Global health journal (Amsterdam, Netherlands)最新文献

{"title":"Front-of-pack labeling: a health literacy intervention to improve cardiovascular health in Sub-Saharan Africa","authors":"Boni Maxime Ale ,&nbsp;Jean Jacques Noubiap","doi":"10.1016/j.glohj.2022.10.001","DOIUrl":"10.1016/j.glohj.2022.10.001","url":null,"abstract":"<div><p>There is a surge in the burden of cardiovascular disease (CVD) in Sub-Saharan African (SSA) countries. Over the last 50 years there has been a rapid growth in the consumption of ultra-processed food products high in salt, fat, and glycemic load in SSA. There is overwhelming evidence linking UPFP consumption to an increased risk of coronary artery disease, cerebrovascular disease, overall CVD, and all-cause mortality. Front-of-pack labeling (FOPL) represents an important intervention to guide consumers towards healthier diets and ultimately contribute to the prevention of diet-related adverse health outcomes including CVD. This paper discusses the challenges in the development and implementation of FOPL systems in SSA, and proposes some key elements that would be critical for developing an effective FOPL system in SSA countries.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 4","pages":"Pages 227-230"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000732/pdfft?md5=cc05a130da0f9c1828e75e7ff545c1f3&pid=1-s2.0-S2414644722000732-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44031078","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":"Hygiene, sanitation facility, and assessment of drinking water quality in the schools of Chattogram city, Bangladesh","authors":"Md. Zobaidul Alam,&nbsp;Abdullah Al Mukarrom","doi":"10.1016/j.glohj.2022.12.003","DOIUrl":"10.1016/j.glohj.2022.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>This study is designed to evaluate the microbiological safety concern of drinking water of the 50 schools of Chattogram city, Bangladesh, and to investigate the sanitation and hygiene conditions of the schools, which are directly related to the health of thousands of students.</p></div><div><h3>Methods</h3><p>In this study, pour plate method used for total viable count (TVC), most probable number (MPN) method used for the total coliform count (TCC) and fecal coliform count (FCC), and four selective media used to isolate pathogenic bacteria from drinking water samples, and then identified by using morphological, cultural, and biochemical tests. To investigate the water, sanitation, and hygiene conditions a structured questionnaire was used.</p></div><div><h3>Results</h3><p>A total of 46% samples were found above the acceptable limit (&gt; 500 CFU/ml) for TVC count, 52% samples had coliform, and 28% samples had fecal coliform, which exceeded the WHO guideline value. We categorized 50 studied schools into five groups and found the highest TVC (67%) and TCC (83%) in the water samples of city corporation schools. <em>E. coli, Salmonella, Shigella, Enterobacter, Citrobacter, Klebsiella</em>, and <em>Yersinia</em> were isolated and identified from drinking water samples. In most schools, drinking water reservoirs were found impure and contaminated by various bacteria. In government primary schools, a toilet is used by 143 students, whereas in private English medium schools, a toilet is used by 30 students and found clean. Hand-washing soap was supplied in only 14% of government primary schools, but 100% in private English medium schools.</p></div><div><h3>Conclusion</h3><p>Our findings suggest that drinking water in most of the schools was found contaminated by pathogens. Poor hygiene, sanitation, and contaminated drinking water seem responsible for different kinds of diseases. Moreover, this study indicates the necessity for raising awareness about drinking water, hygiene, and sanitation facilities of schools, which should monitor at regular intervals.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 4","pages":"Pages 204-211"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000793/pdfft?md5=1eef18c8242836952f0b82913285570a&pid=1-s2.0-S2414644722000793-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41722075","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":"Towards data-driven models for diverging emerging technologies for maternal, neonatal and child health services in Sub-Saharan Africa: a systematic review","authors":"John Batani,&nbsp;Manoj Sewak Maharaj","doi":"10.1016/j.glohj.2022.11.003","DOIUrl":"10.1016/j.glohj.2022.11.003","url":null,"abstract":"<div><p>Sub-Saharan Africa (SSA) has the highest maternal and under-five mortality rates in the world. The advent of the coronavirus disease 2019 exacerbated the region's problems by overwhelming the health systems and affecting access to healthcare through travel restrictions and rechanelling of resources towards the containment of the pandemic. The region failed to achieve the Millenium Development Goals on maternal and child mortalities, and is poised to fail to achieve the same goals in the Sustainable Development Goals. To improve on the maternal and child health