scholarly journals Risk factors for poor iron status in British toddlers: further analysis of data from the National Diet and Nutrition Survey of children aged 1.5–4.5 years

2000 ◽  
Vol 3 (4) ◽  
pp. 433-440 ◽  
Author(s):  
CW Thane ◽  
CM Walmsley ◽  
CJ Bates ◽  
A Prentice ◽  
TJ Cole

AbstractObjectiveTo examine risk factors for poor iron status in British toddlers.DesignNational Diet and Nutrition Survey (NDNS) of children aged 1.5–4.5 years.SettingMainland Britain, 1992/93.SubjectsOf the 1859 children whose parents or guardians were interviewed, a weighed dietary intake was provided for 1675, and a blood sample obtained from 1003.ResultsMean haemoglobin (Hb) and ferritin levels were significantly lower in younger (1.5–2.5 years) than in older (3.5–4.5 years) children, with boys having significantly lower ferritin levels than girls. Poor iron status (Hb>110 g l−1, ferritin >10 μg l−1, or low values for both indices) was associated with lower socioeconomic and employment status. Iron status was directly associated with meat and fruit consumption and inversely with that of milk and milk products, after adjustment for age and gender. The latter association remained significant after further adjustment for sociodemographic variables, energy intake and body weight. Children consuming <400 g day−1 of milk and cream were less likely to consume foods in other groups, with those also consuming little meat, fish, fruit and nuts at greatest risk of poor iron status. Few associations were observed between poor iron status and individual nutrient intakes, and iron status was not associated with either iron intake or with consumption of a vegetarian diet.ConclusionsOverdependence on milk, where it displaces iron-rich or iron-enhancing foods, may put toddlers at increased risk of poor iron status. However, this becomes non-significant when moderate-to-high amounts of foods known to enhance iron status (e.g. meat and/or fruit) are also consumed. Milk consumption in this age group should ideally be part of a mixed and balanced diet including all food groups, and particularly lean meat (or other iron-rich or fortified foods) and fruit. This is particularly relevant for households of lower socioeconomic and employment status.

2020 ◽  
Vol 28 (12) ◽  
pp. 656-661
Author(s):  
R. Bolijn ◽  
I. Schalkers ◽  
H. L. Tan ◽  
A. E. Kunst ◽  
I. G. M. van Valkengoed

Abstract Background Recently, cardiovascular disease (CVD) research has focused on sex- and gender-related cardiovascular risk factors, in addition to conventional risk factors. This raises the question which factors are perceived by the target group (patients with CVD) as priorities for further research. Methods We carried out a survey to study priority setting for more research into conventional and sex- and gender-related risk factors according to 980 men and women with CVD or those at increased risk of CVD in the Netherlands. Data on conventional and sex- and gender-related risk factors were descriptively analysed, stratified by gender group. Results The most frequently prioritised conventional factors according to men were heritability, overweight and unhealthy diet, while women most frequently listed stress, heritability and hypertension. The most frequently prioritised sex- and gender-related risk factors were depression or depressive feelings, migraine and having many caretaking responsibilities (men), and pregnancy complications, contraceptive pill use and early age at menopause (women). New research on sex- and gender-related risk factors was perceived roughly as relevant as that on conventional factors by men (mean 7.4 and 8.3 on a 1–10 scale, respectively) and women (8.2 and 8.6, respectively). Ethnic and gender minority groups placed more emphasis on risk factors related to sociocultural aspects (gender) than the majority group. Conclusion Men and women with CVD or those at increased risk of CVD perceived new research on conventional and sex- and gender-related risk factors as a priority. These findings may guide researchers and funders in further prioritising new CVD research.


2019 ◽  
Vol 10 (2) ◽  
pp. 34
Author(s):  
Lauriane Nyiraneza ◽  
Rex Wong ◽  
Olushayo Olu ◽  
Marie-Rosette Nahimana ◽  
Eliud Birachi ◽  
...  

