A cross-sectional assessment of the burden of COPD symptoms in the US and Europe using the National Health and Wellness Survey

Smell and taste decline with aging, and markedly deteriorate when nutritional deficiencies occur. This study aims to examine the associations between Vitamin D (VD) deficiency and smell and taste impairments among adults. This paper details a cross-sectional study utilizing data from the US National Health and Nutrition Examination Survey (NHANES, 2013–2014.). Smell impairment was assessed by the Pocket Smell Test and defined as failing to correctly identify six or more of the eight odors. Taste impairment was defined as failing to correctly identify quinine or sodium chloride. VD was measured as serum 25-hydroxyvitamin. Multivariable weighted logistic regressions were utilized. Adjusted odds ratio (OR) and 95% confidence interval (CI) were presented. Overall, 2216 (smell sample) and 2636 (taste sample) participants were included, aged between 40 and 80 years old. Of those, 18.3% had taste impairment, 12.2% had smell impairment, and 20% had VD deficiency (<20 ng/mL). Compared to participants with sufficient VD (>30 ng/mL), those with VD deficiency were more likely by 39% to report a higher prevalence of smell impairment (OR = 1.39, 95%CI: 1.02–1.89); and only participants aged 70–80 years with VD inadequacy (20–30 ng/mL) were more likely by 96% to report a higher prevalence of taste impairment (OR = 1.96, 95%CI: 1.35–1.85). VD may have a significant role in age-related smell impairment in adults aged 40 years or older, and in age-related taste impairment in the elderly aged 70–80 years.

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Comorbid Risk And Correlates Of Pneumococcal Vaccination Among Latent Classes Of Older Adults In The Cross-Sectional National Health And Wellness Survey In Brazil

Value in Health ◽

10.1016/j.jval.2013.03.455 ◽

2013 ◽

Vol 16 (3) ◽

pp. A97

Author(s):

A. Goren ◽

C.S. Roberts ◽

T. Victor

Keyword(s):

Older Adults ◽

National Health ◽

Pneumococcal Vaccination ◽

Latent Classes ◽

Health And Wellness ◽

Cross Sectional ◽

The Cross

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A cross-sectional assessment of the prevalence and burden of mild asthma in urban China using the 2010, 2012, and 2013 China National Health and Wellness Surveys

Journal of Asthma ◽

10.1080/02770903.2016.1255750 ◽

2017 ◽

Vol 54 (6) ◽

pp. 632-643 ◽

Cited By ~ 10

Author(s):

Bo Ding ◽

Marco DiBonaventura ◽

Niklas Karlsson ◽

Xia Ling

Keyword(s):

National Health ◽

Urban China ◽

Mild Asthma ◽

Health And Wellness ◽

Cross Sectional

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Trends in TC/HDL and LDL/HDL Ratios across the Age Span: Data from the 2007-2018 National Health and Nutrition Examination Survey (NHANES)

Asian Journal of Complementary and Alternative Medicine ◽

10.53043/2347-3894.acam90002 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Inga Wang ◽

Jay Kapellush ◽

Stephen Hou ◽

Mohammad H Rahman ◽

Xiaoyan Li ◽

...

Keyword(s):

National Health ◽

Linear Trend ◽

Low Density Lipoprotein ◽

Density Lipoprotein ◽

Blood Lipid ◽

Nutrition Examination Survey ◽

Cross Sectional ◽

Health And Nutrition ◽

The Us ◽

Clinical Consequences

Background. Cholesterol levels in total cholesterol (TC), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), and triglyceride (TG) contribute to atherosclerosis and its clinical consequences. Objectives. This study aimed to examine the trends in serum TC/HDL and LDL/HDL ratio across the age span. Methods. This is an observational study. Blood lipid measurements, taken from 85,646 noninstitutionalized participants, aged 6 to 80, were obtained from the National Health and Nutrition Examination Survey (NHANES) study. We compared the TC/HDL and LDL/HDL ratio trends in three distinct cross-sectional surveys during 2007-2010, 2011-2014, and 2015- 2018. Results. Cholesterol ratios changed by age and differed by sex. Mean TC/HDL ratios declined from 4.03 (95% CI, 4.01-4.05) in 2007-2010, to 3.84 (95% CI, 3.81-3.87) in 2015-2018 (p<.05 for linear trend) in male; mean TC/HDL ratios declined from 3.69 (95% CI, 3.67-3.70) in 2007- 2010, to 3.45 (95% CI, 3.42-3.47) in 2015-2018 (p<.05 for linear trend) in female. Mean LDL/HDL ratios declined from 2.30 (95% CI, 2.28-2.32) in 2007-2010, to 2.18 (95% CI, 2.15- 2.20) in 2015-2018 (p<.05 for linear trend) in male; mean LDL/HDL ratios declined from 2.04 (95% CI, 2.02-2.06) in 2007-2010, to 1.96 (95% CI, 1.94-1.98) in 2015-2018 (p<.001 for linear trend) in female. Conclusions. Between 2007 and 2018, favorable trends in lipid ratio levels were observed among noninstitutionalized residents in the US.

