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Singapore obesity

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https://www.readbyqxmd.com/read/27872935/the-social-transformation-of-singapore-medicine-through-55-years-of-the-smj
#1
Ee Heok Kua, Jade Phek Hui Kua
The Singapore Medical Journal (SMJ) has in the past 55 years reflected the phenomenal socioeconomic progress of Singapore. Publications in the pre-independent years were mainly on diseases like cholera, diphtheria, leprosy, tetanus and worm infestation. In the new millennium, the research papers included molecular genetics, health economics, obesity, Internet medicine, cancer, cosmetic surgery and palliative medicine. The annual SMA Lecture published in the SMJ provides an ethical compass for doctors to remind them of primum non nocere...
November 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27862645/association-between-asthma-control-and-asthma-cost-results-from-a-longitudinal-study-in-a-primary-care-setting
#2
Hai V Nguyen, Nivedita V Nadkarni, Usha Sankari, Shweta Mital, Weng K Lye, Ngiap C Tan
BACKGROUND AND OBJECTIVE: Asthma control can be assessed with the Asthma Control Test (ACT) and a score of 20 or higher indicates good asthma control. Patients pay for their consultation and treatment in the fee-for-service primary healthcare system in Singapore. We hypothesized that achieving asthma control would result in lower asthma costs through reduced acute exacerbations, fewer physician consultations and lower lost productivity. The study compared the healthcare costs of patients who achieved asthma control and those with suboptimal asthma control based on ACT scores...
November 10, 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/27832220/screening-for-drinking-problems-in-the-elderly-in-singapore-using-the-cage-questionnaire
#3
Clarissa Wy Ong, Vathsala Sagayadevan, Edimansyah Abdin, Saleha Binte Shafie, Anitha Jeyagurunathan, Goi Khia Eng, Louisa Picco, Janhavi Vaingankar, Siow Ann Chong, Mythily Subramaniam
INTRODUCTION: Given that past research on drinking problems has focused primarily on younger samples, the present study sought to examine the prevalence and correlates of alcohol use among the elderly in Singapore. MATERIALS AND METHODS: Data were extracted from the Well-being of the Singapore Elderly (WiSE) study, a cross-sectional, epidemiological survey conducted among a nationally representative sample of Singapore residents (n = 2565) aged 60 years and above...
October 2016: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/27796257/estimating-10-year-cardiovascular-disease-risk-in-asian-patients-with-schizophrenia
#4
Gurpreet Rekhi, Toe Toe Khyne, Jimmy Lee
OBJECTIVE: This study aims to describe the cardiovascular risk profile of Asian patients with schizophrenia. METHODS: Data was extracted from the databases of 139 patients with schizophrenia and 206 controls from two previous studies conducted at the Institute for Mental Health (IMH), Singapore. Their medical and smoking histories were obtained, and anthropometric parameters measured. Framingham risk score (FRS) calculator using body mass index was used to compute the 10-year cardiovascular disease risk (FRSBMI) and the vascular age (VABMI) for each participant...
November 2016: General Hospital Psychiatry
https://www.readbyqxmd.com/read/27780307/the-contribution-of-recently-identified-adult-bmi-risk-loci-to-paediatric-obesity-in-a-singaporean-chinese-childhood-dataset
#5
R Dorajoo, R T-H Ong, X Sim, L Wang, W Liu, E S Tai, J Liu, S-M Saw
INTRODUCTION: Recent genome-wide association studies have identified 103 adult obesity risk loci; however, it is unclear if these findings are relevant to East-Asian childhood body mass index (BMI) levels. METHODS AND RESULTS: We evaluated for paediatric obesity associations at these risk loci utilizing genome-wide data from Chinese childhood subjects in the Singapore Cohort study Of the Risk factors for Myopia study (N = 1006). A weighted gene-risk score of all adult obesity risk loci in the Singapore Cohort study Of the Risk factors for Myopia study showed strong associations with BMI at age 9 (p-value = 3...
