Health behavior evaluation in women with multiple pregnancies

Author(s):  
Alaa Ibrahim Ali

Objective: The main purpose of this study is to evaluate the impact of the health behavior in pregnant Iraqi women in multiple pregnancies, and which one had characteristic influence in examined Iraqi women. Patients and Methods:The study was carried out in Al-Yermook Hospital for a period of one year from July 2019 to July 2020. It was included 40 pregnant women in multiple pregnancies, completed the 22 weeks gestational age, with taking their verbal consent for the participation in this investigation. Selected questioner used to collect data, as well as using Juczyński’s Health Behavior Inventory questionnaire to evaluate the health behaviors of recruited women involved in this study. Results:The heath behaviors rate was high particularly for Iraqi pregnant women in multiple pregnancies, as the health behaviors indicators were high among all the identified categories. Conclusion: The higher health behavior rate of pregnant women in multiple pregnancies, as the preventative behaviors had the highest rate.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martin Lange ◽  
Alexandra Löwe ◽  
Gerrit Stassen ◽  
Andrea Schaller

Abstract Background The emerging adulthood is traditionally viewed as a time of optimal health, but also as a critical life span, characterized by changing life circumstances and the establishment of an individual lifestyle. Especially university life seems to hold several challenges impeding the manifestation of a health supporting manner, as many students tend to show a poorer health behavior and a higher amount of health-related problems than comparable age groups. This, along with a steady growth of the higher education sector, brings increased attention to the university setting in the context of prevention. To date, there are few empirical longitudinal and coherent cross-sectional data on the status of students’ health literacy, health status, and health behaviors, and on the impact of the study format on students’ health. The aim of this prospective cohort study is to reduce this research gap. Methods Starting during winter semester 2020/21, the prospective cohort study collects data on health literacy, health status and health behavior on a semester-by-semester basis. All enrolled students of the IST University of Applied Sciences, regardless of study format and discipline, can participate in the study at the beginning of their first semester. The data are collected digitally via a specifically programmed app. A total of 103 items assess the subjectively perceived health status, life and study satisfaction, sleep quality, perceived stress, physical activity, diet, smoking, alcohol consumption, drug addiction and health literacy. Statistical analysis uses (1) multivariate methods to look at changes within the three health dimensions over time and (2) the association between the three health dimensions using multiple regression methods and correlations. Discussion This cohort study collects comprehensive health data from students on the course of study. It is assumed that gathered data will provide information on how the state of health develops over the study period. Also, different degrees of correlations of health behavior and health literacy will reveal different impacts on the state of students’ health. Furthermore, this study will contribute to empirically justified development of target group-specific interventions. Trial registration German Clinical Trials Register: DRKS00023397 (registered on October 26, 2020).


2019 ◽  
Author(s):  
Paul Patrick Fahey ◽  
Andrew Page ◽  
Glenn Stone ◽  
Thomas Astell-Burt

Abstract Background: Information on the associations between pre-diagnosis health behavior and post-diagnosis survival time in esophageal cancer could assist in choosing treatments and planning health services but can be difficult to obtain using established study designs. We postulated that, with a large data set, using estimated propensity for a behavior as a predictor of survival times could provide useful insight as to the impact of actual behavior. Methods: Data from a national health survey and logistic regression were used to calculate the propensity of selected health behaviors from participant’s demographic characteristics for each esophageal cancer case within a large cancer registry data base. The associations between survival time and the propensity of the health behaviors were investigated using Cox regression. Results: Observed associations include: a 0.1 increase in the probability of smoking one year prior to diagnosis was detrimental to survival (Hazard Ratio (HR) 1.21, 95% CI 1.19,1.23); a 0.1 increase in the probability of hazardous alcohol consumption 10 years prior to diagnosis was associated with decreased survival in squamous cell cancer (HR 1.29, 95% CI 1.07, 1.56) but not adenocarcinoma (HR 1.08, 95% CI 0.94,1.25); a 0.1 increase in the probability of physical activity outside the workplace is protective (HR 0.83, 95% CI 0.81,0.84). Conclusions: We conclude that propensity for health behavior estimated from demographic characteristics can assist in determining existence of the association between pre-diagnosis health behavior and post-diagnosis health outcomes, allowing some sharing information across otherwise unrelated data collections.


