Association of betel nut chewing with exercise performance in a military male cohort: the CHIEF study

Tsai, Kun‐Zhe; Jw, Lin; Lin, Fang; Su, Fang-Ying; Yh, Li; Yp, Lin; Yao, Lin; Cl, Han; Cb, Hsieh; Lin, Gen‐Min

doi:10.1136/jramc-2017-000899

Cited by 26 publications

(17 citation statements)

References 32 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, both short-duration sleep (≤5 h/day) and long-duration sleep (≥8 h/day) were associated with older adult BMI. This finding is consistent with a previous study that identified an association between sleep duration and BMI [18]. This reveals that older adults, especially women, who sleep less than 5 h or more than 8 h a day may have an increased risk of obesity [25].…”

Section: Discussionsupporting

confidence: 93%

“…A face-to-face interview and physical examination were completed by a well-trained research assistant and nurses. The data from the questionnaire included demographic characteristics (i.e., age, sex, education, and monthly income), life habits (i.e., smoking, betel nut chewing (seed of areca palm, grows in the tropical Pacific and parts of east Africa, causes increased risk of diseases, and possibly impairs physical fitness [18]), and dieting), and health status. All data were recorded.…”

Section: Data Collectionmentioning

confidence: 99%

See 1 more Smart Citation

Cross-Sectional Associations of Physical Fitness Performance Level and Sleep Duration among Older Adults: Results from the National Physical Fitness Survey in Taiwan

Lee

Yeh

et al. 2020

IJERPH

View full text Add to dashboard Cite

Research on relationships between physical fitness and sleep duration among older adults is scarce, especially in Taiwanese representative samples of elderly people who undergo physical fitness measurements. This study aimed to determine the associations between physical fitness and short and long sleep durations among older adults in Taiwan. We conducted a cross-sectional study and reviewed data derived from the National Physical Fitness Survey in Taiwan. A total of 24,125 Taiwanese adults aged 65 years and older participated in this study between October 2014 and March 2015. Each individual’s sleep duration was recorded with a standard questionnaire method. Sleep duration data were stratified into short (≤5 h), normal (6–7 h), and long (≥8 h) sleep duration groups. Physical fitness was assessed by five components: aerobic endurance (2 min step test), muscle strength and endurance (30 s arm curl and 30 s chair stand tests), flexibility (back scratch and chair sit-and-reach tests), body composition (body mass index (BMI) and waist-to-hip ratio (WHR)), and balance (one-leg stance with eye open and 8-foot up-and-go tests). To understand whether a dose–response relationship exists between physical fitness and short or long sleep duration, we analyzed four levels of performance on the basis of quartiles of physical fitness measurements by using logistic regression. The first quartile of physical fitness performance was the baseline level. The odds ratio (OR) for short sleep duration for the third quartile of BMI was 0.8031 times (95% CI, 0.7119–0.9061) lower than the baseline. For the fourth quartile of BMI, the OR was 0.8660 times (95% CI, 0.7653–0.9800) lower than the baseline. The adjusted OR for long sleep duration significantly decreased in the second, third, and fourth quartiles of the 30 s chair stand, back scratch, chair sit-and-reach test, one-leg stance with one eye open, and BMI. The adjusted OR was increased in the third and fourth quartiles of the 8-foot up-and-go and WHR. The results of the current study suggest that physical fitness performance may influence sleep duration as an associated factor, and the relationship is much stronger for long sleep duration than for short sleep duration.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Data Collectionmentioning

confidence: 99%

Cross-Sectional Associations of Physical Fitness Performance Level and Sleep Duration among Older Adults: Results from the National Physical Fitness Survey in Taiwan

Lee

Yeh

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Blood biochemical tests for concentrations of triglycerides, total cholesterol, high-density lipoprotein, fasting glucose, and AST and ALT were enzymatically measured on an auto analyzer (AU640, Olympus, Kobe, Japan). All blood samples were collected by several experienced technicians at the same blood drawing station after an overnight 12-h fast for the participants [ 25 , 26 , 27 , 28 , 29 , 30 ].…”

Section: Methodsmentioning

confidence: 99%

Association of Liver Transaminase Levels and Long-Term Blood Pressure Variability in Military Young Males: The CHIEF Study

