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2.
Nutrients ; 12(11)2020 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-33182816

RESUMEN

As a consequence of COVID-19, millions of households have suffered mobility restrictions and changes in their lifestyle over several months. The aim of this study is to evaluate the effects of COVID-19 home confinement on the food habits, lifestyle and emotional balance of the Spanish population. This cross-sectional study used data collected via an anonymous online questionnaire during the month before lockdown finished in Spain, with a total of 675 participants. 38.8% of the respondents experienced weight gain while 31.1% lost weight during confinement. The increase in body weight was positively correlated with age (Rs = 0.14, p < 0.05) and BMI (Rs = 0.20, p < 0.05). We also identified that 39.7% reported poorer quality sleep, positively correlated with BMI (Rs = -0.18, p < 0.05) and with age (Rs = -0.21, p < 0.05). 44.7% of the participants had not performed physical exercise during confinement with differences by sex (p < 0.05), by age (p < 0.05), by BMI (p < 0.05) and by sleep quality (p < 0.05). According to an emotional-eater questionnaire, 21.8% and 11% were classified as an emotional eater or a very emotional eater, respectively. We emphasize the importance of adopting a healthy lifestyle, as the COVID-19 pandemic is ongoing.


Asunto(s)
Infecciones por Coronavirus , Emociones , Ejercicio Físico , Conducta Alimentaria , Estilo de Vida , Pandemias , Neumonía Viral , Aislamiento Social , Adulto , Factores de Edad , Betacoronavirus , Índice de Masa Corporal , Peso Corporal , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Estudios Transversales , Dieta , Conducta Alimentaria/psicología , Femenino , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Conducta Sedentaria , Factores Sexuales , Sueño , Aislamiento Social/psicología , España/epidemiología , Encuestas y Cuestionarios
3.
Artículo en Inglés | MEDLINE | ID: mdl-33198389

RESUMEN

Coronavirus 2019 (COVID-19) is an infectious viral disease that has spread globally, resulting in the ongoing pandemic. Currently, there is no vaccine or specific treatment for COVID-19. Preventive measures to reduce the chances of contagion consist mainly of confinement, avoiding crowded places, social distancing, masks, and applying strict personal hygiene as recommended by the World Health Organization (WHO). After the first wave of infection in many countries, the potential effects of relaxing containment and physical distancing control measures suggest that as a result of these measures, a second wave of COVID-19 appears probable in these countries. In sport, the period of self-isolation, and quarantine, for COVID-19 affects the physical preparation of athletes as well as their mental health and quality of life to an even greater extent (i.e., nutrition, sleep, healthy lifestyle), and thus, relevant and practical recommendations are needed to help alleviate these physical and mental health concerns. Our review aims to summarize the physiological and psychological effects of detraining associated with athletes' confinement during the proposed second wave of COVID-19. This article also proposes answers to questions that concern the advantages and disadvantages of different types of social media platforms, the importance of nutrition, and the effects of sleep disturbance on the health and modified lifestyle of athletes during this worldwide pandemic. Thus, this review provides some general guidelines to better manage their modified lifestyle and optimally maintain their physical and mental fitness with respect to measures taken during this restrictive proposed second wave of the COVID-19 confinement period.


Asunto(s)
Atletas/psicología , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Betacoronavirus , Humanos , Estilo de Vida , Salud Mental , Necesidades Nutricionales , Pandemias , Calidad de Vida , Cuarentena , Sueño
4.
Cephalalgia ; 40(13): 1459-1473, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33146039

RESUMEN

OBJECTIVE: The present Italian multicenter study aimed at investigating whether the course of primary headache disorders in children and adolescents was changed during the lockdown necessary to contain the COVID-19 emergency in Italy. METHODS: During the lockdown, we submitted an online questionnaire to patients already diagnosed with primary headache disorders. Questions explored the course of headache, daily habits, psychological factors related to COVID-19, general mood and school stress. Answers were transformed into data for statistical analysis. Through a bivariate analysis, the main variables affecting the subjective trend of headache, and intensity and frequency of the attacks were selected. The significant variables were then used for the multivariate analysis. RESULTS: We collected the answers of 707 patients. In the multivariate analysis, we found that reduction of school effort and anxiety was the main factor explaining the improvement in the subjective trend of headache and the intensity and frequency of the attacks (p < 0.001). The greater the severity of headache, the larger was the clinical improvement (p < 0.001). Disease duration was negatively associated with the improvement (p < 0.001). It is noteworthy that clinical improvement was independent of prophylaxis (p > 0.05), presence of chronic headache disorders (p > 0.05) and geographical area (p > 0.05). CONCLUSIONS: Our study showed that lifestyle modification represents the main factor impacting the course of primary headache disorders in children and adolescents. In particular, reduction in school-related stress during the lockdown was the main factor explaining the general headache improvement in our population.


