Preventive Medicine Reports最新文献

Effect modification by life's essential 8 on the association between hearing loss and atherosclerotic cardiovascular disease among US adults 在美国成年人中，生活必需品对听力损失和动脉粥样硬化性心血管疾病之间的影响

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-27 DOI: 10.1016/j.pmedr.2025.103187

Shujie Li , Yiping Liu , Shuai Xia , Honglin Li

{"title":"Effect modification by life's essential 8 on the association between hearing loss and atherosclerotic cardiovascular disease among US adults","authors":"Shujie Li , Yiping Liu , Shuai Xia , Honglin Li","doi":"10.1016/j.pmedr.2025.103187","DOIUrl":"10.1016/j.pmedr.2025.103187","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate whether associations between hearing loss and atherosclerotic cardiovascular disease (ASCVD) were modified by Life's Essential 8 (LE8) in US adults.</div></div><div><h3>Methods</h3><div>A total of 10,867 participants from five cycles of the National Health and Nutrition Examination Survey conducted between 2005 and March 2020 were included in the analysis. Multivariable logistic regression models were applied to examine the relationship between hearing loss, LE8, and ASCVD. Interaction analyses were performed to determine whether the association between hearing loss and ASCVD was modified by cardiovascular health.</div></div><div><h3>Results</h3><div>About half (50.1 %) of the participants were male, with a mean age of 49.2 ± 17.7 years, and 41.3 % white. The weighted prevalence of ASCVD was 9.5 % and audiometry-measured hearing loss was 19.8 %. Hearing loss was independently associated with higher odds of ASCVD (OR 1.44, 95 % CI 1.16, 1.79). Interaction analysis indicated that the association between hearing loss and ASCVD was evident in individuals with low (< 50) or moderate (50–80) LE8 scores, but not in those with high LE8 scores (≥ 80) (<em>P</em><sub>interaction</sub> = 0.008).</div></div><div><h3>Conclusions</h3><div>This study observed a significant association between hearing loss and ASCVD, with the strength of the association varying across cardiovascular health status.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103187"},"PeriodicalIF":2.4,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food parenting stress among caregivers receiving government food assistance: a study from the United States 接受政府食品援助的看护者的食物养育压力：来自美国的一项研究

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-27 DOI: 10.1016/j.pmedr.2025.103189

Faith Hardy , Alison Tovar , Emily G. Elenio , Yarisbel Melo Herrera , Michelle Perry , Katherine W. Bauer , Maya K. Vadiveloo

{"title":"Food parenting stress among caregivers receiving government food assistance: a study from the United States","authors":"Faith Hardy , Alison Tovar , Emily G. Elenio , Yarisbel Melo Herrera , Michelle Perry , Katherine W. Bauer , Maya K. Vadiveloo","doi":"10.1016/j.pmedr.2025.103189","DOIUrl":"10.1016/j.pmedr.2025.103189","url":null,"abstract":"<div><h3>Objective</h3><div>Caregivers are expected to implement child feeding recommendations such as providing healthy meals and promoting family meals. However, these expectations may contribute to stress, particularly for families without food security. This study examined food parenting stress and its variation by household food security.</div></div><div><h3>Methods</h3><div>Baseline data, from Rhode Island and Connecticut (May–September 2023) from an ongoing study assessing the impact of a state-wide incentive program for Supplemental Nutrition Assistance Program participants, were used. Primary caregivers completed an online survey, with socio-demographic questions, household food security, and a Likert-type-scale assessing feeding stressors. Associations between stressors and food security were analyzed using chi-square-tests and multivariable logistic regression.</div></div><div><h3>Results</h3><div>Among 779 respondents, nearly half of respondents reported that making sure their child eats the right amount of food (46 %), the right kind of food (49 %), and healthy food outside the home (50 %) was ‘moderately’, ‘very’, or ‘extremely’ stressful. Households that did not experience food security had significantly higher odds of reporting stress across all feeding situations vs. those with food security, adjusting for covariates.</div></div><div><h3>Conclusions</h3><div>Food parenting stress is common and heightened among those that are not food secure. Nutrition education should be paired with supports that address structural barriers.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103189"},"PeriodicalIF":2.4,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of young Japanese underweight women with eating disorder tendencies and constitutional thinness: A cross-sectional study 日本年轻体重过轻女性饮食失调倾向与体质偏瘦的比较：一项横断面研究

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-22 DOI: 10.1016/j.pmedr.2025.103186

