Insufficient Consumption Of Vegetables Research Articles

Analysis of the relationship between actual nutrition and physical activity and smoking among russian and foreign students of a medical university

A significant contribution to the preservation and improvement of the population health is made by a healthy lifestyle, one of the components of which is rational nutrition. Considering severe stress experienced by students due to the changed social environment, the study of nutritional characteristics and the role of behavioral factors in eating behavior among medical students remains an extremely topical issue of modern preventive medicine. Material and methods. As a result of a cross-sectional study, 197 students of the Saratov Medical University were interviewed, 100 (51 %) of them were russian students, 97 (49 %) were citizens of Central African countries. The method of 24-hour reproduction of daily diet, program complex “Individual diet 5.0 professional version”, questionnaire were used. Results and discussions. The study showed an imbalance in macro- and micronutrients intake of the daily food ration, a violation in the diet, insufficient consumption of vegetables and fruits, rare hot meals, dissatisfaction with the organization of meals in student canteens, frequent use of fast food by students regardless of their country of origin. The relationship of physical activity and smoking with the diet and the frequency of consumption of vegetables and fruits, low awareness of unbalanced nutrition as a risk factor for the development of alimentary-dependent diseases have been established. Conclusions. The nutritional behavior of russian and foreign students of Saratov Medical University does not meet all the principles of healthy eating recommended by WHO. Thus, it is necessary to improve the organization of catering in student canteens, taking into account the taste preferences of foreign students, the introduction of educational activities and healthy nutrition programs with the involvement of the students themselves in their preparation. The analysis of actual nutrition is a very important task, as it allows assessing the current socio-economic situation, as well as the effectiveness of educational programs in the framework of national projects on a healthy lifestyle and proper nutrition.

Abstract P520: Sleep Duration and Quality Associated With Behavioral Cardiometabolic Health in Israel: Jewish / Arab Ethnic Differences

Introduction: The role of sleep health in global cardiometabolic disparities has not been sufficiently explored as a modifiable factor. Israeli Jews and Arabs share national and cultural experiences, but differ with respect to important historical, socio-economic, and cultural aspects. Hypothesis: Jewish/Arab Israeli disparities in cardiometabolic health may be partially explained by differences in sleep. Methods: 7,230 Israeli individuals (N=5880 Jews and N=1350 Arabs) responded to the 2017 Israeli Bureau of Statistics population-based survey of households. Behavioral risk factors included poor diet (<4 servings/day of vegetables), sedentary lifestyle (no exercise within the past 3 months), smoking, and obesity (based on self-reported height and weight). Sleep variables included sleep duration (<=5, 6, 7, 8 [reference], or >=9 hours) and sleep difficulty in the past month (none [reference], mild, moderate, or severe). Covariates included age and sex. Results: Israeli Arabs were more likely to be smokers (OR=1.41), sedentary (OR=1.44), obese (OR=1.73), and consume <4 vegetable servings (OR=3.23). In adjusted analyses of sleep duration, smoking was associated with <=5h (OR=1.49, 95%CI [1.23,1.80], p<0.0005) and >=9h (OR=1.33, 95% CI [1.02,1.72], p=0.035), and it was associated with moderate (OR=1.45, 95%CI [1.21,1.75], p<0.0005) and severe (OR=1.57, 95%CI [1.33,1.86], p<0.0005) sleep difficulties. A significant duration-by-ethnicity interaction was observed (p=0.003). Stratified analyses showed that smoking was associated with <=5h and 6h and relationships were stronger in Israeli Arabs. Insufficient vegetable consumption was associated with moderate (OR=1.25, 95%CI [1.04,1.52], p=0.02) and severe (OR=1.32, 95%CI [1.12,1.57], p=0.001) sleep difficulties. A significant duration-by-ethnicity interaction was observed (p=0.02). In stratified analyses, no relationships were seen among Israeli Jews, but among Israeli Arabs, insufficient vegetable consumption was negatively associated with shorter sleep. Sedentary lifestyle was associated with severe sleep difficulties (OR=1.31, 95%CI [1.04,1.65], p=0.02). No interactions were found. Obesity was associated with <=5h (OR=1.36, 95%CI [1.10,1.68], p=0.004) and severe sleep difficulties (OR=1.40, 95%CI [1.17,1.67], p<0.0005). A significant duration-by-ethnicity interaction was found. In stratified analyses, among Israeli Jews, obesity was associated with 7h sleep duration, but among Israeli Arabs, obesity was associated with <=5h, 6h, and >=9h. Conclusions: Behavioral cardiometabolic health factors were associated with poor sleep health, but these relationships were generally stronger among Israeli Arabs. Sleep health may be a fruitful intervention target to reduce disparities.

