Trends in adverse pregnancy outcomes in Louisiana, 2017 to 2022

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Март 21, 2025

Natural disasters can lead to more adverse pregnancy outcomes (APO). It is unclear if the extended COVID-19 pandemic has impacted APOs and pre-existing conditions among perinatal populations with increased risk of severe maternal morbidity mortality. A retrospective chart review was conducted hospital records birth certificates in largest Louisiana from 2017 2022. Amongst 27,877 births (50.9% White, 38.3% Black, 28.9 ± 5.6 years), gestational diabetes (GDM) lowest pre-pandemic conceptions (11.0%, June 2017-May 2019) rose 16.4% early (October 2019-February 2020) but leveled off at 12.2% peak (March 2020-February 2021) late 2021-September 2021). Individuals who conceived were 47% (95% CI 33, 63) 11% 2, 20) likely develop GDM respectively, compared conceptions. delivered during (aRR: 1.54, 95% 1.33–1.78), 1.48, 1.32–1.65), 1.62, 1.41, 1.85) preeclampsia HELLP syndrome also 17% 5, 32) enter chronic hypertension pre-pandemic. In paired analysis (n = 3390), individuals a conception that occurred had higher developing their (aOR 3.26, 1.52, 6.97). Supporting birthing amongst significant stressful events, especially gestation, critical for preventing

Язык: Английский

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Impact of Lifestyle Changes on Body Weight Gain During Nationwide Lockdown Due to COVID-19 Pandemic

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(7), С. 2242 - 2242

Опубликована: Март 25, 2025

Background: During the coronavirus disease 2019 (COVID-19) pandemic, people in Japan were urged to stay at home as much possible, and this resulted significant changes lifestyle behavior. The new included factors affecting both energy intake consumption, it is now thought that weight gain during lockdown was result of complex effects. aim study determine relationships among habits, laboratory data, body using medical check-up data. Methods: A total 3789 individuals who had undergone consecutive check-ups period from 2018 2020 study. Participants whose increased by 5% or more divided into two groups: a before-lockdown group (participants gained between 2019) an after-lockdown 2020). Physical measurements, answers six questions about for which information obtained records check-ups, compared groups. Results: There no difference distribution 2018-2019 before 2019-2020 after lockdown. groups 7% participants (279 273 participants, respectively). Diastolic blood pressure levels AST, ALT, LDL-C significantly higher than group. percentages with alcohol consumption exercise habits group, analysis gender showed differences women but not men. Conclusions: distributions COVID-19 pandemic similar. Exercise might have been unique causing particularly women. Our findings suggest impact behavioral restrictions may be different men

Язык: Английский

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Chronic high-intensity interval training and moderate-intensity continuous training are both effective in increasing maximum fat oxidation during exercise in overweight and obese adults: A meta-analysis

Journal of Exercise Science & Fitness, Год журнала: 2023, Номер 21(4), С. 354 - 365

Опубликована: Сен. 1, 2023

to (1) systematically review the chronic effect of high-intensity interval training (HIIT) and moderate-intensity continuous (MICT) on maximal fat oxidation (MFO) in overweight obese adults, (2) explore MFO influencing factors its dose-response relationships with HIIT MICT.Studies using a between-group design involving adults assessing MICT were included. A meta-analysis indices was conducted, observed heterogeneities explored through subgroup, regression, sensitivity analyses.Thirteen studies moderate high quality total 519 subjects included this (HIIT, n = 136; MICT, 235; Control, 148). displayed statistically significant favorable compared no-training (MD 0.07; 95%CI [0.03 0.11]; I2 0%). Likewise, 0.10; [0.06 0.15]; 95%). Subgroup regression analyses revealed that exercise intensity (Fatmax vs. non-Fatmax; %VO2peak), mode, BMI, VO2peak all significantly moderated MFO. When analyzing have directly MCIT people, it seems there is no difference change 0.01; [-0.02 0.04]; 64%). No publication bias found any above meta-analyses (Egger's test p > 0.05 for all).Both are effective improving they similar effects. an 65-70% VO2peak, performed 3 times per week 60 min session, will optimize increases adults. Given lack examining great diversity protocols existing studies, we unable make sound recommendations training.

