Carla Martins, A. Alho, Fortunato Muquinapir, Francisco Madeira, José Durão, Lorena Falcão Lima, Mariana Corda, Marta Dias, Pedro Pena, R. Cervantes, Susana Viegas
{"title":"Environmental Determinants of Health: NOVA National School of Public Health Research to Tackle Ongoing Threats and Challenges","authors":"Carla Martins, A. Alho, Fortunato Muquinapir, Francisco Madeira, José Durão, Lorena Falcão Lima, Mariana Corda, Marta Dias, Pedro Pena, R. Cervantes, Susana Viegas","doi":"10.1159/000534813","DOIUrl":"https://doi.org/10.1159/000534813","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"25 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: This study aimed to evaluate the effects of physical activity on the cognition of patients with stroke, comparing the effectiveness of using isolated or combined rehabilitation, as well as the duration and intensity of training, to identify the characteristics of optimal training programs for post-stroke cognitive rehabilitation. Methods: For this systematic review, we followed PRISMA guidelines and searched Web of Science, Scopus, PEDRo, SPORTdiscus, PubMed, Trial Registries, and Google Scholar for studies published between 2013 and April 12, 2023. We included randomized controlled trials (RCTs) of interventions that measured the effect of physical activity on cognition in patients with stroke. We restricted our search to reports published in the English language. Evidence from the RCTs was synthesized. The risk of bias was assessed using the Cochrane risk of bias tool. Results: Of the 1,755 records identified, 34 were eligible, and data were available, with mainly low to moderate risk of general bias. The combined rehabilitation training programs proved more efficient when compared with isolated rehabilitation training programs in several cognitive domains. A moderate-intensity, 12-week intervention duration, with three weekly sessions, proved adequate. Discussion: It seems that combined rehabilitation training programs are efficient for patients with stroke as these alter neuroplastic conditions due to synergistic or additional onset of action. Future research should investigate combined rehabilitation training programs, with follow-up, to assess how long the recorded improvements last. The protocol of this study is registered in PROSPERO, number CRD42021248533.
研究背景本研究旨在评估体育锻炼对脑卒中患者认知能力的影响，比较采用单独康复还是联合康复的效果，以及训练的持续时间和强度，找出脑卒中后认知康复最佳训练计划的特点。方法：在本系统性综述中，我们遵循 PRISMA 指南，在 Web of Science、Scopus、PEDRo、SPORTdiscus、PubMed、Trial Registries 和 Google Scholar 上检索了 2013 年至 2023 年 4 月 12 日期间发表的研究。我们纳入了衡量体育锻炼对中风患者认知能力影响的干预措施的随机对照试验 (RCT)。我们仅限于搜索以英语发表的报告。我们对来自 RCT 的证据进行了综合。使用 Cochrane 偏倚风险工具评估了偏倚风险。结果：在确定的 1,755 份记录中，34 份符合条件，数据可用，主要存在低度至中度的一般偏倚风险。事实证明，在多个认知领域，联合康复训练计划比单独的康复训练计划更有效。事实证明，中等强度、为期12周、每周三次的干预时间是足够的。讨论看来，联合康复训练计划对中风患者是有效的，因为这些计划通过协同作用或额外的起始作用来改变神经可塑性条件。未来的研究应该对联合康复训练计划进行跟踪调查，以评估所记录的改善效果能持续多久。本研究方案已在 PROSPERO 注册，编号为 CRD42021248533。
{"title":"Duration and Efficiency of Combined versus Isolated Aerobic Training Interventions in Post-Stroke Cognition: A Systematic Review","authors":"Reinaldo Maeneja, I. S. Ferreira, Ana Maria Abreu","doi":"10.1159/000535272","DOIUrl":"https://doi.org/10.1159/000535272","url":null,"abstract":"Background: This study aimed to evaluate the effects of physical activity on the cognition of patients with stroke, comparing the effectiveness of using isolated or combined rehabilitation, as well as the duration and intensity of training, to identify the characteristics of optimal training programs for post-stroke cognitive rehabilitation. Methods: For this systematic review, we followed PRISMA guidelines and searched Web of Science, Scopus, PEDRo, SPORTdiscus, PubMed, Trial Registries, and Google Scholar for studies published between 2013 and April 12, 2023. We included randomized controlled trials (RCTs) of interventions that measured the effect of physical activity on cognition in patients with stroke. We restricted our search to reports published in the English language. Evidence from the RCTs was synthesized. The risk of bias was assessed using the Cochrane risk of bias tool. Results: Of the 1,755 records identified, 34 were eligible, and data were available, with mainly low to moderate risk of general bias. The combined rehabilitation training programs proved more efficient when compared with isolated rehabilitation training programs in several cognitive domains. A moderate-intensity, 12-week intervention duration, with three weekly sessions, proved adequate. Discussion: It seems that combined rehabilitation training programs are efficient for patients with stroke as these alter neuroplastic conditions due to synergistic or additional onset of action. Future research should investigate combined rehabilitation training programs, with follow-up, to assess how long the recorded improvements last. The protocol of this study is registered in PROSPERO, number CRD42021248533.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"10 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-22eCollection Date: 2023-12-01DOI: 10.1159/000534377
