Prevalence of community health-promoting practices in Singapore

Kailasam, Manimegalai; Hsann, Yin Maw; Vankayalapati, Priyanka; Yang, Kok Soong

doi:10.1093/heapro/dax101

Cited by 7 publications

(12 citation statements)

References 15 publications

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“…Despite the promotion of RCs as a recreational venue for older adults and the high demand for such community facilities to support healthy active aging in Singapore [45], there remains limited published information on the facilities and activities offered by RCs and their patrons’ perception of these services [40]. With the exception of a small-scaled study of RC resources [45], the present study represents the first comprehensive report on this important topic.…”

Section: Discussionmentioning

confidence: 99%

“…The audit revealed more opportunities to engage in PA within the RC environment than nutrition and social activities. The small-scale piloted study, undertaken in seven residential zones within one Singapore district (West region), similarly reported that PA was the main activity offered within RCs and their tendency to prioritise PA [45].…”

Section: Discussionmentioning

confidence: 99%

“…The HPB has been tasked with the vision of building “a nation of healthy people” by encouraging health-enhancing behaviours and preventing illness, disability and premature death [41]. The majority of patrons who frequent these RCs are women aged 50 years and over [42,43], providing a local community environment to support positive changes in PA and dietary behaviours for this ‘at-risk’ group [44], yet little evidence has been documented [4,45], especially how the RCs can engage and empower these older Singaporean women in healthy lifestyles.…”

Section: Introductionmentioning

confidence: 99%

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Recreational Centres’ Facilities and Activities to Support Healthy Ageing in Singapore

Wong

Lee

James

et al. 2019

IJERPH

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Objective: This study examined the physical and social environment (facilities and activities) of Singapore’s Recreational Centres (RCs) and female patrons’ (>50 years) perception of the RC facilities and activities. Materials and Methods: A total of 100 RCs were audited, and 22 face-to-face interviews were undertaken. Results: Physical activity classes were the main activity offered (mean = eight classes per month), with walking (29.8%) and aerobics sessions (17.5%) being the most frequent. Nutrition classes and social activities were offered less often (mean = one class per month). The activities were well received by patrons, offering opportunities to interact while participating in physical activity and nutrition classes. However, the need for staff training, consideration of patron’s abilities and the desire to engage in alternative activities were expressed. Conclusion: Overall, RCs’ facilities and activities were well liked by the patrons but opportunities for improvements were identified. Regular reviews of facilities and activities through consultation with the RC patrons and managers are needed to ensure that the facilities and activities remain relevant and practical to the patrons. This will help to support active lifestyles and healthy eating practices among older adults residing within the community.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Recreational Centres’ Facilities and Activities to Support Healthy Ageing in Singapore

Wong

Lee

James

et al. 2019

IJERPH

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“…Despite the Singapore government being committed to improving community health and addressing the risk factors for NCDs, targeted programs for women's health remain limited. 7 Recreational centers (RCs) are public facilities located below high-rise government housing, where 80% of Singaporeans live. 8 Building healthier communities through facilities such as the RCs can create viable and convenient environments to initiate health-promoting opportunities for these women.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Singaporean Community-Based Physical Activity and Nutrition Intervention: A Cluster Randomized Controlled Trial

Wong

James

Lee

et al. 2020

Asia Pac J Public Health

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This study examined the effectiveness of a 6-month intervention to improve the health behaviors and outcomes among women aged 50 years and older. A sample of 580 (intervention n = 295; control n = 285) women was recruited from 26 recreational centers. Only the intervention group participated in the Singapore Physical Activity (PA) and Nutrition Study (SPANS), received health resources (calendar, recipe, and booklets) and motivational support from program ambassadors. The intervention group showed significant improvements in moderate-intensity PA, vigorous-intensity PA, and total PA ( P < .001), increased intake frequency of fruit and vegetables ( P = .049), a reduction in salt and sugary beverage intake ( P ≤ .042), and reductions in systolic blood pressure (BP; −3.68 mm Hg), diastolic BP (−3.54 mm Hg), and percentage body fat (−2.13%; P ≤ .020) when compared with the control group. The SPANS appeared to be efficacious in improving PA and dietary behaviors, reducing BP and percentage body fat among Singaporean women.

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“…Finally, these diseases also impose a severe economic burden in the country in terms of lost productivity and unsustainable medical costs. [5] Diabetes alone cost Singapore >$1 billion in 2010, and this cost has been predicted to soar to beyond $2.5 billion by 2050. [6] In this review article, we examine the dual burden of hypertension and diabetes from an Asian perspective with particular reference to Singapore, a Southeast Asian country with a multiracial society, and a population of 5.61 million.…”

Section: Introductionmentioning

confidence: 99%

The Dual Disease Burden of Hypertension and Diabetes

Yi¹,

Khan²,

Vathsala³

2018

johtn

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Hypertension and diabetes are among the most common non-communicable diseases worldwide with a global prevalence of 22% and 9%, respectively. In Singapore, the prevalence of both diseases is higher at 23.5% and 11.3%, respectively, and similar trends are evident in much of Asia. There is an even higher prevalence of hypertension among diabetics, likely contributed to by inappropriate activation of the renin-angiotensin-aldosterone system (RAAS), altered sodium transport, a complex interaction of hyperinsulinemia and insulin resistance with obesity, RAAS, arterial baroreceptor reflex impairment, leading to an activated sympathetic nervous system, and the coexistence of kidney damage accelerated by hypertension. While angiotensin-converting enzyme inhibitors (ACEi) or angiotensin II receptor blockers remain the mainstay of treatment for the comorbidities of hypertension and diabetes, various guidelines are inconsistent with blood pressure thresholds and treatment goals. Shared lifestyle factors in the etiology of hypertension and diabetes do provide further opportunities for non-pharmacologic intervention. Taken together, strategies that incorporate early diagnosis of diabetes and hypertension and its complications, disease self-management and education, and optimal medical and lifestyle management will reduce the burden of complications from these dual conditions.

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Prevalence of community health-promoting practices in Singapore

Cited by 7 publications

References 15 publications

Recreational Centres’ Facilities and Activities to Support Healthy Ageing in Singapore

Recreational Centres’ Facilities and Activities to Support Healthy Ageing in Singapore

Effectiveness of a Singaporean Community-Based Physical Activity and Nutrition Intervention: A Cluster Randomized Controlled Trial

The Dual Disease Burden of Hypertension and Diabetes

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