Urban Adult Population Research Articles

Determinants of influenza patients requiring additional support in adult urban population

Background: Influenza is a global disease with frequent outbreaks which vary in extent and severity. Although Influenza Like Illness (ILI) has a low fatality, it can cause a spurt in hospitalizations and sick absenteeism. Understanding the risk factors and using the knowledge to limit complication is the need of the hour to ensure adequate resource allocation and patient outcome. Aim and Objective: The study analysed the proportion of influenza cases requiring additional supportive care and the factors associated with it in the study population. Material and Methods: A retrospective observational study was conducted on 139 patients who were admitted with ILI at a tertiary care centre in Mumbai. Patients records were evaluated in detail for clinical history, socio-demographic details, relevant co-morbidities, physical examination findings and imaging & laboratory investigations. IBM SPSS version 22 was used for statistical analysis. Results: The proportion of Influenza patients requiring additional support (IPRAS) was 18.71%(95% CI 13.1% to 26%) in the study population. The most common additional support was extra oxygen therapy in 53.85% of IPRAS patients. Conclusion: The risk factors with significant association with IPRAS were higher age of the individual, H1N1 influenza, female gender, and presence of 3 or more co-morbidities, presence of fever, cough or breathlessness at presentation, higher respiratory rate and lower SpO 2 at the time of presentation.

Low bone mineral density and its risk factors in an urban adult population of South India

BACKGROUND AND OBJECTIVES: Low bone mineral density (BMD) is widely prevalent in Indian populations. Very few studies that reported risk factors for low BMD and osteoporosis did not explore its relationship with age and sex. Objectives were to determine the prevalence of low BMD and osteoporosis in urban adults, and study the age- and sex-wise trends of changing BMD. METHODOLOGY: BMD of 521 healthy adults aged 20 years or more was tested using quantitative ultrasound of right tibia, and T-scores thus obtained indicated normal or low BMD. Multivariate analysis was done to calculate odds ratios for risk factors for low BMD and osteoporosis. RESULTS: Eighty-four percent participants had low BMD. Low BMD increased significantly with increasing age in both genders. An increase in age per standard deviation (SD) was associated with four-fold increase in risk of low BMD for both women (odds ratio [OR]: 4.83, 95% confidence interval [CI]: 2.61–8.92) and men (OR: 4.14, 95% CI: 2.44–7.05). Age per SD (OR: 2.28, 95% CI: 1.37–3.81) and age–gender interaction (OR: 1.09, 95% CI: 1.02-1.17) was positively associated with osteoporosis. Increasing age by one SD was associated with seven-fold increase (OR: 7.35, 95% CI: 3.51–15.40) in risk of osteoporosis among women. CONCLUSIONS: Low BMD is highly prevalent in South Indian urban population. Low BMD and osteoporosis were positively associated with increasing age. Loss of BMD appeared to begin at young ages thereby indicating the need for early institution of prevention measures.

Low bone mineral density and its risk factors in an urban adult population of South India

Low bone mineral density and its risk factors in an urban adult population of South India