outcomes, many SSA countries introduced digital technologies for educating pregnant and nursing women, making doctors’ appointments and sending reminders to mothers and expectant mothers, as well as capturing information about patients and their illnesses. However, the collected epidemiological data are not being utilised to inform patient care and improve on the quality, efficiency and access to maternal, neonatal and child health (MNCH) care. To the researchers’ best knowledge, no review paper has been published that focuses on digital health for MNCH care in SSA and proposes data-driven approaches to the same. Therefore, this study sought to: (1) identify digital systems for MNCH in SSA; (2) identify the applicability and weaknesses of the digital MNCH systems in SSA; and (3) propose a data-driven model for diverging emerging technologies into MNCH services in SSA to make better use of data to improve MNCH care coverage, efficiency and quality. The PRISMA methodology was used in this study. The study revealed that there are no data-driven models for monitoring pregnant women and under-five children in Sub-Saharan Africa, with the available digital health technologies mainly based on SMS and websites. Thus, the current digital health systems in SSA do not support real-time, ubiquitous, pervasive and data-driven healthcare. Their main applicability is in non-real-time pregnancy monitoring, education and information dissemination. Unless new and more effective approaches are implemented, SSA might remain with the highest and unacceptable maternal and under-five mortality rates globally. The study proposes feasible emerging technologies that can be used to provide data-driven healthcare for MNCH in SSA, and the recommendations on how to make the transition successful as well as the lessons learn from other regions.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 4","pages":"Pages 183-191"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000768/pdfft?md5=fd50abb7c8197ffdc557c693b242b675&pid=1-s2.0-S2414644722000768-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41487867","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":"Determinants of inequality in health care seeking for childhood illnesses: insights from Nairobi informal settlements","authors":"Nicholas Ngomi ,&nbsp;Christopher Khayeka-Wandabwa ,&nbsp;Thaddaeus Egondi ,&nbsp;Pamela A. Marinda ,&nbsp;Tilahun Nigatu Haregu","doi":"10.1016/j.glohj.2022.12.001","DOIUrl":"10.1016/j.glohj.2022.12.001","url":null,"abstract":"<div><h3>Background</h3><p>An in-depth understanding of patterns of inequities in healthcare seeking among the urban residents is critical in identifying appropriate interventions strategies. The study evaluates determinants of inequality in health care seeking for childhood illnesses among informal settlement residents in Nairobi, Kenya.</p></div><div><h3>Methods</h3><p>Data from the second Nairobi Cross-Sectional Slum Survey (NCSS 2012) was examined. The inequality in seeking health care for childhood diarrhea as the prototype illness was assessed using concentration index (<em>CI</em>). The wealth index based on the household possessions and amenities was used as a measure for socioeconomic status.</p></div><div><h3>Results</h3><p>A total of 2 027 qualified women were included in this study. About 16.6% of children born of younger mothers aged &lt; 20 years had diarrhea and a similar proportion of children (16.3%) was observed among mothers who were unemployed. The <em>CI</em> of −0.026 on health care seeking for diarrhea among children points to significant inequality among the urban poor (95% confidence interval: −0.028 to −0.023).</p></div><div><h3>Conclusion</h3><p>Occupation of parents, age of mothers, ethnicity, marital status and children's age were major determinants with regard to disease outcome and to a broader extent inequality in health care seeking for childhood illnesses. Enhanced bottom top community health invigoration strategies in health information awareness and services access would be instrumental.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 4","pages":"Pages 198-203"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S241464472200077X/pdfft?md5=80c4573b7d7590f1fc4d2422b7c24994&pid=1-s2.0-S241464472200077X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48316780","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":"Associations of sleep duration with childhood obesity: findings from a national cohort study in China","authors":"Liwang Gao ,&nbsp;Yang Wu ,&nbsp;Jiang Zhu ,&nbsp;Weidong Wang ,&nbsp;Youfa Wang","doi":"10.1016/j.glohj.2022.07.006","DOIUrl":"10.1016/j.glohj.2022.07.006","url":null,"abstract":"<div><h3>Objective</h3><p>Examine effect of sleep duration on children's risk of overweight and obesity; and study associations between activities in the last hour before bedtime and sleep outcomes (sleep duration, sleep quality, and sleep onset latency).