{"title":"Acknowledgement to Reviewers.","authors":"","doi":"10.1159/000534377","DOIUrl":"10.1159/000534377","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"41 3","pages":"235"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The personalized care planning is a collaborative process used in managing long-term health conditions when the person and health professionals identify and discuss problems caused by or related to the health condition and develop a plan to address them. Objective: The aim of the study was to map the evidence on the impact of personalized care planning management on health outcomes in persons with multiple long-term health problems in the community. Methods: Scoping review was based on the Joanna Briggs Institute protocol; the search strategy was carried out in platforms and databases online; the participants are adults, with chronic disease or long-term health conditions, in the period from 2016 to 2021, in English, Spanish, and Portuguese; the exclusion criteria included studies of adults with dementia and intellectual disability; 22 studies were obtained. We applied critical appraisal, and two independent reviewers performed data extraction; data synthesis was performed in narrative form. Results: Nursing interventions, the strategies used by nurses, and the production of health gains (maintaining the level of health and well-being) promoted by nurses through the proper management of personalized care planning were identified. Conclusions: Nurses develop a wide range of interventions, using various strategies that promote health gains through the proper management of personalized care planning. Contributions to the Practice: Personalized care planning focuses on people with multimorbidity, and the health gains reduce, also, the nurses’ workload.
{"title":"People with Multiple Long-Term Health Problems: Personalized Care Planning","authors":"Edgar Canais, Lucília Nunes","doi":"10.1159/000535424","DOIUrl":"https://doi.org/10.1159/000535424","url":null,"abstract":"Background: The personalized care planning is a collaborative process used in managing long-term health conditions when the person and health professionals identify and discuss problems caused by or related to the health condition and develop a plan to address them. Objective: The aim of the study was to map the evidence on the impact of personalized care planning management on health outcomes in persons with multiple long-term health problems in the community. Methods: Scoping review was based on the Joanna Briggs Institute protocol; the search strategy was carried out in platforms and databases online; the participants are adults, with chronic disease or long-term health conditions, in the period from 2016 to 2021, in English, Spanish, and Portuguese; the exclusion criteria included studies of adults with dementia and intellectual disability; 22 studies were obtained. We applied critical appraisal, and two independent reviewers performed data extraction; data synthesis was performed in narrative form. Results: Nursing interventions, the strategies used by nurses, and the production of health gains (maintaining the level of health and well-being) promoted by nurses through the proper management of personalized care planning were identified. Conclusions: Nurses develop a wide range of interventions, using various strategies that promote health gains through the proper management of personalized care planning. Contributions to the Practice: Personalized care planning focuses on people with multimorbidity, and the health gains reduce, also, the nurses’ workload.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"48 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138946513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jose Bassan Franco, L. Maximino, L. L. B. Secchi, Bianca Caseiro Antonelli, W. Blasca
Introduction: Musculoskeletal-related chronic pain is one of the most disabling in the world, with knee osteoarthrosis (OA) being one of the main causes of functional limitation and chronic pain among people over 45 years of age. In view of this, the expansion of telehealth services, including telerehabilitation, allows less restricted access to health services, reducing expenses and saving time. Purpose: The aim of the study was to verify the barriers to the implementation of telerehabilitation in the treatment of chronic musculoskeletal diseases compared to face-to-face rehabilitation. Data Source: The data were obtained from PubMed, Scopus, the Virtual Health Library (VHL), Cochrane, and the Web of Science databases. Methods: This systematic review followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to answer the PICOT question, “What are the barriers to implementing a telerehabilitation program for older people with knee osteoarthritis?”. The risk of bias was analyzed using the Review Manager program (RevMan). A search for articles was conducted and included only randomized clinical trials with older people with knee OA, selected by two blinded authors, according to inclusion and exclusion criteria, without publication time restriction, in the PROSPERO registry CRD42022316488. Results: The barriers to telerehabilitation have been overcome with the diversification of means of communication, the various possible ways of monitoring these patients from a distance, and the scheduling of face-to-face assessments and reassessments. The results presented in this review indicate that the barriers to implementing treatment protocols have been overcome, leading to clinical results which showed that there were no differences between the telerehabilitation and face-to-face groups for the clinical condition investigated. Conclusion: The barriers to telerehabilitation, which were more related to Internet access, telecommunication devices, personal relationships, and adequate monitoring of the exercise protocol, were overcome by diversifying the means of communication and delivering the exercise protocol for the implementation of telerehabilitation.