Asunto(s)
Infecciones por Coronavirus , Cefalea/epidemiología , Cefalea/psicología , Estilo de Vida , Pandemias , Neumonía Viral , Aislamiento Social/psicología , Adolescente , Ansiedad/etiología , Ansiedad/psicología , Betacoronavirus , Niño , Femenino , Humanos , Italia/epidemiología , Masculino , Encuestas y Cuestionarios
5.
Nutrients ; 12(11)2020 Oct 29.
Artículo en Inglés | MEDLINE | ID: mdl-33137947

RESUMEN

The coronavirus disease is still spreading in the United Arab Emirates (UAE) with subsequent lockdowns and social distancing measures being enforced by the government. The purpose of this study was to assess the effect of the lockdown on eating habits and lifestyle behaviors among residents of the UAE. A cross-sectional study among adults in the UAE was conducted using an online questionnaire between April and May 2020. A total of 1012 subjects participated in the study. During the pandemic, 31% reported weight gain and 72.2% had less than eight cups of water per day. Furthermore, the dietary habits of the participants were distanced from the Mediterranean diet principles and closer to "unhealthy" dietary patterns. Moreover, 38.5% did not engage in physical activity and 36.2% spent over five hours per day on screens for entertainment. A significantly higher percentage of participants reported physical exhaustion, emotional exhaustion, irritability, and tension "all the time" during the pandemic compared to before the pandemic (p < 0.001). Sleep disturbances were prevalent among 60.8% of the participants during the pandemic. Although lockdowns are an important safety measure to protect public health, results indicate that they might cause a variety of lifestyle changes, physical inactivity, and psychological problems among adults in the UAE.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Dieta Mediterránea/estadística & datos numéricos , Conducta Alimentaria/psicología , Estilo de Vida , Pandemias/prevención & control , Neumonía Viral/prevención & control , Cuarentena/psicología , Adulto , Betacoronavirus , Estudios Transversales , Dieta Mediterránea/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Conducta Sedentaria , Encuestas y Cuestionarios , Emiratos Árabes Unidos , Aumento de Peso , Adulto Joven
6.
JAMA ; 324(17): 1765-1776, 2020 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-33141212

RESUMEN

Importance: Incidence rates for lower extremity deep vein thrombosis (DVT) range from 88 to 112 per 100 000 person-years and increase with age. Rates of recurrent VTE range from 20% to 36% during the 10 years after an initial event. Observations: PubMed and Cochrane databases were searched for English-language studies published from January 2015 through June 2020 for randomized clinical trials, meta-analyses, systematic reviews, and observational studies. Risk factors for venous thromboembolism (VTE), such as older age, malignancy (cumulative incidence of 7.4% after a median of 19 months), inflammatory disorders (VTE risk is 4.7% in patients with rheumatoid arthritis and 2.5% in those without), and inherited thrombophilia (factor V Leiden carriers with a 10-year cumulative incidence of 10.9%), are associated with higher risk of VTE. Patients with signs or symptoms of lower extremity DVT, such as swelling (71%) or a cramping or pulling discomfort in the thigh or calf (53%), should undergo assessment of pretest probability followed by D-dimer testing and imaging with venous ultrasonography. A normal D-dimer level (ie, D-dimer <500 ng/mL) excludes acute VTE when combined with a low pretest probability (ie, Wells DVT score ≤1). In patients with a high pretest probability, the negative predictive value of a D-dimer less than 500 ng/mL is 92%. Consequently, D-dimer cannot be used to exclude DVT without an assessment of pretest probability. Postthrombotic syndrome, defined as persistent symptoms, signs of chronic venous insufficiency, or both, occurs in 25% to 50% of patients 3 to 6 months after DVT diagnosis. Catheter-directed fibrinolysis with or without mechanical thrombectomy is appropriate in those with iliofemoral obstruction, severe symptoms, and a low risk of bleeding. The efficacy of direct oral anticoagulants-rivaroxaban, apixaban, dabigatran, and edoxaban-is noninferior to warfarin (absolute rate of recurrent VTE or VTE-related death, 2.0% vs 2.2%). Major bleeding occurs in 1.1% of patients treated with direct oral anticoagulants vs 1.8% treated with warfarin. Conclusions and Relevance: Greater recognition of VTE risk factors and advances in anticoagulation have facilitated the clinical evaluation and treatment of patients with DVT. Direct oral anticoagulants are noninferior to warfarin with regard to efficacy and are associated with lower rates of bleeding, but costs limit use for some patients.


