LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Your last searches

  1. AU="Olivo-Marston, Susan"
  2. AU="Denise P Momesso"
  3. AU="Obrecht-Sturm, Denise"

Search results

Result 1 - 10 of total 30

Search options

  1. Article ; Online: Clinical encounter with three cancer patients affected by groundwater contamination at Camp Lejeune: a case series and review of the literature.

    Jung, Kyungsuk / Khan, Aziz / Mocharnuk, Robert / Olivo-Marston, Susan / McDaniel, Justin T

    Journal of medical case reports

    2022  Volume 16, Issue 1, Page(s) 272

    Abstract: Background: Advanced understanding of tumor biology has recently revealed the complexity of cancer genetics, intra/inter-tumor heterogeneity, and diverse mechanisms of resistance to cancer treatment. In turn, there has been a growing interest in cancer ... ...

    Abstract Background: Advanced understanding of tumor biology has recently revealed the complexity of cancer genetics, intra/inter-tumor heterogeneity, and diverse mechanisms of resistance to cancer treatment. In turn, there has been a growing interest in cancer prevention and minimizing exposure to potential environmental carcinogens that surround us. In the 1980s, several chemical carcinogens, including perchloroethylene (PCE), trichloroethylene (TCE), and benzene, were detected in water systems supplying Camp Lejeune, a US Marine Corps Base Camp located in North Carolina.
    Case presentation: This article presents three cases of cancer patients who have lived at Camp Lejeune, and, decades later, came to our clinic located 1000 miles from the original exposure site. The first patient is a young Caucasian man who was diagnosed with T cell acute lymphoblastic leukemia at the age of 37, and the second patient is a Caucasian man who had multiple types of cancer in the prostate, lung, and colon as well as chronic lymphocytic leukemia in his 60s and 70s. The third patient is another Caucasian man who had recurrent skin cancers of different histology, namely basal cell carcinomas, squamous cell carcinomas, and melanoma, from his 50s to 70s.
    Conclusions: The US Congress passed the Honoring America's Veterans and Caring for Camp Lejeune Families Act in 2012, which covers appropriate medical care for the people affected by the contamination. We hope that this article raises awareness about the history of Camp Lejeune's water contamination among cancer care providers, so the affected patients can receive appropriate medical coverage and cancer screening across the country.
    MeSH term(s) Groundwater ; Humans ; Male ; Military Personnel ; Neoplasms ; North Carolina ; Water
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2022-07-12
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-022-03501-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article: Borage oil intake by overweight young adults: no effect on metabolic rate; beneficial effects on plasma triglyceride and HDL cholesterol readings

    DiSilvestro, Robert A. / Olivo Marston, Susan / Zimmerman, Autumn / Joseph, Elizabeth / Boeh McCarty, Carolynn

    Food & function. 2021 Oct. 4, v. 12, no. 19

    2021  

    Abstract: Some research has raised the possibility that gamma linolenic acid (GLA) can increase resting metabolic rate (RMR), which can help with weight control. However, in overweight young adults with a family history of obesity, no effect on RMR was seen after ... ...

    Abstract Some research has raised the possibility that gamma linolenic acid (GLA) can increase resting metabolic rate (RMR), which can help with weight control. However, in overweight young adults with a family history of obesity, no effect on RMR was seen after a 6 weeks treatment with borage oil (880 mg GLA per day) or evening primrose oil (540 mg GLA per day). On the other hand, borage oil did lower plasma triglyceride readings and raise HDL cholesterol readings (mean starting values in normal range for triglycerides, borderline low for HDL). No effect was seen for body mass index, plasma total cholesterol, LDL cholesterol, or glucose. Thus, in the type of subjects studied here, borage oil, a source of GLA, did not show promise as a weight control aid, but could help prevent undesirable readings for two blood lipid measures.
    Keywords blood lipids ; body mass index ; borage oil ; glucose ; high density lipoprotein cholesterol ; linolenic acid ; low density lipoprotein cholesterol ; metabolism ; obesity ; triacylglycerols ; weight control
    Language English
    Dates of publication 2021-1004
    Size p. 8882-8886.
    Publishing place The Royal Society of Chemistry
    Document type Article
    ZDB-ID 2612033-1
    ISSN 2042-650X ; 2042-6496
    ISSN (online) 2042-650X
    ISSN 2042-6496
    DOI 10.1039/d1fo01887f
    Database NAL-Catalogue (AGRICOLA)

