet Quality ◽  
Educational Level ◽  
Chronic Conditions ◽  
Health Surveys ◽  
Common Mental Disorders ◽  
Smoking Status ◽  
Functional Limitation ◽  
Copd Patients ◽  
National Health Surveys

Certain conditions such as common mental disorders (CMDs), functional limitation (FL) and poor diet quality may affect the lives of individuals who suffer from chronic obstructive pulmonary disease (COPD). This study sought to examine time trends in the prevalence of CMDs, FL and diet quality among male and female COPD patients living in Spain from 2006 to 2017 and to identify which factors were related to CMDs, FL and a poor/improvable diet quality in these patients. We performed a cross-sectional study among COPD patients aged ≥ 40 years old using data from the Spanish National Health Surveys conducted in 2006, 2011 and 2017, identifying a total of 2572 COPD patients. Binary logistic regressions were performed to determine the characteristics related to CMDs, FL and poor/improvable diet quality. Over the years of the study, the prevalence of FL among female COPD patients increased (p for trend <0.001). In addition, CMDs were associated to body mass index (BMI), educational level, physical activity, smoking status, occupation, chronic conditions and alcohol consumption; FL was related to age, living with a partner, educational level, physical activity and chronic conditions; and poor/improvable diet quality was associated to age, smoking status, BMI and physical activity.

scholarly journals Diet Quality, Physical Activity, Smoking Status, and Weight Fluctuation Are Associated with Weight Change in Women and Men

2010 ◽  
Vol 140 (7) ◽  
pp. 1287-1293 ◽  
Author(s):  
Ruth W. Kimokoti ◽  
P. K. Newby ◽  
Philimon Gona ◽  
Lei Zhu ◽  
Guneet K. Jasuja ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diet Quality ◽  
Weight Change ◽  
Smoking Status ◽  
Weight Fluctuation

Abstract P259: Improvements in Diet Quality Are Associated With Reduced Abdominal Adiposetissue: A Prospective Study

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Rachel Hennein ◽  
Jiantao Ma ◽  
Michelle Long ◽  
Chunyu Liu ◽  
Daniel Levy
Keyword(s):  
Physical Activity ◽  
Adipose Tissue ◽  
Standard Deviation ◽  
Diet Quality ◽  
Smoking Status ◽  
Fat Distribution ◽  
Abdominal Fat ◽  
Whole Grains ◽  
Standard Deviation Increase ◽  
Fat Accumulation

Objectives: Visceral adipose tissue (VAT) and abdominal subcutaneous adipose tissue (SAT) are associated with cardiometabolic diseases. The relationship between diet quality and abdominal fat accumulation, however, has not been well studied. We aimed to examine the long-term association of change in diet quality and change in abdominal adipose tissue. Methods: In 1,677 participants who attended two consecutive Framingham Heart Study examinations, we measured the volume of VAT and SAT using multi-detector computed tomography at two time-points (median interval of 6 years). The ratio of VAT/SAT was calculated to reflect the relative abundance of these two fat stores, i.e., abdominal fat distribution. We created two scores to represent overall diet quality, the Mediterranean-style diet score (MDS) and the Alternative Healthy Eating Index (AHEI) score, using food frequency questionnaires at baseline and follow-up exams. We analyzed the association between change in the dietary scores and change in VAT, SAT, and VAT/SAT ratio with adjustment for baseline covariates including sex, age, dietary score, VAT, SAT, or VAT/SAT ratio, BMI, energy intake, smoking status, physical activity score, and change in energy intake, smoking status, and physical activity. Results: For each standard deviation increase in ΔMDS (diet quality improved), VAT volume reduced by 53±19 cm 3 (P=0.005) and SAT volume declined by 52±20 cm 3 (P=0.01). Similarly, for each standard deviation increase in ΔAHEI (diet quality improved), VAT volume declined by 45±18 cm 3 (P=0.01) and SAT volume fell by 57±19 cm 3 (P=0.003). In addition, an increased MDS was associated with a decline in VAT/SAT ratio (P=0.04), but there was no association between ΔAHEI and change in VAT/SAT ratio (P=0.06). We also observed that improved intake of nuts (P=0.04), whole grains (P=0.02), and meat (P=0.005) for MDS and fruits (P=0.02) and meat (P=0.03) for AHEI were associated with a decline in VAT/SAT ratio. Conclusions: The present study demonstrates that longitudinal improvements in diet quality were associated with reduced abdominal fat accumulation, both VAT and SAT. In addition, improved dietary intake of fruits, nuts, whole grains, and meat may affect abdominal fat distribution, i.e., more likely to reduce fat accumulation in VAT relative to SAT.