October 25, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27778460/diabetes-mellitus-prevalence-is-increasing-in-south-asians-but-is-stable-in-chinese-living-in-singapore-and-mauritius
#6
Kristin H X Tan, Elizabeth L M Barr, Vira Koshkina, Stefan Ma, Sudhir Kowlessur, Dianna J Magliano, Stefan Söderberg, Kee Seng Chia, Paul Zimmet, Wei-Yen Lim
BACKGROUND: Asia is experiencing a type 2 diabetes epidemic, but prevalence differs by ethnicity and level of socioeconomic development. Singapore and Mauritius have implemented comprehensive campaigns to address this public health problem. We compared diabetes and obesity prevalence trends among Chinese and South Asians living in Singapore and Mauritius to determine the contribution of ethnicity and economic development to diabetes. METHODS: Age-specific data from serial national population-based surveys in Singapore and Mauritius between 1987 and 2010 were used to estimate age-standardized diabetes and obesity prevalence...
October 25, 2016: Journal of Diabetes
https://www.readbyqxmd.com/read/27753808/ssa-03-3-dietary-salt-intake-and-hypertension-in-singapore
#7
Vernon Min Sen Oh
According to the Singapore National Health Survey (NHS) of 2010, the population of the Republic of Singapore was 5.076,700, comprising four ethnic groups: Chinese (74.1%), Malays (13.4%), Indians (9.2%), and others (3.3%). The National Health Survey for 2016 is under way and due to be published in 2017. From the six-yearly national health surveys, the crude prevalence of clinical hypertension (HTn), defined as a sustained blood pressure ≥ 140/90 mmHg, in Singaporean residents aged 30 to 69 years rose from 22...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27681496/reperfusion-treatment-delays-amongst-patients-with-painless-st-segment-elevation-myocardial-infarction
#8
Pin Pin Pek, En Yun Loy, Win Wah, Andrew Fu Wah Ho, Huili Zheng, Stephanie Man Chung Fook-Chong, Terrance Siang Jin Chua, Tian Hai Koh, Khuan Yew Chow, Nan Liu, Marcus Eng Hock Ong
OBJECTIVE: Early reperfusion therapy in the treatment of ST segment elevation myocardial infarction (STEMI) patients can improve outcomes. Silent myocardial infarction is associated with poor prognosis, but little is known about its effect on treatment delays. We aimed to characterize STEMI patients presenting without complaints of pain to the emergency departments (EDs) in Singapore. METHODS: Retrospective data were requested from the Singapore Myocardial Infarction Registry (SMIR), a national level registry in Singapore...
September 29, 2016: CJEM
https://www.readbyqxmd.com/read/27649801/infant-body-mass-index-peak-and-early-childhood-cardio-metabolic-risk-markers-in-a-multi-ethnic-asian-birth-cohort
#9
Izzuddin M Aris, Jonathan Y Bernard, Ling-Wei Chen, Mya Thway Tint, Wei Wei Pang, Wai Yee Lim, Shu E Soh, Seang-Mei Saw, Keith M Godfrey, Peter D Gluckman, Yap-Seng Chong, Fabian Yap, Michael S Kramer, Yung Seng Lee
BACKGROUND: Infant body mass index (BMI) peak has received much interest recently as a potential predictor of future obesity and metabolic risk. No studies, however, have examined infant BMI peak in Asian populations, in whom the risk of metabolic disease is higher. METHODS: We utilized data among 1020 infants from a mother-offspring cohort, who were Singapore citizens or permanent residents of Chinese, Malay or Indian ethnicity with homogeneous parental ethnic backgrounds, and did not receive chemotherapy, psychotropic drugs or have diabetes mellitus...
September 20, 2016: International Journal of Epidemiology
https://www.readbyqxmd.com/read/27643254/ssa-03-3-dietary-salt-intake-and-hypertension-in-singapore
#10
Vernon Min Sen Oh
According to the Singapore National Health Survey (NHS) of 2010, the population of the Republic of Singapore was 5.076,700, comprising four ethnic groups: Chinese (74.1%), Malays (13.4%), Indians (9.2%), and others (3.3%). The National Health Survey for 2016 is under way and due to be published in 2017. From the six-yearly national health surveys, the crude prevalence of clinical hypertension (HTn), defined as a sustained blood pressure ≥ 140/90 mmHg, in Singaporean residents aged 30 to 69 years rose from 22...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27581329/estimation-of-basal-metabolic-rate-in-chinese-are-the-current-prediction-equations-applicable
#11
Stefan G Camps, Nan Xin Wang, Wei Shuan Kimberly Tan, C Jeyakumar Henry
BACKGROUND: Measurement of basal metabolic rate (BMR) is suggested as a tool to estimate energy requirements. Therefore, BMR prediction equations have been developed in multiple populations because indirect calorimetry is not always feasible. However, there is a paucity of data on BMR measured in overweight and obese adults living in Asia and equations developed for this group of interest. The aim of this study was to develop a new BMR prediction equation for Chinese adults applicable for a large BMI range and compare it with commonly used prediction equations...