Asunto(s)
Extremidad Inferior/irrigación sanguínea , Tromboembolia Venosa/diagnóstico , Tromboembolia Venosa/terapia , Factores de Edad , Biomarcadores/sangre , Inhibidores del Factor Xa/efectos adversos , Inhibidores del Factor Xa/uso terapéutico , Productos de Degradación de Fibrina-Fibrinógeno/análisis , Humanos , Estilo de Vida , Ilustración Médica , Síndrome Postrombótico/etiología , Valor Predictivo de las Pruebas , Factores de Riesgo , Factores Sexuales , Evaluación de Síntomas , Trombectomía/métodos , Trombofilia/complicaciones , Trombofilia/genética , Ultrasonografía , Filtros de Vena Cava , Tromboembolia Venosa/sangre , Tromboembolia Venosa/etiología , Warfarina/uso terapéutico
7.
PLoS One ; 15(11): e0241990, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33175882

RESUMEN

COVID-19 emerged in November 2019 leading to a global pandemic that has not only resulted in widespread medical complications and loss of life, but has also impacted global economies and transformed daily life. The current rapid response study in a convenience online sample quickly recruited 2,065 participants across the United States, Canada, and Europe in late March and early April 2020. Cross-sectional findings indicated elevated anxiety and depressive symptoms compared to historical norms, which were positively associated with COVID-19 concern more strongly than epidemiological data signifying risk (e.g., world and country confirmed cases). Employment loss was positively associated with greater depressive symptoms and COVID-19 concern, and depressive symptoms and COVID-19 concern were significantly associated with more stringent self-quarantine behavior. The rapid collection of data during the early phase of this pandemic is limited by under-representation of non-White and middle age and older adults. Nevertheless, these findings have implications for interventions to slow the spread of COVID-19 infection.


Asunto(s)
Infecciones por Coronavirus/patología , Recesión Económica , Conductas Relacionadas con la Salud , Neumonía Viral/patología , Adolescente , Adulto , Anciano , Ansiedad/epidemiología , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , Estilo de Vida , Masculino , Salud Mental , Persona de Mediana Edad , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/virología , Cuarentena/psicología , Aislamiento Social , Encuestas y Cuestionarios , Adulto Joven
8.
Nutrients ; 12(10)2020 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-33050404

RESUMEN

Unexpected isolation, which has not yet been seen on a global scale, has created the conditions for evaluating nutrition in a situation of reduced spatial activity. The study aimed to assess the influence of lockdown on selected eating habits of Polish adults. An anonymous questionnaire was conducted, including questions about eating habits and self-reported anthropometric measurements, referring to "before" and "during" lockdown. We reported the findings of 312 adults (aged 41.12 ± 13.05 years). Overall, 64.1% of the participants were women, 77.7% urban inhabitants and 78.6% employed. The average length of social isolation was 50.79 ± 10.53 days. The majority (51.6%) of the respondents did not eat outside the house during lockdown (p < 0.0001). The number of meals eaten during the day during lockdown increased significantly, 11.2% of the respondents ate 5 and more meals (p < 0.0001). The percentage of people snacking between meals increased by 5.1% during lockdown (p = 0.0001). Eggs, potatoes, sweets, canned meat and alcohol were consumed considerably more commonly during lockdown, while fast-food products, instant soups and energy drinks were eaten or drunk significantly less frequently. A marked decrease in the number of daily servings of the following products was observed: bakery products, red meat, fast food, instant soups, sweet beverages and energy drinks. Conversely, the number of daily servings of sweets and canned meat significantly increased. Two thirds of the respondents reported body weight changes, with 45.86% of the participants being overweight during lockdown. Significant changes in the diet of Polish adults were found during lockdown due to COVID-19.


