Educational quality may be a closer correlate of cardiometabolic health than educational attainment

Cundiff, Jenny M.; Lin, Shayne S.-H.; Faulk, Robert; McDonough, Ian M.

doi:10.1038/s41598-022-22666-3

Cited by 3 publications

(2 citation statements)

References 64 publications

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“…Beyond the level of education measured in the number of years of schooling, another equally important aspect is the quality of education, which can influence the state of health. Higher levels of health literacy correlate with a better understanding of health services, healthcare strategies, and healthier behaviors [ 57 ]. This last aspect is essential in creating short- and long-term strategies for preventing cardiometabolic diseases.…”

Section: Resultsmentioning

confidence: 99%

Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People

et al. 2023

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The cardiometabolic health of the population is a crucial indicator of public health, considering the significant impact of cardiovascular disease (CVD) and diabetes on global mortality. Determining the population’s knowledge and the predictors of these pathologies is essential in developing effective educational and clinical strategies for the prevention and management of cardiometabolic risk (CMR). Polyphenols are natural compounds with a multitude of beneficial effects on cardiometabolic health. This study explored the current knowledge, understanding, and awareness of CMR, the benefits of polyphenols among Romanians, and how sociodemographic and clinical characteristics influence this aspect. Five hundred forty-six subjects responded anonymously to an online questionnaire designed to assess their knowledge. The data were collected and analyzed based on gender, age, education level, and BMI status. Most respondents expressed concern to a great or very great extent about their health (78%) and food (60%), with significant differences (p < 0.05) depending on age, educational level, and BMI status. Of the respondents, 64.8% declared that they were familiar with the CMR term. Still, the results showed a weak correlation between the stated risk factors and the self-assessment of increased risk (r = 0.027) for CVD or diabetes. Only 35% of the respondents reported a good or very good knowledge of the term “polyphenols”, 86% recognized the antioxidant effect, and significantly fewer (26%) recognized the prebiotic effect. Developing and implementing targeted educational strategies to enhance learning and individual behaviors related to CMR factors and the benefits of polyphenols is necessary.

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Section: Resultsmentioning

confidence: 99%

Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People

et al. 2023

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“…Both maternal and paternal education were associated with cardiometabolic outcomes, especially hypertension. In particular, evidence suggests that educational status might affect the development of adverse cardiometabolic health 106,107 . The majority of the studies show that a low level of maternal and paternal education is associated with a greater risk of hypertension during childhood 108,109 .…”

Section: Discussionmentioning

confidence: 99%

A systematic review of associations between risk factors during the first 1000 days of life and cardiometabolic outcomes later in childhood

Brandimonte-Hernández,

Ruiz-Ojeda,

Blaauwendraad

et al. 2024

Preprint

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ImportanceChildhood obesity increases cardiometabolic risk during childhood among individuals aged 2-18 years. These cardiometabolic outcomes include glucose intolerance, dyslipidemia, hypertension, metabolic syndrome, and type 2 diabetes (T2D). In the current state of research, a comprehensive review identifying all early-life exposures and risk factors that could predict cardiometabolic risk in children is lacking.ObjectiveTo identify and evaluate the predictive early-life risk factors during the first 1,000 days of life, including preconception, pregnancy and birth, and early infancy periods for cardiometabolic risk outcomes in childhood.Evidence reviewThe present systematic review of existing literature was conducted to revise and search selected electronic databases (Medline, EMBASE, WEB OF SCIENCE, SCOPUS, and Cochrane CENTRAL) for longitudinal studies published between the database’s inception and August17, 2022. This systematic review protocol was registered to PROSPERO, CRD42022355152, and following the PRISMA guidelines. We selected articles that studied the risk factors in mothers, fathers and infants, from preconception to infancy, for childhood cardiometabolic outcomes between 2 and 18 years.FindingsIn 68 studies, we identified 229 associations between exposures and childhood cardiometabolic outcomes namely glucose intolerance, dyslipidemia, hypertension, metabolic syndrome, and T2D. The majority of associations (n=162) were positively associated with cardiometabolic risk factors. Pregnancy and birth risk factors were the categories with the most reported associations (86%). Among them, the most frequently assessed characteristics were birth anthropometrics (n=75), sociodemographics data (n=47), and pregnancy complications factors (n=34). However, we only identified few risk factors during preconception. In infancy period, breastfeeding (n=16) and infant anthropometrics (n=15) were consistently associated with cardiometabolic outcomes. In all periods, the most studied associations were identified for hypertension and metabolic syndrome.Conclusions and relevanceBirth anthropometrics, sociodemographics, and pregnancy complication factors were the most frequently reported predictive factors associated with a higher risk for cardiometabolic outcomes in children, particularly hypertension and metabolic syndrome. These results of this study are useful for predicting the risk for childhood cardiometabolic outcomes and for the modifiable factors. They also may facilitate the design of approaches aimed at the alteration of several behaviours from birth to infancy, encompassing both the maternal and paternal influences, as well as the preconception to infancy transition period. Future studies evaluating early-life risk factors with scarce scientific evidence, such as paternal and preconception factors, are urgently needed.Key pointsQuestionWhat is the existing evidence of early-life risk factors during the first 1000 days of life that are associated with cardiometabolic dysfunction between 2 and 18 years?FindingsBirth anthropometrics, pregnancy complications, sociodemographics and lifestyle factors are the most frequently reported associated exposures with hypertension and metabolic syndrome in children.MeaningIdentifying early-life risk factors and changing behavior patterns throughout preconception and infancy can contribute to prevent metabolic diseases later in childhood.

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Association of dual task gait performance with cognitive outcomes among older adults: Piloting an inexpensive, portable assessment platform

Lin,

Guess,

Hall

et al. 2024

Applied Neuropsychology: Adult

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Educational quality may be a closer correlate of cardiometabolic health than educational attainment

Cited by 3 publications

References 64 publications

Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People

Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People

A systematic review of associations between risk factors during the first 1000 days of life and cardiometabolic outcomes later in childhood

Association of dual task gait performance with cognitive outcomes among older adults: Piloting an inexpensive, portable assessment platform

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