2016: Nutrition Journal
https://www.readbyqxmd.com/read/27573855/association-between-the-ratio-of-triglyceride-to-high-density-lipoprotein-cholesterol-and-incident-type-2-diabetes-in-singapore-chinese-men-and-women
#12
Ye-Li Wang, Woon-Puay Koh, Mohammad Talaei, Jian-Min Yuan, An Pan
BACKGROUND: Increased triglycerides (TG) and decreased high-density lipoprotein cholesterol (HDL-C) are risk factors for type 2 diabetes (T2D). The relationship between TG:HDL-C ratio and T2D risk is not clear, and it is not known whether the association is modified by gender, body mass index, or fasting status. This study examined the relationship between TG:HDL-C ratio and risk of incident T2D, and the predictive ability of the ratio on top of other diabetes risk factors. METHODS: Blood biomarkers were determined in 571 T2D cases and 571 controls nested within a prospective, population-based cohort study, the Singapore Chinese Health Study...
August 30, 2016: Journal of Diabetes
https://www.readbyqxmd.com/read/27433876/the-correlates-of-slow-gait-and-its-relation-with-social-network-among-older-adults-in-singapore
#13
Saleha Shafie, Shazana Shahwan, Edimansyah Abdin, Janhavi Vaingankar, Louisa Picco, Rajeswari Sambasivam, Yunjue Zhang, Li Ling Ng, Siow Ann Chong, Mythily Subramaniam
OBJECTIVES: This study aimed to identify socio-demographic correlates of slow gait speed among Singapore older adult residents and to examine the relationship between slow gait speed and the older adult residents' social network, physical health status, disability and mental health status. METHODS: Trained interviewers administered the adapted 10/66 research protocol through face-to-face interviews to 2565 respondents aged 60 and over. Information on gait test, socio-demographic characteristics, obesity, social network, physical status and activity, overall health, disability and mental health status were collected...
July 19, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27398222/correlation-of-adiposity-indices-with-cardiovascular-disease-risk-factors-in-healthy-adults-of-singapore-a-cross-sectional-study
#14
Xinyan Bi, Siew Ling Tey, Claudia Leong, Rina Quek, Yi Ting Loo, Christiani Jeyakumar Henry
BACKGROUND: Obesity has long been highlighted for its association with increased incidence of cardiovascular disease (CVD). Nonetheless, the best adiposity indices to evaluate the CVD risk factors remain contentious and few studies have been performed in Asian populations. In the present study, we compared the association strength of percent body fat (PBF) to indirect anthropometric measures of general adiposity (body mass index (BMI) and body adiposity index (BAI)) and central adiposity (waist circumference (WC), and waist-to-hip ratio (WHR)) for the prediction of CVD risk factors in healthy men and women living in Singapore...
2016: BMC Obesity
https://www.readbyqxmd.com/read/27385614/predominantly-nighttime-feeding-and-weight-outcomes-in-infants
#15
Tuck Seng Cheng, See Ling Loy, Jia Ying Toh, Yin Bun Cheung, Jerry Kok Yen Chan, Keith M Godfrey, Peter D Gluckman, Seang Mei Saw, Yap-Seng Chong, Yung Seng Lee, Ngee Lek, Mary Foong-Fong Chong, Fabian Yap
BACKGROUND: The influence of circadian feeding patterns on weight outcomes has been shown in animal and human studies but not in very young children. OBJECTIVE: We aimed to examine the association of infant circadian feeding patterns at 12 mo of age with subsequent growth and weight status after 1 y. DESIGN: Mothers from a Singapore birth cohort (n = 349) reported the food given to their infants and the feeding time at 12 mo of age. Predominantly daytime (pDT) (0700-1859; n = 282) and predominantly nighttime (pNT) (1900-0659; n = 67) feeding infants were defined by whether daytime energy intake was >50% or <50% of total energy intake as assessed with the use of a 24-h recall...
