Lower Prevalence Of Chronic Disease Research Articles

Influence of spirituality on quality of life in community-dwelling elderly: integrative literature review

Aging brings with it some limitations that become more pronounced with advancing age, and psychological, physical, behavioral, and social changes can reduce the quality of life of the elderly, who seek spirituality. Spirituality is a tool for coping with difficulties and attributing meaning to life, providing hope, faith, and motivation. This study analyzed the health aspects associated with spirituality in community-dwelling elderly people. This is an integrative review that synthesized the scientific production with the guiding question: What scientific knowledge production on health-related aspects are associated with better levels of spirituality in community-dwelling elderly people in Brazil? Articles with the descriptors in Portuguese and English were selected: spirituality, aged , and quality of life with the following inclusion criteria: published in full, available electronically, in Portuguese, English, and/or Spanish, published between 2015 and 2020, in the SciELO, LILACS, PubMed, and Capes Periodical Portal databases. A total of 130 articles were identified, and 15 were selected that presented evidence on the influence of spirituality on the quality of life of the elderly. After reading the articles, two categories of analysis emerged: I – The experience of spirituality in situations of chronic diseases, and II – The relationship of spirituality with the well-being/quality of life of the elderly. Most of the studies showed positive effects of spirituality on health outcomes, with better physical health conditions, quality of life, longer survival, lower rates of depression and lower prevalence of chronic diseases. In addition, it demonstrated the ability to withstand limitations and protect against stress in the face of changes in aging. Finally, the results indicate a positive influence of spirituality on the quality of life of the elderly. The importance of spirituality for health practices and the need to value it and include it in professional health training are highlighted.

Associations between prevalence of chronic diseases and socio-economic status in adult population of Slovakia.

The study presents associations between prevalence of chronic diseases and selected socio-economic (SES) attributes in adult population of Slovakia and analyses the prevalence of chronic diseases in regions of Slovakia. In total, 735 respondents (146 men and 589 women) with a mean age of 37.79 ± 13.6 participated in this cross-sectional study. The main observed characteristics were chronic diseases and their associations with SES attributes, namely household income, education, age and lifestyle represented by frequency in engaging in recondition-relaxation activities. In order to obtain data, a self-administrated online questionnaire was used. Data were analysed by calculation of odds ratio and chi-square test. The significance level was set at 0.05. Apart from lung disease which are least suffered in central Slovakia (χ^2 = 9.850, df = 1, p = 0.043), the prevalence of chronic diseases is equally represented in all 8 administrative regions of Slovakia. Prevalence of chronic diseases is significantly influenced by age. The age of 40 is critical for the occurrence of chronic diseases. Respondents with higher education level have a lower prevalence of chronic diseases and vice versa (OR = 1.127; RR = 1.079). A better lifestyle represented by higher frequency of engaging in recondition relaxation activities was found in healthy respondents (OR = 0.700549 and RR = 0.936958; χ^2 test p = 0.000798). Household income did not show a significant association with the prevalence of chronic diseases (OR = 1.06; RR = 1.025; χ^2 test, p = 0.778). The study did not confirm a higher prevalence of chronic diseases in regions with weaker SES in Slovakia. Out of the 4 monitored SES attributes, 3 of them (age, education and lifestyle) had a significant impact on the prevalence of chronic diseases. Household income showed only a minimal association with the prevalence of chronic diseases, but this interdependence was not significant (Tab. 6, Ref. 41). Text in PDF www.elis.sk Keywords: socio-economic status, chronic diseases, age, household income, education.

Association between eating behaviors and positive self-perception of health in Brazilian Adults

Healthy eating habits are related to a lower prevalence of chronic diseases. Objective: Verify the relationship between eating behaviors and self-perceived health (SPH) in young, middle-aged, and older adults. Materials and methods: This is a cross-sectional study with 52166 Brazilian adults aged 18 years and over. The dependent variable was positive SPH, whereas the independent variable was the eating behavior (exchanging lunch for snacks; exchanging dinner for snacks; intake of beans, ultra-processed food the previous day, fruits, vegetables, and processed juices/soft drinks). Poisson regression with robust adjustment for variance was used in the data analysis. Results: The relationship between eating behaviors and SPH was similar between genders. However, a more evident relationship was observed among young adults, regarding the age group. The consumption of fruits and vegetables was most clearly associated with SPH among the investigated behaviors. Furthermore, the higher the number of positive eating behaviors, the higher the prevalence of positive SPH in both genders and all age groups. Conclusion: The findings of this study reinforce the importance of healthy eating behaviors for health and indicate a more direct relationship between these and positive SPH in young adults and as a habit of regularly consuming fruits and vegetables.