Social and behavioral risk factors associated with cognitive impairment among the middle-aged and elderly Russian population

Aim. To assess the associations of social and behavioral risk factors with cognitive impairment in the Russian population aged 55-74 years.Material and methods. This study was conducted as part of the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3) study. A total of 13736 participants living in 14 Russian regions were examined. Cognition was assessed using the Mini-Mental State Examination (MMSE) score as follows: cognitive impairment was recorded in the total score<24, based on 30 points. Associations were assessed using logistic regression after adjusting for sociodemographic characteristics, drinking status, and the presence of hypertension and stroke.Results. According to the multivariate analysis, no higher education (odds ratio (OR) 2,5 (95% confidence interval (CI): 1,98-3,27), p=0,001), no marriage (OR 1,6 (95% CI: 1,29-2,00), p=0,001), unemployment (OR 2,2 (95% CI: 1,71-2,86), p=0,001), and low income (OR 2,04 (95% CI: 1,60-2,57), p=0,001) are significantly associated with cognitive impairment. Of the 4 behavioral risk factors studied, only insufficient consumption of vegetables and fruits was significantly associated with cognitive impairment (OR 1,52 (95% CI: 1,18-1,99), p=0,001)Conclusion. The study results indicate an association between cognitive impairment and education, marital status, income, employment, professional activity, as well as insufficient consumption of vegetables and fruits.

Motivating non-physician health workers to reduce the behavioral risk factors of non-communicable diseases in the community: a field trial study

BackgroundNon-communicable diseases behavioral risk factors can be improved if effective interventions are designed considering the health system’s capabilities and local resources. This study evaluated the effectiveness of interventions that aimed at increasing non-physician community health workers’ motivation in reducing non-communicable diseases behavioral risk factors in the community.MethodsA randomized field trial study was conducted in 32 community health centers in 4 Iranian districts after a baseline population survey on the status of NCDs of 30–70-year-old individuals (n = 1225). The interventions were performed to improve insufficient physical activity, insufficient fruit consumption, insufficient vegetable consumption, high salt intake, and tobacco use. Four intervention packages were implemented in 24 community health centers; the other 8 centers were used as control groups. The non-physician community health workers performed the interventions. The packages additively included goal-setting, evidence-based education, operational planning, and incentive payments. A second survey was conducted 1 year after the start of the interventions to identify the effects on an independent random sample of 30–70-year-old individuals (n = 1221). Difference-in-difference method was used to quantify the interventions’ effects.ResultsThe average age of participants in both surveys was about 49 years. Also, about half of the participants were female, and about 43% were illiterate or had a primary school education. The interventions had statistically significant effects only on decreasing the prevalence of insufficient physical activity. The package with all the intervention components decreased the odds of insufficient physical activity to 0.24 (95% CI, 0.08, 0.72). The package with operational planning but no performance-based financing did not change the odds of insufficient physical activity.ConclusionsThis study highlighted the importance of components, design, and implementation details of interventions intended to reduce NCDs behavioral risk factors. Some risk factors, such as insufficient physical activity, seem more easily modifiable with limited low-cost interventions in a one-year horizon. However, risk factors related to healthy food consumption and tobacco use need more extensive interventions.Trial registrationThis trial was registered on the Iranian Registry of Clinical Trials (IRCT20081205001488N2) on 3 June 2018 (https://en.irct.ir/trial/774).

Modifiable risk factors for cardiovascular diseases in staff of aboveground and underground rail transport in Moscow

Aim. To study modifiable risk factors for cardiovascular disease (CVD) among rail transport workers, depending on the place of work: Russian Railways and Moscow Metro.Material and methods. The study involved 2638 workers of locomotive crews: 778 persons worked at Russian Railways, 1860 — Moscow Metro. The workers were offered a questionnaire assessing general data, features of medical activity, and lifestyle. The collection and processing of data was carried out using Microsoft Excel and Statistica programs.Results. The studied groups were comparable in age structure. Slightly above 40% of respondents in both groups currently smoked, while ~70% did not eat enough vegetables. Workers of Russian Railways were 2 times more likely to drink alcohol ≥2 times a week and 1,2 times more likely to eat at fast food restaurants. Also, ~40% of participants in both groups often or always added salt to food, almost 20% did not engage in athletics. Workers of Russian Railways were less physically active. Moscow Metro workers ate less regularly and did not consume enough fruit. The average body mass index of both groups corresponded to overweight.Conclusion. The leading behavioral risk factors for CVD in rail transport workers are insufficient consumption of vegetables and fruits, low physical activity, and smoking. The obtained results will allow to improve the guidelines for lifestyle modification of rail transport workers, to develop and refine corporate programs for primary CVD prevention.

