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Singapore obesity

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https://www.readbyqxmd.com/read/28738068/age-dependent-relationships-between-body-mass-index-and-mortality-singapore-longitudinal-ageing-study
#1
Tze Pin Ng, Aizhen Jin, Khuan Yew Chow, Liang Feng, Ma Shwe Zin Nyunt, Keng Bee Yap
OBJECTIVES: The relationship between body mass index (BMI) with mortality risk, in particular the BMI category associated with the lowest all-cause and CVD-and-stroke mortality and the BMI threshold for defining overweight or obesity in older persons is controversial. This study investigated the age-dependent associations of BMI categories with all-cause and cardiovascular disease (CVD) and stroke mortality. METHOD: Prospective cohort study (Singapore Longitudinal Ageing Studies) of older adults aged 55 and above, followed up from 2003 to 2011...
2017: PloS One
https://www.readbyqxmd.com/read/28733686/comparison-of-the-proportion-and-healthcare-utilisation-of-adult-patients-with-uncontrolled-severe-asthma-versus-non-severe-asthma-seen-in-a-southeast-asian-hospital-based-respiratory-specialist-clinic
#2
Tunn Ren Tay, Hang Siang Wong, Rosna Ihsan, Hsiao Peng Toh, Xuening Choo, Augustine Kh Tee
INTRODUCTION: Understanding the burden of uncontrolled severe asthma is essential for disease-targeted healthcare planning. There is a scarcity of data regarding the proportion, healthcare utilisation and costs of patients with uncontrolled severe asthma in Asia. This study aimed to plug the knowledge gap in this area. MATERIALS AND METHODS: Consecutive patients with asthma managed in our respiratory specialist clinic were evaluated prospectively. Healthcare utilisation comprising unscheduled asthma-related primary care visits, emergency department (ED) visits and hospital admissions were obtained from the national health records system...
June 2017: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/28674840/a-multimodal-analgesic-protocol-reduces-opioid-related-adverse-events-and-improves-patient-outcomes-in-laparoscopic-sleeve-gastrectomy
#3
Jun Jie Ng, Wei Qi Leong, Chuen Seng Tan, Keah How Poon, Davide Lomanto, Jimmy B Y So, Asim Shabbir
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed procedures for the treatment of obesity. Patients with obesity are more prone to experience opioid-related adverse events (ORAE). OBJECTIVES: The objective of this study is to determine if a multimodal analgesia protocol (MAP) reduces ORAE and provides effective pain relief for patients after LSG. SETTING: This study was conducted at University Hospital, Singapore...
July 3, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28610570/exploring-infant-feeding-practices-cross-sectional-surveys-of-south-western-sydney-singapore-and-ho-chi-minh-city
#4
Timothy Yong Qun Leow, Andrew Ung, Shelley Qian, Jessie Thanh Nguyen, Yvonne An, Poonam Mudgil, John Whitehall
BACKGROUND: Infant feeding practices are known to influence the child's long-term health. Studies have associated obesity and other diseases with reduced breastfeeding and early introduction of high calorie beverages (HCBs). The rising prevalence of obesity is already a problem in most developed countries, especially Australia, but cultural differences are influential. Our aim is to examine and compare infant feeding practices and educational levels of respondents through questionnaires in three culturally different sites: Campbelltown (South Western Sydney), Australia, Singapore and Ho Chi Minh City, Vietnam (HCMC)...
June 13, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28554160/applying-economic-incentives-to-increase-effectiveness-of-an-outpatient-weight-loss-program-trio-a-randomized-controlled-trial
#5
Eric A Finkelstein, Kwang-Wei Tham, Benjamin A Haaland, Aarti Sahasranaman
The prevalence of overweight and obesity has more than doubled in the past three decades, leading to rising rates of non-communicable diseases. This study tests whether adding a payment/rewards (term reward) program to an existing evidence-based weight loss program can increase weight loss and weight loss maintenance. We conducted a parallel-group randomized controlled trial from October 2012 to October 2015 with 161 overweight or obese individuals randomized to either control or reward arm in a 1:2 ratio. Control and reward arm participants received a four month weight loss program at the LIFE (Lifestyle Improvement and Fitness Enhancement) Centre at Singapore General Hospital...