FACTORS ASSOCIATED WITH THE PREVALENCE OF ARTERIAL HYPERTENSION IN THE GENERAL WORKING AGE POPULATION

Aim.To determine the factors associated with the prevalence of arterial hypertension (AH) in the unorganized urban population of working age.Methods. Random sample drawn from adult urban population aged 25–64 years (n = 1600, 59%-women) was examined in the standardized cardiologic screening program. The following associative factors were analyzed: age, family status, level of education and income; excessive salt consumption (ESC), low physical activity, alcohol consumption; family history of AH; anxiety/depression (HADS); smoking, body mass index (BMI), heart rate (HR). Logistic regression was used to analyze the relationships. A p value of <5% was considered statistically signifcant.Results.After adjustment for age, the odds for AH were higher in men (OR = 1,57, p<0,001) with the maximum gender effect found in 35–44 years (OR = 3,66, p<0,001). In the singlefactor analysis, age, BMI, family history of AH, HR and ESC were the most signifcant risk factors for AH in men. Secondary education and clinical anxiety in addition with the above-mentioned ones increased odds for AH in women. In the multivariable model, age, BMI, family history of AH and HR were associated with high AH prevalence in men. In women, these factors included age, BMI, family history of AH, HR, ESC, middle education and clinical anxiety. Out of the other modifable risk factors, BMI contributed greatly to the variability in AH prevalence in the examined population.Conclusion.The obtained fndings provides novel data on the comparative signifcance of the studied risk factors. The efforts to prevent excessive weight gain and dietary salt consumption seem promising to reduce AH prevalence in the population. Further studies focusing on the role of genetic, behavioral, and environmental factors for AH development will ensure the establishment of more effective, accurate and personalized prevention approaches in the future.

Micronutrient intakes and status assessed by probability approach among the urban adult population of Hyderabad city in South India.

To assess the dietary inadequacies of micronutrients and the associated factors among the apparently healthy urban adults. This community-based cross-sectional study involved 300 urban adults (distributed into age groups: 21-40, 41-60, and > 60years) residing in Hyderabad city, South India. Hemoglobin in whole blood, ferritin, folate, and vitamin B12 (B12) in plasma was estimated. Dietary intakes were assessed by three 24-h dietary recalls and calculated the probability of adequacy (PA) using estimated average requirement. The prevalence of anemia (30%), iron deficiency (ID, 23%), and iron deficiency anemia (IDA, 14.3%) was independent of age but higher in women. While folate deficiency (32.2%) was independent of age and gender, B12 deficiency (35.5%) varied by both age and gender. The PA of iron (89%) was higher, while that of folate, B12, and zinc (1-11%) were noticeably low. The mean PA (MPA) across the ten micronutrients was 38%, independent of age and gender, but associated with the educational status. Energy intake was a strong predictor of the MPA. Cereals and millets predominantly contributed to the intake of thiamine, niacin, zinc, and iron; green leafy vegetables and fruits to vitamins A, C, folate, and iron; animal foods to B12; and milk and milk products to calcium, vitamin A, riboflavin, and B12. The unadjusted and adjusted logistic regression models revealed that micronutrient inadequacy was associated with greater risk of IDA and folate deficiency. These results indicate a higher prevalence of micronutrient deficiencies among the healthy urban adults possibly due to the inadequacy of multiple micronutrients.

Assessment of Nutrient and Food Group Intakes across Sex, Physical Activity, and Body Mass Index in an Urban Brazilian Population.

The burden of preventable diet-related diseases is significant and becoming worse. Thus, accurately assessing food intake is crucial to guide public health policies and actions. Using food dietary recalls, we evaluated usual dietary intake according to physical activity and nutritional status in an adult urban population from Brasília, Brazil. The usual nutrient and energy intakes distributions were estimated using the Iowa State University (ISU) method. Energy and nutrient intakes were stratified by gender, age group, body mass index (BMI), and physical activity (PA). The prevalence of inadequate intake was highest for vitamins E and D. Both men and women had excessive sodium intake. The percentage of intakes below daily serving recommendations for food groups were 96% for cereals, 74% for vegetables, and 87% for dairy products, whereas percentage of intakes above daily serving recommendations were 97% for meat, 93% for pulses, and 99% for fat/oils. Energy and nutrient intakes were highest in overweight and physically active individuals within the categories of BMI and physical activity, respectively. Our study found that high-income urban Brazilians consume large quantities of meat, beans, fat/oils, and exhibit a low prevalence of nutrient inadequacies but have excessive sodium intake. Energy and nutrient intakes are highest among men, as well as overweight and physically active individuals.

