scholarly journals Association of Cardiometabolic Multimorbidity Pattern with Dietary Factors among Adults in South Korea

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2730
Author(s):  
Dawoon Jeong ◽  
Jieun Kim ◽  
Hansongyi Lee ◽  
Do-Yeon Kim ◽  
Hyunjung Lim
Keyword(s):  
Dietary Habits ◽  
Dietary Factors ◽  
Logistic Regression Models ◽  
Korean Adults ◽  
Disease Patterns ◽  
Health And Nutrition ◽  
Food And Nutrient Intake ◽  
Nationally Representative ◽  
Adjusted Logistic Regression ◽  
Skipping Breakfast

Globally, cardiometabolic multimorbidity pattern (CMP) is a complex chronic health status that negatively effects the life expectancy of adults globally, even more than single diseases. We aimed to identify multimorbidity patterns in Korean adults to clarify the associations between dietary factors and CMP. Nationally representative data of 9011 Korean adults aged 19–64 years were obtained from the Korean National Health and Nutrition Examination Survey (KNHANES) from the period 2013 to 2015. Multimorbidity patterns for CMP, inflammatory disease, cancer and other disease patterns were identified by exploratory factor analysis. Dietary factors including food and nutrient intake and dietary habits were evaluated. Multivariable-adjusted logistic regression models examined the associations between dietary factors and CMP. More than half of the multimorbidity patterns were CMP (n = 4907, 54.5%); CMP subjects were more likely to be older, male, less educated, lower income, laborers, smokers, and high-risk consumers of alcohol than those of non-CMP subjects. A higher intake of calcium (OR = 0.809, 95% CI = 0.691–0.945), potassium (OR = 0.838, 95% CI = 0.704–0.998), and fruits (OR = 0.841, 95% CI = 0.736–0.960) were inversely associated with the prevalence of CMP, while the consumption of irregular meals (OR = 1.164, 95% CI = 1.034–1.312) and skipping breakfast (OR = 1.279, 95% CI = 1.078–1.518) was positively related to a 16% and 28% higher likelihood of CMP, respectively. CMP accounts for more than half of the multimorbidity patterns in the Korean population, and lower intake of calcium, potassium, fruits, and skipping meals have strong associations with CMP.

Association of cardiometabolic multimorbidity pattern with dietary factors among adults in South Korea

2020 ◽  
Author(s):  
Dawoon Jeong ◽  
Jieun Kim ◽  
Hansongyi Lee ◽  
Do-Yeon Kim ◽  
Hyunjung Lim
Keyword(s):  
Regression Models ◽  
Dietary Factors ◽  
Logistic Regression Models ◽  
Korean Adults ◽  
Health And Nutrition ◽  
Disease Pattern ◽  
Nationally Representative ◽  
Adjusted Logistic Regression ◽  
Skipping Breakfast ◽  
Chronic Health Status

Abstract Backgrounds Globally, cardiometabolic multimorbidity pattern (CMP) is a complexed chronic health status which shorter the life expectancy compared with single disease in adults. We aimed to identify multimorbidity patterns in Korean adults to clarify the associations between dietary factors and CMP. Methods Nationally representative data for 9,011 Korean adults aged 19-64 years are obtained from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2013-2015. Multimorbidity patterns for CMP, inflammatory disease, cancer and other disease pattern were identified by exploratory factor analysis. Dietary factors including food, nutrient intake and diet habits were evaluated. Multivariable-adjusted logistic regression models examined the associations between dietary factors and CMP. Results More than half of the multimorbidity pattern was CMP (n=4,907, 54.5%); CMP subjects were more likely to be older, male, less educated, lower income, laborers, smokers, and high-risk consumers of alcohol than those of non-CMP subjects. A higher intake of calcium (OR= 0.809, 95% CI= 0.691-0.945), potassium (OR= 0.838, 95% CI= 0.704-0.998), and fruits (OR= 0.841, 95% CI= 0.736-0.960) were inversely associated with the prevalence of CMP while the consumption of irregular meals (OR=1.164, 95% CI= 1.034-1.312) and skipping breakfast (OR=1.279, 95% CI= 1.078-1.518) were associated with a 16% and 28% higher likelihood of CMP, respectively. Conclusions CMP accounts for more than half of the multimorbidity patterns in Korean population, and lower intake of calcium, potassium, fruits, and skipping meals might have strong associations with CMP.

scholarly journals Visual Acuity and Self-Reported Vision Status

2016 ◽  
Vol 29 (1) ◽  
pp. 128-148 ◽  
Author(s):  
Caitlin E. Coyle ◽  
Bernard A. Steinman ◽  
Jie Chen
Keyword(s):  
Visual Acuity ◽  
Social Isolation ◽  
Functional Limitations ◽  
Vision Impairment ◽  
Use Of Self ◽  
Poor Vision ◽  
Logistic Regression Models ◽  
Health And Nutrition ◽  
Two Measures ◽  
Nationally Representative

