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1

National Health & Nutrition Examination Survey (NHANES)  

Cancer.gov

We provide funds to the National Center for Health Statistics (NCHS) to support modules in the National Health and Nutrition Examination Survey (NHANES) that are critical to our risk factor monitoring mission.

2

Sample Design: Third National Health and Nutrition Examination Survey.  

National Technical Information Service (NTIS)

The report presents a detailed description of the sample design for the Third National Health and Nutrition Examination Survey, 1988-94, including a brief description of research that led to the choice of the final design. The National Health and Nutritio...

T. M. Ezzati J. T. Massey J. Waksberg A. Chu K. R. Maurer

1992-01-01

3

Nutrition Assessment in the National Health and Nutrition Examination Survey 1999-2002  

Microsoft Academic Search

The objective of this study is to describe the components of nutrition assessment in the National Health and Nutrition Examination Survey (NHANES) 1999-2002. The study design was a cross-sectional survey with a nationally representative sample of the US population. The survey participants were interviewed and completed a physical examination. From 1999 to 2002, a total of 25,316 people were included

Jacqueline D. Wright; Lori G. Borrud; Margaret A. McDowell; Chia-Yih Wang; Kathy Radimer; Clifford L. Johnson

2007-01-01

4

Hypertension among Adults in the United States: National Health and Nutrition Examination Survey, 2011-2012  

MedlinePLUS

... National Health and Nutrition Examination Survey, 2011–2012. Did awareness of hypertension among U.S. adults with hypertension ... National Health and Nutrition Examination Survey, 2011–2012. Did treatment of hypertension among U.S. adults with hypertension ...

5

Hispanic Health and Nutrition Examination Survey, 1982-1984. Drug abuse (Catalog Number 6543).  

National Technical Information Service (NTIS)

From 1982 through 1984 a Hispanic Health and Nutrition Examination Survey (HHANES) was conducted to obtain data on the health and nutritional status of three Hispanic groups: Mexican Americans from Texas, Colorado, New Mexico, Arizona, and California; Cub...

C. Johnson M. Dudley D. Hitchcock

1984-01-01

6

Total and High-Density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2009-2010  

MedlinePLUS

... National Health and Nutrition Examination Survey, 2009–2010. Did the percentage of adults with high total cholesterol ... National Health and Nutrition Examination Surveys, 1999–2010. Did trends in high total cholesterol differ by sex ...

7

Characteristics of Survey Participants with and without a Telephone: Findings from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

This study examines the potential coverage bias in telephone surveys. Data were analyzed from the first phase of the third National Health and Nutrition and Examination Survey conducted from 1988 to 1991. In that survey, 10,120 persons 17 years and older were interviewed and 9034 were examined. About 2.7% of respondents reported not having a telephone. Differences in demographic and

Earl S Ford

1998-01-01

8

Challenges in the Design of the National Health and Nutrition Examination Survey  

Microsoft Academic Search

The National Health and Nutrition Examination Surveys (NHANES) is one of a series of health-related programs sponsored by the United States National Center for Health Statistics. A unique feature of NHANES is the administration of a complete medical examination for each respondent in the sample. To standardize administration, these examinations are carried out in mobile examination centers (MECs). The examination

Leyla Mohadjer; Lester R. Curtin

9

Anthropometric Predictors of Blood Pressure : National Health and Nutrition Examination Survey III  

Microsoft Academic Search

Anthrppometric measurements, which’can be sensitive indicators of health, are valuable in assessing nutritional status. Data from the United States National Health And Nutrition Examination Survey (NHANES III, 1988–1994) were used to test relationships of percentage body fat and body fat distribution to blood pressure (BP) levels. The sample included 770 adults, (males = 355, females = 415), who were subdivided

H. A. B Hiza; C. S. Welch

1999-01-01

10

Applied Visual Analytics for Exploring the National Health and Nutrition Examination Survey  

Microsoft Academic Search

The National Health and Nutrition Examination Survey (NHANES) is a research program to assess the health and nutritional status of the population in the United States. In this work, we present a visual analytics system designed to help researchers explore patterns and form hypotheses within the NHANES dataset. The visualization component of the environment is an extension of traditional scatter

Silvia Oliveros Torres; Heather Eicher-Miller; Carol Boushey; David Ebert; Ross Maciejewski

2012-01-01

11

Assuring Quality for National Health and Nutrition Examination Survey Dietary Coding  

Microsoft Academic Search

Dietary intake estimates from National Health and Nutrition Examination Surveys (NHANES) are used to evaluate public health policies and monitor the health and nutritional status of the US population. High quality data are needed to monitor trends in food and nutrient intakes. During the recent NHANES 1999 pilot test, quality control procedures for reviewing and coding dietary recall data were

A. Mclntosh; M. McDowell; S. McNutt

1999-01-01

12

Serum 25-Hydroxyvitamin D, Diabetes, and Ethnicity in the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

OBJECTIVE — To determine the association between serum 25-hydroxyvitamin D (25OHD) and diabetes risk and whether it varies by ethnicity. RESEARCH DESIGN AND METHODS — We performed an analysis of data from participants who attended the morning examination of the Third National Health and Nutrition Examination Survey (1988 -1994), a cross-sectional survey of a nationally representative sample of the U.S.

