Journal of Multidisciplinary Healthcare最新文献

{"title":"The Application of Checklist in Chronic Disease: A Comprehensive Bibliometric Analysis.","authors":"Leyao Han, Yingqiao Wang, Meishan Zhang, Weiping Li, Li Ma, Feng Bai, Jieqiong Zhang, Yinxue Zhang, Xinman Dou, Xinglei Wang","doi":"10.2147/JMDH.S511639","DOIUrl":"10.2147/JMDH.S511639","url":null,"abstract":"<p><strong>Background: </strong>Increasing evidence suggests that checklist plays an important role in chronic disease. This study aims to use bibliometric methods to explore the evolving global research trends, hotspots, and emerging frontiers of the application of checklist in chronic disease research, providing deeper insights into the current research landscape and guiding future chronic disease management development efforts.</p><p><strong>Methods: </strong>Bibliometrics analysis was performed utilizing RStudio and VOSviewer software. This atlas analyzed the global research trends, hotspots and emerging trends.</p><p><strong>Results: </strong>In total, there were 408 publications authored by 2398 authors from 784 institutions and 53 countries, published in 274 journals. The USA led in publication numbers, international cooperation and societal impact. The leading core journal was Archives of Pathology & Laboratory Medicine. The first highly cited document was published in Psychological Assessment by Bovin MJ et al. Chronic disease management, and the validity of treatment and recovery were the hotspots and potential trends.</p><p><strong>Conclusion: </strong>This study provides a comprehensive bibliometric analysis of the application of checklist in chronic disease research, uncovering global research trends and current hotspots while offering valuable insights and references for future research directions.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1731-1744"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Low Triglyceride-Glucose Index and Mortality in Acute Decompensated Heart Failure Patients Without Diabetes.","authors":"Qingqing Zhang, Yanling Xu, Si Sun, Xiangwei Ding, Guoyu Wang, Suyun Jiang, Jing Zheng, Peng Gao, Jie Lin, Yucheng Wu","doi":"10.2147/JMDH.S513948","DOIUrl":"10.2147/JMDH.S513948","url":null,"abstract":"<p><strong>Background: </strong>The relationship between a low TyG index and mortality risk in Acute Decompensated Heart Failure (ADHF) also remains unclear. This study aimed to investigate the association between a low TyG index and 1-year mortality in ADHF patients without diabetes.</p><p><strong>Methods: </strong>A total of 652 hospitalized patients with ADHF without diabetes from January, 2020 to May, 2023 were included in this retrospective study. The primary outcomes were all-cause mortality and cardiovascular mortality within one year. The association between the TyG index and both all-cause and cardiovascular mortality was investigated using restricted cubic splines and multivariate Cox proportional hazards models.</p><p><strong>Results: </strong>The study enrolled a total of 652 patients with acute decompensated heart failure (ADHF) who were free from diabetes (70.6% male). Within one year, there were 72 deaths from all causes and 40 deaths from cardiovascular disease. In multivariate Cox proportional hazards models, a significant negative relationship was observed between the TyG index and both all-cause mortality (hazard ratio [HR] = 0.371, 95% confidence interval [CI] 0.201-0.685) and cardiovascular mortality (HR = 0.336, 95% CI 0.151-0.744). The restricted cubic spline analysis illustrated a decrease in the risk of all-cause and cardiovascular mortality as the TyG index increased. Hypertension, BMI, age, atrial fibrillation significantly interacted with the TyG index in relation to all-cause mortality, while hypertension specifically interacted with the TyG index regarding cardiovascular mortality.</p><p><strong>Conclusion: </strong>In patients diagnosed with ADHF without diabetes, a lower TyG index is strongly related to a higher risk of 1-year all-cause and cardiovascular mortality. Therefore, it is important to pay close attention to low TyG index levels and implement appropriate measures in clinical practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1711-1719"},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Lifestyle and All-Cause Mortality in Patients Undergoing Maintenance Hemodialysis: A 3-year Prospective, Observational Study.","authors":"Lu Zhang, Sumei Zhang, Xuanbing Tang","doi":"10.2147/JMDH.S503669","DOIUrl":"10.2147/JMDH.S503669","url":null,"abstract":"<p><strong>Purpose: </strong>Lifestyle is one of the important factors affecting health. There are few studies that comprehensively analyze the impact of a combination of lifestyle factors on mortality in patients undergoing maintenance hemodialysis. So, to measure the association between lifestyle factors and mortality for patients undergoing maintenance hemodialysis.