Hein Raat

Hein Raat
Erasmus MC | Erasmus MC · Department of Public Health

MD, PhD, MBA

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613
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Publications

Publications (613)
Article
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Introduction Due to the rapid aging of the global population, new approaches are required to improve the quality of life of older people and to reduce healthcare system expenditures. One of the approaches that can be used is value-based healthcare. This article describes a value-based solution for older people who have suffered a myocardial infarct...
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Myopia is becoming an important cause of visual impairment. Determining risk profiles will help to develop targeted prevention strategies. This study aims to explore the difference in myopia development between genders in two cohorts representing different generations, and to assess whether hypothetical interventions targeting education or lifestyl...
Preprint
Full-text available
Background: Ageing is a complex process that involves various biological, psychological and social changes. At the same time, older people are more susceptible to lower self-efficacy and social support, as well as deteriorating mental health and increasing levels of loneliness. As the global population ages, there is a growing demand for evidence-b...
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Introduction The majority of children fails to have a healthy diet. Providing a healthy lunch at school is a way to target all children, regardless of ethnic and socioeconomic background. This study aims to investigate the effectivity and feasibility of a co-created healthy school lunch in disadvantaged neighbourhoods of the city of Rotterdam, the...
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Background Loneliness is described as the subjective experience of unfulfilled personal and social needs, with emotional and social domains. Frailty is a state of vulnerability to stressors, which is often characterised by impairment in the physical, psychological and/or social domain. Objective This study aims to examine the bidirectional associa...
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Frailty is a dynamic condition encompassing physical, psychological, and social domains. While certain factors are associated with overall or specific frailty domains, research on the correlations between physical, psychological, and social frailty is lacking. This study aims to investigate the associations between physical, psychological, and soci...
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This study aimed to identify the factors associated with health-related quality of life (HRQOL) among community-dwelling older adults. Physical and mental HRQOL were measured by the 12-item Short Form Health Survey (SF-12) at baseline and follow-up. Linear regression models were used to evaluate associations between socio-demographic, health, and l...
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Objective To examine the associations between maternal education and household income during early childhood with asthma-related outcomes in children aged 9–12 years in the UK, the Netherlands, Sweden, Australia, the USA and Canada. Methods Data on 31 210 children were obtained from 7 prospective birth cohort studies across six countries. Asthma-r...
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Ageing is a process that involves biological, psychological, and social changes making older people more susceptible to decreased self-efficacy and deteriorating their mental health. With the global population ageing, there is a growing demand for interventions tailored to address their specific mental health problems and improve their overall well...
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Background Youth healthcare has an important role in promoting a healthy lifestyle in young children in order to prevent lifestyle-related health problems. To aid youth healthcare in this task, a new lifestyle screening tool will be developed. The aim of this study was to explore how youth healthcare professionals (YHCP) could best support parents...
Preprint
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Background: Due to the rapid aging of the global population, new approaches are required to improve the quality of life of older people and to reduce healthcare system expenditures. One of the approaches that can be used is value-based healthcare. This article describes a value-based solution for older people who have suffered a myocardial infarcti...
Article
Chronic pain exerts a significant impact on the quality of life, giving rise to both physical and psycho‐social vulnerabilities. It not only leads to direct costs associated with treatments, but also results in indirect costs due to the reduced productivity of affected individuals. Chronic conditions can be improved by reducing modifiable risk fact...
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Background Prenatal fine particulate matter (PM2.5) constituents exposure and reduced fetal growth may be risk factors for accelerated growth in early childhood, an important indicator for lifelong health. Objective The study investigated whether the joint effects are present between PM2.5 constituents and reduced fetal growth. Methods The study...
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Background: Healthcare services worldwide are transforming themselves into value-based organizations. Integrated care is an important aspect of value-based healthcare (VBHC), but practical evidence-based recommendations for the successful implementation of integrated care within a VBHC context are lacking. This systematic review aims to identify ho...
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Introduction: Bleeding disorders (BDs) may influence health-related quality of life (HRQoL) in children and caregivers. Measuring HRQoL gives insight into domains requiring support and provides an opportunity to evaluate the effects of novel therapies. Aim: To gain insight in the current body of literature on HRQoL in children with BDs in order...
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Background We aim to assess the associations between the change in neighborhood socioeconomic score (SES) between birth and 6 years and childhood weight status and body composition from 6 to 13 years. Methods Data for 3909 children from the Generation R Study, a prospective population-based cohort in the Netherlands were analyzed. The change in ne...
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Frailty is one of the most challenging issues among older adults, and the relationship between frailty and falls has already been assessed numerous times in literature. In the present study, we explored the mediating role of self-efficacy related to falls (FSe) in the relationship between frailty and fall risk. In a cross-sectional design, 1080 com...