Mariko Ogawa , Michiko Nakazato , Jinko Yokota , Kaori Koga

{"title":"Comparison of young Japanese underweight women with eating disorder tendencies and constitutional thinness: A cross-sectional study","authors":"Mariko Ogawa , Michiko Nakazato , Jinko Yokota , Kaori Koga","doi":"10.1016/j.pmedr.2025.103186","DOIUrl":"10.1016/j.pmedr.2025.103186","url":null,"abstract":"<div><h3>Objective</h3><div>To compare eating disorder tendencies and constitutional thinness in young underweight Japanese women and identify distinguishing factors.</div></div><div><h3>Methods</h3><div>In September 2024, 1000 young Japanese women were recruited and categorized into three groups based on body mass index (BMI) and responses to the Sick, Control, One Stone, Fat, and Food (SCOFF) questionnaire: eating disorder tendency (BMI <18.5 kg/m<sup>2</sup> and SCOFF-positive, <em>n</em> = 93), constitutional thinness (BMI <18.5 kg/m<sup>2</sup> and SCOFF-negative, <em>n</em> = 219), and control (BMI 18.5–25.0 kg/m<sup>2</sup> and SCOFF-negative, <em>n</em> = 435).</div></div><div><h3>Result</h3><div>The eating disorder tendency group idealized a thinner body shape than the constitutional thinness group and reported greater dissatisfaction with their body shape; however, body dissatisfaction was highest in the control group. General health habits were similar between the constitutional thinness and control groups. Among underweight women, significant predictors of eating disorder tendency included history of anemia (odds ratio [OR]: 4.27; 95 % confidence interval [CI]: 2.13–8.56), daily physical activity (OR: 3.46; 95 % CI: 1.78–6.74), and eating before bedtime (OR: 2.44; 95 % CI: 1.16–5.15).</div></div><div><h3>Conclusions</h3><div>General health habits differ between underweight women with and without eating disorder tendencies. A history of anemia may serve as a potential indicator for screening for eating disorders.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103186"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Secondhand smoke exposure among United States children with functional disabilities: National Health and Nutrition Examination Survey, 2021–2023 美国功能障碍儿童的二手烟暴露：2021-2023年全国健康和营养检查调查

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-22 DOI: 10.1016/j.pmedr.2025.103183

Raed A. Bahelah

{"title":"Secondhand smoke exposure among United States children with functional disabilities: National Health and Nutrition Examination Survey, 2021–2023","authors":"Raed A. Bahelah","doi":"10.1016/j.pmedr.2025.103183","DOIUrl":"10.1016/j.pmedr.2025.103183","url":null,"abstract":"<div><h3>Objective</h3><div>Secondhand smoke exposure (SHSe) poses significant health problems. This study aims to examine the prevalence and factors associated with SHSe among 5–17 years old U.S. children with functional disabilities.</div></div><div><h3>Methods</h3><div>NHANES 2021–2023 applied Child Functioning Module to assess functional disabilities among 5–17 years old U.S. children. SHSe was defined as living in the same household with a person who is a tobacco smoker.</div></div><div><h3>Results</h3><div>Over three million (32.9 %) children with functional disabilities were exposed to SHS. Children with functional disabilities had higher odds of SHSe compared with children without functional disabilities (Adjusted Odds Ratio “AOR” =1.79, 95 % CI = 1.45, 2.23). Among children with functional disabilities, Hispanic children had lower odds of SHSe compared with non-Hispanic White children (AOR = 0.36, 95 % CI = 0.18, 0.72). The odds of SHSe among children with functional disabilities were negatively associated with the household reference person's educational level (less than high school: AOR = 11.86, 95 % CI = 3.26, 43.16; high school/general educational development/some college: AOR = 6.36, 95 % CI = 2.53, 15.98; ≥ college degree as the reference).</div></div><div><h3>Conclusions</h3><div>Disparities in SHSe at home by education level and race/ethnicity among U.S. children with functional disabilities are noted and warrant tailored interventions to reduce SHSe.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103183"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cannabis use disorder and five-year risk of oral cancer in a multicenter clinical cohort 大麻使用障碍与口腔癌5年风险的多中心临床队列研究

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-21 DOI: 10.1016/j.pmedr.2025.103185

