scholarly journals Factors Affecting the Development of Metabolic Syndrome in Single-Person Households: A Sex-Stratified Analysis

2021 ◽  
Vol 13 (16) ◽  
pp. 9032
Author(s):  
Jui Kim ◽  
Hyoungshim Choi
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Logistic Regression ◽  
Health Status ◽  
Significant Risk ◽  
Subjective Health ◽  
Multiple Logistic Regression ◽  
Subjective Health Status ◽  
Single Person ◽  
Stratified Analysis

Various sociodemographic and behavioral health factors have been reported to influence the development of metabolic syndrome (Mets). In addition, the effects of various sociodemographic and health related characteristics on single-person households appear to be influenced by sex. Considering the surge in the number of single-person households globally, we conducted a sex-stratified analysis of the factors that affect the development of Mets among single-person Korean households. We used secondary data from the 2016–2018 Korea National Health and Nutrition Examination Survey (KNHANES) for this study. A total of 1830 participants (aged ≥19 years) without any missing data were analyzed in this study. The chi-square test and multiple logistic regression were used to analyze the study data. The results of the multiple logistic regression analysis showed that the significant risk factors for Mets in men were age, body mass index (BMI), subjective health status, subjective recognition of body shape, household income, and sleep hours, whereas age, BMI, subjective health status, exercise, and sleep hours were the significant risk factors for Mets in women. Specialized sex-specific health policies and programs are needed to reduce the prevalence of Mets in single-person households.

scholarly journals Sex Differences in Cardiovascular Disease Risk Factors among Korean Adults

2020 ◽  
Vol 95 (4) ◽  
pp. 266-275
Author(s):  
Mi Sook Oh ◽  
Myung Ho Jeong
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Health Status ◽  
Middle Age ◽  
Subjective Health ◽  
Education Level ◽  
Subjective Health Status ◽  
Low Education ◽  
Independent Risk Factors

Background/Aims: The prevalence of cardiovascular disease among women is lower than that among men in middle age, but increases after middle age. This study was performed to compare the risk factors for cardiovascular disease according to sex in Koreans adults.Methods: Data from the National Health and Nutrition Examination Survey for the 5th, 6th, and 7th years (2010–2017) were analyzed. This study examined the risk factors for cardiovascular disease among adults. From the total of 41,386 patients, 11,529 patients were selected.Results: The overall prevalence of cardiovascular disease in Korean adults was 27.9%, and the prevalence was higher in women than in men (55.3% vs. 44.7%, respectively, p < 0.001). Women with cardiovascular disease were older than men (66.6 ± 9.9 years vs. 63.9 ± 11.1 years, respectively, p < 0.001). The prevalence of cardiovascular disease was higher in women with comorbid depression and rheumatoid arthritis and higher in men with diabetes mellitus. Multivariate regression analysis showed that stress (OR 2.31, 95% CI 1.28–4.17, p = 0.005) and smoking (OR 1.61, 95% CI 1.04–2.48, p = 0.031) were independent risk factors for cardiovascular disease in men, while depression (OR 2.03, 95% CI 1.22–3.39, p = 0.007), low education level, rheumatoid arthritis, and poor subjective health status (OR 1.70, 95% CI 1.20–2.41, p = 0.003) were independent risk factors for cardiovascular disease in women.Conclusions: Differences were detected in cardiovascular risk factors according to sex in Korea. The most important risk factors were smoking and stress in men, and depression, low education level, rheumatoid arthritis, and poor subjective health status in women.

scholarly journals Physical and reported Subjective Health Status in 222 individuals with XY Disorder of Sex Development (DSD)

2021 ◽  
Author(s):  
Xin Li Gong ◽  
Klemens Raile ◽  
Jolanta Slowikowska-Hilczer ◽  
Catherine Pienkowski ◽  
Marcus Quinkler ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Health Status ◽  
Lumbar Spine ◽  
Estrogen Therapy ◽  
Disorders Of Sex Development ◽  
Density Lipoprotein ◽  
Subjective Health ◽  
Mineral Density ◽  
Subjective Health Status ◽  
Sex Development

