Abstract WP155: Is Erectile Dysfunction More Frequent Among Men with History of Stroke: Analysis of National Health and Nutrition Examination Surveys 2001 to 2004

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Adnan I Qureshi ◽  
Sher Afgan ◽  
Muhammad A Saleem
Keyword(s):  
Erectile Dysfunction ◽  
National Health ◽  
The United States ◽  
Severe Disability ◽  
Self Report ◽  
Stroke Survivors ◽  
Health And Nutrition ◽  
History Of ◽  
Nationally Representative ◽  
Physician Diagnosis

Background: A common question among men who are stroke survivors is whether stroke occurrence will interfere with sexual performance. The question continues to have major significance in resumption of normal activities and reintegration into society for stroke survivors. Methods: Using a standard questionnaire, we examined trends and prevalence of erectile dysfunction in regards to moderate (sometimes) to severe (always) disability to get and keep an erection adequate for satisfactory intercourse in a nationally representative sample of the United States population. We analyzed data from 4929 men who participated in National Health and Nutrition Examination Survey (NHANES) 2001 to 2004. Stroke was defined based on self-report of physician diagnosis. Results: Moderate to severe disability to get and keep an erection adequate for satisfactory intercourse was reported by 13 (6.4%) men with history of stroke and 276 (5.8%) without stroke, respectively (p=0.65). After adjustment for differences in age, men with history of stroke did not have any increase in risk of moderate to severe disability to get and keep an erection adequate for satisfactory intercourse (odds ratio [OR] 0.8; 95% confidence interval [CI] 0.4 to1.7). Conclusions: Erectile dysfunction was relatively infrequent among men with history of stroke and no higher than in men without stroke.

Abstract WMP111: Trends in Active Tobacco Smoking Among Stroke Survivors in The United States: An Analysis of the National Health and Nutrition Examination Survey, 1999-2016

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Neal S Parikh ◽  
Abhinaba Chatterjee ◽  
Alexander E Merkler ◽  
Mackenzie P Lerario ◽  
Costantino Iadecola ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
National Health ◽  
The United States ◽  
Self Report ◽  
Stroke Survivors ◽  
Nutrition Examination Survey ◽  
Active Smoking ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Prior Stroke

Background: Active smoking after stroke is associated with worse outcomes. Since several smoking cessation drugs have become available during the last two decades, we sought to determine whether the rate of active smoking among stroke survivors has decreased. Methods: We performed a trends analysis using cross-sectional data from all nine available consecutive cycles of the continuous phase of the National Health and Nutrition Examination Survey from 1999 to 2016. Participants in each cycle were asked about their medical history and health-related behaviors. We included participants 20 years of age and older who answered questions regarding smoking. Patients with prior stroke were identified based on self-report, which has been validated against expert chart review. Active smoking was defined based on self-report. We used multivariable logistic regression methods for survey data to assess for trends in active smoking among all participants and those with prior stroke. Models were adjusted for demographics. Results: We included 49,440 participants in our analysis, of whom 1,921 (2.7%) reported a prior stroke. The mean age of stroke survivors was 64.8 (standard error, 0.5) years, and 57% were women. The average prevalence of active smoking over 1999-2016 was 22.2% for the whole sample and 24.3% among stroke survivors. In the overall population, the adjusted prevalence of active smoking decreased over the study period (odds ratio [OR] per cycle, 0.96; 95% confidence interval [CI], 0.94-0.97). The rate did not decrease among stroke survivors (OR, 1.01; 95% CI, 0.93-1.09) (Fig). Conclusion: Despite the availability of several effective smoking cessation therapies, the rate of active smoking among stroke survivors has not decreased in the past two decades. Effective strategies for smoking cessation for secondary stroke prevention are needed.

Abstract WP319: Prevalence and Trends of Insomnia Among Stroke Survivors in United States: National Health and Nutrition Examination Surveys 2005 to 2015

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Adnan I Qureshi ◽  
Sher Afgan ◽  
Muhammad A Saleem
Keyword(s):  
United States ◽  
National Health ◽  
The United States ◽  
P Value ◽  
Stroke Survivors ◽  
Health And Nutrition ◽  
United States Population ◽  
Falling Asleep ◽  
Severe Difficulty ◽  
Nationally Representative

