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Are the coronavirus disease 2019 (COVID-19)-themed applications launched during the pandemic sustainable? 在疫情期间推出的2019冠状病毒病(COVID-19)主题应用程序是否可持续?
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.004
Fauzi Budi Satria

Many digital applications (Apps) were launched during the coronavirus disease 2019 (COVID-19) pandemic for various purposes such as information sharing, risk assessment, self-management of symptoms, contact tracing, home monitoring, and decision making. Since the quality of COVID-19-themed Apps varied and was less reliable based on measurements using the mobile Apps rating scale method, some of these Apps are considered useful while some are said to have the potential to harm users. This suggests the need for authorized institutions to validate and ensure the safety and security of these Apps before it was launched in public. This is necessary considering the potential dangers arising from App inaccuracies, as well as the potential misuse of user data due to data breaches. With these considerations in mind, we consider that the vaccine passport is an App with a COVID-19 theme that must be refined and applied sustainably amid the ongoing global crisis and the uncertainty of this pandemic.

在2019冠状病毒病(COVID-19)大流行期间,推出了许多数字应用程序,用于信息共享、风险评估、症状自我管理、接触者追踪、家庭监测和决策等各种目的。由于使用移动应用程序评级量表方法进行测量,以covid -19为主题的应用程序的质量各不相同,而且可靠性较低,因此有些应用程序被认为是有用的,而有些应用程序被认为有可能伤害用户。这表明授权机构需要在这些应用程序公开发布之前对其进行验证并确保其安全性。考虑到应用程序不准确所带来的潜在危险,以及由于数据泄露而可能滥用用户数据,这是必要的。考虑到这些因素,我们认为疫苗护照是一个以COVID-19为主题的应用程序,必须在持续的全球危机和这场大流行的不确定性中进行改进和可持续应用。
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引用次数: 0
Effectiveness of a multifaceted intervention for the improvement of nutritional status and nutrition knowledge of children in poverty-stricken areas in Shaanxi Province, China 多方面干预对改善陕西贫困地区儿童营养状况和营养知识的有效性
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.009
Cai Zhao , Lu Ma , Liwang Gao , Yan Wu , Yating Yan , Wen Peng , Youfa Wang

Objectives

Compare the differences between the intervention and control groups in changes of primary outcomes (body mass index [BMI] and waist-to-height ratio [WHtR]) and secondary outcomes (nutrition knowledge of children and parents), from baseline to the 6- and 12-month follow-ups; examine the associations of changes in nutrition knowledge of children and their parents with children's changes in BMI and WHtR.

Data sources

Data collected from four schools in two poverty-stricken counties in northern Shaanxi Province in 2020‒2021.

Methods

A multifaced intervention program targeted children (promoting healthy diet and nutrition education) and their parents (promoting nutrition knowledge) was conducted in the interventional group. Four schools, with two in each group, were randomly allocated to the intervention or control group, with 814 eligible children aged 7.1 to 12.8 years. The control group conducted myopia promotion. Differences in changes of BMI and WHtR between groups were compared with t-test. Mixed-effects model was used to examine the associations between changes in nutrition knowledge of children and parents with changes in children's BMI and WHtR.

Results

At the 6-month follow-up, the difference in changes in BMI between the intervention and control groups was 0.4 kg/m 2 (P < 0.001). At the 12-month follow-up, the difference in changes in BMI and WHtR between intervention and control groups was 0.1 kg/m2 (P < 0.001) and 0.01 kg/m2 (P < 0.001). In the intervention group, the nutrition knowledge awareness rate of children increased from 16.9% (69/409) at baseline to 21.3% (87/409) at 6-month, and 22.7% (93/409) at 12-month. The awareness rate of nutrition knowledge of parents also fluctuated, from 5.6% (23/409) to 6.6% (27/409) and 5.4% (22/409). However, the difference in changes in nutrition knowledge between intervention and control groups was non-significant. The 6-month follow-up changes in children's nutrition knowledge scores were negatively associated with changes in BMI in girls (β = −0.26, 95% confidence interval [CI]: −0.38 to −0.14, P < 0.001), while positively associated with changes in WHtR in boys (β = 0.003, 95% CI: −0.0002 to 0.005, P = 0.035). The 12-month follow-up changes in children's nutrition knowledge scores were positively associated with changes in children's WHtR (β = 0.003, 95% CI: 0.0004 to 0.01, P = 0.018).