Do Migrant Residents Really Achieve Health Equity by Obtaining Urban Hukou? A Comparative Study on Health Service Utilization and Urbanization in Central China

IntroductionWith more than 120 million rural-to-urban migrants, urbanization of the rural population requires deeply exploration in China.ObjectiveThis study focused on settled citizens who obtained urban Hukou (household registration) during urbanization and investigated their perceptions of health services in China.MethodA cross-sectional comparison study with an original, closed questionnaire was conducted in two major cities of Hubei, central China, covering health status and both the satisfaction with and utilization of health services. In total, 863 residents with urban Hukou participated in this study; migrants formed the study group and original city residents formed the control group. Propensity score matching (PSM) was used to reduce choice bias in the analysis steps. Besides basic description of the data, ordinary least squares regression (OLS regression) was used to discover the relationship between basic demographic indicators and health expenditure.ResultsPSM yielded 290 effective pairs for analysis. The results indicated an improvement in health status for migrant residents (study group) with a higher average score of self-reported health status and lower prevalence of chronic diseases than the control group. These scores were also better than the standard urban level in central China. The study group showed a higher clinic visit utility (69.63%), lower hospitalization utility (8.28%), less convenience of health service utility, and lower health expenditure than the control group. For the study group, the biggest difference was observed in satisfaction with health service costs, which was the least improved aspect after they obtained urban Hukou. The regression results demonstrated that age, family size, living expenditures, and marital status impacted health costs in the overall model and the influences of these factors differed between the study and control groups.ConclusionsObtaining urban Hukou helps migrant residents to meet their health service needs and receive equal access to health services. However, after obtaining urban Hukou, migrants also face great pressure in terms of health consumption. This study therefore offers guidance on the next steps for progressing China's urbanization.

A County Hospital Experience with Reproductive Travelers to the United States for Obstetric Care: Maternal and Neonatal Outcomes.

Objective: To describe the maternal and neonatal outcomes, health care utilization, and cost to reproductive travelers for obstetric care (RTOC) at a single institution. Materials and Methods: A retrospective chart review was conducted of women identified as reproductive travelers who delivered at Stroger Hospital in Chicago, IL when a self-pay package of obstetrical services was offered. Data included maternal characteristics and obstetric and neonatal outcomes. Results: A total of 413 reproductive travelers delivered during the study period. The majority (88%) was of Nigerian citizenship. The median gestational age at first prenatal visit was 35 weeks with a median of three prenatal visits. The patients were in good health with a high prevalence of infectious disease and a low prevalence of chronic disease. Women had complex obstetric histories, and 28.6% had cesarean delivery, with the most common indication being prior uterine surgery. Severe maternal morbidity occurred in 4.1% of the women and admission to the neonatal intensive care unit (NICU) in 16.3% of the babies. Extra charges beyond those covered by the financial package were incurred by 230 (55.7%) of the women. Conclusion: Reproductive travelers have better obstetric outcomes and fewer NICU admissions than non-travelers who delivered at the same institution. However, the care of RTOC in this manner is fraught with challenges, including late presentation for care, lack of medical records, providers at times managing unfamiliar conditions, and unforeseen financial obligations assumed by patients.

The health potential of neighborhoods: A population-wide study in the Netherlands

BackgroundWhile differences in population health across neighborhoods with different socioeconomic characteristics are well documented, health disparities across neighborhoods with similar socioeconomic characteristics are less well understood. We aimed to estimate population health inequalities, both within and between neighborhoods with similar socioeconomic status, and assessed the association of neighborhood characteristics and socioeconomic spillover effects from adjacent neighborhoods. MethodsBased on Dutch whole-population data we determined the percentage of inhabitants with good or very good self-assessed health (SAH) and the percentage of inhabitants with at least one chronic disease (CD) in 11,504 neighborhoods. Neighborhoods were classified by quintiles of a composite neighborhoods socioeconomic status score (NSES). A set of spatial models was estimated accounting for spatial effects in the dependent, independent, and error components of the model. ResultsSubstantial population health disparities in SAH and CD both within and between neighborhoods NSES quintiles were observed, with the largest SAH variance in the lowest NSES group. Neighborhoods adjacent to higher SES neighborhoods showed a higher SAH and a lower prevalence of CD. Projected impacts from the spatial regressions indicate how modest changes in NSES among the lowest socioeconomic neighborhoods can contribute to population health in both low- and high-SES neighborhoods. ConclusionPopulation health differs substantially among neighborhoods with similar socioeconomic characteristics, which can partially be explained by a spatial socio-economic spillover effect.