</p><p><strong>Patients and methods: </strong>A prospective, observational study design was employed. Through convenience sampling, the patients who are over 18 years old and have undergone dialysis for at least 3 months, from the hemodialysis center outpatient in two hospitals of Xi'an were selected. The questionnaires of this study include sociodemographic characteristics and lifestyle-related scales, such as nutrition, sleep and self-management scales. The differences between the deceased group and the surviving group were analyzed using the <i>t</i>-test or Mann-Whitney tests and chi-square tests. Logistic regression analysis was applied to identify the association between lifestyle factors and mortality.</p><p><strong>Results: </strong>In this study, 286 patients who completed the questionnaire were screened. During the follow-up of this 3 years, patients who transferred to another hospital (n=31), kidney transplantation (n=6) and termination of dialysis (n=13) were excluded. Finally, 236 participants were tracked to the final outcome. Of these 236 patients, 66.95% were men. The proportion of patients under 60 years old is slightly higher than that of patients over 60 years old. More than half (64.83%) of the patients have a lower education level. And the main primary disease of ESRD was diabetic nephropathy (39.83%). Through a 3-year follow-up study, 73 patients died, accounting for 30.93%. The results showed that compared with surviving patients, deceased patients had significantly lower scores of self-management (<i>Z</i>=-2.09, <i>P</i>=0.036) and higher scores of malnutrition-inflammation score (<i>Z</i>=-2.31, <i>P</i>=0.021). Moreover, deceased patients had a significantly higher proportion of poor sleepers (χ²=4.38, <i>P</i>=0.036) and No exercise (χ²=5.16, <i>P</i>=0.023). However, there were no statistically significant differences in BMI, smoking history and drinking history between the two groups. In logistic analyses, age (χ²=19.63, <i>P</i><0.001, <i>OR</i>=0.26, 95% CI=0.14~0.47) and self-management score (χ²=3.82, <i>P</i>=0.051, <i>OR</i>=1.03, 95% CI=1.00~1.06) were major factors related to mortality.</p><p><strong>Conclusion: </strong>Self-management and age are closely related to the mortality rate of patients. And our study showed that the relationship between self-management and mortality is strongest, so doctors and nurses at dialysis centers should pay more attention to and actively improve self-management level of patients undergoing maintenance hemodialysis.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1721-1729"},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Mechanical Ventilation and Inpatient Palliative Care Utilization in Patients With Chronic Obstructive Pulmonary Disease.","authors":"Li-Ting Kao, Chun-Chieh Yang, Yu-Cih Wu, Shian-Chin Ko, Yi-Shan Liang, Kuang-Ming Liao, Chung-Han Ho","doi":"10.2147/JMDH.S509022","DOIUrl":"10.2147/JMDH.S509022","url":null,"abstract":"<p><strong>Purpose: </strong>Palliative care is underutilized for severely ill patients with advanced chronic obstructive pulmonary disease (COPD) experiencing significant symptoms during hospitalization. The impact of mechanical ventilation on inpatient palliative care utilization remains largely unexplored. In this study, we aimed to investigate inpatient palliative care utilization among hospitalized patients with COPD requiring mechanical ventilation and examine the associated risk factors and clinical outcomes.</p><p><strong>Patients and methods: </strong>A retrospective nested case-control study was conducted using population-based claims datasets from 2017 to 2021. It included 36,848 hospitalized patients with COPD aged 40 and above, of which 16,118 (43.74%) required mechanical ventilation. Logistic regression was used to assess the association between mechanical ventilation and inpatient palliative care utilization, adjusting for relevant covariates.</p><p><strong>Results: </strong>Of the total cohort, 5,596 patients (15.19%) utilized inpatient palliative care, including 1,275 (7.91%) requiring mechanical ventilation. Age, duration of mechanical ventilation, comorbidity severity, and hospital type influenced inpatient palliative care use. Patients with a Charlson Comorbidity Index score of 1-2 and ≥3 were 24.06 and 51.59 times more likely, respectively, to receive palliative care compared to those with a Charlson Comorbidity Index score of 0. Ventilated patients in medical centers or regional hospitals were more likely to receive palliative care than those in district hospitals. Patients on mechanical ventilation who received care for 8-30 days were over twice as likely to receive palliative care compared to those who received care for shorter durations.</p><p><strong>Conclusion: </strong>Inpatient palliative care for patients with COPD was limited and varied based on the duration of mechanical ventilation and hospital type. To enhance patient-centered care, interdisciplinary teams should integrate palliative care throughout the illness journey.