The Association Between Electronic Cigarette Smoking and Gastroesophageal Reflux Disease: A Population-Based Study

Introduction: Gastroesophageal reflux disease (GERD) is associated with lifestyles. Electronic cigarette (e-cig) smoking is a new trend of lifestyle. Yet, the relationship between e-cig smoking and GERD among adult urban population. Methods: A cross-sectional study was conducted among 267 adult urban people in Cirebon, West Java, Indonesia. A self-administered questionnaire was given. It consisted demographic characteristics, e-cig smoking status, GERD-related symptom, and validated GERD questionnaire (GERDQ). Data were analyzed using descriptive statistics and chi-square test. This study has been approved by an ethical committee. Results: The median age of the subjects was 24.0 years old. E-cig smoking was frequent (74.2%) with the median duration 2.0 years. The median of its dose was 30.0 mL weekly. The prevalence of GERD in this study was 9.4%. The e-cig smoking was positively associated with regurgitation (PR= 1.388; 95%CI: 1.284-1.500; p=0.006), but it was negatively associated with GERD (PR= 0.334; 95%CI: 0.144-0.772; p=0.008). Conclusion: The prevalence of e-cig smoker in US is 15%, in UK 10%, in Canada 4%, and in Australia 2%.1-2 The prevalence of e-cig smoker in this study is high. The differences can be caused by different definition and scope of population used in the studies. E-cig smoking is still a controversial issue. Some in the community have embraced e-cig smoking as a safer alternative to conventional cigarettes, further as a smoking cessation method.1,3 Yet, the hazards of e-cig smoking are still unknown. S. A. Meo, et al.,4 reported that e-cig smoking can cause nausea and vomiting. Our study revealed that e-cig smoking was clinically associated with regurgitation. It was assumed that those effects are due to nicotine toxicity via inhalation delivery system. But, our study also showed that 2-year e-cig smoking is statistically negative association with GERD. There are limitations in this study. First, study design we used in this study was cross-sectional. We propose cohort study in the future studies evaluating the association between e-cig smoking and GERD. Second, relatively short duration of e-cig consuming might be less provoking the GERD. Third, we did not evaluate other variables enabling them as confounding factors. As a conclusion, this first population-based study showed that e-cig smoking is associated with regurgitation, but statistically it is negatively associated with GERD in adult urban population. Further studies are needed to evaluate this association.

Prevalence of clinical and radiological osteoarthritis in knee, hip, and hand in an urban adult population of Mexico City.

Osteoarthritis (OA) is the most prevalent articular disease worldwide, and its prevalence is highly variable depending on the classification criteria, population studied, and/or affected joints considered. Reporting epidemiologic data about clinical and radiological OA prevalence in Mexico has not been done before. A descriptive cross-sectional study was carried out with participants of Mexico City, and included both men and women above 40 years of age. All participants were evaluated with radiological and clinical criteria for OA. Two hundred and four individuals participated in the study: 80 men (39.2%) and 124 women (60.8%). The average age was 57.4±10.9 years. Using clinical criteria alone, 36 participants were found to have hand OA (17.6%; 95% CI, 13-23.4), 37 with hip OA (18.1%; 95% CI 13.4-24), and 40 with knee OA (19.6%; 95% CI 14.7-25.6). When radiological criteria were used, 51 individuals were reported as having hand OA (25%; 95% CI 19.5-31), 54 with hip OA (26.5%; 95% CI 20.8-32.9), and 52 with knee OA (25.5%; 95% CI 20-31.8). When clinical criteria were used and then corroborated with radiological criteria, the prevalence was 28 individuals with hand OA (13.7%; 95% CI 9.6-19), 31 with hip OA (15.1%; 95% CI 10.9-20.7), and 36 with knee OA 36 (17.6%; 95% CI 12.2-26.2). The prevalences found in this study are greater than those found in other studies in Mexico that only report clinical criteria.