    More links

    Kategorien

  3. Article ; Online: Dietary Energy Intake and Presence of Aberrant Crypt Foci Are Associated with Phospholipid, Purine, and Taurine Metabolite Abundances in C57BL/6N Mouse Colon

    Chatelaine, Haley A. / Ramazani, Cynthia A. / Spencer, Kyle / Olivo‐Marston, Susan / Bailey, Michael T. / McElroy, Joseph / Hatzakis, Emmanuel / Mathe, Ewy A. / Kopec, Rachel E.

    Molecular Nutrition & Food Research. 2022 Oct., v. 66, no. 20 p.e2200180-

    2022  

    Abstract: SCOPE: Colon metabolomes associated with high‐fat (H) versus energy‐restricted (E) diets in early colorectal cancer (CRC) models have never been directly compared. The objectives of this study are to elucidate metabolites associated with diet, aberrant ... ...

    Abstract SCOPE: Colon metabolomes associated with high‐fat (H) versus energy‐restricted (E) diets in early colorectal cancer (CRC) models have never been directly compared. The objectives of this study are to elucidate metabolites associated with diet, aberrant crypt foci (ACF), and diet:ACF interaction, using a lifetime murine model. METHODS AND RESULTS: Three‐week‐old mice consumed control (C), E, or H initiation diets for 18 weeks. ACF formation is initiated weeks 16–21 with azoxymethane injections, followed by progression diet crossover (to C, E, or H) through week 60. Colon extracts are analyzed using ultra‐high‐performance liquid chromatography‐high resolution mass spectrometry (UHPLC‐HRMS). Metabolites associated with diet, ACF, or diet:ACF are determined using regression models (FDR‐adjusted p‐value <0.05). No metabolites are significantly associated with initiation diets, but concentrations of acylcarnitines and phospholipids are associated with C, E, and H progression diets. Purines, taurine, and phospholipids are associated with ACF presence. No significant associations between metabolites and diet:ACF interaction are observed. CONCLUSIONS: These results suggest that recent, rather than early‐life, diet is more closely associated with the colon metabolome, particularly lipid metabolism. Results from this study also provide candidate biomarkers of early CRC development and provide support for the importance of early diet on influencing pre‐CRC risk.
    Keywords animal models ; biomarkers ; colon ; colorectal neoplasms ; diet ; energy intake ; food research ; lipid metabolism ; liquid chromatography ; mass spectrometry ; metabolites ; metabolome ; mice ; phospholipids ; purines ; risk ; taurine
    Language English
    Dates of publication 2022-10
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 2160372-8
    ISSN 1613-4133 ; 1613-4125
    ISSN (online) 1613-4133
    ISSN 1613-4125
    DOI 10.1002/mnfr.202200180
    Database NAL-Catalogue (AGRICOLA)

    More links

    Kategorien

  4. Article ; Online: Ten-year cardiovascular risk among cancer survivors: The National Health and Nutrition Examination Survey.

    Zhang, Xiaochen / Pawlikowski, Meghan / Olivo-Marston, Susan / Williams, Karen Patricia / Bower, Julie K / Felix, Ashley S

    PloS one

    2021  Volume 16, Issue 3, Page(s) e0247919

    Abstract: Background: Cancer survivors have a higher risk of developing and dying from cardiovascular disease (CVD) compared to the general population. We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. ... ...

