Inter-relationship of risk factors and pathways associated with chronic kidney disease in patients with type 2 diabetes mellitus: a structural equation modelling analysis

Wang, C.-P.; Lu, Yung‐Chuan; Hung, Wei‐Chin; Tsai, I‐Ting; Chang, Yu‐Hung; Hu, Der-Wei; Hsu, Chia‐Chang; Wu, Chang Chin; Wei, Ching‐Ting; Chung, Fu‐Mei; Lee, Yoo-Gyeong

doi:10.1016/j.puhe.2020.02.007

Cited by 13 publications

(7 citation statements)

References 33 publications

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“…Third, the study population was from a single institute with the foundation of the Buddhist religion. Forty-one percent of the participants of the cohort study were vegans or lacto-ovo vegetarians, which might be higher than that in other cohort studies ( 40 , 41 ). Therefore, further studies with large populations and longitudinal follow-up might be needed.…”

Section: Discussionmentioning

confidence: 66%

“…In DM patients, the SEM model also played an important role in predicting the risk of CKD. From a study by Lee et al hyperuricemia also contributed to the occurrence of DM nephropathy based on the SEM model ( 10 , 40 ). However, such a model could not demonstrate the longitudinal variation in physiological or biochemical parameters, such as the change in blood pressure and decline in estimated glomerular filtration.…”

Section: Discussionmentioning

confidence: 99%

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Vegetarian Diet Was Associated With a Lower Risk of Chronic Kidney Disease in Diabetic Patients

et al. 2022

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IntroductionDiabetes mellitus (DM) is a pathological hyperglycemic state related to the dysregulation of insulin. Chronic kidney disease (CKD) is a common chronic complication in diabetic patients. A vegetarian diet could be one of the preventive strategies for the occurrence of CKD in patients with diabetes mellitus. However, it is still unknown whether a vegetarian diet lowers the occurrence of CKD in DM patients.Research Design and MethodsThis retrospective study was conducted at Taipei Tzu Chi Hospital from 5 September 2005 to 31 December 2016. Subjects with an HbA1c level > 6.5% or previous history of diabetes mellitus elder than 40 years were grouped based on self-reported dietary habits (vegetarians, lacto-ovo vegetarians and omnivores) in the structured questionnaire. Structural equation modeling (SEM) was applied to estimate the direct and indirect effects of variables on the occurrence of chronic kidney disease.ResultsAmong these 2,797 subjects, the participants were grouped into dietary habits as vegans (n = 207), lacto-ovo vegetarians (n = 941) and omnivores (n = 1,649). The incidence of overall CKD was higher in the omnivore group [36.6% vs 30.4% (vegans) and 28.5% (lacto-ovo vegetarian), p < 0.001]. In the SEM model, after adjusting for age and sex, the lacto-ovo vegetarian [OR: 0.68, 95% confidence interval (CI): 0.57–0.82] and vegan groups (OR 0.68, 95% CI: 0.49–0.94) were both associated with a lower risk of CKD occurrence than the omnivore group. The vegan diet and lacto-ovo diet lowered the risk related to a high BMI (OR: 0.45, p < 0.001, OR: 0.58, p < 0.001) and hyperuricemia (OR: 0.53, p < 0.001; OR: 0.55, p < 0.001) for the occurrence of CKD.ConclusionVegetarian dietary habits were associated with a lower occurrence of CKD in DM patients.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Vegetarian Diet Was Associated With a Lower Risk of Chronic Kidney Disease in Diabetic Patients

et al. 2022

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“…First, this study is one of the first to validate the Chinese version of the WHO-5 for the student population. Although many epistemological studies have used the WHO-5 in Chinese contexts ( 74 – 80 ), there is a paucity of studies validating the Chinese version of the scale. In addition, most of the WHO-5 studies conducted in other countries have focused on clinical populations ( 1 , 9 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

Validity and Psychometric Evaluation of the Chinese Version of the 5-Item WHO Well-Being Index