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1695-1709"},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nudging Health Behavior Change Among Home-Based Cardiac Rehabilitation Patients: A Scoping Review.","authors":"Zhen Yang, Dan Jin, Hao Huang, Xutong Zheng, Shu Liu, Aiping Wang","doi":"10.2147/JMDH.S515523","DOIUrl":"10.2147/JMDH.S515523","url":null,"abstract":"<p><strong>Background: </strong>In home-based cardiac rehabilitation practices, nudging has emerged and was actively explored to promote health behavior change among patients with heart disease. The literature on nudging strategy is fragmented and lacks comprehensive reviews.</p><p><strong>Objective: </strong>This study aimed to identify nudging interventions to promote health behavior change among patients undergoing home-based cardiac rehabilitation, focusing on the scope, characteristics and delivery.</p><p><strong>Methods: </strong>A scoping review was conducted from July to September 2023, during which databases including PubMed, Web of Science, and OVID (Embase, Cochrane Library, JBI) were searched. Search terms were constructed based on population-concept-context mnemonics approach. Reviewers screened articles independently and reviewed the included articles to extract key information about each nudge intervention.</p><p><strong>Results: </strong>In included 25 studies, the majority (n=21) with the nudging strategy had positive results. 14 nudge strategies were identified and coded with the primary objective of changing health behaviors. The most common nudging strategy was goal setting, followed by feedback, and reminders and alerts. To capture the heterogeneity of nudging strategies, two independent dimensions were introduced to further classify them into four quadrants (active vs passive and synchronous vs passive). For example, some nudging strategies usually occur when the target behavior must be performed (synchronization) and requires the immediate participation of the home-based cardiac rehabilitation patients (active). In addition, digital nudging technology with gamification elements may become the mainstream in future research.</p><p><strong>Conclusion: </strong>These studies reflected different objectives and implement nudging strategies in different ways. Despite the multiple nudging strategies are widely adopted, identifying the contributing components remains challenging.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1639-1653"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing AI in Various Elements of Enhanced Recovery After Surgery (ERAS)-Guided Ankle Fracture Treatment: A Comparative Analysis with Expert Agreement.","authors":"Rui Wang, Xuanming Situ, Xu Sun, Jinchang Zhan, Xi Liu","doi":"10.2147/JMDH.S508511","DOIUrl":"10.2147/JMDH.S508511","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess and compare the performance of ChatGPT and iFlytek Spark, two AI-powered large language models (LLMs), in generating clinical recommendations aligned with expert consensus on Enhanced Recovery After Surgery (ERAS)-guided ankle fracture treatment. This study aims to determine the applicability and reliability of AI in supporting ERAS protocols for optimized patient outcomes.</p><p><strong>Methods: </strong>A qualitative comparative analysis was conducted using 35 structured clinical questions derived from the Expert Consensus on Optimizing Ankle Fracture Treatment Protocols under ERAS Principles. Questions covered preoperative preparation, intraoperative management, postoperative pain control and rehabilitation, and complication management. Responses from ChatGPT and iFlytek Spark were independently evaluated by two experienced trauma orthopedic specialists based on clinical relevance, consistency with expert consensus, and depth of reasoning.</p><p><strong>Results: </strong>ChatGPT demonstrated higher alignment with expert consensus (29/35 questions, 82.9%), particularly in comprehensive perioperative recommendations, detailed medical rationales, and structured treatment plans. However, discrepancies were noted in intraoperative blood pressure management and preoperative antiemetic selection. iFlytek Spark aligned with expert consensus in 22/35 questions (62.9%), but responses were often more generalized, less clinically detailed, and occasionally inconsistent with best practices. Agreement between ChatGPT and iFlytek Spark was observed in 23/35 questions (65.7%), with ChatGPT generally exhibiting greater specificity, timeliness, and precision in its recommendations.</p><p><strong>Conclusion: </strong>AI-powered LLMs, particularly ChatGPT, show promise in supporting clinical decision-making for ERAS-guided ankle fracture management. While ChatGPT provided more accurate and contextually relevant responses, inconsistencies with expert consensus highlight the need for further refinement, validation, and clinical integration. iFlytek Spark's lower conformity suggests potential differences in training data and underlying algorithms, underscoring the variability in AI-generated medical advice. To optimize AI's role in orthopedic care, future research should focus on enhancing AI alignment with medical guidelines, improving model transparency, and integrating physician oversight to ensure safe and effective clinical applications.