    Abstract Background: Cancer survivors have a higher risk of developing and dying from cardiovascular disease (CVD) compared to the general population. We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. without a cancer history in a nationally representative U.S. sample.
    Methods: Participants aged 40-79 years with no CVD history were included from the 2007-2016 National Health and Nutrition Examination Survey. Cancer history was self-reported and 10-year risk of ASCVD was estimated using Pooled Cohort Equations. We used logistic regression to estimate associations between cancer history and odds of elevated (≥7.5%) vs. low (<7.5%) 10-year ASCVD risk. An interaction between age and cancer history was examined.
    Results: A total of 15,095 participants were included (mean age = 55.2 years) with 12.3% (n = 1,604) reporting a cancer history. Individuals with vs. without a cancer history had increased odds of elevated 10-year ASCVD risk (OR = 3.42, 95% CI: 2.51-4.66). Specifically, those with bladder/kidney, prostate, colorectal, lung, melanoma, or testicular cancer had a 2.72-10.47 higher odds of elevated 10-year ASCVD risk. Additionally, age was an effect modifier: a cancer history was associated with 1.24 (95% CI: 1.19-4.21) times higher odds of elevated 10-year ASCVD risk among those aged 60-69, but not with other age groups.
    Conclusions: Adults with a history of self-reported cancer had higher 10-year ASCVD risk. ASCVD risk assessment and clinical surveillance of cardiovascular health following a cancer diagnosis could potentially reduce disease burden and prolong survival, especially for patients with specific cancers and high ASCVD risk.
    MeSH term(s) Adult ; Aged ; Cancer Survivors ; Cardiovascular Diseases/etiology ; Female ; Heart Disease Risk Factors ; Humans ; Male ; Middle Aged ; Neoplasms/complications ; Self Report ; Surveys and Questionnaires
    Language English
    Publishing date 2021-03-04
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0247919
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Borage oil intake by overweight young adults: no effect on metabolic rate; beneficial effects on plasma triglyceride and HDL cholesterol readings.

    DiSilvestro, Robert A / Olivo Marston, Susan / Zimmerman, Autumn / Joseph, Elizabeth / Boeh McCarty, Carolynn

    Food & function

    2021  Volume 12, Issue 19, Page(s) 8882–8886

    Abstract: Some research has raised the possibility that gamma linolenic acid (GLA) can increase resting metabolic rate (RMR), which can help with weight control. However, in overweight young adults with a family history of obesity, no effect on RMR was seen after ... ...

    Abstract Some research has raised the possibility that gamma linolenic acid (GLA) can increase resting metabolic rate (RMR), which can help with weight control. However, in overweight young adults with a family history of obesity, no effect on RMR was seen after a 6 weeks treatment with borage oil (880 mg GLA per day) or evening primrose oil (540 mg GLA per day). On the other hand, borage oil did lower plasma triglyceride readings and raise HDL cholesterol readings (mean starting values in normal range for triglycerides, borderline low for HDL). No effect was seen for body mass index, plasma total cholesterol, LDL cholesterol, or glucose. Thus, in the type of subjects studied here, borage oil, a source of GLA, did not show promise as a weight control aid, but could help prevent undesirable readings for two blood lipid measures.
    MeSH term(s) Administration, Oral ; Adult ; Cholesterol, HDL/metabolism ; Female ; Functional Food ; Humans ; Male ; Middle Aged ; Obesity/prevention & control ; Phytotherapy ; Plant Oils/administration & dosage ; Plant Oils/pharmacology ; Treatment Outcome ; Triglycerides/metabolism ; Young Adult ; gamma-Linolenic Acid/administration & dosage ; gamma-Linolenic Acid/pharmacology
    Chemical Substances Cholesterol, HDL ; Plant Oils ; Triglycerides ; gamma-Linolenic Acid (78YC2MAX4O) ; borage oil (F8XAG1755S)
    Language English
    Publishing date 2021-10-04
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2612033-1
    ISSN 2042-650X ; 2042-6496
    ISSN (online) 2042-650X
    ISSN 2042-6496
    DOI 10.1039/d1fo01887f
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Dietary Energy Intake and Presence of Aberrant Crypt Foci Are Associated with Phospholipid, Purine, and Taurine Metabolite Abundances in C57BL/6N Mouse Colon.