Liu

Lin

Chen

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: An inverse relationship of serum liver transaminases and mortality might be due to better blood pressure control in hypertensive patients. Whether it holds true regarding such an association for long-term blood pressure variability (BPV) in those without antihypertensive therapy is unclear. Methods: A population of 1112 military males without antihypertensive medications, aged 32 years, was collected from a retrospective longitudinal study in Taiwan. Serum liver aspartate and alanine transaminase (AST and ALT) levels were obtained from a 12 h-fast blood sample of each participant. BPV was assessed by standard deviation (SD) and average real variability (ARV) of systolic and diastolic blood pressure (SBP and DBP), respectively across 4 visits during the study period (2012–2014, 2014–2015, 2015–2016, and 2016–2018). Multivariable linear regression analysis was utilized to determine the association adjusting for demographics, anthropometric indexes, SBP, DBP, and lipid profiles. Results: In the unadjusted model, ALT was significantly and positively correlated with SDDBP and ARVDBP (β (standard errors) = 0.36 (0.16) and 0.24 (0.12), respectively), and so was AST (β = 0.19 (0.08) and 0.14 (0.06), respectively). All the associations were insignificant with adjustments. However, ALT was significantly and negatively correlated with SDSBP and ARVSBP (β = −0.35 (0.14) and −0.25 (0.11), respectively) and so was AST (β = −0.14 (0.07) and −0.12 (0.06), respectively) with adjustments. Conclusion: Our findings suggested that serum liver transaminases were negatively correlated with long-term systolic BPV in young male adults without antihypertensive therapy, and the clinical relevance needs further investigations.

show abstract

“…After the health examination, all participants took at least one of the three exercise tests including 2-min sit-ups, 2-mininute push-ups, and a 3000-m run at the Hualien Military Physical Training and Testing Center. The study design of CHIEF study has been described in detail previously [19,[21][22][23][24][25]. In 2014, there were 4080 participants receiving the health examination and exercise tests in the study.…”

Section: Study Populationmentioning

confidence: 99%

Association of Single Measurement of dipstick proteinuria with physical performance of military males: the CHIEF study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Proteinuria, a marker of kidney injury, may be related to skeletal muscle loss. Whether the severity of proteinuria is associated with physical performance is unclear. Methods: We examined the association of proteinuria severity with physical performance cross-sectionally in 3357 military young males, free of chronic kidney disease, from the cardiorespiratory fitness and hospitalization events in armed Forces (CHIEF) study in Taiwan. The grades of proteinuria were classified according to one dipstick urinalysis which were collected at morning after an 8-h fast as unremarkable (0, +/−, and 1+), moderate (2+) and severe (3+ and 4+). Aerobic physical performance was evaluated by time for a 3000-m run and anaerobic physical performance was evaluated by numbers of 2-min sit-ups and 2-min push-ups, separately. Multiple linear regressions were used to determine the relationship. Results: As compared with unremarkable proteinuria, moderate and severe proteinuria were dose-dependently correlated with 3000-m running time (β: 4.74 (95% confidence intervals (CI): − 0.55, 10.02) and 7.63 (95% CI: 3.21, 12.05), respectively), and inversely with numbers of 2-min push-ups (β = − 1.13 (− 1.97, − 0.29), and − 1.00 (− 1.71, − 0.28), respectively) with adjustments for age, service specialty, body mass index, blood pressure, alcohol intake, smoking, fasting plasma glucose, blood urea nitrogen, serum creatinine and physical activity. However, there was no association between proteinuria severity and 2-min sit-ups. Conclusions: Our findings show a relationship of dipstick proteinuria with aerobic physical performance and parts of anaerobic physical performance in military healthy males. This mechanism is not fully understood and requires further investigations.

show abstract

Association of betel nut chewing with exercise performance in a military male cohort: the CHIEF study

Abstract: Our findings suggest that the impairment of physical fitness associated with betel nut chewing of military young men might be mainly mediated or moderated by the coexisted cigarette smoking.

Cited by 26 publications

References 32 publications

Cross-Sectional Associations of Physical Fitness Performance Level and Sleep Duration among Older Adults: Results from the National Physical Fitness Survey in Taiwan

Cross-Sectional Associations of Physical Fitness Performance Level and Sleep Duration among Older Adults: Results from the National Physical Fitness Survey in Taiwan

Association of Liver Transaminase Levels and Long-Term Blood Pressure Variability in Military Young Males: The CHIEF Study

Association of Single Measurement of dipstick proteinuria with physical performance of military males: the CHIEF study

Contact Info

Product

Resources

About