Food Production and Consumption in Ordos of Inner Mongolia

Ordos is an ecological fragile area in the upstream and midstream of the Yellow River and a component of the ecological security barrier on the northern frontier of China. With population growth in recent years, the contradiction between human beings and land resources has become increasingly prominent, leading to increased food security risks. Since 2000, the local government has implemented a series of ecological projects to guide farmers and herdsmen to transform from extensive production to intensive production, which has optimized the pattern of food production and consumption. It is necessary to study the balance between food supply and demand to evaluate food self-sufficiency. Here, we used the panel data from 2000 to 2020 collected based on random sampling surveys to reveal the characteristics of food production and consumption, the changes in food self-sufficiency rate and the dependence of food consumption on local production in Ordos. The results showed that food production and consumption dominated by grains have been increasing. The residents' diets were characterized by excessive consumption of grains and meat, and insufficient consumption of vegetables, fruits, and dairy foods. On the whole, the locality has achieved self-sufficiency, because the food supply exceeded the demand during the two decades. However, the self-sufficiency of different food types varied greatly, as some foods, such as wheat, rice, pork, poultry, and eggs, have not been self-sufficient. Due to the increased and diversified food demand of residents, food consumption became less dependent on local production and more dependent on food imported from the central and eastern China, which threatened local food security. The study can provide a scientific basis for decision-makers for the structural adjustment of agricultural and animal husbandry and the structural adjustment of food consumption, to ensure food security and sustainable utilization of land resources.

Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study.

SummaryBackgroundModifiable non-communicable disease (NCD) risk factors are becoming increasingly common among adolescents, with clustering of these risk factors in individuals of particular concern. The aim of this study was to assess global status of clustering of common modifiable NCD risk factors among adolescents.MethodsWe used latest available data from nationally representative survey for 140 countries, namely the Global School-based Student Health Survey, the Health Behaviour in School-Aged Children and the longitudinal study of Australian Children. Weighted mean estimates of prevalence with corresponding 95% confidence intervals of nine NCD risk factors - physical inactivity, sedentary behaviour, insufficient fruits and vegetable consumption, carbonated soft drink consumption, fast food consumption, tobacco use, alcohol consumption and overweight/obesity - were calculated by country, region and sex.FindingsOver 487,565 adolescents, aged 11–17 years, were included in this study. According to trend analysis, prevalence of four or more NCD risk factors increased gradually over time. Prevalence of four or more NCD risk factors was 14.8% in 2003–2007 and increased to 44% in 2013–2017, an approximately three-fold increase (44.0%). Similar trends were also observed for three and two risk factors. Large variation between countries in the prevalence of adolescents with four or more risk factors was found in all regions. The country level range was higher in the South-East Asia Region (minimum Sri Lanka = 8%, maximum Myanmar = 84%) than Western Pacific Region (minimum China = 3%, maximum Niue = 72%), European Region (minimum Sweden = 13.9%, maximum Ireland = 66.0%), African Region (minimum Senegal = 0.8%, maximum Uganda = 82.1%) and Eastern Mediterranean Region (minimum Libya = 0.2%, maximum Lebanon = 80.2%). Insufficient vegetable consumption, insufficient fruit consumption and physically inactivity were three of the four most prevalent risk factors in all regions.InterpretationOur results suggest a high prevalence of four or more NCD risk factors in adolescents globally, although variation was found between countries. Results from our study indicate that efforts to reduce adolescent NCD risk factors and the associated health burden need to be improved. These findings can assist policy makers to target the rollout of country- specific interventions.FundingNone.

A dependence of the obesity prevalence on the consumption structure for the main food groups in the population of the Russian Federation and the city of Moscow

Introduction. Obesity is a risk factor for a number of non-communicable diseases that cause premature mortality in the population, including cardiovascular diseases, diabetes mellitus and some cancers. Obesity is associated with a wide range of concomitant diseases and pathological conditions, psychological problems, and a decrease in the quality of life and work capacity. High-calorie, high-fat, predominantly animal-based diets, high salt and sugar content, and inadequate intake of fruits and vegetables are associated with an increased risk of obesity. While healthy nutrition plays an important role in preventing the development of non-communicable diseases, including obesity, in increasing the duration and quality of life of the population. Objectives. To analyze the relationship between obesity incidence rates and the dynamics of consumption of the main food groups in households of the Russian Federation and the city of Moscow. Materials and methods. Analysis of data from statistical studies by Rosstat on the consumption of basic food products for the period 2016–2020 and information on the number of obesity diseases (E66) according to the FSN form No. 12 "Information on the number of diseases registered by patients living in the service area of a medical organization" according to data from medical organizations in Moscow and the Russian Federation for the same period. Results. In the Russian Federation, from 2016 to 2020, there is an insufficient consumption of vegetables and melons, an insufficient consumption of fruits and berries, although there is an increase in consumption from 72.7 to 77.1 kg per year. Sugar and confectionery consumption is excessive, with a slight downward trend from 32 to 31.1 kg. In the city of Moscow, there is also an insufficient consumption of vegetables and melons. Consumption of fruits and berries is insufficient, but with a pronounced tendency to increase from 71 to 88.2 kg per year. The consumption of sugar and confectionery products is excessive, with a tendency to increase in consumption from 23.4 to 26.1 kg. According to the dynamics of the number of obesity diseases in the Russian Federation, the number of registered patients over the age of 14 years from 2016 to 2019 increased from 2,122,302 to 2,581,717 people, in 2020 there is a decrease to 2,207,386. The corresponding data for Moscow are 71,250 people in 2016 and increase to 88,634 in 2019, but in 2020 there is a decrease in the number of obese patients to 86,519 people. Conclusion. The insufficient consumption of fruits and vegetables, excessive consumption of sugar and confectionery products both in the Russian Federation and in the city of Moscow act as a risk factors for obesity.

