Clinical Epidemiology and Global Health最新文献

{"title":"Predicting child mortality determinants in Uttar Pradesh using Machine Learning: Insights from the National Family and Health Survey (2019–21)","authors":"Pinky Pandey ,&nbsp;Sacheendra Shukla ,&nbsp;Niraj Kumar Singh ,&nbsp;Mukesh Kumar","doi":"10.1016/j.cegh.2025.101949","DOIUrl":"10.1016/j.cegh.2025.101949","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to delineate spatial variations in under-five mortality across Uttar Pradesh and evaluate the efficacy of various machine learning algorithms in identifying critical determinants influencing these mortality rates.</div></div><div><h3>Methods</h3><div>The study utilized data from the National Family and Health Survey (NFHS) - V. Four machine learning algorithms—Random Forests, Logistic Regression, K-Nearest Neighbors (KNN), and Naive Bayes—were applied alongside a traditional logistic regression model. Predictive performance was evaluated using metrics such as model accuracy and receiver operating characteristic (ROC) curves. Descriptive analysis highlighted regional variations in under-five mortality rates.</div></div><div><h3>Results</h3><div>Notable regional disparities in under-five mortality were observed across Uttar Pradesh. Predictive accuracies ranged from 76 % to 79.4 %, with the logistic regression model achieving the highest accuracy (79.4 %). All ML models demonstrated comparable predictive capabilities. The most effective model identified key determinants of under-five mortality, including breastfeeding status, number of births in the preceding five years, child's gender, birth intervals, antenatal care, birth order, type of water source, and maternal body mass index.</div></div><div><h3>Conclusion</h3><div>Machine learning models provide valuable insights into the determinants of under-five mortality, with the logistic regression model demonstrating superior predictive performance. Policy measures targeting critical factors, such as promoting breastfeeding, optimizing birth intervals, and improving maternal health and antenatal care, can significantly enhance childhood survival rates in Uttar Pradesh.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101949"},"PeriodicalIF":2.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372513","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}

{"title":"Insecticide-treated nets utilization and influencing factors on middle school students in Southeast Nigeria. A cross-sectional study","authors":"Egbobe JohnPaul Otuomasiri ,&nbsp;Magnus Michael Sichalwe ,&nbsp;Ezaka Ephraim Ibeabuchi","doi":"10.1016/j.cegh.2025.101952","DOIUrl":"10.1016/j.cegh.2025.101952","url":null,"abstract":"<div><h3>Background</h3><div>Malaria is a major cause of mortality, leading to higher healthcare costs and reduced household income, particularly among low-income individuals. Successful eradication relied on individual acceptance, participation, and continuous education about control measures. This study explored factors influencing insecticide-treated net (ITN) utilization among middle school students in Southeast Nigeria.</div></div><div><h3>Methods</h3><div>An analytical cross-sectional study was conducted from October to November 2020, using systematic sampling to recruit 238 participants from three schools in Southeastern Nigeria. Data were analyzed with SPSS version 23, employing descriptive statistics for univariate analysis to determine ITN usage proportions. Bivariate analysis utilized cross-tabulation, while multivariate analysis involved linear regression.</div></div><div><h3>Results</h3><div>Most (96.6 %) were aware of ITNs, but regular usage was low at 20.6 %. Knowledge of ITNs and parental employment significantly influenced usage, with employed parents and greater awareness linked to higher utilization. Participants aged 15–19 were 2.258 times more likely to use ITNs than those aged 20–24. Additionally, awareness of ITNs increased the likelihood of usage by 8.638 times, and each point increase in malaria risk perception correlated with a 30.2 % increase in ITN usage likelihood.</div></div><div><h3>Conclusion</h3><div>Despite widespread awareness of ITNs, regular use is low, especially among students aged 20–24 and unemployed households. The positive link between knowledge and ITN use highlights the need for effective health education. Additionally, free distribution significantly boosts consumption, underscoring the importance of tailored interventions for vulnerable populations. Enhancing community understanding and access to ITNs is crucial for improving malaria prevention efforts.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101952"},"PeriodicalIF":2.3,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143199761","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}

