scholarly journals Health status in patients with sub-clinical hypothyroidism

2005 ◽  
Vol 152 (5) ◽  
pp. 713-717 ◽  
Author(s):  
Salman Razvi ◽  
Lorna E Ingoe ◽  
Carolyn V McMillan ◽  
Jolanta U Weaver

Objective: Sub-clinical hypothyroidism (SCH) is a common disorder. People with this condition may have symptoms which could affect their perception of health. Therefore, the perceived health status of people with SCH was assessed and compared with population-matched norms. Design: A prospective cross-sectional survey. Methods: Seventy-one adults with SCH, age range 18–64 years were studied. Perceived health status was measured by the Short Form-36 (SF-36) version 2 questionaire, which has been validated in a UK population setting. The SF-36 has eight scales measuring physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health. Their SF-36 scores were compared with UK normative data after matching for age and sex and are reported as z-scores. Results: Scores of all eight SF-36 scales were significantly lower in people with SCH compared with the normative population. A negative score (compared with zero of the normative population) indicates worse health status. The most significantly impaired aspects of health status were vitality and role limitations due to physical problems (role physical scale) with z-scores (95% confidence intervals) of −1.01 (−0.74 to −1.29) and −0.73 (−0.43 to −1.04) respectively. Thyroid autoimmunity did not influence the results. Conclusion: Perceived health status is significantly impaired in people with SCH when compared with UK normative population scores. This needs to be taken into consideration by clinicians when managing patients with this disease.

Author(s):  
Maria Otília Zangão

Perceived health status is central to adequate health planning, not only because it plays a key role in health but also because it is related to the adoption of a health-promoting lifestyle. The objectives of the present study were to assess the self-perceived health status of the studied population and to correlate self-perceived health status with socioeconomic and demographic variables. This was a quantitative descriptive-correlational study. Data were collected by means of a sociodemographic questionnaire and the Portuguese version of the Medical Outcome Study Short-Form Health Survey (MOS SF-36). The assessed population was composed of the teaching and nonteaching staff of the studied school. IBM® SPSS® statistical software, version 20, was used. The sociodemographic indicators had a significant influence on the respondents' self-perceived health status. The age group of 36-40 years was associated with a significantly higher self-perceived health status than the other analyzed variables.


2020 ◽  
Vol 17 (4) ◽  
pp. 275-282
Author(s):  
Kyoung Min Kim ◽  
Jung Jae Lee ◽  
Un Sun Chung

Objective Situations in which elderly people are the primary caregivers for their grandchildren are becoming more common. This study aimed to investigate moderating factors of and the association between grandchild care and the grandparents’ perceived health. Financial support in return for grandchild care was also investigated as a moderating factor.Methods Participants included 357 elderly people over the age of 60 years. The assessment to evaluate the perceived health status and social support was performed via a questionnaire. It included questions regarding the care of grandchildren and demographic variables, as well as the Medical Outcome Survey (MOS) 36-item short-form health survey (SF-36), and the MOS Social Support Survey (MOS-SSS).Results The subscale scores of SF-36 and MOS-SSS did not differ significantly for grandchild-care status. However, the subscale scores of SF-36 were significantly higher in groups that received regular financial support from adult children in return for grandchild care than in groups that did not.Conclusion Our data suggest that regular financial support in return for grandchild care may be a moderating factor in the association between grandchild care and the perceived health status of elderly people. These findings have important social implications and warrant future study to reveal the psychological mechanism of these associations and enhance the health of elderly individuals.


2009 ◽  
Vol 23 (3) ◽  
pp. 529-538 ◽  
Author(s):  
Martina Krokavcova ◽  
Jitse P. van Dijk ◽  
Iveta Nagyova ◽  
Jaroslav Rosenberger ◽  
Miriam Gavelova ◽  
...  

2020 ◽  
Vol 7 (6) ◽  
pp. 511-531
Author(s):  
Yu-Whuei Hu ◽  
◽  
Li-Shan Huang ◽  
Eric Yeh ◽  
Mai He

Objective: Falun Gong (FLG) is a practice of mind and body focusing on moral character improvement that includes meditative exercises. In this study, we explored perceived health status, healthcare resource utilization, and related factors among Taiwanese FLG practitioners, compared to themselves before practicing FLG, and also to the general Taiwanese norm, as reported by the 2001 National Health Interview Survey (NHIS). Methods: This cross-sectional study was based on a voluntary, paper-based survey conducted from October 2002 to February 2003 using the same Taiwanese SF-36 instrument employed by the NHIS. Primary outcomes included 8 SF-36 domain scores and the number of outpatient visits. One-sample t-tests, oneway ANOVA, and multivariate linear regression analyses were used. Results: The response rate was 75.6% (1210/1600). Compared to the norm, the study cohort had significantly higher scores in 6 of 8 SF-36 domains across sex and age (p < .05). Among those with chronic diseases, 70% to 89% reported that their conditions were improved or cured. Additionally, 74.2% and 79.2% participants stopped drinking alcohol and quit smoking; 62.7% reported decreased outpatient visits (mean before = 11.96; mean after = 5.87; norm = 14.4). Conclusions: In this cohort, FLG participants had higher perceived health scores than the population norm and reduced outpatient visits than before practice.