Unhealthy diet in association with abdominal obesity as risk factors for cardiovascular disease: data from the ESSE-RF2 study in the Omsk region

Aim. To compare dietary patterns of the Omsk region male and female representatives with and without abdominal obesity (AO).Material and methods. Wthin the second study of Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF2) using a representative sample of Omsk region population aged 25-64 years (n=1648), dietary habits, including 21 food groups, were assessed by the questionnaire method. Eating habits of Omsk region representatives with (n=936) and without AO (n=712) were compared.Results. Insufficient consumption of vegetables and fruits practically does not differ in those with or without AO. Depending on sex, insufficient fruit consumption is more typical for both men and women without AO. In addition, there is insignificant increase of fruit consumption in AO people, especially women (p=0,09). Both men (p=0,05) and women (p=0,045) are less likely to consume meat daily but more often consume fish weekly compared to those without AO. This mainly applies to women, because women with AO, in contrast to those without AO, are significantly less likely to consume insufficient amount of fish (p=0,0001). Compared to women with, men with AO significantly more often daily and weekly consume seafood (p=0,001). Daily milk consumption is much less common in individuals with AO, but only at the expense of men with AO (p=0,0001). Kefir and yogurt, on the contrary, are more often consumed in patients with AO both daily and weekly. Omsk people with AO are less likely to introduce yogurt into their daily diet, mainly at the expense of women with AO (p=0,02). Excessive consumption of pasta is more typical for persons without AO (p=0,0001), and by means of men (p=0,001). Omsk residents with AO more often exclude the sweets and confectionery from diet. In the daily diet, they are much less common in individuals with AO (p=0,0001), especially in men with AO (p=0,0001). The respondents with AO daily consume pickles 1,4 times more often compared with those without AO, and mainly by means of men (p=0,03).Conclusion. Presence of AO somewhat changed the dietary habits of Omsk residents. AO patients are less likely to consume pasta, sweets and confectionery products, but more likely to eat pickles and to add more salt to cooked food, which requires targeted preventive measures, taking into account the identified sex priorities, depending on AO presence.

Eating habits among the Omsk Oblast population and poor nutrition in association with cardiovascular diseases according to the ESSE-RF2 study

Aim. To assess the prevalence of eating habits among the Omsk Oblast population and their association with cardiovascular diseases (CVDs) according to the ESSERF2 study.Material and methods. In the ESSE-RF2 study with persons aged 25-64 years (random sample, n=1648), the dietary habits of 21 food groups were assessed using the questionnaire method. Results. Insufficient consumption of vegetables and fruits was revealed in 60,0% and 68,7% of the region’s population, which is 1,5-2,2 times higher than amongRussians. The daily intake of cereals is 2,3 times higher than that of pasta, especially in those with CVDs. In the region, poultry is preferred. Poultry at least once a week is consumed by 91,7% of Omsk residents, red meat — 74,8%, and fish — only 35,2% (vs 84,7%, 83,1% and 65,1% in Russians, respectively). The daily intake of liquid dairy products is low. Cheese and cottage cheese is consumed significantly lower than the national average, while legumes — 4 times lower. The presence of confectionery in the daily diet of 40,3% of Omsk residents looks more favorable than the average among Russians. In addition, 50% of the population eat pickles only 1-2 times a month (significantly less than in Russia). On the contrary, 60,9% of Omsk residents regularly (daily-weekly) consume meat and sausages (56,0% in Russia, p=0,000). Omsk residents with CVDs refrain from excessive consumption of sugar, other sweets, meat and sausages, pickles and marinades. They are almost 2 times more likely to exclude red meat from the diet or reduce its daily consumption than people without CVDs. Salting of cooked food, consumption of vegetables and fruits, fish, seafood and dairy products practically did not depend on CVDs.Conclusion. The food habits of Omsk residents differs from the national one in many products. People with CVDs have unfavorable eating habits: reduced consumption of fresh vegetables, fruits, fish, seafood, legumes and nuts. Patients do not change their diet in favor of cardioprotective products and decrease in adding more salt. Although, they more often refuse meat and sausages, pickles, marinades, sweets, and pasta, and increase the consumption of cereals.