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Background: Digital technologies, such as mobile apps and robotics, provide opportunities to involve stroke patients better in the care process and to promote self-management. Previous pilot studies suggest that technology could be a meaningful tool for post-acute stroke care. However, barriers exists constraining the adoption and acceptance of tec...
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Background: Frailty is defined as a state with increased vulnerability in functioning across multiple physiological systems when facing stressors. Often three domains of frailty are considered: physical, psychological, and social. These three domains of frailty may relate to each other and develop over time. This study aimed to gain insight into th...
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Digital technologies have the potential to support the implementation of value-based healthcare by enabling personalised patient care and improving health outcomes. The ValueCare project (H2020, No. 875215) aims to deliver personalised integrated (health and social) care services, better outcomes for older people and an improved care experience and...
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Background Population aging poses challenges to high quality health and social care for older people in Europe. The Horizon 2020 ValueCare project (www.projectvaluecare.eu) develops, implements and evaluates an Information and Communication Technologies (ICTs) supported integrated health care solution. ValueCare aims to increase health-related qual...
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The importance of mindfulness in promoting mental health and well-being has been increasingly recognised in recent years. As a result, mindfulness-based interventions have been introduced to improve various aspects of life, including quality of life and social support. The aim of this study was to examine the effectiveness of a seven-week mindfulne...
Preprint
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Background: Healthcare services worldwide are transforming themselves into value-based organizations. Integrated care is an important aspect of value-based healthcare (VBHC), but practical evidence-based recommendations for the successful implementation of integrated care within a VBHC context are lacking. This systematic review aims to identify ho...
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Full-text available
Strengthening social support has been recognized as a potentially effective strategy to enhance parenting self-efficacy, but empirical evidence is limited. This study examined the association between perceived social support and parenting self-efficacy. Data of 647 parents of children aged 0–8 years, gathered in the CIKEO cohort study in the Nether...
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Background Body composition between prepubertal children and adolescents varies, and it is unclear how physical activity and sedentary behaviour affect adolescent body composition. Objectives This study aimed to examine the associations of physical activity and screen time with overall and specific fat depots in the general adolescent population....
Preprint
Full-text available
Myopia is becoming an important cause of visual impairment. Determining risk profiles will help to develop targeted prevention strategies. This study aims to explore the difference in myopia development between genders in two cohorts representing different generations, and to assess whether hypothetical interventions targeting education or lifestyl...
Article
Full-text available
Infants born small for gestational age (SGA) remains a significant global public health concern, with potential interconnections among maternal diet, pre-pregnancy BMI, gestational weight gain (GWG), and SGA. This prospective study investigated the association between dietary diversity (DD) during pregnancy and the risk of SGA, as well as the syner...
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Introduction Chronic non-communicable diseases (NCDs) are predominantly related to modifiable health behaviors and account for 74% of global deaths at present. Behavior modification through self-management is a strategy to prevent NCDs. Chronic Disease Self-Management Programs (CDSMPs) have demonstrated improvements in health behaviors, health stat...
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Evaluating, discussing, and advising on young children’s lifestyles may contribute to timely modification of unhealthy behaviour and prevention of adverse health consequences. We aimed to develop and evaluate a new lifestyle screening tool for children aged 1–3 years. The lifestyle screening tool “FLY-Kids” was developed using data from lifestyle b...
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Introduction: An in-depth understanding of patient perspectives contributes to high-quality, value-based health care. The aim of this study was to explore the values, needs, and preferences of stroke patients across the continuum of care. Methods: We performed a qualitative study, as part of the larger ValueCare study, involving 36 patients who...
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Background Falls are a leading cause of disability. Previous studies have identified various risk factors for falls. However, contemporary novel research is needed to explore these and other factors associated with falls among a diverse older adult population. This study aims to identify the factors associated with falls among hospitalized and comm...
Preprint
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This study aims to identify the factors associated with health-related quality of life (HRQOL) among community-dwelling older adults. Baseline and follow-up data from the ‘Appropriate care paths for frail elderly patients: a comprehensive model’ study were analysed. Physical and mental HRQOL were measured by the 12-item Short Form Health Survey (SF...
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Socioeconomic status (SES) at different points in a child’s lifetime may have different effects on health outcomes. This study aimed to examine longitudinal associations between SES and psychosocial problems in preschool children (n = 2509, Mage = 24.2 ± 1.3 months). The psychosocial problems of children were assessed using the Brief Infant–Toddler...
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Background: Due to the aging population, there is a need for monitoring well-being and safety while living independently. A low-intrusive monitoring system is based on a person's use of energy or water. Objective: The study's objective was to provide a systematic overview of studies that monitor the health and well-being of older people using en...
