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Active commuting from youth to adulthood and as a predictor of physical activity in early midlife: The Young Finns Study
2014
Abstract Objective The aims of the study were to describe the stability of active commuting (AC) behavior (i.e., walking and cycling) over 27 years and examine the relationship between AC and physical activity (PA) from youth to early midlife. Methods The mode and distance of travel were assessed using a self-reported questionnaire at five consecutive measurements between 1980 and 2007, when 2072 individuals were followed up from youth (9–18 years) to adulthood (30–45 years). PA was also measured using a questionnaire. Results The prevalence of AC declined sharply with age, particularly after 12 years, while AC distances to work or place of study increased substantially. AC was concurrently…
The evolution of educational inequalities in smoking: a changing relationship and a cross-over effect among German birth cohorts of 1921-70
2006
Aims To investigate the evolution of the relationship between education and smoking behaviour (ever-smoking and age of initiation) among German birth cohorts of 1921–70. Participants A total of 5297 respondents to the German Federal Health Survey of 1998 were divided into 10-year sex–birth–education cohorts. Measurements Self-reported smoking histories (ever-smoking and the age of starting smoking). Findings There was an inversion of the educational gradient around the birth cohorts of 1931–40 for men and 1941–50 for women. For men, the educational cross-over in smoking was due to a stronger decrease of the ever-smoking prevalence of the highly educated compared to the least educated. …
Physical Fitness Profiles of Young Men
2010
Obesity in youth has increased during the last 10 years in Western countries. Several studies have investigated physical activity and its effects on obesity and health, showing that regular physical activity combined with improved physical fitness reduces the risk of obesity and several metabolic problems (e.g. diabetes mellitus, metabolic syndrome, heart disease) and also improves overall health. However, there is only limited scientific information available concerning the changes in the physical fitness profiles of youth. It is obvious that only slight changes observed in endurance-type physical activity can also be observed in aerobic capacity. Today and in the future, a major public he…
Impaired Health-Related Quality of Life in Inflammatory Bowel Diseases Psychosocial Impact and Coping Styles in a National German Sample
2001
The purpose of this study is to give a detailed survey of the disease-specific and generic quality of life (HRQOL) of adult patients suffering from inflammatory bowel disease (IBD) in Germany.1322 patients suffering from IBD were examined in a cross-sectional study. A questionnaire assessing disease-specific and generic quality of life, coping, and hopelessness was sent to members of the German Crohn/Colitis association.Compared to the general population, the generic HRQOL in IBD patients is significantly reduced. Active coping has a negative influence on patients' generic physical HRQOL during an active phase (beta = -0.31), while this association is not present in the case of patients in …
Psychological distress and psychiatric disorders in primary health care patients in East and West Germany 1 year after the fall of the Berlin Wall
1999
The reunification of Germany confronted citizens in East and West Germany with many changes in their lives. These changes may be considered as critical life events. Especially for those in East Germany, life circumstances drastically changed, and individuals were increasingly required to adopt and develop coping capabilities. In addition to new opportunities and freedom, there was threatening uncertainty about the future. Theories of life events and stress postulate that threat events have an impact on human well-being. It was expected that there would be an increased rate of psychiatric morbidity after unification, especially in the eastern part of Germany.An international study by the WHO…
Transtheoretical model-based dietary interventions in primary care: a review of the evidence in diabetes
2008
The objective of this study was to review the evidence concerning stage-based dietary interventions in primary care among persons with diabetes or an elevated diabetes risk. Search strategies were electronic databases and manual search. Selection criteria were randomized controlled studies with stage-based dietary intervention, conducted in primary care with at least 6 months of follow-up, and participants with either type 2 diabetes or with an elevated risk. The researchers evaluated trials for inclusion, extracted data and assessed study quality. Seven articles, based on five data sets, were included. These studies concentrated on cardiovascular diseases and being overweight, not diabetes…
Type of retirement as a determinant of pre- and post-retirement hospital in-patient care use: a prospective study
2014
Background We examined prospectively the use of all-cause hospital in-patient care among public sector employees by using a 3-year pre- and post-retirement study window. Methods A total of 5269 participants of the Finnish Longitudinal Study of Municipal Employees had retired during January 1984 and July 2000. They had register-based data on retirement (non-disability retirement n = 3411, men 40%, and diagnose-specific disability retirement n = 1858, men 50%) and all-cause hospital in-patient admissions and discharges. Analyses were conducted using Generalized Estimating Equation model. Results The prevalence of hospital care use for non-disability retirees remained stable during the 6-year …
Fatigue in relation to perceived health: people with multiple sclerosis compared with people in the general population
2008
Fatigue is not only a complex phenomenon accompanying different illness conditions but is also a common complaint among individuals in the general population. Among individuals diagnosed with the chronic neurological disease multiple sclerosis (MS), one-third describe fatigue as the very first symptom, however it is invisible to others. When adopting an action-theoretic approach to health, fatigue may be considered to influence the individual's goals of life and subjectively perceived health. The aim of this study was to describe perceived fatigue in relation to perceived health among working-aged individuals diagnosed with MS (n = 155), and in a comparative group of individuals randomly se…
Effectiveness of Occupational Injury Prevention Policies in Spain
2009
Objective. We examined the effectiveness of preventive interventions against occupational injuries (preferential action plans [PAPs]) developed by Spanish regional governments starting in 2000. Methods. We included 3,252,028 occupational injuries with sick leave due to mechanical causes occurring between 1994 and 2004 in manufacturing and private service companies. Time trends for occupational injury rates were estimated before and after implementation of PAPs in each region, with a control group defined for those regions in which no PAPs were implemented (e.g., Galicia, Madrid, and Cataluña). We determined annual change percentages and their 95% confidence intervals (CIs) through a negativ…
Decline of physical activity from youth to young adulthood in Finland
2000
TELAMA, R., and X. YANG. Decline of physical activity from youth to young adulthood in Finland. Med. Sci. Sports Exerc., Vol. 32, No. 9, pp. 1617‐1622, 2000. Purpose: As a part of a nation-level research program, Cardiovascular Risk in Young Finns, the aim of this study was to analyze age-related decline of physical activity among Finnish young people. Methods: The number of subjects at the beginning of the study in 1980 was 2309, representing both genders and ages 9, 12, 15, and 18. The follow-up measurements were repeated in 1983, 1986, and 1989. Thus, the data cover ages from 9 to 27. To measure physical activity, a short self-report questionnaire was administrated in connection with med…