Triptans Use for Migraine Headache among Nonelderly Adults with Cardiovascular Risk

Objective. To examine the association between the cardiovascular (CV) risk factors and triptans use among adults with migraine. Methods. A retrospective cross-sectional study design was used. Data were derived from 2009–2013 Medical Expenditure Panel Survey (MEPS). The study sample consisted of adults (age > 21 years) with migraine headache (N = 1,652). Multivariable logistic regression was used to examine the relationship between CV risk factors and triptans use. Results. Overall, 21% adults with migraine headache used triptans. Nearly two-thirds (61%) of adults with migraine had at least one CV risk factor. A significantly lower percentage of adults with CV risk (18.1%) used triptans compared to those without CV risk factors (25.5%). After controlling for demographic, socioeconomic status, access to care, and health status, adults with no CV risk factors were more likely to use triptans as compared to those with one CV risk factor (AOR = 1.83, 95% CI = 1.17–2.87). There were no statistically significant differences in triptans use between those with two or more CV risk factors and those with one CV risk factor. Conclusion. An overwhelming majority of adults with migraine had a contraindication to triptans based on their CV risk factors. The use of triptans among adults with migraine and multiple CV risk factors warrants further investigation.

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Optimal waist:height ratio cut-off point for cardiometabolic risk factors in Turkish adults

Public Health Nutrition ◽

10.1017/s1368980009991637 ◽

2009 ◽

Vol 13 (4) ◽

pp. 488-495 ◽

Cited By ~ 10

Author(s):

Ahmet Selçuk Can ◽

Emine Akal Yıldız ◽

Gülhan Samur ◽

Neslişah Rakıcıoğlu ◽

Gülden Pekcan ◽

...

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Risk Factor ◽

Cardiometabolic Risk ◽

Roc Curves ◽

Cross Sectional Study ◽

Cardiometabolic Risk Factors ◽

Youden Index ◽

Cross Sectional ◽

Men And Women

AbstractObjectiveTo identify the optimal waist:height ratio (WHtR) cut-off point that discriminates cardiometabolic risk factors in Turkish adults.DesignCross-sectional study. Hypertension, dyslipidaemia, diabetes, metabolic syndrome score ≥2 (presence of two or more metabolic syndrome components except for waist circumference) and at least one risk factor (diabetes, hypertension or dyslipidaemia) were categorical outcome variables. Receiver-operating characteristic (ROC) curves were prepared by plotting 1 − specificity on the x-axis and sensitivity on the y-axis. The WHtR value that had the highest Youden index was selected as the optimal cut-off point for each cardiometabolic risk factor (Youden index = sensitivity + specificity − 1).SettingTurkey, 2003.SubjectsAdults (1121 women and 571 men) aged 18 years and over were examined.ResultsAnalysis of ROC coordinate tables showed that the optimal cut-off value ranged between 0·55 and 0·60 and was almost equal between men and women. The sensitivities of the identified cut-offs were between 0·63 and 0·81, the specificities were between 0·42 and 0·71 and the accuracies were between 0·65 and 0·73, for men and women. The cut-off point of 0·59 was the most frequently identified value for discrimination of the studied cardiometabolic risk factors. Subjects classified as having WHtR ≥ 0·59 had significantly higher age and sociodemographic multivariable-adjusted odds ratios for cardiometabolic risk factors than subjects with WHtR < 0·59, except for diabetes in men.ConclusionsWe show that the optimal WHtR cut-off point to discriminate cardiometabolic risk factors is 0·59 in Turkish adults.

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Comparison of Health Care Expenditures Among U.S. Older Adults With Pain Who Reported Frequent Exercise Versus Nonfrequent Exercise

Journal of Aging and Physical Activity ◽

10.1123/japa.2021-0301 ◽

2021 ◽

pp. 1-9

Author(s):

David R. Axon ◽

Jonathan Chien ◽

Hanh Dinh

Keyword(s):

Health Care ◽

Medical Expenditure Panel Survey ◽

Survey Design ◽

Health Care Expenditure ◽

Prescription Medication ◽

Health Care Expenditures ◽

Cross Sectional Study ◽

Medical Expenditure ◽

Cross Sectional ◽

Nationally Representative

This cross-sectional study included a nationally representative sample of U.S. adults aged ≥50 years with self-reported pain in the past 4 weeks from the 2018 Medical Expenditure Panel Survey. Adjusted linear regression analyses accounted for the complex survey design and assessed differences in several types of annual health care expenditures between individuals who reported frequent exercise (≥30 min of moderate–vigorous intensity physical activity ≥5 times per week) and those who did not. Approximately 23,940,144 of 56,979,267 older U.S. adults with pain reported frequent exercise. In adjusted analyses, individuals who reported frequent exercise had 15% lower annual prescription medication expenditures compared with those who did not report frequent exercise (p = .007). There were no statistical differences between frequent exercise status for other health care expenditure types (p > .05). In conclusion, adjusted annual prescription medication expenditures were 15% lower among older U.S. adults with pain who reported frequent exercise versus those who did not.

