scholarly journals Prevalence and Associated Factors of Coexistence of Malnutrition and Sarcopenia in Geriatric Rehabilitation

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3745
Author(s):  
Shinta Nishioka ◽  
Tatsuya Matsushita ◽  
Anna Yamanouchi ◽  
Yuka Okazaki ◽  
Kana Oishi ◽  
...  
Keyword(s):  
Daily Living ◽  
Associated Factors ◽  
Healthcare Professionals ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Geriatric Rehabilitation ◽  
Cross Sectional ◽  
Explanatory Factors ◽  
Level Scale ◽  
Reason For Admission

Malnutrition and sarcopenia often coexist in rehabilitation patients, although they are often overlooked and undertreated in clinical practice. This cross-sectional study aimed to clarify the prevalence of the coexistence of malnutrition and sarcopenia (Co-MS) and its associated factors in convalescent rehabilitation wards in Japan. Consecutive patients aged ≥ 65 years in convalescent rehabilitation wards between November 2018 and October 2020 were included. Malnutrition and sarcopenia were determined by the Global Leadership Initiative on Malnutrition (GLIM) criteria and the Asian Working Group for Sarcopenia (AWGS 2019) criteria, respectively. Patients who presented both with malnutrition and sarcopenia were classified as Co-MS. Potentially associated factors included age, sex, days from onset to admission of rehabilitation wards, reason for admission, pre-morbid functional dependency, comorbidity, activities of daily living, swallowing ability, and oral function and hygiene. The prevalence of malnutrition, sarcopenia, and Co-MS was calculated. Binary logistic regression analyses were performed to compute odds ratios (ORs) and the 95% confidence interval (CI) of possible associated factors for each condition. Overall, 601 patients were eligible for the analysis (median 80 years old, 355 female patients, 70% cerebrovascular disease). Co-MS, malnutrition, and sarcopenia were found in 23.5%, 29.0%, and 62.4% of the enrolled patients, respectively. After adjustment, onset–admission interval (OR = 1.04; 95%CI = 1.02 to 1.06), hospital-associated deconditioning (OR = 4.62; 95%CI = 1.13 to 18.8), and swallowing ability (Food Intake LEVEL Scale) (OR = 0.83; 95%CI = 0.73 to 0.93) were identified as independent explanatory factors of Co-MS. In conclusion, Co-MS was prevalent in geriatric rehabilitation patients; thus, healthcare professionals should be aware of the associated factors to detect the geriatric rehabilitation patients who are at risk of both malnutrition and sarcopenia, and to provide appropriate treatments.

scholarly journals Timely Initiation of Breast Feeding and Associated Factors among Caesarian Section Delivered Mothers in Health Facilities of Dessie City Administration, North Eastern Ethiopia

2020 ◽  
Vol 13 (1) ◽  
pp. 1-8
Author(s):  
Roza Shiferaw ◽  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Aregash Abebayehu Zerga
Keyword(s):  
Cesarean Section ◽  
Breast Feeding ◽  
Associated Factors ◽  
Statistical Significance ◽  
Data Entry ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Eastern Ethiopia

Objective: To assess the magnitude and associated factors of timely initiation of breastfeeding among cesarean section delivered mothers. Methods: A health facility-based cross-sectional study was employed among 421 systematically selected mothers from February to June, 2017. Data were collected by a structured questionnaire. Data entry and analysis was done using Epi Data and SPSS version 24. Binary logistic regression was computed to identify factors. Adjusted odds ratio with a 95% confidence interval was used to declare statistical significance. Result: The magnitude of timely initiation of breast feeding (among mothers who gave birth by cesarean section was 57%. Counseling during antenatal care (AOR = 3.32; 95% CI: 1.80, 6.13), facility where cesarean section (CS) was performed (AOR = 2.55; 95% CI: 1.57, 4.14), and post-CS counseling (AOR = 6.93; 95% CI: 3.99, 12.02) were factors that contributed for the practice of timely initiation among cesarean section delivered mothers. Conclusions: The magnitude of TIBF was good. Counseling during ANC, the facility where CS was performed and post-natal advice were factors associated with TIBF. Implementation of baby-friendly hospital initiatives should be strengthened in order to promote timely initiation of breast feeding.

