scholarly journals Lifestyle-related predictors affecting prediabetes and diabetes in 20-30-year-old young Korean adults

2020 ◽  
Vol 42 ◽  
pp. e2020014
Author(s):  
Kyong Sil Park ◽  
Seon Young Hwang
Keyword(s):  
Physical Activity ◽  
Hemoglobin A1c ◽  
Secondary Analysis ◽  
Nutrition Examination Survey ◽  
Diabetes Group ◽  
Cross Sectional ◽  
Men And Women ◽  
Health And Nutrition ◽  
Low Education ◽  
Using Data

OBJECTIVES: To investigate lifestyle-related predictors of prediabetes and diabetes in young adults aged 20–39 years using data from the 2014-2016 Korea National Health and Nutrition Examination Survey (KNHANES).METHODS: This study is a cross-sectional, secondary analysis using the KNHANES data. Participants were classified into normal group (fasting plasma glucose [FPG] <100 mg/dL and/or hemoglobin A1c [HbA1c] <5.7%), prediabetes group (FPG 100-125 mg/dL and/or HbA1c 5.7-6.4%), and diabetes group (FPG ≥126 mg/dL and/or HbA1c ≥ 6.5%). The data were statistically analyzed using SPSS software.RESULTS: Out of 4,190 participants, 27.7% of men and 16.3% of women were in the prediabetes group and 1.4% of men and 1.3% of women were in the diabetes group. Logistic regression confirmed that age and obesity are predictors of prediabetes and diabetes in both men and women. Additionally low physical activity and low education level are predictors of prediabetes in men and women, respectively (p<0.05).CONCLUSIONS: This study has found that age and increased obesity are predictors of elevated blood glucose in young men and women in their 20s and 30s. A strategy to lower obesity by promoting physical activity in men in their 30s is essential to prevent metabolic syndrome and progression to prediabetes.

scholarly journals Gender-specific interactions between education and income in relation to obesity: a cross-sectional analysis of the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V)

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e014276 ◽  
Author(s):  
Woojin Chung ◽  
Seung-ji Lim ◽  
Sunmi Lee ◽  
Roeul Kim ◽  
Jaeyeun Kim
Keyword(s):  
Socioeconomic Status ◽  
Interaction Effect ◽  
Developed Countries ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Men And Women ◽  
Income Levels ◽  
Independent Variables ◽  
Health And Nutrition ◽  
Gender Specific

ObjectivesTo identify gender-specific associations between education and income in relation to obesity in developed countries by considering both the interaction-effect terms of the independent variables and their main-effect terms.DesignA cross-sectional study. Education and income levels were chosen as socioeconomic status indicators. Sociodemographics, lifestyles and medical conditions were used as covariates in multivariable logistic regression models. Adjusted ORs and predicted probabilities of being obese were computed and adjusted for a complex survey design.SettingData were obtained from the Fifth Korea National Health and Nutrition Examination Survey (2010–2012).ParticipantsThe sample included 7337 male and 9908 female participants aged ≥19 years.Outcome measureObesity was defined as body mass index of ≥25, according to a guideline for Asians.ResultsIn models with no interaction-effect terms of independent variables, education was significantly associated with obesity in both men and women, but income was significant only in women. However, in models with the interaction-effect terms, education was significant only in women, but income was significant only in men. The interaction effect between income and education was significant in men but not in women. Participants having the highest predicted probability of being obese over educational and income levels differed between the two types of models, and between men and women. A prediction using the models with the interaction-effect terms demonstrated that for all men, the highest level of formal education was associated with an increase in their probability of being obese by as much as 26%.ConclusionsThe well-known, negative association between socioeconomic status and obesity in developed countries may not be valid when interaction effects are included. Ignoring these effects and their gender differences may result in the targeting of wrong populations for reducing obesity prevalence and its resultant socioeconomic gradients.