    Chatelaine, Haley A / Ramazani, Cynthia A / Spencer, Kyle / Olivo-Marston, Susan / Bailey, Michael T / McElroy, Joseph / Hatzakis, Emmanuel / Mathé, Ewy A / Kopec, Rachel E

    Molecular nutrition & food research

    2022  Volume 66, Issue 20, Page(s) e2200180

    Abstract: Scope: Colon metabolomes associated with high-fat (H) versus energy-restricted (E) diets in early colorectal cancer (CRC) models have never been directly compared. The objectives of this study are to elucidate metabolites associated with diet, aberrant ... ...

    Abstract Scope: Colon metabolomes associated with high-fat (H) versus energy-restricted (E) diets in early colorectal cancer (CRC) models have never been directly compared. The objectives of this study are to elucidate metabolites associated with diet, aberrant crypt foci (ACF), and diet:ACF interaction, using a lifetime murine model.
    Methods and results: Three-week-old mice consumed control (C), E, or H initiation diets for 18 weeks. ACF formation is initiated weeks 16-21 with azoxymethane injections, followed by progression diet crossover (to C, E, or H) through week 60. Colon extracts are analyzed using ultra-high-performance liquid chromatography-high resolution mass spectrometry (UHPLC-HRMS). Metabolites associated with diet, ACF, or diet:ACF are determined using regression models (FDR-adjusted p-value <0.05). No metabolites are significantly associated with initiation diets, but concentrations of acylcarnitines and phospholipids are associated with C, E, and H progression diets. Purines, taurine, and phospholipids are associated with ACF presence. No significant associations between metabolites and diet:ACF interaction are observed.
    Conclusions: These results suggest that recent, rather than early-life, diet is more closely associated with the colon metabolome, particularly lipid metabolism. Results from this study also provide candidate biomarkers of early CRC development and provide support for the importance of early diet on influencing pre-CRC risk.
    MeSH term(s) Mice ; Animals ; Aberrant Crypt Foci ; Phospholipids ; Taurine ; Colonic Neoplasms ; Mice, Inbred C57BL ; Azoxymethane/toxicity ; Colon ; Energy Intake ; Diet ; Purines ; Carcinogens ; Precancerous Conditions
    Chemical Substances Phospholipids ; Taurine (1EQV5MLY3D) ; Azoxymethane (MO0N1J0SEN) ; Purines ; Carcinogens
    Language English
    Publishing date 2022-08-29
    Publishing country Germany
    Document type Journal Article ; Research Support, N.I.H., Intramural ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2160372-8
    ISSN 1613-4133 ; 1613-4125
    ISSN (online) 1613-4133
    ISSN 1613-4125
    DOI 10.1002/mnfr.202200180
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Statin users have an elevated risk of dysglycemia and new-onset-diabetes.

    Zigmont, Victoria A / Shoben, Abigail B / Lu, Bo / Kaye, Gail L / Clinton, Steven K / Harris, Randall E / Olivo-Marston, Susan E

    Diabetes/metabolism research and reviews

    2019  Volume 35, Issue 8, Page(s) e3189

    Abstract: Objective: Statins are one of the most widely prescribed medications in the United States; however, there is a concern that they are associated with new-onset-diabetes (NOD) development. We sought to understand the risk of dysglycemia and NOD for a ... ...