Objectives: This study examined the associations of two measures of vision impairment (i.e., a clinical measure of visual acuity and self-reported vision status) and social isolation in a nationally representative sample of Americans aged 60 and older. Method: Five cycles of the National Health and Nutrition Examination Survey (NHANES IV; 1999-2008) were used to estimate successive logistic regression models, holding constant demographic characteristics, chronic illness, functional limitations, and disability. Results: Effects of both measures of vision impairment in predicting social isolation were substantially reduced or eliminated in adjusted models. Where significant effects of vision impairment on social isolation remained, a strong effect was found for self-reported poor vision (odds ratio = 1.53; 95% confidence interval = [1.08, 2.16]). Discussion: As one of the better vision-related predictors of social isolation, self-reported vision is among the easiest and inexpensive to assess. The use of self-reported vision as a screening criterion for social isolation is discussed.

Changes in Eating-Out Frequency According to Sociodemographic Characteristics and Nutrient Intakes among Korean Adults

2020 ◽  
Author(s):  
Se-Young JU
Keyword(s):  
Dietary Habits ◽  
Sodium Intake ◽  
Public Health Education ◽  
Nutrient Intakes ◽  
Korean Adults ◽  
Eating Out ◽  
Relationship Of ◽  
The Relationship ◽  
Skipping Breakfast

Background: The quality of out-of-home foods is an increasingly important issue due to increasing popularity of eating out. The objective of this study was to analyze the relationship of eating-out frequency with general characteristics, dietary habits, and nutrient intakes among Korean adults. Methods: This study collected data from 2010- 2015 KNHANES. The total number of participants was 33,427 Korean adults aged 19 years and older. All statistical analyses were conducted using SAS software version 9.3. Results: Eating-out more frequently was associated with younger, unmarried, employed, urban resident, higher income, higher education, and being male. Regarding dietary behavior, subjects with skipping breakfast and taking snack behavior showed a tendency to eat out more frequently. Meanwhile, energy, carbohydrate, protein, fat, and sodium intake were higher in subjects with ≥ 5/week eating-out frequency than those in subjects with < 5/week eating-out frequency. Conclusion: This study provides important insights into the effect of targeted public health education and policies.

scholarly journals No Association between HPV Vaccination and Infertility in U.S. Females 18-33 Years Old

2019 ◽  
Author(s):  
Katherine E. Mooney ◽  
Nicholas B. Schmuhl ◽  
Xiao Zhang ◽  
Laura G. Cooney ◽  
James H. Conway ◽  
...  
Keyword(s):  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Vaccine Safety ◽  
The United States ◽  
Population Based ◽  
Protective Effects ◽  
Hpv Vaccines ◽  
Logistic Regression Models ◽  
Health And Nutrition ◽  
Nationally Representative

ABSTRACTBackgroundHuman papillomavirus (HPV) vaccines have been recommended as primary prevention of HPV-related cancers for over 10 years in the United States, and evidence reveals decreased incidence of HPV infections following vaccination. However, concerns have been raised that HPV vaccines could decrease fertility. This study examined the relationship between HPV immunization and self-reported infertility in a nationally representative sample.MethodsData from the 2013-2016 National Health and Nutrition Examination Survey were analyzed to asses likelihood of self-reported infertility among women aged 20 to 33, who were young enough to have been offered HPV vaccines and old enough to have been queried about infertility (n=1,114). Two logistic regression models, stratified by marital history, examined potential associations between HPV vaccination and infertility. Model 1 assessed the likelihood of infertility among women who had never been pregnant or whose pregnancies occurred prior to HPV vaccination. Model 2 accounted for the possibility of latent and/or non-permanent post-vaccine infertility by including all women 20-33 years old.Results8.1% reported any infertility. Women who had ever been married and had received an HPV vaccine were less likely to report infertility (OR 0.04, 95% CI 0.01-0.57) in model 1. No other associations between HPV and infertility were found.ConclusionThere was no evidence of increased infertility among women who received the HPV vaccine. These results provide further evidence of HPV vaccine safety and should give providers confidence in recommending HPV vaccination. Further research should explore protective effects of HPV vaccines on female and male fertility.What is already known on this subject?Despite evidence that HPV vaccines are safe and effective, concerns persist regarding a purported link between HPV vaccination and infertility. These concerns were refuted by a recent population-based cohort study that found no association between the HPV vaccine and primary ovarian insufficiency.What this study adds?This study broadens the existing evidence by exploring possible associations between HPV vaccination and any self-reported infertility. There was no evidence of infertility among women 20-33 years old who received one or more doses of HPV vaccine. This result provides further evidence of HPV vaccine safety, diminishing remaining concerns among clinicians and the public.