Raphael E. Cuomo

{"title":"Cannabis use disorder and five-year risk of oral cancer in a multicenter clinical cohort","authors":"Raphael E. Cuomo","doi":"10.1016/j.pmedr.2025.103185","DOIUrl":"10.1016/j.pmedr.2025.103185","url":null,"abstract":"<div><h3>Objective</h3><div>Cannabis use disorder (CUD) is increasingly prevalent in the United States, yet long-term health consequences remain poorly defined. Oral cancer is plausible given shared carcinogens between cannabis and tobacco. This study assessed associations between CUD and five-year oral cancer risk in a large clinical cohort.</div></div><div><h3>Methods</h3><div>This retrospective cohort study analyzed clinical records from the University of California Health Data Warehouse, covering six academic medical centers. Adults screened for drug use disorders between January 2012 and December 2019 were included if they had no prior oral cancer diagnosis. The index date was the date of first screening. Patients were followed for five years for oral cancer diagnoses (lip or tongue), thereby extending data collection to December 2024. CUD was defined by a new ICD-coded diagnosis during follow-up. Logistic regression and Cox proportional hazards models estimated odds ratios (ORs), hazard ratios (HRs), and 95 % confidence intervals (CIs), adjusting for age, sex, body mass index (BMI), and smoking status.</div></div><div><h3>Results</h3><div>Among 45,129 eligible patients, 949 (2.1 %) developed CUD. Oral cancer incidence was 0.74 % in the CUD group and 0.23 % in non-CUD patients. CUD was associated with significantly increased risk of oral cancer (unadjusted OR 3.24; 95 % CI, 1.50–7.00). The association remained significant after adjustment (adjusted OR 3.25; 95 % CI, 1.47–7.17; adjusted HR 3.25; 95 % CI, 1.48–7.13).</div></div><div><h3>Conclusions</h3><div>CUD was linked to a more than threefold increase in oral cancer risk over five years. These findings highlight the need to assess long-term oncologic risks of problematic cannabis use.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103185"},"PeriodicalIF":2.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Daily activity limitations and fall risk among older Chinese adults with arthritis: Exploring contributing factors 中国老年关节炎患者的日常活动限制和跌倒风险：探讨影响因素

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-21 DOI: 10.1016/j.pmedr.2025.103184

Yifan Hu , Qiang Ren

{"title":"Daily activity limitations and fall risk among older Chinese adults with arthritis: Exploring contributing factors","authors":"Yifan Hu , Qiang Ren","doi":"10.1016/j.pmedr.2025.103184","DOIUrl":"10.1016/j.pmedr.2025.103184","url":null,"abstract":"<div><h3>Objective</h3><div>Chronic pain and joint dysfunction caused by arthritis are significantly association with the daily living abilities of the elderly. This study aimed to identify key factors associated with falls in osteoarthritis patients, with particular focus on the role of daily activity limitations.</div></div><div><h3>Methods</h3><div>Using data from the 2020 China Health and Retirement Longitudinal Study, the Activities of Daily Living Scale for the elderly was utilized to measure activities of daily living. Univariate analysis of falls in arthritis patients was conducted using Chi-square tests and <em>t</em>-tests. Multivariable logistic regression was employed to explore the fall situation in elderly arthritis patients and its association with activities of daily living (ADL), basic activities of daily living (BADL), and instrumental activities of daily living (IADL).</div></div><div><h3>Results</h3><div>Both unadjusted and adjusted models showed significant associations between functional limitations and fall risk in older adults with arthritis: ADL (OR = 1.075 [1.04, 1.11] and OR = 1.096 [1.03, 1.11], respectively), BADL (OR = 1.209 [1.11, 1.32] and OR = 1.188 [1.08, 1.31], respectively), and IADL (OR = 1.088 [1.04, 1.14] and OR = 1.076 [1.02, 1.14], respectively). BADL demonstrated the strongest effect (18.8 % increased risk per 1-point worsening). In the exercise subgroup, these associations persisted but were attenuated, with BADL remaining most predictive (OR = 1.36 [1.16, 1,59] and OR = 1.19 [1.12, 1.59], respectively).</div></div><div><h3>Conclusion</h3><div>To reduce the fall risk in arthritis patients, attention should be given to maintaining elderly arthritis patients' ADL, appropriately adjusting exercise regimens, and minimizing the health risks associated with falls.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103184"},"PeriodicalIF":2.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One-year update on physical activity and smartphone addiction in university students: A systematic review of novel research 大学生体育活动与智能手机成瘾的一年最新进展：对新研究的系统回顾

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-20 DOI: 10.1016/j.pmedr.2025.103178

