BMC Public Health最新文献

{"title":"Association between metabolic phenotypes and incident pre-sarcopenia: 3 years follow-up of Tehran Lipid and Glucose Study.","authors":"Behnaz Abiri, Amirhossein Ramezani Ahmadi, Ali Valizadeh, Zahra Seifi, Farhad Hosseinpanah, Fereidoun Azizi, Majid Valizadeh","doi":"10.1186/s12889-024-20838-6","DOIUrl":"https://doi.org/10.1186/s12889-024-20838-6","url":null,"abstract":"<p><strong>Objectives: </strong>In the context of musculoskeletal health, the emergence of pre-sarcopenia as a precursor to sarcopenia has garnered attention for its potential insights into early muscle loss. We explored the association between different metabolic phenotypes of obesity, and the incidence of pre-sarcopenia over a 3-year follow-up in a cohort from the Tehran Lipid and Glucose Study (TLGS).</p><p><strong>Methods: </strong>In this 3-year longitudinal study, 2257 participants were categorized into four groups based on their BMI and metabolic status: metabolically healthy normal weight (MHNW), metabolically healthy overweight/obese (MHO), metabolically unhealthy normal weight (MUNW), and metabolically unhealthy overweight/obese (MUO). The participants were assessed for various anthropometric and body composition indices including muscle mass determined by bioelectrical impedance analysis (BIA). Blood samples were collected for metabolic indices, and participants underwent measurements for blood pressure. Pre-sarcopenia was defined based on low muscle mass. Statistical analyses included logistic regression and chi-squared tests.</p><p><strong>Results: </strong>The MUNW group exhibited the highest prevalence of pre-sarcopenia (33.5%), while the MHO group had the lowest (2.8%). Adjusted models revealed that the odds ratio for pre-sarcopenia was higher in the MUNW group (OR = 2.23, P < 0.001), whereas the MHO and MUO groups showed lower odds (OR = 0.11 and 0.13, both P < 0.001). Notably, the association was gender-dependent, with MUNW females having a higher risk even after adjustments (OR = 2.37, P = 0.042).</p><p><strong>Conclusion: </strong>Our findings suggest that metabolic health may play a pivotal role in pre-sarcopenia, emphasizing the need for targeted interventions based on both metabolic and obesity phenotypes.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3283"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the changes in the prevalence of Hepatitis a in Türkiye: systematic review and metaanalysis.","authors":"Özge Karakaya Suzan, Murat Bektaş, Mustafa Altındiş, Özge Kaya, Ayşe Eroğlu, Serap Çetinkaya Özdemir, Seda Tecik, Ahmet Naci Emecen, Nursan Çınar","doi":"10.1186/s12889-024-20783-4","DOIUrl":"https://doi.org/10.1186/s12889-024-20783-4","url":null,"abstract":"<p><strong>Background: </strong>The incidence of Hepatitis A is increasing worldwide. Yearly classification of Hepatitis A Seroprevalence for different times in different regions of Türkiye allows indirect measurement of year-specific incidence rates of HAV infection and can be considered the best way to define Hepatitis A status. This study aimed to examine the change in the incidence of hepatitis A by systematically evaluating the available data on the seroprevalence of anti-HAV antibodies in the Turkish population.</p><p><strong>Methods: </strong>Studies published between First January, 2000- 31 December 2023 that meet the inclusion criteria searched between 16.09.2023 and 31.01.2024 in nine databases (MEDLINE, Web of Science, PubMed, ScienceDirect, Scopus, Eric, CINAHL Complate, TR DİZİN, TÜBİTAK Ulakbim). Independently by two reviewers evaluated all titles and abstracts with consensus-based decision making. The Joanna Briggs Institution (JBI) Analytical Cross Sectional Studies and Prevelance Studies list were used in this study. Pooled prevalence was calculated using 95% confidence intervals. Heterogeneity between studies was assessed by Cochrane's Q and I2. The random effect model was selected by Cochrane's Q and I2. Funnel plots were used for publication bias. The data were analyzed via Jamovi 1.2.22.