Asunto(s)
Infecciones por Coronavirus , Dieta , Conducta Alimentaria , Conductas Relacionadas con la Salud , Pandemias , Neumonía Viral , Aislamiento Social , Aumento de Peso , Adulto , Betacoronavirus , Índice de Masa Corporal , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Comida Rápida , Femenino , Preferencias Alimentarias , Humanos , Estilo de Vida , Masculino , Comidas , Persona de Mediana Edad , Obesidad/etiología , Sobrepeso/etiología , Neumonía Viral/epidemiología , Neumonía Viral/virología , Polonia/epidemiología , Bocadillos , Encuestas y Cuestionarios , Población Urbana
9.
Nutrients ; 12(10)2020 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-33053656

RESUMEN

The severe acute respiratory syndrome coronavirus (SARS-CoV)-2 disease (COVID)-19 is having profound effects on the global economy and food trade. Limited data are available on how this pandemic is affecting our dietary and lifestyle-related behaviors at the global level. Google Trends was used to obtain worldwide relative search volumes (RSVs) covering a timeframe from before the COVID-19 pandemic 1 June 2019 to 27 April 2020. Spearman's rank-order correlation coefficients were used to measure relationships between daily confirmed cases and aforementioned RSVs between 31 December 2019 and 15 April 2020. RSV curves showed increased interest in multiple keywords related to dietary and lifestyle behaviors during the COVID-19 lockdown period in March and April 2020. Spearman's correlation analysis showed that the strongest variables in each keyword category were (1) food security (food shortage: r = 0.749, food bank: r = 0.660, and free food: r = 0.555; all p < 0.001), (2) dietary behaviors (delivery: r = 0.780, restaurant: r = -0.731, take-away: r = 0.731, and food-delivery: r = 0.693; all p < 0.001), (3) outdoor-related behaviors (resort: r = -0.922, hotel: r = -0.913, cinema: r = -0.844, park: r = -0.827, fitness: r = -0.817, gym: r = -0.811; plant: r = 0.749, sunbathing: r = 0.668, and online: r = 0.670; all p < 0.001), and (4) immune-related nutrients/herbs/foods (vitamin C: r = 0.802, vitamin A: r = 0.780, zinc: r = 0.781, immune: r = 0.739, vitamin E: r = 0.707, garlic: r = 0.667, omega-3 fatty acid: r = -0.633, vitamin D: r = 0.549, and turmeric: r = 0.545; all p < 0.001). Restricted movement has affected peoples' dietary and lifestyle behaviors as people tend to search for immune-boosting nutrients/herbs and have replaced outdoor activities with sedentary indoor behaviors.


Asunto(s)
Infecciones por Coronavirus , Dieta , Conducta Alimentaria , Abastecimiento de Alimentos , Estilo de Vida , Pandemias , Neumonía Viral , Aislamiento Social , Betacoronavirus , Coronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/inmunología , Infecciones por Coronavirus/virología , Curcuma , Ácidos Grasos Omega-3 , Ajo , Conductas Relacionadas con la Salud , Humanos , Conducta en la Búsqueda de Información , Nutrientes , Neumonía Viral/epidemiología , Neumonía Viral/inmunología , Neumonía Viral/virología , Restaurantes , Motor de Búsqueda , Conducta Sedentaria , Síndrome Respiratorio Agudo Grave , Oligoelementos , Vitaminas
10.
Nat Commun ; 11(1): 5206, 2020 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-33060586

RESUMEN

Variation in the human gut microbiome can reflect host lifestyle and behaviors and influence disease biomarker levels in the blood. Understanding the relationships between gut microbes and host phenotypes are critical for understanding wellness and disease. Here, we examine associations between the gut microbiota and ~150 host phenotypic features across ~3,400 individuals. We identify major axes of taxonomic variance in the gut and a putative diversity maximum along the Firmicutes-to-Bacteroidetes axis. Our analyses reveal both known and unknown associations between microbiome composition and host clinical markers and lifestyle factors, including host-microbe associations that are composition-specific. These results suggest potential opportunities for targeted interventions that alter the composition of the microbiome to improve host health. By uncovering the interrelationships between host diet and lifestyle factors, clinical blood markers, and the human gut microbiome at the population-scale, our results serve as a roadmap for future studies on host-microbe interactions and interventions.