Abstract Context Little is known about the physical health of individuals with 46,XY disorders of sex development (DSD). Objective To assess physical and reported subjective health of individuals with XY DSD. Design and methods As part of the dsd-LIFE study, patients with an XY DSD condition were analyzed in different diagnosis groups for metabolic parameters, comorbidities, metabolic syndrome, bone outcomes, and reported subjective health. Findings were evaluated by descriptive statistics. Results A total of 222 patients with XY DSD were included with a mean age of 28.8±12.2 years, mean height of 175.3±7.7 cm, mean weight of 74.3±20.0 kg and mean BMI of 24.1±6.0 kg/m 2. Obesity rate was not increased when descriptively compared to Eurostat data. Fourteen patients had metabolic syndrome (14/175; 8.0%). In descriptive comparison to data from the DECODE study and WHO, subjects fared better in the categories waist circumference, glucose, triglyceride, cholesterol and high-density lipoprotein. Of participants with available bone health data, 19/122 (15.6%) patients had a Z-score ≤ - 2.0 at lumbar spine indicating lowered bone mineral density (BMD). Mostly gonadectomized individuals with complete androgen insensitivity syndrome (CAIS) and no estrogen therapy had lowered BMD at lumbar spine. Individuals with XY DSD performed poorly in the category subjective health in descriptive comparison to Eurostat data. Conclusion Participants reported a lower subjective health status compared to Eurostat data but their overall metabolic health status was good. Decreased BMD at lumbar spine was especially present in gonadectomized individuals with CAIS and no estrogen therapy.

scholarly journals Subjective Health Status: An Easily Available, Independent, Robust And Significant Predictive Factor At The Prometaphase of Vaccination Programs For The Vaccination Behavior of Chinese Adults

2021 ◽  
Author(s):  
Zuxing Wang ◽  
Lili Chen ◽  
Jun Xiao ◽  
Fugui Jiang ◽  
Wenjiao Min ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Status ◽  
Roc Analysis ◽  
Univariate Analysis ◽  
Subjective Health ◽  
World Health ◽  
Chinese Adults ◽  
Subjective Health Status ◽  
Vaccination Programs ◽  
Vaccination Behavior

Abstract Background: The World Health Organization (WHO) proposed COVID-19 vaccination as an emergent and important method to end the COVID-19 pandemic. Since China started vaccination programs in December 2020, vaccination has spread to provinces and municipalities nationwide. Previous research has focused on people's vaccination willingness and its influencing factors but has not examined vaccination behavior. We examine the effectiveness of psychosocial factors in predicting vaccination behavior. Methods: A cross-sectional online survey was performed among Chinese adults on 8 May and 4 June 2021. The statistical analysis of the data included univariate analysis, receiver operator characteristics (ROC) analysis and ordinal multiclassification logistic regression model analysis. Results: Of the 1300 respondents, 761 (58.5%) were vaccinated. Univariate analysis showed that a high education level and good subjective health status were protective factors for vaccination behavior, while suffering from chronic diseases was a risk factor. ROC analysis showed that subjective health status (AUC = 0.625, 95% CI: 0.594–0.656, P < 0.001) was the best predictor of vaccination behavior. Logistic regression analysis with subjective health status as a dependent variable indicated that older age, female sex, depression, neurasthenia, obsession, hypochondriasis and chronic disease were significant risk factors, while positive coping tendencies were a significant protective factor. Conclusion: Our study found a simple and effective marker, subjective health status, that can predict vaccination behavior. This finding can guide future epidemic prevention work.

scholarly journals Risk Factors for Unplanned Admission to the Pediatric Intensive Care Unit in Pediatric Trauma Patients

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
William Schrock ◽  
Jodi Raymond, MPH ◽  
Matthew Landman, MD, MPH
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Logistic Regression ◽  
Intensive Care ◽  
Traumatic Injury ◽  
Pediatric Trauma ◽  
Significant Risk ◽  
Pediatric Intensive Care ◽  
Multiple Logistic Regression ◽  
Unplanned Admission

