longitudinal design

纵向设计
  • 文章类型: Systematic Review
    这篇综述的目的是研究代谢综合征(MetS)与不同认知领域的认知下降之间的关联。并通过文献计量分析进行补充研究描述。从开始到2021年12月15日搜索PubMed和Scopus数据库,以确定纵向研究,检查MetS与事件下降的关联。以防止反向因果关系。系统评价和荟萃分析的首选报告项目用于进行本系统评价。纳入了30项研究,并在全球认知的认知领域分析了结果,记忆,执行功能,注意,视觉建构能力,和语言。审查的大多数研究没有报告大多数认知领域的统计显着结果,特定认知域的下降与MetS的存在并不一致。由于关于MetS定义的研究间高度异质性,未进行荟萃分析,所检查的认知领域,每个认知领域使用的特定测试和使用的不同关联度量。文献计量分析显示,大多数研究是由来自美国和中国的研究团队进行的,很少检查反映现实生活能力的认知任务。未来的研究应该采用更大的样本量,更长的随访期,对MetS定义和上述认知领域的标准化测试以及具有高灵敏度和特异性的解决问题任务达成全球共识,以阐明MetS对认知及其潜在机制的影响。
    The aim of this review is to investigate the association between metabolic syndrome (MetS) and cognitive decline in distinct cognitive domains, and to perform a complementary study description through the bibliometric analysis. PubMed and Scopus databases were searched from inception to 15 December 2021 to identify longitudinal studies that examined the association of MetS with incident decline, in order to prevent reverse causality. The Preferred Reporting Items for Systematic Review and Meta-Analysis checklist was used to conduct the present systematic review. Thirty studies were included and results were analyzed across the cognitive domains of global cognition, memory, executive functions, attention, visuoconstructive abilities, and language. The majority of the studies reviewed did not report statistically significant results for most cognitive domains investigated, and decline in specific cognitive domains was not consistently associated with the presence of MetS. Meta-analyses were not conducted due to the high degree of between-study heterogeneity regarding the MetS definitions, the cognitive domains examined, the specific tests used for each cognitive domain and the different measures of association used. Bibliometric analysis revealed that most studies are conducted by research teams from USA and China, and that cognitive tasks that reflect real-life abilities are rarely examined. Future studies should employ larger sample sizes, longer follow-up periods, a global consensus for MetS definition and standardized tests of the above mentioned cognitive domains as well as problem-solving tasks with high sensitivity and specificity to clarify the impact of MetS on cognition and its underlying mechanisms.
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  • 文章类型: Journal Article
    The aim of this study is to gain more insight into child and environmental factors that influence gross motor development (GMD) of healthy infants from birth until reaching the milestone of independent walking, based on longitudinal research.
    A systematic search was conducted using Scopus, PsycINFO, MEDLINE and CINAHL to identify studies from inception to February 2020. Studies that investigated the association between child or environmental factors and infant GMD using longitudinal measurements of infant GMD were eligible. Two independent reviewers extracted key information and assessed risk of bias of the selected studies, using the Quality in Prognostic Studies tool (QUIPS). Strength of evidence (strong, moderate, limited, conflicting and no evidence) for the factors identified was described according to a previously established classification.
    In 36 studies, six children and 11 environmental factors were identified. Five studies were categorized as having low risk of bias. Strong evidence was found for the association between birthweight and GMD in healthy full-term and preterm infants. Moderate evidence was found for associations between gestational age and GMD, and sleeping position and GMD. There was conflicting evidence for associations between twinning and GMD, and breastfeeding and GMD. No evidence was found for an association between maternal postpartum depression and GMD. Evidence for the association of other factors with GMD was classified as \'limited\' because each of these factors was examined in only one longitudinal study.
    Infant GMD appears associated with two child factors (birthweight and gestational age) and one environmental factor (sleeping position). For the other factors identified in this review, insufficient evidence for an association with GMD was found. For those factors that were examined in only one longitudinal study, and are therefore classified as having limited evidence, more research would be needed to reach a conclusion.
