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Hans Friberg - One of the best experts on this subject based on the ideXlab platform.
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out of hospital cardiac arrest at Place of Residence is associated with worse outcomes in patients admitted to intensive care a post hoc analysis of the targeted temperature management trial
Minerva Anestesiologica, 2019Co-Authors: Cecilia Andrell, Josef Dankiewicz, Christian Hassager, J Horn, Jesper Kjaergaard, Matilde Wintherjensen, Matt P Wise, Niklas Nielsen, Pascal Stammet, Hans FribergAbstract:BACKGROUND: The majority of out-of-hospital cardiac arrests (OHCAs) occur at Place Residence, which is associated with worse outcomes in unselected prehospital populations. Our aim was to investigate whether location of arrest was associated with outcome in a selected group of initial survivors admitted to intensive care.METHODS: This is a post-hoc analysis of the Targeted Temperature Management after cardiac arrest trial (TTM trial), a multicenter controlled trial, randomizing 950 OHCA patients to an intervention of 33°C or 36°C. The location of cardiac arrest was defined as Place of Residence vs. public Place or other. The outcome measures were mortality and neurological outcome, as defined by the Cerebral Performance Category scale, at 180 days.RESULTS: Approximately half of 938 included patients arrested at Place of Residence (53%). Location groups did not differ with respect to age (p=0.11) or witnessed arrests (p=0.48) but bystander CPR was less common (p=0.02) at Place of Residence. OHCA at Place of Residence was associated with higher 180-day mortality, 55% vs. 38% (p<0.001) and worse neurological outcome, 61% vs. 43% (p<0.001) compared with a public Place or other. After adjusting for known confounders, OHCA at Place of Residence remained an independent predictor of mortality (p=0.007).CONCLUSIONS: Half of all initial survivors after OHCA admitted to intensive care had an at Place of Residence which was independently associated with poor outcomes. Actions improve outcomes after OHCA at Place of Residence should be addressed in future trials.
Yothin Sawangdee - One of the best experts on this subject based on the ideXlab platform.
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Original Article Place of Residence and sport campaign participation on exercise of Thai population
2013Co-Authors: Issara Siramaneerat, Yothin SawangdeeAbstract:Objective: The goal of this paper was to explore and examine causal relationship between socio-demographic factors and sport and exercise practice among the Thai population. The objectives of this research were: (1) to analyze the difference in exercise by the Place of Residence (urban – rural) and socio-demographic factors, (2) to analyze the difference of a sport campaign participation in exercise by socio-demographic factors, (3) to explore the socio-demographic variations in exercise, (4) to analyze and measure the interactive effect between Place of Residence and sport participation on probabilities of practicing sport and exercise among the Thai population. Method: We employed the data of the evaluation of health program of health promotion and sports at the local region in 2010. The last survey was conducted by the Institute for population and social research �
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Place of Residence and sport campaign participation on exercise of Thai population
2013Co-Authors: Issara Siramaneerat, Yothin SawangdeeAbstract:Objective: The goal of this paper was to explore and examine causal relationship between socio-demographicfactors and sport and exercise practice among the Thai population. The objectives of this research were:(1) to analyze the difference in exercise by the Place of Residence (urban – rural) and socio-demographic factors,(2) to analyze the difference of a sport campaign participation in exercise by socio-demographic factors,(3) to explore the socio-demographic variations in exercise, (4) to analyze and measure the interactiveeffect between Place of Residence and sport participation on probabilities of practicing sport andexercise among the Thai population. Method: We employed the data of the evaluation of health program of health promotion and sports at thelocal region in 2010. The last survey was conducted by the Institute for population and social research(IPSR) Mahidol University. This survey used the multi-stage stratifi ed random sampling. The surveyincluded 8,325 subjects aged between 15 to 70 years old. We implemented the Multinomial logisticregression model (MLR) to analyze the independent and dependent variables. Results: Males and females shared the same proportion of non-exercise. Urban residents were more likelynot to exercise compared with rural residents. The average age of respondent was 47.6 years. We foundthat among those who did not exercise, 36.68% were not involved in any sport participation; 45.02% had noeducation and most of the respondents who did not exercise resided in the east region (37.56%). The analysisshowed that there was a positive relationship between attitudes toward exercise and sport campaignparticipation with both local and general exercise (p < 0.05). Importantly, the interactive effect between Placeof Residence and sport and exercise participation had strong effect on sport and exercise practicing. Discussion and conclusion: The analysis demonstrated that attitudes toward exercise and sport campaign participation had anconclusion: infl uence on exercise behavior for both types of exercise. In addition, sport campaign participation wasmore important than the Place of Residence which clearly showed an increase in the probability of exercisein urban and rural areas. However, it was very important to organize sport and exercise campaign in both areas.The main result of this analysis showed that interaction between the two had a strong infl uence onprobabilities of practicing sport and exercise. Key words: Exercise, Physical activity, Sport campaign participation, Rural, Urban
Lluis Serramajem - One of the best experts on this subject based on the ideXlab platform.