</p><p><strong>Results: </strong>Data were extracted from 63 studies. Pooled prevalence was calculated using 95% confidence intervals. Funnel plots were used for publication bias. In this meta-analysis, data were obtained from all geographical regions of Türkiye, and the general prevalence of Hepatitis A in the population was found to be 53% [95% CI 0.47, 0.59; I2 = 99.94%]. In subgroup analysis conducted by year, the prevalence of hepatitis A was 45% [95% CI 0.22, 0.67; I2 = 99.8%] between 2002 and 2006, 52% [95% CI 0.39, 0.65; I2 = 99.54%] between 2007 and 2011, 60% [95% CI 0.49, 0.70; I2 = 99.9%] between 2012 and 2016, and 51% [95% CI 0.41, 0.61; I2 = 99.97%] as of 2017. Additionally, a systematic review revealed that vaccination, socioeconomic status, and sex may also affect HAV seroprevalence.</p><p><strong>Conclusions: </strong>HAV seroprevalence in Türkiye; It was observed that it increased between 2002 and 2016 and decreased until today as of 2017. This systematic review provide a comprehensive overview of HAV virus epidemiology and identify key knowledge gaps, contributing crucial information for influencing factors.</p><p><strong>Trial registration: </strong>PROSPERO ID = CRD42023464384.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3280"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trust in family doctor-patient relations: an embeddedness theory perspective.","authors":"Ting Ye, Wenqi Xiao, Yilin Li, Yuan Xiao, Huiyan Fang, Weizhuo Chen, Shan Lu","doi":"10.1186/s12889-024-20805-1","DOIUrl":"https://doi.org/10.1186/s12889-024-20805-1","url":null,"abstract":"<p><strong>Background: </strong>Based on the embeddedness theory, the present study aims to explore the association between patients' trust in family doctors (Interpersonal Trust), trust in community health centers (Organizational Trust), and trust in society as a whole (Social Trust).</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in six community health centers in China, using partial least squares structural equation modeling to assess trust scale reliability and validity while testing hypotheses.</p><p><strong>Results: </strong>The scores of Interpersonal Trust, Organizational Trust, and Social Trust were 3.761, 3.636, and 3.635, respectively. Our findings confirm that Interpersonal Trust is positively associated with Organizational Trust (β = 0.916, p < 0.001), Organizational Trust is positively associated with Social Trust (β = 0.617, p < 0.001) and Interpersonal Trust (β = 0.864, p < 0.001), and Social Trust is positively associated with Organizational Trust (β = 0.784, p < 0.001). However, the relationship between Interpersonal Trust and Social Trust was not demonstrated.</p><p><strong>Conclusions: </strong>This study enhances our understanding of patient trust in family doctors. Applying embeddedness theory, we reveal positive correlations between Social Trust and Organizational Trust, as well as between Organizational Trust and Interpersonal Trust. Moreover, we have identified Organizational Trust as a crucial mediator in the relationship between Interpersonal Trust and Social Trust.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3278"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outdoor mobility in senior housing residents and community-dwelling older people in different population density areas.","authors":"Sini Siltanen, Essi-Mari Tuomola, Markku Kauppinen, Kirsi E Keskinen, Taina Rantanen, Mikaela von Bonsdorff","doi":"10.1186/s12889-024-20759-4","DOIUrl":"https://doi.org/10.1186/s12889-024-20759-4","url":null,"abstract":"<p><strong>Background: </strong>Outdoor mobility supports functioning and active life in old age. There is scarce knowledge about the outdoor mobility of senior housing residents, and it remains unclear whether outdoor mobility is dependent on one's home location.</p><p><strong>Aims: </strong>We investigated outdoor mobility among senior housing residents and community-dwelling older adults in different population-density areas.</p><p><strong>Methods: </strong>We pooled data from two Finnish studies: a senior housing survey (N = 322) and a population-based cohort study among community-dwelling older adults (N = 1018). Life-space mobility (higher score indicating greater mobility) and autonomy outdoors (lower score indicating greater autonomy) were used as markers of outdoor mobility. Population density was used as an indicator of service availability and outdoor mobility enabling infrastructure. Data were analyzed with linear regression and moderation analyses.