The Health Status of Lebanese Community Pharmacists: Prevalence of Poor Lifestyle Behaviors and Chronic Conditions

BackgroundCommunity pharmacists are drug therapy experts providing pharmaceutical care for various patients. Their stressful daily tasks can affect their lifestyle and wellbeing. ObjectivesTo assess the health status of the Lebanese community pharmacists, to determine the prevalence of chronic conditions and unhealthy lifestyle behaviors, and their association with pharmacists’ professional responsibilities. MethodsA cross-sectional study was conducted on 300 randomly selected pharmacists between May and August 2017. A four-page questionnaire was carried out targeting their health characteristics, lifestyle factors, and job details. ResultsThirty-seven percent of the studied sample were males, with a mean age of 30.9 ± 9.1 years and mean Body Mass Index (BMI) of 23.4 ± 3.71 kg/m2. Twenty-six percent were smokers and smoking was significantly related to gender, BMI, workplace region, work shifts, educational level, number of patients/day, and transportation time to work (p < 0.05 for all). Twenty-one percent were alcohol consumers, 89.3% were caffeine consumers, and 41.7% were physically active. Moreover, 72% were fast food consumers, 89.7% consumed sweets, and 87.7% consumed salted food. Concerning chronic diseases, 6.3% were hypertensive and hypertension was significantly related to age, marital status, education level, working hours per day, working days per week, owning a pharmacy, work shift, and the number of patients per day (p < 0.05 for all). ConclusionLebanese pharmacists might have a lower prevalence of chronic diseases compared to the general population. However, the prevalence of bad lifestyle behaviors such as low physical activity, smoking, consumption of salt, sweet, fast food, and caffeine is considered high among the study sample and this would raise a concern about pharmacists' awareness and role as healthcare providers.

Health disparities by neighborhood socioeconomic status and the role of spatial spillovers

Abstract Background The contextual determinants of population health disparities across neighborhoods with similar socioeconomic characteristics are not well understood. We aimed to estimate subjective and objective population health measures within and between neighborhoods with similar socioeconomic status (NSES) scores, and the (in)direct potential of a spillover effect of NSES of adjacent neighborhoods. Methods Based on whole-population neighborhood data we determined the percentage of inhabitants with good/very good self-assessed health (SAH) and with at least one chronic disease (CD) in 11,521 neighborhoods with on average 1,470 inhabitants. Neighborhoods were classified by the quintile of a composite NSES score. Spatial lag of X models was applied by including neighborhood cross-sectional units on population density, the percentage of inhabitants aged 65 and over, and the NSES of adjacent neighborhoods by constructing a spatial weights matrix. Results Substantial population health disparities in SAH and CD both between neighborhoods with different and similar NSES scores were observed, with the largest SAH variance in the lowest NSES group. These differences were only partially explained by neighborhood characteristics. Neighborhoods adjacent to higher SES neighborhoods showed a higher SAH and a lower prevalence of CD, adjusted for other explanatory variables. When NSES in the first decile would be increased to the NSES of the quintile median, the direct effect on SAH would increase by 5.6% in the lowest NSES group. Spillovers would lead to an additional increase of 1.7% in all NSES groups. Conclusions Population health differs substantially among neighborhoods with similar socioeconomic characteristics, which can partially be explained by a socioeconomic spillover effect. The mechanisms behind these spillovers need further study, but may already provide interesting leads to policy design aimed at improving population health outcomes of deprived neighborhoods. Key messages Neighborhood population health is partially affected by a SES spillover effect. This study provides interesting leads to policy design aimed at improving health outcomes of deprived neighborhoods.