肌肉骨骼相关的慢性疼痛是世界上最致残的疼痛之一，膝关节骨关节病(OA)是45岁以上人群功能限制和慢性疼痛的主要原因之一。有鉴于此，扩大远程保健服务，包括远程康复，可以减少获得保健服务的限制，从而减少费用和节省时间。目的:本研究的目的是验证在慢性肌肉骨骼疾病治疗中实施远程康复的障碍与面对面康复的比较。数据来源:数据来自PubMed、Scopus、虚拟健康图书馆(VHL)、Cochrane和Web of Science数据库。方法:本系统评价遵循PRISMA(系统评价和荟萃分析首选报告项目)指南来回答PICOT问题，“对老年膝关节骨关节炎患者实施远程康复计划的障碍是什么?”使用Review Manager程序(RevMan)分析偏倚风险。对文献进行检索，仅纳入由两位盲法作者根据纳入和排除标准选择的老年膝关节OA患者的随机临床试验，无发表时间限制，在PROSPERO注册表CRD42022316488中。结果:通信手段的多样化、远程监测方式的多样化以及面对面评估和再评估的安排，克服了远程康复的障碍。本综述的结果表明，实施治疗方案的障碍已经被克服，导致临床结果表明，远程康复组和面对面组之间的临床状况没有差异。结论:远程康复的障碍主要与网络接入、通信设备、人际关系、运动方案的充分监控有关，通过多样化的通信手段和运动方案的传递，可以克服远程康复实施的障碍。
{"title":"What Are the Barriers to Telerehabilitation in the Treatment of Musculoskeletal Diseases?","authors":"Jose Bassan Franco, L. Maximino, L. L. B. Secchi, Bianca Caseiro Antonelli, W. Blasca","doi":"10.1159/000534762","DOIUrl":"https://doi.org/10.1159/000534762","url":null,"abstract":"Introduction: Musculoskeletal-related chronic pain is one of the most disabling in the world, with knee osteoarthrosis (OA) being one of the main causes of functional limitation and chronic pain among people over 45 years of age. In view of this, the expansion of telehealth services, including telerehabilitation, allows less restricted access to health services, reducing expenses and saving time. Purpose: The aim of the study was to verify the barriers to the implementation of telerehabilitation in the treatment of chronic musculoskeletal diseases compared to face-to-face rehabilitation. Data Source: The data were obtained from PubMed, Scopus, the Virtual Health Library (VHL), Cochrane, and the Web of Science databases. Methods: This systematic review followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to answer the PICOT question, “What are the barriers to implementing a telerehabilitation program for older people with knee osteoarthritis?”. The risk of bias was analyzed using the Review Manager program (RevMan). A search for articles was conducted and included only randomized clinical trials with older people with knee OA, selected by two blinded authors, according to inclusion and exclusion criteria, without publication time restriction, in the PROSPERO registry CRD42022316488. Results: The barriers to telerehabilitation have been overcome with the diversification of means of communication, the various possible ways of monitoring these patients from a distance, and the scheduling of face-to-face assessments and reassessments. The results presented in this review indicate that the barriers to implementing treatment protocols have been overcome, leading to clinical results which showed that there were no differences between the telerehabilitation and face-to-face groups for the clinical condition investigated. Conclusion: The barriers to telerehabilitation, which were more related to Internet access, telecommunication devices, personal relationships, and adequate monitoring of the exercise protocol, were overcome by diversifying the means of communication and delivering the exercise protocol for the implementation of telerehabilitation.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"79 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susana Viegas, João Almeida Santos, Aleksandra Kazmierczak, R. Assunção, Carla Viegas, Carla Martins
{"title":"Training on the Impact of Climate Change on Public Health: Reflections and Lessons Learnt","authors":"Susana Viegas, João Almeida Santos, Aleksandra Kazmierczak, R. Assunção, Carla Viegas, Carla Martins","doi":"10.1159/000533973","DOIUrl":"https://doi.org/10.1159/000533973","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rina Doriana Pasaribu, E. Aritonang, Etti Sudaryati, Fikarwin Zuska
Introduction: The prevalence of anemia in pregnant women in Indonesia remains high. This condition is concerning because the government has run a program of giving iron tablets to pregnant women since 1970. This study aimed to determine socioenvironmental factors that cause anemia in pregnant women. Methods: This qualitative research used phenomenological methods. In-depth interviews were conducted with 20 mothers with anemia and 12 focus group discussion (FGD) informants. Qualitative data analysis was applied to analyze the data. Results: The study found three factors: anemia in the preconception period, diets that cause a lack of iron consumption, and knowledge and consumption of iron tablets in pregnant women. Anemia in pregnant women is a continuous cycle of anemia which begins in the preconception period. Adolescent eating behavior and supplementation programs for pregnant women integrated with antenatal care are still problematic. Discussion and Conclusion: The findings of this study provide important information for preventing anemia in pregnant women, increasing counseling, and evaluating the implementation of iron supplementation in pregnant women. The policy of administering iron tablets to pregnant women to prevent anemia is not effective in reducing the prevalence of anemia. This government policy must be accompanied by a community movement program because the findings of this study show the problems that exist in the individual factors of the mother.