Risk factors for cardiovascular diseases in rural residents of the Altai Krai: data from the ESSE-RF study

Aim. To study the prevalence of behavioral and biological risk factors for noncommunicable diseases among rural residents of the Altai Krai.Material and methods. The object is a sample of male and female population obtained during the ESSE-RF study. The survey was conducted using a standard questionnaire. We assessed the level of blood pressure (BP), total cholesterol, height, weight of the respondents. The study involved 765 people living in rural areas aged 25-64 years, 35,4% of whom were men (n=271) and 64,6% — women (n=494). The mean age was 44,8±11,6 and 45,6±11,8, respectively.Results. The prevalence of hypertension was 40,3% (men, 42,1%; women, 39,4%). In addition, 77,6% of the respondents were informed about their blood pressure. With age, the incidence of elevated blood pressure increases, from 13,8% at 25-34 years to 64% in the 55-64 age group. Obesity was revealed in 34,2% of the population (men, 22,4%; women, 44,9%). Hypercholesterolemia occurs in 56,2% (men, 45,9%; women, 62,4%). The prevalence of diabetes was 4,3% (men, 2,2%; women, 5,7%). The prevalence of smoking in the sample was 24,1% (men, 50,9%; women, 9,6%). Excessive salt intake was found in 60,4%, insufficient consumption of vegetables and fruits — in 62,1% of respondents.Conclusion. The study made it possible to assess the prevalence of risk factors for chronic noncommunicable diseases in rural residents of the Altai Krai. Analysis shows that smoking dominates in men, while obesity and hypercholesterolemia — in women. Among the representatives of both sexes, a high rate of low physical activity and poor nutrition was noted. The data obtained determines the need and priorities for preventive measures to increase the motivation of residents to follow a healthy lifestyle.

Prevalence and associated factors of iron deficiency in Spanish children aged 1 to 11 years.

Iron deficiency (ID) is the most common nutritional deficiency affecting children worldwide. Most traditional laboratory parameters to assess ID can be altered by infections or other inflammatory states, including obesity. The aims of this study were to determine the prevalence of ID in healthy children and to analyse associated factors, avoiding potential confounding factors through the use of serum transferrin receptor (sTfR), reticulocyte haemoglobin content and sTfR/log ferritin index. A cross-sectional population-based study was conducted on 951 children aged 1 to 11 years in Almería (Spain). ID was detected in 7.7% of children and iron deficiency anaemia in 0.9%. Multivariate analysis identified the following as independent risk factors: age under 5 years (OR: 2.2, 95% CI: 1.35-3.6); excessive consumption of cow's milk and dairy products (OR: 1.87, 95% CI: 1.13-3.1); and insufficient consumption of vegetables (OR: 2.7, 95% CI: 1.2-6.1).Conclusions: Using a combination of iron status parameters with greater discriminatory power than classical measures, this study detected a considerable iron deficiency prevalence in Spanish children. Younger children and specific dietary habits exhibit a particular risk for ID, so special attention should be paid to this population. What is Known: • Iron deficiency remains the most prevalent nutritional deficit worldwide, and children aged under 3 years are the most vulnerable to this condition. • Accurate assessment of iron status, based on a combination of biochemical indicators, can often be complicated. What is New: • Iron deficiency continues to present a health problem in Spanish children aged 1 to 11 years, considering the serum transferrin receptor and reticulocyte haemoglobin content for diagnosis. • Excessive consumption of dairy products and low consumption of vegetables are independent risk factors for iron deficiency.

Study of compliance to rational nutrition in various professional groups living in the Russian Federation and the Republic of Tajikistan

Objective to study the adherence to the principles of rational nutrition by representatives of various professional groups living in the Russian Federation and the Republic of Tajikistan.
 Material and methods.The study was conducted using a questionnaire-survey method among 543 mental workers of the Samara region and 158 students of the Avicenna Tajik State Medical University (Republic of Tajikistan), followed by statistical processing of the data.
 Results.Violations of the principles of rational nutrition are commonin various professional groups of the working-age population, including among students of a medical university. According to anthropometric studies, 61% of the surveyed workers were overweight and obese; in the group of students this indicator was only 8%, 29% of students were underweight. Violations of nutrition regimen were found among 31.1% of employees and 38% of students. Factor analysis of the actual nutrition of workers revealed 5 types of nutrition models characterized by a stereotype of eating behavior due to the consumption of certain foods and beverage. The regression analysis confirmed the relationship between the risk of obesity and adherence to types 2, 4 and 5 of nutritional models; an individual's adherence to nutritional model type 3 reduced this risk. In the group of the surveyed, the deterioration of the diet quality was revealed due to the excessive consumption of high-calorie foods, "fast food", sweet carbonated drinks, as well as insufficient consumption of vegetables, fruits, fish. The correlation analysis established the relationship between the body mass index and complaints presented by the survey participants concerning the cardiovascular, digestive, endocrine and musculoskeletal systems. The study identified the most common alimentary-dependent pathologies among students such as gastritis, chronic pancreatitis, and chronic cholecystitis.
 Conclusion.The revealed violations of the principles of rational nutrition, the nutritional status, form the risks of development of the gastrointestinal tract diseases, metabolic disorders and cardiovascular pathology. The results obtained indicate the need of preventive measures in relation to the adherence to the principles of rational nutrition, creating awareness in various professional groups of the population, including students of medical universities in different states.

