Preventive medicine
-
Preventive medicine · Aug 2023
ReviewPolicy, systems, and environmental interventions addressing physical activity in early childhood education settings: A systematic review.
Policy, systems, and environmental (PSE) approaches can facilitate physical activity in priority populations (e.g., racial and ethnic minority, low wealth groups) within early childhood education (ECE) settings. The purpose of this review was to 1) characterize the inclusion of priority populations within ECE physical activity interventions containing PSE approaches and 2) identify and describe interventions within these populations. Seven databases were systematically searched (January 2000-Febrary 2022) for ECE-based interventions focusing on children (0-6 years) that utilized at least one PSE approach. ⋯ In Aim 2, of the 12 interventions assessing child physical activity in priority populations, 9/12 reported at least one physical activity outcome in the expected direction. Of the 11 interventions assessing the physical activity environment, 9/11 reported an effect in the expected direction. Findings indicate clear opportunities exist to target priority populations by incorporating PSE approaches in ECE physical activity interventions.
-
Preventive medicine · Aug 2023
The physical activity implications of retirement across occupational activity groups.
Retirement is an important later life transition which may represent a critical period for physical activity in older age. Past findings on the association between retirement and physical activity are inconclusive and there is some evidence that the physical activity implications of retirement may differ by occupational activity level. This study used data from waves 4-9 (June 2008-July 2019) of the English Longitudinal Study on Aging to evaluate whether there is an association between retirement and physical activity, and whether this varies across occupational activity groups. ⋯ This study quantified the importance of retirement for later life physical activity. With demographic aging, the population health importance of later life physical activity will likely become more important. These findings should inform the design of public health interventions to increase physical activity around the retirement transition.
-
Preventive medicine · Aug 2023
How are hearing loss and physical activity related? Analysis from the English longitudinal study of ageing.
Although cross-sectional studies suggest that hearing loss in middle- and older-aged adults is associated with lower physical activity, longitudinal evidence is limited. This study aimed to investigate the potential bi-directional association between hearing loss and physical activity over time. Participants were from the English Longitudinal Study of Ageing (N = 11,292) who were 50-years or older at baseline assessment (1998-2000). ⋯ These findings highlight the importance of addressing physical activity in middle- and older-aged adults with hearing loss. As physical activity is a modifiable behaviour that can reduce the risk of developing chronic health conditions, individuals with hearing loss may need additional, tailored support to be more physically active. Mitigating the decline in physical activity could be essential to support healthy ageing for adults with hearing loss.
-
Preventive medicine · Aug 2023
Design and localization algorithm of flap guide plate for jaw defect based on digital 3D printing.
The anterolateral thigh flap is often used to repair the wound tissue defect. Because it is difficult to carry out the perforating vessels before and after the operation, it is considered to use digital design combined with 3D printing technology to prepare the digital three-dimensional guide plate, and at the same time, the guide plate positioning algorithm is designed according to the error caused by the different placement of the guide plate at the site to be transplanted. ⋯ In the experiment, the soft tissue of the patients with jaw defects can be well repaired based on the guide plate. The positioning algorithm locates the flap graft under the condition of less environmental parameters, and obtains the corresponding diameter parameters.
-
Preventive medicine · Aug 2023
Global and regional burden of ischemic stroke associated with atrial fibrillation, 2009-2019.
The extent of the preventable burden of ischaemic stroke associated with atrial fibrillation (AF) remains uncertain to date. To address this knowledge gap, we utilised the comparative risk assessment methodology to estimate the burden of ischaemic stroke associated with AF at both global and regional levels. The population attributable fraction for ischaemic stroke and AF was obtained from published literature, while data on the prevalence, incidence, deaths, and disability-adjusted life years (DALY) associated with ischaemic stroke were sourced from the Global Burden of Disease study database. ⋯ It is likely that our findings under-estimated the true burden of ischaemic stroke associated with AF due to limitations such as the use of a fixed population attributable fraction and poor quality of data. Nevertheless, we believe that our estimates provide valuable insights and highlight the urgent need for optimised management of AF through the implementation of efficacious interventions. Such efforts can help reduce the occurrence of preventable ischaemic strokes.