scholarly journals Lifestyle Factors and Indices of Kidney Function in the Framingham Heart Study

2015 ◽  
Vol 41 (4-5) ◽  
pp. 267-274 ◽  
Author(s):  
Meredith C. Foster ◽  
Shih-Jen Hwang ◽  
Joseph M. Massaro ◽  
Paul F. Jacques ◽  
Caroline S. Fox ◽  
...  
Keyword(s):  
Physical Activity ◽  
Kidney Function ◽  
Diet Quality ◽  
Alcohol Intake ◽  
Smoking Status ◽  
The United States ◽  
Heart Study ◽  
Modifiable Factors ◽  
Egfr Decline

Background and Objectives: Lifestyle characteristics are modifiable factors that could be targeted as part of chronic kidney disease (CKD) prevention. We sought to determine the association of lifestyle characteristics with incident estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m2 and rapid eGFR decline in older adults in the United States. Methods: Prospective cohort study of Framingham Offspring participants with baseline eGFR <60 ml/min/1.73 m2 (n = 1,802) who attended the seventh (1998-2001; baseline) and eighth (2005-2008; follow-up) examinations (mean age = 59 years, 54.8% women). Predictors included measures of diet quality, physical activity, alcohol intake, and current smoking status assessed during baseline. Outcomes were based on creatinine-based eGFR at baseline and follow-up and included incident eGFR <60 ml/min/1.73 m2 (at follow-up) and rapid eGFR decline (annual eGFR decrease ≥3 ml/min/1.73 m2). Results: Over an average follow-up of 6.6 years, 9.5% (n = 171) of participants developed incident eGFR <60. A trend was observed across quartiles of diet quality, with higher levels of diet quality associated with a decreased odds ratio (OR) of incident eGFR <60 (p trend = 0.045). Higher diet quality was associated with decreased odds of rapid eGFR decline (p trend = 0.03) and was attenuated with additional adjustment (p trend = 0.07). In sensitivity analysis for rapid eGFR decline using a secondary definition (annual eGFR decrease ≥3 and incident eGFR <60), diet associations remained significant with additional adjustment (p trend = 0.04). No associations were observed with physical activity, smoking status, or alcohol intake with incident eGFR <60 or rapid eGFR decline (all p > 0.19). Conclusions: Higher diet quality may be associated with a decreased risk of incident eGFR <60 ml/min/1.73 m2, and rapid eGFR decline. Whether adherence to a healthy diet can prevent reduction in kidney function warrants further study.

Health factors related to physical activity among children and adolescents: Results from Spanish National Health Surveys 2006 and 2011/12

2015 ◽  
Vol 20 (3) ◽  
pp. 193-202 ◽  
Author(s):  
Nazaret Alonso-Fernández ◽  
Rodrigo Jiménez-García ◽  
Leticia Alonso-Fernández ◽  
Valentín Hernández-Barrera ◽  
Domingo Palacios-Ceña
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
National Health ◽  
Health Surveys ◽  
Health Factors ◽  
National Health Surveys

scholarly journals Multinational Population-Based Health Surveys Linked to Outcome Data: An Untapped Resource