    Abstract Objective: Statins are one of the most widely prescribed medications in the United States; however, there is a concern that they are associated with new-onset-diabetes (NOD) development. We sought to understand the risk of dysglycemia and NOD for a cohort of individuals that reflect real-world physician prescribing patterns.
    Methods: A retrospective cohort study was conducted among individuals with indications for statin use (n = 7064). To examine elevated glycosylated hemoglobin (>6.0%), logistic regression with inverse probability weighting was used to create balance between incident statin users and nonusers. To evaluate the risk of NOD development, Cox PH models with time varying statin use compared NOD diagnoses among statin users and nonusers.
    Results: A higher prevalence of elevated HbA1c (PD = 0.065; 95% CI: 0.002, 0.129, P = 0.045) occurred among nondiabetic incident users of statins. Additionally, statin users had a higher risk of developing NOD (AHR = 2.20; 95% CI: 1.35, 3.58, P = 0.002). Those taking statins for 2 years or longer (AHR = 3.33; 95% CI: 1.84, 6.01, P < 0.001) were at the greatest risk of developing NOD; no differences were observed by statin class or intensity of dose.
    Conclusion: As lifestyle programs like the Diabetes Prevention Program are promoted in primary care settings, we hope physicians will integrate and insurers support healthy lifestyle strategies as part of the optimal management of individuals at risk for both NOD and cardiovascular disease. The relationships between statin use and glycemic control should be evaluated in large cohort studies, medical record databases, and mechanistic investigations to inform clinical judgment and treatment.
    MeSH term(s) Biomarkers/analysis ; Blood Glucose/analysis ; Diabetes Mellitus/chemically induced ; Diabetes Mellitus/epidemiology ; Female ; Follow-Up Studies ; Glucose Intolerance/chemically induced ; Glucose Intolerance/epidemiology ; Glycated Hemoglobin A/analysis ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects ; Incidence ; Male ; Middle Aged ; Prognosis ; Retrospective Studies
    Chemical Substances Biomarkers ; Blood Glucose ; Glycated Hemoglobin A ; Hydroxymethylglutaryl-CoA Reductase Inhibitors ; hemoglobin A1c protein, human
    Language English
    Publishing date 2019-07-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1470192-3
    ISSN 1520-7560 ; 1520-7552
    ISSN (online) 1520-7560
    ISSN 1520-7552
    DOI 10.1002/dmrr.3189
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article: Associations of Dairy Intake with Circulating Biomarkers of Inflammation, Insulin Response, and Dyslipidemia among Postmenopausal Women.

    Shi, Ni / Olivo-Marston, Susan / Jin, Qi / Aroke, Desmond / Joseph, Joshua J / Clinton, Steven K / Manson, JoAnn E / Rexrode, Kathryn M / Mossavar-Rahmani, Yasmin / Fels Tinker, Lesley / Shadyab, Aladdin H / Arthur, Rhonda S / Snetselaar, Linda G / Van Horn, Linda / Tabung, Fred K

    Journal of the Academy of Nutrition and Dietetics

    2021  Volume 121, Issue 10, Page(s) 1984–2002

    Abstract: Background: Cardiometabolic diseases are prevalent in aging Americans. Although some studies have implicated greater intake of dairy products, it is not clear how dairy intake is related to biomarkers of cardiometabolic health.: Objective: Our aim ... ...