Fung

Kong

Liu

et al. 2022

Front. Public Health

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AimsThis article evaluates the psychometric properties of the Chinese version of the 5-item WHO Well-Being Index (WHO-5) in mainland China.MethodsTwo cross-sectional studies with 1,414 participants from a university in China were conducted. The Chinese version of the WHO-5 was assessed to determine its internal consistency, concurrent validity, factorial validity, and construct validity.ResultsThe results indicate that the WHO-5 is unidimensional and has good internal consistency, with Cronbach's a = 0.85 and 0.81 in Study 1 (n = 903) and Study 2 (n = 511), respectively. The findings also demonstrate that the WHO-5 has good concurrent validity with other well-established measures of wellbeing, self-efficacy, self-esteem, and mental wellbeing. The results of confirmatory factor analysis also suggest that the scale has a good model fit.ConclusionsThis study provides empirical data demonstrating that the Chinese version of the WHO-5 has good psychometric properties. The scale can be a useful measure in epistemological studies and clinical research related to wellbeing in Chinese populations.

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“…Subjective well-being was assessed using the WHO-5 well-being index with 5 items [ 53 ], which has been widely used across 35 countries [ 54 ]. The tool was validated and used in the Taiwanese context [ 55 , 56 , 57 ]. Respondents answered the questions on the 6-point Likert scale from 0 = at no time to 5 = all of the time.…”

Section: Methodsmentioning

confidence: 99%

Oxford COVID-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy

et al. 2021

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Purposes: To explore the associated factors of COVID-19 vaccine hesitancy and examine psychometric properties of the coronavirus-related health literacy questionnaire (HLS-COVID-Q22) and Oxford COVID-19 Vaccine Hesitancy questionnaire. Methods: An online survey was conducted from 23 June to 16 July 2021 on 387 school principals across Taiwan. Data collection included socio-demographic characteristics, information related to work, physical and mental health, COVID-19 related perceptions, sense of coherence, coronavirus-related health literacy, and vaccine hesitancy. Principal component analysis, correlation analysis, linear regression models were used for validating HLS-COVID-Q22, Oxford COVID-19 Vaccine Hesitancy, and examining the associations. Results: HLS-COVID-Q22 and Oxford COVID-19 Vaccine Hesitancy were found with satisfactory construct validity (items loaded on one component with factor loading values range 0.57 to 0.81, and 0.51 to 0.78), satisfactory convergent validity (item-scale correlations range 0.60 to 0.79, and 0.65 to 0.74), high internal consistency (Cronbach’s alpha = 0.96 and 0.90), and without floor or ceiling effects (percentages of possibly lowest score and highest score <15%), respectively. Low scores of vaccine hesitancy were found in male principals (regression coefficient, B, −0.69; 95% confidence interval, 95%CI, −1.29, −0.10; p = 0.023), principals with better well-being (B, −0.25; 95%CI, −0.47, −0.03; p = 0.029), and higher HLS-COVID-Q22 (B, −1.22; 95%CI, −1.89, −0.54; p < 0.001). Conclusions: HLS-COVID-Q22 and Oxford COVID-19 Vaccine Hesitancy were valid and reliable tools. Male principals and those with better well-being, and higher health literacy had a lower level of vaccine hesitancy. Improving principals’ health literacy and well-being is suggested to be a strategic approach to increase vaccine acceptance for themselves, their staff, and students.

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Inter-relationship of risk factors and pathways associated with chronic kidney disease in patients with type 2 diabetes mellitus: a structural equation modelling analysis

Cited by 13 publications

References 33 publications

Vegetarian Diet Was Associated With a Lower Risk of Chronic Kidney Disease in Diabetic Patients

Vegetarian Diet Was Associated With a Lower Risk of Chronic Kidney Disease in Diabetic Patients

Validity and Psychometric Evaluation of the Chinese Version of the 5-Item WHO Well-Being Index

Oxford COVID-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy

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