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Can we reduce psychosomatic symptoms and work presenteeism with physical activity?

Human Systems Management ◽

10.3233/hsm-211213 ◽

2021 ◽

pp. 1-11

Author(s):

Andreja Petrovčič ◽

Vanja Erčulj ◽

Eva Boštjančič

Keyword(s):

Physical Activity ◽

Cost Effective ◽

Cross Sectional Study ◽

Lower Percentage ◽

Cross Sectional ◽

Effective Measure ◽

Psychosomatic Symptoms ◽

General Evaluation ◽

Patient Health ◽

The Relationship

BACKGROUND: Past studies have tended to consider the relationships between presenteeism, physical activity and psychosomatic symptoms in a partial manner and not as a whole. OBJECTIVE: This cross-sectional study investigated the relationship between physical activity, psychosomatic symptoms and presenteeism, in order to increase the visibility of presenteeism and promote workplace health. METHODS: Two questionnaires (Patient Health Questionnaire and Work Limitations Questionnaire) and a set of physical activity questions were administered on the sample of 514 employees. RESULTS: The results showed a statistically significant relationship between presenteeism and some variables of physical activity, as well as between presenteeism and psychosomatic symptoms. Further results showed a statistically significant association between psychosomatic symptoms and some variables of physical activity. General evaluation (adequacy) of physical activity, and general, aerobic physical activity proved to be important predictors of presenteeism, while general, aerobic physical activity also predicted psychosomatic symptoms. Analysis of the results revealed that psychosomatic symptoms moderate the relationship between physical activity and presenteeism. CONCLUSIONS: The article points out that employees with health problems have a lower percentage of productive time than healthy employees. However, developing an active lifestyle can be a cost-effective measure to cope with presenteeism and promote psychophysical health among employees.

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The Relationship Between Recommended and None Recommended Food Scores on Cardiovascular Risk Factors in Obese and Overweight Adult Women: A Cross Sectional Study

10.21203/rs.3.rs-123067/v1 ◽

2020 ◽

Author(s):

Maryam Sabbari ◽

Atieh Mirzababaei ◽

Farideh Shiraseb ◽

Khadijeh Mirzaei

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Abdominal Obesity ◽

Lower Risk ◽

Cross Sectional Study ◽

Composition Analysis ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

Abstract Objective: No studies have examined the relationship between recommended food score (RFS), none recommended food score (NRFS) and cardiovascular risk factors. This study was conducted to evaluate the association of RFS and NRFS with cardiovascular risk factors in overweight and obese women.Methods: This cross-sectional study was performed on 379 overweight and obese (BMI ≥25 kg/m2) women aged 18-48 years. Anthropometric measurements and body composition analysis were assessed in all participants. Dietary intake was assessed by a valid and reliable food frequency questionnaire (FFQ) containing 147 items and RFS and NRFS calculated. Biochemical assessments including TC, HDL, LDL, TG, FBS, insulin, HOMA-IR and hs-CRP were quantified by ELISA.Results: The mean age and BMI of participants were 36.73±9.21 (y) and 31.17±4.22 (kg/m²) respectively. Binary logistic analysis showed that participants in the highest quartile of the RFS compared to the lowest quartile had 82% lower risk for Hypertriglyceridemia [OR=0.18, 95%CI=0.06-0.53, P=0.002] and 91% lower risk for abdominal obesity [OR=0.09, 95%CI=0.008-1.04, P=0.05]. in addition, Participants who were in the highest quartile of the RFS compared to the lowest quartile had lower HOMA-IR [OR=0.29, 95%CI=0.08-1.00, P=0.05]. subjects with high adherence to the NRFS had lower HDL [OR=2.11, 95%CI=1.08-4.12, P=0.02] and higher risk for Hypertriglyceridemia [OR=2.95, 95%CI=1.47-5.94, P=0.002] compared to low adherence. Conclusions: There was an inverse significant association between adherence to RFS and risk of Hypertriglyceridemia, insulin resistance, and abdominal obesity. There was a significant association between NRFS and Hypertriglyceridemia, and also we found an inverse relationship between NRFS and HDL.

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Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study

Nutrients ◽

10.3390/nu12041041 ◽

2020 ◽

Vol 12 (4) ◽

pp. 1041 ◽

Cited By ~ 2

Author(s):

Pilar Pérez-Ros ◽

Rafael Vila-Candel ◽

Lourdes López-Hernández ◽

Francisco Miguel Martínez-Arnau

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Nutritional Status ◽

Older People ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Community Dwelling Older People ◽

The Relationship

Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35; p < 0.001). Conclusions: The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.