Association between sources of stress and depressive mood in Korean adults

2020 ◽  
pp. 103985622097005
Author(s):  
In Cheol Hwang ◽  
Hong Yup Ahn
Keyword(s):  
Analysis Data ◽  
Depressive Mood ◽  
Health Concern ◽  
Logistic Regression Models ◽  
Korean Adults ◽  
Health And Nutrition ◽  
Patient Health ◽  
Health Related ◽  
Stratified Analysis ◽  
Different Sources

Objective: The present study investigated the association between different sources of stress and depressive mood in Korean adults. Methods: A total of 4464 adults who completed the 2018 Korean National Health and Nutrition Examination Survey were included in the analysis. Data included sources of stress, depressive mood assessed by the nine-item Patient Health Questionnaire, sociodemographic characteristics, and health-related habits. Multiple logistic regression models were applied to calculate the odds ratio for depressive mood according to each source of stress and stratified by sex and age. Results: Fully adjusted models revealed that individuals who reported a financial problem or health concern as their main source of stress were more likely to experience depressive mood; when data were stratified by sex, these associations remained significant among females only. An age-stratified analysis indicated that financial problems were associated with depressive mood in middle-aged individuals and health concerns were associated with depressive mood in elderly. Conclusion: Korean adults with specific sources of stress should be monitored for the development of emotional distress.

scholarly journals Association between the Phytochemical Index and Lower Prevalence of Obesity/Abdominal Obesity in Korean Adults

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2312
Author(s):  
Jihyun Im ◽  
Minkyeong Kim ◽  
Kyong Park
Keyword(s):  
Abdominal Obesity ◽  
Vegetable Consumption ◽  
Response Patterns ◽  
Lower Prevalence ◽  
Spline Regression ◽  
Logistic Regression Models ◽  
Korean Adults ◽  
Health And Nutrition ◽  
Recall Data ◽  
Prevalence Of Obesity

The relatively high levels of vegetable consumption have highlighted the need to examine the association between phytochemical intake and disease prevention. We examined the association between the phytochemical index (PI) and obesity/abdominal obesity among Korean adults. We analyzed the data of 57,940 adults aged ≥ 19 years obtained from the Korea National Health and Nutrition Examination Survey. We calculated PI using the 24 h recall data, and multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic regression models. Dose–response patterns were analyzed using restricted cubic spline regression. After multivariable adjustment, a higher PI was found to be associated with a lower prevalence of obesity and abdominal obesity; this association was notable in women (obesity, OR: 0.86, CI: 0.78–0.94, p for trend = 0.01; abdominal obesity, OR: 0.81, CI: 0.73–0.90, p for trend < 0.001). Spline regression showed linearity of the associations between PI and obesity/abdominal obesity in women. Our findings suggested that maintaining a phytochemical-rich diet may help to prevent obesity and abdominal obesity, especially in women, as an increased PI corresponded to lower prevalence of obesity. This study, using evidence-based data, highlighted the importance of consuming plant-derived foods to prevent obesity.

scholarly journals Factors Associated with Frequency of Peanut Consumption in Korea: A National Population-Based Study

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1207
Author(s):  
Minyoung Jung ◽  
Jayun Kim ◽  
Su Mi Ahn
Keyword(s):  
Peanut Allergy ◽  
High School Graduates ◽  
Skin Barrier ◽  
Public Health Research ◽  
Population Based ◽  
Dietary Factors ◽  
Skin Barrier Function ◽  
Logistic Regression Models ◽  
Health And Nutrition ◽  
Personal Management

Household peanut exposure via skin in infants with impaired skin barrier function is a risk factor for peanut allergy development. The aim of this study is to investigate the peanut consumption of Koreans using national representative data. We used data from the Korean National Health and Nutrition Examination Survey 2012–2016, consisting of data from 17,625 adults who complete the survey. Peanut intake was assessed using a 24-h recall method. Of the study population, 10,552 (59.9%), 6726 (38.2%), and 347 (1.9%) subjects were categorized into non-intake, intermittent intake, and frequent intake group, respectively. Ordered logistic regression models were used to examine the association between sociodemographic and dietary factors and the frequency of peanut intake. After adjusting for confounders, increasing age (adjusted odds ratio (aOR) 1.03; 95% confidence interval (CI) 1.03–1.04), higher education (high school graduates: aOR 1.75, 95 CI 1.39–2.19; higher than college: aOR 2.11, 95% CI 1.65–2.70), and prudent dietary scores in the second (aOR 1.71; 95% CI 1.47–1.99), third (aOR 2.53; 95% CI 2.16–2.97) and the fourth quartiles (aOR 3.72; 95%CI 3.16–4.40) were associated with a high frequency of peanut consumption. This information may be helpful not only in public health research for nutrition but also in personal management for the prevention of peanut allergy in Korea.

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