Язык: Английский

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Pediatric COVID-19 and Diabetes: An Investigation into the Intersection of Two Pandemics

Diagnostics, Год журнала: 2023, Номер 13(14), С. 2436 - 2436

Опубликована: Июль 21, 2023

Coronavirus disease 2019 (COVID-19) is a complex infectious caused by the SARS-CoV-2 virus, and it currently represents worldwide public health emergency. The pediatric population less prone to develop severe COVID-19 infection, but children presenting underlying medical conditions, such as diabetes mellitus, are thought be at increased risk of developing more forms COVID-19. Diabetic face new challenges when infected with SARS-CoV-2. On one hand, glycemic values become substantially difficult manage predisposing factor for hyperglycemia. other alongside factors, high incriminated in modulating immune inflammatory responses, leading potentially cases population. Also, there hypotheses being diabetogenic itself, this information still confirmed. Furthermore, reported that was noticeable increase number new-onset type 2 among population, complications these patients include autoimmune diseases under influence stress. Additionally, mellitus confronted lifestyle changes dictated pandemic, which can lead onset or exacerbation potential anxiety disorder depression. Since literature contains series unknowns related impact both types children, purpose our work bring together data obtained so far identify knowledge gaps areas future investigation regarding 1

Язык: Английский

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The Impact of Obesity on the Host–Pathogen Interaction with Influenza Viruses – Novel Insights: Narrative Review

Diabetes Metabolic Syndrome and Obesity, Год журнала: 2024, Номер Volume 17, С. 769 - 777

Опубликована: Фев. 1, 2024

Abstract: After exposure to a viral pathogen, the host–pathogen interaction is essential determine whether or not infection will ensue, and what clinical outline of be. Recent research has shown that patient with obesity presents set particular pathophysiological changes lead higher severity infections, this particularly true for influenza viruses. Herein, we describe main metabolic, endocrine, immune dysregulations occur in presence their impact on driving intra-host diversity, leading heightened virulence influenza. We show linked modified responses both innate adaptive systems during including Due chronic inflammation signaling pathway disruptions, individuals have suboptimal response. This results longer illness duration, increased virus shedding, risk hospitalization complications, greater mortality rates. Additionally, they may blunted response vaccination likelihood genetic mutation selection. Understanding intricate interplay between pathogenesis crucial developing efficacious therapeutic approaches public health policies, light escalating worldwide incidence obesity. Keywords: influenza, obesity, severity, metabolic syndrome,

Язык: Английский

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Association Between Visceral Obesity Index and Diabetes: A Systematic Review and Meta-analysis

The Journal of Clinical Endocrinology & Metabolism, Год журнала: 2024, Номер 109(10), С. 2692 - 2707

Опубликована: Май 6, 2024

Abstract Content The correlation between visceral obesity index (VAI) and diabetes accuracy of early prediction are still controversial. Objective This study aims to review the relationship high level VAI predictive value diabetes. Data Sources databases PubMed, Cochrane, Embase, Web Science were searched until October 17, 2023. Study Selection After adjusting for confounding factors, original on association was analyzed. Extraction We extracted odds ratio (OR) management after controlling mixed sensitivity, specificity, diagnostic 4-grid table Synthesis Fifty-three studies comprising 595 946 participants included. findings meta-analysis elucidated that in cohort studies, a significantly increased risk mellitus males (OR = 2.83 [95% CI, 2.30-3.49]) females 3.32 2.48-4.45]). receiver operating characteristic, specificity 0.64 (95% .62–.66), 0.57 .53–.61), 0.65 .61–.69), respectively, 0.67 .65–.69), 0.66 .60–.71), 0.61 .57–.66) females, respectively. Conclusion is an independent predictor diabetes, yet its remains limited. In future determine whether can be used conjunction with other related indicators predict enhance

Язык: Английский

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Impact of COVID-19 Diagnosis on Weight Trajectories of Children in the US National COVID Cohort Collaborative

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Янв. 5, 2025

Abstract Background The COVID-19 pandemic has exacerbated the obesity epidemic, with both adults and children demonstrating rapid weight gain during pandemic. However, impact of having a diagnosis on this trend is not known. Methods Using longitudinal data from January 2019 to June 2023 collected by US National Institute for Health’s COVID Cohort Collaborative (N3C), (age 2–18 years) positive test results (n=11,474, 53% male, mean [SD] age 5.57 [±3.29] years, 54% white, 5.2 [±2.9] BMI observations per participants) were matched negative identical demographic characteristics similar observation window. We compared percentile trajectories between cohorts, further evaluation performed patients stratified hospitalization status. Results had greater increase in %BMI p95 than (average 2.34 (±7.73) 1.46 (±6.09), p<0.0005). gained more after their before. Non-hospitalized hospitalized 2.38 (±7.65)) 1.87 (±8.54)). Mixed effect regression analyses demonstrated that these associations remained even adjusting time, demographics, baseline . Conclusions Having was associated gain, especially early Future research should explore reasons association implications future health emergencies. Authors’ Contributions M.M.M. drafted initial manuscript assisted curation, formal analysis, methodology, visualization. T.T.P. study design, interpretation results, funding acquisition, drafting editing. C.T.B. C.G.C analysis results. L.A.P. R.B. supervised resources, All authors conceptualization approved it publication. Author Disclosure Statement declare no conflicts interest. Impact This investigating shows led significant among aged 6-11, boys gaining girls. COVID-19-positive found be at risk weight. Declarations described publication conducted or tools accessed through NCATS N3C Data Enclave https://covid.cd2h.org Attribution & Publication Policy v 1.2-2020-08-25b supported U24 TR002306, Axle Informatics Subcontract: NCATS-P00438-B, [DUR RP-0BDD0E] NIH awards, P20GM103446 U54-GM104941. possible because whose information included within organizations ( https://ncats.nih.gov/n3c/resources/data-contribution/data-transfer-agreement-signatories ) scientists who have contributed ongoing development community resource [ https://doi.org/10.1093/jamia/ocaa196 ]