Seaweed-derived bioactives as potential energy regulators in obesity and type 2 diabetes.

There is epidemiological evidence that dietary intake of seaweeds is associated with a lower prevalence of chronic diseases. While seaweeds are of high nutritious value, due to their high content of fiber, polyunsaturated fatty acids and minerals, they also contain an abundance of bioactive compounds. There is a growing body of scientific data that these bioactive moieties exert effects that could correct the metabolic dysregulation that is present in obesity and Type 2 diabetes (T2D). In this review we describe how the molecular mechanisms, specific to different tissues, that underly obesity and T2D are influenced by both seaweed extracts and seaweed-derived bioactive molecules. In obesity, modulation of antioxidant capacity and reduction of intracellular ROS levels within tissues, and regulation of signaling pathways involved in enhancing browning of white adipose tissue, have been highlighted as key mechanism and identified as a potential target for optimal energy metabolism. In T2D, management of post-prandial blood glucose by modulating α-glucosidase or α-amylase activities, modulation of the AMPK signaling pathway, and similarly to obesity, reduction of ROS and NO production with subsequent increased expression of antioxidant enzymes have been shown to play a key role in glucose metabolism and insulin signaling. Future studies aimed at discovering new therapeutic drugs from marine natural products should, therefore, focus on bioactive compounds from seaweed that exert antioxidant activity and regulate the expression of key signaling pathways involved in glucose homeostasis, mechanisms that are common to both obesity and T2D management. In addition, more data is required to provide evidence of clinical benefit.

Table olive polyphenols: A simultaneous determination by liquid chromatography–mass spectrometry

Table olives contain a wide range of polyphenols responsible for protective effects on health that have been associated with a lower prevalence of chronic diseases. A new method to identify and quantify these compounds in table olives, by means of methanol:ethanol (1:1; v/v) extraction followed by LC-ESI-MS/MS, has been developed and validated. The chromatographic column Eclipse-XDB-C18, never used before in this kind of application, provided the best results using Milli-Q water with 0.025% acetic acid and acetonitrile with 5% acetone as eluents. This method allows the quantification of 17 polyphenols, namely, hydroxytyrosol, tyrosol, salidroside, hydroxytyrosol acetate, catechol, vanillic acid, caffeic acid, o-coumaric acid, p-coumaric acid, verbascoside; oleuropein; pinoresinol, apigenin, luteolin, luteolin-7-O-glucoside, quercetin and rutin. The new method has been validated and shows linear correlations (R2>0.996), recoveries superior to 95%, high sensitivity, adequate precision and accuracy (RSD < 15%) as well as a short chromatographic analysis of 9 min. Its application to the analysis of Marfil table olives enabled the quantification of 15 polyphenols, among which hydroxytyrosol (384.1 ± 81.2 mg/kg), tyrosol (201.2 ± 3.8 mg/kg), luteolin (88.0 ± 3.8 mg/kg) and salidroside (85.9 ± 3.2 mg/kg) stand out. Furthermore, this method allows to assess whether the intake of a certain number of olives can meet the health claim associated to olive oil polyphenols (Reg. EU n.432/2012). Our results indicate that the daily intake of only 7 olives, which corresponds to 8 g of edible portion, provide an amount of hydroxytyrosol and derivatives (e.g. oleuropein complex and tyrosol) of 5 mg, according to the health claim of the EU. In view of the results, it could be stated that table olives are an excellent source of bioactive compounds, thus emerging as a promising functional food.

Effects of chronic diseases on health-related quality of life and self-rated health among three adult age groups.

Little is known about whether there is any difference in associations of chronic diseases with health-related quality of life and self-rated health across age groups. The purpose of the present study was to examine the associations of one specific and multiple chronic diseases with health-related quality of life and self-rated health (measured using the 5-level EQ-5D version) in three age groups: young (21-44 years), middle-aged (45-64 years), and older adults (≥65 years). Secondary data analysis of 1932 participants in the Population Health Index Survey was performed. Linear regression results showed that different chronic diseases had a characteristic effect on health-related quality of life and self-rated health among different age groups. The presence of a single chronic disease was associated with lower health-related quality of life and self-rated health in young adults. Multi-morbidity was consistently associated with decreased health-related quality of life and self-rated health in all age groups. Our findings suggest that although young adults have a lower prevalence of chronic diseases, their impacts on health-related quality of life and self-rated health can be as significant as that in middle-aged and older adults.