Conclusions

The intervention strategies did not reduce the BMI and WHtR of children, and the nutrition knowledge of children and parents increased after the intervention in intervention group. Changes in nutrition knowledge of children and their parents are associated with changes in children's BMI or WHtR. Interventions with a ne

目的比较干预组与对照组从基线到6个月和12个月随访期间主要结局指标(体重指数[BMI]和腰高比[WHtR])和次要结局指标(儿童和家长的营养知识)变化的差异;研究儿童及其父母营养知识的变化与儿童BMI和WHtR的变化之间的关系。数据来源数据收集自2020-2021年陕北两个贫困县的四所学校。方法对干预组儿童(促进健康饮食和营养教育)和家长(促进营养知识)进行多方面的干预。四所学校,每组两所,随机分配到干预组或对照组,有814名年龄在7.1到12.8岁之间的合格儿童。对照组进行近视推广。组间BMI、WHtR变化差异比较采用t检验。采用混合效应模型检验儿童和家长营养知识的变化与儿童BMI和WHtR变化之间的关系。结果随访6个月,干预组与对照组BMI变化差异为0.4 kg/ m2 (P <0.001)。在12个月的随访中,干预组与对照组的BMI和WHtR变化差异为0.1 kg/m2 (P <0.001)和0.01 kg/m2 (P <0.001)。干预组儿童营养知识知知率从基线时的16.9%(69/409)提高到6个月时的21.3%(87/409),12个月时的22.7%(93/409)。家长营养知识知晓率也有波动,分别为5.6%(23/409)~ 6.6%(27/409)和5.4%(22/409)。然而,干预组和对照组之间的营养知识变化差异不显著。随访6个月后,儿童营养知识得分的变化与女孩BMI的变化呈负相关(β = - 0.26, 95%可信区间[CI]: - 0.38 ~ - 0.14, P <0.001),而男孩WHtR的变化正相关(β = 0.003, 95% CI: - 0.0002至0.005,P = 0.035)。随访12个月儿童营养知识得分变化与儿童WHtR变化呈正相关(β = 0.003, 95% CI: 0.0004 ~ 0.01, P = 0.018)。结论干预组儿童的BMI和WHtR没有降低,干预后儿童和家长的营养知识有所提高。儿童及其父母营养知识的变化与儿童BMI或WHtR的变化有关。为了帮助改善中国陕西省贫困地区儿童的营养状况,需要对肥胖问题进行新的关注。
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引用次数: 1
Scoping review: obese elderly women with breast cancer and physical activity/exercise 范围综述:患有癌症的肥胖老年妇女与体育活动/锻炼
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.011
Mark Stephan Felix

Objective

Obesity and breast cancer (BC) are diseases of concern, especially within the context of an aging population. This scoping review is aimed at mapping out the literature on the subject of elderly women (EW) with breast cancer, obesity and physical activity/exercise (PAE) to identify gaps in the present extant literature, and to suggest directions for future research.

Data sources

A total of four articles were finalized from an initial 2905 articles found via searches on the Annals of Internal Medicine by American College of Physicians (ACP)™, BioMed Central (BMC)™, BMJ Journals™, Journal of the American Medical Association (JAMA)™, PubMed™, SAGE™, ScienceDirect™, SpringerLink (e-journals)™, Taylor and Francis Online™, and Wiley Online Library™ databases.

Methods

Recognized structural frameworks for scoping reviews were utilized to guide the methodology and technical aspects of this paper. Data extraction was conducted via a charting table.

Results

Research gaps identified include a paucity in research on the subject of obesity and breast cancer among elderly women; there is a limitation of the types of methodologies used in the research on this subject indicating vast opportunities for future studies using different methodologies; lack of use of the alternative types of physical activity and exercise such as Tai Chi, Qigong and Yoga; lack of focus on the older elderly population; and areas of social support from family and friends for obese elderly with breast cancer to engage in physical activity and exercise.

Conclusion

Future research would address the urgent need within academia to address the research gap of PAE and EWBC. Such research should use a diverse range of both quantitative and qualitative research methodologies, while including eastern exercise regimens such as Tai Chi, Qigong and Yoga as a means of studying PAE among EWBC. Additionally, future research may focus on the “old elderly” as a demographic group of study as well as how social support may encourage PAE among EWBC.