Assessment of cardiovascular risk among diabetic patients in an urban area of Kancheepuram district, India: a cross sectional study

Background: Diabetes mellitus is a major public health problem. Non communicable diseases like coronary artery disease (CAD), stroke, obesity are increasing in number and overtakes the communicable diseases with respect to morbidity and mortality. Diabetic populations have a higher risk of developing CAD than the general population. The aim of this study was to assess the risk of developing cardiovascular diseases among diabetic patients.Methods: This is a cross sectional study done among the urban adult population in Kancheepuram district. Sample size of 400 diabetic patients was studied by using consecutive sampling method. Data was collected by administering a pre tested structured questionnaire. Cardiovascular risk was assessed based on PROCAM scoring, a 10 years risk assessment score. The study was done for a period of three months from January to March 2018. Data analysis was done in SPSS software version 22.Results: Among the diabetic patients, 53.5% of them are in high risk category based on PROCAM score for developing cardiovascular disease. A statistical significant association was found between cardiovascular risk and factors like socioeconomic status and overweight/obesity.Conclusions: This study reveals that the diabetic populations are at higher risk of developing cardiovascular diseases. Hence awareness about the risk should be created and appropriate intervention at early stages should be implemented at primary health care level.

Psychological distress among adult urban population of Puducherry

Background: A large proportion of population in the community with psychological distress goes unnoticed. This study was done to assess the psychological distress among adult population of an urban area of Puducherry.Methods: The study was conducted among 569 individuals of age 18 years and above. Systematic random sampling method was used to select the households in the study area and from each household one adult was randomly selected. The General Health Questionnaire-12 (GHQ-12) was used to assess the psychological distress among the study participants.Results: Majority of the participants had low psychological distress (60.5%) followed by typical (19.3%), more than typical (10%), evidence of psychological distress (6.2%) & severe distress (4%). One-fifth (20.2%) of the participants had psychological distress which needs attention. The mental health status of the participants was significantly associated with the age, sex, marital status, religion and education (p<0.05).Conclusions: The psychological distress is a major public health problem in the study population. Focused interventions to improve the mental health of population are required to decrease the mental distress in the community.

Dietary determinants of obesity among Mexican women

Introduction Lifestyle and dietary habits in the Mexican population have dramatically changed in the last 20 years, reflected in an increased prevalence of overweight and obesity in both urban and rural adult populations. The prevalence of overweight and obesity in Mexican adults is 38.8% and 32.4%, respectively. In adults, abdominal obesity is more prevalent among women than men (82.8% versus 64.5%, respectively). In women over 60 years of age, overweight and obesity rates are even greater—nearly 40% are overweight and 35.5% obese. A healthy diet has been shown to prevent weight gain. It is therefore important to investigate dietary factors that are most strongly associated with obesity in this highly obese population group. Dietary patterns are used to assess the overall diet. One approach to evaluate dietary patterns is to use a priori patterns which are based on dietary recommendations. The objective of this study was to evaluate the associations between the consumption of food groups and a priori defined dietary patterns and anthropometric measures in women from the CAMA study. Methods Our study population is based on 1062 women (35 to 69-years-old) from the control group of the CAMA study, which is a multi-centre population-based case-control study on breast cancer conducted in Mexico. Each woman was interviewed via personal interview during which dietary intakes were assessed using a semi-quantitative Food Frequency Questionnaire. The indices used in the study are the Dietary Approaches to Stop Hypertension (DASH) score, the Healthy Eating Index (HEI) score, the Mediterranean Diet Score (MDS) and the Diet Quality Index (DQI) score. To estimate associations of food groups and dietary patterns with anthropometric measures, generalized linear regression models were used and adjusted for potential confounders, such as age, centre and educational level. Results Mean age, body mass index (BMI), waist circumference (WC), hip circumference (HC) and waist-to-hip ratio (WHR) among the participants were 51.1 (years), 30.5 (kg/m2), 99.4 (cm), 109.3 (cm) and 0.91, respectively. When individual food groups were examined, a higher consumption of legumes was associated with lower body mass index (BMI), waist circumference (WC) and hip circumference (HC). Regarding dietary patterns, a higher adherence to MDS was associated with lower WC. We did not observe any significant association between other food groups or a priori dietary patterns and anthropometric measurements in models adjusted for confounders. Conclusions In this population of Mexican women, most of the a priori dietary scores appeared to be of limited value in predicting the association between diet and anthropometric measures. However, higher adherence to the Mediterranean diet was associated with lower WC.