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Stacey Fisher ◽  
Carol Bennett ◽  
Claudia Sanmartin ◽  
Doug Manuel
Keyword(s):  
Physical Activity ◽  
United States ◽  
Population Health ◽  
National Health ◽  
Health Surveys ◽  
The United States ◽  
Vital Statistics ◽  
Health Data ◽  
Hazard Ratios ◽  
National Health Surveys

ABSTRACTObjectivesIncreasingly, national health surveys are being linked to vital statistics and health care information, providing a new and unique source of individual population health data. Given that nationally-representative health surveys are performed in over a hundred countries, these linkages create comprehensive data sets that are potentially larger than most existing cohort studies. To date, this resource has not been utilized. ApproachThe purpose, study base, content and methods of the Canadian Community Health Survey (CCHS) cycles 2.1 (2003-04) and 3.1 (2005-06) and the United States 2000 and 2005 National Health Interview Survey (NHIS) were examined for comparability and consistency. Smoking, alcohol, physical activity and diet questions were identified, question construct and response categorization were compared, and variable constructions possible for both national health surveys were created. All respondents 20+ years of age were identified and stratified by country and sex. Cox proportional hazard models were used to estimate 5-year hazards of mortality associated with the common smoking, alcohol, physical activity and diet variables. ResultsThe CCHS and NHIS are highly consistent and comparable. Health behaviour questions are similar and permit the creation of smoking, alcohol, physical activity and diet variables that are comparable across surveys. A total of 284 475 survey respondents from Canada and the United States (CCHS, N= 226 731; NHIS, N= 57 744) were included. The largest mortality hazards were associated with female heavy smokers in both Canada (HR: 2.91; 95% CI: 2.52, 3.37) and the United States (Female HR: 2.96; 95% CI: 2.59, 3.38), compared to non-smokers. Moderate variation in the age adjusted all-cause mortality hazard ratios was observed; both smoking and physical activity hazard ratios were consistently higher in the United States than in Canada. ConclusionThis study provides initial support for the methodological feasibility of pooling linked population health surveys however, challenges introduced by dissimilarities will require the use of innovative methodologies, and discussions regarding how to manage jurisdictional data restrictions and privacy issues are needed. Pooled population health data has the potential to improve national and international health surveillance and public health.

scholarly journals The Association Between Sarcopenia and Cognitive Performance : Data from the National Health and Nutrition Examination Surveys 1999 to 2002

2020 ◽  
Author(s):  
Jiwen Geng ◽  
Linghui Deng ◽  
Shi Qiu ◽  
Haiyang Bian ◽  
Boyu Cai ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Performance ◽  
National Health ◽  
Educational Level ◽  
Smoking Status ◽  
Health And Nutrition ◽  
Income Ratio ◽  
Comorbidity Index ◽  
The U.S ◽  
Poverty Income Ratio

Abstract Background: Sarcopenia and cognitive impairment are both age-related diseases. And they have many risk factors in common. However, the association between them has been controversial in recent years.Objective: To investigate the association between sarcopenia and cognitive performance in the U.S. adults through the use of the NHANES data from 1999 to 2002.Methods: A total of 2550 participants were identified in the National Health and Nutrition Examination Surveys Data Base (1999–2002). The independent variable was sarcopenia and the dependent variables was cognitive performance. Men were classified as sarcopenia if appendicular lean mass (ALM) adjusted for BMI (ALMBMI) <0.789, and women<0.512. The cognitive performance was assessed by Digit Symbol Substitution Test (DSST). Higher scores on the DSST indicated better cognitive performance. The covariates included gender, age, race, poverty income ratio, comorbidity index, educational level, physical activity and smoking status.Results: For the primary outcome, our multivariate linear regression analysis indicated that sarcopenia negatively correlated with cognitive performance in the model I (crude OR = 5.18; 95% CI: [3.49–6.87]). The negative association remained significant in the adjusted model II and model III (OR=3.40; 95% CI: [1.91–4.90]; OR=1.50; 95% CI: [0.12–2.89]). The subgroup analysis results indicated that participants without sarcopenia were associated with better cognitive performance was similar in different gender, age, race, poverty income ratio, comorbidity index, educational level, physical activity and smoking status.Conclusions: Participants without sarcopenia were associated with better cognitive performance in a representative sample of older adults in the U.S. We might be able to try to improve cognitive performance by dealing with sarcopenia and provide opportunity for intervention at a younger age and better physical performance.

