Publications by authors named "Joline Wj Beulens"
Article Synopsis
- Healthy food nudges may be particularly beneficial for individuals from lower socioeconomic backgrounds, prompting a study on their effectiveness in grocery stores across different demographics.
- Researchers analyzed data from multiple trials, focusing on how characteristics like education, gender, and age impact the success of these nudges in increasing the purchase of fruits and vegetables.
- Findings revealed that, overall, healthy food nudges did not significantly influence fruit and vegetable purchases among participants, regardless of their sociodemographic profiles, suggesting the need for more effective strategies.
Objectives: The social environment (SE), that is, the social relationships and social context in which groups of people live and interact, is an understudied element of the broader living environment which impacts health. We aim to summarise the available evidence on the associations between SE and cardiometabolic disease (CMD) outcomes.
Design: Systematic review and meta-analysis.
Study Objectives: Investigate whether aiding sleep by online cognitive behavioral therapy for insomnia (CBT-I) can improve glycemic and metabolic control, mood, quality of life (QoL) and insomnia symptoms in people with type 2 diabetes and assess the mediating role of lifestyle factors.
Methods: Adults with type 2 diabetes and insomnia symptoms were randomly assigned to CBT-I or care as usual. At baseline, three and six months we assessed HbA1c as primary outcome and glycemic control, metabolic outcomes, sleep, mood and QoL as secondary outcomes.
Article Synopsis
- The study analyzed the link between neighborhood characteristics that promote obesity and various heart disease risk factors in over 183,000 adults from five Dutch cohort studies.
- Specifically, researchers calculated the OBCT index, assessing how urban environments impact body weight, blood pressure, and cholesterol levels.
- Results indicated that a higher OBCT score was tied to increases in BMI, higher cholesterol levels, and greater rates of overweight/obesity and hypertension.
Article Synopsis
- Obesity is linked to serious health issues like diabetes and heart disease, leading to the development of the OBCT index, which evaluates environmental factors influencing obesity by combining food and physical activity components.
- The study aimed to explore how the OBCT index correlates with body mass index (BMI) across a large Dutch population and attempted to enhance the index using various analytical methods.
- Findings showed a significant but weak connection between the OBCT index and BMI, with the association influenced by demographic factors, and improvements to the index also resulted in only modest increases in explained variance for BMI.
Objective: We examined whether associations between the food environment, frequency of home cooking, diet quality and BMI were modified by the level of cooking skills.
Design: Cross-sectional study using linear and modified Poisson regression models adjusted for age, sex, energy intake, education, income, household size and urbanisation. The frequency of home cooking was categorised into <6 and 6-7 d.
Objective: Low dietary guideline adherence is persistent, but there is limited understanding of how individuals with varying socio-economic backgrounds reach a certain dietary intake. We investigated how quantitative and qualitative data on dietary guidelines adherence correspond and complement each other, to what extent determinants of guideline adherence in quantitative data reflect findings on determinants derived from qualitative data and which of these determinants emerged as interdependent in the qualitative data.
Design: This mixed-methods study used quantitative questionnaire data ( 1492) and qualitative data collected via semi-structured telephone interviews ( 24).
Article Synopsis
- * Out of 353 researched studies, only 20 met the eligibility criteria, revealing a high risk of bias in patient selection and highlighting the best diagnostic model as a combination of echocardiographic and clinical markers with a high performance rating (AUC of 0.95).
- * The findings suggest that left atrial strain shows moderate diagnostic performance (AUC of 0.83) and that integrating exercise echocardiography can significantly enhance diagnostic sensitivity for HFpEF, emphasizing
Background: Observational studies have documented lower risks of coronary heart disease and diabetes among moderate alcohol consumers relative to abstainers, but only a randomized clinical trial can provide conclusive evidence for or against these associations.
Aim: The purpose of this study was to describe the rationale and design of the Moderate Alcohol and Cardiovascular Health Trial, aimed to assess the cardiometabolic effects of one alcoholic drink daily over an average of six years among adults 50 years or older.
Methods: This multicenter, parallel-arm randomized trial was designed to compare the effects of one standard serving (∼11-15 g) daily of a preferred alcoholic beverage to abstention.
Type 2 diabetes is associated with an increased risk of developing macro and microvascular complications. Nevertheless, there is substantial heterogeneity between people with type 2 diabetes in their risk of developing such complications. Personalised medicine for people with type 2 diabetes may aid in efficient and tailored diabetes care for those at increased risk of developing such complications.
View Article and Find Full Text PDFLifestyle factors, self-management and patient empowerment in diabetes care.
Eur J Prev Cardiol
December 2019
Although management of diabetes mellitus is improving, inadequately managed cases still exist. Prevention of diabetes mellitus requires an integrated and holistic approach based on the origin of the disease. In Europe only half of diagnosed patients with diabetes mellitus have good glycaemic control.
View Article and Find Full Text PDFThe global prevalence of diabetes is predicted to increase dramatically in the coming decades as the population grows and ages, in parallel with the rising burden of overweight and obesity, in both developed and developing countries. Cardiovascular disease represents the principal cause of death and morbidity among people with diabetes, especially in those with type 2 diabetes mellitus. Adults with diabetes have 2-4 times increased cardiovascular risk compared with adults without diabetes, and the risk rises with worsening glycaemic control.
View Article and Find Full Text PDFBackground: The association between saturated fatty acid (SFA) intake and ischemic heart disease (IHD) risk is debated.
Objective: We sought to investigate whether dietary SFAs were associated with IHD risk and whether associations depended on 1) the substituting macronutrient, 2) the carbon chain length of SFAs, and 3) the SFA food source.
Design: Baseline (1993-1997) SFA intake was measured with a food-frequency questionnaire among 35,597 participants from the European Prospective Investigation into Cancer and Nutrition-Netherlands cohort.
Objectives: To investigate the role of factors that modulate the association between alcohol and mortality, and to provide estimates of absolute risk of death.
Design: The European Prospective Investigation into Cancer and nutrition (EPIC).
Setting: 23 centres in 10 countries.
Background: There is limited evidence for an association between the pattern of lifetime alcohol use and cause-specific risk of death.
Methods: Multivariable hazard ratios were estimated for different causes of death according to patterns of lifetime alcohol consumption using a competing risks approach: 111 953 men and 268 442 women from eight countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study were included. Self-reported alcohol consumption at ages 20, 30, 40 or 50 years and at enrollment were used for the analysis; 26 411 deaths were observed during an average of 12.