Knowledge, attitude and practice of organ donation in urban areas of Puducherry – A Community based study

Objectives: To determine the knowledge, attitudes and practices regarding organ donation in a selected adult urban population in Pondicherry. Methods: Simple random sampling was used to generate a sample of 100 in urban service areas of IGMC & RI. Face to face interview was conducted based on a pre-tested questionnaire in selected urban areas of Pondicherry. Data was analysed using SPSS v. 22 and associations were tested using the Pearson's Chi square test. Results: 57% of the participants in this survey had adequate knowledge score for Organ Donation. Knowledge about organ donation was significantly associated with gender, religion, education and income. Television emerged as the major source of information. Only 2% had donated an organ. Both were volunteers who have donated blood. Conclusions: Better knowledge may ultimately translate into the act of donation. Effective measures should be taken to educate people with relevant information with the involvement of media and doctors.

Complete blood count reference intervals from a healthy adult urban population in Kenya.

BackgroundThere are racial, ethnic and geographical differences in complete blood count (CBC) reference intervals (RIs) and therefore it is necessary to establish RIs that are population specific. Several studies have been carried out in Africa to derive CBC RIs but many were not conducted with the rigor recommended for RI studies hence limiting the adoption and generalizability of the results.MethodBy use of a Beckman Coulter ACT 5 DIFF CP analyser, we measured CBC parameters in samples collected from 528 healthy black African volunteers in a largely urban population. The latent abnormal values exclusion (LAVE) method was used for secondary exclusion of individuals who may have had sub-clinical diseases. The RIs were derived by both parametric and non-parametric methods with and without LAVE for comparative purposes.ResultsHaemoglobin (Hb) levels were lower while platelet counts were higher in females across the 4 age stratifications. The lower limits for Hb and red blood cell parameters significantly increased after applying the LAVE method which eliminated individuals with latent anemia and inflammation. We adopted RIs by parametric method because 90% confidence intervals of the RI limits were invariably narrower than those by the non-parametric method. The male and female RIs for Hb after applying the LAVE method were 14.5–18.7 g/dL and 12.0–16.5 g/dL respectively while the platelet count RIs were 133–356 and 152–443 x103 per μL respectively.ConclusionConsistent with other studies from Sub-Saharan Africa, Hb and neutrophil counts were lower than Caucasian values. Our finding of higher Hb and lower eosinophil counts compared to other studies conducted in rural Kenya most likely reflects the strict recruitment criteria and healthier reference population after secondary exclusion of individuals with possible sub-clinical diseases.

Prevalent hepatitis B surface antigen among first-time blood donors in Gabon.

Despite chronic Hepatitis B virus (HBV) infection being the main cause of younger-onset complex liver disease including cirrhosis and hepatocellular carcinoma (HCC) in Africa, very little is known regarding the seroprevalence of HBV in the Gabonese general population. This investigation aimed to provide strong epidemiological data and risk factors associated with HBV infection in first-time blood donors representative of the urban adult population. The screening of HBsAg was carried out using 4th generation ELISA kits. The overall seroprevalence of HBsAg was 7.28%. The frequency of HBsAg was differential and marked by annual variations in blood donors from 2009 to 2016. Seroprevalence was 2-fold higher among males versus females (OR = 1.90 (95% CI: 1.75–2.06), P<0.001). HBsAg seroprevalence was significantly higher in donors of the age group 25–35 years old compared to donors of the age group <18 years (OR = 1.64 (95% CI: 1.03–2.60), P = 0.04). The seroprevalence of HBsAg in family/replacement donors (FRD) was significantly higher than that of voluntary non-remunerated donors (VNRD) (OR = 0.88 (95% CI: 0.83–0.94), P <0.001). The simultaneous comparison of HBsAg seroprevalence with blood donation type, gender and age showed that the higher prevalence in FRD was significant only in males between 18 and 45 years and in females between 25 and 34 years of age. This study confirms the high endemicity of HBV in Gabon while identifying the most infected age groups for both men and women.