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the influence of Place of Residence gender and age influence on food group choices in the spanish population findings from the anibes study
Nutrients, 2018Co-Authors: Maria De Lourdes Samaniegovaesken, Teresa Partearroyo, Emma Ruiz, Javier Arancetabartrina, Angel Gil, Marcela Gonzalezgross, Rosa M Ortega, Lluis SerramajemAbstract:Socioeconomic factors (SEF) can exert a great impact on food choices. However, limited data are available from the Spanish population. Our aim was to describe the influence of Place of Residence and habitat size on food group intakes. Data were obtained from the ANIBES study. A 3-day dietary record provided information on food and beverage consumption. Data analysis compared gender, age, Nielsen geographic areas, and habitat population size (urban, semi-urban, and rural). Place of Residence did not appear to be a determinant for specific food group consumption during childhood and adolescence, as only higher intakes of non-alcoholic beverages were observed among children aged 9 to 12 years living in the East, when compared to those from the Northwest of Spain (p < 0.05). Food choices within adults (18 to 64 years) and seniors (65 to 75 years) were conditioned: sugar and sweets intake was significantly higher (p < 0.05) for adult men living in the Northwest than those from the South, and senior males from North Central areas had significantly higher consumption of eggs (p < 0.05) compared to the Northeast. Basic food group consumption was only affected during childhood and aging. Adults who inhabited rural areas consumed greater quantities of fats and oils than those from higher population densities (p < 0.01). Our results indicate that Place of Residence and habitat size have a limited influence on food choices, regardless of age and gender in the ANIBES study population. It is fundamental to acknowledge that other SEF variables are important and further studies are needed to monitor and assess these influences are warranted.
Robert Skalik - One of the best experts on this subject based on the ideXlab platform.
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Impact of education and Place of Residence on the risk of metabolic syndrome in Polish men and women.