Masters or pawns? Examining injury and chronic disease in male Masters Athletes and chess players compared to population norms from the Canadian Community Health Survey

BackgroundIdentifying the optimal type and amount of activity for the maintenance of function in older adults has proved challenging. On the one hand, Masters Athletes have been proposed as the ideal model of successful aging but most of this research has focused on physical functioning. On the other hand, the importance of cognitive engagement has been emphasized, which may be more strongly related to activities such as playing chess. The current study aimed to compare physical health outcomes (i.e., prevalence of physical injury and chronic disease) among older athletes and chess players. Masters Athletes and chess players were recruited from track and field and chess competitions within the province of Ontario. In addition to these primary groups, moderately active and inactive older adults from Canadian Community Health Survey were also included for comparison.ResultsMasters Athletes had significantly higher rates of injury with the lowest rates of chronic disease, compared to all other activity groups. In contrast, chess players reported lower rates of injury compared to Masters Athletes as well as lower prevalence of chronic diseases compared to the moderately active and inactive groups. The normative groups reported the lowest rate of injury, but increased prevalence of chronic diseases compared to Masters Athletes and chess players.ConclusionsFindings from this study indicate that both athletic and cognitive engagement may be positively related to the physical health of older adults, since Masters Athletes and chess players reported a lower prevalence of chronic disease. Importantly, the results expand our current understanding of health by providing evidence for physical health outcomes associated with an activity that is primarily associated with cognitive health.

Factors associated with stage of change in smoker in relation to smoking cessation based on the Korean National Health and Nutrition Examination Survey II-V

Despite a decrease in incidence, smoking remains the most serious public health problem worldwide. Identification of the factors contributing to changes in willingness to quit smoking may aid the development of strategies that encourage smoking cessation. Pooled cross-sectional data from 11,924 smokers from the Korean National Health and Nutrition Examination Survey II–V were analyzed. The stages of change in smoking cessation were categorized as pre-contemplation, contemplation, and preparation. Baseline characteristics, socioeconomic factors, quality of life, psychological status, and smoking-related factors were compared between groups. The smokers were grouped as follows: 32.4% pre-contemplation, 54.4% contemplation, and 13.1% preparation. The proportion of smokers in the pre-contemplation group decreased (from 37.4% to 28.4%) from 2001 to 2012, while the proportion in the preparation group increased (from 6.4% to 18.1%). Compared with the preparation group, after adjusting for confounding factors, the pre-contemplation group was older [≥65 years-old; odds ratio (OR) = 1.40], more often single (OR = 1.38), less educated (elementary school or lower; OR = 1.93), less physically active in terms of walking (OR = 1.38) or performing strengthening exercises (OR = 1.61), smoked more heavily (≥20 cigarettes per day; OR = 4.75), and had a lower prevalence of chronic disease (OR = 0.76). Moreover, smokers who had never received education on smoking cessation were less willing to quit than those who had (OR = 0.44). In Korean smokers, the stages of change for smoking cessation were associated with age, education, marital status, chronic diseases, physical activity, and participation in smoking cessation programs.

Carotenoids as biomarkers of fruit and vegetable intake in men and women.

High fruit and vegetable (FAV) intake is associated with a lower prevalence of chronic diseases. Identifying the ideal number of FAV servings needed to reduce chronic disease risk is, however, difficult because of biases inherent to common self-report dietary assessment tools. The aim of our study was to examine the associations between daily FAV intake and plasma carotenoid concentrations in men and women enrolled in a series of fully controlled dietary interventions. We compiled and analysed data from a group of 155 men and 109 women who participated in six fully controlled dietary interventions and compared post-intervention fasting plasma carotenoid (α-carotene, β-carotene, β-cryptoxanthin, lutein, lycopene, zeaxanthin) concentrations with regard to the daily FAV servings consumed by the participants. We found that plasma β-cryptoxanthin, lutein and zeaxanthin concentrations were positively associated with daily FAV servings (P≤0·005). However, daily FAV intake was negatively associated with plasma α-carotene (P<0·0005) and lycopene (P<0·0001) concentrations, whereas no association was noted with plasma β-carotene. When men and women were analysed separately, we found that for any given number of FAV servings consumed women had higher circulating lutein concentrations compared with men (P<0·01). Significant sex×FAV (P<0·0001) and sex×dietary β-cryptoxanthin (P<0·0005) interactions were also noted favouring higher plasma β-cryptoxanthin concentrations in women than in men for a given FAV consumption. Results from these fully controlled dietary feeding studies indicate that plasma β-cryptoxanthin and lutein concentrations can be used as robust biomarkers of FAV consumption. They also suggest the existence of sex differences influencing circulating β-cryptoxanthin and lutein concentrations following FAV consumption.