scholarly journals Knowledge and attitude of the communities towards COVID-19 and associated factors among Gondar City residents, northwest Ethiopia: A community based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0248821
Author(s):  
Asefa Adimasu Taddese ◽  
Zelalem Nigussie Azene ◽  
Mehari Woldemariam Merid ◽  
Atalay Goshu Muluneh ◽  
Demiss Mulatu Geberu ◽  
...  
Keyword(s):  
Family Size ◽  
Educational Level ◽  
Associated Factors ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Knowledge And Attitude ◽  
Significant Factors

Background COVID-19 is the novel coronavirus responsible for the ongoing global outbreak of acute respiratory disease and viral pneumonia. In order to tackle the devastating condition of the virus, countries need to attack the virus with aggressive and targeted tactics. Thus, to strengthen the COVID-19 mitigation measures and to give rapid response, there is an urgent need to understand the public’s knowledge and attitude about of the pandemic at this critical moment. Objective This study was aimed to assess the knowledge and attitude of communities about COVID-19 and associated factors among Gondar City residents. Methods A community based cross-sectional study was done among 623 respondents in Gondar city from April 20-27/2020. Data were collected using a structured questionnaire adapted from different literatures. The data were entered using Epi data version 3.1 and then exported into STATA version 14 for analysis. Bi-variable and multivariable binary logistic regression were performed. Adjusted odds ratio with 95% CI was used to declare statistically significant variables on the basis of p value less than 0.05 in the multivariable binary logistic regression model. Results The overall knowledge and attitude of the community towards COVID19 was 51.85% [95% CI (47.91%-55.78%)] and 53.13% [95% CI (49.20, 57.06%)], respectively. In this study, being married [AOR = 0.60 at 95% CI: (0.42, 0.86)], educational level; primary [AOR = 3.14 at 95% CI: (1.78,5.54)], secondary [AOR = 2.81 at 95% CI: (1.70,4.63)], college and above [AOR = 4.49 at 95% CI: 7.92, 13.98)], and family size [AOR = 1.80, at 95% CI: (1.05, 3.08)] were emerged as statistically significant factors impacting the knowledge of the community about COVID-19. Besides, educational level; primary [AOR = 1.76 at 95% CI: (1.03, 3.01)], secondary [AOR = 1.69 at 95% CI: (1.07, 2.68)], and college & above [AOR = 2.38 at 95% CI: (1.50, 3.79)], and family size; four to six members [AOR = 1.84 at 95% CI (1.27, 2.67)], above seven members [AOR = 1.79 at 95% CI (1.08, 2.96)] were factors identified as significantly attribute for positive attitude of the communities towards COVID-19. Conclusion More than half of the respondents had better knowledge and attitude regarding COVID-19. Higher educational level and larger family size were significant factors predominantly affecting the knowledge and attitude of the communities towards COVID-19.

scholarly journals Forced treatment and care in home-dwelling persons with dementia

2020 ◽  
pp. 096973302094810
Author(s):  
Åshild Gjellestad ◽  
Trine Oksholm ◽  
Frøydis Bruvik
Keyword(s):  
Daily Living ◽  
Family Members ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Ethical Considerations ◽  
Cross Sectional ◽  
Decision Making Processes ◽  
Regional Committee ◽  
Descriptive Statistical Analysis

Background: The use of forced treatment and care of home-dwelling persons with dementia is a universally important topic. These patients are completely dependent on care from others to continue living at home. Aim: This study aimed to gain insights into formal decisions related to the forced treatment and care of home-dwelling persons with dementia. Design and sample: This is a cross-sectional study, based on formal decisions of forced treatment and care of home-dwelling persons with dementia in Norway between 1 January 2015 and 31 December 2016. Methods: Descriptive statistical analysis. Statistically significant associations suitable for binary logistic regression were presented as odds ratios with 95% confidence intervals. Ethical considerations: Approved by The Regional Committee for Medical and Health Research Ethics, and by the Norwegian Center for Research. Results: We found 108 formal decisions of forced treatment and care of persons with dementia. Decisions of admission represented 57% of the data, other medical and safety decisions 27%, and assistance with activities of daily living 16%. In most cases, physicians were responsible for the decisions (77%), but nurses and family members were often involved. Discussion and conclusion: This study demonstrated a prevalence rate of formally documented decisions of forced treatment and care much lower than findings in previous studies. Poor documentation may constitute a risk for the safety and wellbeing of persons with dementia. Although physicians were usually responsible for the decisions, nurses and family members were often involved in the process. Family participation in forced treatment and care raises ethical dilemmas. More research on the experiences of nurses, persons with dementia and family members with forced treatment and care is needed to aid ethical, legal, and clinically challenging decision-making processes.