{"title":"The effect of a community-based health behaviour intervention on healthcare services use among people with type 2 diabetes in Nepal","authors":"Grish Paudel ,&nbsp;Corneel Vandelanotte ,&nbsp;M Mamun Huda ,&nbsp;Padam Kanta Dahal ,&nbsp;Lal Rawal","doi":"10.1016/j.cegh.2025.101954","DOIUrl":"10.1016/j.cegh.2025.101954","url":null,"abstract":"<div><h3>Background</h3><div>Community-based health behavioural interventions have effectively reduced the glycated haemoglobin level (HbA1c) among individuals with type 2 diabetes mellitus (T2DM). However, there is no evidence of such interventions in improving the healthcare utilisation in under-resourced settings. Therefore, this study aimed to assess the effect of intervention in improving the visits to health facilities and specialists and reducing emergency department visits and hospital admissions among people with T2DM in Nepal.</div></div><div><h3>Methods</h3><div>A cluster-randomised controlled trial was conducted in the Kavrepalanchowk and Nuwakot districts of Nepal, enrolling 481 people with clinically diagnosed type 2 diabetes, aged 30–70 years. A total of 30 study sites across two districts were randomly allocated into 15 intervention groups and 15 control groups. The participants in the intervention group received a community health worker and peer supporter-led health behavioural intervention for 6 months. The primary outcome of the study (health facility visits, specialist visits, emergency visits and hospital admissions) were assessed at baseline and 6 months post-intervention.</div></div><div><h3>Results</h3><div>Intervention participants reported a higher increase in health facility visits, specialist visits, emergency visits and hospital admissions by 7.2 %, 13.5 %, 1.3 % and 0.4 % respectively, compared to control participants. However, these changes were not statistically significant. Visits to health facilities significantly increased, but only among intervention participants attending more sessions (adjusted odds ratio [AOR] = 1.16, 95 % CI:1.05–1.28). Approximately half (45.4 %) of the intervention participants attended six or fewer intervention sessions out of twelve.</div></div><div><h3>Conclusion</h3><div>While the intervention had a positive effect on healthcare use in general, this was only significant in those with higher exposure to the intervention sessions. As such, efforts should be made that increase adherence and retention to the intervention sessions to maximise the benefit of this health behavioural intervention in improving healthcare service utilisation among individuals with type 2 diabetes in Nepal.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101954"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143199696","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}

{"title":"Examining rural-urban differences in life satisfaction and its association with health among elderly people in India: Evidence from LASI survey","authors":"Nipam Datta ,&nbsp;Sushanta Biswas ,&nbsp;Dwipen Barman ,&nbsp;Bijoy Das ,&nbsp;Piyal Basu Roy ,&nbsp;Abhijit Sarkar","doi":"10.1016/j.cegh.2025.101950","DOIUrl":"10.1016/j.cegh.2025.101950","url":null,"abstract":"<div><h3>Background</h3><div>Health-related issues are common phenomena in the human body with increasing age. This study explores the disparities in life satisfaction among the elderly population in rural and urban areas of India and its association with health.</div></div><div><h3>Methods</h3><div>Data from the Longitudinal Ageing Study in India (LASI) Wave-1 conducted in 2017-18 were used, with a sample size of 30,268 individuals aged 60 and above. The study employed multivariable regression models to assess the relationship between life satisfaction and physical, mental, and functional health, adjusting for socio-demographic variables. Mann-Whitney Wilcoxon test was performed to check the rural-urban differences in life satisfaction among elderly people.</div></div><div><h3>Results</h3><div>Older adults in urban areas reported higher life satisfaction (Mean = 0.67, SD = 0.24) than their rural counterparts (Mean = 0.61, SD = 0.24). Mental health was found to be a significant predictor of life satisfaction among the elderly in both rural (β 0.443, CI = 0.419, 0.468,p &lt; 0.001), and urban areas (β = 0.459, CI = 0.428, 0.489, p &lt; 0.001) and functional health was not significantly associated with life satisfaction in rural areas (β = 0.002, CI = −0.013, 0.017, p &lt; 0.001), but shows a significant associated with urban areas (β = 0.057, CI = 0.035, 0.078, p &lt; 0.001), highlighting the importance of accessible healthcare services.</div></div><div><h3>Conclusions</h3><div>The study highlights the need for development initiatives to enhance the well-being of senior citizens living in rural areas. Enhancing healthcare infrastructure, accessing medical facilities, and addressing functional limitations are essential steps to reduce disparities in life satisfaction.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101950"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379165","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}