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Importance: Understanding the mechanisms by which physical activity is associated with a lower risk of psychiatric symptoms may stimulate the identification of cost-efficient strategies for preventing and treating mental illness at early life stages. Objective: To examine neurobiological, psychosocial, and behavioral mechanisms that mediate asso...
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Background: Studies revealed unidirectional associations between frailty and medication-related problems (MRPs) among older adults. Less is known about the association between frailty and the risk of MRPs. We aimed to assess the bi-directional association between frailty and the risk of MRPs in community-dwelling older adults in five European coun...
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Background Experiencing certain potentially stressful life events can impact psychosocial well-being among school-aged children and adolescents. This study aims to evaluate the association between life events occurring before age 2 and risk of psychosocial problems at 3 years of age. Methods All parents invited for the regular well-child visit whe...
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Chronic pain is a source of major alterations in quality of life. It represents significant costs for health systems, and reduces the competitiveness of the working population. Vulnerability can drive the incidence of chronic pain, through its influence on modifiable risk factors, and reduced utilization of health care systems. But vulnerability ca...
Preprint
Full-text available
Chronic pain is a source of major alterations in quality of life. It represents significant costs for health systems, and reduces the competitiveness of the working population. Vulnerability can drive the incidence of chronic pain, through its influence on modifiable risk factors, and reduced utilization of health care systems. But vulnerability ca...
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Full-text available
Background: Few studies have investigated which factors were related to adolescents' social media use. This study aimed to evaluate which factors were associated with heavy social media use on weekdays and weekends among 13-year-old adolescents. Methods: We analyzed data from 3727 children from the Generation R Study, a population-based cohort s...
Preprint
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Background Physical activity and sedentary behaviors have been shown to have varying health benefits. Nevertheless, it is unclear how physical activity and screen time affect body composition during adolescence. This study examined the associations of physical activity and screen time with overall and abdominal fat depositions in general pediatric...
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Introduction This systematic review and meta‐analysis investigate the long‐term effects of primary school‐based obesity prevention interventions on body‐mass index (and z‐scores), waist circumference (and z‐scores) and weight status. Methods Four databases were searched for studies from date of inception until June 8th, 2021. We included randomize...
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Background Dyssomnias, are the most common parent-reported sleep complaints in young children. The present study investigated the prevalence, one-year development (incidence and persistence) of dyssomnia in early childhood, and the parent, child, and family factors associated with dyssomnia. Methods Longitudinal data of 700 children aged 0–8, gath...
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Purpose This study aimed to identify clusters of lifestyle behaviours in toddlers and assess associations with socio-demographic characteristics. Methods We used data from the Dutch National Food Consumption Survey 2012–2016 and included 646 children aged 1–3 years. Based on 24-h dietary recalls and a questionnaire, a two-step cluster analysis was...
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Background The impact of stressful life events (SLEs) in early childhood is often ignored. We aimed to examine longitudinal associations between SLEs and psychosocial and general health in preschool children. Methods Twelve SLEs occurring before the age of 24 months were assessed and categorized by frequency (no events, 1–2 SLEs, and > 2 SLEs) and...
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Lay abstract: Does being born in a family of high socioeconomic status mean a higher risk of being diagnosed with autism? The evidence from the Asian area is lacking. This research was conducted among 6049 toddlers who went through an evaluation-diagnose procedure of autism and whose parents were surveyed during the national survey of China, 2016-...
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Background Palliative care aims to contribute to pain relief, improvement with regard to symptoms and enhancement of health-related quality of life (HRQoL) of patients with chronic conditions. Most of the palliative care protocols, programmes and units are predominantly focused on patients with cancer and their specific needs. Patients with non-can...
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Background: Cardiovascular diseases (CVD) are predominantly lifestyle related. Mental health issues also influence CVD progression and quality of life. Self-management of lifestyle behaviors and mental well-being may play a significant role in reducing the CVD burden. Previous studies have shown that mindfulness practices are associated with psych...
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Aim This study examined the association between social support perceived by parents of children aged 1–7 years and the use of additional community youth health care services. Methods Data of 749 parents of children aged 1–7 years, gathered in the CIKEO cohort study in the Netherlands, were analyzed. Social support was assessed with the Multidimens...
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Determinants at the contextual level are important for children’s and adolescents’ mental health care utilization, as this is the level where policy makers and care providers can intervene to improve access to and provision of care. The objective of this review was to summarize the evidence on contextual determinants associated with mental health c...
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Previous studies conducted mainly among adolescents have found associations between participation in sport organised leisure-time activities (OLTAs) and mental health problems (MHP). Fewer research studies have been performed to primary school-aged children and to organised non-sport OLTAs. Therefore, the objective is to examine whether there is an...
