Browsing by Subject "health behavior"

Sort by: Order: Results:

Now showing items 1-3 of 3
  • Kaseva, Kaisa; Hintsa, Taina; Lipsanen, Jari; Pulkki-Raback, Laura; Hintsanen, Mirka; Yang, Xiaolin; Hirvensalo, Mirja; Hutri-Kähönen, Nina; Raitakari, Olli; Keltikangas-Jarvinen, Liisa; Tammelin, Tuija (2017)
    Background: Parents' physical activity associates with their children's physical activity. Prospective designs assessing this association are rare. This study examined how parents' physical activity was associated with their children's physical activity from childhood to middle adulthood in a 30-year pro'spective, population-based setting. Methods: Participants (n = 3596) were from the ongoing Cardiovascular Risk in Young Finns study started in 1980. Participants' physical activity was self-reported at 8 phases from 1980 to 2011, and their parents' physical activity at 1980. Analyses were adjusted for a set of health-related covariates assessed from 1980 to 2007. Results: High levels of mothers' and fathers' physical activity were systematically associated with increased levels of their children's physical activity until offspring's age of 24. Longitudinal analyses conducted from 1980 to 2011 showed that higher levels of parents' physical activity were associated with increased levels of physical activity within their offspring until midlife, but the association between parents' and their children's physical activity weakened when participants aged (P
  • Konttinen, Hanna; Sjöholm, Kajsa; Jacobson, Peter; Svensson, Per-Arne; Carlsson, Lena; Peltonen, Markku (2021)
    Objective: To identify preoperative sociodemographic and health-related factors that predict higher risk of nonfatal self-harm and suicide after bariatric surgery. Background: Evidence is emerging that bariatric surgery is related to an increased risk of suicide and self-harm, but knowledge on whether certain preoperative characteristics further enhance the excess risk is scarce. Methods: The nonrandomized, prospective, controlled Swedish Obese Subjects study was linked to 2 Nationwide Swedish registers. The bariatric surgery group (N = 2007, per-protocol) underwent gastric bypass, banding or vertical banded gastroplasty, and matched controls (N = 2040) received usual care. Participants were recruited from 1987 to 2001, and information on the outcome (a death by suicide or nonfatal self-harm event) was retrieved until the end of 2016. Subhazard ratios (sub-HR) were calculated using competing risk regression analysis. Results: The risk for self-harm/suicide was almost twice as high in surgical patients compared to control patients both before and after adjusting for various baseline factors [adjusted sub-HR = 1.98, 95% confidence interval (CI) = 1.34-2.93]. Male sex, previous healthcare visits for self-harm or mental disorders, psychiatric drug use, and sleep difficulties predicted higher risk of self-harm/suicide in the multivariate models conducted in the surgery group. Interaction tests further indicated that the excess risk for self-harm/suicide related to bariatric surgery was stronger in men (sub-HR = 3.31, 95% CI = 1.73-6.31) than in women (sub-HR = 1.54, 95% CI = 1.02-2.32) (P = 0.007 for adjusted interaction). A simple-to-use score was developed to identify those at highest risk of these events in the surgery group. Conclusions: Our findings suggest that male sex, psychiatric disorder history, and sleep difficulties are important predictors for nonfatal self-harm and suicide in postbariatric patients. High-risk patients who undergo surgery might require regular postoperative psychosocial monitoring to reduce the risk for future self-harm behaviors.
  • Komulainen, Kaisla; Mittleman, Murray A.; Jokela, Markus; Laitinen, Tomi T.; Pahkala, Katja; Elovainio, Marko; Juonala, Markus; Tammelin, Tuija; Kähönen, Mika; Raitakari, Olli; Keltikangas-Jarvinent, Liisa; Pulkid-Raback, Laura (2019)
    Background Promoting ideal cardiovascular health behaviors is an objective of the American Heart Association 2020 goals. We hypothesized that ideal health behaviors of parents are associated with health behaviors of their adult offspring, and that higher socioeconomic position in either generation enhances intergenerational associations of ideal health behaviors. Design Prospective cohort study. Methods We included 1856 Young Finns Study participants who had repeated measurements of socioeconomic position (education, income, occupation), smoking status, body mass index, physical activity and diet from 2001, 2007 and 2011, and data on parental socioeconomic position and health behaviors from 1980. We calculated the total number of ideal behaviors in both generations using American Heart Association definitions. Intergenerational associations were examined using ordinal and linear multilevel regression with random intercepts, in which each participant contributed one, two or three measurements of adult health behaviors (2001, 2007, 2011). All analyses were adjusted for offspring sex, birth year, age, parental education and single parenthood. Results Overall, parental ideal health behaviors were associated with ideal behaviors among offspring (odds ratio (OR) 1.28, 95% confidence interval 1.17, 1.39). Furthermore, ORs for these intergenerational associations were greater among offspring whose parents or who themselves had higher educational attainment (OR 1.56 for high vs. OR 1.19 for low parental education; P = 0.01 for interaction, OR 1.32 for high vs. OR 1.04 for low offspring education; P = 0.02 for interaction). Similar trends were seen with parental income and offspring occupation. Results from linear regression analyses were similar. Conclusions These prospective data suggest higher socioeconomic position in parents or in their adult offspring strengthens the intergenerational continuum of ideal cardiovascular health behaviors.