scholarly journals Prevalence and associated factors of Khat chewing among people with HIV/AIDS at rural health centers of Ethiopia: a cross-sectional study

2019 ◽  
Author(s):  
Zelalem Belayneh ◽  
Birhanie Mekuriaw
Keyword(s):  
Associated Factors ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
People Living With Hiv ◽  
Frequency Pattern ◽  
Cross Sectional ◽  
Khat Chewing ◽  
Khat Use ◽  
Hiv Aids

Abstract Objective: Khat, sometimes called “Qat” or “Chat” is fresh leaves a plant commonly chewed for its psycho-stimulant and euphorigenic effects of the brain. Although the adverse and complicated conspectuses of long term Khat use are evidenced, it is a commonly chewed in Ethiopia. Its burden and associated factors is not well addressed among HIV/AIDS in Ethiopia. This addressed this missed opportunity by assessing the frequency, pattern and associated factors of current Khat use among people with HIV/AIDS in Ethiopia. A systematic random sampling was used to select the study participants. Binary logistic regression was commutated to identify factors associated with Khat use. Results: About 30.1% and 24.7% of people with HIV/AIDS had lifetime and current khat use southern Ethiopia. Male sex {OR=2.46 95% CI(1.28, 4.73)}, rural residency { OR=2.4695%: CI(1.28, 10.14)}alcohol drinking {OR=1.84:95% CI(1.00, 3.37)} and frequency of schedule {OR=5.2595%CI(2.33, 11.85)} had a statistically significant association with current Khat use. This alarms a need for designing appropriate preventive and intervention programs for people living with HIV.

scholarly journals 1515Screened blood pressure and its associated factors among adolescents

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Rim Ghammem ◽  
Sarrah Soua ◽  
Nawel Zammit ◽  
Siheme Ben Fredj ◽  
Cyrine Ben Nasrallah ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Blood Pressure ◽  
Secondary School ◽  
Associated Factors ◽  
Binary Logistic Regression ◽  
Female Gender ◽  
Cross Sectional Study ◽  
School Students ◽  
Cross Sectional

Abstract Background Hypertension (HTN) could have its origin in childhood and remain undetected unless a special screening is done during this period. We conducted this study to determine the screened HTN prevalence in adolescents and its associated factors, in order to increase the awareness on this subject and lead the state to make preventive strategies. Methods A cross-sectional study was carried among secondary school students in Sousse, Tunisia, during 2017-2018 school year. Blood pressure and anthropometric indices were measured. A structured questionnaire was used to collect information about socio demographic characteristics, lifestyle, addictive behavior and mental health status. Results A total of 1399 adolescents participated in the study. The prevalence of screened HTN was 15.6% (95% CI[13.8% -17.5%]). It was significantly higher in boys (23.1%) than in girls (10.7%; p ≤ 10-3). After binary logistic regression, positively associated factors to screened HTN in total population were: obesity (aOR=3.69; p ≤ 10-3), and overweight (aOR=1.7; p ≤ 10-3). Female gender (aOR=0.4; p ≤ 10-3), School failure (aOR=0.64; p = 0.014) and depression (aOR=0.67;p=0.017) were negatively associated to screened HTN. Conclusions Our study showed an alarming prevalence of high blood pressure among secondary school adolescents in our Low Middle Income Country and that it was mainly associated with weight excess. This emphasizes the emergent need of a comprehensive strategy for the prevention and control of hypertension and NCD risk factors among youth. Key messages Hypertension is an alarming emerging problem among youth in LMIC The emergent need of an effective strategy to prevent NCD risk factors in LMIC Keywords Hypertension Prevalence - Adolescent lifestyle- behavior, addictive - mental health

scholarly journals Prevalence and factors associated with mercury exposure in riverside communities in the Brazilian Western Amazon

2020 ◽  
Vol 73 (suppl 5) ◽  
Author(s):  
Vanessa Alves Mendes ◽  
Débora Aparecida da Silva Santos ◽  
Edson dos Santos Farias ◽  
Dario Pires de Carvalho ◽  
Wanderley Rodrigues Bastos
Keyword(s):  
Children And Adolescents ◽  
Short Stature ◽  
Fish Consumption ◽  
Associated Factors ◽  
School Attendance ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Mercury Exposure ◽  
Cross Sectional ◽  
Bolsa Familia

ABSTRACT Objective: to verify mercury exposure prevalence and identify its possible associated factors in two riverside communities in the Madeira River basin of the Western Brazilian Amazon. Method: a cross-sectional study comprising 95 children and adolescents. Age cycle, school attendance, Bolsa Família, number of siblings, meals, fish consumption, height by age were measured. Binary logistic regression was used to verify relationships between mercury exposure and its possible associated factors. Results: the general prevalence of mercury exposure was 46.3%; children, 35.4%; and adolescents, 57.4%. Associated factors were fish consumption (aOR=1.84; 95%CI 1.56-2.16), age cycle (aOR=2.50; 95%CI 1.09-5.7), parasites (aOR=1.22; 95%CI 1.02-2.71), and short stature (aOR=1.32; 95%CI 1.05-2.02). Conclusion: mercury exposure prevalence in riverside children and adolescents was considered worrying, with association with fish consumption, adolescence, parasites, and short stature.

scholarly journals Excessive TV Viewing Time and Associated Factors in Brazilian Adolescents from a Rural Area

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Fernanda Cerveira Abuana Osório Fronza ◽  
Giseli Minatto ◽  
Cilene Rebolho Martins ◽  
Edio Luiz Petroski
Keyword(s):  
Rural Area ◽  
Associated Factors ◽  
Binary Logistic Regression ◽  
Skinfold Thickness ◽  
Cross Sectional Study ◽  
Viewing Time ◽  
Tv Viewing ◽  
Cross Sectional ◽  
Run Test ◽  
Shuttle Run

AbstractPurpose. Sedentary behavior has been identified as a risk factor for chronic non-communicable diseases. This study identified the prevalence of excessive TV viewing time during the week and weekend and associated factors in adolescents living in a small urban and rural area. Methods. A cross-sectional study involving 283 students (aged 10-19 years) from Brazil was conducted in 2010. Data on TV viewing time and sociodemographic information were collected by questionnaires, cardiorespiratory fitness was evaluated by the 20-m shuttle run test, and anthropometric characteristics were obtained by measuring waist circumference and skinfold thickness. Statistical analysis involved binary logistic regression. Results. The prevalence of excessive TV viewing time ( 2 h) was 76.7% during on weekdays and 78.4% on the weekend. Adolescents aged 10-12 years (OR = 6.20; 95% CI = 2.91, 13.19; p < 0.001) and 13-15 years (OR = 2.57; 95% CI = 1.28, 5.18; p = 0.008) were more exposed to excessive TV viewing time during the week. No associations were found for excessive TV viewing time on the weekend. Conclusions. Approximately 8 in 10 adolescents presented excessive TV viewing time; excessive TV viewing time during the week was associated with age.

Prevalence and Associated Factors of Playing-Related Musculoskeletal Disorders in Brazilian Violin Players

2017 ◽  
Vol 32 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Frederico B Kochem ◽  
Julio G Silva
Keyword(s):  
Musculoskeletal Disorders ◽  
Rio De Janeiro ◽  
Associated Factors ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
The State ◽  
Dash Score ◽  
Cross Sectional ◽  
Musical Activity ◽  
Pain Symptoms

OBJECTIVE: To investigate the prevalence of playing-related musculoskeletal disorders (PRMD) and associated factors among violinists from the state of Rio de Janeiro, Brazil. METHODS: This cross-sectional study included 106 violinists from eight cities in the state of Rio de Janeiro. Sociodemographic and musical characteristic data, pain symptoms, and upper-limb functionality were collected using the DASH and the Standardized Nordic Questionnaires. The associations between musculoskeletal complaints and possible predictors were analyzed by binary logistic regression. RESULTS: Of the 106 surveyed violin players, 86.8% reported at least one painful area in the last 12 months and 77.4% in the last week. These symptoms were responsible for the temporary interruption of musical activity in 8.1% of musicians. More than 50% of violinists showed dysfunctional upper limbs according to the DASH optional module. Women were more likely to develop musculoskeletal disorders (OR 4.4, CI 1.9–10.0, p<0.001). In addition, older musicians were more likely to report pain in the last 7 days (OR 3.3, CI 5.1–10.97; p=0.04) and also had higher scores on the DASH (OR 1.8, CI 1.1–3.1; p=0.01). Other factors associated with the development of PRMD were body mass index, practice hours per week, and final DASH score. CONCLUSION: Violinists living and working in the state of Rio de Janeiro have a high prevalence of PRMD, especially women and older musicians.

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