Preprint
BACKGROUND Stroke is a leading cause of death and long-term disability [1]. In 2017, there were an estimated 9.53 million prevalent stroke cases in the European Union (EU) and this number is expected to rise to 12.11 million by 2047 [2]. Stroke patients often experience long-lasting physical and psychological consequences after stroke which can res...
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Background: Digital technologies such as mobile apps and robotics have the potential to involve stroke patients better in the care process and to promote self-management. However, barriers exist that constrain the adoption and acceptance of technology in clinical practice. Examples of barriers are privacy concerns, challenges regarding usability,...
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Child dental caries (i.e., cavities) are a major preventable health problem in most high-income countries. The aim of this study was to compare the extent of inequalities in child dental caries across four high-income countries alongside their child oral health policies. Coordinated analyses of data were conducted across four prospective population...
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Background Nearly 11% of the European population is affected by energy poverty. Energy poverty is defined by the European Commission (2016) as the inability to afford basic energy services to guarantee a decent standard of living. Energy poverty is considered a complex, multidimensional problem that affects environment, housing, urban development,...
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Background Older people receive care from multiple providers which often results in a lack of coordination. The Information and Communication Technology (ICT) enabled value-based methodology for integrated care (ValueCare) project aims to develop and implement efficient outcome-based, integrated health and social care for older people with multimor...
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Introduction Dental caries remains one of the most prevalent but preventable diseases among children worldwide and especially affects children with a lower socioeconomic status or ethnic minority background. It is important that all groups of children are reached by preventive interventions to reduce oral health inequalities. So far, it is unknown...
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Parenting stress has been related to adverse health outcomes in parents, children, and their families. This systematic review aimed to provide an overview of parental, child, and situational factors related to parenting stress in mothers and fathers. We searched Embase, Medline Epub (Ovid), PsychInfo (Ovid), Web of Science, and Google scholar for s...
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Background We examined absolute and relative relationships between household income and maternal education during early childhood (<5 years) with activity-limiting chronic health conditions (ALCHC) during later childhood in six longitudinal, prospective cohorts from high-income countries (UK, Australia, Canada, Sweden, Netherlands, USA). Methods R...
Preprint
BACKGROUND Due to the aging population, there is a need for monitoring well-being and safety while living independently. A low-intrusive monitoring system is based on a person’s use of energy or water. OBJECTIVE The study's objective was to provide a systematic overview of studies that monitor the health and well-being of older people using energy...
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Background: To compare the effectiveness between conventional (face-to-face) and online public health approaches focused on mental health, self-efficacy of health management and quality of life of older adults. Design and methods: Participants will be 65+ residents of the city of Rijeka and the wider urban area and will be divided into three gro...
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Screening of children’s lifestyle, including nutrition, may contribute to the prevention of lifestyle-related conditions in childhood and later in life. Screening tools can evaluate a wide variety of lifestyle factors, resulting in different (risk) scores and prospects of action. This systematic review aimed to summarise the design, psychometric pr...
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Objective The purpose of this study was to evaluate a collaborative community-based program that aims to a) increase the health, safety and talent development of youth, and b) contribute to the reduction of socioeconomic inequalities. Methods A difference-in difference design with two separate cross-sectional samples in 2018 (n = 984) and 2021 (n...
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Background/objectives: This study analysed the relationship between early childhood socioeconomic status (SES) measured by maternal education and household income and the subsequent development of childhood overweight and obesity. Subjects/methods: Data from seven population-representative prospective child cohorts in six high-income countries:...
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Background The relation of physical condition with respiratory outcomes in adolescents is unclear. We examined the hypothesis that adolescents with a lower physical condition represented by a lower cardiorespiratory fitness and physical activity, and a higher screen time have a lower lung function and higher risk of asthma. Methods In a population...
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The association between low socioeconomic status (SES), migration background and psychosocial health could be various in different age stages, rare research has investigated associations in very early childhood. Cross-sectional data of SES, parental migration background, and child’s psychosocial problems among 2149 children were collected (Mage = 2...
Preprint
BACKGROUND Social media use is increasing among children. The impact of social media use on children’s health-related quality of life (HRQoL) remains unclear. OBJECTIVE This study assessed the associations between the number of social media platforms used, the time spent on social media and HRQoL among children aged 13 years. METHODS Data of 3,39...
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Background: Using social media is a time-consuming activity of children and adolescents. Health authorities have warned that excessive use of social media can negatively affect adolescent social, physical, and psychological health. However, scientific findings regarding associations between time spent on social media and adolescent health-related...
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Background: Polypharmacy and inappropriate medication use among older people is associated with adverse health consequences due to drug-drug interactions, drug-disease interactions, and adverse drug effects. The aim of this study is to assess the factors that are associated with polypharmacy and inappropriate medication use among community-dwelling...