Background and Hypothesis: A number of risk factors for unplanned pediatric intensive care unit (PICU) admission and readmission have been identified. However, little is known of the risk factors associated with unplanned admission to the PICU in pediatric trauma populations. We hypothesize specific risk factors can be identified which may be associated with unplanned admission to the PICU following traumatic injury. Methods: For this national retrospective study, we queried the 2016 National Trauma Data Bank for patients younger than 18 years experiencing a traumatic injury requiring hospital admission from the Emergency Department (ED). We excluded patients who had experienced burn injuries. Statistically significant (p<.05) risk factors for unplanned PICU admission were identified in bivariate analysis and used to build a multiple logistic regression model. Results: Patients experiencing unplanned admission to the PICU had lower ED Glasgow Coma Scale (11.83 vs. 14.31; p<0.001), higher Injury Severity Scores (ISS) (17.96 vs. 7.32; p<0.001), and were older (age 11.35 vs. 9.60; p<0.001). Initial ED disposition to the PICU was significantly associated with unplanned admission to the PICU (p<0.001). Initial ED disposition to the OR was significantly associated with unplanned admission to the PICU (p=.018). After multiple logistic regression, ISS (p<0.001), initial ED disposition to the PICU (p=0.002), initial ED disposition to the OR (p=0.005), and older age (p=0.005) remained statistically significant risk factors for unplanned admission to the PICU. Conclusion: ISS and ED disposition to the PICU, OR disposition to the PICU and age are significant risk factors for unplanned admission to the PICU in pediatric trauma. These findings will assist in identifying patients at risk for unplanned admission to the PICU, thereby reducing the adverse effects of unplanned PICU admission and ultimately improving the quality of care for pediatric trauma populations.

The Effect of Exercise Participation in Elderly on Subjective Health Status, Depression and Life Satisfication

2018 ◽  
Vol 26 (4) ◽  
pp. 495-500
Author(s):  
Younpyo Lee ◽  
Su-keun Park ◽  
Jae-ho Khil ◽  
Sungho Maeng ◽  
Jungwon Shin ◽  
...  
Keyword(s):  
Health Status ◽  
Subjective Health ◽  
Subjective Health Status ◽  
Exercise Participation

scholarly journals Health Status of Healthcare Professionals Working in an Institute for Chronically Ill Psychiatric Patients

2015 ◽  
Vol 66 (1) ◽  
pp. 43-52
Author(s):  
Katalin Nagyváradi ◽  
Zsuzsa Mátrai
Keyword(s):  
Health Status ◽  
Working Conditions ◽  
Healthcare Professionals ◽  
Psychiatric Patients ◽  
Chronically Ill ◽  
Subjective Health ◽  
The State ◽  
State Of Health ◽  
Subjective Health Status ◽  
Objective Health

AbstractSeveral research works in the related international literature on sociology and health sciences deal with the state of health in one selected population. In these studies, the chosen sample is often connected with special jobs, especially with healthcare professionals and their working conditions. These studies predominantly examine the self-rated subjective health status using questionnaires. There are others that assess the state of health based not only on self-rated subjective indicators, but also using objective data gained by measuring. Considering the international experiences, we chose a special population in our research – healthcare professionals working in an institute for chronically ill psychiatric patients. Our choice was influenced by the fact that we wanted to include their unique working conditions when exploring and assessing their health status. Moreover, our approach was to assess the objective state of health alongside the subjective factors, as our hypothesis was that the majority of the indicators presumably coincided. The data were collected with the help of three questionnaires and some indicators of the objective health statuses were measured. The findings were processed using the SPSS 17.0 mathematical-statistical software package. Following the descriptive statistics, we applied hierarchic cluster-analysis based on results of the WHOQOLD-BREF26 life-quality questionnaire, the WHO WBI-5 Well Being Index, and on the body composition analysis. The results show the objective and subjective health status of population and the factors that influenced it; the working conditions and the interpersonal contacts in the workplace. The conclusion was that in the examined population the subjective and objective health status doesn’t coincide.

scholarly journals The Prevalence of Metabolic Syndrome and Its Related Risk Complications among Koreans