Childhood stunting can have negative health, social, and economic outcomes. In 2015, 37.9% of children under the age of five were stunted in Rwanda. This study aimed to understand the risk factors associated with stunting specific to Rwanda in order to inform effective interventions.The analysis found higher odds of stunting among the children of mothers who had no education compared to those with secondary education (OR: 2.1, 95% CI: 1.34-3.36), who did not take sufficient quantities of food during the pregnancy (OR: 1.3, 95% CI: 1.07-1.65) or did not consume a diverse diet during pregnancy (OR: 1.3, 95% CI: 1.12-1.73). Children living in households with two or more children under two years of age (OR: 2.4, 95% CI: 1.35-2.50), born with low birth weight (OR: 2.8, 95 CI: 1.67-4.27), born preterm (OR: 4.1, 95 CI: 1.96-8.70), not consuming animal proteins (OR: 1.7 CI: 1.49-2.02) and not drinking treated water (OR: 1.6, CI: 1.07-2.23) all have higher odds of developing stunting. Children living in households with low dietary diversity also had higher odds of stunting (OR: 2.2 CI: 1.23-3.88).The results of the analysis suggested that women should be educated to modify their feeding behavior. Educating women can potentially influence their decision-making related to antenatal care (ANC) service attendance and to their own as well as their children’s nutrition needs. Appropriate birth spacing should be encouraged. Providing nutritional supplements to mothers at ANC appointments, increasing access to diverse food groups, and providing nutritional care for babies with low birth weight are potential interventions to address the issue of childhood stunting in Rwanda.


2003 ◽  
Vol 6 (5) ◽  
pp. 485-496 ◽  
Author(s):  
CW Thane ◽  
CJ Bates ◽  
A Prentice

AbstractObjective:To examine the prevalence and dietary, sociodemographic and lifestyle risk factors of low iron intake and poor iron status in British young people.Design:National Diet and Nutrition Survey of young people aged 4–18 years.Setting:Great Britain, 1997.Subjects:In total, 1699 young people provided 7-day weighed dietary records, of which 11% were excluded because the participant reported being unwell with eating habits affected. Blood was obtained from 1193 participants, with iron status indicated by haemoglobin, serum ferritin and transferrin saturation.Results:Iron intakes were generally adequate in most young people aged 4–18 years. However, low iron intakes (below the Lower Reference Nutrient Intake) occurred in 44% of adolescent girls (11–18 years), being less prevalent with high consumption of breakfast cereals. Low haemoglobin concentration (<115 gl−1, 4–12 years; <120 or <130 gl−1, 13+ years for girls and boys, respectively) was observed in 9% of children aged 4–6 years, pubertal boys (11–14 years) and older girls (15–18 years). Adolescent girls who were non-Caucasians or vegetarians had significantly poorer iron status than Caucasians or meat eaters, independent of other risk factors. The three iron status indices were correlated significantly with haem, but not non-haem, iron intake.Conclusions:Adolescent girls showed the highest prevalence of low iron intake and poor iron status, with the latter independently associated with non-Caucasian ethnicity and vegetarianism. Risk of poor iron status may be reduced by consuming (particularly lean red) meat or enhancers of non-haem iron absorption (e.g. fruit or fruit juice) in vegetarians.


BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020938 ◽  
Author(s):  
Xiao-kun Liu ◽  
Shui-yuan Xiao ◽  
Liang Zhou ◽  
Mi Hu ◽  
Hui-ming Liu

ObjectivesTo investigate a 4-week period of pain prevalence and the risk factors of experiencing pain among a rural Chinese population sample. To explore the psychosocial and health condition predictors of pain severity and the interactions of age and gender with these factors in real-life situations among the general adult population in China.MethodsData were collected from a random multistage sample of 2052 participants (response rate=95%) in the rural areas of Liuyang, China. Visual analogue scale was used to assess participants’ pain experienced and a series of internationally validated instruments to assess their sociodemographic characteristics, self-reported health status, depression symptoms, anxiety symptoms, sleep quality, self-efficacy and perceived stress.ResultsThe pain prevalence over the 4-week period in rural China was 66.18% (62.84% for men and 68.82% for women). A logistic regression model revealed that being female (adjusted OR=1.58, 95% CI 1.24 to 2.02), age (adjusted OR=1.03, 95% CI 1.02 to 1.05), depressive symptoms (adjusted OR=1.07, 95% CI 1.02 to 1.13) and medium-quality sleep (adjusted OR=2.14, 95% CI 1.26 to 3.64) were significant risk factors for experiencing pain. General linear model analyses revealed that (1) pain severity of rural Chinese was related to self-rated physical health and social health; (2) the interactions of age, gender with employment status, depression symptoms, perceived stress and physical health were significant. Simple effect testing revealed that in different age groups, gender interacted with employment status, depression symptoms, perceived stress and physical health differently.ConclusionsImproving physical and social health could be effective in reducing the severity of pain and the treatment of pain should be designed specifically for different ages and genders among the general population.