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Sex Differences in the Age of Diagnosis for Cardiovascular Disease and Its Risk Factors Among US Adults: Trends From 2008 to 2017, the Medical Expenditure Panel Survey

Journal of the American Heart Association ◽

10.1161/jaha.120.018764 ◽

2020 ◽

Vol 9 (24) ◽

Author(s):

Victor Okunrintemi ◽

Martin Tibuakuu ◽

Salim S. Virani ◽

Laurence S. Sperling ◽

Annabelle Santos Volgman ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Coronary Heart Disease ◽

Heart Disease ◽

Medical Expenditure Panel Survey ◽

Medical Expenditure ◽

Age At Diagnosis ◽

Panel Survey ◽

Cvd Risk Factors ◽

Cvd Risk

Background Sex differences in the trends for control of cardiovascular disease (CVD) risk factors have been described, but temporal trends in the age at which CVD and its risk factors are diagnosed and sex‐specific differences in these trends are unknown. Methods and Results We used the Medical Expenditure Panel Survey 2008 to 2017, a nationally representative sample of the US population. Individuals ≥18 years, with a diagnosis of hypercholesterolemia, hypertension, coronary heart disease, or stroke, and who reported the age when these conditions were diagnosed, were included. We included 100 709 participants (50.2% women), representing 91.9 million US adults with above conditions. For coronary heart disease and hypercholesterolemia, mean age at diagnosis was 1.06 and 0.92 years older for women, compared with men, respectively (both P <0.001). For stroke, mean age at diagnosis for women was 1.20 years younger than men ( P <0.001). The mean age at diagnosis of CVD risk factors became younger over time, with steeper declines among women (annual decrease, hypercholesterolemia [women, 0.31 years; men 0.24 years] and hypertension [women, 0.23 years; men, 0.20 years]; P <0.001). Coronary heart disease was not statistically significant. For stroke, while age at diagnosis decreased by 0.19 years annually for women ( P =0.03), it increased by 0.22 years for men ( P =0.02). Conclusions The trend in decreasing age at diagnosis for CVD and its risk factors in the United States appears to be more pronounced among women. While earlier identification of CVD risk factors may provide opportunity to initiate preventive treatment, younger age at diagnosis of CVD highlights the need for the prevention of CVD earlier in life, and sex‐specific interventions may be needed.

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Incidence and risk factors of neonatal thrombocytopenia: a pr

Paediatrica Indonesiana ◽

10.14238/pi50.1.2010.31-7 ◽

2016 ◽

Vol 50 (1) ◽

pp. 31

Author(s):

Nila Kusumasari ◽

Rinawati Rohsiswatmo ◽

Djajadiman Gatot ◽

Darlan Darwis

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Necrotizing Enterocolitis ◽

Late Onset ◽

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Cross Sectional ◽

Neonatal Thrombocytopenia ◽

Complete Blood Counts

Background Thrombocytopenia is the most common hematological abnormality in the neonatal period. Hemorrhagic manifestations are found in 10% cases of thrombocytopenia. Neonatal thrombocytopenia commonly assumed due to sepsis, despite many risk factors that may caused thrombocytopenia.Objective To obtain incidence and risk factors of neonatal thrombocytopenia.Methods A cross sectional study was conducted in April 2009. Complete blood counts investigation was performed before age of 24 hours, medical conditions and risk factors of mothers and subjects were noted, as well as hemorrhagic manifestations. Subjects with thrombocytopenia were followed for 2 weeks. The risk factors consisted of hypertension in pregnancy, pre-eclampsia, eclampsia, intrauterine growth retardation, gestational diabetes mellitus, perinatal infection, asphyxia, sepsis, and necrotizing enterocolitis.Results Neonatal thrombocytopenia was found 17 (12.1%) of 140 subjects, consisted of 88.2% early onset and 11.8% late onset. Significant risk factor of mother was pre-eclampsia (PR 3.97, 95%CI 1.70 to 9.25), while significant risk factors of neonates were asphyxia (PR 5.66, 95%CI 2.49 to 12.86), sepsis (PR 5.33, 95%CI 2.33-12.19) and necrotizing enterocolitis (p=0.014; PR 9.2 95% CI 5.17 to14.84). We found 29.4% hemorrhagic cases of neonatal thrombocytopenia (i.e.,. skin, gastrointestinal, intracranial hemorrhage).Conclusions The incidence of neonatal thrombocytopenia was 12.2%. Significant risk factor of mother that caused thrombocytopenia was pre-eclampsia, while risk factors of neonates were asphyxia, sepsis and necrotizing enterocolitis.[Paediatr Indones. 2010;50:31-7].

