Applicability of the Stages of Change Model for Analyzing Fruit and Vegetable Intake in Relation to Urinary Potassium Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

Tamaki, Junko; Yoshita, Katsushi; Kikuchi, Yuriko; Takebayashi, Toru; Chiba, Nagako; Okamura, Tomonori; Tanaka, Tsunehiko; Kasagi, Fumiyoshi; Minai, Junko; Ueshima, Hirotsugu

doi:10.1291/hypres.27.843

Cited by 16 publications

(13 citation statements)

References 31 publications

(50 reference statements)

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“…Therefore, the correlations Table 5 Multivariate linear regression models: effects of milk consumption frequencies on ratios of urinary Ca/Cr and K/Cr Evaluation of children's milk consumption frequency I Huybrechts et al between UK/Cr and consumptions of fruit and vegetables were also investigated in the explorative analyses of the present study. However, in contrast to the study on Japanese adults, 24 no relationship was found between UK excretion and intakes of fruit and vegetables in the European children included in the IDEFICS study (data not shown). These findings are in line with recent data from Denmark in which no associations were found between UK excretion and intakes of fruit and vegetables.…”

Section: Discussioncontrasting

confidence: 78%

“…23 McKeown et al 23 reported higher correlations between dietary and UK for 7-day food diaries (r ¼ 0.51-0.55) than for the FFQ (r ¼ 0.32-0.34) among adults. In addition, some reports used UK excretions as a surrogate marker for estimating intakes of fruit and vegetables 24 and for poor diet quality 25 among Japanese adults. Therefore, the correlations Table 5 Multivariate linear regression models: effects of milk consumption frequencies on ratios of urinary Ca/Cr and K/Cr Evaluation of children's milk consumption frequency I Huybrechts et al between UK/Cr and consumptions of fruit and vegetables were also investigated in the explorative analyses of the present study.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children

et al. 2011

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Background: Measuring dietary intake in children is notoriously difficult. Therefore, it is crucial to evaluate the performance of dietary intake assessment methods in children. Given the important contribution of milk consumption to calcium (Ca) and potassium (K) intakes, urinary calcium (UCa) and potassium (UK) excretions in spot urine samples could be used for estimating correlations with milk consumption frequencies. Objective: The aim of this study was to evaluate the assessment of milk consumption frequencies derived from the Food Frequency Questionnaire section of the Children's Eating Habits Questionnaire (CEHQ-FFQ) used in the IDEFICS (Identification and prevention of dietary-and lifestyle induced health effects in children and infants) study by comparing with UCa and UK excretions in spot urine samples. Design: This study was conducted as a setting-based community-oriented intervention study and results from the first cross-sectional survey have been included in the analysis. Subjects: A total of 10 309 children aged 2-10 years from eight European countries are included in this analysis. Methods: UCa and UK excretions were measured in morning spot urine samples. Calcium and potassium urine concentrations were standardised for urinary creatinine (Cr) excretion. Ratios of UCa/Cr and UK/Cr were used for multivariate regression analyses after logarithmic transformation to obtain normal distributions of data. Milk consumption frequencies were obtained from the CEHQ-FFQ. Multivariate regression analyses were used to investigate the effect of milk consumption frequencies on UCa and UK concentrations, adjusting for age, gender, study centre, soft drink consumption and frequency of main meals consumed at home. Results: A significant positive correlation was found between milk consumption frequencies and ratios of UK/Cr and a weaker but still significant positive correlation with ratios of UCa/Cr, when using crude or partial Spearman's correlations. Multivariate regression analyses showed that milk consumption frequencies were predictive of UCa/Cr and UK/Cr ratios, when adjusted for age, gender, study centre, soft drink consumption and frequency of main meals consumed at home. Mean ratios of UK/Cr for increasing milk consumption frequency tertiles showed a progressive increase in UK/Cr. Children consuming at least two milk servings per day had significantly higher mean UCa/Cr and UK/Cr ratios than children who did not. Large differences in

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children

et al. 2011

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“…We analyzed baseline data from the high-risk and population strategy for occupational health promotion (HIPOP-OHP) study [18][19][20][21][22][23][24][25][26][27][28] . In brief, HIPOP-OHP was an interventional survey to establish a methodology for improving CVD risk factors at the workplace.…”

Section: Study Populationmentioning

confidence: 99%

Marital Status and Cardiovascular Risk Factors among Middle‐aged Japanese Male Workers: The High‐risk and Population Strategy for Occupational Health Promotion (HIPOP‐OHP) Study

