Annalijn Conklin

Annalijn Conklin
University of British Columbia - Vancouver | UBC · Faculty of Pharmaceutical Sciences

Hon.B.Sc., Research M.Sc., MPH, PhD(cantab)

About

93
Publications
10,518
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Introduction
Annalijn Conklin currently works at the Faculty of Pharmaceutical Sciences , University of British Columbia; and, at the Centre for Health Evaluation and Outcome Sciences, St Paul's Hospital, in Vancouver. Annalijn does research in Public Health Nutrition, Social Determinants of Health, and Health Politics and Policy. Her most recent publication is https://www.cambridge.org/core/journals/public-health-nutrition/article/economic-policy-and-the-double-burden-of-malnutrition-crossnational-longitudinal-analysis-of-minimum-wage-and-womens-underweight-and-obesity/88CFA039E285657A508D7A8DC08E102C
Additional affiliations
October 2014 - December 2016
University of California, Los Angeles
Position
  • PostDoc Position
July 2014 - September 2014
Medical Research Council (UK)
Position
  • Resarch Scholar
October 2011 - June 2014
University of Cambridge
Position
  • PhD Student
Education
October 2011 - June 2014
University of Cambridge
Field of study
  • Epidemiology
September 2005 - June 2007
Columbia University
Field of study
  • Sociomedical Sciences
October 2004 - September 2005
The University of Edinburgh
Field of study
  • Cancer Biology andn Neuroscience