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1629-1638"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bibliometric Analysis of Research Trends in Psychological Interventions for Stroke Survivors: Focusing on Resilience and Psychological Well-Being (2000-2024).","authors":"Yaoyao Li, Kim Lam Soh, Xiujuan Jing, Lili Wei, Hasni Idayu Saidi, Kim Geok Soh","doi":"10.2147/JMDH.S505135","DOIUrl":"10.2147/JMDH.S505135","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to conduct a bibliometric analysis of research literature on psychological interventions for stroke survivors published from 2000 to 2024, focusing on psychological resilience and psychological well-being, utilizing VOSviewer and CiteSpace.</p><p><strong>Patients and methods: </strong>Literature data was sourced from the Web of Science Core Collection database (WoSCC). A total of 373 relevant articles published between January 1, 2000, and September 30, 2024, were included. CiteSpace and VOSviewer analyzed the literature from perspectives including authorship, country of origin, institutions, journals, references, and keywords.</p><p><strong>Results: </strong>Annual publication output has steadily increased, reaching a peak in 2023 (55 articles). Vranceanu Ana-Maria emerged as the most productive author with eight publications. The United States led in research output (98 articles) and centrality (0.32), with Harvard University being the leading institution (24 articles). \"Disability and Rehabilitation\" was the most productive journal (12 articles), while \"Stroke\" was the most co-cited journal (241 times). Recent research trends emphasized meta-analysis (strength=3.6), assessment tool validation (strength=3.49), and acceptance-based interventions (strength=2.89), mainly focusing on psychological resilience cultivation and well-being promotion.</p><p><strong>Conclusion: </strong>This bibliometric analysis reveals the increasing scholarly interest in psychological interventions for stroke survivors, particularly in resilience and psychological well-being research. The field has evolved from focusing on disease-related factors to systematic intervention research, with a growing emphasis on methodological standardization and individualized interventions. These findings provide significant theoretical and practical implications for improving psychological health services for stroke survivors. Future research should strengthen high-quality empirical studies, refine assessment tools, and innovate intervention strategies to better address the complex psychological needs of stroke survivors and enhance their resilience and psychological well-being, ultimately improving rehabilitation outcomes and quality of life for stroke survivors.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1655-1678"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a Nutrition Education Program on Knowledge, Attitudes, and Dietary Practices, Anthropometry, and Hemoglobin in Peruvian Adolescents.","authors":"Leslie Noemi Vasquez-Mamani, Lucero Abigail Cueva-Calizaya, Norma Del Carmen Gálvez-Díaz, Jacksaint Saintila, Yaquelin E Calizaya-Milla","doi":"10.2147/JMDH.S507564","DOIUrl":"10.2147/JMDH.S507564","url":null,"abstract":"<p><strong>Background: </strong>Anemia and obesity are significant public health challenges among adolescents, often linked to inadequate nutritional knowledge, attitudes, and practices. Educational interventions targeting these factors may play a crucial role in improving adolescent health outcomes.</p><p><strong>Objective: </strong>To determine the impact of a nutrition education program on the levels of knowledge, attitudes, and dietary practices, anthropometric parameters and hemoglobin in Peruvian adolescents.</p><p><strong>Methods: </strong>A pre-experimental study was conducted among Peruvian adolescents between 12 and 18 years of age from an educational institution located in eastern Lima, Peru. Body mass index/age (BMI/age), waist circumference (WC), hemoglobin (Hb) levels, and a self-reported questionnaire were assessed. A nutrition education intervention was conducted for 16 weeks.</p><p><strong>Results: </strong>After the implementation of the program, a significant improvement in knowledge scores (84.4%, <i>p</i> < 0.001), attitudes (59.1%, <i>p</i> < 0.001), and practices (47.7%, <i>p</i> < 0.001) scores was observed. BMI/age scores decreased by 3.1% (<i>p</i> < 0.001). Similarly, WC scores showed a significant decrease of 1.0% (<i>p</i> < 0.001). Hb levels increased significantly by 3.25% (<i>p</i> < 0.001) in women, but not in men.</p><p><strong>Conclusion: </strong>This study showed that nutrition education programs could improve knowledge, attitudes, and dietary practices, BMI/age, WC, and Hb scores in Peruvian adolescents.