Kamon

Okamura

Tanaka

et al. 2008

Journal of Occupational Health

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Marital status is related to cardiovascular disease (CVD) risk factors in Western countries. However, few studies have addressed the relationship between marital status and CVD risk factors in other populations. We investigated lifestyle and CVD risk factors relative to marital status among middle-aged Japanese men. We analyzed baseline data of 40-59-yr-old male workers who participated in the high-risk and population strategy for occupational health promotion (HIPOP-OHP) study. We compared lifestyle and CVD risk factors between men who were married (Group M; n=1,419, mean age 47.9 ± 5.1 yr) and those who had never married (Group N; n=163, mean age 46.7 ± 4.3 yr). Men in Group N were more likely to skip breakfast, work more shifts and exercise less. Current smoking rates, as well as average values of diastolic blood pressure (DBP), serum total cholesterol and fasting plasma glucose were also higher in Group N than in Group M. The proportion of participants with three or more CVD risk factors, namely smoking, hypertension, hypercholesterolemia and hyperglycemia was higher in Group N, than in Group M (12.9% vs. 5.0%, p<0.01). The difference between Groups M and N was more evident in the subgroup of living with others, than in the subgroup of living alone. Since men who have never married might be at higher risk for CVD, effort should be made to educate this population about decreasing lifestyle-related risk factors. (J Occup Health 2008; 50: 348-356)

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“…66 Interventions tailored to stage of change have been suggested for the DASH (Dietary Approaches to Stop Hypertension) diet for hypertension patients. 67 …”

Section: Effecting Changementioning

confidence: 99%

Pre-Eclampsia as a Marker of Cardiovascular Disease

Magee

Newstead

Ng³

et al. 2008

Fet. Matern. Med. Rev.

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INTRODUCTIONCardiovascular disease is the leading cause of death in women. 1 The hypertensive disorders of pregnancy (HDP) are the most common medical complication of pregnancy, complicating up to 10% of pregnancies worldwide. They represent a leading cause of maternal mortality and morbidity in pregnancy. The most common of these disorders is gestational hypertension (5-6%). Using population-based data, approximately 1% of pregnancies are complicated by pre-existing hypertension, 5-6% by gestational hypertension without proteinuria, and 1-2% by pre-eclampsia. 2 The HDP, and pre-eclampsia in particular, are associated with elevated cardiovascular risk. Pregnancy is a metabolic and vascular 'stress test' for women, and those who develop pre-eclampsia have revealed themselves to be at heightened cardiovascular risk. The association between pre-eclampsia and cardiovascular events has been consistent over time, in different settings, and for coronary and cerebrovascular outcomes. Pre-eclampsia increases both the absolute risk of these events, as well as the risk that these events will occur at a younger age. 3 There is a dose-response effect, in that severe pre-eclampsia (more severe hypertension or pre-eclampsia of earlier onset) or pre-eclampsia associated with additional placental complications (such as stillbirth or small for gestational age infants) is associated with higher risk of cardiovascular disease than is gestational (or "pregnancy induced", non-proteinuric) hypertension. 4 The magnitude of the risk in women with previous pre-eclampsia is similar to that of dysplipidaemia. 5 The link that underlies the association between pre-eclampsia and cardiovascular disease has been unclear. It has been thought most likely that pre-eclampsia and cardiovascular disease share a common pathogenesis rooted in shared risk "markers", and support for this is growing. 6 An alternative hypothesis is that pre-eclampsia through its endothelial damage may confer long-term vascular changes.Most women who develop pre-eclampsia return to a "normal" clinical state (from a cardiovascular point of view) in the weeks following pregnancy. Thereafter, LA Magee et al.it is unclear what to do with the knowledge that these women are at increased cardiovascular risk. Cardiovascular risk calculators are focused on short-term risk over the next decade, and even women with early, severe pre-eclampsia are still at relatively low cardiovascular risk (<10%) over the subsequent decade.This review will summarise the data associating pre-eclampsia with long-term cardiovascular risk. However, we will focus on the follow-on steps that lead from that association, namely what advice to offer clinicians and their patients about actions pertaining to cardiovascular risk marker screening and cardiovascular risk reduction.

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Applicability of the Stages of Change Model for Analyzing Fruit and Vegetable Intake in Relation to Urinary Potassium Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

Cited by 16 publications

References 31 publications

Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children

Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children

Marital Status and Cardiovascular Risk Factors among Middle‐aged Japanese Male Workers: The High‐risk and Population Strategy for Occupational Health Promotion (HIPOP‐OHP) Study

Pre-Eclampsia as a Marker of Cardiovascular Disease

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