May 15, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28541435/lessons-from-singapore-s-national-weight-management-program-lose-to-win
#6
Kathryn Vasquez, Rahul Malhotra, Truls Østbye, Wilson Low, Mei Fen Chan, Ling Chew, Annie Ling
The prevalence of overweight and obesity in Singapore is lower than in most countries, but it is increasing. There is evidence health complications may appear at lower weights among Asians. We describe the evolution of a national weight management program [Lose To Win (LTW)] organized by the Singapore Health Promotion Board from 2009 to 2013. LTW is a 12-week program comprising nutrition education, physical activity and mental wellbeing sessions and interim assessments. Individuals aged 18-69 years with a body mass index (BMI) between 23 and 37...
May 24, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28472538/singapore-indian-eye-study-2-methodology-and-impact-of-migration-on-systemic-and-eye-outcomes
#7
Charumathi Sabanayagam, Wanfen Yip, Preeti Gupta, Riswana Bb Mohd Abdul, Ecosse Lamoureux, Neelam Kumari, Gemmy Cm Cheung, Carol Y Cheung, Jie Jin Wang, Ching-Yu Cheng, Tien Yin Wong
IMPORTANCE: Asian Indians are the fastest growing migration groups in the world. Studies evaluating the impact of migration on disease outcomes in this population are rare. BACKGROUND: We describe the methodology of the Singapore Indian Eye Study-2 (SINDI-2) aimed to evaluate the impact of migration status on diabetic retinopathy and other major age-related eye diseases in Asian Indians living in an urban environment. DESIGN: Population-based cohort study...
May 4, 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28447583/prevalence-and-clinical-significance-of%C3%A2-diabetes-in-asian-versus-white-patients%C3%A2-with-heart-failure
#8
Ingrid E M Bank, Crystel M Gijsberts, Tiew-Hwa K Teng, Lina Benson, David Sim, Poh Shuan Daniel Yeo, Hean Yee Ong, Fazlur Jaufeerally, Gerard K T Leong, Lieng H Ling, A Mark Richards, Dominique P V de Kleijn, Ulf Dahlström, Lars H Lund, Carolyn S P Lam
OBJECTIVES: The study sought to compare the prevalence, clinical correlates and prognostic impact of diabetes in Southeast Asian versus white patients with heart failure (HF) with preserved or reduced ejection fraction. BACKGROUND: Diabetes mellitus is common in HF and is associated with impaired prognosis. Asia is home to the majority of the world's diabetic population, yet data on the prevalence and clinical significance of diabetes in Asian patients with HF are sparse, and no studies have directly compared Asian and white patients...
January 2017: JACC. Heart Failure
https://www.readbyqxmd.com/read/28422081/non-responsive-feeding-practices-unhealthy-eating-behaviors-and-risk-of-child-overweight-and-obesity-in-southeast-asia-a-systematic-review
#9
REVIEW
Ana Cristina Lindsay, Somporn Sitthisongkram, Mary L Greaney, Sherrie F Wallington, Praewrapee Ruengdej
Childhood obesity is increasing dramatically in many Southeast Asian countries, and becoming a significant public health concern. This review summarizes the evidence on associations between parental feeding practices, child eating behaviors, and the risk of overweight and obesity in Southeast Asian children 2-12 years old. We systematically searched five electronic academic/research (PubMed, PsycINFO, ProQuest Nursing, Medline, and CINAHL) databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for peer-reviewed studies published in English between January 2000 and December 2016...
April 19, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28420004/hearing-loss-and-risk-of-mild-cognitive-impairment-and-dementia-findings-from-the-singapore-longitudinal-ageing-study
#10
Rebecca Heywood, Qi Gao, Ma Shwe Zin Nyunt, Lei Feng, Mei Sian Chong, Wee Shiong Lim, Philip Yap, Tih-Shih Lee, Keng Bee Yap, Shiou Liang Wee, Tze Pin Ng
AIM: To investigate the associations between hearing loss and prevalent and incident mild cognitive impairment (MCI), dementia and MCI or dementia (all cases). METHODS: Cross-sectional and longitudinal analyses of baseline and follow-up data were performed in a population-based cohort. The baseline sample of 2,599 adults aged ≥55 included 1,515 cognitively normal subjects who were followed up to 8 years. Hearing loss at baseline was determined by the whispered voice test, and MCI and dementia by Mini-Mental State Examination screening, Clinical Dementia Rating scale, neurocognitive tests, MRI, and panel consensus diagnosis...