{"title":"Anemia in Pregnancy: Study Phenomenology","authors":"Rina Doriana Pasaribu, E. Aritonang, Etti Sudaryati, Fikarwin Zuska","doi":"10.1159/000534708","DOIUrl":"https://doi.org/10.1159/000534708","url":null,"abstract":"Introduction: The prevalence of anemia in pregnant women in Indonesia remains high. This condition is concerning because the government has run a program of giving iron tablets to pregnant women since 1970. This study aimed to determine socioenvironmental factors that cause anemia in pregnant women. Methods: This qualitative research used phenomenological methods. In-depth interviews were conducted with 20 mothers with anemia and 12 focus group discussion (FGD) informants. Qualitative data analysis was applied to analyze the data. Results: The study found three factors: anemia in the preconception period, diets that cause a lack of iron consumption, and knowledge and consumption of iron tablets in pregnant women. Anemia in pregnant women is a continuous cycle of anemia which begins in the preconception period. Adolescent eating behavior and supplementation programs for pregnant women integrated with antenatal care are still problematic. Discussion and Conclusion: The findings of this study provide important information for preventing anemia in pregnant women, increasing counseling, and evaluating the implementation of iron supplementation in pregnant women. The policy of administering iron tablets to pregnant women to prevent anemia is not effective in reducing the prevalence of anemia. This government policy must be accompanied by a community movement program because the findings of this study show the problems that exist in the individual factors of the mother.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"67 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: COVID-19 has currently well-described signs and symptoms. However, older adults often present with an atypical condition, which can confuse and delay diagnosis and treatment. Summary: A scoping review was performed according to Joanna Briggs Institute methodology and prepared using the PRISMA-ScR. It included 61 studies. The objectives were to identify the atypical symptoms of COVID-19 in older adults and summarize and synthesize the evidence regarding the clinical outcomes of older adults with atypical presentations of COVID-19. Fifty-eight atypical symptoms were identified. Geriatric syndromes were the most prevalent atypical presentations of COVID-19. The prevalence of older adults with atypical presentation was 29 ± 18.45%. The mortality rate of older adults with atypical presentation was 28.3 ± 10.26 (17–37%). Key Messages: This scoping review showed that geriatric syndromes represent a frequent atypical presentation of COVID-19 in older adults. It is necessary to give visibility to those presentations in older populations with COVID-19 to advance the required interventions.