</p><p><strong>Results: </strong>The mean life-space mobility scores were 70.5 (standard deviation, SD 20.0) among community-dwelling older adults and 54.8 (SD 27.6) among senior housing residents. For autonomy outdoors, the scores were 5.3 (SD 3.7) and 7.4 (SD 4.9), respectively. Population density moderated the association of housing type with outdoor mobility. In the highest and lowest population-density areas, senior housing residents had lower life-space mobility and poorer autonomy outdoors than community-dwelling older adults, whereas in the intermediate population-density areas, no such differences were found.</p><p><strong>Conclusions: </strong>The location of a senior house is meaningful and optimal for outdoor mobility when within easy reach but not too near amenities. Poorer outdoor mobility among senior housing residents may reflect their adjustment to a new home environment and life situation, e.g., becoming a widow.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3286"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The characteristics of formula milk marketing on health system: a qualitative study from Beijing and Jinan in China.","authors":"Yinghang Wang, Hanxiyue Zhang, Suying Chang, Ge Yang, Wen Wang, Xinyi Lv, Zhi Lin, Shuyi Zhang, Angela Y Xiao, Anuradha Narayan, Kun Tang","doi":"10.1186/s12889-024-20298-y","DOIUrl":"https://doi.org/10.1186/s12889-024-20298-y","url":null,"abstract":"<p><strong>Background: </strong>Breastmilk is widely regarded as the healthiest choice for both infants and mothers due to its numerous advantages over formula, such as higher concentrations of essential nutrients and antibodies, easier digestion, and superior taste. The World Health Organization International Code of Marketing of Breast-milk Substitutes was adopted over 40 years ago to mitigate the effects of infant formula marketing on a woman's decision to breastfeed. Yet, the commercial formula milk industry has continued to market their products aggressively and through an increasing variety of social media channels. This study examines the impact of formula milk marketing on specific components of the health system to understand how systems that are built to support and sustain breastfeeding may have been captured and repurposed by industry practices.</p><p><strong>Methods: </strong>As part of A Multi-country Study of Early Infant Feeding Decisions, this qualitative study was conducted in two representative cities in China, Beijing and Jinan, in 2020. The participants were recruited through convenience sampling and snowballing sampling methods. Data were collected through 40 in-depth interviews and 10 focus group discussions with health professionals, pregnant women, and formula milk marketing executives. A thematic analytical method was used to analyze the main themes and sub-themes that detail the characteristics of formula milk marketing and its impact on the health system in China.</p><p><strong>Results: </strong>Our results identified the most common practices used by the formula milk industry to reach health workers as well as mothers and their families through health systems. Such practices include (1) provider/facility-based marketing to sponsor academic activities (e.g., seminars, conferences, and research projects) and promote specialized infant formula that targets health care providers and facilities, which influence the health consultations and recommendations provided by health professionals to mothers and families; and (2) receiver-based marketing that targets Chinese women and increases marketing exposure through lectures provided by maternity schools at health facilities during the antenatal period and health promotion activities organized by formula milk companies outside of facilities during the postnatal care period.</p><p><strong>Conclusions: </strong>Formula milk marketing aims to influence the practices and services within the health system in China, both directly through health professionals and facilities, and also indirectly by targeting mothers. These marketing strategies have impacted the perceptions of providers on formula milk, and strategies targeting consumers have aimed to further influence and undermine mothers' intentions to continue breastfeeding. Stricter regulation of industry marketing practices is needed to create a supportive environment for mothers to breastfeed.