Patterns and demographic predictors of 5-year weight change in a multi-ethnic cohort of men and women in Australia

Objective: This study investigated 5-year trends in body weight, overweight and obesity and their association with sociodemographic variables in a large, multi-ethnic community sample of Australian adults.  Design: This prospective population study used baseline and 5-year follow-up data from participants in the Melbourne Collaborative Cohort Study (MCCS). Setting: Population study in Melbourne, Australia. Subjects: In total, 12 125 men and 17 674 women aged 35–69 years at baseline. Results: Mean 5-year weight change in this sample was +1.58 (standard deviation (SD) 4.82) kg for men and +2.42 (SD 5.17) kg for women. Younger (35–44 years) men and, in particular, women gained more weight than older adults and were at highest risk of major weight gain ($5 kg) and becoming overweight. Risk of major weight gain and associations between demographic variables and weight change did not vary greatly by ethnicity. Education level showed complex associations with weight outcomes that differed by sex and ethnicity. Multivariate analyses showed that, among men, higher initial body weight was associated with decreased likelihood of major weight gain, whereas among women, those initially overweight or obese were about 20% more likely to experience major weight gain than underweight or healthy weight women. Conclusions: Findings of widespread weight gain across this entire population sample, and particularly among younger women and women who were already overweight, are a cause for alarm. The prevention of weight gain and obesity across the entire population should be an urgent public health priority. Young-to-mid adulthood appears to be a critical time to intervene to prevent future weight gain.

Stigmatization of AIDS patients : disentangling Thai nursing students' attitudes towards HIV/AIDS, drug use and commercial sex

This paper analyzes the interrelationships between the stigma of HIV/AIDS stigma and the co-stigmas of commercial sex (CS) and injecting drug use (IDU). Students of a Bangkok nursing college (N = 144) were presented with vignettes describing a person varying in the disease diagnoses (AIDS, leukemia, no disease) and co-characteristics (IDU, CS, blood transfusion, no co-characteristic). For each vignette, participants completed a social distance measure assessing their attitudes towards the hypothetical person portrayed. Multivariate analyses showed strong interactions between the stigmas of AIDS and IDU but not between AIDS and CS. Although AIDS was shown to be stigmatizing in and of itself, it was significantly less stigmatizing than IDU. The findings highlight the need to consider the non-disease-related stigmas associated with HIV as well as the actual stigma of HIV/AIDS in treatment and care settings. Methodological strengths and limitations were evaluated and implications for future research discussed.

Multiple lines of evidence for the beneficial effects of environmental flows in two lowland rivers in Victoria, Australia

The aim of this study was to identify whether environmental flows released into two lowland rivers (the Glenelg and Wimmera Rivers, western Victoria, Australia) during the spring to autumn period had successfully ameliorated the negative effects of multiple human impacts. Macroinvertebrates and a range of physico-chemical variables were sampled from three reaches in each river. Both rivers were sampled during three environmental release seasons with average-sized releases (1997-1998, 1998-1999 and 2001-2002) and two drought seasons with limited releases (1999-2000 and 2000-2001). The effects of releasing average-sized environmental flows on macroinvertebrates and physico-chemical variables were assessed by comparison with data from the two drought seasons. For the Glenelg River, data from a reference season prior to the release of environmental flows (1995-1996) was also compared to data from the five environmental flow seasons. Multivariate analyses revealed four pieces of evidence indicating that the release of environmental flows effectively slowed the process of environmental degradation in the Glenelg River but not in the Wimmera River: (1) the magnitude of the river discharge was dependent on the size of environmental flow releases; (2) in the Wimmera River, water quality deteriorated markedly during the two drought seasons and correlated strongly with macroinvertebrate assemblage structure, but this was not observed in the Glenelg River; (3) the taxonomic composition of the macroinvertebrate assemblages among contrasting flow release seasons reflected the severe deterioration in water quality of the Wimmera River; (4) despite two drought seasons with minimal environmental flow releases, the macroinvertebrate assemblage in the Glenelg River did not differ from the average-release seasons, nor did it return to a pre-environmental flows condition. Therefore, it appears that environmental flow releases did sustain the macroinvertebrate assemblage and maintain reasonable water quality in the Glenelg River. However, in the Wimmera River, release volumes were too small to maintain low salinities and were associated with marked changes in the macroinvertebrate assemblage. Therefore, there are multiple lines of evidence that environmental flow releases of sufficient magnitude may slow the process of degradation in a regulated lowland river.