Publications

Publications (93)
Article
Background Chronic exposure to insufficient sleep may increase depression and poor health in adolescents who are particularly vulnerable to changes in sleep and neuro-cognitive development. The cumulative effects of persistent sleep deprivation on adolescent physical and mental health, and potential gender differences, are unknown. We investigated...
Article
Full-text available
Adolescent depression can increase obesity risk, and both health outcomes show strong ethnic and gender disparities. Strong ethnic identification may provide health-related psychological and social resources that could potentially moderate the impact of depression on adolescent obesity. This study reviews peer-reviewed empirical evidence on the com...
Article
We conducted a systematic review to identify the use and effectiveness of clinical interventions to prevent or mitigate weight gain in patients using systemic corticosteroids. We independently searched nine bibliometric databases for reviews and longitudinal studies published up to 26 October 2018, and assessed the quality of studies meeting inclus...
Article
Improving our understanding of the cumulative effects of persistent sleep problems on adolescent health has been identified as an important area of research. This prospective study aimed to ascertain prospectively gender-specific associations between quantity and quality of sleep and self-reported health. Data from a cohort of 3104 adolescents (13–...
Article
Full-text available
Objectives: To examine whether changes in food prices are associated with changes in obesity prevalence among women in developing countries, and assess effect modification by individual socioeconomic status (SES). Methods: Longitudinal study of country-level food price inflation temporally and geographically linked to anthropometric data on non-...
Article
Two papers were extracted and pooled data from published sources were used to estimate the distribution of BMI values for adults living in many countries around the world. The NCD Risk Factor Collaboration and the Global Burden of Disease Study 2013 presented data for 200 and 188 countries, respectively. We extracted estimates from the two datasets...
Article
Full-text available
Objective: To determine whether stressful life events are related to levels of obesity in a group of ethnically diverse Canadian youth and the extent to which the relationship differs by gender. Methods: This is a prospective study of 905 adolescents (age 13–17 years) from a BC population-based cohort (BASUS) with self-reported data from Wave 5 (20...
Conference Paper
Full-text available
Approximately 35% of patients undergoing colorectal surgery experience post-operative complications, as well as reductions in exercise capacity and physical function. Prehabilitation exercise programs begin pre-operatively and may be effective in reducing post-operative complications and improving physical function during recovery. The purpose of t...
Article
Full-text available
Background: Cardiovascular diseases are a leading cause of death globally, and a major risk factor is obesity in early age groups. Obesity in children and youth is a growing public health concern, and inequalities exist across social groups. Evidence on ethnic disparities in obesity risk is mixed, and little is known about ethnicity and obesity in...
Conference Paper
Full-text available
Background Chronic exposure to sleep deprivation may increase risk of depression in young people who are particularly vulnerable to changes in sleep and mental health. Sleep deprivation and incident depression may also differ by gender. We investigated the prospective association between cumulative sleep deprivation and subsequent levels of depress...
Conference Paper
Full-text available
Background The importance of sleep for overall health and wellbeing is well established, with independent effects from inadequate quantity as well as poor quality. The cumulative effect of different sleep problems on general health in young people is unknown. This longitudinal sutdy aimed to ascertain prospectively the associations between types an...
Article
Full-text available
Objectives Overweight and obesity among young people are high and rising. Social stressors and sleep are independently associated with obesity, but are rarely studied together or examined for gender-specific effects. The literature regarding adolescent populations is especially lacking. This review assesses whether experiencing stressful life event...
Article
Full-text available
Background: Chronic exposure to sleep deprivation may increase the risk of depression in young people who are particularly vulnerable to changes in sleep and mental health. Sleep deprivation and incident depression may also differ by gender. We investigated the prospective association between cumulative sleep deprivation and subsequent levels of de...
Article
Introduction The objective of this qualitative analysis was to explore caregiver perceptions and experiences of receiving or not receiving a genetic diagnosis following genome-wide sequencing (GWS) in children with suspected genetic disorders. Methods One caregiver for each child completed an online survey two weeks after enrolling in the Clinical...
Article
Background: Cardiovascular diseases are a leading cause of death globally, and a major risk factor is obesity in early age groups. Obesity in children and youth is a growing public health concern, and inequalities exist across social groups. Evidence on ethnic disparities in obesity risk is mixed, and little is known about ethnicity and obesity in...
Article
Objective: To examine changes in minimum wage associated with changes in women's weight status. Design: Longitudinal study of legislated minimum wage levels (per month, purchasing power parity-adjusted, 2011 constant US dollar values) linked to anthropometric and sociodemographic data from multiple Demographic and Health Surveys (2000-2014). Sep...
Chapter
Many economic factors are associated with dietary habits and quality, and older adults are considered especially vulnerable to negative economic conditions that can affect their choices for eating well. In this chapter, we focus on the economic context of older adults' lives and how different economic factors are associated with their diets. We rev...
Article
Full-text available
Background Diet is a key modifiable risk factor for multiple chronic conditions, including type 2 diabetes (T2D). Consuming a range of foods from the five major food groups is advocated as critical to healthy eating, but the association of diversity across major food groups with T2D is not clear and the relationship of within-food-group diversity i...
Data
Flow diagram for sample restriction in the EPIC-Norfolk cohort for analyses reported in this study. (TIF)
Data
Adjusted hazard ratios (95% CI) of incident diabetes in relation to quintiles of a summary score for diversity of all food group subtypes in the EPIC-Norfolk study. Model 1 (n = 23,912) was adjusted for age, sex, BMI, and total energy intake (kcal/d). Model 2 (n = 23,705) as Model 1 plus the following: smoking status, total alcohol intake, physical...
Data
Sensitivity analyses of incident diabetes in relation to total diet diversity and diversity within each major food group in the EPIC-Norfolk study. Model A adjusted for all covariables and total quantity of the dependent variable examined (n = 23,105). Model B adjusted for all covariables and waist circumference (n = 23,222). Model C adjusted for a...
Data
Adjusted mean daily diet cost associated with total diet diversity and with diversity within each major food group in the EPIC-Norfolk study. Multivariable linear regression adjusted for sex, age, and total energy intake (kcal/d) (n = 23,238, p-trend < 0.001). Diversity scores were based on the number of different major food groups or the number of...
Data
Adjusted mean daily diet cost (95% CI) associated with of a summary score for diversity of all food group subtypes in the EPIC-Norfolk study. Means obtained by multivariable linear regression analysis adjusted for sex, age, and total energy intake (kcal/d) (n = 23,238). 1 All food subtypes within each food group were summed together to create a com...
Data
Classification of food items in the EPIC-Norfolk study Food Frequency Questionnaire into five major food groups and their subtypes. 1 Based on reference [8] and Annex 2 on food group assignment in [22]. 2 Mixed dishes were separated into component ingredients using standardized recipes (McCance and Widdowson’s The Composition of Foods, 6th edition)...
Data