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The Effect of SCHIP Expansions on Health Insurance Decisions by Employers

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.5034/inquiryjrnl_42.3.218 ◽

2005 ◽

Vol 42 (3) ◽

pp. 218-231 ◽

Cited By ~ 16

Author(s):

Thomas Buchmueller ◽

Philip Cooper ◽

Kosali Simon ◽

Jessica Vistnes

Keyword(s):

Health Insurance ◽

Medical Expenditure Panel Survey ◽

Medical Expenditure ◽

Panel Survey ◽

Cross Sectional ◽

Insurance Program ◽

Health Insurance Program ◽

State Variation ◽

Nationally Representative ◽

Insurance Decisions

This study uses repeated cross-sectional data from the Medical Expenditure Panel Survey—Insurance Component (MEPS-IC), a large nationally representative survey of establishments, to investigate the effect of the State Children's Health Insurance Program (SCHIP) on health insurance decisions by employers. The data span the years 1997 to 2001, the period when states were implementing SCHIP. We exploit cross-state variation in the timing of SCHIP implementation and the extent to which the program increased eligibility for public insurance. We find evidence suggesting that employers whose workers were likely to have been affected by these expansions reacted by raising employee contributions for family coverage options, and that take-up of any coverage, generally, and family coverage, specifically, dropped in these establishments. We find no evidence that employers stopped offering single or family coverage outright.

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Dietary phytochemical index associated with cardiovascular risk factor in patients with type 1 diabetes mellitus

10.21203/rs.3.rs-239129/v1 ◽

2021 ◽

Author(s):

Saeideh Delshad Aghdam ◽

Fereydoun Siassi ◽

Ensieh Nasli Esfahani ◽

Mostafa Qorbani ◽

Asadollah Rajab ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Low Density Lipoprotein ◽

Density Lipoprotein ◽

Cross Sectional Study ◽

Lipoprotein Cholesterol ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

The Relationship

Abstract Background Dietary phytochemical index (DPI) is useful and inexpensive method to identify the role of phytochemicals on cardiovascular disease (CVD) risk factors. This study aimed to assess the relationship between DPI and CVD risk factors in patients with type1 diabetes mellitus (T1DM). Methods A total of 261 participants aged 18–35 years with T1DM were enrolled in this cross-sectional study to assess the relationship between DPI and CVD risk factors. Anthropometric measurements, blood lipids, glucose, and antioxidant level were measured. Food intakes were determined using a food frequency questionnaire to calculate DPI. Logistic regression was used. Results The mean age of participants was 25 years. After adjustment for potential confounders, participants in the highest tertile of DPI had 88% lower chance of hyperglycemia (P for trend = 0.020), 81% lower chance of low high-density lipoprotein cholesterol (HDL-C) (P for trend = 0.030) and 98% lower chance of high low-density lipoprotein cholesterol to HDL-C ratio (P for tend = 0.040). There were no relationships between DPI and other CVD risk factors. Conclusions Although higher intake of phytochemical-rich foods had a beneficial effect on some risk factors of CVD, more studies more studies are warranted to corroborate the present findings.

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An epidemiological study of prevalence of hypertension and its risk factors among non migratory tribal population of Mawai block of Mandla district of central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180464 ◽

2018 ◽

Vol 5 (3) ◽

pp. 957 ◽

Cited By ~ 2

Author(s):

Vishnu K. Gupta ◽

Neeraj Rai ◽

Neelam Anupama Toppo ◽

Pradeep Kumar Kasar ◽

Parul Nema

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Alcohol Intake ◽

Cultural Practices ◽

Central India ◽

Cross Sectional Study ◽

Tribal Population ◽

Cross Sectional ◽

Multi Stage ◽

Associate Risk

Background: Hypertension is the most recognized modifiable risk factor of CVD, stroke and end stage renal disease and it is directly responsible for 57% of all stroke and 24% of all coronary heart disease related deaths in India. There is paucity of data on hypertension among tribal population. Addiction of Nicotine and some cultural practices like alcohol intake is common in tribal, which are the known risk factor for NCDs. Therefore, the study of health status of tribal communities related to hypertension, is highly desirable and essential. The objectives of the study were to determine the prevalence of hypertension and associate risk factors among non migratory tribal population. Methods: A cross sectional study was conducted from March 2015 to February 2016 among 762 adults aged 20-65 years who were non migratory residents of Mawai block of Mandla districts, and they were selected through multi stage random sampling method. Results: Hypertension prevalence was 27.1% among study population. 82.2% study subjects had never undergone for blood pressure check-up. Prevalence was significantly associated with high age group. It was slightly more among the study subjects taking mixed diet than to pure vegetarian. Smoking and alcohol intake was found to be significantly associated with hypertension. It was more prevalent among mild and sedentary workers and association was significant with BMI ≥25. Conclusions: In the study every fourth study individual is Hypertensive, where smoking (in any form) and obesity was found as commonest risk factor for it.

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