Asunto(s)
Biomarcadores , Enfermedad , Microbioma Gastrointestinal/fisiología , Salud , Interacciones Microbiota-Huesped/fisiología , Adulto , Biodiversidad , Dieta , Femenino , Firmicutes , Microbioma Gastrointestinal/genética , Humanos , Estilo de Vida , Masculino , Persona de Mediana Edad , ARN Ribosómico 16S/genética , Biología de Sistemas
11.
J Affect Disord ; 277: 977-985, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-33065842

RESUMEN

BACKGROUND: In February 2020 the first cases of COVID-19 were identified in Kuwait. Inevitably as many countries worldwide, the general public were negatively affected by the pandemic. Unemployment, uncertainty, distress, increasing deaths, lockdown measures all of which are potential burdens on mental health. AIM: To assess the impact of COVID19 outbreak on mental health in Kuwait, and to explore the potential influencing risk factors. METHODS: We conducted an online questionnaire-based study in Kuwait between 25th May 2020 to 30th May 2020. Questions were based on demographics, lifestyle during outbreak, depression and anxiety assessment. Total PHQ9 and GAD7 scores were calculated for each responder. RESULTS: We had 4132 responders. Most were females (69.31%), married (59.37%), between the age of 21-30 (23.84%) and non-smokers (81.46%). Only (7.96%) had a positive past psychiatric history, (32.04%) had a past history of a chronic medical disease. During the outbreak most of the responders lost their jobs (39.21%) and only (12.83%) were attending work regularly, only (6.82%) worked in the healthcare sector. 59.27% report increased social media use compared to before the lockdown. When asked about their daily time spent following COVID19-related news, most (37.8%) spend more than 2 hours and (7.74%) spend more than 4 hours. The overall prevalence of depressive symptoms was (30.13%) and the prevalence of anxiety symptoms was (25.28%). LIMITATIONS: In the cross-sectional nature of the study. CONCLUSION: The COVID-19 pandemic caused a burden on mental health. Psychological support and mental health awareness should be implemented and made accessible to all individuals during pandemics.


Asunto(s)
Infecciones por Coronavirus/psicología , Costo de Enfermedad , Pandemias , Neumonía Viral/psicología , Cuarentena/psicología , Adolescente , Adulto , Anciano , Ansiedad/epidemiología , Ansiedad/psicología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Femenino , Humanos , Kuwait/epidemiología , Estilo de Vida , Masculino , Salud Mental , Persona de Mediana Edad , Prevalencia , Escalas de Valoración Psiquiátrica , Medios de Comunicación Sociales , Encuestas y Cuestionarios , Desempleo , Adulto Joven
12.
Nutrients ; 12(10)2020 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-33065991

RESUMEN

The COVID-19 quarantine has caused significant changes in everyday life. This study aimed to evaluate the effect of the quarantine on dietary, physical activity and alcohol consumption habits of Lithuanians and the association between health behaviours and weight changes. An online cross-sectional survey was carried out among individuals older than 18 years in April 2020. The self-administered questionnaire included health behaviour and weight change data. Altogether 2447 subjects participated in the survey. Almost half of the respondents (49.4%) ate more than usual, 45.1% increased snacking, and 62.1% cooked at home more often. Intake of carbonated or sugary drinks, fast food and commercial pastries decreased, while consumption of homemade pastries and fried food increased. A decrease in physical activity was reported by 60.6% of respondents. Every third (31.5%) respondent, more often those already with overweight, gained weight. Multivariate logistic regression analysis showed that the higher odds of weight gain were associated with females, older age, increased consumption of sugary drinks, homemade pastries and fried food, eating more than usual, increased snacking, decreased physical activity and increased alcohol consumption. Our data highlighted the need for dietary and physical activity guidelines to prevent weight gain during the period of self-isolation, especially targeting those with overweight and obesity.