Metabolic syndrome and its associations with socio-demographic and behavioral risk factors in the Russian population aged 25-64 years

Aim.To assess the associations of metabolic syndrome (MS) with sociodemographic and behavioral factors in the Russian population aged 25-64 years.Materialand methods.As part of the ESSE-RF 2 study, representative samples of the population of four Russian regions (Krasnodar Krai, Omsk and Ryazan Oblasts, Republic of Karelia) were examined: men (n=3011) and women (n=3721) aged 25-64 years. The response rate was approximately 80%. The study was approved by the Independent Ethics Committee of National Medical Research Center for Therapy and Preventive Medicine. All subjects were interviewed using a standard questionnaire. We analyzed the region and type of residence (urban/ rural area), age, educational level, marital and economic status, behavioral habits, and medical history data. Anthropometric measurements were performed. Blood pressure (BP) was measured with an Omron BP monitor. Lipid profile were assessed. MS was diagnosed according to the IDF criteria (2006). Statistical analysis was performed using the R 3.6.1 software package.Results.Abdominal obesity (AO) was found in 49,7% of men and 61,6% of women. Obesity according to body mass index was noted in 31,6% of subjects (men — 28,6% and women — 34%). MS prevalence in the entire sample was 33,0% and increased with age. In the group of subjects 35-44 years old, the prevalence of MS was significantly higher among men, and among those 55-64 years old — among women. We also found that AO in combination with two MS components was observed in 17,2% of participants; AO with three components — in 11,8%, AO with four components — in 4%. The highest prevalence of MS was noted in theRyazan region (men — 42,0%, women — 37,4%), the lowest — in theRepublic ofKarelia (men — 25,8%, women — 29,6%). In men, age-adjusted univariate logistic regression revealed significant associations of MS with former smoking, low physical activity, and alcohol abuse. Elevated BP and lipid profile abnormalities were significantly associated with low income level. AO was significantly associated with marriage. Similarly, the risk of diabetes and elevated blood glucose levels was lower in single men. Among women, the risk of MS was higher in those without higher education, with low income, smoking, and low consumption of vegetables and fruits. Women living in rural areas have a higher risk of AO and high BP. The risk of lipid metabolism disorders was higher among women with secondary education. Most of these associations were confirmed by multivariate analysis.Conclusion.MS was diagnosed in 33% of Russians aged 25-64 years. The proportion of people with MS increases with age, which, due to the life expectancy increase, suggests an increase in the total number of MS people. Risk factors associated with MS in women are smoking, insufficient consumption of vegetables and fruits, no higher education, and low income. In men, MS are associated with excessive alcohol consumption, smoking, and low physical activity. MS prevalence can be reduced by changing the lifestyle and habits, and if necessary, in combination with drug therapy.

P114 The Potential Impacts of Childhood Experiences of Forced Eating on Vegetable Consumption Among Korean Young Adults

<h3>Background</h3> Previous research has highlighted that forced eating might lead to a long-lasting food rejection. Vegetables are the most common subject of forced eating due to their sensory bitterness, causing an instinct-guided rejection. Currently, unbalanced diet with insufficient vegetable consumption is being recognized, particularly among young adults. This problem appears to be associated with multi-dimensional factors but might also be related to experiences of forced eating. <h3>Objective</h3> This study aimed to explore the potential impacts of childhood experiences of forced eating on vegetable consumption among Korean young adults. <h3>Study Design, Setting, Participants</h3> An online survey was conducted from February 1824, 2020 among Korean young adults in their 20s. Out of 1277 responses, 461 (36.1%) responses reporting to have experienced forced eating were analyzed. <h3>Measurable Outcome/Analysis</h3> Descriptive statistics were calculated, and significant differences in vegetable consumption (ie, vegetable preference, vegetable acceptance, and perceived daily intake of vegetables) were measured according to experiences of forced eating. <h3>Results</h3> Forced eating occurred mostly when they were elementary school students (57.2%), and preschool children (21.2%). It happened mostly frequently at home (51.0%), followed by schools (26.5%). Respondents mostly identified parents (50.1%), followed by school teachers (26.0%) as authority figures involved in forced eating. Approximately 41.0% of them were still not able to eat the target foods of forced eating, and 44.2% acknowledged its negative impacts on their current dietary habits. Among the target foods of forced eating, vegetables were most prevalent (57.9%). Vegetable preference, vegetable acceptance, and perceived daily intake of vegetables tended to be significantly lower when they had experiences of forced eating. <h3>Conclusions</h3> This study implies that childhood experiences of forced eating could make negative impacts on future dietary habits related to vegetable consumption. Despite some limitations, it may shed light on the importance and necessity of preventing forced eating during childhood and intervening its negative impacts on dietary habits.