肥胖和乳腺癌(BC)是令人关注的疾病,特别是在人口老龄化的背景下。本综述旨在梳理老年妇女(EW)与乳腺癌、肥胖和体育活动/锻炼(PAE)相关的文献,以确定现有文献中的空白,并为未来的研究提出方向。数据来源通过美国内科医师学会(ACP)™、BioMed Central (BMC)™、BMJ期刊™、美国医学协会期刊(JAMA)™、PubMed™、SAGE™、ScienceDirect™、SpringerLink(电子期刊)™、Taylor and Francis Online™和Wiley Online Library™数据库在《内科医学年鉴》(Annals of Internal Medicine)上搜索到最初的2905篇文章,最终确定了四篇文章。方法使用公认的范围审查结构框架来指导本文的方法和技术方面。通过图表提取数据。发现的研究空白包括:对老年妇女肥胖和乳腺癌主题的研究不足;在这一主题的研究中使用的方法类型有限,这表明未来使用不同方法进行研究的机会很大;缺乏其他类型的体育活动和锻炼,如太极拳、气功和瑜伽;缺乏对老年人口的关注;以及来自家人和朋友的社会支持,帮助患有乳腺癌的肥胖老人进行体育锻炼。结论在今后的研究中,学术界迫切需要弥补PAE和EWBC的研究空白。这类研究应采用多样化的定量和定性研究方法,同时将太极、气功、瑜伽等东方运动方案作为EWBC群体PAE研究的手段。此外,未来的研究可能会关注“老年人”作为一个人口统计学研究群体,以及社会支持如何鼓励EWBC中的PAE。
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引用次数: 3
Metaverse, token economies, and non-communicable diseases 虚拟世界、代币经济和非传染性疾病
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.001
Jane Thomason

Rapid advancements in technology and computing power, combined with the convergence of Blockchain, artificial intelligence, Internet of Things, extended reality, gamification, and decentralized finance, have led to recent growth in interest in the metaverse. Indeed today, there are more than 160 metaverse projects, and Citi estimates it could be a 13 trillion USD industry by 2030. While many have not yet grasped the relevance of the metaverse for industries, the opportunity to leverage the metaverse for health and wellness is substantial. In obesity and non-communicable disease (NCDs), there is potential to deploy the metaverse using gamification and incentives, as well as for education and care. This perspective article explores how the metaverse could be used to prevent and manage obesity and NCDs.

技术和计算能力的快速发展,加上区块链、人工智能、物联网、扩展现实、游戏化和去中心化金融的融合,导致了最近对虚拟世界的兴趣增长。事实上,今天有超过160个超宇宙项目,花旗估计到2030年,它可能成为一个13万亿美元的产业。虽然许多人还没有领会到元宇宙与行业的相关性,但利用元宇宙促进健康和保健的机会是巨大的。在肥胖和非传染性疾病方面,有可能利用游戏化和激励措施以及教育和护理来部署虚拟世界。这篇观点文章探讨了如何利用虚拟世界来预防和管理肥胖和非传染性疾病。
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引用次数: 0
Community-level survey of coronavirus disease 2019 (COVID-19) preventive measures in Kwara State, Nigeria: good knowledge vs poor attitude 尼日利亚夸拉州2019冠状病毒病(COVID-19)预防措施的社区调查:良好的知识vs不良的态度
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.002
Nusirat Elelu , Olaolu Bilewu , Fatima Sanusi , Ahmad Ibrahim Al-Mustapha

Background

The public knowledge and adherence to the established coronavirus disease 2019 (COVID-19) precautionary measures are crucial to Nigeria's war against the pandemic. Public health education on its preventive practices at the grassroots level was initially crucial to achieving a lower COVID-19 incidence in Kwara State, Nigeria.

Methods

We assessed the knowledge of, and adherence to COVID-19 precautionary measures at the community level among 795 respondents from the three senatorial zones of Kwara State.