{"title":"Childbirth preparedness and childbirth anxiety among primigravida in a lower-middle income country: A phenomenological qualitative study","authors":"Lekha Bist ,&nbsp;Lekha Viswanath ,&nbsp;Ruchira Nautiyal ,&nbsp;Shagun Agarwal","doi":"10.1016/j.cegh.2025.101918","DOIUrl":"10.1016/j.cegh.2025.101918","url":null,"abstract":"<div><h3>Background</h3><div>There is limited research about the primigravid's experience towards delivery preparation and anxiety in lower-middle-income countries. Therefore, this study aimed to phenomenologically explore childbirth anxiety and childbirth preparation among Primigravida in a lower-middle-income country (LMIC)</div></div><div><h3>Methods</h3><div>Fifteen primigravidae with 28–34 weeks of pregnancy, selected community health centres, purposively recruited into this in-depth interview. Data was collected through semi-structured interview guides, analyzed using content analysis and written using Standards for Reporting Qualitative Research (SRQR) guidelines.</div></div><div><h3>Results</h3><div>Four themes generated were preparation, awareness, expectation, and fear during childbirth. Each theme has three subthemes, except two subthemes in expectation theme, totalling 11 subthemes overall generated to phenomenologically explore childbirth anxiety and childbirth preparation among Primigravida.</div></div><div><h3>Conclusion</h3><div>Primigravid women feel childbirth anxiety towards the end of their pregnancies. Due to the assumed purpose of birth preparation that comes from conventional sources, healthcare practitioners hardly ever offer primigravid women enough knowledge about labour.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101918"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143199758","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}

{"title":"Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia","authors":"Sufedin Ibrahim ,&nbsp;Takele Gezahegn Demie ,&nbsp;Temesgen Gelata ,&nbsp;Seifadin Ahmed ,&nbsp;Gemechu Gelan Bekele","doi":"10.1016/j.cegh.2025.101953","DOIUrl":"10.1016/j.cegh.2025.101953","url":null,"abstract":"<div><h3>Background</h3><div>Despite progress in HIV treatment, the reproductive age group continues to experience high rates of underweight, which adversely affects their health and ART effectiveness. Current data on the prevalence and contributing factors of underweight in this group is scarce. This study aims to assess the prevalence of underweight and its associated factors among reproductive-age women on ART in selected public health facilities in the Arsi Zone, South East Ethiopia.</div></div><div><h3>Methods</h3><div>A health facility-based cross-sectional study was conducted involving 413 individuals receiving ART between December 15, 2021, and January 20, 2022. Data were collected through a review of medical records and interviews with selected participants. Bivariate and multivariable logistic regression analyses were used to identify factors associated with underweight among this population.</div></div><div><h3>Results</h3><div>This study found that the prevalence of underweight among women on ART was 24.5 % (95 % CI: 20.8%–28.3 %). Underweight was significantly associated with ambulatory status (individuals who can perform selfcare but can't fully engage in work) (AOR = 4.41, 95 % CI: 1.71–11.36), lack of HIV/AIDS-related nutrition counselling (AOR = 4.61, 95 % CI: 2.17–9.78), poor ART adherence (AOR = 11.49, 95 % CI: 4.77–27.67), and inadequate dietary diversity (AOR = 3.84, 95 % CI: 1.82–8.11).</div></div><div><h3>Conclusion and recommendation</h3><div>The study revealed a high prevalence of underweight among women on ART. To effectively tackle this issue, enhancing nutritional counselling, strengthening ART adherence programs, and promoting a diverse diet are essential. Moreover, providing targeted support for ambulatory patients can further mitigate underweight in this group. By implementing these recommendations, we can improve health outcomes for women living with HIV/AIDS.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101953"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096584","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}