A retrospective study on association between obesity and cardiovascular risk diseases with aging in Chinese adults

This study aimed to investigate the prevalence of overweight and obesity and its relationship with cardiovascular risk diseases among different sex and age groups in an urban Chinese adult population. A retrospective analysis was performed on 384,061 Chinese adults aged 20 years and older in Nanjing. The age-standardized prevalence of overweight and obesity was 42.8% and 13.2% in men and 23.9% and 6.6% in women. A gradually increasing trend was observed in the prevalence of overweight and obesity from 2008 to 2016, especially in individuals aged 20~39 years. Overweight and obesity were significantly associated with increased risks of dyslipidemia, diabetes mellitus, hypertension, and hyperuricemia. Age weakened such relationship for both genders, which spiked in individuals aged 20~39 years. For men and women aged 20~39 years, the OR (95% CI) of obesity reached 4.23 (4.01–4.47) and 5.29 (4.63–6.04) for dyslipidemia, 3.70 (2.97–4.60) and 6.38 (3.86–10.55) for diabetes mellitus, 6.19 (5.76–6.64) and 9.36 (7.86–11.13) for hypertension, and 3.66 (3.45–3.88) and 6.65 (5.70–7.74) for hyperuricemia, respectively. The increasing trend in the epidemic of overweight and obesity is a risk factor for cardiovascular risk diseases in Chinese adults, especially in individuals aged 20~39 years.

Transitions between Housing States among Urban Homeless Adults: a Bayesian Markov Model.

The purpose of this study is to explore how marginalization, substance abuse, and service utilization influence the transitions between streets, shelters, and housed states over the course of 2years in a population of urban homeless adults. Survey responses from three yearly interviews of 400 homeless adults were matched with administrative services data collected from regional health, mental health, and housing service providers. To estimate the rates of transition between housed, street, and shelter status, a multi-state Markov model was developed within a Bayesian framework. These transition rates were then regressed on a set of independent variables measuring demographics, marginalization, substance abuse, and service utilization. Transitions from housing to shelters or streets were associated with not being from the local area, not having friends or family to count on, and unemployment. Pending charges and a recent history of being robbed were associated with the shelters-to-streets transition. Remaining on the streets was uniquely associated with engagement in "shadow work" and, surprisingly, a high use of routine services. These findings paint a picture of unique and separate processes for different types of housing transitions. These results reinforce the importance of focusing interventions on the needs of these unique housing transitions, paying particular attention to prior housing patterns, substance abuse, and the different ways that homeless adults are marginalized in our society.

Factors associated with nonalcoholic fatty liver disease grades detected by ultrasound at a screening center in Klang Valley, Malaysia.