Sensitivity analyses of incident diabetes in relation to diversity scores excluding all potato items or including only boiled and baked potato items in the EPIC-Norfolk study. Model A adjusted for all covariables using a revised score for vegetable diversity and total diet diversity, without counting any potato items reported by EPIC participants....
Data
The prospective study protocol developed January 21, 2015. (DOCX)
Data
Completed strengthening the reporting of observational studies in epidemiology (STROBE) checklist. (DOCX)
Article
BACKGROUND: Diet is a key modifiable risk factor for multiple chronic conditions, including type 2 diabetes (T2D). Consuming a range of foods from the five major food groups is advocated as critical to healthy eating, but the association of diversity across major food groups with T2D is not clear and the relationship of within-food-group diversity...
Article
Full-text available
Background: Diet is critical to health and social relationships are an important determinant of diet. We report the association between transitions in marital status and healthy eating behaviours in a UK population. Methods: Longitudinal study of middle-age and older adults 39-78y (n = 11 577) in EPIC-Norfolk, a population-based cohort, who comp...
Article
Full-text available
Objectives: To describe the relationship between minimum wage and overweight and obesity across countries at different levels of development. Methods: A cross-sectional analysis of 27 countries with data on the legislated minimum wage level linked to socio-demographic and anthropometry data of non-pregnant 190,892 adult women (24-49 y) from the...
Data
Adverse anthropometric outcomes, monthly minimum wage and level of development in the study sample of adult women, by country. (PDF)
Data
Differences by SES in the proportion of overweight and obese women in each low-income country. Panel A. Highest education level. Panel B. Occupation status. Panel C. Geographic location. (PDF)
Data
Differences by SES in the proportion of overweight and obese women in each middle-income country. Panel A. Highest education level. Panel B. Occupation status. Panel C. Geographic location. (PDF)
Data
Association of minimum wage with obesity in adult women in overall and stratified two-level random intercept models. (PDF)
Data
Association of monthly minimum wage with overweight and obesity in adult women using pooled data with interaction terms. (PDF)
Data
Association of monthly minimum wage with obesity in adult women using pooled data with interaction terms. (PDF)
Article
Full-text available
{\bf Background:}$ Diet is a key modifiable risk factor for multiple chronic conditions, including type 2 diabetes (T2D). Consuming a range of foods from the five major food groups is advocated as critical to healthy eating, but the association of diversity across major food groups with T2D is not clear and the relationship of within-food group div...
Article
Full-text available
Background: Multiple economic factors and social relationships determine dietary behaviours, but the inter-relations between determinants is unknown. Whether women and men differ in the vulnerability to, and impact of, combined disadvantages is also unclear. We examined associations between diverse combinations of economic resources and social rel...
Article
Full-text available
Objectives The UK government has noted the public health importance of food prices and the affordability of a healthy diet. Yet, methods for tracking change over time have not been established. We aimed to investigate the prices of more and less healthy foods over time using existing government data on national food prices and nutrition content. M...
Thesis
Public health still needs to better understand how older people’s life circumstances influence key risk factors for chronic disease, and also how women and men differ in their exposures and outcomes. This dissertation aimed to examine, separately for women and men, the role and inter-relationships of factors describing the economic and social conte...
Article
Full-text available
Beyond quantity, variety of fruit and vegetable (FV) intake prevents chronic conditions and is widely recommended as critical to healthful eating. FV consumption is socially patterned, especially for women, but little is known about multiple economic determinants of variety or whether they differ from those of quantity. Objective: To examine socioe...
Article
Full-text available
Objective To ascertain prospectively gender-specific associations between types and amounts of financial hardship and weight gain, and investigate potential behavioral mechanisms.Design and Methods Prospective study of 3701 adult British civil servants with repeated measures of difficulty paying bills or insufficient money to afford adequate for fo...
Article
An effective response to the rising burden of chronic disease requires a health system environment that is conducive to implementing structured, integrated approaches to chronic disease prevention and management. This study presents some of the reported factors hindering the successful implementation of chronic care approaches in six European healt...
Article
Full-text available
Objective: To describe the interventions, research methods and main findings of the international DISMEVAL project, in which the ‘‘real-world’’ impact of exemplary European disease management approaches was investigated in six countries using advanced analytic techniques. Design: Across countries, the project captured a wide range of disease manage...
Article
Full-text available
Socioeconomic status is strongly associated with obesity. Current economic circumstances are also independently associated with self-reported weight status in Finnish civil servants. We aimed to examine three types of financial hardship in relation to measured general and central obesity in a general population of older adults, while considering co...
Article
Full-text available
Background Social relationships are an integral aspect of a person’s social environment that may offer protection against chronic conditions and may facilitate recovery from disease. Social relationships have also been linked to dietary behaviour which may be an important pathway through which social circumstances impact health. Yet, questions rema...
Article
Full-text available
Social relationships are an important aspect of a person's social environment that can protect against a wide range of chronic conditions and facilitate recovery from disease. Social relationships have also been linked to dietary behaviour which may be an important pathway through which social circumstances exert their influence on health. Yet, que...
Conference Paper
Full-text available
Combined effects of social relationships and healthful dietary behaviours in adults aged 50 and over - Volume 72 Issue OCE4 - A. Conklin, N. Wareham, N. Forouhi, P. Monsivais
Article
Full-text available
Background and aims Many economic factors are associated with diet, yet the evidence is generally cross-sectional. Older people are considered especially vulnerable to poor diets from negative changes to varied economic factors. This review extends current knowledge on known correlates to decipher actual economic determinants of diet in older adult...
Article
Full-text available
BACKGROUND: Self-management support is a key component of effective chronic care management, yet in practice appears to be the least implemented and most challenging. This study explores whether and how self-management support is integrated into chronic care approaches in 13 European countries. In addition, it investigates the level of and barriers...
Technical Report
Full-text available
Make a charitable contribution Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND electronic documents to a...
Technical Report
Full-text available
Make a charitable contribution Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND electronic documents to a...
Article
Full-text available
Objectives: An overview was produced of approaches currently used to evaluate chronic disease management in selected European countries. The study aims to describe the methods and metrics used in Europe as a first to help advance the methodological basis for their assessment. Methods: A common template for collection of evaluation methods and pe...
Article
Background Public involvement in health-care policy has been advocated as a means to enhance health system responsiveness, yet evidence for its impact has been difficult to ascertain.Objectives To review the peer-reviewed empirical evidence on outcomes of public involvement in health-care policy.Methods We systematically searched PsychINFO and PubM...