Asunto(s)
Infecciones por Coronavirus , Ingestión de Energía , Conducta Alimentaria , Conductas Relacionadas con la Salud , Pandemias , Neumonía Viral , Aislamiento Social , Aumento de Peso , Adolescente , Adulto , Betacoronavirus , Índice de Masa Corporal , Peso Corporal , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Estudios Transversales , Comida Rápida , Femenino , Humanos , Estilo de Vida , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Obesidad/complicaciones , Obesidad/epidemiología , Neumonía Viral/complicaciones , Neumonía Viral/epidemiología , Neumonía Viral/virología , Cuarentena , Bocadillos , Adulto Joven
13.
Zhonghua Yu Fang Yi Xue Za Zhi ; 54(10): 1081-1086, 2020 Oct 06.
Artículo en Chino | MEDLINE | ID: mdl-33115193

RESUMEN

Objective: To establish the nutrition literacy core items for Chinese pregnant women. Methods: The framework system and preliminary items of nutrition literacy were established through literature review and experts consultation. E-Delphi method was used to determine the nutrition literacy items.11 experts in the field of maternal and child nutrition, obstetrics and gynecology, health education and nutrition and diseases were invited to score the importance of each nutrition literacy item via Email. The judgment basis and familiarity of experts towards the items, active coefficient, authority coefficient and harmony coefficient were evaluated and analyzed to generate the final list of nutrition literacy items. Results: The active coefficients of consultation in two rounds were 81.8% (9/11) and 87.5% (8/9).The authority coefficients were (0.86±0.11) and (0.85±0.06).The average scores of importance were (4.32±0.84) and (4.58±0.57) and the harmony coefficients were 0.387 (χ²=90.472, P<0.001) and 0.290 (χ²=46.752, P=0.002) respectively. After the second round of consultation, all selected items met the inclusion criteria. We identified the final list of nutrition literacy items consisting of 3 scales (basic knowledge and concept, lifestyles and dietary behaviors, and basic skills), 10 sub-scales (basic nutrition concept, food and nutrition knowledge, nutrition and disease knowledge, lifestyles, dietary behaviors, preparation for breastfeeding, gestational weight management, gestational disease management, acquisition, understanding and application of nutrition information, judgement of nutrition information, and nutrition decision making) with 24 items in total. Conclusions: The framework system and core items of nutrition literacy are established for Chinese pregnant women based on E-Delphi method. The experts involved in the consultation process present a performance with good representativeness, enthusiasm and authority. All experts' opinions are coordinated and unified, which could satisfy the demand of developing nutrition literacy core items for target population.


Asunto(s)
Alfabetización en Salud , Alfabetización , Estado Nutricional , Mujeres Embarazadas , Niño , Técnica Delfos , Femenino , Humanos , Estilo de Vida , Embarazo
14.
Zhonghua Yu Fang Yi Xue Za Zhi ; 54(10): 1087-1092, 2020 Oct 06.
Artículo en Chino | MEDLINE | ID: mdl-33115194

RESUMEN

Objective: To establish the nutrition literacy core items for Chinese lactating women. Methods: The framework system and preliminary items of nutrition literacy were established through literature review and experts consultation. E-Delphi method was used to determine the nutrition literacy items. 11 experts in the field of maternal and child nutrition, obstetrics and gynecology, health education and nutrition and diseases were invited to score the importance of each nutrition literacy item via Email. The judgment basis and familiarity of experts towards the items, active coefficient, authority coefficient and harmony coefficient were evaluated and analyzed to generate the final list of nutrition literacy items. Results: The active coefficients of consultation in two rounds were 81.8% (9/11) and 87.5% (8/9). The authority coefficients were (0.86±0.11) and (0.85±0.06). The average scores of importance were (4.03±1.24) and (4.64±0.50)and the harmony coefficients were 0.556 (χ²=163.42, P<0.001) and 0.40 (χ²=64.41, P<0.001). After the second round of consultation, all selected items met the inclusion criteria. We identified the final list of nutrition literacy items consisting of 3 scales (basic knowledge and concept, lifestyles and dietary behaviors, and basic skills), 10 subscales (basic nutrition concept, food and nutrition knowledge, feeding knowledge, lifestyles, dietary behaviors, feeding behaviors, weight management, complementary food production, acquisition, understanding and application of nutrition information, judgement of nutrition information, and nutrition decision making) with 24 items in total. Conclusions: The framework system and core items of nutrition literacy were established for Chinese lactating women based on E-Delphi method. The experts involved in the consultation process presented a performance with good representativeness, enthusiasm and authority. All experts' opinions are coordinated and unified, which could satisfy the demand of developing nutrition literacy core items for target population.