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  • 文章类型: Journal Article
    Neighbourhood effect research on obesity took off in the early 2000s and was composed of mostly cross-sectional observational studies interested in various characteristics of the built environment and the socioeconomic environment. To limit biases related to self-selection and life course exposures, many researchers apply longitudinal designs in their studies. Until now, no review has specifically and exclusively examined longitudinal studies and the specific designs of these studies. In this review, we intend to answer the following research question: how are the temporal measurements of contextual exposure and obesity outcomes integrated into longitudinal studies that explore how neighbourhood-level built and socioeconomic environments impact adult obesity?
    A systematic search strategy was designed to address the research question. The search was performed in Embase, Web of Science and PubMed, targeting scientific papers published before 1 January 2018. The eligible studies reported results on adults, included exposure that was limited to neighbourhood characteristics at the submunicipal level, included an outcome limited to obesity proxies, and reported a design with at least two exposure measurements or two outcome measurements.
    This scoping review identified 66 studies that fit the eligibility criteria. A wide variety of neighbourhood characteristics were also measured, making it difficult to draw general conclusions about associations between neighbourhood exposure and obesity. We applied a typology that classified studies by whether exposure and outcome were measured as varying or fixed. Using this typology, we found that 32 studies reported both neighbourhood exposure and obesity outcomes that were varying in time; 28 reported varying outcomes but fixed exposures; and 6 had fixed outcomes and varying exposures.
    Our typology illustrates the variety of longitudinal designs that were used in the selected studies. In the light of our results, we make recommendations on how to better report longitudinal designs and facilitate comparisons between studies.
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  • 文章类型: Journal Article
    在过去的三十年中,肥胖症的患病率显着增加,并成为重要的公共卫生问题。在邻里层面的体重状态变异性的证据使研究人员更精确地研究可能影响能量平衡相关行为的当地地理区域的特征,在公共卫生研究中产生了“邻里效应”领域。在关于邻里效应和肥胖的大量文献中,我们提出了一个范围审查的协议,旨在确定住宅社区暴露的时间测量,个体协变量和权重结果集成在纵向设计中。
    将通过在Pubmed中进行全面系统的数据库搜索,获得相关引用的列表,WebofScience和Embase。搜索策略将使用广泛的邻域定义来设计,以考虑到研究中这一概念的异质性。两名调查员将筛选标题,使用预定资格标准的摘要和整个出版物,生成选定出版物的列表。范围审查中包含的出版物的数据将根据书目信息绘制,研究人群,暴露,结果和结果。
    据我们所知,我们的方案将产生关于肥胖邻域效应的纵向设计的第一次范围审查.描述纵向设计如何包括曝光的时间测量,协变量和结果是确定是否或哪些背景特征可能参与肥胖发展的必要步骤.这些信息将带来新的知识来补充当前的病因学调查,并将有助于加强利益相关者在制定相关干预措施以预防肥胖及其负面影响方面的资源分配策略。
    The prevalence of obesity has increased significantly in the last three decades and became an important public health concern. Evidence of weight status variability at the neighbourhood level has led researchers to look more precisely at the characteristics of local geographic areas that might influence energy balance related behaviours, giving rise to the field of the \'neighbourhood effect\' in public health research. Among an abundant literature about neighbourhood effects and obesity, we propose a protocol for a scoping review that will aim at determining how temporal measurements of residential neighbourhood exposure, individual covariates and weight outcome are integrated in longitudinal designs.
    A list of relevant citations will be obtained through a comprehensive systematic database search in Pubmed, Web of Science and Embase. The search strategy will be designed using a broad definition of neighbourhood to take into account the heterogeneity of this concept in research. Two investigators will screen titles, abstracts and entire publications using predetermined eligibility criteria yielding a list of selected publications. Data from the publications included in the scoping review will be charted according to bibliographic information, study population, exposure, outcomes and results.
    To our knowledge, our protocol will yield the first scoping review regarding longitudinal designs of neighbourhood effect on obesity. Describing how longitudinal designs include temporal measurements of exposure, covariates and outcome is a necessary step in the quest to determine if or which contextual characteristics are likely to be involved in the development of obesity. Such information would bring new knowledge to complement current aetiological investigations and would contribute to enhancing resource allocation strategies for stakeholders in developing relevant interventions to prevent obesity and its negative impacts.
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