Economic damage of risk factors associated with morbidity and mortality from major chronic non-communicable diseases in Russia in 2016

Aim.To assess the socioeconomic damage of risk factors associated with morbidity and mortality from major chronic non-communicable diseases (CNCDs) in the Russian population in 2016.Material and methods.The following RF were included in the analysis: smoking, alcohol abuse, high salt intake, insufficient consumption of vegetables and fruits, consumption of processed red meat, low physical activity, obesity, hypertension (HTN), which have a significant causal relationship with the major CNCDs: cardiovascular diseases (CVDs), type 2 diabetes, chronic obstructive pulmonary disease (COPD), cancer of 10 locations (lung, breast, cervix, ovary, prostate, kidney, stomach, liver, pancreas, colon). Based on the data on the RF prevalence in the Russian population by ESSE-RF study and relative risks by large studies, the population attributable risk for each CNCD was estimated. We used the data of the Federal State Statistics Service, annual forms of Federal Statistical Observation, as well as the results of the Government Guarantee Program for free medical care and the corresponding diagnosis-related groups for 2016. The direct costs of the healthcare system and economic losses due to morbidity and mortality from the major CNCDs associated with the considered RF are determined. The calculations were performed in Microsoft Excel 10.0.Results.Indirect losses due to premature mortality prevail over direct costs of medical care and disability benefits in the economic damage structure of each RF. The largest damage of four major CNCDs was associated with HTN — 869,9 billion rubles, which is equivalent to 1,01% of gross domestic product (GDP). The next places were taken by obesity — 605,8 billion rubles (0,7% of GDP), smoking — 421,4 billion rubles (0,49% of GDP) and low physical activity — 273,0 billion rubles. (0,32% of GDP). The contribution of improper feeding (high salt intake, insufficient consumption of vegetables and fruits, consumption of processed red meat) amounted to 0,17% of GDP (145,3 billion rubles), 0,19% of GDP (160,9 billion rubles) and 0,10% of GDP (83,4 billion rubles), respectively. Alcohol abuse made the smallest contribution to CNCD-related damage — 82,5 billion rubles (0.1% of GDP). This is due to the low prevalence of alcohol abuse in the Russian population according to ESSE-RF study.Conclusion.Assessment of the economic damage of CNCD RF allows determining the priority areas in healthcare and substantiating the effectiveness of CNCD preventive measures aimed at reducing the RF impact, and, consequently, the burden on the healthcare system and the national economy.

Economic damage of risk factors associated with morbidity and mortality from major chronic non-communicable diseases in Russia in 2016

Aim. To assess the socioeconomic damage of risk factors associated with morbidity and mortality from major chronic non-communicable diseases (CNCDs) in the Russian population in 2016. Material and methods. The following RF were included in the analysis: smoking, alcohol abuse, high salt intake, insufficient consumption of vegetables and fruits, consumption of processed red meat, low physical activity, obesity, hypertension (HTN), which have a significant causal relationship with the major CNCDs: cardiovascular diseases (CVDs), type 2 diabetes, chronic obstructive pulmonary disease (COPD), cancer of 10 locations (lung, breast, cervix, ovary, prostate, kidney, stomach, liver, pancreas, colon). Based on the data on the RF prevalence in the Russian population by ESSE-RF study and relative risks by large studies, the population attributable risk for each CNCD was estimated. We used the data of the Federal State Statistics Service, annual forms of Federal Statistical Observation, as well as the results of the Government Guarantee Program for free medical care and the corresponding diagnosis-related groups for 2016. The direct costs of the healthcare system and economic losses due to morbidity and mortality from the major CNCDs associated with the considered RF are determined. The calculations were performed in Microsoft Excel 10.0. Results. Indirect losses due to premature mortality prevail over direct costs of medical care and disability benefits in the economic damage structure of each RF. The largest damage of four major CNCDs was associated with HTN — 869,9 billion rubles, which is equivalent to 1,01% of gross domestic product (GDP). The next places were taken by obesity — 605,8 billion rubles (0,7% of GDP), smoking — 421,4 billion rubles (0,49% of GDP) and low physical activity — 273,0 billion rubles. (0,32% of GDP). The contribution of improper feeding (high salt intake, insufficient consumption of vegetables and fruits, consumption of processed red meat) amounted to 0,17% of GDP (145,3 billion rubles), 0,19% of GDP (160,9 billion rubles) and 0,10% of GDP (83,4 billion rubles), respectively. Alcohol abuse made the smallest contribution to CNCD-related damage — 82,5 billion rubles (0.1% of GDP). This is due to the low prevalence of alcohol abuse in the Russian population according to ESSE-RF study. Conclusion. Assessment of the economic damage of CNCD RF allows determining the priority areas in healthcare and substantiating the effectiveness of CNCD preventive measures aimed at reducing the RF impact, and, consequently, the burden on the healthcare system and the national economy.

Urban and rural dietary patterns: are there differences? The results of the ESSE-RF epidemiological study