039 Bringing the Body of the Iceberg to the Surface: the Female Sexual Dysfunction Index-6 (FSDI-6) in the Screening of Female Sexual Dysfunction

Female Sexual Dysfunction (FSD) is a still poorly studied and underdiagnosed condition. The aim of the study was to produce an improved version of FSFI-6 (6-Item Version of the Female Sexual Function Index), entitled FSDI-6 (Female Sexual Dysfunction Index-6), and to estimate its accuracy as a screening instrument for FSD. In the new version, an item related to the personal interest in having a satisfying sex life was added, while the item rating the entity of sexual arousal was removed. We administered FSDI-6 in a consecutive series of female adult patients not consulting for sexual problems (n=120, Cohort 1), and in another series of patients specifically consulting for sexual problems, which were considered as the control group (n=160, Cohort 2). FSDI-6 score was significantly higher in patients in Cohort 2 (p < 0.0001). Cronbach’s alpha for FSDI-6 was 0.784, indicating a high level of reliability. The estimated area under the ROC curve for FSDI-6 was 0.657 (p < 0.0001, 95% CI 0.584- 0.730). The proportion of subjects with a pathological FSDI-6 score (≥16.5) was 29.9 (n = 32) and 59.4% (n = 95) in Cohort 1 and 2, respectively (p < 0.0001). Among subjects with a pathological FSDI-6 (score ≥ 16.5), those consulting for FSD had been postmenopausal for fewer years, had a higher level of education, a lower BMI and a lower prevalence of chronic diseases than those not consulting for FSD (p < 0.05).

Cross Cultural Cohort Studies May Improve Understanding of Contributory Factors to Ageing Well

Objective: Comparative studies of ageing well using a biopsychosocial model among populations of disparate cultures and ethnicity could provide better understanding of factors contributing to ageing well. We compared characteristics of Hong Kong Chinese people born in 1921 with people born in the same year in Newcastle, UK, using available published data from the Newcastle Study. Results: Compared with the UK cohort, Hong Kong elderly had more informal social support, in that fewer people lived alone and the ratio of married to widowed persons was higher. There were fewer ex-smokers, lower prevalence of overweight and obesity, lower prevalence of all compared chronic diseases with the exception of dementia, fewer falls in the past 12 months, and more people reporting independence in all activities of daily living. However more Hong Kong people rated their health as fair only, and the prevalence of mild cognitive impairment was higher. Conclusion: The finding of lower prevalence of people rating their health as good in Hong Kong in spite of lower prevalence of chronic diseases, falls and dependency may be an indicator of lack of self-confidence in taking charge of their own health, perhaps a reflection of lower health literacy regarding ageing issues and the way the health system is structured. In depth cross cultural comparisons including longitudinal component would be of interest in determining the relative importance of the diverse contributory factors to ageing well.

Perception of Obesity in African-American and Arab-American Minority Groups

Effectiveness of health education programs and interventions, designed to improve obesity rates, may vary according to perceptions of health within cultural groups. A qualitative approach was used. Two minority cultural groups (Arab-American and African-American) living in the same county were studied to compare perceptions of health, nutrition, and obesity and subsequent health behaviors. Control, expectations, bias, acceptance, and access were the five themes identified. Arab-Americans that had lower weights, lower prevalence of chronic diseases, expected healthy weights, reported age and gender bias related to being overweight were not as accepting of being overweight and did not report difficulties in accessing healthy food choices compared to their African-American counterparts. Health interventions aimed at reducing obesity rates and related chronic diseases should be culturally specific and aimed at changing expected and accepted cultural norms. Cultural group's void of certain disease states should be studied and used as models to ameliorate the problem in other cultures. Changing health behaviors within a certain cultural group may produce better outcomes when initiated from a member of that same group. The impact of economic and environmental factors on health behaviors must also be considered.