Results

54.5% (433/795) of the respondents were aged between 21 and 40 years, and 45.9% (365/795) of the respondents had a bachelor's degree or higher. Study participants had a good knowledge of COVID-19, its symptoms, and its mode of transmission. 91.8% of the respondents (730/795) had a positive perception of the COVID-19 preventive measures while 96.1% (763/795) of the respondents agreed that maintaining social distance was important in curbing the COVID-19 pandemic. However, only 38% (302/795) of them used face masks and only 25.7% (204/795) of the respondents used hand sanitizers. In addition, only 31.9% (253/795) of the respondents isolated themselves when they were ill. Multi-variable logistic regression analysis revealed that education, occupation, gender, and ethnicity were significantly associated with positive COVID-19 preventive practices among residents of Kwara State. Civil servants were more likely (AOR: 3.14; 95% confidence interval [CI]: 0.67 to 14.82; P = 0.034) to have positive preventive attitudes than other respondents. Study participants with tertiary education and those that were Yoruba (ethnicity) were 14.81 times more likely (95% CI: 4.29 to 51.05; P = 0.001) and 5.19 times more likely (95% CI: 1.82 to 14.84; P = 0.007) to have positive attitudes towards the laid-down COVID-19 preventive measures respectively.

Conclusion

The poor community adherence to the COVID-19 preventive practices could pre-dispose Kwara to more COVID-19 cases. More community engagement activities are needed to fully curb the spread of the COVID-19. Public health education should focus on preventive measures, vaccine acceptance, and community monitoring of COVID-19.

公众对2019冠状病毒病(COVID-19)预防措施的了解和遵守对尼日利亚抗击这一流行病的战争至关重要。在尼日利亚夸拉州,在基层开展关于预防措施的公共卫生教育最初对于降低COVID-19发病率至关重要。结果54.5%(433/795)的调查对象年龄在21 ~ 40岁之间,45.9%(365/795)的调查对象具有本科及以上学历。研究参与者对COVID-19及其症状和传播方式有很好的了解。91.8%(730/795)的受访者对新冠肺炎的预防措施持积极态度,96.1%(763/795)的受访者认为保持社交距离对遏制新冠肺炎大流行很重要。然而,只有38%(302/795)的受访者使用口罩,只有25.7%(204/795)的受访者使用洗手液。此外,只有31.9%(253/795)的受访者在生病时进行了自我隔离。多变量logistic回归分析显示,夸拉州居民的教育程度、职业、性别和种族与积极的COVID-19预防措施显著相关。公务员更有可能(AOR: 3.14;95%置信区间[CI]: 0.67 ~ 14.82;P = 0.034)有积极的预防态度。受过高等教育的研究参与者和约鲁巴人(种族)的可能性高出14.81倍(95% CI: 4.29至51.05;P = 0.001)和5.19倍的可能性(95% CI: 1.82至14.84;P = 0.007),分别对安置的COVID-19预防措施持积极态度。结论社区对COVID-19预防措施的依从性差可能会使夸拉县发生更多的COVID-19病例。要全面遏制疫情蔓延,需要开展更多社区参与活动。公共卫生教育应侧重于预防措施、疫苗接受和社区监测。
{"title":"Community-level survey of coronavirus disease 2019 (COVID-19) preventive measures in Kwara State, Nigeria: good knowledge vs poor attitude","authors":"Nusirat Elelu ,&nbsp;Olaolu Bilewu ,&nbsp;Fatima Sanusi ,&nbsp;Ahmad Ibrahim Al-Mustapha","doi":"10.1016/j.glohj.2022.07.002","DOIUrl":"10.1016/j.glohj.2022.07.002","url":null,"abstract":"<div><h3>Background</h3><p>The public knowledge and adherence to the established coronavirus disease 2019 (COVID-19) precautionary measures are crucial to Nigeria's war against the pandemic. Public health education on its preventive practices at the grassroots level was initially crucial to achieving a lower COVID-19 incidence in Kwara State, Nigeria.</p></div><div><h3>Methods</h3><p>We assessed the knowledge of, and adherence to COVID-19 precautionary measures at the community level among 795 respondents from the three senatorial zones of Kwara State.</p></div><div><h3>Results</h3><p>54.5% (433/795) of the respondents were aged between 21 and 40 years, and 45.9% (365/795) of the respondents had a bachelor's degree or higher. Study participants had a good knowledge of COVID-19, its symptoms, and its mode of transmission. 91.8% of the respondents (730/795) had a positive perception of the COVID-19 preventive measures while 96.1% (763/795) of the respondents agreed that maintaining social distance was important in curbing the COVID-19 pandemic. However, only 38% (302/795) of them used face masks and only 25.7% (204/795) of the respondents used hand sanitizers. In addition, only 31.9% (253/795) of the respondents isolated themselves when they were ill. Multi-variable logistic regression analysis revealed that education, occupation, gender, and ethnicity were significantly associated with positive COVID-19 preventive practices among residents of Kwara State. Civil servants were more likely (<em>AOR</em>: 3.14; 95% confidence interval [<em>CI</em>]: 0.67 to 14.82; <em>P</em> = 0.034) to have positive preventive attitudes than other respondents. Study participants with tertiary education and those that were Yoruba (ethnicity) were 14.81 times more likely (95% <em>CI</em>: 4.29 to 51.05; <em>P</em> = 0.001) and 5.19 times more likely (95% <em>CI</em>: 1.82 to 14.84; <em>P</em> = 0.007) to have positive attitudes towards the laid-down COVID-19 preventive measures respectively.</p></div><div><h3>Conclusion</h3><p>The poor community adherence to the COVID-19 preventive practices could pre-dispose Kwara to more COVID-19 cases. More community engagement activities are needed to fully curb the spread of the COVID-19. Public health education should focus on preventive measures, vaccine acceptance, and community monitoring of COVID-19.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 168-173"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40584815","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}
引用次数: 1
Determinants of overweight and obesity and preventive strategies in Pacific countries: a systematic review 太平洋国家超重和肥胖的决定因素及预防策略:系统回顾
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.005
Tanebu Julia Tong , Masoud Mohammadnezhad , Nasser Salem Alqahtani