Asunto(s)
Alfabetización en Salud , Lactancia , Estado Nutricional , Niño , Técnica Delfos , Femenino , Educación en Salud , Humanos , Estilo de Vida , Encuestas y Cuestionarios
15.
BMJ Open ; 10(10): e040341, 2020 10 13.
Artículo en Inglés | MEDLINE | ID: mdl-33051236

RESUMEN

INTRODUCTION: Local activities that functioned to prevent frailty in the elderly have been suspended or reduced as a countermeasure against COVID-19. As a result, frailty rates are expected to increase, and frailty is expected to worsen as a secondary problem associated with COVID-19 countermeasures. Therefore, this study aims to determine the extent of frailty in the elderly associated with lifestyle changes implemented as COVID-19 countermeasures, to ascertain actual lifestyle changes and clarify the existence of Corona-Frailty. We will also conduct Corona-Frailty screening to verify the effect of support provided as feedback to supporters of the elderly. METHODS AND ANALYSIS: The survey target area is Takasaki City, Gunma Prefecture, Japan. Phase I aims to verify the short-term effects of COVID-19. A questionnaire will be distributed to 465 community-dwelling elderly people, and responses will be obtained by post. Frailty will be evaluated using the Frailty Screening Index. Respondents who are frail and have had many changes in their lifestyle will be screened as high-risk people, and feedback will be provided to local supporters. The aim of Phase II will be to verify the long-term effects of COVID-19 and the effect of screening. A similar survey will be distributed twice after the first survey, once after 6 months and again after 1 year and the frailty rate will be tested. Furthermore, out of the subjects identified with frailty in Phase I, the progress of those who were screened and those who were not screened will be compared between groups. ETHICS AND DISSEMINATION: This study has been approved by the Research Ethics Committee of the Takasaki University of Health and Welfare (approval number: 2009). The results of this study will be reported to the policymaker, presented at academic conferences and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: UMIN000040335.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Anciano Frágil/estadística & datos numéricos , Fragilidad/epidemiología , Evaluación Geriátrica/métodos , Vida Independiente/estadística & datos numéricos , Estilo de Vida , Neumonía Viral/epidemiología , Actividades Cotidianas , Anciano , Envejecimiento/fisiología , Comorbilidad , Estudios Transversales , Femenino , Humanos , Masculino , Pandemias , Encuestas y Cuestionarios
16.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(9): 1428-1432, 2020 Sep 10.
Artículo en Chino | MEDLINE | ID: mdl-33076593

RESUMEN

Most cardiovascular disease (CVD) related risk factors are prevalent in children and adolescents, especially obesity, elevated blood pressure (BP) and increased unhealthy lifestyle. To prevent CVD in adulthood, it is necessary to attach importance to the prevention and control of CVD risk factors in childhood. Of note, the prevention of childhood obesity is key measure, the control of childhood BP is the first goal, and the development of healthy lifestyle is important basis. The prevention and control of CVD risk factors in childhood can benefit the future prevention and treatment of CVD in adulthood, provide scientific base for the prevention and intervention of cardiovascular risk factors in childhood, and provide new perspective for the early prevention of cardiovascular diseases in adulthood.


Asunto(s)
Enfermedades Cardiovasculares , Adolescente , Adulto , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/prevención & control , Niño , Humanos , Hipertensión/epidemiología , Hipertensión/prevención & control , Estilo de Vida , Obesidad Pediátrica/epidemiología , Obesidad Pediátrica/prevención & control , Factores de Riesgo
17.
Sci Data ; 7(1): 372, 2020 10 29.
Artículo en Inglés | MEDLINE | ID: mdl-33122626

RESUMEN

To deter the spread of the coronavirus disease 2019 (COVID-19), many countries have imposed a lockdown with restrictions. On 7 April 2020, the Japanese government declared a state of emergency over the COVID-19 outbreak. Japan was in "mild lockdown" which was not enforceable and non-punitive with the declaration. We conducted an online survey to investigate factors associated with psychological distress in the "mild lockdown" under a declared state of emergency for COVID-19. We collected data on 11,333 inhabitants (52.4% women, 46.3 ± 14.6 years) living in the seven prefectures where the declaration was first applied. The investigation dates of this study, 11 and 12 May 2020, were in the final phase of the state of emergency. The survey was conducted in real-time to minimize participants' recall bias. In addition to psychological inventories often used worldwide, the questionnaires used in this survey included lifestyle and stress management items related to COVID-19 and various socio-demographic items including occupation (e.g. healthcare worker) or income.