</p></div><div><h3>Methods</h3><p>Children's data were recruited using a questionnaire survey from a nationally representative sample of children (<em>n</em> = 10 279) in China in 2013‒2016. Mixed-effects models were used to test associations among variables stratified by sex.</p></div><div><h3>Results</h3><p>Sleep duration was positively associated with BMI in boys (<em>β</em> = 0.04, <em>P</em> = 0.021). Girls with short sleep durations (&lt; 8 h/d) tended to have higher BMI values than those with normal sleep durations (8‒9 h/d) (<em>β</em> = 0.12, <em>P</em> = 0.063). The top three activities were playing electronic devices (Factor 1), doing homework, and reading (combined as Factor 2). Factors 1 and 2 were both significantly associated with sleep duration (<em>β</em> = 0.17, <em>P</em> &lt; 0.001; <em>β</em> = −0.26, <em>P</em> &lt; 0.001, respectively).</p></div><div><h3>Conclusion</h3><p>Sleep duration seems to affect BMI in Chinese children. Using electronic devices and reading before bedtime influenced sleep duration. Good bedtime habits and sleep duration can help weight management in children.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 149-155"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000501/pdfft?md5=c11e64e080be32b8153e5377aca4ca1b&pid=1-s2.0-S2414644722000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47794423","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 100 top-cited articles on childhood obesity: a bibliometric analysis","authors":"Joseph Kawuki ,&nbsp;Taha Hussein Musa ,&nbsp;Upama Ghimire ,&nbsp;Nathan Obore ,&nbsp;Shireen Salome Papabathini","doi":"10.1016/j.glohj.2022.07.003","DOIUrl":"10.1016/j.glohj.2022.07.003","url":null,"abstract":"<div><h3>Background</h3><p>Childhood obesity (CHO) is a serious global health challenge affecting both developed and developing nations. The feats attained in addressing this global health challenge can be reflected through the top-cited studies. The study's aim was to analyze the features of the 100 top-cited articles concerning CHO.</p></div><div><h3>Methods</h3><p>We used a bibliometric analysis, and searched for relevant articles from the Web of Science (December 1, 2021), using an appropriate keyword search-strategy ((child OR childhood OR children OR adolescent) AND (obese OR obesity OR overweight)). The retrieved documents were analysed based on the citation number, publication year, authorship, institution, journal and country. The analyses were performed mainly by the Bibliometrix application (using R-studio cloud) and HistCite.</p></div><div><h3>Results</h3><p>The 100 top-cited articles were published between 1976 and 2018, their citations ranged from 365 to 10 789, with a mean citation of 1 146.2 and 31 studies had more than 1 000 citations. The articles were published in 31 journals, with the “Pediatrics” journal having the most publications (<em>n</em> = 18). The studies were from 12 countries, with the most-productive being the USA (<em>n</em> = 68), followed by the United Kingdom (<em>n</em> = 12) and France (<em>n</em> = 3). The leading institution was the University of Bristol (n = 8), while Dietz WH (n = 12), and Flegal KM (<em>n</em> = 8) were the most productive authors. The most common research fields covered by these articles were; “General Internal Medicine” (<em>n</em> = 34), “Pediatrics” (<em>n</em> = 29), and “Nutrition Dietetics” (n = 18). The study noted significant correlations between the total article citation and the number of authors (<em>R</em> = 0.203), countries involved (<em>R</em> = 0.407), institutions (<em>R</em> = 0.407), and the publication year (<em>R</em> = 0.847), all with <em>P</em> &lt; 0.001.</p></div><div><h3>Conclusions</h3><p>Through these top-cited articles, this analysis provides discernment into the historical advancements, including the prime roles performed by various stakeholders in addressing the issue of CHO. However, Asian countries’ contribution is not adequately reflected in these articles, and thus more focus and funding for CHO research are needed for effectual prevention and control.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 136-148"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000471/pdfft?md5=9ade09c66f9bf922ebf9af4f53db5145&pid=1-s2.0-S2414644722000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43438867","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":"Psychological impact of coronavirus disease 2019 (COVID-19) social distancing mandates on trauma survivors","authors":"Maggie M. Parker ,&nbsp;Stephanie F. Dailey ,&nbsp;A. Diona Emmanuel ,&nbsp;Andrew Campbell","doi":"10.1016/j.glohj.2022.07.008","DOIUrl":"10.1016/j.glohj.2022.07.008","url":null,"abstract":"<div><h3>Objective</h3><p>Despite recognition that coronavirus disease 2019 (COVID-19) pandemic created an unprecedented impact on global mental health, information on the psychological health among trauma survivors during the COVID-19 pandemic is rare. We sought to examine psychological outcomes among individuals with preexisting traumatic experiences during COVID-19.