Background: Insomnia is reported among stroke survivors but the prevalence in United States population has not been determined. Methods: Using a standard questionnaire, we examined trends and prevalence of insomnia in regards to moderate (5 to 15 times a month) to severe (16 to 30 times a month) difficulty in going to sleep and moderate (5 to 15 times a month) to severe (16 to 30 times a month) difficulty in maintaining sleep in a nationally representative sample of the United States population. Insomnia was classified via a combination of self-reported positive physician diagnosis and high-frequency of ’trouble falling asleep’, ’waking during the night’, ’waking too early’, and ’feeling un-rested during the day’. We analyzed 10887 subjects from 2005 to 2008 National Health and Nutrition Examination Survey (NHANES). Results: Moderate to severe difficulty in going to sleep (42[9.3%] versus 1097[10.5%], p-value = 0.31) and moderate to severe difficulty in maintaining sleep (52 [11.5%] versus 1258 [12.0%], p-value = 0.58) were observed among stroke survivors and those without stroke subjects, respectively. After adjustment for differences in age and gender, stroke subjects did not have any increase in risk of moderate to severe difficulty in going to sleep (odds ratio [OR] 1.2; 95% confidence interval [CI] 0.8 to 1.6) and moderate to severe difficulty in maintaining sleep (OR 1.1; 95% CI 0.8 to 1.5). Insomnia was observed in 117 (25.9%) stroke and 2651 (25.4%) non stroke survivors (OR 1.1; 95% CI 0.8-1.3). Conclusions: There is no significant increase in sleep initiation and sleep maintenance or insomnia among stroke survivors in the United States.

Abstract TMP50: Antihypertensive Medication Trends Among Individuals With History of Stroke and Hypertension: The National Health and Nutrition Examination Survey (NHANES) 2005 - 2016

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Daniel Santos ◽  
Mandip S Dhamoon
Keyword(s):  
Risk Factor ◽  
National Health ◽  
Stroke Risk ◽  
Beta Blockers ◽  
Stroke Survivors ◽  
Nutrition Examination Survey ◽  
Stroke Risk Factor ◽  
Health And Nutrition ◽  
History Of ◽  
Over Time

Background: Hypertension (HTN) is a well-established, modifiable stroke risk factor. National HTN management trends among stroke survivors may provide important insight into secondary preventive treatment gaps. We investigated the adequacy of blood pressure (BP) control among stroke survivors and national antihypertensive (ATH) treatment trends. Methods: The National Health and Nutrition Examination Survey (NHANES) is a large, nationally representative cross-sectional survey conducted in 2-year cycles in the U.S. Evaluations include interviews, medication lists, physical examinations, and blood samples. We included participants aged >=20 years with HTN and history of stroke from 2005 to 2016. HTN was defined by self-report, ATH use, or uncontrolled HTN (BP >140/90) on physical examination. ATH medications were classified into calcium channel blockers, beta blockers, diuretics, and ACE inhibitors/angiotensin receptor blockers (ACE/ARBs). We report weighted frequencies and means using NHANES methodology, estimating the proportion of those with stroke with HTN. For all other analyses we examined those with stroke and HTN, summarizing number and classes of ATH, frequency of uncontrolled HTN, and associations between ATH classes and BP control. We examined trends in ATH use over time. Results: Among an estimated 6.4 million adults with history of stroke from 2005-2016, 78.2% had HTN but only 69.6% reported having been prescribed ATH medication. Among those with history of stroke and HTN (n=4971136), 37.1% (33.5-40.8%) had uncontrolled HTN on examination with 80.4% taking ATH. Most commonly used ATH medications were beta blockers (43.8%, 40.3-47.3%) and diuretics (41.5%, 37.2-45.8%). ATH classes associated with uncontrolled HTN included ACE/ARB (56.0%) and beta blockers (42.6%). Examining trends over time, diuretics have become less commonly used (49.4% in 2005-2006 vs. 35.7% in 2015-2016) whereas other classes remain more constant. Conclusion: Using a national survey, we found significant under-treatment of HTN in those with history of stroke, and >1/3 had uncontrolled HTN. Since HTN is a major stroke risk factor, this data demonstrates a significant missed opportunity nationally for secondary stroke prevention.

Abstract P082: Prevalence and Trends in Dietary Supplement Use Among Diabetic Adults: The National Health and Nutrition Examination Surveys, 1999-2014

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Jing Li ◽  
Wambui Gathirua-Mwangi ◽  
Yiqing Song
Keyword(s):  
Dietary Supplement ◽  
National Health ◽  
The United States ◽  
Diabetic Patients ◽  
Supplement Use ◽  
Health And Nutrition ◽  
Race Ethnicity ◽  
Nationally Representative ◽  
Dietary Supplement Use ◽  
Comorbidity Status