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3289"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health literacy interventions for pregnant women with limited language proficiency in the country they live in: a systematic review.","authors":"Marya Khan, Arti Dave, Madeleine Benton, Ngawai Moss, Mandeep Kaur Kaler","doi":"10.1186/s12889-024-20747-8","DOIUrl":"https://doi.org/10.1186/s12889-024-20747-8","url":null,"abstract":"<p><strong>Background: </strong>Low health literacy can present significant risks throughout pregnancy, impacting both maternal and fetal health outcomes. Those who do not speak the main language of their country of residence are more likely to have lower health literacy. Considering the heightened challenges faced by this demographic in accessing, understanding, and engaging with health information and services, designing and implementing tailored interventions is crucial to mitigate health disparities. This review aims to identify and examine health literacy interventions developed for pregnant women whose first language differs from the language predominantly spoken in their residing country.</p><p><strong>Methods: </strong>Electronic databases of Embase and Medline were searched using relevant search terms from their inception to July 2023. Data were extracted and analysed using narrative synthesis.</p><p><strong>Results: </strong>Of the 1964 identified records, three were included. The studies were conducted in Australia and Denmark, and ranged in design, including: a cluster randomised controlled trial, mixed methods design; and qualitative design. Health literacy intervention modalities included midwifery education combined with a smartphone application and leaflet, culturally adapted group classes, and informative videos. The interventions were translated into various languages to cater to the target populations. Two studies used the Health Literacy Questionnaire to assess the intervention effectiveness, yielding contrasting results: one showed no improvement, while the other reported increased post-intervention health literacy scores. The third had not yet evaluated intervention effectiveness.</p><p><strong>Conclusions: </strong>This review identifies a significant scarcity in health literacy interventions for pregnant women whose first language differs to the predominant language of the country they live in, despite their greater need for support. While few studies were found, their diversity suggests multiple strategies for enhancing health literacy. Bridging this health literacy gap for linguistically diverse pregnant populations could reduce disparities in maternal and fetal outcomes, underscoring the need for targeted, evaluated interventions that actively engage affected women and their support networks.</p><p><strong>Trial registration: </strong>Registered with PROSPERO: CRD42023475511. Date of registration: 10.11.23.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3287"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of exposure to sugary drink marketing on youth brand preference and recall: a cross-sectional and multi-country analysis.","authors":"Lauren Remedios, Marie-Hélène Roy-Gagnon, Lana Vanderlee, David Hammond, Monique Potvin Kent","doi":"10.1186/s12889-024-20770-9","DOIUrl":"https://doi.org/10.1186/s12889-024-20770-9","url":null,"abstract":"<p><strong>Background: </strong>Consumption of sugary drinks (SD) among children and adolescents is a prevalent public health issue both within Canada and worldwide. This problem is exacerbated by the powerful marketing of such beverages to youth, which is known to influence a wide range of dietary behaviours.</p><p><strong>Methods: </strong>A cross-sectional, secondary analysis of the International Food Policy Survey Youth Wave 2019 was conducted to assess the relationship between self-reported exposure to SD marketing within the past 30 days or SD brand advertisements and brand preference and brand recall among youth aged 10-17 from Australia, Canada, Chile, Mexico, the United Kingdom, and the United States. Ordinal, multinomial, and binary logistic regression were used as appropriate to examine these associations.</p><p><strong>Results: </strong>Youth brand preference and recall was positively associated with self-reported exposure to general and brand-specific SD marketing across all countries. No statistical interaction was observed between youth age and SD marketing overall or within countries. Soft drinks, sports drinks, and fruit juice brands were most commonly recalled by all youth.