scholarly journals Trends in Diet Quality and Related Sociodemographic, Health, and Occupational Characteristics among Workers in Spain: Results from Three Consecutive National Health Surveys (2006–2017)

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 522
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
National Health ◽  
Diet Quality ◽  
Health Surveys ◽  
Leisure Time Physical Activity ◽  
Cross Sectional Study ◽  
Quality Score ◽  
Quality Data ◽  
Economic Sectors ◽  
Cross Sectional ◽  
National Health Surveys

Poor dietary practices are commonly reported in working populations from different economic sectors, resulting in increased absenteeism and a decrease in productivity. The aims of this study were to describe the frequency of food consumption and diet quality in workers aged ≥16 years from 2006 to 2017 in Spain and to evaluate the factors associated with diet quality. A nationwide cross-sectional study was carried out among workers using data from the Spanish National Health Surveys in 2006 (n = 11,068), 2011 (n = 7497) and 2017 (n = 8890). Sociodemographic, occupational, and health-related variables were used as well as diet quality data. A multiple linear regression was performed to determine the characteristics related to overall diet quality. The percentage of workers who consumed vegetables, at most, once or twice per week decreased from 2006 to 2017 (p < 0.001). A lower diet quality score was related to the consumption of tobacco and alcohol and being aged ≥25 years old, while a higher diet quality score was linked to being a woman, having Spanish nationality, receiving optimal perceived social support, being physically active in one’s main occupation, doing leisure-time physical activity, and the type of contract.

Abstract 194: Age, Gender, Race/ethnicity, and Income-related Patterns in Ideal Cardiovascular Health

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Emily M Bucholz ◽  
Neel M Butala ◽  
Norrina B Allen ◽  
Andrew E Moran ◽  
Sarah D De Ferranti
Keyword(s):  
Physical Activity ◽  
Early Adolescence ◽  
Diet Quality ◽  
Low Income ◽  
Cardiovascular Health ◽  
Smoking Status ◽  
Ideal Cardiovascular Health ◽  
Income Disparities ◽  
Race Ethnicity ◽  
The Relationship

Introduction: Ideal cardiovascular health (CVH) in adulthood is rare; however, the relationship between CVH and age has not been fully delineated. The aim of this study was to characterize the association of age with ideal CVH and individual CVH metrics across the lifespan and to compare these associations across gender, race, and income subgroups. Methods: We studied participants aged 12-80 years from NHANES 2005-2016 (n=42,367). Ideal CVH was defined using the AHA’s Simple 7 criteria (range 0-14) based on smoking status, body mass index, physical activity, diet quality, total cholesterol, plasma glucose, and blood pressure. Cubic models were used to model the association of mean CVH with age. The percentage of participants with ideal (≥5) and poor (≤2) CVH were plotted by age. Results: Mean CVH declined with increasing age starting in early adolescence and reaching a nadir by age 60 before stabilizing ( Figure 1 ). At age 20, only 45% of adults had ideal CVH; >50% of adults had poor CVH by age 53. Women had higher mean CVH than men at younger ages but lower mean CVH at age ≥60 ( Figure 2 ). Mean CVH scores were highest for non-Hispanic whites and higher income adults, and lowest for non-Hispanic blacks and low-income adults across all ages. Mean CVH decreased to poor levels ~30 years earlier for non-Hispanic blacks compared with non-Hispanic whites, and ~35 years earlier younger for low-income compared with higher-income adults. Conclusions: The proportion of the population with ideal CVH decreases within increasing age beginning in early adolescence and persists through adulthood. Race/ethnicity and income disparities in CVH are evident early in life and became more profound at older ages.

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