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Assessment of health and wellness centres in hilly district of Himachal Pradesh

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214578 ◽

2021 ◽

Vol 8 (12) ◽

pp. 5852

Author(s):

Abhilash Sood ◽

Devender Kumar ◽

Arvind Kumar ◽

Sanjay . ◽

Aditya Sood ◽

...

Keyword(s):

Health Care ◽

Human Resource ◽

National Health ◽

Health Care Workers ◽

Health Centre ◽

Himachal Pradesh ◽

Health And Wellness ◽

Care Needs ◽

Cross Sectional ◽

Care Workers

Background: The National health policy 2017 has envisioned Health and wellness centres under Ayushman Bharat in health care system of India. In Himachal Pradesh with significant geographical disparities and challenges, establishment of HWC in far-flung areas indicates a paradigm shift in government policy in addressing health-care needs through primary health-care setup. The aim of the study was conducted to identify the gaps in Ayushman Bharat Health and wellness centres under various domains of service delivery.Methods:A cross-sectional study was conducted to assess the AB-Health and wellness centres in district Hamirpur of Himachal Pradesh. Duration of study was five months with effect from 1st March 2021 to 31st July 2021.Study tool used was a validated checklist prepared by National Health Mission Government of Himachal Pradesh.Results: There is deficient human resource in Health and wellness centres (PHCs and SCs). Inadequate skill competencies observed especially in newly appointed health care workers. Equipment for telemedicine are available at each health centre but none or very few tele-consultation are being done by health care workers.Conclusions:In present study it was seen that target to upgrade AB-HWCs have been achieved but still human resource, infrastructure, trainings, skill competencies of health care workers are inadequate. To fill up these gaps there is need of focussed and target oriented determination by health department of state.

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Burden of migraine among Japanese patients: a cross-sectional National Health and Wellness Survey

The Journal of Headache and Pain ◽

10.1186/s10194-020-01180-9 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Shoji Kikui ◽

Yirong Chen ◽

Hiroshi Todaka ◽

Keiko Asao ◽

Kenji Adachi ◽

...

Keyword(s):

National Health ◽

Healthcare Providers ◽

Work Productivity ◽

Indirect Costs ◽

Japanese Patients ◽

Total Activity ◽

Health And Wellness ◽

Activity Impairment ◽

Cross Sectional ◽

Factors Associated

Abstract Background Limited studies have measured the burden of migraine in Japan. This study aimed at estimating the disease burden of migraine in Japan and identifying factors associated with the burden using the 2017 National Health and Wellness Survey. Methods Migraine patients were defined by ICHD-3 like criteria with ≥4 monthly headache days (MHDs), and non-migraine respondents were selected using 1:4 propensity score matching. Multivariate analyses were conducted to compare Health-related Quality of Life (HRQoL), work productivity and activity impairment (WPAI), healthcare resource utilization (HRU) and costs between the two groups, and to identify factors associated with these outcomes in migraine patients. Results In 30,001 respondents, 378 migraine patients were identified. Compared to matched controls (N = 1512), migraine patients had lower physical (45.17 vs. 49.89), mental (42.28 vs. 47.71) and role/social (37.91 vs. 44.19) component summary scores (p < 0.001). Migraine patients had higher absenteeism (6.4% vs. 2.2%), presenteeism (40.2% vs. 22.5%), total work productivity impairment (44.3% vs. 24.5%), total activity impairment (45.0% vs. 23.9%), indirect costs (1,492,520 JPY vs. 808,320 JPY) and more visits to healthcare providers in the past 6 months (7.23 vs. 3.96) (p < 0.001). More MHDs was associated with worse HRQoL, and higher HRU and indirect costs. Conclusions Japanese migraine patients experience an incremental burden. This demonstrates the unmet needs among Japanese migraine patients.

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