    Abstract Background: Cardiometabolic diseases are prevalent in aging Americans. Although some studies have implicated greater intake of dairy products, it is not clear how dairy intake is related to biomarkers of cardiometabolic health.
    Objective: Our aim was to test the hypothesis that associations of dairy foods with biomarkers of lipid metabolism, insulin-like growth factor signaling, and chronic inflammation may provide clues to understanding how dairy can influence cardiometabolic health.
    Design: This was a cross-sectional study in the Women's Health Initiative using baseline food frequency questionnaire data to calculate dairy intake.
    Participants/setting: Participants were 35,352 postmenopausal women aged 50 to 79 years at 40 clinical centers in the United States.
    Main outcome measures: Baseline (1993-1998) concentrations of 20 circulating biomarkers were measured.
    Statistical analyses: Multivariable-adjusted linear regression was used to estimate percent difference in biomarker concentrations per serving of total dairy and individual foods (milk, cheese, yogurt, butter, and low-fat varieties).
    Results: Lower triglyceride concentrations were associated with greater intake of total dairy (-0.8% [95% CI -1.2% to -0.3%]), mainly driven by full-fat varieties. Individual dairy foods had specific associations with circulating lipid components. For example, greater total milk intake was associated with lower concentrations of total cholesterol (-0.4% [95% CI -0.7% to -0.2%]) and high-density lipoprotein cholesterol (-0.5% [95% CI -0.9% to -0.1%]), whereas greater butter intake was associated with higher total cholesterol (0.6% [95% CI 0.2% to 1.0%]) and high-density lipoprotein cholesterol (1.6% [95% CI 1.1% to 2.0%]) concentrations. In contrast, higher total yogurt intake was associated with lower total cholesterol (-1.1% [95% CI -2.0% to -0.2%]) and higher high-density lipoprotein cholesterol (1.8% [95% CI 0.5% to 3.1%]). Greater total dairy intake (regardless of fat content), total cheese, full-fat cheese, and yogurt were consistently associated with lower concentrations of glucose, insulin, and C-reactive protein. However, milk and butter were not associated with these biomarkers.
    Conclusions: Higher dairy intake, except butter, was associated with a favorable profile of lipids, insulin response, and inflammatory biomarkers, regardless of fat content. Yet, specific dairy foods might influence these markers uniquely. Findings do not support a putative role of dairy in cardiometabolic diseases observed in some previous studies.
    MeSH term(s) Aged ; Biomarkers/blood ; Cardiometabolic Risk Factors ; Cross-Sectional Studies ; Dairy Products/statistics & numerical data ; Diet/adverse effects ; Diet/methods ; Diet Surveys ; Dyslipidemias/epidemiology ; Dyslipidemias/etiology ; Female ; Humans ; Inflammation ; Insulin/blood ; Linear Models ; Lipid Metabolism ; Lipids/blood ; Middle Aged ; Postmenopause/blood ; United States/epidemiology ; Women's Health/statistics & numerical data
    Chemical Substances Biomarkers ; Insulin ; Lipids
    Language English
    Publishing date 2021-04-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2646718-5
    ISSN 2212-2672
    ISSN 2212-2672
    DOI 10.1016/j.jand.2021.02.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: An Evaluation of Reach for a Work Site Implementation of the National Diabetes Prevention Program Focusing on Diet and Exercise.

    Zigmont, Victoria A / Shoben, Abigail B / Kaye, Gail L / Snow, Richard J / Clinton, Steven K / Harris, Randall E / Olivo-Marston, Susan E

    American journal of health promotion : AJHP

    2017  Volume 32, Issue 6, Page(s) 1417–1424

    Abstract: Purpose: Our objective is to evaluate the "reach" component of the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework by comparing prediabetics who were and were not interested in enrolling in a free work site diabetes prevention ...

    Abstract Purpose: Our objective is to evaluate the "reach" component of the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework by comparing prediabetics who were and were not interested in enrolling in a free work site diabetes prevention program (DPP) during the first year of the program. Reach is defined as the proportion of eligible participants who enroll in a health program.
    Design: A cross-sectional study design was used.
    Setting: The setting was a large health system in the Midwest.
    Participants: Prediabetic health plan enrollees and spouses (N = 2158).
    Measures: An online health survey, annual voluntary biometric screenings delivered by a trained health-care professional using standardized protocols via point-of-care testing, and records from the DPP office were the sources of data for this study.
    Analysis: Health behaviors and biometric screening results were simultaneously compared using multivariable logistic regression.
    Results: The study population was 63% female, 79% white, and 16% black, and the mean age was 50.2 years (SD = 10.2). The reach of this program was 10%. Prediabetics were more likely to express interest in the DPP, if they were female (adjusted odds ratio [AOR]: 2.4; 95% confidence interval [95% CI]: 1.55-3.72; P < .001), black (AOR = 2.23; 95% CI: 1.43-3.47; P < .001), older in age (AOR: 1.08; 95% CI: 0.99-1.17; P = .05), or had a high-risk waist circumference (AOR = 1.44; 95% CI: 0.98-2.13; P = .07), lower self-efficacy to make healthy changes (AOR = 0.48; 95% CI: 0.26-0.91; P = .03), and 5 or more doctor visits in the last year (AOR = 2.13; 95% CI: 0.99-4.57; P = .05), after controlling for other covariates.
    Conclusion: Current recruitment and implementation strategies are reaching only a small group of individuals who are not representative of the larger prediabetic population. These findings inform future engagement strategies, and we recommend that public health practitioners evaluate reach to ensure that health promotion programs are of high value.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2/prevention & control ; Diet/psychology ; Exercise/psychology ; Female ; Health Promotion/methods ; Healthy Lifestyle ; Humans ; Male ; Middle Aged ; Midwestern United States ; Occupational Health ; Program Evaluation ; Workplace/psychology
    Language English
    Publishing date 2017-10-08
    Publishing country United States
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 645160-3
    ISSN 2168-6602 ; 0890-1171
    ISSN (online) 2168-6602
    ISSN 0890-1171
    DOI 10.1177/0890117117733348
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Association of Burnout with Workforce-Reducing Factors among EMS Professionals.

