Physical Activity and Diet Quality Modify the Association between Comorbidity and Disability among Stroke Patients

Nguyen, Lien T.; Binh, N.; Vu, Dinh N.; Pham, Khue M.; Vu, Manh-Tan; Nguyen, Hoang Cong; Tran, Tuan V.; Le, Hoang P.; Nguyen, Thao Thanh; Nguyen, Quan M.; Tran, Cuong Q.; Nguyen, Kien Trung; Yang, Shwu Huey; Chao, Jane C.-J.; Duong, Tuyen Van

doi:10.3390/nu13051641

Cited by 13 publications

(17 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The International Physical Activity Questionnaire Short Version (IPAQ-SF) was used to measure PA of college students in the past week [ 14 , 15 ]. PA level was divided into low physical activity (LPA = 3.3 metabolicequivalent [METs]), moderate physical activity (MPA = 4.0 METs) and above.…”

Section: Methodsmentioning

confidence: 99%

Interaction between physical activity and outdoor time on allostatic load in Chinese college students

Zhang

Xie

et al. 2022

BMC Public Health

View full text Add to dashboard Cite

Background Physical activity (PA) deficiency, outdoor time reduction during college have been associated with higher cumulative physiological burden as measured by allostatic load (AL). Therefore, the present research sought to analyze the independent and interaction effects of PA and outdoor time on AL in college students. Methods A cross-sectional survey was conducted in two universities from April to May 2019. Self-assessment questionnaire and International Physical Activity Questionnaire Short Version (IPAQ-SF) were used in the investigation, AL level was assessed according to the results of biochemical examination, blood pressure and human body morphological measurements. Binary Logistic Analysis was used to analyze the relationships between PA, outdoor time and AL. Results The prevalence of low PA, low outdoor time and high AL were 16.3%, 71.1% and 47.6%, respectively. Low PA (OR=1.83, 95%CI: 1.20~2.78) and low outdoor time (OR=1.90, 95%CI: 1.35~2.67) are independently associated with high AL (P<0.05, for each). Interaction analysis indicated that low PA and low outdoor time were interactively associated with high AL (OR=2.93, 95%CI: 1.73~4.94, P<0.05). Conclusions There were the significant independent and interaction effects between PA and outdoor time on AL. In the future, college students’ physical education can be arranged reasonably to reduce the health risks.

show abstract

Section: Methodsmentioning

confidence: 99%

Interaction between physical activity and outdoor time on allostatic load in Chinese college students

Zhang

Xie

et al. 2022

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Patients were asked to provide information about their time spent in sitting, walking, moderate and vigorous physical activities during the last seven days. The IPAQ was used in the Vietnamese population [46,47]. The overall PA score was calculated by multiplying minutes spent on activities at different levels including sitting, walking, moderate and vigorous activity, by 1.0, 3.3, 4.0, and 8.0, respectively [45,47].…”

Section: Covariatesmentioning

confidence: 99%

“…The IPAQ was used in the Vietnamese population [46,47]. The overall PA score was calculated by multiplying minutes spent on activities at different levels including sitting, walking, moderate and vigorous activity, by 1.0, 3.3, 4.0, and 8.0, respectively [45,47]. The metabolic equivalent task scored in minutes per week (MET-min/wk) was used as the measuring unit of PA [48].…”

Section: Covariatesmentioning

confidence: 99%

The Associations of Suspected COVID-19 Symptoms with Anxiety and Depression as Modified by Hemodialysis Dietary Knowledge: A Multi-Dialysis Center Study