Association of Systemic Inflammation and Fatigue in Osteoarthritis: 2007−2010 National Health and Nutrition Examination Survey

2019 ◽  
Vol 21 (5) ◽  
pp. 532-543 ◽  
Author(s):  
Alisha J. Hackney ◽  
N. Jennifer Klinedinst ◽  
Barbara Resnick ◽  
Meg Johantgen
Keyword(s):  
Logistic Regression ◽  
Systemic Inflammation ◽  
National Health ◽  
Regression Models ◽  
Secondary Analysis ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Health And Nutrition ◽  
Wbc Count

Background/Purpose:Mechanistic insight into osteoarthritis fatigue is needed as clinical management of this condition is nonspecific. Systemic inflammation is associated with fatigue in other chronic diseases. The purpose of this study was to explore the relationship between systemic inflammation and fatigue in osteoarthritis, while controlling for covariates.Method:This secondary analysis with a cross-sectional, multiyear retrospective design used data from the 2007−2010 National Health and Nutrition Examination Survey. Adults with self-reported osteoarthritis who participated in an examination at a mobile center and had no comorbidities associated with fatigue or systemic inflammation were included ( n = 296). Complex sample analysis, independent samples t tests, and χ2tests of independence were used to explore differences between nonfatigued and fatigued adults with osteoarthritis. Adjusted hierarchical logistic regression models were used to calculate odds of fatigue as a function of two systemic inflammatory markers, C-reactive protein (CRP), and white blood cell (WBC) count.Results:Fatigued adults with osteoarthritis had significantly higher CRP levels and WBC counts compared to nonfatigued adults with osteoarthritis. In adjusted logistic regression models, increased CRP was associated with higher odds of fatigue when controlling for age, days affected by pain, depressive symptoms, sleep quantity, and body mass index (Odds ratio [ OR] = 3.38, 95% CI [1.18, 9.69]). WBC count was not associated with higher odds of fatigue when controlling for these variables ( OR = 1.10, 95% CI [0.92, 1.32]).Conclusion:Systemic inflammation may have a relationship with fatigue in osteoarthritis. Future work is necessary to replicate these findings in more robust studies.

scholarly journals Fruit juice consumption is associated with improved nutrient adequacy in children and adolescents: the National Health and Nutrition Examination Survey (NHANES) 2003–2006

2012 ◽  
Vol 15 (10) ◽  
pp. 1871-1878 ◽  
Author(s):  
Carol E O'Neil ◽  
Theresa A Nicklas ◽  
Michael Zanovec ◽  
Ronald E Kleinman ◽  
Victor L Fulgoni
Keyword(s):  
Children And Adolescents ◽  
National Health ◽  
Fruit Juice ◽  
Secondary Analysis ◽  
Nutrition Examination Survey ◽  
Adequate Intake ◽  
Cross Sectional ◽  
Dietary Adequacy ◽  
Nutrient Adequacy ◽  
Health And Nutrition

AbstractObjectiveTo examine the contribution of 100 % fruit juice (FJ) consumption to dietary adequacy of shortfall nutrients by children and adolescents.DesignCross-sectional.SettingSecondary analysis of data from the 2003–2006 National Health and Nutrition Examination Survey (NHANES).SubjectsChildren and adolescents aged 2–18 years (n 7250). Usual intake, determined from two 24 h dietary recalls, was calculated using the National Cancer Institute method. The population was dichotomized into consumers or non-consumers of 100 % FJ. The age/gender-specific percentage of the two consumption groups with intakes less than the Estimated Average Requirement or that exceeded the Adequate Intake for selected nutrients was determined. A Z-statistic for differences in population proportions was used to determine significance (P < 0·05).ResultsChildren aged 2–5 years had the highest percentage of 100 % FJ consumers (71·1 %), followed by children aged 6–12 years (57·0 %) and adolescents aged 13–18 years (44·5 %). Compared with 100 % FJ consumers, a significantly higher percentage of non-consumers had intakes below the Estimated Average Requirement for vitamin A (24·4 (se 2·5) % v. 42·2 (se 2·5) %), vitamin C (0·1 (se 0·2) % v. 38·9 (se 4·1) %), folate (8·8 (se 1·5) % v. 22·1 (se 2·4) %), P (11·6 (se 2·1) % v. 21·3 (se 2·6) %) and Mg (25·8 (se 1·7) % v. 46·1 (se 2·0) %). A greater percentage of 100 % FJ consumers exceeded the Adequate Intake for K (2·4 (se 0·5) v. 0·5 (se 0·2) %) compared with non-consumers.ConclusionsConsumption of 100 % FJ is associated with improved nutrient adequacy and can contribute to a healthy diet.

scholarly journals Lower Odds of Poststroke Symptoms of Depression When Physical Activity Guidelines Met: National Health and Nutrition Examination Survey 2011–2012

