scholarly journals Obesity and occupation in Thailand: using a Bayesian hierarchical model to obtain prevalence estimates from the National Health Examination Survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jongjit Rittirong ◽  
John Bryant ◽  
Wichai Aekplakorn ◽  
Aree Prohmmo ◽  
Malee Sunpuwan

Abstract Background Like many developing countries, Thailand has experienced a rapid rise in obesity, accompanied by a rapid change in occupational structure. It is plausible that these two trends are related, with movement into sedentary occupations leading to increases in obesity. National health examination survey data contains information on obesity and socioeconomic conditions that can help untangle the relationship, but analysis is challenging because of small sample sizes. Methods This paper explores the relationship between occupation and obesity using data on 10,127 respondents aged 20–59 from the 2009 National Health Examination Survey. Obesity is measured using waist circumference. Modelling is carried out using an approach known as Multiple Regression with Post-Stratification (MRP). We use Bayesian hierarchical models to construct prevalence estimates disaggregated by age, sex, education, urban-rural residence, region, and occupation, and use census population weights to aggregate up. The Bayesian hierarchical model is designed to protect against overfitting and false discovery, which is particularly important in an exploratory study such as this one. Results There is no clear relationship between the overall sedentary nature of occupations and obesity. Instead, obesity appears to vary occupation by occupation. For instance, women in professional occupations, and men who are agricultural or fishery workers, have relatively low rates of obesity. Conclusion Bayesian hierarchical models plus post-stratification offers new possibilities for using surveys to learn about complex health issues.

2018 ◽  
Vol 14 (2) ◽  
pp. 57-64
Author(s):  
Kyle Burris ◽  
Jacob Coleman

Abstract As relief pitcher usage in Major League Baseball has spiked in recent years, optimal bullpen decision-making has become increasingly vital for team managers. Throughout the season, managers must be mindful to avoid overusing their most talented relievers, due to the risks of injury and ineffectiveness. Despite the substantial amount of attention given to pitcher arm health and injury prevention, the effect of workload on pitcher fatigue is poorly understood. As a result, many of these overuse decisions are driven by feel and intuition. In this paper, we borrow ideas from toxicology to provide a framework for estimating the effect of recent workload on short-term reliever effectiveness, as measured by fastball velocity. Treating a thrown pitch as a fatigue-inducing “toxin” administered to a player’s arm, we develop a Bayesian hierarchical model to estimate the pitcher-level dose-response relationship, the rate of recovery, and the relationship between pitch count and fatigue. Based on the model, we find that the rate of reliever fatigue rises with increasing pitch count. When relief pitchers throw more than 15 pitches in an appearance, they are expected to suffer small, short-term velocity decreases in future games; upon crossing the 20 pitch threshold, this dip is further amplified. For each day that passes after the appearance, we estimate that the effect on a player’s velocity is cut roughly in half. Finally, we identify the relievers most affected by fatigue, along with those most resilient to its effects.


2008 ◽  
Author(s):  
Ralph F. Milliff ◽  
Mark Berliner ◽  
Emanuele D. Lorenzo ◽  
Christopher K. Wikle

2010 ◽  
Author(s):  
Christopher K. Wikle ◽  
L. M. Berliner ◽  
Emanuele Di Lorenzo ◽  
Ralph F. Milliff

2010 ◽  
Author(s):  
Ralph F. Milliff ◽  
Christopher K. Wikle ◽  
L. M. Berliner ◽  
Emanuele Di Lorenzo

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