Childhood maltreatment: A predictor of mental health problems among adolescents and young adults     

《Child abuse & neglect》2018

Child maltreatment is a risk factor for detrimental effects on mental health that may extend to adulthood. This study aimed to examine the association between exposure to childhood maltreatment, socio-demographic factors, and students’ mental health status and self-esteem. A cross-sectional study enrolled a representative sample of 1270 students from Kuwait University. An anonymous self-administered questionnaire included students’ socio-demographic characteristics, history of exposure to childhood physical and/or emotional maltreatment, DASS-21 to assess mental health status, and Rosenberg self-esteem scale was used. Chi-square test and binary logistic regression models were applied. The study found that among participants, 49.6%(95% CI: 64.8%–52.4%), 63.0%(95% CI: 60.3%–65.7%), and 43.8%(95% CI: 41.1%–46.6%) reported having depression, anxiety, and stress respectively. Moreover, 22.5%(95% CI: 20.1%–24.8%) and 18.6%(95% CI:16.5%–20.9%) reported childhood physical and emotional maltreatment, respectively; while 12.7% reported both. Multivariate analysis revealed that experiencing childhood physical and emotional maltreatment were independent contributors to reporting depression and anxiety; while exposure to only emotional maltreatment contributed to reporting stress. Gender, GPA, childhood enrollment in private/public schools, number of close friends, were other contributors to mental health problems. Participants’ median score of self-esteem was 17/30, and only childhood emotional maltreatment was a significant predictor to low self-esteem after adjustment for other confounders. Mental health problems, and experiencing childhood physical and emotional maltreatment were prevalent relatively high among university students. Childhood corporal and emotional maltreatment were independent predictors to adolescents and young adults’ mental health problems. Experiencing childhood emotional maltreatment predicted low self-esteem. Further research to assess culture factors associated with childhood maltreatment is recommended.  相似文献   

The effect of exercise interventions on resting metabolic rate: A systematic review and meta-analysis     

Kristen MacKenzie-Shalders  Jaimon T. Kelly  Daniel So  Vernon G. Coffey  Nuala M. Byrne 《Journal of sports sciences》2020,38(14):1635-1649

ABSTRACT

The systematic review and meta-analysis evaluated the effect of aerobic, resistance and combined exercise on RMR (kCal·day^-1) and performed a methodological assessment of indirect calorimetry protocols within the included studies. Subgroup analyses included energy/diet restriction and body composition changes. Randomized control trials (RCTs), quasi – RCTs and cohort trials featuring a physical activity intervention of any form and duration excluding single exercise bouts were included. Participant exclusions included medical conditions impacting upon RMR, the elderly (≥65 years of age) or pregnant, lactating or post-menopausal women. The review was registered in the International Prospective Register of Systematic Reviews (CRD 42,017,058,503). 1669 articles were identified; 22 were included in the qualitative analysis and 18 were meta-analysed. Exercise interventions (aerobic and resistance exercise combined) did not increase resting metabolic rate (mean difference (MD): 74.6 kCal·day^-1[95% CI: ?13.01, 161.33], P = 0.10). While there was no effect of aerobic exercise on RMR (MD: 81.65 kCal·day^-1[95% CI: ?57.81, 221.10], P = 0.25), resistance exercise increased RMR compared to controls (MD: 96.17 kCal·day^-1[95% CI: 45.17, 147.16], P = 0.0002). This systematic review effectively synthesises the effect of exercise interventions on RMR in comparison to controls; despite heterogenous methodologies and high risk of bias within included studies.  相似文献   

Acute cardiovascular responses to interval exercise: A systematic review and meta-analysis     

Kym Joanne Price  Brett Ashley Gordon  Stephen Richard Bird  Amanda Clare Benson 《Journal of sports sciences》2020,38(9):970-984