The higher prevalence of alimentary-dependent risk factors for chronic non-communicable diseases in the Russian Federation among rural residents suggests that there are differences in the diets of city and village residents. Aim . To examine the diet differences of city and village adults. Material and methods . The analysis included representative samples from male and female population aged 25-64 years (n=21923, of which 8383 and 13550 are men and women, respectively) from 13 regions of the Russian Federation. The diet features were assessed by the frequency of consumption of the main food groups and individual eating habits: salting, the use of animal fats in cooking. Results . Rural men 18% more often than urban daily consumed meat sausages, 13% — salting and marinades and less often included in the diet meat (23%), fresh vegetables and fruits (28%), “milk, kefir, yogurt” (12%), sour cream (17%), quark (23%) and cheese (14%). Rural women less often consumed meat (19%), dairy products (18%), including cottage cheese (25%) and cheese (26%), but more often — salting (34%) and beans (10%). Rural women more often salt already prepared food — the odds ratio (OR) =1,32; 95% confidence interval (CI) 1,03-1,70 (X 2 =4,81, p=0,0282). Excess sugar intake among rural men was more common — OR=1,23; 95% CI 1,10-1,37 (X 2 =13,06, p>0,0001). The women of the village more often added butter to the dishes (sandwich, porridge, mashed potatoes, etc.) than the urban ones — OR=1,14; 95% CI 1,03-1,25 (X 2 =6,90, p=0,0086), in contrast to men, for whom the consumption of butter did not differ. In general, excess consumption of salt and sugar in the diet of village men was more common than among city men — OR=1,26; 95% CI 1,13-1,42 (X 2 =15,95, p>0,0001), in contrast to women, among whom no such differences were found (X 2 =3,02, p=0,0821). The diet, characterized by excessive consumption of salt, sugar and insufficient consumption of vegetables and fruits, was more often present among rural men — OR=1,30; 95% CI 1,12-1,53 (X 2 =10,92, p=0,0009). In urban and rural women, differences in the frequency of such diet were not found. Conclusion . The urban dietary pattern is characterized by higher consumption of meat, dairy products, vegetables and fruits, while in the rural model, the consumption of beans, salting, sugar and butter is higher. Participants of the ESSE-RF study: Moscow : Zhernakova Yu. V., Boytsov S. A., Saint-Petersburg : RotarO. P., Vladivostok : Kulakova N. V., Nevzorova V. A., Vladikavkaz : Astakhova Z. T., Vologda : Shabunova A. A., Volgograd : Nedogoda S. V., Voronezh : Chernykh T. M., Ivanovo : Belova O. A., Kemerovo : Artamonova G.V., IndukayevaE. V., Krasnoyarsk : Grinshtein Yu. I., Petrova M. M., Orenburg : Libis R. A., Samara : Duplyakov D. V., Tomsk : Trubacheva I. A., Kaveshnikov V. S., Serebryakova V. N., Tyumen : Efanov A. Yu., Medvedeva I. V., Shalaev S. V.

Аналіз харчових раціонів студентів факультету фізичного виховання

ABSTRACT. It is well known that health depends on many factors: socio-economic and environmental, age and gender, heredity and lifestyle. One of the most important components of a healthy lifestyle is a healthy diet. The popularity of fast food products containing a large variety of additives, dyes, modified components is increasing in students. Often, students eat extremely irregularly, having a snack on the go, on the go. Students of the Faculty of Physical Education, in addition to mental ones, also have considerable physical activity, which requires an increase in the energy value and quantity of trace elements of proteins and vitamin composition in the diet. Analysis of the nutritional components of students of the Faculty of Physical Education revealed a number of problems in the nutrition of students. We set a goal to evaluate the nutrition of students in the Faculty of Physical Education. Respondents' survey and survey methods were used. Calories and quality composition of diets were calculated by reference tables. Analyzing the diets of the students of the Faculty of Physical Education, it was found that in their diets insufficient amount of foods with fiber, insufficient amount of low-fat meat, which slows muscle growth and reduces functionality. Insufficient consumption of vegetables and fruits does not satisfy the need for micro and macronutrients, vitamins Key Words: food rations, rational nutrition, energy value of foods, vitamins.

Socioeconomic disparity in the diet quality of pregnant women in Northwest China.

Few studies have described the socioeconomic disparity of dietary quality in Northwest China. The present study aimed to evaluate the diet quality of pregnant women in Shaanxi province of Northwest China by using the Diet Balance Index for Pregnancy (DBI-P) and explored the relationships with socioeconomic status (SES). A cross-sectional analysis of data from 7,630 women who were pregnant during 2012-2013 was performed. Dietary intake during the whole pregnancy was assessed by FFQ within 12 months (median, 3 months; 10th-90th percentile, 0-7 months) after delivery. Diet quality evaluated by the DBI-P was related to socioeconomic factors. Most women had insufficient consumption of vegetables (72.27%), dairy (89.58%), meat (82.07%), fish and shrimp (92.23%), eggs (62.54%), and dietary variety (97.92%). 67.76% of women had excessive intake of grains, and 87.77% and 69.79% of participants had surplus consumption of edible oil and salt respectively. Women with higher education, occupation and household wealth index (HWI) consumed more vegetables, fruit, dairy, soybean and nuts, meat, fish and shrimp, eggs, edible oil, alcohol and dietary variety but less grains and salt. After adjusting for confounders, education, occupation and HWI were negatively associated with the level of inadequate dietary intake. Conversely, individuals with medium HWI had higher level of excessive dietary intake compared to low HWI groups. The diet quality of pregnant women in Northwest China was associated with SES. Socioeconomic disparities in diet quality should be considered when planning nutrition interventions for pregnant women.