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1755 ◽  
Author(s):  
Seung-Hoo Lee ◽  
Shuting Tao ◽  
Hak-Seon Kim
Keyword(s):  
Metabolic Syndrome ◽  
South Korea ◽  
Multivariate Logistic Regression Analysis ◽  
Subjective Health ◽  
Subjective Health Status ◽  
Nutrition Labelling ◽  
Health And Nutrition ◽  
Current Trends ◽  
Related Risk ◽  
And Gender

There is an increasing number of metabolic syndrome (MetS) patients worldwide, and there is no exception in South Korea. The risk complications of metabolic syndrome have been investigated by many previous research studies, while no data on any current trends of MetS are available. Therefore, the present study investigates the recent prevalence of MetS and its associated risk complications in Korean adults by using the Korean National Health and Nutrition Examination Survey (KNHANES). The Survey respondents (n = 4744) were adults over the age of 30, and they had participated in KNHANES 2016, which is a health survey of a national representative sample of non-institutionalized civilian South Koreans. The cross-tabulation analysis was applied to figure out the general characteristics impacting on the prevalence of MetS; furthermore, the odds ratios and 95% confidence intervals (CIs) using multivariate logistic regression analysis were presented for the risk complications of MetS. Findings from this study indicated that subjective health status, family structure, age, income level, use of nutrition labelling and gender showed significant connections with the prevalence of MetS. The risk diseases, stroke (OR = 2.174, 95% CI = 1.377–3.433, p < 0.01), myocardial infarction (MI) (OR = 2.667, 95% CI = 1.474–4.824, p < 0.01) and diabetes (OR = 6.533, 95% CI = 4.963, p < 0.001) were explored and verified attributable to the prevalence of MetS. The findings in this study suggest that sociodemographic characteristics-concentrated strategies are vital to prevent the prevalence of MetS in South Korea, and relative risk complications ought to be cautiously dealt with as well.

Risk factors and outcomes of postoperative emergency response team activation: a matched case-control study

2020 ◽  
Vol 22 (1) ◽  
pp. 6-14
Author(s):  
Matthew I Hardman ◽  
◽  
S Chandralekha Kruthiventi ◽  
Michelle R Schmugge ◽  
Alexandre N Cavalcante ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Postoperative Complications ◽  
Emergency Response ◽  
Case Control Study ◽  
Case Control ◽  
Multiple Logistic Regression ◽  
Increased Risk ◽  
Response Team ◽  
Control Study

OBJECTIVE: To determine patient and perioperative characteristics associated with unexpected postoperative clinical deterioration as determined for the need of a postoperative emergency response team (ERT) activation. DESIGN: Retrospective case–control study. SETTING: Tertiary academic hospital. PARTICIPANTS: Patients who underwent general anaesthesia discharged to regular wards between 1 January 2013 and 31 December 2015 and required ERT activation within 48 postoperative hours. Controls were matched based on age, sex and procedure. MAIN OUTCOME MEASURES: Baseline patient and perioperative characteristics were abstracted to develop a multiple logistic regression model to assess for potential associations for increased risk for postoperative ERT. RESULTS: Among 105 345 patients, 797 had ERT calls, with a rate of 7.6 (95% CI, 7.1–8.1) calls per 1000 anaesthetics (0.76%). Multiple logistic regression analysis showed the following risk factors for postoperative ERT: cardiovascular disease (odds ratio [OR], 1.61; 95% CI, 1.18–2.18), neurological disease (OR, 1.57; 95% CI, 1.11–2.22), preoperative gabapentin (OR, 1.60; 95% CI, 1.17–2.20), longer surgical duration (OR, 1.06; 95% CI, 1.02–1.11, per 30 min), emergency procedure (OR, 1.54; 95% CI, 1.09–2.18), and intraoperative use of colloids (OR, 1.50; 95% CI, 1.17–1.92). Compared with control participants, ERT patients had a longer hospital stay, a higher rate of admissions to critical care (55.5%), increased postoperative complications, and a higher 30-day mortality rate (OR, 3.36; 95% CI, 1.73–6.54). CONCLUSION: We identified several patient and procedural characteristics associated with increased likelihood of postoperative ERT activation. ERT intervention is a marker for increased rates of postoperative complications and death.

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