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1679-1693"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Family Factors, Food Consumption Behaviors, and Nutritional Status Among Muslim School-Age Students in Rural Southern Thailand.","authors":"Kiatkamjorn Kusol, Pastraporn Kaewpawong","doi":"10.2147/JMDH.S514601","DOIUrl":"10.2147/JMDH.S514601","url":null,"abstract":"<p><strong>Purpose: </strong>The double burden of malnutrition, with both undernutrition and overweight threatening school-age children's development, presents a critical global public health challenge. This research aimed to study the relationships between family factors, food consumption behaviors, and nutritional status among Muslim school-age children in rural southern Thailand.</p><p><strong>Samples and methods: </strong>This study was cross-sectional descriptive research. The samples included 228 children aged 9-12 years in Thasala District, Nakhon Si Thammarat. Data were collected using demographic data, Nutritional status assessment, and food consumption behaviors assessment. Data were analyzed using descriptive, chi-square, and binary logistic regression statistics.</p><p><strong>Results: </strong>Overall, 15.8% of the samples were classified as overweight and obese, and 18% were classified as stunted (<-1.5 SD). The samples had a normal weight-for-height (72.3%). The overall food consumption behaviors of the participants were moderate (Mean = 2.17, SD = 0.60). The number of siblings and food consumption behaviors had a significant relationship with nutritional status (p < 0.05). Confirmation with binary logistic regression results also revealed that the likelihood of appropriate nutritional status was 2.74 times higher in children with 3-4 siblings than those with 1-2 siblings (OR = 2.74; 95% CI: 1.494-5.047). Additionally, children with appropriate food consumption behaviors were 2.04 times more likely to have a proper nutritional status than those with inappropriate food consumption behaviors (OR = 2.04; 95% CI: 1.044-3.996).</p><p><strong>Conclusion: </strong>The study found that most participants had moderately appropriate food consumption behaviors, with 15.8% showing issues like overweight and obesity. The number of siblings and food consumption behaviors significantly influenced nutritional status. Interventions should leverage Islamic religious settings and engage religious leaders to foster healthier lifestyles. Culturally and religiously sensitive nutritional education, blending scientific evidence with Islamic teachings, should be integrated into school curricula to cultivate healthy eating habits and mitigate long-term health risks.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1615-1627"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Healthy Behavior for Preventing Non-Communicable Diseases.","authors":"Nursiswati Nursiswati, Candradewini Candradewini, Deasy Silvya Sari, Suci Ayu Kurniasih, Kusman Ibrahim","doi":"10.2147/JMDH.S504338","DOIUrl":"10.2147/JMDH.S504338","url":null,"abstract":"<p><strong>Background: </strong>The increasing burden of Non-Communicable Diseases (NCDs) in both low- and high-income ASEAN countries highlights an urgent need for effective management and prevention strategies. These strategies are critical for reducing premature deaths, alleviating the healthcare costs, and saving lives. Unhealthy lifestyle behaviors, such as poor dietary habits, lack of physical activity, alcohol consumption, and inadequate sleep, significantly elevate the risk of metabolic syndrome and other NCDs.</p><p><strong>Purpose: </strong>Mapping the literature on factors related to healthy behaviors for preventing and managing NCDs among college students in ASEAN countries.</p><p><strong>Methods: </strong>A Scoping Review with a PCC (Population-Concept-Context) framework and was referred to the Scoping Review Framework by Arksey and O'Malley. This article reviewed both qualitative and quantitative studies, restricted to full-text articles in English and Indonesian published from 2020 to 2024, focused on University Students, Healthy Behaviour, conducted in ASEAN countries.</p><p><strong>Results: </strong>Of the 1166 articles, 7 studies, involving 71,923 participants, met the criteria. The findings indicate that internal (eg, dietary habits, sleep quality, and mental well-being) and external factors, (eg, student knowledge and perception, and the Health University Framework (HUF)) are significantly associated with health behaviors among university students. Several studies also demonstrate a relationship between healthy behavior and students' psychological conditions and susceptibility to cardiovascular disease.</p><p><strong>Conclusion: </strong>This review found that internal factors, such as dietary habits, sleep quality, BMI, along with external factors, including HUF Implementation and students' knowledge and perceptions, significantly influence healthy behaviors among university students in ASEAN. These factors related with psychological well-being and cardiovascular disease risk. Therefore, effective interventions and implementation of the holistic AUN-HPN HUF framework in universities are essential for preventing and managing NCDs among young adults.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1597-1613"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}