</p><p><strong>Conclusion: </strong>Similar results were observed among children and adolescents within all countries. Global marketing policies should consider older children and adolescents to adequately protect and support child health.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3275"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocol for a prospective, multicentre, cross-sectional cohort study to assess personal light exposure.","authors":"Carolina Guidolin, Sam Aerts, Gabriel Kwaku Agbeshie, Kwadwo Owusu Akuffo, Sema Nur Aydin, David Baeza-Moyano, John Bolte, Kai Broszio, Guadalupe Cantarero-García, Altug Didikoglu, Roberto Alonso González-Lezcano, Hongli Joosten-Ma, Sofía Melero-Tur, Maria Nilsson Tengelin, María Concepción Pérez Gutiérrez, Oliver Stefani, Ingemar Svensson, Ljiljana Udovičić, Johannes Zauner, Manuel Spitschan","doi":"10.1186/s12889-024-20206-4","DOIUrl":"https://doi.org/10.1186/s12889-024-20206-4","url":null,"abstract":"<p><p>Light profoundly impacts many aspects of human physiology and behaviour, including the synchronization of the circadian clock, the production of melatonin, and cognition. These effects of light, termed the non-visual effects of light, have been primarily investigated in laboratory settings, where light intensity, spectrum and timing can be carefully controlled to draw associations with physiological outcomes of interest. Recently, the increasing availability of wearable light loggers has opened the possibility of studying personal light exposure in free-living conditions where people engage in activities of daily living, yielding findings associating aspects of light exposure and health outcomes, supporting the importance of adequate light exposure at appropriate times for human health. However, comprehensive protocols capturing environmental (e.g., geographical location, season, climate, photoperiod) and individual factors (e.g., culture, personal habits, behaviour, commute type, profession) contributing to the measured light exposure are currently lacking. Here, we present a protocol that combines smartphone-based experience sampling (experience sampling implementing Karolinska Sleepiness Scale, KSS ratings) and high-quality light exposure data collection at three body sites (near-corneal plane between the two eyes mounted on spectacle, neck-worn pendant/badge, and wrist-worn watch-like design) to capture daily factors related to individuals' light exposure. We will implement the protocol in an international multi-centre study to investigate the environmental and socio-cultural factors influencing light exposure patterns in Germany, Ghana, Netherlands, Spain, Sweden, and Turkey (minimum n = 15, target n = 30 per site, minimum n = 90, target n = 180 across all sites). With the resulting dataset, lifestyle and context-specific factors that contribute to healthy light exposure will be identified. This information is essential in designing effective public health interventions.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3285"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The associations of positive and negative mental well-being with physical activity during the COVID-19 across late adulthood.","authors":"Tiina Savikangas, Tiia Kekäläinen, Anna Tirkkonen, Sarianna Sipilä, Katja Kokko","doi":"10.1186/s12889-024-20803-3","DOIUrl":"https://doi.org/10.1186/s12889-024-20803-3","url":null,"abstract":"<p><strong>Background: </strong>Mental well-being (MWB) may play an important role in physical activity (PA) behavior, but the independent associations of affective MWB indicators and depressive symptoms with PA are sparsely investigated in late adulthood. We investigated the associations of positive affect, negative affect, and depressive symptoms with PA during the COVID-19 restrictions across late adulthood.</p><p><strong>Methods: </strong>Cross-sectional data came from two Finnish population-based studies. The younger cohort (N = 162, 56% women, 60-61 years) was drawn from the TRAILS study, and the older (N = 272, 60% women, 72-88 years) from the PASSWORD study. Data on PA frequency (1-7; from \"not at all\" to \"approximately daily\") and perceived changes in PA (no change/increased/reduced) during COVID-19 restrictions were self-reported. MWB was assessed by positive and negative affect (International Positive and Negative Affect Schedule Short Form) and depressive symptoms (younger cohort: General Behavioral Inventory; older cohort: Geriatric Depression Scale). Associations between MWB and PA were analyzed using linear and multinominal logistic regression models.