Язык: Английский

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The Impact of the COVID-19 Pandemic in the Interrelationships Among Mental Health, Nutritional Status and Lifestyle Factors of Older Adults: A Cross-Sectional Study in the Pre- and Post-Covid Periods

Nutrients, Год журнала: 2025, Номер 17(2), С. 249 - 249

Опубликована: Янв. 10, 2025

The COVID-19 pandemic has led to detrimental effects on diverse aspects of the mental and physical health general population worldwide. elderly are more susceptible infection compared younger age groups. In this aspect, purpose current survey is evaluate effect interrelationships among sociodemographic anthropometric characteristics, depressive behavior, quality life, cognition status, activity nutritional status older adults. present study constitutes a comparative, cross-sectional 4162 adults (mean ± standard deviation: 72.13 8.1 years 75.22 8.2 in pre- post-COVID-19 periods, respectively, male/female ratio almost 1:1). We used validated questionnaires assess depression, function, pre-Covid post-Covid periods. Relevant were also for collecting data, while data measured using protocols. finds that influenced, an independent manner, residence location, smoking overweight/obesity abdominal obesity, levels elderly. was related employment living as well family economic status. Nevertheless, above three relationships insignificant multivariate analysis. exerted deleterious several elderly, which appeared strongly persist period. Future prospective population-based well-organized surveys should be conducted establish whether there causality long-term

Язык: Английский

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Nutritional Status of 8,128,014 Chilean and Immigrant Children and Adolescents Evaluated by the National Board of School Aid and Scholarships (JUNAEB) Between 2013 and 2023

Nutrients, Год журнала: 2025, Номер 17(2), С. 327 - 327

Опубликована: Янв. 17, 2025

Nutritional issues, including overweight and obesity, along with the rising number of immigrants facing their own nutritional problems, continue to keep Chile on alert. To evaluate epidemiological status changes among Chilean immigrant boys, girls, adolescents (BGA) in schools evaluated by National Board School Aid Scholarships (JUNAEB) from 2013 2023. This descriptive study analyzed individual, anonymous, de-identified data BGA pre-kindergarten, kindergarten, first grade, fifth year high school using JUNAEB Map. The sample consisted 8,128,014 BGA, 49.2% women 50.8% men. In 2013, represented 0.4% total children evaluated, 2023, this percentage increased 7.9%. It was observed that had a lower proportion thinness, risk stunting, normal weight, but higher overnutrition compared immigrants, similar observations made during COVID-19 pandemic. Comparisons sex showed severe weight when rise within system, together differences between both groups, highlights need consider these particularities designing public policies health education sectors.

Язык: Английский

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Factors associated with individual-level changes in BMI as a result of COVID-19 in the general- and migrant-origin populations in Finland

Global Health Promotion, Год журнала: 2025, Номер unknown

Опубликована: Янв. 20, 2025

Aims There is limited information on changes in body mass index (BMI) due to the COVID-19 pandemic among persons of migrant origin. The aim present study was examine factors associated with BMI general- and migrant-origin populations Finland. Methods Longitudinal data explore individual-level self-reported ( N = 3313) were obtained from FinMonik Survey conducted 2018 MigCOVID 2020–2021. Data for general population reference group FinHealth 2017 Study 2017–2018 its follow-up 2020 2982). Logistic regression applied whether age, sex, education, economic activity, length residence Finland, language skills, smoking, alcohol usage, sleep, physical snacking, fruit vegetable consumption an increase or decrease BMI. A change defined as a 5% greater decrease. Results Twenty-seven per cent experienced BMI, while 14% had These results corresponded figures observed Finland (27% 14%). Persons origin who other than students employed faced odds at least (OR 1.71). In population, occurring women 1.61), those 1.68), increased their intake 1.64), snacking 1.40) decreased 1.85). Conclusions Most examined differently by group. differences must be considered when planning future public health promotion efforts, particularly during crisis situations.

Язык: Английский

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