{"title":"Atypical Presentation of COVID-19 in Older Adults: A Scoping Review","authors":"João Tavares, Daniela Figueiredo, Lígia Passos, Leila Sobrinho, Elaine Souza, Larissa Pedreira","doi":"10.1159/000534250","DOIUrl":"https://doi.org/10.1159/000534250","url":null,"abstract":"<b><i>Background:</i></b> COVID-19 has currently well-described signs and symptoms. However, older adults often present with an atypical condition, which can confuse and delay diagnosis and treatment. <b><i>Summary:</i></b> A scoping review was performed according to Joanna Briggs Institute methodology and prepared using the PRISMA-ScR. It included 61 studies. The objectives were to identify the atypical symptoms of COVID-19 in older adults and summarize and synthesize the evidence regarding the clinical outcomes of older adults with atypical presentations of COVID-19. Fifty-eight atypical symptoms were identified. Geriatric syndromes were the most prevalent atypical presentations of COVID-19. The prevalence of older adults with atypical presentation was 29 ± 18.45%. The mortality rate of older adults with atypical presentation was 28.3 ± 10.26 (17–37%). <b><i>Key Messages:</i></b> This scoping review showed that geriatric syndromes represent a frequent atypical presentation of COVID-19 in older adults. It is necessary to give visibility to those presentations in older populations with COVID-19 to advance the required interventions.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"17 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136233983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamal Kaoutar, Ahmed Chetoui, kaltoum Boutahar, Soufiane El Moussaoui, Abdeslam El Kardoudi, Mohamed Najimi, Fatiha Chigr
Introduction: Breakfast skipping is an unhealthy eating behavior reportedly common among adolescents. The aim of the present study was to determine the prevalence and factors associated with breakfast skipping among schoolchildren aged 12–19 years in Beni Mellal city, Morocco, and to assist in the design of interventions to improve breakfast consumption habits of school-aged children in this region. Methods: A school-based cross-sectional study was carried out. A total of 550 children were included in the study. Multivariable logistic regression analysis was used to identify factors associated with skipping breakfast consumption. The association between dependent and independent variables was assessed using an odds ratio (OR) with a 95% confidence interval and p value <0.05 was considered statistically significant. Results: Among 550 Moroccan adolescents evaluated, 25.6% reported not consuming breakfast every day. Breakfast eating was statistically associated with gender (OR = 7.13 [95% CI 1.32–3.84], p = 0.008); mother’s low educational level (OR = 2.86 [95% CI 1.89–4.71], p = 0.091); nonworking mothers (OR = 13.71 [95% CI 1.16–5.29], p < 0.001); not eating between meals (OR = 15.49 [95% CI 2.15–5.49], p < 0.001); eating dinner regularly each day (OR = 17.79 [95% CI 2.81–8.01], p = 0.005); eating vegetables 1–3 times per week (OR = 10.21 [95% CI 1.44–4.67], p = 0.001); consuming milk and dairy product 1–3 times per week (OR = 13.88 [95% CI 1.59–5.56], p < 0.001); and never consuming sodas and soft drink in week (OR = 3.12 [95% CI 1.90–4.50], p = 0.003). Conclusions: This study revealed that the prevalence of skipping breakfast consumption among school-aged children in Beni Mellal city was high. Thus, the findings suggest a community health education program, conducted by school nurses, nutritionists, and other health professionals, is needed.
{"title":"Breakfast Skipping and Determinant Factors among Moroccan School Adolescents (12–19 Years): The Case of Beni Mellal City","authors":"Kamal Kaoutar, Ahmed Chetoui, kaltoum Boutahar, Soufiane El Moussaoui, Abdeslam El Kardoudi, Mohamed Najimi, Fatiha Chigr","doi":"10.1159/000534082","DOIUrl":"https://doi.org/10.1159/000534082","url":null,"abstract":"<b><i>Introduction:</i></b> Breakfast skipping is an unhealthy eating behavior reportedly common among adolescents. The aim of the present study was to determine the prevalence and factors associated with breakfast skipping among schoolchildren aged 12–19 years in Beni Mellal city, Morocco, and to assist in the design of interventions to improve breakfast consumption habits of school-aged children in this region. <b><i>Methods:</i></b> A school-based cross-sectional study was carried out. A total of 550 children were included in the study. Multivariable logistic regression analysis was used to identify factors associated with skipping breakfast consumption. The association between dependent and independent variables was assessed using an odds ratio (OR) with a 95% confidence interval and <i>p</i> value &lt;0.05 was considered statistically significant. <b><i>Results:</i></b> Among 550 Moroccan adolescents evaluated, 25.6% reported not consuming breakfast every day. Breakfast eating was statistically associated with gender (OR = 7.13 [95% CI 1.32–3.84], <i>p</i> = 0.008); mother’s low educational level (OR = 2.86 [95% CI 1.89–4.71], <i>p</i> = 0.091); nonworking mothers (OR = 13.71 [95% CI 1.16–5.29], <i>p</i> &lt; 0.001); not eating between meals (OR = 15.49 [95% CI 2.15–5.49], <i>p</i> &lt; 0.001); eating dinner regularly each day (OR = 17.79 [95% CI 2.81–8.01], <i>p</i> = 0.005); eating vegetables 1–3 times per week (OR = 10.21 [95% CI 1.44–4.67], <i>p</i> = 0.001); consuming milk and dairy product 1–3 times per week (OR = 13.88 [95% CI 1.59–5.56], <i>p</i> &lt; 0.001); and never consuming sodas and soft drink in week (OR = 3.12 [95% CI 1.90–4.50], <i>p</i> = 0.003). <b><i>Conclusions:</i></b> This study revealed that the prevalence of skipping breakfast consumption among school-aged children in Beni Mellal city was high. Thus, the findings suggest a community health education program, conducted by school nurses, nutritionists, and other health professionals, is needed.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"106 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134906825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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