Identifying the energy gap: magnitude and determinants of 5-year weight gain in midage women

Objective: The aims of this study were to estimate average yearly weight gain in midage women and to identify the determinants of weight gain and gaining weight at double the average rate.
Research Methods and Procedures: The study sample comprised 8071 participants (45 to 55 years old) in the Australian Longitudinal Study on Women's Health who completed mailed surveys in 1996, 1998, and 2001.
Results: On average, the women gained almost 0.5 kg per year [average 2.42 kg (95% confidence interval, 2.29 to 2.54) over 5 years]. In multivariate analyses, variables associated with energy balance (physical activity, sitting time, and energy intake), as well as quitting smoking, menopause/hysterectomy, and baseline BMI category were significantly associated with weight gain, but other behavioral and demographic characteristics were not. After adjustment for all of the other biological and behavioral variables, the odds of gaining weight at about twice the average rate (>5 kg over 5 years) were highest for women who quit smoking (odds ratio = 2.94; 95% confidence interval, 2.17, 3.96). There were also independent relationships between the odds of gaining >5 kg and lower levels of habitual physical activity, more time spent sitting, energy intake (but only in women with BMI > 25 at baseline), menopause transition, and hysterectomy.
Discussion: The average weight gain equates with an energy imbalance of only about 10 kcal or 40 kJ per day, which suggests that small sustained changes in the modifiable behavioral variables could prevent further weight gain.

Internet-based psychological and oral medical treatment compared to psychological treatment alone for ED

Introduction. Sexual function through pregnancy and the postpartum period is an important aspect of quality of life.
Despite this, prospective studies are limited, and the impact of body image on sexual function has not been explored.
Aims. The current study reports on a pilot study that evaluated the effectiveness of a combined Internet-based
psychological treatment program and oral medication compared to an Internet-based psychological program.
Methods. Twelve men with ED participated in the study.
Main Outcome Measures. Assessments were made pre and postintervention on ED, relationship satisfaction, sexual
satisfaction, self-esteem, and quality of life.
Results. Multivariate analyses of variance demonstrated that both treatment conditions showed improvements from
pretest to posttest in sexual functioning, relationships, and personal well-being.
Conclusions. This study indicates the importance of targeting psychological and relationship variables in the
treatment of ED. Further research with larger numbers of participants is necessary for a more rigorous evaluation
of treatment programs that combine psychological and medication interventions for ED.

Learning patterns in social skills training programs : an exploratory study

While Social Skills Training programs have been shown to improve the social skills of children with Disruptive Behaviour Disorders, the pattern of change in the participants’ learning during the training period remains unknown. Identifying this pattern could assist in determining whether more or less training hours are required to maximize the benefits of such programs within available resources. The current study aimed to replicate the social skills improvements found in previous research, and to explore the pattern of improvements in social knowledge and social performance that occurs during a Social Skills Training program. Two groups of eight males with behavioural problems attended 14 one-hour sessions of Social Skills Training. Multisources, multisettings and multimethods were used to measure social knowledge and social performance across five test phases. Multivariate analyses did not support previous findings showing overall improvements in social knowledge and social performance. Patterns of learning were not found to be consistent across different measures.

Modifiable determinants of youth violence in Australia and the United States : a longitudinal study

Youth violence is a global problem. Few studies have examined whrther the prevalence or predictors of youth violence are similar in comparable Western countries like Australia and the United States (US). In the current article, analyses are conducted using two waves of data collected as part of a longitudinal study of adolescent development in approximately 4,000 students aged 12 to 16 years in Victoria, Australia and Washington State, US. Students completed a self-report survey of problem behaviours including violent behaviour, as well as risk and protective factors across five domains (individual, family, peer, school, community). Compared to Washington State, rates of attacking or beating another over the past 12 months were lower in Victoria for females in the first survey and higher for Victorian males in the follow-up survey. Preliminary analyses did not show state-specific predictors of violent behaviour. In the final multivariate analyses of the combined Washington State and Victorian samples, protective factors were being female and student emotion control. Risk factors were prior violent behaviour, family conflict, association with violent peers, community disorganisation, community norms favourable to drug use, school suspensions and arrests. Given the similarity of influential factors in North America and Australia, application of US early intervention and prevention programs may be warranted, with some tailoring to the Australian context.

Plumage reflectance and the objective assessment of avian sexual dichromatism

Assessment of color using human vision (or standards based thereon) is central to tests of many evolutionary hypotheses. Yet fundamental differences in color Vision between humans and other animals call this approach into question. Here we use techniques for objectively assessing color patterns that avoid reliance on species-specific (e.g., human) perception. Reflectance spectra are the invariant features that we expect the animal's color cognition to have evolved to extract. We performed multivariate analyses on principal components derived from >2,600 reflectance spectra (300-720 nm) sampled in a stratified random design from different body regions of male and female starlings in breeding plumage. Starlings possess spatially complex plumage patterns and extensive areas of iridescence. Our study revealed previously unnoticed sex differences in plumage coloration and the nature of iridescent and noniridescent sex differences. Sex differences occurred in some body regions bur not others, were more pronounced at some wavelengths (both ultraviolet and human visible), and involved differences in mean reflectance and spectral shape. Discriminant analysis based on principal components were sufficient to sex correctly 100% of our sample. If hidden sexual dichromatism is widespread, then it has important implications for classifications of animals as mono- or dimorphic and for taxonomic and conservation purposes.