{"title":"Clinical profile of stress hyperglycemia in medical intensive care units","authors":"Geethanjali Ganesan,&nbsp;Sudha Vidyasagar,&nbsp;Nandakrishna Bolanthakodi,&nbsp;Cynthia Amrutha Sukumar","doi":"10.1016/j.cegh.2025.101941","DOIUrl":"10.1016/j.cegh.2025.101941","url":null,"abstract":"<div><h3>Introduction</h3><div>Stress hyperglycemia (SH) is a transient increase in blood glucose during acute physiological stress in the absence of glucose homeostasis dysfunction. In the setting of medical intensive care units (ICU), it significantly contributes to patient morbidity and mortality.It initates a cascade of pathophysiological responses that in turn increase blood glucose and insulin resistance. As research in this area of SH in ICU patients is sparse with conflicting results, we conducted this study to evaluate the clinical profile and prognostic outcome of Stress hyperglycemia (SH) in ICU.</div></div><div><h3>Aims and objectives</h3><div>The main objectives of the study were to find the proportion of patients with SH in medical ICU, define the illness associated with SH, and to assess the relation of mortality with SH ratio (SHR) among stress hyperglycemics.</div></div><div><h3>Methods</h3><div>It is a cross sectional observational study of 400 patients whose written informed consent was taken and data was collected as per structured questionnaire, covering history and laboratory investigations. Patients were followed up to assess duration of hospital stay irrespective of the outcome (discharge or death).</div></div><div><h3>Results</h3><div>The proportion of SH in the medical ICU was 29 %. Pneumonia, acute cerebrovascular accident, congestive cardiac failure, acute coronary syndrome, family history of diabetes and female gender were found to be significant risk factors for SH. There was no significant increase in duration of hospital stay due to SH. SOFA and APACHE scores were higher among the SH group and they had higher mortality. Among patients treated for SH mortality was significantly lower.</div></div><div><h3>Conclusion</h3><div>SH was noted in one-third of ICU admissions. It had an impact on the overall prognosis and mortality and its treatment was beneficial. Hence it is important to recognise and treat SH early in ICUs.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101941"},"PeriodicalIF":2.3,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096579","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}

{"title":"Neurodevelopmental outcomes of very low birth weight preterm infants during the COVID-19 pandemic","authors":"Yen-Chen Lin ,&nbsp;Hung-Yang Chang ,&nbsp;Chia-Huei Chen ,&nbsp;Jui-Hsing Chang ,&nbsp;Wai-Tim Jim ,&nbsp;Chyong-Hsin Hsu ,&nbsp;Chia-Ying Lin ,&nbsp;Yu-Xiang Song ,&nbsp;Cheng-Wei Chen ,&nbsp;Tzu-Yu Liu ,&nbsp;Mary Hsin-Ju Ko","doi":"10.1016/j.cegh.2025.101940","DOIUrl":"10.1016/j.cegh.2025.101940","url":null,"abstract":"<div><h3>Background</h3><div>During the COVID-19 pandemic, parental involvement in NICU and post-discharge follow-up for preterm infants in Taiwan were limited. This study aimed to investigate the impact of the pandemic on the neurodevelopmental outcomes of preterm infants in Taiwan.</div></div><div><h3>Method</h3><div>This was a retrospective study enrolling very-low-birth weight (VLBW) preterm infants born between January 2018 and December 2021 from two hospitals. The pre-COVID-19 group (PCG) consisted of VLBW infants born between January 2018 and April 2019, before the pandemic. VLBW infants born after May 2019 and followed-up for at least 24 months during the pandemic were assigned to the COVID-19 group (CG). The antenatal, perinatal, and postnatal data, and neurodevelopmental outcomes at 12 and/or 24 months corrected age (CA) of the participants were collected and compared.</div></div><div><h3>Results</h3><div>A total of 547 VLBW infants were born during the study period. CG had significantly longer hospital stay and delayed follow-up time compared to PCG. No significant differences were observed in the composite cognitive, language, and motor scores between two groups. The percentages of moderate neurodevelopmental impairment (NDI) were higher at 12 months CA, but not at 24 months. The severe NDI also presented no significant difference between the groups.</div></div><div><h3>Conclusion</h3><div>VLBW preterm infants during the pandemic had extended hospital stays and delayed follow-ups, with higher moderate NDI at 12 months CA. Long-term monitoring and care are essential for this at-risk group.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101940"},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096582","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}