2016 ◽  
Vol 13 (8) ◽  
pp. 903-909 ◽  
Author(s):  
Stacey E. Aaron ◽  
Chris M. Gregory ◽  
Annie N. Simpson
Keyword(s):  
Physical Activity ◽  
National Health ◽  
Negative Impact ◽  
Depression Symptoms ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Physical Activity Guidelines ◽  
Lower Odds ◽  
Symptoms Of Depression ◽  
Health And Nutrition

Background:One-third of individuals with stroke report symptoms of depression, which has a negative impact on recovery. Physical activity (PA) is a potentially effective therapy. Our objective was to examine the associations of subjectively assessed PA levels and symptoms of depression in a nationally representative stroke sample.Methods:We conducted a cross-sectional study of 175 adults in the National Health and Nutrition Examination Survey 2011–2012 cycle. Moderate, vigorous, and combination equivalent PA metabolic equivalent (MET)-minutes per week averages were derived from the Global Physical Activity Questionnaire, and .the 2008 Physical Activity Guidelines/American College of Sports Medicine recommendations of ≥500 MET-minutes per week of moderate, vigorous, or combination equivalent PA were used as cut points. Depression symptoms were measured using the Patient Health Questionnaire-9.Results:Meeting moderate PA guidelines resulted in 74% lower odds of having depression symptoms (P < .0001) and 89% lower odds of major symptoms of depression (P = .0003). Meeting vigorous guidelines showed a 91% lower odds of having mild symptoms of depression (P = .04). Participating in some moderate, vigorous, or combination equivalent PA revealed the odds of depression symptoms 13 times greater compared with meeting guidelines (P = .005); odds of mild symptoms of depression were 9 times greater (P = .01); and odds of major symptoms of depression were 15 times greater (P = .006).Conclusions:There is a lower risk of developing mild symptoms of depression when vigorous guidelines for PA are met and developing major symptoms of depression when moderate guidelines met. Participating in some PA is not enough to reduce the risk of depression symptoms.

scholarly journals A cross-sectional study investigating the relationship between handgrip strength with multimorbidity in Korean adults: Findings from the Korea National Health and Nutrition Examination Survey (KNHANES) VI-VII (2014–2017)

2020 ◽  
Author(s):  
Mee-Ri Lee ◽  
Sung Min Jung
Keyword(s):  
Chronic Diseases ◽  
Handgrip Strength ◽  
Cross Sectional Study ◽  
Nutrition Examination Survey ◽  
Sectional Study ◽  
Cross Sectional ◽  
Men And Women ◽  
Health And Nutrition ◽  
Logistic Regressions ◽  
Age And Sex

Abstract Background To date research investigating the associations between handgrip strength and multimorbidity when stratifying by age and sex is limited. Furthermore, this is the first study in a Korean population, and the first to include adults ≥ 19 years of age. Here we investigated the associations between handgrip strength and multimorbidity in Korean adults aged ≥ 19 years. Methods In this cross-sectional study data from the Korean National Health and Nutrition Examination Survey were used. Multimorbidity was defined as having two or more chronic diseases. A total of 19,779 participants were eligible for the study (8,730 male and 11,409 female). We grouped and analysed participants based on age and sex (men and women aged 19–49 years, men and women aged 50–80 years) and examined the associations between handgrip strength and multimorbidity using multivariate logistic regressions using stratification by age, sex and body mass index (BMI). Results Multivariate logistic regressions revealed a significant inverse association irrespective of sex, between relative handgrip strength and multimorbidity. Participants with the lowest handgrip strength had a significantly higher odds ratio (OR) of multimorbidity (men aged 19–49 years: 3.76 and aged 50–80 years: 2.11; women aged 19–49 years: 1.52 and aged 50–80 years: 2.15) when compared to those with highest handgrip strength after adjusting for confounding variables. The highest OR was observed in men aged 19–49 years with a BMI ≥ 25 kg/m2. Conclusion In the current study we observed a significant inverse relationship between handgrip strength and multimorbidity in males and females with two or more chronic diseases. Male participants with a low handgrip strength aged between 19–49 years with a BMI ≥ 25 kg/m2 may be at greater risk of multimorbidity. This study highlights the need for further longitudinal studies to investigate the effects of increasing handgrip strength combined with weight loss, as an effective strategy to reduce the incidence of multimorbidity

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