Physical activity and sleep problems in homeless adults

Taylor, Ashley; Murillo, Rosenda; Businelle, Michael S.; Chen, Tzu-An; Kendzor, Darla E.; McNeill, Lorna H.; Reitzel, Lorraine R.

doi:10.1371/journal.pone.0218870

Cited by 18 publications

(5 citation statements)

References 47 publications

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“…Nevertheless, the relationship between physical activity and sleep remains unclear. Several studies found more physical activity has no or even a negative relation to sleep quality (Kakinami et al, 2017;Taylor et al, 2019). Further research is necessary in large populations to answer these questions.…”

Section: Clustering Of Health Risk Behaviorsmentioning

confidence: 99%

Clustering of multiple health risk behaviors and its association with diabetes in a Southern Chinese adult population: a cross-sectional study

Zhang

Luo

Cui

et al. 2020

PeerJ

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Background Identifying the clustering patterns of health risk behaviors (HRBs) within individuals and their health impacts are essential to develop lifestyle promotion strategies. This study aimed to explore the clustering of a range of HRBs and the associations between such identified clusters and diabetes in Southern Chinese adults. Methods Data from 5,734 adults aged 35–75 years and underwent health examinations from November 2012 to December 2013 at a tertiary hospital in Guangzhou were analyzed. Behavioral characteristics, including smoking, alcohol use, physical activity, and sleep duration and quality, were measured by questionnaires. Latent class analysis was conducted by gender to identify HRBs clustering patterns, and logistic regression models were used to estimate the associations between behavioral patterns and diabetes. Results Three distinct behavioral clusters emerged in both genders. Male classes were defined as: (1) healthy lifestyle (Class 1, 62.9%); (2) cumulate harmful habits (Class 2, 27.1%); (3) poor sleep and risky habits (Class 3, 10.0%). Female classes were: (1) healthy lifestyle (Class 1, 83.0%); (2) inactive, daytime dysfunction (Class 2, 5.7%); (3) poor sleep habits (Class 3, 11.3%). Individuals of Class 2 and Class 3 showed a higher likelihood of diabetes across genders (multivariable-adjusted ORs [95% CIs], 2.03 [1.49–2.76] and 2.61 [1.78–3.81] among males, 2.64 [1.16–5.98] and 1.81 [1.07–3.06] among females) when compared with those of Class 1. Conclusions Our data provided additional evidence of HRBs clustering among adults, and such clustering was associated with an increased risk of diabetes. These findings have implications for identifying vulnerable subgroups and developing diabetes prevention programs.

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Section: Clustering Of Health Risk Behaviorsmentioning

confidence: 99%

Clustering of multiple health risk behaviors and its association with diabetes in a Southern Chinese adult population: a cross-sectional study

Zhang

Luo

Cui

et al. 2020

PeerJ

View full text Add to dashboard Cite

show abstract

“…Homeless people sleep mostly > 10 h and present a low-level of physical activity. Simultaneously, although daily sleep longer than 9 h contributes to a higher risk of abdominal (visceral) obesity, it has not been linked directly with HDL cholesterol and triglycerides serum levels [ 24 , 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Nutritional Status in Homeless People in Poland Based on the Selected Biochemical Parameters

Naszydłowska

Cedro

Suliga

et al. 2021

IJERPH

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The aim of the study was to assess the nutritional status of adult homeless people using both anthropometric and biochemical measurements. The analysis comprised anthropometric indicators, i.e., body mass index and waist circumference, and the following biomarkers: red blood cells, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin concentration, mean corpuscular hemoglobin, white blood cells, complete lymphocyte count, neutrophils-to-lymphocytes ratio, platelets-to-lymphocytes ratio, platelets-to-leukocytes ratio, C reactive protein level, serum iron concentration, serum albumin concentration, total serum protein, fasting lipids and blood glucose level. There were representative Polish homeless people enrolled (n = 580). The analysis of the conducted studies proved that there is a greater frequency of overweight and obesity than underweight in the target population. The major problem was abdominal obesity that was present statistically more frequently in women than men (p < 0.001). In the majority of cases, homeless people were found to have normal complete blood count parameters. In obese people, there were statistically significant both elevated and decreased hematocrit levels, a significant decrease in red blood cells, elevated serum glucose, triglycerides and total protein level (p < 0.05). The presence of abdominal obesity, elevated glucose concentration, low-density lipoprotein cholesterol, and triglycerides, and decreased high-density lipoprotein cholesterol in serum together with smoking increase the risk of cardiovascular disease.

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“…Participants ( N = 610) were recruited using flyers within each agency. Data from this survey were used previously to highlight the prevalence of modifiable health risk factors and investigated determinants of health among homeless adults living in Oklahoma City (Maness et al, 2019 ; Neisler et al, 2019 ; Taylor et al, 2019 ). Study eligibility requirements included: current homelessness, which was based on responses to questions related to the length of homelessness, place of current shelter, and reasons for homelessness.…”

Section: Methodsmentioning

confidence: 99%

Non-adherence to psychiatric medication in adults experiencing homelessness is associated with incurred concussions

Rangu

Frank-Pearce

Alexander

et al. 2022

Front. Hum. Neurosci.

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This study investigated the relationship between concussions and medication adherence among 247 adults experiencing homelessness in Oklahoma City, Oklahoma, who were prescribed medication for a psychiatric disorder. Participants were asked whether they had “ever experienced a blow to the head that caused a concussion,” and medication adherence was measured by asking participants whether they had taken their psychiatric medication yesterday. The data were analyzed using univariate and multivariable logistic regressions. Results showed that more than half of the sample had a concussion history (61.9%), and homeless adults with a concussion history had higher odds of non-adherence to psychiatric medications compared with those who reported no concussion history [OR = 2.13 (95% CI = 1.08, 4.18)]. Findings suggest that medication non-adherence is associated with incurred concussions. Raising awareness among service providers of the relationship between traumatic brain injury and medication adherence may increase efforts to improve adherence in this underserved population.

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Physical activity and sleep problems in homeless adults

Cited by 18 publications

References 47 publications

Clustering of multiple health risk behaviors and its association with diabetes in a Southern Chinese adult population: a cross-sectional study

Clustering of multiple health risk behaviors and its association with diabetes in a Southern Chinese adult population: a cross-sectional study

Analysis of the Nutritional Status in Homeless People in Poland Based on the Selected Biochemical Parameters

Non-adherence to psychiatric medication in adults experiencing homelessness is associated with incurred concussions

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