{"title":"Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia","authors":"Ivana Aprilia Pehopu ,&nbsp;Andi Masyitha Irwan ,&nbsp;Elly Lilianty Sjattar ,&nbsp;Sakul Changmai ,&nbsp;Noor Azah Abd Aziz","doi":"10.1016/j.cegh.2025.101943","DOIUrl":"10.1016/j.cegh.2025.101943","url":null,"abstract":"<div><h3>Problem considered</h3><div>In older people, hypertension is a leading cause of death and results in serious complications that reduce the quality of life. A high-salt diet is one contributing factor to the increased incidence of hypertension in older people, and the implementation of appropriate interventions is required to address this issue. The objective of this study was to determine the effect of providing education on a low-salt diet, along with continuous follow-up, on blood pressure control in older people with hypertension.</div></div><div><h3>Methods</h3><div>This study used a quasi-experimental pre- and posttest with a control group design and involved 148 older people with hypertension who were randomly allocated. The intervention group received a one-time low-salt diet education and 2-month follow-up. In contrast, the control group received only standard education from the community health center with no follow-up.</div></div><div><h3>Results</h3><div>In the control group, blood pressure showed no significant changes and tended to remain stagnant. The control group did not show significant changes in any variables, including systolic blood pressure (<em>p</em> = 0.747) and diastolic blood pressure (<em>p</em> = 0.208). In the intervention group, blood pressure decreased and remained stable during the first and second months. The statistical tests for the intervention group showed significant changes in both systolic blood pressure (<em>p</em> = 0.000) and diastolic blood pressure (<em>p</em> = 0.000).</div></div><div><h3>Conclusion</h3><div>Providing education on a low-salt diet along with continuous follow-up significantly influences the control of blood pressure in older people with hypertension.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101943"},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143199991","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}

{"title":"Perception and impact of customized physical activity programs on objective physical activity parameters in prediabetes","authors":"Radhika Aditya Jadhav ,&nbsp;G. Arun Maiya ,&nbsp;Vidyut Rajhans ,&nbsp;Shashikiran Umakanth ,&nbsp;Shivashankara K N","doi":"10.1016/j.cegh.2025.101938","DOIUrl":"10.1016/j.cegh.2025.101938","url":null,"abstract":"<div><h3>Background</h3><div>Prediabetes is an established vital risk factor for Type 2 Diabetes Mellitus (T2DM), yet an under-recognized problem. The effectiveness of the Physical Activity Promotion Programme (PAPP) has rarely been studied extensively regarding objective Physical Activity (PA) assessment and subjective acceptance in prediabetes. The present mixed-method study evaluated the effect and perception of customized PAPP in prediabetes.</div></div><div><h3>Methods</h3><div>The pre-post study included 54 prediabetes participants between 18 and 60 years of age who received the customized PAPP for 24 weeks. PA parameters were measured objectively using the tri-axial accelerometer Actigraph GT3X at baseline and the end of PAPP. Twelve participants were included in the qualitative study, and their perception of PAPP was explored using semi-structured telephonic interviews. Data analysis was done using a paired <em>t</em>-test and thematic analysis.</div></div><div><h3>Results</h3><div>PA was significantly improved, which is evident in an increase in the average step count (MD = 1408), light activity duration (MD = 34.7 Min.), and moderate to vigorous PA duration (MD = 9.1 Min.). Average sedentary duration reduced significantly (MD = 32.46 Min.) (p &lt; 0.05). Customized PAPP was happily accepted and continued by all the participants. Despite their challenging situations.</div></div><div><h3>Conclusion</h3><div>Customized PAPP has yielded promising results, indicating its effectiveness in reducing sedentary duration and improving health parameters among prediabetic individuals. Customized physical activity interventions planned with due consideration of health parameters are crucial in enhancing health outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"32 ","pages":"Article 101938"},"PeriodicalIF":2.3,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097038","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}