et al. 2022

Self Cite

View full text Add to dashboard Cite

During the COVID-19 pandemic, it is essential to evaluate hemodialysis patients’ dietary knowledge, especially among those with COVID-19 related symptoms, in order to identify appropriate strategies in managing their mental health. The study’s purposes were to test the psychometric properties of the hemodialysis dietary knowledge (HDK) scale, and to investigate the modifying impact of HDK on the associations of suspected COVID-19 symptoms (S-COVID-19-S) with anxiety and depression among hemodialysis patients. A cross-sectional study was conducted from July 2020 to March 2021 at eight hospitals across Vietnam. Data of 875 hemodialysis patients were analyzed, including socio-demographic, anxiety (the generalized anxiety disorder scale, GAD-7), depression (the patient health questionnaire, PHQ-9), S-COVID-19-S, HDK, health literacy, and digital healthy diet literacy. Confirmatory factor analysis (CFA) and logistic regression models were used to analyze the data. The HDK scale demonstrates the satisfactory construct validity with good model fit (Goodness of Fit Index, GFI = 0.96; Adjusted Goodness of Fit Index, AGFI = 0.90; Standardized Root Mean Square Residual, SRMR = 0.05; Root Mean Square Error of Approximation, RMSEA = 0.09; Normed Fit Index, NFI = 0.96; Comparative Fit Index, CFI = 0.96, and Parsimony goodness of Fit Index, PGFI = 0.43), criterion validity (as correlated with HL (r = 0.22, p < 0.01) and DDL (r = 0.19, p < 0.01), and reliability (Cronbach alpha = 0.70)). In the multivariate analysis, S-COVID-19-S was associated with a higher likelihood of anxiety (odds ratio, OR, 20.76; 95% confidence interval, 95%CI, 8.85, 48.70; p < 0.001) and depression (OR, 12.95; 95%CI, 6.67, 25.14, p < 0.001). A higher HDK score was associated with a lower likelihood of anxiety (OR, 0.70; 95%CI, 0.64, 0.77; p < 0.001) and depression (OR, 0.72; 95%CI, 0.66, 0.79; p < 0.001). In the interaction analysis, the negative impacts of S-COVID-19-S on anxiety and depression were mitigated by higher HDK scores (p < 0.001). In conclusion, HDK is a valid and reliable tool to measure dietary knowledge in hemodialysis patients. Higher HDK scores potentially protect patients with S-COVID-19-S from anxiety and depression during the pandemic.

show abstract

“…In the Vietnamese context, the item "drink milk (in a glass, with cereal, or in coffee, tea, or cocoa)" was excluded from the survey. The DASH-Q questionnaire with ten items was validated and used in Vietnam (25). The sum score was ranked between 0 and 70, with higher DASH-Q scores reflecting a better diet quality.…”

Section: Assessment Of Diet Qualitymentioning

confidence: 99%

Negative Impact of Comorbidity on Health-Related Quality of Life Among Patients With Stroke as Modified by Good Diet Quality

Pham

Luong

et al. 2022

Front. Med.

Self Cite

View full text Add to dashboard Cite

BackgroundComorbidity, along with aging, affects stroke-induced health-related quality of life (HRQoL). We examined the potential role of diet quality in modifying the association between comorbidity and HRQoL in patients with stroke.MethodsA cross-sectional study was conducted on 951 patients with stroke from December 2019 to December 2020 across Vietnam. Comorbidity was assessed using the Charlson Comorbidity Index (CCI) items and classified into two groups (none vs. one or more). Diet quality was evaluated using the Dietary Approaches to Stop Hypertension Quality (DASH-Q) questionnaire, and HRQoL was measured using the RAND-36, with a higher score indicating better diet quality or HRQoL, respectively. Besides, socio-demographics, health-related behaviors (e.g., physical activity, smoking, and drinking), disability (using WHODAS 2.0), and health literacy were also assessed. Linear regression analysis was utilized to explore the associations and interactions.ResultsThe proportion of patients with stroke aged ≥65 years and having comorbidity were 53.7 and 49.9%, respectively. The HRQoL scores were 44.4 ± 17.4. The diet quality was associated with higher HRQoL score (regression coefficient, B, 0.14; (95% confidence interval, 95% CI, 0.04, 0.23; p = 0.004), whereas comorbidity was associated with lower HRQoL score (B, −7.36; 95% CI, −9.50, −5.23; p < 0.001). In interaction analysis, compared to patients without comorbidity and having the lowest DASH-Q score, those with comorbidity and higher DASH-Q score had a higher HRQoL score (B, 0.21; 95% CI, 0.03, 0.39; p = 0.021).ConclusionThe findings showed that good diet quality could modify the adverse impact of comorbidity on HRQoL in patients with stroke. Diet quality should be considered as a strategic intervention to improve the HRQoL of patients with stroke, especially those with comorbidity, and to promote healthier aging.

show abstract

Physical Activity and Diet Quality Modify the Association between Comorbidity and Disability among Stroke Patients

Cited by 13 publications

References 68 publications

Interaction between physical activity and outdoor time on allostatic load in Chinese college students

Interaction between physical activity and outdoor time on allostatic load in Chinese college students

The Associations of Suspected COVID-19 Symptoms with Anxiety and Depression as Modified by Hemodialysis Dietary Knowledge: A Multi-Dialysis Center Study

Negative Impact of Comorbidity on Health-Related Quality of Life Among Patients With Stroke as Modified by Good Diet Quality

Contact Info

Product

Resources

About