Succession of small mammal communities after fire and reintroduction of the swamp antechinus 'Antechinus minimus'

This thesis is involved with changes that have occurred to small mammal populations following a major disturbance in the Anglesea region as a result of the 1983 Ash Wednesday fires. Fire, with its effects on spatial and temporal heterogeneity, was found to be an important factor in the maintenance of vegetation and small mammal community structure and diversity in the region. Successional changes in vegetation and small mammal communities were described by multivariate analyses, using data collected annually from 22 study sites. The use of factor analysis techniques, in reducing the annual capture data content, enabled long-term changes in the structure of mammal communities to be interpreted. The small mammal communities in the coastal heath and forest vegetation in the Anglesea region show evidence of a general resilience, (the degree and speed of recovery), to disturbance. Two phases of successional response to fire by mammal species have been proposed; a ‘re-establishment’ phase which occurs in the initial 5-6 years post-fire and is accompanied by rapid increase in species’ abundance, and a subsequent ‘maintenance’ phase accompanied by relatively minor changes in abundance. Habitat Suitability Indices were produced relating to these phases. Vertical density measures of understorey shrubs and herb layers showed significant relationships with small mammal species abundance at the study sites. Long term studies following major disturbances are needed to distinguish between short term recovery of plant and animal species and long term changes in these species. Studies extending over a number of years enable a better directional view of changes in small mammal communities than can be determined from . observations made over a short period. As a part of the investigation into temporal change, it was proposed to undertake trial reintroductions of the Swamp antechinus, Ant echinus minimus, a marsupial dasyurid species which was trapped in the area prior to the 1983 fire, but rarely subsequently. Other more commonly observed native small mammal species (e.g. Rattus fuscipes,R. lutreolus, Antechinus stuartii, Sminthopsis leucopus) had re-invaded the proposed reintroduction site after this fire. Failure of A. minimus to re-establish may have been due to spatial separation of the pre-fire populations coupled with the extensive area burnt in 1983, A source population of the species was located about 100km to the west and habitat utilization and interspecific and niche relationships between the species making the small mammal community explored. Discriminant analysis revealed some spatial separation of species within a habitat based on structural vegetation factors rather than floristic factors. Temporal separation of species was observed, asA. minimus were more active than Rattus species during daylight periods. There was evidence of micro-habitat selection by species, and structural vegetation factors were most commonly identified in statistical analyses as contributing towards selection by small mammal species. Following a theoretical modelling study three reintroduction trials were carried out near Anglesea during 1992-94. Individuals were subsequently radio tracked, and habitat relationships between the species in the small mammal community investigated. Although successful breeding of A, minimus occurred during the latter two trials, the subsequent fate of offspring was not determined. Invasive techniques required to adequately monitor young animals were considered potentially too damaging. Telemetry studies indicated a preference of A. minimus for short, wet heath vegetation. Structural vegetation factors were identified as being significant in discriminating between capture locations of species. Small scale and inexpensive trial reintroductions have yielded valuable additional data on this species and may be viewed as a useful tool in the conservation of other small native mammals.

Impact of stresses imposed on macroinvertebrate communities in two suburban streams

The aim of the project was to determine factors which explain the distribution of macroinvertebrates in two Melbourne streams both drastically affected by urbanisation. A detailed description is given of Dandenong Creek, flowing through the south-eastern suburbs, and Darebin Creek, in the northern suburbs, emphasising stream features likely, or known, to influence the drift and benthic fauna. Faunal sampling was carried out in Dandenong Creek from June 1992 until July 1993, and in Darebin Creek from February 1995 until March 1998. Physicochemical parameters were also recorded. The collected data, together with previously existing data, were analysed using multivariate analyses: non-metric multi-dimensional scaling (NMDS); analysis of similarities (ANOSIM); matching biotic and abiotic variables using BIOENV, and principal component analysis (PCA). Various biotic and diversity indices were calculated in an attempt to identify the major factors responsible for the failure of the fauna to recover from previously more seriously degraded water quality. The contribution of drift to the colonisation potential in Dandenong Creek appeared to be impacted by retarding basins, underground barrel-draining and channelization. Results also indicated that increased conductivity adversely affected the fauna in the lower reaches of Dandenong Creek. It was concluded that in Darebin Creek, high nutrient levels, as well as other pollutants, had resulted in low macroinvertebrate diversity in both the drift and benthos. If, as this study suggests, faunal diversity is a valid measure of stream health, the following factors need to be addressed for catchment-wide, stream management: lack of riparian zone vegetation (increasing bank erosion and making the benthic habitat unstable, with greater temperature variability); control of stormwater runoff (flow variability, increased conductivity, nutrient levels, sediment loads, sewage effluent, industrial discharges and heavy metals), and to modify retarding basins to increase stream continuity.