Objective

This study aimed to explore more on contributing factors and prevention of overweight and obesity among Pacific islanders.

Methods

Using Cochrane library guideline, four electronic databases, PubMed, Embase, Scopus and CINAHL, were systematically searched from 2010 to 2020. Search strategy included key concepts, free text terms, and database-controlled vocabulary terms to identify articles on determinants and preventative strategies of overweight and obesity in the Pacific countries. A data extraction sheet was developed to extract relevant information required for analysis and theme development for this study.

Results

A total of 22 articles were summarized and categorized. Determinants of overweight and obesity identified two themes: environmental related factors 13.6% (3/22) and sociocultural related factors 27.3% (6/22). The preventative strategies of overweight and obesity was categorized into behavioural change 22.7% (5/22), school-related 18.2% (4/22), and policies 50% (11/22). The quality assessment of articles showed “Good” 68.2% (15/22), and “Fair” 31.8% (7/22).

Conclusion

This study highlighted two contributing, non-medication factors affecting overweight and obesity are both environmental and socio-cultural issues. Overweight and obesity preventative strategies identified in the Pacific context considered behavioural change, knowledge enhancement, and policy development. Further research should aim at exploring the current preventative strategies in-depth, to appreciate the most feasible and recommended preventative approach within the Pacific society.

目的探讨太平洋岛民超重和肥胖的影响因素及预防措施。方法采用Cochrane图书馆指南,系统检索2010 ~ 2020年PubMed、Embase、Scopus和CINAHL 4个电子数据库。搜索策略包括关键概念、自由文本术语和数据库控制词汇术语,以确定有关太平洋国家超重和肥胖的决定因素和预防策略的文章。制定了一份数据提取表,以提取本研究分析和主题开发所需的相关信息。结果共归纳分类22篇文献。超重和肥胖的决定因素确定了两个主题:环境相关因素13.6%(3/22)和社会文化相关因素27.3%(6/22)。超重和肥胖的预防策略分为行为改变(22.7%)、学校相关(18.2%)和政策(50%)。文章质量评价为Good 68.2% (15/22), Fair 31.8%(7/22)。结论本研究强调了影响超重和肥胖的两个非药物因素,即环境和社会文化问题。在太平洋范围内确定的超重和肥胖预防战略考虑了行为改变、增进知识和制定政策。进一步的研究应旨在深入探讨目前的预防战略,以了解太平洋社会内最可行和建议的预防办法。
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引用次数: 3
Fighting obesity and non-communicable diseases needs different perspectives and new actions 与肥胖和非传染性疾病作斗争需要不同的观点和新的行动
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.010
Wen Peng , Youfa Wang
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引用次数: 0
Obesity intervention efforts in China and the 2022 World Obesity Day 2022年世界肥胖日与中国肥胖防治工作
Pub Date : 2022-09-01 DOI: 10.1016/j.glohj.2022.07.007
Wen Peng , Jianduan Zhang , Haixia Zhou , An Zhang , Yanxiang Wang , Xiangyang Tian , Deliang Wen , Youfa Wang