Author(s):  
Rana Zaini ◽  
Amani Al-Rehaili ◽  
Rahma Kufia

Objectives: The purpose of the current work is to evaluate D-dimer plasma level among both normal and complicated pregnancies such as gestational diabetes (GD) and hypertension (GH) among Saudi females. It is also focused on exhibiting any possible factors that could also play a role in rising D-dimer levels besides the age of the pregnant woman and the period of gestation. Materials and Methods: A semi-quantitative latex agglutination assay was performed in the blood sample of healthy non-pregnant, pregnant and pregnant females with GD and GH. Results: The results exhibited that 92% of pregnancies with GH and 90% of multiple pregnancies had high D-dimer levels. The analysis of the effect of age of pregnant women on D-dimer concentrations presented that 100% of pregnant women with GD, GH or multiple pregnancies aged above 40, had high levels of D-dimer. The results of the relationship between gestational age of pregnancies and D-dimer showed that by reaching the third trimester, about 66.6% of women who had multiple pregnancies had D-dimer concentration above 2000 ng/mL. Interestingly, all the pregnant females with GH had D-dimer concentrations above 2000 ng/mL. Conclusions: This study postulated that the concentrations of D-dimer significantly increase during pregnancy associated with common complications such as GD and GH. It is the first study to demonstrate the possible risk factors during pregnancy, which include age, number of pregnancies, gestational age and pregnancies with GD and GH, especially among Saudi Arabian women.


2021 ◽  
pp. 154041532110410
Author(s):  
Talia Robledo-Gil ◽  
Shakkaura Kemet ◽  
Meredith Pensak ◽  
Abigail Cutler ◽  
Blair McNamara ◽  
...  

Introduction: Research on Spanish-speaking Latina/Hispanic women's experiences during pregnancy is limited. Methods: We recruited women from urban, walk-in pregnancy testing clinics from June 2014 to June 2015. Women aged 16–44 years, at less than 24 weeks gestational age, who spoke either English or Spanish were eligible and completed an enrollment questionnaire and individual interview according to language preference. During qualitative interviews, we explored pregnancy intentions, initial reactions to a new pregnancy, and feelings about the impact of this pregnancy on relationships and daily life. Qualitative narrative content analysis was conducted using Atlas.ti software. Results: Among interviews with 31 Spanish-speaking Latina/Hispanic pregnant women, participants’ average age was 28 years old with a mean gestational age of 7 weeks. We identified social isolation as the most common theme, characterized by four interwoven and overlapping subthemes: (1) sola—the experience of feeling alone; (2) familismo cercano—the importance of close relationships; (3) familismo lejano—overcoming long distance relationships; and (4) mi patria—preserving homeland cultural connectedness. Conclusions: Spanish-speaking Latina/Hispanic pregnant women described experiencing multiple aspects of social isolation. Language preference may suggest risk of social isolation, necessitating provider awareness and support initiatives to improve social support and lessen social isolation among newly pregnant, Spanish-speaking Latina women.


2021 ◽  
Vol 15 (10) ◽  
pp. 3520-3523
Author(s):  
Muneeba Sadaf ◽  
Afshan Zaman ◽  
Fatima Bibi ◽  
Maria Tariq ◽  
Uzma Nayyer ◽  
...  

Objectives: To determine the frequency of asymptomatic bacteriuria in pregnantwomen. Study design: Descriptive, Cross sectional study Place and Duration: Department of Obstetrics & Gynaecology, Benazir Bhutto Hospital, Rawalpindi. 26th December 2017 to 25th June 2018 Materials & Methods: A total of 151 pregnant women of gestational age ≥28 weeks, 18 to 40 years of age were included. Patients with genital tract trauma, history of UTI in the past one year and urinary tract stones were excluded. Then clean-catch midstream urine was collected from each woman into a sterile universal container and sample was sent to the institutional laboratory for presenceor absence of asymptomatic bacteriuria. Results: Age range in this study was from 18 to 40 years with mean age of 28.78 ± 3.90 years. Majority of the patients 84 (55.63%) were between 18 to 30 years of age. Mean gestational age was 31.06 ± 1.67 weeks. Mean parity was 3.17 ± 0.99. Mean BMI was 27.44 ± 3.02 kg/m2. In our study, frequency of asymptomatic bacteriuria in pregnant women was found in 25 (16.56%) patients. Conclusion: This study concluded that frequency of asymptomatic bacteriuria in pregnant women is quite high. Keywords: Asymptomatic Bacteriuria, Pregnancy, Urinary Tract Infection.