Diet quality in bipolar disorder in a population-based sample of women

Background : Recent epidemiological evidence has indicated a role for diet quality in unipolar depressive illness. This study examined the association between diet quality and bipolar disorder (BD) in an epidemiological cohort of randomly selected, population-based women aged 20–93 years.

Methods : An a priori diet quality score was derived from food frequency questionnaire data, a factor analysis identified habitual dietary patterns and glycemic load was assessed. Mental health was assessed using the SCID-I/NP.

Results : BD was identified in 23 women and there were 691 participants with no history of psychopathology. Compared to those with no psychopathology, those with BD had a higher glycemic load (p = 0.06) and higher scores on a ‘western’ dietary factor (p = 0.03) and the ‘modern’ dietary factor (p = 0.02). For each standard deviation increase in a ‘western’ and ‘modern’ dietary pattern and glycemic load, the odds ratios for BD were increased (‘western’ OR = 1.88, 95% CI 1.33–2.65; ‘modern’ OR = 1.72, 95% CI 1.14–2.39; GL OR = 1.56, 95% CI 1.13–2.14). Conversely, a ‘traditional’ dietary pattern was associated with reduced odds for BD (OR = 0.53 95% CI 0.32–0.89) after adjustments for overall energy intake.

Limitations : The small sample size did not allow for multivariate analyses and the cross-sectional study design precludes any determinations regarding the direction of the relationships between diet quality and BD.

Conclusion : These data are largely concordant with results from dietary studies in unipolar depression. However, clinical recommendations cannot be made until the direction of the relationship between diet quality and BD is determined. Longitudinal studies are warranted.

Lay people's views of the school food supply

Purpose – This article aims to examine lay-persons' views of school food services in Victoria, Australia.

Design/methodology/approach – A cross-sectional postal questionnaire survey of a random sample of electors on the Electoral Roll in Victoria, Australia. Out of 1,000 potential respondents, 377 completed the questionnaire. Main outcome measures included responses to closed questions about foods supplied to children at school using five-point scales. Data analyses included frequency and cross-tabulation analyses, and multivariate analyses of principal component scores by demographic and personal values variables.

Findings – Many respondents were critical of children's school food services but they were generally supportive of food and health education, whilst holding ambivalent attitudes towards snacks and marketing practices.

Research limitations/implications – This was a cross-sectional survey with a relatively low response rate.

Practical implications – Understanding of laypersons' views of children's food services is likely to facilitate nutrition communication and promotion of healthy children's foods.

Originality/value – Lay views of children's food provision have rarely been reported, despite their importance for the support of public nutrition policies. The study identifies likely antecedents of lay people's views.

Physical activity participation and barriers for people with multiple myeloma

Purpose

This study aims to examine, for people treated for multiple myeloma, (1) differences between prediagnosis and postdiagnosis levels of physical activity, (2) perceived barriers and likelihood of attending a physical activity program, and (3) factors that influence whether or not respondents are meeting physical activity guidelines.
Methods

This was a quantitative cross-sectional study; data were gathered from a larger Australian population-wide survey. Respondents completed the survey in hard copy, online, or over the telephone. Demographic and clinical variables included age, gender, locality, time since diagnosis, and marital status. The Godin Leisure-Time Questionnaire measured physical activity; barriers and likelihood of participating in a physical activity program were assessed using a five-point Likert scale. Data were analyzed using descriptive, bivariate, and multivariate analyses.
Results

Of the 229 respondents, 53.1 % were male, 42 % aged 60–69 years, and 75.7 % were married or in a de facto relationship. Participation in physical activity declined significantly from prediagnosis levels. Fatigue, injuries, and pain were the strongest perceived barriers to participation; 41 % reported they were likely to attend an exercise program if offered. Respondents who were sufficiently active before diagnosis were 4.79 times more likely to be sufficiently active posttreatment.
Conclusions

People with multiple myeloma reported very low levels of physical activity across all levels of intensity; however, they were interested in attending a physical activity program. To increase physical activity among people with multiple myeloma, interventions should target perceived barriers with a particular focus on those who were not physically active prior to diagnosis.

Investigating well-being, work limitations and preferences for self-management education and peer support among younger people with hip and knee osteoarthritis: protocol for a cross-sectional study

Introduction: 

Early childhood predictors of toddlers' physical activity: longitudinal findings from the Melbourne InFANT program

Background: