Eating Slowly Is Associated with Undernutrition among Community-Dwelling Adult Men and Older Adult Women

The double burden of malnutrition refers to the co-occurrence of overweight and obesity and undernutrition. Eating quickly has been linked to overweight and obesity. However, no study has examined the association between eating speed and undernutrition. This retrospective, cross-sectional study analyzed data from 3529 community-dwelling residents. Eating speed was divided into three categories: fast, medium, and slow. Undernutrition was defined as body mass index (BMI) of <18.5 kg/m2 in adults aged < 70 years (adults) and as <20 kg/m2 in adults aged ≥ 70 years (older adults), in accordance with the Global Leadership Initiative on Malnutrition criteria for Asians. Multivariable logistic regression analysis was used to examine the association between eating speed and undernutrition. Among adult men, compared with eating quickly, eating slowly was associated with elevated prevalence of undernutrition (odds ratio (OR) 9.68, 95% confidence interval (CI) 2.32–40.51, p = 0.001). Among older adult women, the prevalence of undernutrition in the slow-eating group was higher than that in the fast-eating group (OR 3.82, 95% Cl 1.51–9.69, p = 0.005). Eating slowly is independently associated with the prevalence of undernutrition among community-dwelling adult men and older adult women in Japan.

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Double Burden of Malnutrition among Undergraduates in Ogun State Nigeria

International Journal of Public Health Science (IJPHS) ◽

10.11591/.v4i4.4752 ◽

2015 ◽

Vol 4 (4) ◽

pp. 315

Author(s):

Catherine Adebukola Oladoyinbo ◽

Nkereuwem N Ekerette

Keyword(s):

Undergraduate Students ◽

Abdominal Obesity ◽

Population Group ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Height Measurement ◽

Double Burden ◽

Cross Sectional ◽

Ogun State ◽

Double Burden Of Malnutrition

Coexistence of under and over nutrition among the same population group is referred to as the double burden of malnutrition. The objective of this study was to assess double burden of malnutrition among undergraduate students in Ogun State Nigeria. A cross-sectional study involving 1,115 (37.8%) males and 1,835 (62.2%) females was conducted. Body mass index (BMI) was derived from weight and a height measurement, waist circumference (WC) measurement was taken to assess abdominal obesity. SPSS version 16 was used for data analysis. Mean age, height, weight and BMI were 23±0.05years, 1.63±0.001m, 60.99±0.22kg and 22.80±0.08kgm respectively. Mean WC was 82.21±0.32cm and 80.55±0.49cm among males and females respectively. Based on BMI, the Prevalence of underweight, overweight and obesity were 13.4%, 16.9% and 7.5% respectively. BMI did not relate significantly with both age (p=0.464) and gender (P=0.115). About fifty percent (50.64%) of females and 12.36% males who were overweight and obese also had excess abdominal fat. Prevalence of abdominal obesity was significantly higher among females (16.9%) than males (2.5%), (p=0.001). Respondents in this study were faced with problems of both under-nutrition and over-nutrition.

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Double Burden of Malnutrition among Undergraduates in Ogun State Nigeria

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v4i4.4752 ◽

2015 ◽

Vol 4 (4) ◽

pp. 315

Author(s):

Catherine Adebukola Oladoyinbo ◽

Nkereuwem N Ekerette

Keyword(s):

Undergraduate Students ◽

Abdominal Obesity ◽

Population Group ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Height Measurement ◽

Double Burden ◽

Cross Sectional ◽

Ogun State ◽

Double Burden Of Malnutrition

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Salivary flow rate and the risk of cognitive impairment among Korean elders: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-021-02200-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Minh-Tung Do ◽

Huong Vu ◽

Jong-Koo Lee ◽

Sang-Min Park ◽

Joung-Sik Son ◽

...

Keyword(s):

Cognitive Impairment ◽

Flow Rate ◽

Salivary Flow ◽

Cross Sectional Study ◽

Community Dwelling ◽

Salivary Flow Rate ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Denture Status

Abstract Background Salivary function has been suggested to be associated with cognitive impairment. However, the effect of salivary flow rate (SFR) on cognitive impairment remains unclear. This study aimed to investigate whether SFR is associated with cognitive impairment among Korean elders. Methods This cross-sectional study included 649 elders aged 65 and older in the Korean community-dwelling population. Cognitive impairment was assessed using the Mini-Mental Status Examination. Unstimulated SFR was measured and dichotomized. Denture status, age, sex, education level, smoking, drinking, diabetes, hypertension, and obesity were considered confounders. Multivariable logistic regression analysis was applied to assess the adjusted association. Stratified analysis by sex and denture status was performed to clarify the effect modification. Results Participants without cognitive impairment showed a higher SFR level than those with cognitive impairment (0.81 mL/min for non-cognitive impairment versus 0.52 mL/min for cognitive impairment, p < 0.001). After controlling for confounders, participants with low SFR (< 0.3 mL/min) were more likely to have cognitive impairment by 1.5 times than participants with normal SFR (odds ratio [OR] = 1.5, confidence interval [CI] = 1.05–2.10). The association of low SFR with cognitive impairment was higher in women and dentate participants: about 10% higher in women (OR = 1.63, CI = 1.07–2.50) and about 22% higher in dentate participants (OR = 1.82, CI = 1.41–2.90). Conclusions Salivary flow rate is independently associated with cognitive impairment among Korean elders. The association was modified in females and dentate elders. Physicians and dentists should consider low SFR and cognitive impairment as a risk factor between them in clinics.

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Double Burden of Malnutrition (DBM) and Anaemia under the Same Roof: A Bangladesh Perspective

10.20944/preprints201809.0011.v1 ◽

2018 ◽

Author(s):

Sumaiya Mamun ◽

Christopher Guy Nicholas Mascie-Taylor

Keyword(s):

Drinking Water ◽

Wealth Index ◽

Cross Sectional Study ◽

Demographic Health Survey ◽

Sectional Study ◽

Double Burden ◽

Cross Sectional ◽

Child Undernutrition ◽

Double Burden Of Malnutrition ◽

Maternal Overweight

Double burden of malnutrition (DBM) and anaemia is a growing concern in developing countries. 5,763 mother-child pairs were selected from a cross-sectional study (Bangladesh Demographic Health Survey, 2011) to examine DBM and anaemia in households. Overweight mothers had stunted (24.5%), underweight (19.8%), wasted (9.3%) and anaemic (51.7%) children. Region and drinking water were positively associated with both DBM and anaemia (p < 0.001). Father’s occupation and wealth index were positively associated with DBM (p <0.001) only. More policies and awareness programmes are needed to address the coexistence of child undernutrition and maternal overweight/obesity and anaemia in the same household.

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Epidemiology of Frequent/Urgent Urination in Older Adults in China: A Multicenter, Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.669070 ◽

2021 ◽

Vol 9 ◽

Author(s):

Yiwen Zhang ◽

Xiao-Dan Wang ◽

Yehua Song ◽

Ruiqiang Peng ◽

Ting Tang ◽

...

Keyword(s):

Older Adults ◽

Older Adult ◽

Well Being ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Female Ratio ◽

Chinese Older Adults ◽

Adult Men ◽

Age Related

Background: Frequent/urgent urination is an event of multifactorial origin where involuntary leakage of urine occurs. Epidemiological study of this condition is of high importance due to its negative impact on the psychological, physical, and social well-being of the victims.Objective: This cross-sectional study aimed to investigate the prevalence of frequent/urgent urination in older adults in China.Method: In this study, a face-to-face questionnaire survey was conducted between April 2019 and August 2019 among 4,796 older adult populations in the communities of Tianjin jizhou and Xiamen jimei of China. Descriptive analysis, univariate regression, and all statistics were conducted in IBM SPSS v22. The count data were analyzed by chi-square test. P < 0.05 was considered statistically significant.Results: In the total investigated population, the prevalence of frequent or urgent urination was found in 1,164 patients (24.3%) where 31.7% (664/2,097) were male patients and 18.7% (500/2,699) were female patients, having a male-to-female ratio of 1.7:1. The prevalence was higher in the 70- to 84-year-old group (men: 33.3–34.8%, women 19.5–20.8%), whereas it was relatively low in the 65- to 69-year-old group and in older adults over 85 years of age (men 28.8, 30.3%, women 16.7, 18.5%, respectively). In terms of the course of the disease, among the population aged 65 years and above, 17.3% men and 9.9% women had frequent urination/urgency lasting for 1–4 years; 5–9 years in about 4.5% population (7.4% men and 4.2% women); 10–19 years in 4.9% men and 2.3% women; and more than 20 years duration in 1.6% men and 1.9% women. On the severity scale, mild frequent/urgent urination was observed in 24.6% of men and 15.4% women of Chinese older adults. Moderate cases were observed in 6.3% of men and 2.9% of women, whereas severe cases were found in 0.8% men and 0.2% women. Benign prostatic hyperplasia (BPH)/hypertrophy was the main risk factor for frequent/urgent urination in Chinese older adult men (P < 0.001). Obesity, hypertension, diabetes, heart disease, anxiety, depression, constipation, and brain injury were the other risk factors for frequent/urgent urination in Chinese older adult men and women. The results of this survey showed that smoking or drinking habits did not increase the prevalence of frequent/urgent urination in Chinese older adults.Conclusions: According to the results of this survey, the prevalence rate of frequent/urgent urination is high, and the course of the disease is long in Chinese older adults. BPH and depression, anxiety, and age-related chronic diseases increase the risk of frequent/urgent urination in Chinese older adults.

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Double burden of malnutrition among Indian schoolchildren and its measurement: a cross-sectional study in a single school

BMJ Paediatrics Open ◽

10.1136/bmjpo-2019-000505 ◽

2020 ◽

Vol 4 (1) ◽

pp. e000505

Author(s):

Subhashchandra Daga ◽

Sameer Mhatre ◽

Abhiram Kasbe ◽

Eric Dsouza

Keyword(s):

Cross Sectional Study ◽

Acute Malnutrition ◽

Z Score ◽

Sectional Study ◽

Score Distribution ◽

Double Burden ◽

Cross Sectional ◽

Lower Socioeconomic ◽

Z Scores ◽

Double Burden Of Malnutrition

ObjectiveThis cross-sectional study set in a single school on the outskirts of a large city aimed to document the extent of double burden of malnutrition (coexistence of overnutrition and undernutrition) among Indian schoolchildren from lower socioeconomic groups, and to determine if mid-upper arm circumference (MUAC) can be used as a proxy for body mass index (BMI).SubjectsThe total number of participants was 1444, comprising 424 girls and 1020 boys belonging to playgroups and grades 1 to 7.MeasurementsAnthropometric measurements, such as participants’ MUAC, height and weight were measured using standard techniques. Descriptive statistics for BMI and MUAC were obtained based on gender; z-scores were computed using age-specific and sex-specific WHO reference data. The distribution of variables was calculated for three groups: girls, boys and all participants. Homogeneous subsets for BMI and MUAC were identified in the three groups. Age-wise comparisons of BMI and MUAC were conducted for each gender.Main outcome measures(1) To know if MUAC and BMI are correlated among boys and girls. (2) To study BMI and MUAC z-score distribution among the participants.ResultsMUAC was positively correlated with BMI in both boys and girls. The following BMI z-score distribution was observed: severe acute malnutrition (SAM), 5 (0.3%); moderate acute malnutrition (MAM), 146 (10.1%) and undernourished, at risk of MAM/SAM, 141 (9.8%); obese, 21 (1.5%); overweight, 36 (2.5%) and pre-obese, 136 (9.4%). The distribution of categories of children based on MUAC z-scores was: SAM, 7 (0.5%); MAM, 181 (12.5%) and undernourished, at risk of MAM/SAM, 181 (12.5%); obese, 19 (1.3%); overweight, 178 (12.3%) and pre-obese, 135 (9.3%).ConclusionsSAM/MAM/undernourished states and obesity/overweight/pre-obese states, indicating undernutrition more than overweight, coexist among Indian schoolchildren from lower middle/lower socioeconomic categories. BMI and MUAC were significantly correlated. MUAC identifies both undernutrition and overnutrition by early detection of aberrant growth.

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Nutritional status and dietary adequacy amid reproductive aged women in Cumilla, Bangladesh

Asian Journal of Medical and Biological Research ◽

10.3329/ajmbr.v6i4.51228 ◽

2021 ◽

Vol 6 (4) ◽

pp. 628-634

Author(s):

Md Hafizul Islam ◽

Ahmed Jubayer ◽

Md Moniruzzaman Nayan

Keyword(s):

Nutritional Status ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Double Burden ◽

Cross Sectional ◽

Dietary Adequacy ◽

Fat Consumption ◽

Total Fat ◽

Reproductive Aged Women ◽

Deficiency Diseases

Dietary patterns are evolving greatly during the last years and various diet and lifestyle related diseases are increasing day by day. The prevalence of double burden of malnutrition and various nutritional deficiency diseases among the reproductive aged women, the most vulnerable group has become a severe concern during the last decades. Therefore, the study focused on the nutritional status of reproductive aged women, their dietary food and nutrient intake and the adequacy of these consumed nutrients as compared to their requirements. A cross-sectional study was conducted among the randomly selected 355 households in Cumilla district in Bangladesh. The results showed that only about 32% of the participants were found having a normal BMI range. The percentage of underweight, overweight and obesity among the participants were 13.3% (95% CI: 10.25, 16.36), 35.8% (95% CI: 31.49, 40.12) and 19.6% (95% CI: 16.04, 23.17) respectively. Dietary protein, carbohydrate, total fat consumption was 11.87%, 65.22% and 18.9% of energy. Consumption of vitamin A, C, D, Folic acid, calcium, sodium, riboflavin and potassium was very poor and found below EAR/AI among the most respondents. Thiamin, zinc, iron, phosphorous intake was satisfactory among the most respondents. Asian J. Med. Biol. Res. December 2020, 6(4): 628-634

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Predictors of Future Walking Speed: A 12-Month Monitoring Program

The International Journal of Aging and Human Development ◽

10.1177/00914150211066566 ◽

2021 ◽

pp. 009141502110665

Author(s):

Ayelet Dunsky ◽

Aviva Zeev ◽

Yael Netz

Keyword(s):

Older Adults ◽

Reaction Time ◽

Older Adult ◽

Walking Speed ◽

Monitoring Program ◽

Community Dwelling ◽

Adult Women ◽

Balance Performance ◽

Adult Men ◽

Community Dwelling Older Adults

The purpose of the current study was to identify significant predictors of walking speed (WS) among community-dwelling older adults, as it is one of the most representative measures of functioning in their daily lives. Seventy-seven (24 adult men, 26 adult women, and 27 older-adult women) community-dwelling older adults (73.7 ± 4.9 years) performed two assessments, over a 12-month period. Several physical, cognitive, and psychological tests were performed, as well as assessing the preferred WS. Multiple linear regression, stratified by gender, was used to identify significant predictors of future WS. For the adult men, walking and functional performances at the first assessment predicted 71.9%; for adult women, reaction time, walking, and balance performance predicted 64.4%; and, for the older-adult women, fast walking and reaction time predicted 48.2% of the variance of future WS. Clinicians should consider including different exercises for each group of older adults to evaluate and preserve functional abilities.

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