Background: Non-alcoholic fatty liver disease (NAFLD) is a very common liver disease in the world, particularly in Western and developed countries. It is rapidly growing in the Asia- Pacific region.Objectives: This study was designed to determine the association between risk factors and non-alcoholic fatty liver disease grades among Malaysian adults.Patients and Methods: A cross-sectional observational study design was prospectively carried out in this study. Consecutive 628 respondents who attended for a medical checkup at urban health center had been recruited for the study. All respondents had the physical examination, blood tests, clinical assessments, and abdominal ultrasound. A structured self-administered questionnaire has been also used in this study in this survey.Results: From a total of 628 “health screened” subjects, 235 subjects (37.4%) were diagnosed to have non-alcoholic fatty liver disease. Female gender and Chinese race were predominant in our study population. Of those with NAFLD, more than half subjects (63.4) had a moderate grade of non-alcoholic fatty liver disease. The mean age of the study population was 54.54 ±6.69 years. Differences of the mean body mass index (BMI) and waist to hip ratio (WHR) were found to be significant among non-alcoholic fatty liver disease grades (P&lt; 0.001). Similarly, mean triglycerides (TG) and high-densiy lipoprotein-cholesterol (HDL-C) levels had significant differences among non-alcoholic fatty liver disease grades (P&lt; 0.001 and P= 0.016, respectively).Conclusion: the non-alcoholic fatty liver disease is common among urban Malaysian adult population. Anthropometric measurements were closely correlated with non-alcoholic fatty liver disease grades.Keywords: Non-alcoholic fatty liver disease, NAFLD grades, sonography, urban population.&#x0D; ا

Опыт использования кластерного анализа для интерпретации особенностей самореализации горожан

The paper interprets the features of self-realization of the adult urban population through the prism of cluster analysis. Particular indicators of the degree of self-realization in the key areas of life (work, (self-)education, partnership, parenting, hobbies, and healthcare) are the bases for clustering. The author’s sociological methods for measuring the degree of self-realization are based on the index approach and take into account both subjective and conventionally objective indicators. The analysis reveals seven clusters; it allows one to differentiate groups depending on the successful self-realization in one or another area of life. It is significant that the cluster that unites those who are harmoniously self-fulfilled in all aspects under consideration is relatively small (4%), and the opposite group of unsuccessful people is 19%. For the majority of citizens, self-realization, as a rule, takes place in a private area (family, hobbies), and it is variously represented in other clusters.

Dairy product consumption and its association with metabolic disturbance in a prospective study of urban adults.

The role of dairy foods and related nutrients in cardiometabolic health aetiology is poorly understood. We investigated longitudinal associations between the metabolic syndrome (MetS) and its components with key dairy product exposures. We used prospective data from a bi-racial cohort of urban adults (30-64 years at baseline (n 1371)), the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS), in Baltimore City, MD (2004-2013). The average of two 24-h dietary recalls measured 4-10 d apart was computed at baseline (V1) and follow-up (V2) waves. Annual rates of change (Δ) in dairy foods and key nutrients were estimated. Incident obesity, central obesity and the MetS were determined. Among key findings, in the overall urban adult population, both cheese and yogurt (V1 and Δ) were associated with an increased risk of central obesity (hazard ratio (HR) 1·13; 95 % CI 1·05, 1·23 per oz equivalent of cheese (V1); HR 1·21; 95 % CI 1·01, 1·44 per fl oz equivalent of yogurt (V1)]. Baseline fluid milk intake (V1 in cup equivalents) was inversely related to the MetS (HR 0·86; 95 % CI 0·78, 0·94), specifically to dyslipidaemia-TAG (HR 0·89; 95 % CI 0·81, 0·99), although it was directly associated with dyslipidaemia-HDL-cholesterol (HR 1·10; 95 % CI 1·01, 1·21). Furthermore, ΔCa and ΔP were inversely related to dyslipidaemia-HDL and MetS incidence, respectively, whereas Δdairy product fat was positively associated with incident TAG-dyslipidaemia and HDL-cholesterol-dyslipidaemia and the MetS. A few of those associations were sex and race specific. In sum, various dairy product exposures had differential associations with metabolic disturbances. Future intervention studies should uncover how changes in dairy product components over time may affect metabolic disorders.

Exposure to Indoor PM2.5 Increases 24-hour Blood Pressure in Adult Urban Population from Bucaramanga, Colombia

Background/Aim: Fine particulate matter (PM2.5) is associated to high blood pressure (BP) and cardiovascular disease (CVD); however, most studies have used outdoor as proxy of indoor PM2.5 and offi...