Neha Pirwani , Attila Szabo

{"title":"One-year update on physical activity and smartphone addiction in university students: A systematic review of novel research","authors":"Neha Pirwani , Attila Szabo","doi":"10.1016/j.pmedr.2025.103178","DOIUrl":"10.1016/j.pmedr.2025.103178","url":null,"abstract":"<div><h3>Objectives</h3><div>Smartphone addiction is a growing health concern, especially among university students. This updated review expands our 2024 review by synthesizing recent empirical findings on the relationship between physical activity and smartphone addiction among university students.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, a thorough search was conducted in PubMed, SSRN, Oxford Research Archive, JSTOR, and Google Scholar. The quality of studies was evaluated with the Mixed Methods Appraisal Tool.</div></div><div><h3>Results</h3><div>Sixteen studies published between January 1, 2024, and March 31, 2025, met the inclusion criteria: 14 cross-sectional, one randomized controlled trial, and one longitudinal. All emerged from Asia. Most found an inverse relationship between physical activity and smartphone addiction. Experimental and longitudinal studies indicated that structured physical activity could reduce smartphone addiction symptoms over time. However, the predominantly correlational designs warrant cautious interpretation. Still, the directionally consistent average effect size was moderate to large (Cohen's <em>d =</em> ≈ −0.62), highlighting physical activity's protective role.</div></div><div><h3>Conclusions</h3><div>Regular physical activity may prevent or reduce smartphone addiction in university students. However, future studies should employ longitudinal designs, use objective measures, and incorporate qualitative validation. This review reinforces our earlier findings and supports the considerable inverse relationship between physical activity and smartphone addiction.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103178"},"PeriodicalIF":2.4,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144671049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between ambient temperature and injuries: A time series analysis using emergency ambulance dispatches in Shanghai 环境温度与伤害之间的关系：上海市紧急救护车调度的时间序列分析

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-18 DOI: 10.1016/j.pmedr.2025.103177

Yan Hu , Zhifeng Zhang , Li Peng , Wenjie Lu , Haotian Jiang , Jiayue Zhu , Xu Liu

{"title":"Association between ambient temperature and injuries: A time series analysis using emergency ambulance dispatches in Shanghai","authors":"Yan Hu , Zhifeng Zhang , Li Peng , Wenjie Lu , Haotian Jiang , Jiayue Zhu , Xu Liu","doi":"10.1016/j.pmedr.2025.103177","DOIUrl":"10.1016/j.pmedr.2025.103177","url":null,"abstract":"<div><h3>Objective</h3><div>Injuries remain a major cause of death globally amid rising health threats from climate change and extreme weather. This study examined the association between ambient temperatures and different injury mechanisms to identify vulnerable populations in Shanghai.</div></div><div><h3>Methods</h3><div>Injury-related emergency ambulance dispatch records and corresponding meteorological data for the period 2016–2021 were obtained from the Shanghai Emergency Dispatch Center and the Shanghai Meteorological Service. A distributed lag nonlinear model (DLNM) with a quasi-Poisson distribution was applied to evaluate the association between ambient temperatures and injury-related emergency ambulance dispatches. Subgroup analyses were further conducted by gender, age group, and injury mechanisms to identify vulnerable populations.</div></div><div><h3>Results</h3><div>Extreme temperatures were associated with increases in total injury-related emergency ambulance dispatches, as well as traffic accidents, falls, and assault injuries. Low temperatures were linked to an elevated risk of fall injuries, particularly among women aged 46 years and above. In contrast, extreme heat was associated with increased risks of traffic accidents and assault injuries among individuals aged 18–45, with assault injuries showing a particularly pronounced association among men.</div></div><div><h3>Conclusions</h3><div>Our findings can guide prehospital emergency service departments in developing targeted interventions to reduce injury incidence and mortality during extreme temperature events.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103177"},"PeriodicalIF":2.4,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evolution of the burden of disease for high BMI-associated colorectal cancer, 1990–2021: Global trends, regional heterogeneity, and population risk stratification 1990-2021年高bmi相关结直肠癌疾病负担的演变：全球趋势、区域异质性和人群风险分层

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-18 DOI: 10.1016/j.pmedr.2025.103170

Guangyi zhu , Yilan Sun , Dongbo Lian, Buhe Amin, Guangzhong Xu, Jing Wang, Nengwei Zhang, Dezhong Wang