2017: Dementia and Geriatric Cognitive Disorders
https://www.readbyqxmd.com/read/28378845/central-adiposity-induced-plasma-free-amino-acid-alterations-are-associated-with-increased-insulin-resistance-in-healthy-singaporean-adults
#11
X Bi, S L Tey, Y T Loo, C J Henry
BACKGROUND/OBJECTIVES: Recent metabolomics technique reveals a plasma-free amino acid (PFAA)-based metabolite signature that is suggestive of altered PFAAs being an early manifestation of obesity-related insulin resistance. However, the PFAA profiles within non-obese, but more insulin-resistant Asians are not well researched. Compared with Caucasians, Asian populations have more central adiposity, which is generally regarded as metabolically more adverse, but the underlying mechanisms remain unclear...
April 5, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28378098/association-of-obesity-with-patient-reported-outcomes-in-patients-with-axial-spondyloarthritis-a-cross-sectional-study-in-an-urban-asian-population
#12
Yi Xuan Lee, Yu Heng Kwan, Wan Yu Png, Ka Keat Lim, Chuen Seng Tan, Nai Lee Lui, Eng Hui Chew, Julian Thumboo, Truls Østbye, Warren Fong
To determine if obesity is associated with poorer patient-reported outcomes (PROs) in patients with axial spondyloarthritis (axSpA), we conducted a cross-sectional study using data of the PRESPOND registry from a tertiary referral center in Singapore between 2011 and 2015. Demographics, clinical, and PRO variables were collected. Patients were divided into three categories: normal (BMI < 23 kg/m(2)), overweight (23 kg/m(2) ≤ BMI < 27.5 kg/m(2)) and obese (BMI ≥ 27.5 kg/m(2)), using Asian BMI classification...
April 4, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28376407/baseline-predictors-of-aortic-stiffness-progression-among-multi-ethnic-asians-with-type-2-diabetes
#13
Mei Chung Moh, Chee Fang Sum, Subramaniam Tavintharan, Keven Ang, Simon Biing Ming Lee, Wern Ee Tang, Su Chi Lim
BACKGROUND AND AIMS: This 3-year prospective study aimed to identify baseline parameters that predicted the progression of carotid-femoral pulse wave velocity (cf-PWV), which was used to evaluate aortic stiffness, among Singapore's multi-ethnic Asians with type 2 diabetes (T2DM). METHODS: The cf-PWV was measured by the gold-standard tonometry method in 994 T2DM subjects at baseline and follow-up. The annual rate of cf-PWV change was calculated, and individuals above the 90(th) percentile with rate≥1...
May 2017: Atherosclerosis
https://www.readbyqxmd.com/read/28371687/cumulative-incidence-and-risk-factors-of-prediabetes-and-type-2-diabetes-in-a-singaporean-malay-cohort
#14
Ryan E K Man, Sabanayagam Charumathi, Alfred Tau Liang Gan, Eva K Fenwick, Ching Siong Tey, Jacqueline Chua, Tien-Yin Wong, Ching-Yu Cheng, Ecosse L Lamoureux
AIMS: The aim of this work was to determine the cumulative incidence and independent risk factors of prediabetes and type 2 diabetes (T2DM) in a well-characterized cohort of Malays in Singapore. METHODS: We included 1137 participants (mean age [SD]: 55 (10) years; 53.6% female) without diabetes (DM) at baseline from the Singapore Malay Eye Study, a population-based longitudinal study with baseline (2004-2006), and follow-up (2010-2013) examinations. Prediabetes was defined as an HbA1c between 5...
March 22, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28320484/nutritional-intervention-preconception-and-during-pregnancy-to-maintain-healthy-glucose-metabolism-and-offspring-health-nipper-study-protocol-for-a-randomised-controlled-trial
#15
Keith M Godfrey, Wayne Cutfield, Shiao-Yng Chan, Philip N Baker, Yap-Seng Chong
BACKGROUND: Improved maternal nutrition and glycaemic control before and during pregnancy are thought to benefit the health of the mother, with consequent benefits for infant body composition and later obesity risk. Maternal insulin resistance and glycaemia around conception and in early pregnancy may be key determinants of maternal physiology and placental function, affecting fetal nutrient supply and maternal-feto-placental communications throughout gestation, with implications for later postnatal health...
