Food consumption and lifestyle habits among university students in Saudi Arabia

Food consumption and lifestyle habits can have a positive or negative direct impact on an individual’s health. University students tend to have poor eating habits that are influenced mainly by sensory perceptions. This survey was done to evaluate the status of food consumption and lifestyle habits among Taif university students (males and females). A total of 600 students aged from 18 to 24 years participated in the survey and responded to questions on socio-demographic characteristics, lifestyle habits, eating habits, food consumption frequency, attitude, health and food awareness knowledge. The randomly selected students were from various levels in university representing wide categories and living conditions in Taif Region, Saudi Arabia. The examined students efficiently completed the survey with the help of the university staff. Weight and height were evaluated by a portable standing electronic scale and a portable stadiometer (Seca 879, Germany) to calculate the Body mass index (BMI) classes. Female students recorded 28% of underweight cases, which was higher than the male students (11%) with none significant at p>0.05. The rate of overweight in male students was 30% compared with the female students’ 26%. The study reported 49% and 64% for normal waist circumference for male and female students, respectively. A higher frequency of moderate physical exercise was reported among male students at 60% compared to that among female students (57%). The number of students who did physical exercise regularly was reported to be higher in females (15%) than males (8%). A percentage of 15% and 7% of the male and female students, respectively were smokers. Male students recorded higher sleeping hours than females. Male students reported high media consumption frequency of more than 3 hours a day 67%, followed by 21% between 3-6 hours a day for female students. About 46% and 55% of male and female students, respectively, reported fast-food consumption at least once a week and about 30% of males and 24% females took only 1 to 2 fast food meals in a month. The major meals skipped were breakfast, followed by lunch and dinner; however, this was not significant p>0.05. Meal skipping was high among female students (72%). It was noted that high percentage of male students (72%) reported low consumption levels of vegetables and fruits. The main reason for fast-food consumption was convenience (31%) for males, while females recorded 32% for choices. Female students had a higher score than males in nutrition knowledge. There is a need for awareness creation concerning better food choices, lifestyle habits and weight management that might create a helpful impact on the university student health

Prevalence of thinness cases and dietary diversity among learners of various education stages in Taif Region, Saudi Arabia

Monitoring nutritional status during infancy, childhood, and adulthood is essential because good quality diet during growth is vital to cover the cognitive and physical demands, supply enough energy stores for illnesses and pregnancy and avoid adult nutrition-associated diseases. Thinness cases and lack of dietary diversity among learners in various education stages are common nutritional problems. A cross-sectional survey was carried out for the assessments of thinness cases and dietary diversity among the learners in various education stages in Taif Region, Saudi Arabia in August, 2020. A total of randomly selected 1602 respondents who fulfilled the exclusion and inclusion criteria (n=364 primary schools, n=410 middle schools, n=321 high schools, and n=507 university students) were examined and efficiently completed the survey. The survey comprised of socio-demographic characteristics, questions about health problems, adequate dietary diversity, habits, food item consumption, and nutritional knowledge test based on the student's theory and behaviors. The prevalence of thinness status among university students was very obvious (22%) and found to be mild followed by moderate (11%) and (0.4%) severely thin. The prevalence of severe thinness was the highest among primary school participants (28%). The prevalence of moderate thinness was reported slightly similar among middle and high school participants (29% and 32%, respectively). The highest prevalence of thinness cases was found in students from rural areas, while the lowest values were observed in those from urban areas. Students from large family size were more likely to be thin as compared to students from small size families. Students whose mothers were illiterate or had low formal education were more likely to be thin compared to those students whose mothers had completed university education or above. Further, 78% of primary school students reported meal skipping due to lack of appetite, while shape maintaining for the meal was accounted for 50% for middle school students as the main reason for the meal skipping. Snacking was also reported to be at a high rate among primary and high school students as 76% and 83% of the students mentioned having snacks, respectively. A higher frequency of light physical exercise was established for primary school pupils (81%), while university students reported (34%) as moderate. Almost all students had a low level of eating cereals, fruits and vegetables, while high schools and university students had a high-level consumption of fruits, animal-based foods and nutritional supplements. High school students had an excellent score 37% for nutrition knowledge. Education stage of learners was found to have direct influence on thinness, dietary diversity and food consumption frequency of the respondents. Consequently, nutritional education may positively affect the whole student's ability for good diet choices in the way to ensure a healthier status. The knowledge of nutrition education combined with physical exercise programmers may contribute to strengthening of the healthy eating messages at the various educationstages

Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

BACKGROUND: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study\u27s objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. METHODS: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. FINDINGS: There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p\u3c0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p\u3c0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. INTERPRETATION: There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction

Impact of Age and Alberta Stroke Program Early Computed Tomography Score 0 to 5 on Mechanical Thrombectomy Outcomes: Analysis From the STRATIS Registry

Background and Purpose: This study investigates clinical outcomes after mechanical thrombectomy in adult patients with baseline Alberta Stroke Program Early CT Score (ASPECTS) of 0 to 5. Methods: We included data from the STRATIS Registry (Systematic Evaluation of Patients Treated With Neurothrombectomy Devices for Acute Ischemic Stroke) from patients who underwent mechanical thrombectomy within 8 hours of symptom onset and had available ASPECTS data adjudicated by an independent core laboratory. Angiographic and clinical outcomes were collected, including successful reperfusion (modified Thrombolysis in Cerebral Infarction ≥2b), functional independence (modified Rankin Scale score 0–2), 90-day mortality, and symptomatic intracranial hemorrhage at 24 hours. Outcomes were stratified by ASPECTS scores and age. Results: Of the 984 patients enrolled, 763 had available ASPECTS data. Of these patients, 57 had ASPECTS of 0 to 5 with a median age of 63 years (interquartile range, 28–100), whereas 706 patients had ASPECTS of 6 to 10 with a median age of 70 years of age (interquartile range, 19–100). Ten patients had ASPECTS of 0 to 3 and 47 patients had ASPECTS of 4 to 5 at baseline. Successful reperfusion was achieved in 85.5% (47/55) in the ASPECTS of 0 to 5 group. Functional independence was achieved in 28.8% (15/52) in the ASPECTS of 0 to 5 versus 59.7% (388/650) in the 6 to 10 group ( P 75 years with ASPECTS of 0 to 5 (0/12) achieved functional independence versus 44.8% (13/29) of those age ≤65 ( P =0.005). Conclusions: Patients 75 years of age. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT02239640