Obesity has become a serious public health problem globally. China has the world's largest number of people with obesity or overweight. More than 50% of adults and about 20% of children and adolescents in China are overweight or obese. Over the past 20 years, China has made many efforts in obesity intervention, while obesity rates continued rising. In recent years, China has taken more actions for obesity prevention. The World Obesity Day (WOD) was established in 2015 by the World Obesity Federation, and is a unified day of action calling for a cohesive, cross-sector response to fight obesity. WOD has drawn increasing attention in recent years. China formally joined the WOD activities this year, promoted by The Obesity Prevention and Control Section of Chinese Nutrition Society, which cooperated closely with other organizations in carrying out a series of activities during the 2022 WOD. These efforts aimed to encourage the whole society to pay attention to the obesity problem and take more practical actions. The activities include: (1) The 2022 “World Obesity Day” China Summit; (2) a specifically developed WOD obesity prevention education video; and (3) the launch of The Expert Consensus on Obesity Prevention and Treatment in China. These can serve as examples for other organizations and countries to consider in future intervention efforts. To fight the global obesity epidemic, all counties and people need to act. Countries can learn from each other's successful practices.

肥胖已成为全球严重的公共卫生问题。中国是世界上肥胖或超重人数最多的国家。在中国,超过50%的成年人和约20%的儿童和青少年超重或肥胖。在过去的20年里,中国在肥胖干预方面做了很多努力,但肥胖率持续上升。近年来,中国在预防肥胖方面采取了更多行动。世界肥胖日由世界肥胖联合会于2015年设立,是一个统一的行动日,呼吁采取团结一致的跨部门行动来抗击肥胖。近年来,世界粮食计划署越来越受到关注。在中国营养学会肥胖防治分会的推动下,中国今年正式加入了世界肥胖日活动。中国营养学会肥胖防治分会与其他组织密切合作,在2022年世界肥胖日期间开展了一系列活动。这些努力旨在鼓励全社会关注肥胖问题,并采取更多实际行动。活动内容包括:(1)2022“世界肥胖日”中国峰会;(2)专门制作的世界预防肥胖教育视频;(3)发起《中国肥胖防治专家共识》。这些可以作为其他组织和国家在今后的干预工作中考虑的范例。为应对全球肥胖流行病,所有国家和人民都需要采取行动。各国可以相互学习彼此的成功经验。
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引用次数: 9
Impact of nutritional education on knowledge, attitude and practice regarding anemia among school children in Belgaum, India 营养教育对印度贝尔高姆学龄儿童关于贫血的知识、态度和做法的影响
Pub Date : 2022-06-01 DOI: 10.1016/j.glohj.2022.04.001
Adhikari Poudel Sasmita , Angolkar Mubashir , Naik Vijaya

Background

Anemia is a common public health problem throughout the globe with its main effect not only on health of people but also impact on socioeconomic development. A high prevalence of anemia among school children is an indication of a severe problem highlighting the necessity of proper action to prevent further deterioration. This study sought to study the impact of nutritional education on knowledge, attitude, and practice regarding anemia among school children.

Methods

This is an interventional study among school children of Kendriye Vidyalaya, No. 2 Belgaum district, India. Structured and self-administered questionnaires were used to know the knowledge, attitude and practice of student anemia. The data were analyzed using paired t-test and McNemar test.

Results

There was significant increment in the mean knowledge and attitude scores of the school children at the post-test evaluation.  Overall increase of 51.2% in mean score of knowledge and overall increase of 20.7% in mean score of attitudes was found (P < 0.05). Increase in frequency of consumption pattern of iron rich foods especially ragi, jaggery, green leafy vegetables and sprouted grains was reported.

Conclusion

The nutritional education resulted in improvement of knowledge and change in attitude regarding anemia as well as increase in consumption of foods rich in Iron. Therefore, nutritional education is one of the cost-effective and sustainable method for lowering the cases of anemia.