Biomarkers of Fruit and Vegetable Intake in Men and Women

A high fruit and vegetable (FAV) intake is associated with a lower prevalence of chronic diseases but identifying the optimal number of daily FAV servings (DFAVS) needed to reduce chronic disease risk is difficult due to the biases of common self‐report dietary assessment tools. In this regard, plasma carotenoid levels have been suggested to be more accurate markers of FAV consumption than self‐reported intakes. The aim of the present study was to examine the associations between DFAVS and plasma carotenoid levels in a group of 155 men and 110 women enrolled in 6 full‐feeding dietary interventions we previously conducted. We measured and compared fasting plasma carotenoids (α‐carotene, β‐carotene, β‐cryptoxanthin, lutein, lycopene, zeaxanthin) and retinol levels with regards to the number of DFAVS provided and consumed by participants. Plasma β‐cryptoxanthin, lutein and zeaxanthin levels were positively associated with consumed DFAVS (p&lt;0.005). However, consumed DFAVS were negatively associated with plasma α‐carotene (p&lt;0.0005) and lycopene (p&lt;0.0001) levels while no association was noted with plasma β‐carotene and retinol. When men and women were analyzed separately, we found that for any given number of DFAVS that were consumed, women had higher circulating lutein levels compared to men (p=0.0110). Significant sex*DFAVS (p=0.0001) and sex*dietary β‐cryptoxanthin (p=0.0001) interactions were also noted favoring higher plasma β‐cryptoxanthin levels in women than in men. Results for these feeding trials reinforce the use of plasma β‐cryptoxanthin and lutein levels as biomarkers of FAV consumption but suggest the existence of potential sex differences influencing circulating β‐cryptoxanthin and lutein levels following FAV consumption.

A cross-sectional survey on the health status and the health-related quality of life of the elderly after flood disaster in Bazhong city, Sichuan, China.

BackgroundFlood is common in China and causes extensive loss of property and human lives. Elderly is a vulnerable population prone to the detrimental impacts of floods. This survey aims to investigate the health status and the HRQoL of the elderly in Bazhong city after a major flood in 2011.MethodsA total of 1183 elderly (aged > 60) were surveyed through random sampling from eight villages in Bazhong city. Two-week healthcare-seeking rate and chronic diseases prevalence were recorded anonymously. Health-related quality of life (HRQoL) was measured by the Medical Outcomes Study Short Form-36 (MOS SF-36). Multivariate regression analysis was conducted to determine the associated factors of poor HRQoL.ResultsThe two-week healthcare-seeking rate among post-flood Bazhong elderly was significantly higher than the references rate among rural elderly in Sichuan province (59.3% versus 55.7%, χ2 = 5.134, p = 0.013), but Bazhong elderly demonstrated a significantly lower prevalence of chronic disease (33.2% versus 44.4%, χ2 = 48.847, p < 0.001). All dimension scores among Bazhong elderly were significantly lower than the references scores in rural Sichuan elderly. The determinants of poor physical health included older age, singlehood, poor sleep patterns, and chronic diseases and so on.ConclusionsA marked decline in health status among elderly in Bazhong after the 2011 flood. Post-flood management targeting elderly need to be sensitive to their age, gender, married status and status of chronic diseases.

Health inequalities in immigrant populations in Spain: a scoping review

Health differences between immigrants and natives should be analyzed from an equity perspective due to socioeconomic inequality between them. The aim of this study is to Know the influence of social determinants of health in the immigrant population in Spain and/or inequalities compared with the Spanish population. SA scoping review of the literature published in the period 1998-2012 was performed. The literature search was conducted on Medline and MEDES-MEDicina databases. All studies that include the participation of immigrant population from areas such as Latin America, Africa, Asia and Eastern Europe and performed in Spain were selected. A 27 articles were included. Most of the studies were published in the year 2009 (n=11). Twelve used population health surveys at national (n=6) and autonomous (n = 6) level. A total of 23 studies focused on adult population over 15 years. The most frequently studied indicators were self-rated health (n=9) and mental health (n=7). The immigrant population is exposed to lower socioeconomic status than natives and, despite a lower prevalence of chronic diseases, it appears to experience more mental health problems and worse self-rated health, especially in women and with longer stay.