</p><p><strong>Results: </strong>When each MWB indicator was investigated separately, higher positive affect was associated with higher PA frequency in both cohorts and with a higher likelihood of increased PA in the younger cohort; higher negative affect was associated with a higher likelihood of reduced PA in the older cohort; higher depressive symptoms were associated with lower PA frequency in both cohorts and with a higher likelihood of reduced PA in the older cohort (p ≤ 0.009 for all), In the final models including all three MWB indicators, socioeconomic, and health-related covariates, only the association between higher positive affect and higher odds of increased PA remained significant in the younger cohort (OR = 4.28, p = 0.006). In the older cohort, only the associations of higher depressive symptoms with lower PA frequency (β=-0.097, p = 0.024) and higher odds of reduced PA (OR = 1.26, p = 0.010) remained significant.</p><p><strong>Conclusions: </strong>Positive affect was independently associated with increased PA during the COVID-19 restrictions in sixty-year-olds. Higher depressive symptoms were independently associated with lower PA frequency and a higher likelihood of reduced PA in 72-88-year-olds. Positive and negative aspects of MWB have different relations to PA among people aged 60 and 70 + when one's daily routines are restricted.</p><p><strong>Trial registration number: </strong>ISRCTN52388040 (the PASSWORD study).</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3288"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between maternal smoking during pregnancy and multimorbidity of non-communicable chronic diseases trajectory in offspring.","authors":"Hang Wang, Xinyi Sun, Zheng Wang, Hui Liu, Jiaxin Huang, Yiwei Tang, Shanshan Wang, Conghui Qiao, Mengqi Su, Qianqian Lei, Wei Wei, Changhao Sun, Tianshu Han, Wenbo Jiang","doi":"10.1186/s12889-024-20686-4","DOIUrl":"https://doi.org/10.1186/s12889-024-20686-4","url":null,"abstract":"<p><strong>Objectives: </strong>Although a few studies have found that maternal smoke during pregnancy (MSDP) is linked to a range of non-communicable chronic diseases (NCDs) in offspring, its association with the onset, progression, and prognosis of multimorbidity of NCDs (MNCDs) has never been studied.</p><p><strong>Study design: </strong>Population-based prospective cohort study.</p><p><strong>Method: </strong>A total of 318,122 adults aged 18-87 years who were free of heart disease, stroke, and diabetes at baseline were selected. MNCDs was defined as the coexistence of two or three NCDs, including CVDs (coronary heart disease and stroke), cancer (digest, breast, lung, and urination), diabetes (type 1 and type 2), and CLRD (COPD and asthma). Then we used multi-state model to analyse the impacts of MSDP on the progression of MNCDs in the offspring. Associations between MSDP and transition trajectory were analyzed with results expressed as hazard ratio (HR) and 95% confidence interval (95% CI).</p><p><strong>Results: </strong>During the 70.2 years of follow-up, a total of 112,894 participants developed first NCDs (FNCDs), among whom 28,195 developed MNCDs and 21,452 subsequently died. After adjustment for potential confounders, the MSDP was associated with the transition trajectory from baseline to FNCD (HR = 1.10, 95%CI:1.09-1.11) and from FNCDs to MNCDs (HR = 1.08,95%CI:1.06-1.10). Meanwhile, the MSDP was associated with the transition trajectory from MNCDs to death (HR = 1.07,95%CI:1.03-1.11). Further, these association became more pronounced among the offspring who smoke (HR_{baseline→FNCDs}=1.13, 95%CI:1.12-1.15; HR_FNCD→MNCD=1.13, 95%CI:1.12-1.15; HR_{MNCDs→death}=1.11, 95%CI:1.16-1.16); whereas among the offspring who do not smoke, only the transition trajectory from baseline to FNCDs was observed (HR = 1.07, 95%CI:1.05-1.09).</p><p><strong>Conclusion: </strong>This study suggested that the MSDP is associated with almost all transition phases of MNCDs development and increases the mortality risk of MNCDs in offspring who smoke, and these transition trajectories can be largely reduced by smoking cessation among offspring.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3282"},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}