International journal of cardiology, 2010Co-Authors: Janusz Bolanowski, Jadwiga Bronowicz, Barbara Bolanowska, Alicja Szklarska, Anna Lipowicz, Robert SkalikAbstract:⁎ Corresponding author. Department of Physiology, Medical University of Wroclaw, Poland. Tel.: +48 606742344. E-mail address: rskalik@fizjo.am.wroc.pl (R. Skalik). The metabolic syndrome (MS) is a constellation of cardiovascular risk factors including abdominal obesity, atherogenic dyslipidemia, elevated blood pressure, insulin resistance, a proinflammatory and prothrombotic state. This syndrome is associated with an approximately 2-fold increase in risk of cardiovascular diseases (CVD). The social gradient observed in MS could help explain socioeconomic inequalities in heart diseases. Hence, factors that causeMSmay also be important for the formation of social inequalities in stratification of CVD risk.MSmayalso offer a simple screening tool tofind subgroups at high risk of heart diseases. The economic transition period associated with political and social transformations in Poland since 1990 has contributed tomajor changes in lifestyle, dietary habits and knowledge of health promoting behaviours and influenced social stratification in this country. Some groups defined by their low educational and occupational status before the political and social transformation period experienced significant changes in income and lifestyle that might have influenced the body mass. Most of the evidences about inequalities in MS and impact of education and Place of Residence on development of MS have been gathered from Western industrialized societies so far. The latest results of SUNSET study by Agyemang C et al. demonstrate that low educationmay be associated with increased risk of MS among native white inhabitants but not among other ethnic groups in the Netherlands which is another evidence of inter-ethnic variations in the incidence of MS irrespective of the actual Place of Residence [1]. In our study we investigated the effect of the level of education and Place of Residence on the risk of development of MS among Polish population. A representative sample of 1648 adults (999 women and 649men), aged 25–85 years, from the local community of town of Jelcz-Laskowice (province of Lower Silesia, Poland) was examined (Table 1). The investigated individuals lived in a small town with a population of approximately 16 000 inhabitants or adjacent villages.Weused education as the sole criterion of adherence to a given social class because in Poland high correlation between three most often used predictors of social class, i.e. level of education, occupation and income is observed [2]. MS based on IDF criteria occurred significantly more often in men than in women whereas incidence of MS based on NCEP-ATP III-R criteria did not differ in both gender groups (Table 2). Generally in both sexes, MS was more frequent among town inhabitants as compared with inhabitants of villages. Percentage of men and women with MS increased with lowering the position of examined group on the social scale (Figs.1 and 2). The Place of Residence was a significant risk factor for developing MS in both genders. Men and women living in the urban area had a significantly higher risk of MS than individuals living in the countryside. Level of education significantly influenced the risk of MS only in women. Each step down in the level of education increased the risk of MS based on IDF criteria by 15% and by 26% when NCEP-ATP III-R criteria were used (Table 3). Among components of MS Place of Residence was significantly related to low HDL in men and low HDL and hyperglycemia inwomen (Table 3). Additionally, living in urban areas increased the risk of insulin resistance by 55% in men and 60% in women as compared with individuals living in the countryside. The low education significantly elevated the risk of abdominal obesity, arterial hypertension and hyperglycemia in women. None of the MS components was affected by level of education in men.
Cecilia Andrell - One of the best experts on this subject based on the ideXlab platform.
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out of hospital cardiac arrest at Place of Residence is associated with worse outcomes in patients admitted to intensive care a post hoc analysis of the targeted temperature management trial
Minerva Anestesiologica, 2019Co-Authors: Cecilia Andrell, Josef Dankiewicz, Christian Hassager, J Horn, Jesper Kjaergaard, Matilde Wintherjensen, Matt P Wise, Niklas Nielsen, Pascal Stammet, Hans FribergAbstract:BACKGROUND: The majority of out-of-hospital cardiac arrests (OHCAs) occur at Place Residence, which is associated with worse outcomes in unselected prehospital populations. Our aim was to investigate whether location of arrest was associated with outcome in a selected group of initial survivors admitted to intensive care.METHODS: This is a post-hoc analysis of the Targeted Temperature Management after cardiac arrest trial (TTM trial), a multicenter controlled trial, randomizing 950 OHCA patients to an intervention of 33°C or 36°C. The location of cardiac arrest was defined as Place of Residence vs. public Place or other. The outcome measures were mortality and neurological outcome, as defined by the Cerebral Performance Category scale, at 180 days.RESULTS: Approximately half of 938 included patients arrested at Place of Residence (53%). Location groups did not differ with respect to age (p=0.11) or witnessed arrests (p=0.48) but bystander CPR was less common (p=0.02) at Place of Residence. OHCA at Place of Residence was associated with higher 180-day mortality, 55% vs. 38% (p<0.001) and worse neurological outcome, 61% vs. 43% (p<0.001) compared with a public Place or other. After adjusting for known confounders, OHCA at Place of Residence remained an independent predictor of mortality (p=0.007).CONCLUSIONS: Half of all initial survivors after OHCA admitted to intensive care had an at Place of Residence which was independently associated with poor outcomes. Actions improve outcomes after OHCA at Place of Residence should be addressed in future trials.