March 20, 2017: Trials
https://www.readbyqxmd.com/read/28269770/psychosocial-risk-and-protective-factors-and-incident-mild-cognitive-impairment-and-dementia-in-community-dwelling-elderly-findings-from-the-singapore-longitudinal-ageing-study
#16
Iris Rawtaer, Qi Gao, Ma Shwe Zin Nyunt, Lei Feng, Mei Sian Chong, Wee Shiong Lim, Tih-Shih Lee, Philip Yap, Keng Bee Yap, Tze Pin Ng
BACKGROUND: Indicators of social isolation or support such as living alone, loneliness, being married, and life satisfaction are possible psychosocial risk and protective factors for dementia. OBJECTIVE: We investigate the associations of these overlapping psychosocial factors with incident MCI-dementia (neurocognitive disorder) in a population cohort. METHODS: Using data from 1601 participants of the Singapore Longitudinal Ageing Study (SLAS) who were free of MCI or dementia at baseline and followed up to 8 years, we estimated hazards ratio (HR) of association of living alone, loneliness, being married, and high life satisfaction with incident MCI-dementia...
2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28179222/associations-of-maternal-macronutrient-intake-during-pregnancy-with-infant-bmi-peak-characteristics-and-childhood-bmi
#17
Ling-Wei Chen, Izzuddin M Aris, Jonathan Y Bernard, Mya-Thway Tint, Marjorelee Colega, Peter D Gluckman, Kok Hian Tan, Lynette Pei-Chi Shek, Yap-Seng Chong, Fabian Yap, Keith M Godfrey, Rob M van Dam, Mary Foong-Fong Chong, Yung Seng Lee
Background: Infant body mass index (BMI) peak characteristics and early childhood BMI are emerging markers of future obesity and cardiometabolic disease risk, but little is known about their maternal nutritional determinants.Objective: We investigated the associations of maternal macronutrient intake with infant BMI peak characteristics and childhood BMI in the Growing Up in Singapore Towards healthy Outcomes study.Design: With the use of infant BMI data from birth to age 18 mo, infant BMI peak characteristics [age (in months) and magnitude (BMIpeak; in kg/m(2)) at peak and prepeak velocities] were derived from subject-specific BMI curves that were fitted with the use of mixed-effects model with a natural cubic spline function...
March 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28125822/composite-protective-lifestyle-factors-and-risk-of-developing-gastric-adenocarcinoma-the-singapore-chinese-health-study
#18
Zhensheng Wang, Woon-Puay Koh, Aizhen Jin, Renwei Wang, Jian-Min Yuan
BACKGROUND: Incidence of gastric cancer is the highest in Eastern Asia. Multiple modifiable lifestyle factors have been identified as risk factors for gastric cancer. However, their aggregated effect on the risk of gastric cancer has not been examined among populations with high prevalence of Helicobacter pylori. METHODS: A study was conducted to examine the association between multiple lifestyle factors together and the risk of developing gastric adenocarcinoma in the Singapore Chinese Health Study, a prospective cohort of 63 257 men and women between 45 and 74 years enroled during 1993-1998...
February 28, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28106781/family-food-providers-perceptions-of-the-causes-of-obesity-and-effectiveness-of-weight-control-strategies-in-five-countries-in-the-asia-pacific-region-a-cross-sectional-survey
#19
Anthony Worsley, Wei Wang, Rani Sarmugam, Quynh Pham, Judhiastuty Februhartanty, Stacey Ridley
The rise of the middle classes in developing countries and the associated epidemiological transition raises the importance of assessing this population group's awareness of the causes of obesity and effective weight control strategies in order to develop effective health promotion strategies. The study aimed to examine the perceptions of the causes of obesity and weight control strategies held by middle class household food providers in Melbourne, Singapore, Shanghai, Indonesia and Vietnam. An online survey was conducted in late 2013, early 2014 among 3945 respondents...
January 18, 2017: Nutrients
https://www.readbyqxmd.com/read/28017347/prevalence-and-clinical-significance-of%C3%A2-diabetes-in-asian-versus-white-patients%C3%A2-with-heart-failure
#20
Ingrid E M Bank, Crystel M Gijsberts, Tiew-Hwa K Teng, Lina Benson, David Sim, Poh Shuan Daniel Yeo, Hean Yee Ong, Fazlur Jaufeerally, Gerard K T Leong, Lieng H Ling, A Mark Richards, Dominique P V de Kleijn, Ulf Dahlström, Lars H Lund, Carolyn S P Lam
OBJECTIVES: The study sought to compare the prevalence, clinical correlates and prognostic impact of diabetes in Southeast Asian versus white patients with heart failure (HF) with preserved or reduced ejection fraction. BACKGROUND: Diabetes mellitus is common in HF and is associated with impaired prognosis. Asia is home to the majority of the world's diabetic population, yet data on the prevalence and clinical significance of diabetes in Asian patients with HF are sparse, and no studies have directly compared Asian and white patients...
November 30, 2016: JACC. Heart Failure
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