August 2016: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27353244/health-promotion-board-ministry-of-health-clinical-practice-guidelines-obesity
#16
Yung Seng Lee, Stuart Biddle, Mei Fen Chan, Anton Cheng, Magdalin Cheong, Yap Seng Chong, Ling Li Foo, Chung Horn Lee, Su Chi Lim, Wee Sian Ong, Jonathan Pang, Shanker Pasupathy, Robert Sloan, Mollie Seow, Grace Soon, Benedict Tan, Thiam Chye Tan, Soo Lay Teo, Kwang Wei Tham, Rob M van Dam, John Wang
The Health Promotion Board (HPB) has developed the Clinical Practice Guidelines (CPG) on Obesity to provide health professionals in Singapore with recommendations for evidence-based interventions for obesity. This article summarises the introduction, epidemiology and executive summary of the key recommendations from the HPB-MOH CPG on Obesity for the information of SMJ readers. The chapters and page numbers mentioned in the reproduced extract refer to the full text of the guidelines, which are available from the Health Promotion Board website: http://www...
June 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27315800/body-mass-index-waist-hip-ratio-and-risk-of-chronic-medical-condition-in-the-elderly-population-results-from-the-well-being-of-the-singapore-elderly-wise-study
#17
Restria Fauziana, Anitha Jeyagurunathan, Edimansyah Abdin, Janhavi Vaingankar, Vathsala Sagayadevan, Saleha Shafie, Rajeswari Sambasivam, Siow Ann Chong, Mythily Subramaniam
BACKGROUND: The aim of the current study was to establish the prevalence and relationship of Body Mass Index (BMI) and Waist-Hip Ratio (WHR) with chronic health conditions and their associated socio-demographic correlates in the elderly population of Singapore. METHODS: The data was extracted from the Well-being of the Singapore Elderly (WiSE) study, a comprehensive single phase, cross-sectional, population-based, epidemiological study conducted in 2013 among Singaporean residents (n = 2565) aged 60 years and above with a mean age of 72...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27297676/methodological-challenges-in-studying-the-causal-determinants-of-child-growth
#18
Michael S Kramer, Xun Zhang, Izzuddin Bin Aris, Mourad Dahhou, Ashley Naimi, Seungmi Yang, Richard M Martin, Emily Oken, Robert W Platt
BACKGROUND: Previous studies of early life influences on later growth in childhood have varied in their analytical approaches, particularly with respect to 'adjustment' for differences in size at the beginning of the growth period examined. METHODS: We compared three commonly used statistical models to assess the effect of maternal body mass index (BMI) on growth between 6.5 and 11.5 years in a large cohort of Belarusian children, as follows: (Model 1) analysis of the difference in anthropometric measurements between the two ages; (Model 2) analysis of the measurement at 11...
June 12, 2016: International Journal of Epidemiology
https://www.readbyqxmd.com/read/27206424/implicit-and-explicit-anti-fat-bias-among-asian-females
#19
Weiting Jiang, Janice Tan, Daniel B Fassnacht
Obesity is not only associated with an increased risk of numerous health problems, but also with high rates of stigmatization and weight-related bias. Anti-fat attitudes have been shown to be prevalent in Western samples; however, there is a lack of studies investigating both implicit and explicit anti-fat bias in Asian populations. There is also limited research investigating the relationship between anti-fat attitudes and weight-related behavioral intentions. Thus, this study aimed to examine anti-fat bias and its effect on behavioral intentions using three types of measures-implicit, explicit, and a revised behavioral intention measure-in a sample of 104 Asian females in Singapore...
May 20, 2016: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/27180165/waist-circumference-percentiles-for-singaporean-children-and-adolescents-aged-6-17-years
#20
Swarup Mukherjee, Hin Fong Leong, Xiao Xuan Wong
AIM: Population-specific waist circumference (WC) percentiles are crucial for screening children at higher obesity-related metabolic risk. This study aimed to develop age- and gender-specific WC percentile curves for Singaporean children and adolescents. METHODS: 3029 participants (boys, 1506; girls, 1523) from different population strata of Singapore were recruited. Stature, weight and WC were measured and BMI calculated. Smoothed WC percentile curves and cut-offs for the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th, 97th were constructed using the Cole's LMS method...
May 11, 2016: Obesity Research & Clinical Practice
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