{"title":"Evolution of the burden of disease for high BMI-associated colorectal cancer, 1990–2021: Global trends, regional heterogeneity, and population risk stratification","authors":"Guangyi zhu , Yilan Sun , Dongbo Lian, Buhe Amin, Guangzhong Xu, Jing Wang, Nengwei Zhang, Dezhong Wang","doi":"10.1016/j.pmedr.2025.103170","DOIUrl":"10.1016/j.pmedr.2025.103170","url":null,"abstract":"<div><h3>Objective</h3><div>Quantify global high body mass index (BMI)-linked colorectal cancer death and disability-adjusted life years (DALYs) (1990–2021) using the Global Burden of Disease (GBD) 2021 data, assessing spatiotemporal trends to inform prevention strategies.</div></div><div><h3>Methods</h3><div>Geographic analysis, age-sex stratification, and sociodemographic index (SDI) quintiles evaluated disease distribution. Calculated estimated annual percentage change (EAPC) for trends. Demographic decomposition models quantified the contributions of population aging, epidemiological changes, and growth. Assessed health inequality via the slope inequality index (SII) and concentration index and prevention efficiency with SDI-age-standardized DALYs rate frontier.</div></div><div><h3>Results</h3><div>Globally from 1990 to 2021, deaths from high BMI-associated colorectal cancer rose from 41,536 to 99,268, with the age-standardized death rate increasing from 1.14 to 1.17. The age-standardized death rate significantly increased in low- and middle-SDI regions while declining in high SDI regions. Disease burden growth was prominent in East and Southeast Asia. Death rates and rates of DALYs were higher in men than in women, and the burden was highest in people aged 60 years or older. Population growth was the primary driver of the increased burden (contributing >60 % to deaths and DALYs), followed by population aging. While health inequality (as measured by the SII) slightly decreased from 42.12 to 39.76, significant socio-demographic disparities persisted.</div></div><div><h3>Conclusion</h3><div>High BMI-associated colorectal cancer burden escalates in low-middle SDI regions and elderly males. Targeted prevention and healthcare efficiency in low SDI areas are critical.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103170"},"PeriodicalIF":2.4,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of physical fitness with visceral fat status and metabolic dysfunction-associated fatty liver disease in individuals with spinal cord injury using manual wheelchair in Korea 在韩国使用手动轮椅的脊髓损伤个体中，身体健康与内脏脂肪状态和代谢功能障碍相关的脂肪肝疾病的关系

IF 2.4 3区医学

Preventive Medicine Reports Pub Date : 2025-07-17 DOI: 10.1016/j.pmedr.2025.103182

Minjun Kim , Inhwan Lee

{"title":"Association of physical fitness with visceral fat status and metabolic dysfunction-associated fatty liver disease in individuals with spinal cord injury using manual wheelchair in Korea","authors":"Minjun Kim , Inhwan Lee","doi":"10.1016/j.pmedr.2025.103182","DOIUrl":"10.1016/j.pmedr.2025.103182","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the association of physical fitness with visceral fat status and metabolic dysfunction-associated fatty liver disease (MAFLD) in individuals with spinal cord injury (SCI) in Korea.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 113 individuals with SCI (aged ≥40 years; women, 19.5 %) who were receiving care at the disability welfare facilities in G and C Provinces. Data were collected from October 2022 to August 2024. The new visceral adiposity index was used to evaluate visceral fat status. MAFLD was assessed using fatty liver index (FLI), type 2 diabetes, body mass index, and metabolic risk factors. Physical fitness was measured by muscular strength, muscular endurance, flexibility, and cardiorespiratory endurance. After adjusting for age and sex, the participants were grouped into high, middle, and low fitness groups. The odds ratio (OR) and 95 % confidence interval (CI) for abnormal visceral adiposity and MAFLD, according to the fitness level, was calculated using binary logistic regression analysis.</div></div><div><h3>Results</h3><div>As the physical fitness level was decreasing, a significant linear trend toward increasing new visceral adiposity index (<em>p</em> < 0.01) and FLI (p < 0.01) scores were observed. The low fitness group exhibited a higher OR for abnormal visceral adiposity (OR = 3.64, 95 % CI = 1.28–10.37) and MAFLD (OR = 4.39, 95 % CI = 1.48–13.03) than the high fitness group (OR = 1.00).</div></div><div><h3>Conclusion</h3><div>The findings of this study suggest that improving physical fitness through various regular exercise range may be influential in maintaining an appropriate visceral fat status and preventing MAFLD in individuals with SCI.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"57 ","pages":"Article 103182"},"PeriodicalIF":2.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0