scholarly journals Association between Cluster of Lifestyle Behaviors and HOMA-IR among Adolescents: ABCD Growth Study

Medicina ◽  
2018 ◽  
Vol 54 (6) ◽  
pp. 96 ◽  
Author(s):  
André Werneck ◽  
Ricardo Agostinete ◽  
Suziane Cayres ◽  
Jacqueline Urban ◽  
Andréa Wigna ◽  
...  

Objective: To analyze the association of potential risk factors to health with body fatness and insulin resistance. Baseline measures of the ongoing longitudinal Analysis of Behaviors of Children During (ABCD) Growth Study. Materials and Methods: The sample was composed of 280 adolescents of both sexes (198 boys and 82 girls) aged from 10 to 18 years. Four risk factors were considered, as follows: no sports practice, skipping breakfast, poor sleep quality, and TV viewing. The outcomes considered were insulin resistance (HOMA-IR) and body fatness (densitometer scanner). Age, sex, maturity offset, and ethnicity were treated as covariates. Results: No sports practice and skipping breakfast were associated with higher body fatness (Sports practice: Wald: 8.786; p = 0.003. Breakfast: Wald: 9.364; p = 0.002). Poor sleep quality was related to a greater HOMA-IR index (Wald: 6.013; p = 0.014). Adolescents with ≥3 risk factors presented a higher risk of high HOMA-IR (OR = 4.89 (95%CI: 1.61 to 14.84)) than their counterparts with no risk factors. Conclusion: Lifestyle risk factors seem relevant to affect obesity and insulin resistance, while the aggregation of these risk factors affects insulin resistance, independent of adiposity.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongyan Wang ◽  
Xiaoling Dai ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
...  

Abstract Introduction To explore the prevalence of depressive symptoms and the associated risk factors in frontline nurses under COVID-19 pandemic. Methods This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 498 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, depressive symptoms, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression. Results Of the nurses enrolled in the study, 50.90% had depressive symptoms. Three independent risk factors were identified: poor sleep quality (OR = 1.608, 95% CI: 1.384–1.896), lower optimism of psychological capital (OR = 0.879, 95% CI: 0.805–0.960) and no visiting friend constantly (OR = 0.513, 95% CI: 0.286–0.920). Conclusions This study revealed a considerable high prevalence of depressive symptoms in frontline nurses during the COVID-19 outbreak, and identified three risk factors, which were poor sleep quality, lower optimism of psychological capital, and no visiting friend constantly. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of depression and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


Author(s):  
Izolde Bouloukaki ◽  
George Stathakis ◽  
Athina Koloi ◽  
Ekaterini Bakiri ◽  
Maria Moudatsaki ◽  
...  

2020 ◽  
Vol 71 (4) ◽  
pp. 237-248
Author(s):  
Farhad Azimi Yancheshmeh ◽  
S. Hossain Mousavizadegan ◽  
Amin Amini ◽  
Andrew P. Smith ◽  
Reza Kazemi

2019 ◽  
Author(s):  
Zhao Hu ◽  
Xidi Zhu ◽  
Yunhan Yu ◽  
Huilan Xu

Abstract Background: Sleep problems have become the most common complaints among elderly adults. There are a few studies indentified prevalence of poor sleep quality and its associated factors in nursing home setting.Therefore, our study aim to examine the prevalence of poor sleep quality, its risk factors, and their interactions among Chinese elderly adults in nursing homes. Methods: A total of 817 elderly residents from 24 nursing homes were included in this cross-sectional study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep quality was defined as PSQI >5. Multiple binary logistic regression was used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) between risk factors and poor sleep quality. An additional interaction model was used to analyse the interaction between risk factors. Results: The prevalence of poor sleep quality was 67.3% (95% CI: 64.0, 70.5%) among elderly adults in nursing homes. Multiple binary logistic regression results showed that participants with the following characteristics had an increased risk of poor sleep quality after adjustments for other confounders: being 70-79 years old (AOR: 1.81, 95% CI: 1.10, 2.97) or 80 years old and above (AOR: 2.64, 95% CI: 1.67, 4.17); having less than 7 years of education (AOR: 1.59, 95% CI: 1.08, 2.33); having one to two kinds of chronic diseases (AOR: 2.26, 95% CI: 1.53, 3.32) or three or more kinds of chronic disease (AOR: 2.81, 95% CI: 1.65, 4.76); having depression (AOR: 3.13, 95% CI: 2.04, 4.81), anxiety (AOR: 3.42, 95% CI: 1.68, 6.97), and lower social support (AOR: 1.57, 95% CI: 1.11, 2.21). Additive interactions were detected between age and anxiety (AOR: 8.34, 95% CI: 4.43, 15.69), between chronic disease and anxiety (AOR: 8.61, 95% CI; 4.28, 17.31) and between social support and anxiety (AOR: 6.43, 95% CI: 3.22, 12.86). Conclusions: The prevalence of poor sleep quality in nursing homes is relatively high. Anxiety has additive interactions with age, chronic disease and social support for poor sleep quality. These findings have significant implications for interventions that aim to improve sleep quality among elderly residents in nursing homes.


PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0235252
Author(s):  
Yuichiro Otsuka ◽  
Yoshitaka Kaneita ◽  
Osamu Itani ◽  
Maki Jike ◽  
Yoneatsu Osaki ◽  
...  

2018 ◽  
Vol 32 (S1) ◽  
Author(s):  
Kevin L. Smith ◽  
Angelica R. Boeve ◽  
Virend K. Somers ◽  
Jan Bukartyk ◽  
Erik K. St Louis ◽  
...  

2021 ◽  
Author(s):  
Qingyun Zhao ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
Chunyu Pan

Abstract Introduction: We determined the prevalence of anxiety and the associated risk factors in in frontline nurses under COVID-19 pandemic. Methods: This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 532 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, anxiety, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression.Results: Of the nurses enrolled in the study, 33.60% had anxiety. Five independent risk factors were identified for anxiety: poor sleep quality (OR=1.235), experienced major events (OR=1.653), lower resilience and optimism of psychological capital (OR=0.906, and OR=0.909) and no visiting friend constantly (OR=0.629). Conclusions: This study revealed a considerable high prevalence of anxiety in frontline nurses during the COVID-19 outbreak, and identified five risk factors, which were poor sleep quality, experienced major events, lower resilience and optimism of psychological capital, and no visiting friend rarely. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of anxiety and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


2018 ◽  
Vol 16 (4) ◽  
pp. 183-189 ◽  
Author(s):  
Christopher E. Kline ◽  
Martica H. Hall ◽  
Daniel J. Buysse ◽  
Conrad P. Earnest ◽  
Timothy S. Church

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