背景:贫血是全球常见的公共卫生问题,其主要影响不仅是人们的健康,而且还影响社会经济发展。学龄儿童中贫血的高流行率表明问题严重,强调必须采取适当行动防止进一步恶化。本研究旨在研究营养教育对学龄儿童关于贫血的知识、态度和实践的影响。方法对印度贝尔高姆2区Kendriye Vidyalaya学龄儿童进行干预研究。采用结构化问卷和自填问卷,了解学生贫血的知识、态度和行为。采用配对t检验和McNemar检验对数据进行分析。结果小学生测验后知识和态度得分均有显著提高。知识平均分整体提高51.2%,态度平均分整体提高20.7% (P <0.05)。据报道,富铁食物的食用频率有所增加,尤其是鸡腿肉、肉酱、绿叶蔬菜和发芽谷物。结论营养教育提高了儿童对贫血的认识,改变了他们对贫血的态度,增加了对富铁食物的消费。因此,营养教育是降低贫血病例的经济、可持续的方法之一。
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引用次数: 3
Advanced therapy of overweight or obese polycystic ovary syndrome: a prospective study 超重或肥胖多囊卵巢综合征的高级治疗:一项前瞻性研究
Pub Date : 2022-06-01 DOI: 10.1016/j.glohj.2022.04.004
Min Min , Xiangyan Ruan , Alfred O. Mueck

Objective

To investigate the effects of orlistat combined with drospirenone/ethinylestradiol tablets (DRSP/EE) on anthropometric indices, sexual hormones, hepatorenal function parameters of overweight or obese patients with polycystic ovary syndrome (PCOS).

Methods

75 overweight or obese PCOS patients [body mass index (BMI) ≥ 24 kg/m2] were recruited within the Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, from April 2019 to January 2020, for a prospective, randomized, open-labelled comparing study. They were numbered one by one according to the order of recruitement and randomly divided into two groups, group 1 included 50 patients, orlistat plus DRSP/EE; group 2 included 25 patients treated with DRSP/EE alone. Both groups got the same comprehensive intervention in terms of individualized, standardized managment and monitoring of life-style like diet and exercise. The changes of anthropometric indices, sexual hormones, hepatorenal function parameters before and after three months of treatment in the two groups were compared .

Results

After three months of treatment, body weight, waist circumference (WC), hip circumference (HC) and BMI of both groups were significantly decreased (P < 0.05). The decrease of body weight, WC, HC and BMI in group 1 was significantly greater than those in group 2 (P < 0.05). Free testosterone and sex hormone–binding globulin in both groups were significantly changed (P < 0.05). There was no significant difference in the hepatorenal function parameters between the two groups after three months treatment (P > 0.05).

Conclusion

To our knowledge our study is the first to investigate the effects of orlistat combined with DRSP/EE in overweight or obese PCOS patients comparing with the effect of using DRSP/EE alone. Orlistat combined with DRSP/EE was better than use DRSP/EE alone in getting weight loss, which provides an evidence for the choice of rational drug use in clinical practice.

目的探讨奥利司他联合降螺酮/炔雌醇片(DRSP/EE)对超重或肥胖多囊卵巢综合征(PCOS)患者的人体测量指标、性激素及肝肾功能指标的影响。方法选取2019年4月- 2020年1月首都医科大学附属北京妇产科医院妇科内分泌科75例体重指数(BMI)≥24 kg/m2的超重或肥胖多囊卵巢综合征(PCOS)患者,进行前瞻性、随机、开放标签对照研究。按入组顺序依次编号,随机分为两组,第一组50例,奥利司他加DRSP/EE;2组25例患者单独接受DRSP/EE治疗。两组患者在饮食和运动等生活方式的个性化、标准化管理和监测方面都得到了相同的综合干预。结果治疗3个月后,两组患者体重、腰围(WC)、臀围(HC)、BMI均显著降低(P <0.05)。组1体重、WC、HC、BMI下降幅度显著大于组2 (P <0.05)。两组患者游离睾酮和性激素结合球蛋白水平均有显著变化(P <0.05)。治疗3个月后两组肝肾功能指标比较差异无统计学意义(P >0.05)。结论据我们所知,本研究首次探讨了奥利司他联合DRSP/EE治疗超重或肥胖PCOS患者的效果,并与单独使用DRSP/EE的效果进行了比较。奥利司他联合DRSP/EE的减重效果优于单用DRSP/EE,为临床合理用药选择提供了依据。
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引用次数: 1
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Global health journal (Amsterdam, Netherlands)
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