Evidence map›Paper›PMID 34488709›Full record

ArticleBMC public health2021

Unhealthy lifestyles, environment, well-being and health capability in rural neighbourhoods: a community-based cross-sectional study.

Anabela Marisa Azul, Ricardo Almendra, Marta Quatorze, Adriana Loureiro, Flávio Reis, Rui Tavares, Anabela Mota-Pinto, António Cunha, Luís Rama, João Oliveira Malva and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. [Prevalence of noncommunicable diseases and risk factors in rural population of San Luis, Argentina]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Anabela Marisa AzulCenter for Neuroscience and Cell Biology (CNC), University of Coimbra, 3004-504, Coimbra, Portugal. amjrazul@ci.uc.pt.ORCID 0000-0003-3295-1284
Ricardo AlmendraCentre of Studies in Geography and Spatial Planning (CEGOT), Faculty of Arts and Humanities, Colégio de São Jerónimo, University of Coimbra, 3004-530, Coimbra, Portugal.
Marta QuatorzeCoimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, 3030-789, Coimbra, Portugal.
Adriana LoureiroCentre of Studies in Geography and Spatial Planning (CEGOT), Faculty of Arts and Humanities, Colégio de São Jerónimo, University of Coimbra, 3004-530, Coimbra, Portugal.
Flávio ReisCenter for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3030-789, Coimbra, Portugal.
Rui TavaresCenter for Neuroscience and Cell Biology (CNC), University of Coimbra, 3004-504, Coimbra, Portugal.
Anabela Mota-PintoCoimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, 3030-789, Coimbra, Portugal.
António CunhaIPN-Laboratory of Automatics and Systems, Pedro Nunes Institute, 3030-199, Coimbra, Portugal.
Luís RamaFaculty of Sport Sciences and Physical Education, University of Coimbra, 3040-256, Coimbra, Portugal.
João Oliveira MalvaCenter for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3030-789, Coimbra, Portugal.
Paula SantanaCentre of Studies in Geography and Spatial Planning (CEGOT), Faculty of Arts and Humanities, Colégio de São Jerónimo, University of Coimbra, 3004-530, Coimbra, Portugal.
João Ramalho-SantosCenter for Neuroscience and Cell Biology (CNC), University of Coimbra, 3004-504, Coimbra, Portugal. jramalho@uc.pt.
HeaLIQs4Cities consortium
University of Coimbra · PTCentro de Estudos em Geografia e Ordenamento do Territorio · PTInstitute for Systems Engineering and Computers · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-communicable diseases are a leading cause of health loss worldwide, in part due to unhealthy lifestyles. Metabolic-based diseases are rising with an unhealthy body-mass index (BMI) in rural areas as the main risk factor in adults, which may be amplified by wider determinants of health. Changes in rural environments reflect the need of better understanding the factors affecting the self-ability for making balanced decisions. We assessed whether unhealthy lifestyles and environment in rural neighbourhoods are reflected into metabolic risks and health capability.

methodsWe conducted a community-based cross-sectional study in 15 Portuguese rural neighbourhoods to describe individuals' health functioning condition and to characterize the community environment. We followed a qualitatively driven mixed-method design to gather information about evidence-based data, lifestyles and neighbourhood satisfaction (incorporated in eVida technology), within a random sample of 270 individuals, and in-depth interviews to 107 individuals, to uncover whether environment influence the ability for improving or pursuing heath and well-being.

resultsMen showed to have a 75% higher probability of being overweight than women (p-value = 0.0954); and the reporting of health loss risks was higher in women (RR: 1.48; p-value = 0.122), individuals with larger waist circumference (RR: 2.21; IC: 1.19; 4.27), overweight and obesity (RR: 1.38; p-value = 0.293) and aged over 75 years (RR: 1.78; p-value = 0.235; when compared with participants under 40 years old). Metabolic risks were more associated to BMI and physical activity than diet (or sleeping habits). Overall, metabolic risk linked to BMI was higher in small villages than in municipalities. Seven dimensions, economic development, built (and natural) environment, social network, health care, demography, active lifestyles, and mobility, reflected the self-perceptions in place affecting the individual ability to make healthy choices. Qualitative data exposed asymmetries in surrounding environments among neighbourhoods and uncovered the natural environment and natural resources specifies as the main value of rural well-being.

conclusionsMetabolic risk factors reflect unhealthy lifestyles and can be associated with environment contextual-dependent circumstances. People-centred approaches highlight wider socioeconomic and (natural) environmental determinants reflecting health needs, health expectations and health capability. Our community-based program and cross-disciplinary research provides insights that may improve health-promoting changes in rural neighbourhoods.

Indexed as

Life StyleRural PopulationAdultAgedBody Mass IndexCross-Sectional StudiesFemaleHumansMaleWaist CircumferenceBuilt environmentHealth capabilityHealth lossHealthy lifestylesNatural environmentNon-communicable diseasesParticipatory community-based researchQualitative driven mixed-methodsRural areas

Identifiers

PMID34488709
PMCPMC8422758
OpenAlexW3196720610

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.