81 research outputs found

    Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992 to 2007

    Get PDF
    In many high income developed countries, obesity is inversely associated with educational level. In some countries, a widening gap of obesity between educational groups has been reported. The aim of this study was to assess trends in body mass index (BMI) and in prevalence of overweight and obesity and their association with educational level in the adult Swiss population. Four cross-sectional National health interview surveys conducted in 1992/93 (n = 14,521), 1997 (n = 12,474), 2002 (n = 18,908) and 2007 (n = 17,879) using representative samples of the Swiss population (age range 18-102 years). BMI was derived from self-reported data. Overweight was defined as BMI > or = 25 and <30 kg/m(2), and obesity as BMI > or = 30 kg/m(2). Mean (+/- standard deviation) BMI increased from 24.7 +/- 3.6 in 1992/3 to 25.4 +/- 3.6 kg/m2 in 2007 in men and 22.8 +/- 3.8 to 23.7 +/- 4.3 kg/m(2) in women. Between 1992/3 and 2007, the prevalence of overweight + obesity increased from 40.4% to 49.5% in men and from 22.3% to 31.3% in women, while the prevalence of obesity increased from 6.3% to 9.4% in men and from 4.9% to 8.5% in women. The rate of increase in the prevalence of obesity was greater between 1992/3 and 2002 (men: +0.26%/year; women: +0.31%/year) than between 2002 and 2007 (men: +0.10%/year; women: +0.10%/year). A sizable fraction (approximately 25%) of the increasing mean BMI was due to increasing age of the participants over time. The increase was larger in low than high education strata of the population. BMI was strongly associated with low educational level among women and this gradient remained fairly constant over time. A weaker similar gradient by educational level was apparent in men, but it tended to increase over time. In Switzerland, overweight and obesity increased between 1992 and 2007 and was associated with low education status in both men and women. A trend towards a stabilization of mean BMI levels was noted in most age categories since 2002. The increase in the prevalence of obesity was larger in low education strata of the population. These findings suggest that obesity preventive measures should be targeted according to educational level in Switzerland

    The "lipid accumulation product" performs better than the body mass index for recognizing cardiovascular risk: a population-based comparison

    Get PDF
    BACKGROUND: Body mass index (BMI, kg/m(2)) may not be the best marker for estimating the risk of obesity-related disease. Consistent with physiologic observations, an alternative index uses waist circumference (WC) and fasting triglycerides (TG) concentration to describe lipid overaccumulation. METHODS: The WC (estimated population minimum 65 cm for men and 58 cm for women) and TG concentration from the third National Health and Nutrition Examination Survey (N = 9,180, statistically weighted to represent 100.05 million US adults) were used to compute a "lipid accumulation product" [LAP = (WC-65) × TG for men and (WC-58) × TG for women] and to describe the population distribution of LAP. LAP and BMI were compared as categorical variables and as log-transformed continuous variables for their ability to identify adverse levels of 11 cardiovascular risk factors. RESULTS: Nearly half of the represented population was discordant for their quartile assignments to LAP and BMI. When 23.54 million with ordinal LAP quartile > BMI quartile were compared with 25.36 million with ordinal BMI quartile > LAP quartile (regression models adjusted for race-ethnicity and sex) the former had more adverse risk levels than the latter (p < 0.002) for seven lipid variables, uric acid concentration, heart rate, systolic and diastolic blood pressure. Further adjustment for age did not materially alter these comparisons except for blood pressures (p > 0.1). As continuous variables, LAP provided a consistently more adverse beta coefficient (slope) than BMI for nine cardiovascular risk variables (p < 0.01), but not for blood pressures (p > 0.2). CONCLUSION: LAP (describing lipid overaccumulation) performed better than BMI (describing weight overaccumulation) for identifying US adults at cardiovascular risk. Compared to BMI, LAP might better predict the incidence of cardiovascular disease, but this hypothesis needs prospective testing

    Cervical CT-guided, selective nerve root blocks: improved safety by dorsal approach

    No full text

    A Quaternary fault database for central Asia

    No full text
    Earthquakes represent the highest risk in terms of potential loss of lives and economic damage for central Asian countries. Knowledge of fault location and behavior is essential in calculating and mapping seismic hazard. Previous efforts in compiling fault information for central Asia have generated a large amount of data that are published in limited-access journals with no digital maps publicly available, or are limited in their description of important fault parameters such as slip rates. This study builds on previous work by improving access to fault information through a web-based interactive map and an online database with search capabilities that allow users to organize data by different fields. The data presented in this compilation include fault location, its geographic, seismic, and structural characteristics, short descriptions, narrative comments, and references to peer-reviewed publications. The interactive map displays 1196 fault traces and 34 000 earthquake locations on a shaded-relief map. The online database contains attributes for 123 faults mentioned in the literature, with Quaternary and geodetic slip rates reported for 38 and 26 faults respectively, and earthquake history reported for 39 faults. All data are accessible for viewing and download via <a href="http://www.geo.uni-tuebingen.de/faults/" target="_blank">http://www.geo.uni-tuebingen.de/faults/</a>. This work has implications for seismic hazard studies in central Asia as it summarizes important fault parameters, and can reduce earthquake risk by enhancing public access to information. It also allows scientists and hazard assessment teams to identify structures and regions where data gaps exist and future investigations are needed

    Seismic monitoring of small alpine rockfalls – validity, precision and limitations

    No full text
    Rockfall in deglaciated mountain valleys is perhaps the most important post-glacial geomorphic process for determining the rates and patterns of valley wall erosion. Furthermore, rockfall poses a significant hazard to inhabitants and motivates monitoring efforts in populated areas. Traditional rockfall detection methods, such as aerial photography and terrestrial laser scanning (TLS) data evaluation, provide constraints on the location and released volume of rock but have limitations due to significant time lags or integration times between surveys, and deliver limited information on rockfall triggering mechanisms and the dynamics of individual events. Environmental seismology, the study of seismic signals emitted by processes at the Earth's surface, provides a complementary solution to these shortcomings. However, this approach is predominantly limited by the strength of the signals emitted by a source and their transformation and attenuation towards receivers. To test the ability of seismic methods to identify and locate small rockfalls, and to characterise their dynamics, we surveyed a 2.16 km2 large, near-vertical cliff section of the Lauterbrunnen Valley in the Swiss Alps with a TLS device and six broadband seismometers. During 37 days in autumn 2014, 10 TLS-detected rockfalls with volumes ranging from 0.053 ± 0.004 to 2.338 ± 0.085 m3 were independently detected and located by the seismic approach, with a deviation of 81−29+59 m (about 7 % of the average inter-station distance of the seismometer network). Further potential rockfalls were detected outside the TLS-surveyed cliff area. The onset of individual events can be determined within a few milliseconds, and their dynamics can be resolved into distinct phases, such as detachment, free fall, intermittent impact, fragmentation, arrival at the talus slope and subsequent slope activity. The small rockfall volumes in this area require significant supervision during data processing: 2175 initially picked potential events reduced to 511 potential events after applying automatic rejection criteria. The 511 events needed to be inspected manually to reveal 19 short earthquakes and 37 potential rockfalls, including the 10 TLS-detected events. Rockfall volume does not show a relationship with released seismic energy or peak amplitude at this spatial scale due to the dominance of other, process-inherent factors, such as fall height, degree of fragmentation, and subsequent talus slope activity. The combination of TLS and environmental seismology provides, despite the significant amount of manual data processing, a detailed validation of seismic detection of small volume rockfalls, and revealed unprecedented temporal, spatial and geometric details about rockfalls in steep mountainous terrain
    • 

    corecore