1970 ◽  
Vol 19 (4) ◽  
pp. 2964-2972
Author(s):  
Evans Muchiri ◽  
Clifford Odimegwu

Background: Adolescents and young adults in South Africa are at increased risk of experiencing negative outcomes from early sex initiation due to the context they develop in. This study aimed at investigating trends and gender differences in early age at sexual debut.Methods: Data from the Cape Area Panel Study (CAPS) of young adults’ conducted between 2002 and 2009 in urban Cape Town were used. Correlates of early sex using ecological risk factors were analysed. Results: Overall mean age at sexual debut at follow-up was 17.5 years (standard deviation (SD) =2.5), with males at 16.8 years (SD=2.5) and 18.1 years (SD=2.4) for females. Males consistently reported an earlier age at sex debut across the five waves of the survey. Significant risk factors for early sex appeared at all levels of the ecology to include individual, household, and community factors. Conclusions: Integrated interventions for delaying early sex debut should consider factors within the ecology of the young adults’ development context.Keywords: Sex debut, adolescents and young adults, contextual risk factors, cumulative risk.


2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Hossein Ghassemzadeh ◽  
Ahmadali Akbari Kamrani ◽  
Yadollah Abolfathi Momtaz ◽  
Mehdi Rassafiani ◽  
Fatemeh Nourhashemi ◽  
...  

Here is a new case of dementia in the world every three seconds. It kills more people in the US than breast cancer and prostate cancer combined, while it is the number one killer in England and Wales. The current cost of the disease is about a trillion US dollars a year, and that is forecast to double by 2030.Object: The aim of this study was to determine the probable occupational and environmental risk factors of dementia among the retirees of Iranian oil industries. Methods: A case-control study of 551 randomly selected older adults, all aged 60 and above including 180 demented and 371 nondemented retirees, pair matched for education and gender, was conducted. We evaluated the adjusted associations between dementia risk and the probable occupational and environmental variables through multiple logistic regression.Results: A history of exposure to air pollution (Adjusted OR=2.00, 95%CI= 1.00-7.00), head injuries (Adjusted OR=2.00, 95%CI= 1.00-6.00) and more than 20 years of work in the operational fields (Adjusted OR=5.00, 95%CI= 3.00-8.00) was significantly correlated with an increased risk of dementia. We could not find any significant associations between dementia risk and exposure to fossil fuels, solvents, noise pollution and or a combination of occupational risk factors. Conclusion: The results propose that long-term exposure to field occupational risk factors is likely to increase the risk of dementia. We suggest simultaneous serial oil industries’ particulate evaluations with proper cognitive assessments for the pre-retired staff


2008 ◽  
Vol 36 (10) ◽  
pp. 1880-1888 ◽  
Author(s):  
Benjamin T. Bissell ◽  
Robert J. Johnson ◽  
Adam B. Shafritz ◽  
Derek C. Chase ◽  
Carl F. Ettlinger

Background The incidence of humerus fractures while participating in snowboarding and skiing is undefined. Very little is known about the risk factors associated with these fractures. Hypothesis Snowboarders are at increased risk for sustaining humerus fractures when compared with skiers. In addition, the types of fractures, laterality, and risk factors differ between the 2 groups. Study Design Case-control study; Level of evidence, 3. Methods At a major ski area clinic, 318 humerus fractures were evaluated over 34 seasons. Radiographs were classified according to the AO and Neer systems. Patient data were analyzed and compared with that of a control population of uninjured skiers and snowboarders to determine incidence and risk factors. Results The incidence of humerus fractures among snowboarders (0.062 per 1000 snowboarder days) was significantly higher than that of skiers (0.041 per 1000, P < .05). Skiers were more likely to sustain proximal fractures, and snowboarders were relatively more likely to sustain diaphyseal and distal fractures ( P < .05). Of glenohumeral dislocations, 6.56% were associated with proximal humerus fractures among skiers (1.7% among snowboarders). Snowboarders who lead with their left foot were more likely to fracture their left humerus ( P = .023). Helmet use and gender were not risk factors for humerus fractures among either skiers or snowboarders. Jumping was involved in 28.3% of humerus fractures among snowboarders and in 5.4% among skiers. Skiers with humerus fractures were more skilled, older, and fell less frequently than controls. Snowboarders were less skilled, younger, and fell at a similar rate compared with controls. Conclusion Snowboarders are at significantly higher risk of sustaining humerus fractures than skiers. In skiers, humerus fractures show no laterality and most often involve the proximal humerus. In contrast, snowboarders more often fracture the left humerus at the diaphysis.


2021 ◽  
Vol 12 ◽  
Author(s):  
Zhiyong Chen ◽  
Yiwen Xu ◽  
Miao Chen ◽  
Ran Cui ◽  
Yu-Hsun Wang ◽  
...  