ABSTRACT

Interval exercise training is increasingly recommended to improve health and fitness; however, it is not known if cardiovascular risk is different from continuous exercise protocols. This systematic review with meta-analyses assessed the effect of a single bout of interval exercise on cardiovascular responses that indicate risk of cardiac fibrillation and infarction compared to continuous exercise. Electronic databases Medline, CINAHL, Embase, Scopus and Cochrane were searched. Key inclusion criteria were: (1) intervals of the same intensity and duration followed by a recovery period and (2) reporting at least one of blood pressure, heart rate variability, arterial stiffness or function. Cochrane Risk of Bias tool and GRADE approach were used. Meta-analyses found that systolic blood pressure responses to interval exercise did not differ from responses to continuous exercise immediately (MD 8 mmHg [95% CI ?32, 47], p = 0.71) or at 60 min following exercise (MD 0 mmHg [95% CI ?2, 1], p = 0.79). However, reductions in diastolic blood pressure and flow-mediated dilation with interval exercise were observed 10–15 min post-exercise. The available evidence indicates that interval exercise does not convey higher cardiovascular risk than continuous exercise. Further investigation is required to establish the safety of interval exercise for clinical populations.  相似文献   

12周惯性哑铃练习对轻度认知损害老年人的干预效果     

吕娇娇  黄灵燕  刘宇 《上海体育学院学报》2020,(5):63-69,80

目的观察12周惯性哑铃练习对轻度认知损害(MCI)老年人认知功能、身体活动能力、生活质量和睡眠质量的影响,并探讨认知改善与其他功能改变之间的关系。方法将45名MCI老年人随机分为干预组(n=22)和对照组(n=23)。干预组受试者进行惯性哑铃练习(3次/周,60 min/次,持续12周),对照组不进行运动干预。结果 12周后,干预组受试者阿尔茨海默病评定量表-认知部分(ADAS-Cog)总分/指令得分、蒙特利尔认知评估量表(MoCA)评分、起立行走计时(TUG)和SF-36健康调查问卷(SF-36)心理总得分均显著改善(均P<0.05)。与对照组相比,干预组受试者ADAS-Cog总分/单词回忆得分/注意力得分、简明精神量表(MMSE)评分、TUG和匹兹堡睡眠指数(PSQI)的改善程度均具有显著差异(P<0.05或P=0.05)。偏相关分析结果显示,SF-36心理总得分改变(r=-0.712)、PSQI改变(r=-0.380)与认知改善程度均呈显著负相关。结论 12周惯性哑铃练习可显著提高MCI老年人的认知功能,并对其移动能力、生活质量和睡眠质量具有积极影响,且心理和睡眠改变程度可能影响认知功能的改善效果。  相似文献   

健康中国视域中的运动处方库构建     

祝莉  王正珍  朱为模 《体育科学》2020,(1):4-15

以人民健康为中心,主动健康为导向,发挥全民科学健身在健康促进、慢性病预防和康复等方面的积极作用,把健康关口前移到健康维护和疾病防控,推动形成“体医融合”的疾病管理与健康服务模式,是健康中国行动的目标与任务。国家运动处方库建设是在健康中国战略指引下,在借鉴学习国外运动处方研究、推广和应用先进成果的基础上,通过对我国运动处方内容系统、运动处方师培训系统、运动处方应用系统的构建,通过健康人群、疾病风险人群、慢性疾病人群、功能受损人群、发展性障碍人群运动处方的制定及运动处方推广应用路径的选择,将我国运动处方的研究、推广和应用向着科学、严谨、规范、深入推进,让具有科学性、针对性、有效性、可操作性并适合中国人体质特点的运动处方惠及我国亿万民众,为增强国民体质、增进国民健康,实现健康中国目标做出应有贡献,为世界运动处方的理论与实践提供中国经验与借鉴。  相似文献   

未确知测度模型在城市生态系统健康评价中的应用研究     

史飞  严力蛟 《科技通报》2007,23(4):603-608

采用生态系统健康理论，根据评价信息的不确定性，提出应用未确知测度模型来评价和辨析城市生态系统健康问题，并结合城市复合生态系统特征，建立包含经济一自然一社会三个亚系统的城市生态系统健康评价指标体系。以浙江省9个城市为例，评价它们生态系统健康水平，得出杭州、宁波、绍兴处于健康状态，其它城市则处于临界状态，分别指出它们的优势因素和制约因子所在，为浙江省生态城市建设提供科学的决策依据。  相似文献   