2016 ◽  
Vol 11 (2) ◽  
pp. 344-356 ◽  
Author(s):  
Jaclynn Hawkins ◽  
Daphne C. Watkins ◽  
Edith Kieffer ◽  
Michael Spencer ◽  
Gretchen Piatt ◽  
...  

This study explores gender values and beliefs among Latino and African American men with diabetes and examines how these values and beliefs may influence their health behaviors. Participants were recruited from individuals who participated in one of three Racial and Ethnic Approaches to Community Health Detroit Partnership diabetes self-management interventions. One focus group was conducted with African American men ( n = 10) and two focus groups were conducted with Latino men ( n = 12) over a 3-month period. Sessions lasted 90 minutes, were audiotaped, and analyzed using thematic content analysis techniques. Two themes emerged that characterize gender identity and its relationship to health behavior in men: (a) men’s beliefs about being men (i.e., key aspects of being a man including having respect for themselves, authority figures, and peers; fulfilling the role as breadwinner; being responsible for serving as the leader of the family; and maintaining a sense of chivalry) and (b) influence of gender values and beliefs on health behavior (i.e., the need to maintain a strong image to the outside world, and the need to maintain control of themselves served as barriers to seeking out and engaging in diabetes self-management behaviors). Results suggest that gender values and beliefs may have implications for how health behaviors among men with diabetes. Future research should study the direct impact masculine identity has on health behaviors among men with diabetes.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S454-S454
Author(s):  
macarena silva ◽  
Marcelo Wolff ◽  
Laura Orellana ◽  
Catalina Carrasco ◽  
Andrea Canals ◽  
...  

Abstract Background The reported data of HIV + pregnant women in Latin America (LA) is scarce. Given the political and social changes that have occurred in recent years, Chile has had to face immigration as a recent phenomenon. Based on this, the objective of this analysis was to determine the baseline characteristics, virological during pregnancy and postpartum, and the impact of immigration on adult women infected with HIV Methods The registry of HIV + pregnant women of Fundación Arriarán was analyzed since 2006. The baseline characteristics,undetectability at delivery, vertical transmission and retention were determined.Estimators as mean and median,standard deviation and interquartile range; absolute and relative frequencies were used and for the bivariate analysis the t-test and chi2,Mann–Whitney and Fisher’s exact. For follow-up, the Kaplan–Meier method was used. Results A total of 214 pregnancies in 198 HIV + women were included. A 54% of foreigners (of Haitian predominance) was found, 2/3 of the foreigners were enrolled after 2016. A 73% was diagnosed with HIV at the time of pregnancy. Average age was 28.6 years. Baseline CD4 cell count was 396 cel/mm3. A 7.7% were admitted with advanced pregnancy and 4.6% had a history of drug addiction. None of these variables had significant differences between both groups. The variables of gestational age at admission (15 vs. 21; P < 0.001), gestational age at the beginning of therapy (18 vs. 21; P < 0.001), CDC stage and baseline viral load (9750 vs. 644 copies/mL;P < 0.001) were statistically significant between Chileans and foreigners. 58% of the patients achieved undetectability at the time of delivery without differences between both groups. (55% vs. 63%; p0.42) Almost 90% of women with detectable viral load at delivery was less than 1000 copies/mL (88,9%). 93% received full vertical transmission protocol and the prematurity rate was 16.6%. The vertical transmission was 2.6% without differences between nationals and foreigners. In the postpartum follow-up,70% were retained, 73% of them undetectable on the latest follow-up visit. Conclusion Despite the cultural and language limitations, foreign patients maintained a compliance similar to those of Chile, achieving a low transmission rate vertical and good adherence to postpartum controls. Disclosures All authors: No reported disclosures.