2013 ◽  
Vol 154 (47) ◽  
pp. 1865-1872 ◽  
Author(s):  
Emese Pék ◽  
István Mártai ◽  
József Marton ◽  
József Betlehem

Introduction: The high work-related stress among ambulance workers is a widely known a phenomenon. Aim: The aim of the authors was to asses self-reported health status of ambulance workers. Method: An anonym self-fill-in questionnaire applying SF-36 was used among workers from the northern and western regions of Hungarian National Ambulance Service. Results: Based on the dimensions of the SF-36 questionnaire the responders considered their “Physical Functioning” the best, while “Vitality” was regarded the worst. The more time an employee have been worked at the Ambulance Service the worse his health was in the first four dimensions including “Physical Functioning”, “Role-Physical”, “Bodily Pain” and “General Health”: p<0.001. Those working in part-time jobs considered their health in all dimensions worse. The respondents who did some kind of sports hold their health in all dimensions better (p<0.001). The workers with higher body mass index regarded their health status worse, in four dimensions: “Physical Functioning” (p = 0.001), “Role-Physical” (p = 0.013), “General Health” (p<0.001) and “Role-Emotional” (p = 0.05). Conclusions: According to the subjective perception of health and measurable parameters of health status of workers proved to be insufficient. Poor physical health can lead indirectly to psychological problems, which may lower the quality of the work and can lead to high turn-over. Orv. Hetil., 154(47), 1865–1872.


2008 ◽  
Vol 159 (6) ◽  
pp. 811-817 ◽  
Author(s):  
Benjamin Bleicken ◽  
Stefanie Hahner ◽  
Melanie Loeffler ◽  
Manfred Ventz ◽  
Bruno Allolio ◽  
...  

ContextRecent studies have suggested that current glucocorticoid replacement therapies fail to fully restore well-being in patients with adrenal insufficiency (AI).ObjectiveTo investigate the effect of different glucocorticoid preparations used for replacement therapy on subjective health status (SHS) in AI.Design and patientsIn a cross-sectional study, primary and secondary AI patients were contacted by mail. Individual glucocorticoid replacement regimens, underlying diagnoses and comorbidities were verified by questionnaires and review of medical records. Patients were asked to complete three validated self-assessment questionnaires (Short Form 36 (SF-36), Giessen Complaint List (GBB-24), and Hospital Anxiety and Depression Scale). Results were compared with sex- and age-matched controls drawn from the questionnaire-specific reference cohort.ResultsOf the 883 patients identified, 526 agreed to participate in the study. Completed questionnaire sets were available from 427 patients (primary AI n=232; secondary AI n=195). AI patients showed significantly impaired SHS compared with controls irrespective of the glucocorticoid used for replacement. The only difference in SHS between patients on prednisolone (PR) and hydrocortisone (all patients and sub-analysis for primary AI) was significant higher bodily pain (lower Z-score in SF-36) in patients on PR (P<0.05, P<0.01 respectively). In patients with secondary AI, the PR group showed significantly (P<0.05) less heart complaints (lower Z-score) in the GBB questionnaire compared with the cortisone acetate group.ConclusionsGlucocorticoid replacement therapy with PR seems to be equivalent to hydrocortisone regarding SHS in patients with AI. However, SHS remains impaired in all patient groups suggesting a need for further improved glucocorticoid replacement strategies.


2016 ◽  
Vol 33 (S1) ◽  
pp. S384-S384
Author(s):  
M. Fabrazzo ◽  
V. De Santis ◽  
R.V. Puca ◽  
F. Romano ◽  
M. Arrigo ◽  
...  

Psoriasis is a multisystem inflammatory disease associated to several comorbidities with a significant impact on interpersonal and social life. Depression, anxiety symptoms and suicidal ideation–due to psychological distress–are frequently reported. The aim of the study was to assess whether psychological factors–psychopathology, perceived health status and coping strategies–together with clinical and sociodemographic factors, were independent predictors of Quality of Life (QoL) in adult psoriatic patients on topical and/or systemic pharmacological therapy. A cohort of 87 patients (53 M and 34 F), whose mean age was 46 ± 22 years, was analyzed. Coping responses were assessed by COPE and general psychopathology by Self-Reported-Symptom Inventory Revised (SCL-90), while HAM-D and HAM-A evaluated depressive and anxiety symptoms. In addition, perceived health status and QoL were analyzed by Short-Form-36 (SF-36) while the disease's burden assessed by PSODISK. Univariate analyses were performed for each variable to explore the relationship with QoL. Preliminary results indicated that, although not severe, anxiety and depressive symptoms were the most reported among patients along with somatization and obsessive-compulsivity. Female patients used more frequently mental disengagement, focus on and venting of emotions, use of instrumental social support and religious coping. Physical pain and mental health, instead, greatly affected QoL of subjects in a negative manner. PSODISK data analysis showed that general health, itching, serenity, shame and degree of extension of the disease on the skin were the most compromised areas. Moreover, correlation analysis indicated that a worse perception of patients’ health status was associated to poor QoL.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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