With increasing diabetes prevalence in the US general population, many nutritional supplements are taken as alternative medicine by diabetic patients. However, serial trends or patterns in their dietary supplement use are unknown. Using the nationally representative data from the National Health and Nutrition Examination Survey (NHANES) collected between 1999 and 2014, we evaluated prevalence and trends of use of any supplements, multi-vitamins/multi-minerals (MVMM), individual vitamins, minerals, and non-vitamin, non-mineral supplements. Information on supplement use in the preceding 30 days was collected during the interview over 8 continuous 2-year waves. Analyses were conducted among 6,348 US diabetic adults aged 20 to 85 years (pregnant women excluded) and also stratified by age, race/ethnicity, gender, educational backgrounds, comorbidity status, and comorbidity status. Overall, the prevalence of use of any supplement (52%-59%; P for trend=.09) and that of any mineral (47%-51%; P for trend=.24) seemed stable. Use of MVMM decreased from 36% of reported use in 1999-2000 to 32% in 2013-2014 ( P for trend=.008). Use of any vitamin products increased from 47% to 53% ( P for trend=.04). Use of a few individual supplements including lycopene, vitamin D, and vitamin B12 significantly increased. The trend of supplement use varied by sex and race/ethnicity. In conclusion, among diabetic patients in the United States, use of any dietary supplements or any minerals remained stable, use of MVMM slightly decreased, and use of any vitamins and several individual supplements increased over the past 16 years.

Chronic kidney disease unawareness and determinants using 1999–2014 National Health and Nutrition Examination Survey Data

2021 ◽  
Author(s):  
Ana Florea ◽  
Elizabeth T Jacobs ◽  
Robin B Harris ◽  
Yann C Klimentidis ◽  
Bijin Thajudeen ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
National Health ◽  
Disease Status ◽  
Patient Characteristics ◽  
The United States ◽  
Self Report ◽  
Nutrition Examination Survey ◽  
Older Individuals ◽  
Health And Nutrition

Abstract Background Although chronic kidney disease (CKD) affects 15% of the United States (US) population, <10% of the US CKD population is aware of their disease. This is significant as untreated CKD can progress to end-stage renal disease which would require dialysis or transplantation. This study aimed to provide updated information regarding US CKD unawareness. Methods Data from the 1999–2014 National Health and Nutrition Examination Survey (NHANES) were used (n = 38 474); response rate > 70%. CKD self-report and lab-confirmed CKD were used to assess CKD unawareness. Adjusted logistic regression models examined association between unawareness and patient characteristics. Results In individuals with lab-confirmed CKD (n = 7137, 14.3%), 91.5% answered ‘no’ to self-report question; in those without CKD, 1.1% answered ‘yes’ to self-report question. In those with lab-confirmed CKD, in the adjusted models, increased age [odds ratio (ORs), 1.03 (95%CI, 1.02–1.04)] and female sex [OR, 1.37 (95%CI, 1.08–1.72)] were statistically significantly associated with greater odds of being unaware of CKD. Conclusion These findings demonstrated high unawareness of disease status as there was a discrepancy between respondents’ self-reported CKD diagnosis and lab-confirmed CKD. Older individuals and women may be more unaware of their CKD; these groups should be queried about reasons for increased unawareness.

scholarly journals Self-Report Hearing and Injury or Falls in Older Adults from the National Health and Information Survey

2021 ◽  
Vol 42 (01) ◽  
pp. 066-074
Author(s):  
Danielle S. Powell ◽  
Emmanuel E. Garcia Morales ◽  
Sasha Pletnikova ◽  
Jennifer A. Deal ◽  
Nicholas S. Reed
Keyword(s):  
Older Adults ◽  
National Health ◽  
Secondary Analysis ◽  
Self Report ◽  
Cross Sectional ◽  
Representative Study ◽  
Hearing Aid Use ◽  
Prevention Studies ◽  
History Of ◽  
Nationally Representative

AbstractThis article aims to investigate the association between hearing and nonfatal injury or falls in a nationally representative sample of adults from the National Health Interview Survey (NHIS) utilizing over 20 years of participant surveys. We conducted a pooled cross-sectional analysis of participant surveys (aged 50 years and older) from 1997 to 2017. Self-report hearing difficulty, history of injury over the last 3 months, reported injury from fall over the last 3 months, and reported reason for fall (including due to balance/dizziness) were collected. Using logistic regression, we investigated the odds of injury, injury from fall, and fall due to balance/dizziness by self-report hearing status. In secondary analysis, we investigated the odds of each outcome by reported hearing aid use. Models were adjusted for demographics, year of study, vision difficulty, diabetes, employment, and cardiovascular disease. Reported moderate or greater difficulty hearing demonstrated a significantly greater odds of injury (odds ratio [OR]: 1.29; 95% confidence interval [CI]: 1.18, 1.42) or fall due to balance/dizziness (OR: 1.26; 95% CI: 1.00, 1.60) compared with reported excellent/good hearing. A dose–response association was seen across levels of reported difficulty hearing for all outcomes. In this nationally representative study of adults aged 50 years and older, greater reported difficulty hearing was significantly associated with increased odds of injury and suggests greater odds of falls or fall due to balance/dizziness compared with reported good hearing. Results suggest hearing loss should be considered as a possible risk factor for both injury and fall prevention studies and programming in older adults.