2018 ◽  
Vol 86 (4) ◽  
Author(s):  
Kenneth Gavina ◽  
Sedami Gnidehou ◽  
Eliana Arango ◽  
Chloe Hamel-Martineau ◽  
Catherine Mitran ◽  
...  

ABSTRACTMalaria in pregnancy can cause serious adverse outcomes for the mother and the fetus. However, little is known about the effects of submicroscopic infections (SMIs) in pregnancy, particularly in areas wherePlasmodium falciparumandPlasmodium vivaxcocirculate. A cohort of 187 pregnant women living in Puerto Libertador in northwest Colombia was followed longitudinally from recruitment to delivery. Malaria was diagnosed by microscopy, reverse transcription-quantitative PCR (RT-qPCR), and placental histopathology. Gestational age, hemoglobin concentration, VAR2CSA-specific IgG levels, and adhesion-blocking antibodies were measured during pregnancy. Statistical analyses were performed to evaluate the impact of SMIs on birth weight and other delivery outcomes. Twenty-five percent of women (45/180) were positive for SMIs during pregnancy. Forty-seven percent of infections (21/45) were caused byP. falciparum, 33% were caused byP. vivax, and 20% were caused by mixedPlasmodiumspp. Mixed infections ofP. falciparumandP. vivaxwere associated with lower gestational age at delivery (P= 0.0033), while other outcomes were normal. Over 60% of women had antibodies to VAR2CSA, and there was no difference in antibody levels between those with and without SMIs. The anti-adhesion function of these antibodies was associated with protection from SMI-related anemia at delivery (P= 0.0086). SMIs occur frequently during pregnancy, and while mixed infections of bothP. falciparumandP. vivaxwere not associated with a decrease in birth weight, they were associated with significant risk of preterm birth. We propose that the lack of adverse delivery outcomes is due to functional VAR2CSA antibodies that can protect pregnant women from SMI-related anemia.


2021 ◽  
Author(s):  
AYAN CHATTERJEE ◽  
Ram Bajpai ◽  
Martin W. Gerdes

Abstract Background: Lifestyle diseases are the leading cause of death worldwide. The gradual increase of negative behavior in humans because of physical inactivity, unhealthy habit, and improper nutrition expedites the growth of lifestyle diseases. Proper lifestyle management in the obesity context may help to reach personal weight goal or maintain a normal weight range with optimization of health behaviors (physical activity, diet, and habits). Objective: In this study, we develop a mathematical model to analyze the impact of regular physical activity, a proper diet, and healthy habits on weight change, targeting obesity as a study case. Followed by, we design an algorithm to verify our proposed model with simulated data and compare it with related proven models based on the defined constrains. Methods: We proposed a weight-change mathematical model as a function of activity, habit, and nutrition with the first law of thermodynamics, basal metabolic rate ( BMR ), total daily energy expenditure ( TDEE ), and body-mass-index ( BMI ) to establish a relationship between health behavior and weight change. Followed by, we verify the model with simulated data and compared it with related established models. In this study, we have used revised Harris-Benedict equations (HB) for BMR and TDEE calculation. Results: The proposed mathematical model showed a strong relationship between health behavior and weight change. We verified the mathematical model with a proposed algorithm using simulated data with defined constraints. The adoption of BMR and TDEE calculation following revised Harris-Benedict equations has beaten the classical Wishnofsky’s rule (3500 cal. ≈ 1 lb.) , and the models proposed by Toumasis et al., Azzeh et. Al., and Mickens et. al. with a standard deviation of ±1.829, ±2.006, ±1.85, and ±1.80, respectively. Conclusions: This study helped us to understand the impact of healthy behavior on weight change with mathematical implications and the importance of a healthy lifestyle. As a future research scope, we wish to use this model in a health eCoach system to generate personalized lifestyle recommendations to optimize health behaviors to accomplish personal weight goals.


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