ObjectivePatients with psoriasis (PsO) have a high frequency of concomitant gout and increased risk of cardiovascular diseases (CVD). We aimed to estimate the synergistic impact of gout on the risk of CVD in patients with PsO.MethodsA population-based cohort of patients registered in the National Health Insurance Research Database of Taiwan between 2000 and 2013 was stratified according to the presence of PsO and gout. Propensity score analysis was used to match age and gender at a ratio of 1:4. Cox proportional hazard models and subgroup analyses were used to estimate the hazard ratios (HRs) for CVD adjusted for traditional risk factors. The Kaplan–Meier method was used to plot the cumulative incidence curves.ResultsPatients with combined PsO and gout (n = 97), PsO alone (n = 388), gout alone (matched, n = 388) and matched controls (n = 388) were identified. Compared with the patients with PsO alone, the patients with combined PsO and gout had a significantly higher risk of CVD (relative risk 2.39, 95% CI 1.56 to 3.65). After adjustment for traditional risk factors, the risk of CVD was higher in patients with gout alone (HR 2.16, 95% CI 1.54 to 3.04) and in patients with combined PsO and gout (HR 2.72, 95% CI 1.73 to 4.28).ConclusionsGout augments the risk of CVD independently of traditional risk factors in patients with PsO.


2017 ◽  
Vol 5 (1) ◽  
pp. 48 ◽  
Author(s):  
Siti Rohmatul Laily

Stroke is a disease that is a problem in the world, especially ischemic stroke. Stroke is a disease caused by circulatory disorders of the brain that are affected by several risk factors can not be changed such as age and gender. While the risk factors that can be changed such as hypertension, diabetes, dyslipidemia and jobs. Effective measures to reduce the incidence of stroke is by controlling risk factors that can be changed. This study aims to determine the relationship characteristics and hypertension with ischemic stroke events in hospitals Ngimbang Lamongan Year 2016. This study was analytic observational with case control design.Sample cases is ischemic stroke patients, while the control sample is non ischemic stroke, each as much as 44 respondents. The sampling technique by using simple random sampling. Collecting data use secondary data by viewing the data records. The statistical test used was chi square test. Research that shows there is a significant relationship with the occurrence of ischemic stroke were age (p = 0,015; OR = 3,286; 95% CI 1,332 to 8,107), gender (p = 0,001; OR = 4.765; 95% CI 1,912 to 11,875 ), employment status (p = 0.001; OR = 4.667; 95%CI 1,890 to 1,526), and hypertension (p = 0,000; OR = 129,000; 95% CI 15,848 to 1050,034). The conclusion from this study was there are a relationship between age, gender, employment status and hypertension with ischemic stroke events in hospitals Ngimbang Lamongan 2016.Keywords: age, gender, job status, hypertension and ischemic stroke


2019 ◽  
Author(s):  
Dalila Talevi ◽  
Alberto Collazzoni ◽  
Alessandro Rossi ◽  
Paolo Stratta ◽  
Monica Mazza ◽  
...  

Abstract Background. Interpersonal violence has increased as a health concern, especially in psychiatry practice, over the last decades. Nevertheless, most patients with stable mental disorders do not present an increased risk of violence, and mental disorder is not a necessary or sufficient cause of violent behaviours. People with mental disorders endorse more often a number of risk factors for violence that could confound this association, such as young age and male gender. The aim of this study was to investigate the effect of age, gender, and diagnosis on reported levels of interpersonal violence in a sample of people with severe mental illness. Methods. The sample was composed of 160 inpatients: 73 with a psychosis within the schizophrenia spectrum, 53 with a mood disorder and 34 with a personality disorder. All patients enrolled in the study were assessed for experiences of victimization and perpetration of interpersonal violence using the Karolinska Interpersonal Violence Scale interview. Demographic variables were also collected. Results. Both violence perpetration and victimization negatively correlated with age. Compared to males, females were exposed to higher degree of victimization in childhood and adulthood, whereas males were more involved in the perpetration of violence in childhood. Personality disorders were associated with higher levels of interpersonal violence, both perpetration and victimization; an interaction effect of gender and diagnosis was also observed for violence perpetration in adulthood. Distinct patterns of interpersonal violence did emerge for the diagnostic groups with mood disorder showing a victimization pattern, personality disorders a perpetration pattern and psychoses less defined patterns. Conclusions. The main finding is that psychotic disorders, mood disorders and personality disorders have different patterns of violent experiences interacting with age and gender. This study offers a better understanding of how gender and age could affect violent behaviours. Moreover, study findings may increase the comprehension of the reason why some mental disorders, compared to others, are more associated with the risk of victimization or perpetration of violence. These patterns could have pathophysiological or pathoplastic meaning addressing clinical and diagnostic trajectories and they could interact with other intervening risk factors.


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