Factors influencing electronic health record adoption by physicians: A multilevel analysis     

《International Journal of Information Management》2016,36(3):258-270

In Canada, the healthcare system remains paper-laden, and EHR adoption by physicians lags behind many other industrial countries. Recent reviews identified individual and organizational factors as having the most important influence on EHR adoption and proposed taking a multidimensional perspective to study these adoption determinants. However, most studies have focused on physician EHR adoption measured at the individual level.ObjectivesFirst, we used a multilevel regression model to assess whether organizations' characteristics influenced physician behavioral intention to use EHR. Second, we sought to identify individual and organizational factors that explain physician intention.MethodsWe conducted a prospective cross-sectional study among physicians in 49 primary healthcare organizations in four regions of the province of Quebec (Canada). We first analyzed relationships between individual and organizational variables and intention. Second, we performed multilevel modeling to explore organizational characteristics' impact on physician intention to use EHR.Results278 completed questionnaires were returned from the 31 organizations that had at least 5 participants (response rate: 39.8%). Questionnaires showed satisfactory psychometric properties. The multilevel modeling found no significant overall influence of organizational level on physician intention to use EHR. Second, six of the individual level constructs had a positive and strongly significant impact on physician intention.ConclusionIn the Quebec context, organization-level seems to have no significant impact on EHR adoption by physicians. Hence, particular strategies are more likely to succeed if they target individual physicians rather than organizations.  相似文献   

饮水与人体健康的关系分析   总被引：1，自引：0，他引：1  

阴云如  邓志良 《中国科技信息》2006,(12):219-221

文章从水是生命之源的实际出发,阐述了饮水与人体健康的关系,分析了目前人类饮水被污染状况,并就改善饮水水质确保健康提出了一些基本的策略构思.  相似文献   

An audit of total and free thyroxine measurements in screening for hypo and hyperthyroidism in patients using chemiluminescence immunoassay     

J. J. Fleming  S. Rajaratnam  M. S. Seshadri  A. S. Kanagasabapathy 《Indian journal of clinical biochemistry : IJCB》2001,16(1):95-100

An audit of 2509 patient specimens analyzed for both total thyroxine (TT4) and free thyroxine (FT4) by the ACS-180 automated chemiluminescence immunoassay analyzer revealed that there were 219 discrepancies (8.7% of the total). A discrepancy was defined as one analyte within its reference range and the other outside. The discrepant results were divided into 4 groups: group A: normal TT4, but decreased FT4, 101 patients (4.0%); group B: increased TT4, normal FT4, 78 patients (3.1%); group C: decreased TT4, normal FT4, 34 patients (1.4%); and group D: normal TT4, increased FT4, 6 patients (0.2%). TSH measurements were available, by a 3^rd generation chemiluminescent assay, in 142 of these patients, and were consistent with the FT4 result in 72 patients, with TT4 in 61 cases and with neither in 9 patients. The clinical diagnosis was investigated in a subgroup of 43 endocrine patients. Thirteen of the 20 endocrine patients in group A were diagnosed as hypothyroid, with a measured serum TSH, in 11 of them, of median 14.6, range 1.2 to 46.2 μlU/ml. Eleven of the 19 endocrine patients in group B were on thyroid replacement, with a measured serum TSH, in 7 of them of <0.01 μlU/ml. The audit of current laboratory practice led to a suggestion to replace the current thyroid function screening strategy of measuring both TT4 and FT4 by the combination of FT4 and TSH. The reasons for the discrepancies and the alternative strategies for screening of thyroid function are discussed.  相似文献   

管理新视角——高新区健康评价研究的生态学分析     

黄鲁成  张淑谦  王吉武 《科学学与科学技术管理》2007,28(3):5-9

从生态学视角出发,提出了高新区系统健康概念,并通过对其生态学特征的分析,建立了高新区健康评价的概念模型,阐述了高新区健康评价范畴及其评价体系。  相似文献