Abstract 3447: Prevalence of PAD Varies Significantly Depending on the Method of Calculating Ankle Brachial Index: Results from the National Health and Nutrition Examination Survey (1999–2004)

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
James Reed ◽  
Sherrine Eid ◽  
Allison Parks ◽  
Bree Edris ◽  
Andrew D Sumner
Keyword(s):  
National Health ◽  
Ankle Brachial Index ◽  
Accurate Method ◽  
The United States ◽  
Prior History ◽  
Health And Nutrition ◽  
Left Ankle ◽  
Nationally Representative ◽  
Artery Disease ◽  
The Right

Background: Peripheral artery disease (PAD), a marker of subclinical coronary artery disease, is associated with increased morbidity and mortality. PAD is diagnosed by calculating the ankle brachial index (ABI). There exist different methods of calculating the ABI. The effects of various methods of calculating ABI on PAD prevalence is unknown. Methods: We analyzed data from three National Health and Nutrition Examination Surveys (NHANES) between the years 1999 –2004. The prevalence of PAD using three different methods of calculating ABI was determined in 5,376 participants, age 40 years and older with no prior history of cardiovascular disease . ABI, defined as an ankle-brachial index <0.9, was determined using the NHANES method, HAP method, and LAP method (TABLE 1 ). Statistical analysis was performed using SPSS V15.0. Results: The prevalence of PAD among asymptomatic adults without CVD increased significantly during the six year time period 1999 –2004 regardless of the method used to determine ABI (TABLE 1 ). Across the 3 NHANES assessments, the ABI method used significantly affected calculated PAD prevalence (TABLE 1 ). The resulting differences in calculated PAD prevalence corresponds to approximately 2.2 million persons who would be reclassified as having or not having PAD based on type of ABI method. Conclusions: This study demonstrates that the calculated prevalence of asymptomatic PAD in a nationally representative sample of the United States population varies significantly by the ABI method. Further study is required to determine the most accurate method of performing ABI. TABLE 1: NHANES Method: ABI of right or left side =mean SBP (mm Hg) of the right or left ankle/ mean of the two brachial SBP (mm Hg). HAP Method: ABI of right or left side =higher of the right or left ankle SBP (mm Hg)/ higher of the two brachial SBP (mmHg). LAP Method: ABI of right or left side =lower of the right or left ankle SBP (mm Hg)/ higher of the two brachial SBP (mm Hg).

Abstract WP422: Vitamin D deficiency and Osteoporosis in Stroke Survivors: An analysis of National Health and Nutritional Examination Survey (NHANES) 2001-2006

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Derya Uluduz ◽  
Malik A Adil ◽  
Basit Rahim ◽  
Haseeb A Rahman ◽  
Waqas I Gilani ◽  
...  
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
National Health ◽  
Stroke Survivors ◽  
Inverse Association ◽  
History Of ◽  
Standard Interview ◽  
Nationally Representative ◽  
Mean Concentration ◽  
Nutritional Examination Survey

INTRODUCTION: Vitamin D deficiency might be involved in the development of several diseases including hypertension, diabetes mellitus and cardiovascular disease. An inverse association between 25(OH) D levels and stroke was also emphasized in recent studies. Objective: To determine the rate of vitamin D deficiency among stroke survivors and risk of associated osteoporosis in a nationally representative population. Methods: Participants from the National Health and Nutritional Examination Survey (NHANES) from 2001 through 2006 were included. Serum 25(OH) D levels were measured using the DiaSorin RIA kit (Stillwater MN) and history of previous stroke and osteoporosis was ascertained by standard interview. Stroke survivors were then divided into 2 groups depending on serum 25(OH) D levels: <30ng/dL as vitamin D deficiency and ≥30ng/dL as normal. Comparisons of demographics and risk factors between two groups were performed using the SAS software. Multivariate analysis was performed to determine the association between vitamin D deficiency and osteoporosis in stroke survivors after adjusting for potential confounding factors. Results: There were 415 (4.0%) stroke survivors among the total 10,255 participants in NHANES. The mean age [±SD] of stroke survivors was 67.56 [±17.3] years and 211 (50.8%) were men. Mean 25(OH) D concentrations were found to be not significantly different in patients with stroke (20.35 versus 21.82ng/mL, p=0.657) although the rate of osteoporosis was significantly higher among stroke survivors (17.92% versus 6.99%, p<0.0001). Out of 415 stroke patients, vitamin D deficiency was seen in 71.0% of the patients (mean concentration of 17.3±6.4ng/dL) and was normal in 29.0% patients (mean concentration of 34.6±5.3ng/dL). The rates of osteoporosis were similar between patients with or without Vitamin D deficiency. After adjusting for potential confounders, there was no association between vitamin D deficiency and osteoporosis. Conclusion: Vitamin D deficiency and osteoporosis are highly prevalent among stroke survivors, however, there does not appear to be a relationship between the two entities.

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