    Crowe, Remle P / Bower, Julie K / Cash, Rebecca E / Panchal, Ashish R / Rodriguez, Severo A / Olivo-Marston, Susan E

    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors

    2017  Volume 22, Issue 2, Page(s) 229–236

    Abstract: Objectives: Emergency medical services (EMS) professionals often work long hours at multiple jobs and endure frequent exposure to traumatic events. The stressors inherent to the prehospital setting may increase the likelihood of experiencing burnout and ...

    Abstract Objectives: Emergency medical services (EMS) professionals often work long hours at multiple jobs and endure frequent exposure to traumatic events. The stressors inherent to the prehospital setting may increase the likelihood of experiencing burnout and lead providers to exit the profession, representing a serious workforce and public health concern. Our objectives were to estimate the prevalence of burnout, identify characteristics associated with experiencing burnout, and quantify its relationship with factors that negatively impact EMS workforce stability, namely sickness absence and turnover intentions.
    Methods: A random sample of 10,620 emergency medical technicians (EMTs) and 10,540 paramedics was selected from the National EMS Certification database to receive an electronic questionnaire between October, 2015 and November, 2015. Using the validated Copenhagen Burnout Inventory (CBI), we assessed burnout across three dimensions: personal, work-related, and patient-related. We used multivariable logistic regression modeling to identify burnout predictors and quantify the association between burnout and our workforce-related outcomes: reporting ten or more days of work absence due to personal illness in the past 12 months, and intending to leave an EMS job or the profession within the next 12 months.
    Results: Burnout was more prevalent among paramedics than EMTs (personal: 38.3% vs. 24.9%, work-related: 30.1% vs. 19.1%, and patient-related: 14.4% vs. 5.5%). Variables associated with increased burnout in all dimensions included certification at the paramedic level, having between five and 15 years of EMS experience, and increased weekly call volume. After adjustment, burnout was associated with over a two-fold increase in odds of reporting ten or more days of sickness absence in the past year. Burnout was associated with greater odds of intending to leave an EMS job (personal OR:2.45, 95% CI:1.95-3.06, work-related OR:3.37, 95% CI:2.67-4.26, patient-related OR: 2.38, 95% CI:1.74-3.26) or the EMS profession (personal OR:2.70, 95% CI:1.94-3.74, work-related OR:3.43, 95% CI:2.47-4.75, patient-related OR:3.69, 95% CI:2.42-5.63).
    Conclusions: The high estimated prevalence of burnout among EMS professionals represents a significant concern for the physical and mental well-being of this critical healthcare workforce. Further, the strong association between burnout and variables that negatively impact the number of available EMS professionals signals an important workforce concern that warrants further prospective investigation.
    MeSH term(s) Adult ; Burnout, Psychological/epidemiology ; Cross-Sectional Studies ; Emergency Medical Services ; Emergency Medical Technicians/psychology ; Female ; Humans ; Logistic Models ; Male ; Personnel Turnover ; Prevalence ; Registries ; Surveys and Questionnaires ; United States/epidemiology ; Workforce ; Workload/psychology ; Workload/statistics & numerical data
    Language English
    Publishing date 2017-08-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2017.1356411
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top