The Effects of Obesity-Related Anthropometric Factors on Cardiovascular Risks of Homeless Adults in Taiwan

Chen, Ching-Lin; Chen, Mingchih; Liu, Chih-Kuang

doi:10.3390/ijerph17186833

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…The authors observed that the prevalence of hyperglycemia, hypertension, and hyperlipidemia in the examined patients was significantly higher than in the general population and that the obesity-related indicators, including BMI, were all risk factors for hypertension and hyperlipidemia. Furthermore, a history of myocardial infarction was shown to be more common in participants with higher BMIs; no such link was detected for strokes [49]. In contrast, Yamamoto et al [50] found that the mean BMI and blood pressure in participants living in temporary residences were similar to those of the general population and confirmed the presence of significant correlations between hypertension, liver dysfunction, and dyslipidemia and the duration of both homelessness and residence status.…”

Section: Discussionmentioning

confidence: 95%

“…In terms of metabolic diseases and associated pathologies, 40 patients reported suffering from CVD, 15 suffered from diabetes, 42 were overweight, and 36 were obese. Research conducted on 297 homeless adults in Taipei City analyzed the participants' obesity-related markers and identified patients at risk of CVD [49]. The authors observed that the prevalence of hyperglycemia, hypertension, and hyperlipidemia in the examined patients was significantly higher than in the general population and that the obesity-related indicators, including BMI, were all risk factors for hypertension and hyperlipidemia.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of General Health Status of Persons Living in Socio-Economically Disadvantaged Neighborhoods in a Large European Metropolitan City

et al. 2022

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Background: Living in socio-economically disadvantaged neighborhoods can predispose persons to numerous health conditions. The purpose of this study was to report the general health conditions of persons living in disadvantaged neighborhoods in Rome, Italy, a large European metropolitan city. Participants were reached through the mobile facilities of the primary care services of the Dicastery for the Charity Services, Vatican City. Methods: People living in disadvantaged neighborhoods were reached with mobile medical units by doctors, nurses, and paramedics. Demographic characteristics, degree of social integration, housing conditions, and history of smoking and/or alcohol use were investigated. Unstructured interviews and general health assessments were performed to investigate common acute and/or chronic diseases, and history of positivity to COVID-19. Basic health parameters were measured; data were collected and analyzed. Results: Over a 10-month period, 436 individuals aged 18–95 years were enrolled in the study. Most lived in dormitories, whereas a few lived in unsheltered settings. Most participants (76%) were unemployed. Smoking and drinking habits were comparable to the general population. The most common pathological conditions were cardiovascular diseases in 103 subjects (23.39%), diabetes in 65 (14.9%), followed by musculoskeletal system disorders (11.7%), eye diseases (10.5%), psychiatric conditions such as anxiety and depression (9.2%), and chronic respiratory conditions (8.7%). Conclusions: Subjects in our sample showed several pathologic conditions that may be related to their living conditions, thus encouraging the development of more efficient and effective strategies for a population-tailored diagnosis and treatment.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Evaluation of General Health Status of Persons Living in Socio-Economically Disadvantaged Neighborhoods in a Large European Metropolitan City

et al. 2022

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“…[47][48][49] The data based on sources from Japan and Taiwan presents European level of obesity frequency. 50,51…”

Section: Duration Of Lifementioning

confidence: 99%

Who are the homeless and what kind of problems do they have? A review of the literature

Romaszko,

Giergielewicz-Januszko

2023

Acta Elbingensia

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IntroductionThe publications about homeless persons and homelessness are very popular among scientists. Entering the keyword ‘homeless’ returns about 17 thousand hits in the PubMed search engine. What is so interesting about homelessness that so many researchers devote their time and resources to this topic?AimOur paper is an attempt to answer the question about that, and partially about the genesis of homelessness.Material and methodsThe PubMed and Scopus databases have been researched. We selected the articles related to the most common pathologies among the homeless.Results and discussionThe background of the phenomenon of homelessness is described in the context of the most commonly reported shared elements i.e. poverty, social exclusion, high mortality rates, male predominance, alcohol and drug dependence, intellectual deficits, depressive disorders and suicides. We described the differences resulting from geographical location and environmental factors. We are trying to elucidate the reasons for the discrepancies between individual investigators studying similar problems at different places and at different times.ConclusionsHomeless people are not a different species. They are a derivate of societies on the margins of which these people live. They are therefore different in the geographical sense, but in a given area they change with time similarly to the local population.

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Associations between various anthropometric indices and hypertension and hyperlipidaemia: a cross-sectional study in China

Feng,

Lu,

Chen

et al. 2024

BMC Public Health

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Background This study aims to explore the association and determine the distinguished potential of anthropometric adiposity indices in screening for hypertension and hyperlipidaemia in the Chinese population. Methods A recent nationwide cross-sectional study, called the Thyroid Disorders, Iodine State, and Diabetes Epidemiological Survey (TIDE 2015–2017), provided the newest data on the relationships between anthropometric adiposity indices and hypertension and hyperlipidaemia and included 65,231 subjects. The area under the curve (AUC) was used to assess the feasibility of using these indices to distinguish hypertension and hyperlipidaemia. After age stratification, a restricted cubic spline (RCS) fitted for generalized linear regression was used to visualize the relationships of the body mass index (BMI), waist circumference (WC), the waist-to-height ratio (WHtR), the body roundness index (BRI), and the “a body shape index” (ABSI) with hypertension and hyperlipidaemia. Results The results showed that there were significant differences in the BMI, WC, the WHtR, the BRI, and the ABSI among the different age groups (P < 0.0001). After adjusting for sex, age, education, income, smoking status, urban or rural residence, and ethnicity in model, The WHtR and BRI had greater discriminatory power in identifying hypertension (AUC = 0.665, 95% confidence interval (CI) 0.660–0.671 for both), hypercholesterolaemia (AUC = 0.629, 95% CI 0.624–0.634 for both), and high low-density lipoprotein cholesterol (LDL-C; AUC = 0.659, 95% CI 0.653–0.664 for both) status in the overall population. When distinguishing hypertriglyceridaemia among the general population, the BMI (AUC = 0.711, 95% CI 0.706–0.716) and WC (AUC = 0.715, 95% CI 0.710–0.720) had greater discriminatory ability than the other anthropometric indices did. The BMI (AUC = 0.631, 95% CI 0.625–0.637) had the highest power for low high-density lipoprotein cholesterol (HDL-C) status in the general population. Conclusions Several anthropometric indices show significant correlation with hypertension and hyperlipidaemia. The WHtR and BRI were better in distinguishing hypertension, hypercholesterolaemia and high LDL-C status, while the BMI was better in hypertriglyceridaemia and low HDL-C status. The use of combined indices, such as the BMI, WC, the WHtR and the BRI, can be included in an individual’s medical history and can be used as tools for cardiovascular health screening, which may yield superior results for public health.

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The Effects of Obesity-Related Anthropometric Factors on Cardiovascular Risks of Homeless Adults in Taiwan

Cited by 3 publications

References 31 publications

Evaluation of General Health Status of Persons Living in Socio-Economically Disadvantaged Neighborhoods in a Large European Metropolitan City

Evaluation of General Health Status of Persons Living in Socio-Economically Disadvantaged Neighborhoods in a Large European Metropolitan City

Who are the homeless and what kind of problems do they have? A review of the literature

Associations between various anthropometric indices and hypertension and hyperlipidaemia: a cross-sectional study in China

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