</p></div><div><h3>Methods</h3><p>We sampled 1 242 adults in the mid-Atlantic region of the United States under a state-issued Phase 1 stay-at-home mandate to examine associations between pre-pandemic trauma exposure as measured by the Brief Trauma Questionnaire (BTQ) and anxiety and depression, as measured by the Patient Reported Outcome Scale Anxiety and Depression (PROMIS-A and PROMIS-D).</p></div><div><h3>Results</h3><p>Pre-pandemic trauma exposure among the sample was reported, with 281 (22.6%) participants identifying as experiencing one trauma, 209 (16.8%) reporting two, and 468 (37.7%) reporting three or more. As reported experiences of trauma increased, so did participant anxiety and depressive symptomatology. One-way Analysis of Variance indicated that reported trauma was significantly positively correlated with anxiety (<em>P</em> &lt; 0.01) and depressive symptomatology (<em>P</em> &lt; 0.01).</p></div><div><h3>Conclusion</h3><p>Findings highlight the immense psychological toll of the COVID-19 pandemic, specifically with individuals who were previously exposed to trauma. Public health officials can encourage physicians, employers, and universities to screen patients, employees, and students to assess previous trauma, psychological functioning, and risk factors. Collaboration between physicians and mental health providers including psychiatrists, psychologists, counselors, and social workers to provide evidence informed rapid coordination of care can better meet the global mental health crisis that is arising as a result of this unprecedented global trauma.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 174-179"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601286","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":"Are the coronavirus disease 2019 (COVID-19)-themed applications launched during the pandemic sustainable?","authors":"Fauzi Budi Satria","doi":"10.1016/j.glohj.2022.07.004","DOIUrl":"10.1016/j.glohj.2022.07.004","url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 180-182"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9254504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40579251","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":"Effectiveness of a multifaceted intervention for the improvement of nutritional status and nutrition knowledge of children in poverty-stricken areas in Shaanxi Province, China","authors":"Cai Zhao ,&nbsp;Lu Ma ,&nbsp;Liwang Gao ,&nbsp;Yan Wu ,&nbsp;Yating Yan ,&nbsp;Wen Peng ,&nbsp;Youfa Wang","doi":"10.1016/j.glohj.2022.07.009","DOIUrl":"10.1016/j.glohj.2022.07.009","url":null,"abstract":"<div><h3>Objectives</h3><p>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.</p></div><div><h3>Data sources</h3><p>Data collected from four schools in two poverty-stricken counties in northern Shaanxi Province in 2020‒2021.</p></div><div><h3>Methods</h3><p>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 <em>t</em>-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.</p></div><div><h3>Results</h3><p>At the 6-month follow-up, the difference in changes in BMI between the intervention and control groups was 0.4 kg/m ² (<em>P</em> &lt; 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 (<em>P</em> &lt; 0.001) and 0.01 kg/m² (<em>P</em> &lt; 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 (<em>β</em> = −0.26, 95% confidence interval [<em>CI</em>]: −0.38 to −0.14, <em>P</em> &lt; 0.001), while positively associated with changes in WHtR in boys (<em>β</em> = 0.003, 95% <em>CI</em>: −0.0002 to 0.005, <em>P</em> = 0.035). The 12-month follow-up changes in children's nutrition knowledge scores were positively associated with changes in children's WHtR (<em>β</em> = 0.003, 95% <em>CI</em>: 0.0004 to 0.01, <em>P</em> = 0.018).</p></div><div><h3>Conclusions</h3><p>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","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 156-163"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000537/pdfft?md5=3d985bf4e3061658a104f4fefab0eeed&pid=1-s2.0-S2414644722000537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49207845","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":"Scoping review: obese elderly women with breast cancer and physical activity/exercise","authors":"Mark Stephan Felix","doi":"10.1016/j.glohj.2022.07.011","DOIUrl":"10.1016/j.glohj.2022.07.011","url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Data sources</h3><p>A total of four articles were finalized from an initial 2905 articles found via searches on the <em>Annals of Internal Medicine</em> by American College of Physicians (ACP)™, BioMed Central (BMC)™, <em>BMJ</em> Journals™, <em>Journal of the American Medical Association</em> (JAMA)™, PubMed™, SAGE™, ScienceDirect™, SpringerLink (e-journals)™, Taylor and Francis Online™, and Wiley Online Library™ databases.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"6 3","pages":"Pages 129-135"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644722000550/pdfft?md5=e78b43833b0f02a11422b44d4d92aebf&pid=1-s2.0-S2414644722000550-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46105684","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}