Asunto(s)
Infecciones por Coronavirus , Pandemias , Neumonía Viral , Cuarentena/psicología , Adaptación Psicológica , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Femenino , Humanos , Japón , Estilo de Vida , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Encuestas y Cuestionarios , Adulto Joven
18.
Front Endocrinol (Lausanne) ; 11: 582870, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33042029

RESUMEN

The pandemic of COVID-19, caused by the coronavirus, SARS-CoV-2, has had a global impact not seen for an infectious disease for over a century. This acute pandemic has spread from the East and has been overlaid onto a slow pandemic of metabolic diseases of obesity and diabetes consequent from the increasing adoption of a Western-lifestyle characterized by excess calorie consumption with limited physical activity. It has become clear that these conditions predispose individuals to a more severe COVID-19 with increased morbidity and mortality. There are many features of diabetes and obesity that may accentuate the clinical response to SARS-CoV-2 infection: including an impaired immune response, an atherothrombotic state, accumulation of advanced glycation end products and a chronic inflammatory state. These could prime an exaggerated cytokine response to viral infection, predisposing to the cytokine storm that triggers progression to septic shock, acute respiratory distress syndrome, and multi-organ failure. Infection leads to an inflammatory response and tissue damage resulting in increased metabolic activity and an associated increase in the mechanisms by which cells ingest and degrade tissue debris and foreign materials. It is becoming clear that viruses have acquired an ability to exploit these mechanisms to invade cells and facilitate their own life-cycle. In obesity and diabetes these mechanisms are chronically activated due to the deteriorating metabolic state and this may provide an increased opportunity for a more profound and sustained viral infection.


Asunto(s)
Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/epidemiología , Diabetes Mellitus/fisiopatología , Estilo de Vida , Obesidad/fisiopatología , Neumonía Viral/epidemiología , Infecciones por Coronavirus/inmunología , Infecciones por Coronavirus/virología , Susceptibilidad a Enfermedades , Humanos , Pandemias , Neumonía Viral/inmunología , Neumonía Viral/virología
19.
Cardiovasc J Afr ; 31(2): 103-110, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33094797

RESUMEN

Data collected by PASCAR for the World Heart Federation's Cardiovascular Diseases Scorecard project in Africa are presented. We summarise the strengths, threats, weaknesses and priorities identified from the collected data, which need to be considered in conjunction with the associated sections in the accompanying infographic. Data sets that were used include open-source data from the World Bank, World Health Organization and government publications.


Asunto(s)
Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/prevención & control , Servicios Preventivos de Salud/organización & administración , Adolescente , Adulto , Anciano , Camerún/epidemiología , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/mortalidad , Comorbilidad , Prestación Integrada de Atención de Salud/organización & administración , Femenino , Accesibilidad a los Servicios de Salud/organización & administración , Estado de Salud , Humanos , Estilo de Vida , Masculino , Persona de Mediana Edad , Formulación de Políticas , Prevalencia , Pronóstico , Medición de Riesgo , Factores de Riesgo , Determinantes Sociales de la Salud , Participación de los Interesados , Adulto Joven
20.
Front Endocrinol (Lausanne) ; 11: 579401, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33101211

RESUMEN

It's a frightening time due to COVID-19, but the great elderly/centenarians, apparently with more frailty, seem to have a better response to the pandemic. "The South Italy" lifestyle seems an "effective strategy" promoting the well-being embedded in a holistic solution: healthy diet, less exposure to PM10 pollution, protected environment, and moderate physical activity. The European FP7 Project RISTOMED results, since 2010, have shown that dietary intervention improved a heathy status in the elderly people. Based on the RISTOMED results, in addition to sociocultural and environmental factors, the authors suggest an integrated approach for resilience to COVID-19. Such an approach during the next months could make the difference for the success of any government progress policy to fight COVID-19, finalizing long-term well-being and successful aging.


Asunto(s)
Envejecimiento , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/prevención & control , Dieta Mediterránea , Estilo de Vida , Pandemias/prevención & control , Neumonía Viral/prevención & control , Anciano , Concienciación , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Humanos , Italia/epidemiología , Neumonía Viral/epidemiología , Neumonía Viral/virología , Estrés Psicológico
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