ROBERT SCRAGG; MARYFRAN SOWERS; COLIN BELL

2004-01-01

13

Adolescent nutritional awareness and use of food labels: Results from the national nutrition health and examination survey  

PubMed Central

Background Awareness of federal nutrition programs and use of the nutrition facts label are associated with reduced risk for obesity and increased intake of fruits and vegetables. Relationships between nutrition programs, use of food labels and risk for overweight and obesity have rarely been evaluated in adolescents. Methods Using the National Health and Nutrition Examination Survey from 2005–6, we evaluated the frequency of nutrition awareness of USDA and CDC nutrition programs and use of food labels in adolescents. Risk for overweight (BMI???85-94th percentile) and obesity (BMI???95th percentile) was assessed in relation to nutrition awareness and label reading. Results Most adolescents (92.4%) were aware of the Food Guide Pyramid. Fewer (43.5%) were aware of the 5-A-Day Program, and even less (29.3%) were aware of the Dietary Guidelines for Americans. Less than 25% of adolescents decided which foods to purchase by reading material on the nutrition facts label. There were significant racial and ethnic differences in awareness of federal nutrition programs with Mexican-Americans having the lowest levels of awareness of the US Dietary Guidelines for Americans and the Food Guide Pyramid in comparison with other groups. Non-Hispanic whites had higher and African-American adolescents had lower frequencies of reading fat information on the nutrition label in comparison to Mexican-American and other Hispanics. Awareness of other nutrition programs or of other information on the nutrition facts label was not associated with increased or decreased risk for overweight or obesity. Conclusions Use of the nutrition facts panel information is low among US adolescents. Additionally, less than half of adolescents are aware of federal nutrition programs including the Dietary Guidelines for Americans. Future studies should evaluate avenues to make nutrition information more accessible to young Americans.

2012-01-01

14

NHANES 2 (National Health and Nutrition Examination Survey, 1976-1980) Allergy Skin Testing, Ages 6-74 Years.  

National Technical Information Service (NTIS)

The second National Health and Nutrition Examination Survey (NHANES II), conducted between 1976-80, was designed to measure the health and nutritional status of the civilian noninstitutionalized U.S. population ages 6 through 74 years. Information was col...

P. J. Gergen

1980-01-01

15

Hearing levels in US adults aged 20-69 Years: National Health and Nutrition Examination Survey 1999-2002  

Microsoft Academic Search

The National Health and Nutrition Examination Survey (NHANES) is a nationally representative, population-based survey designed to assess the health and nutritional status of the civilian, non-institutionalized US population. Data were collected through a personal interview regarding health history and through physical examination. Earlier NHANES surveys were conducted on a periodic basis; however, in 1999, NHANES began collecting data on a

William J. Murphy; Christa L. Themann; John R. Franks

2005-01-01

16

NHANES 1 (National Health and Nutrition Examination Survey, 1971-1975) Epidemiologic Followup Study (NHEFS), 1982-84. Mortality.  

National Technical Information Service (NTIS)

The first National Health and Nutrition Examination Survey (NHANES I) collected data from a national probability sample of the civilian noninstitutionalized population. The survey, which included a standardized medical examination, took place from 1971 th...

D. M. Scott C. S. Cox J. H. Madans H. E. Barbano

1984-01-01

17

Lead and cognitive function in ALAD genotypes in the third National Health and Nutrition Examination Survey  

Microsoft Academic Search

The relationship between the blood lead concentration and cognitive function in children and adults with different ALAD genotypes who participated in the third National Health and Nutrition Examination Survey was investigated. The relationship between blood lead and serum homocysteine concentrations was also investigated. In children 12 to 16years old, no difference in the relationship between cognitive function and blood lead

Edward F. Krieg Jr.; Mary Ann Butler; Man-huei Chang; Tiebin Liu; Ajay Yesupriya; Mary Lou Lindegren; Nicole Dowling

2009-01-01

18

The Third National Health and Nutrition Examination Survey: Contributing Data on Aging and Health.  

ERIC Educational Resources Information Center

Describes third National Health and Nutrition Examination Survey (NHANES III), noting that upper age limit was removed and that older black, Mexican American, and white populations were oversampled. Sees NHANES III component for older adults providing multidimensional overview of physical and functional health status (osteoporosis; arthritis;…

Burt, Vicki L.; Harris, Tamara

1994-01-01

19

Concordance between two measures of depression in the Hispanic Health and Nutrition Examination Survey  

Microsoft Academic Search

A concordance analysis between the Center for Epidemiologic Studies Depression Scale (CES-D) and the National Institute of Mental Health (NIMH) Diagnostic Interview Schedule (DIS) for current major depression was conducted using data from Cuban Americans and Puerto Rican respondents to the Hispanic Health and Nutrition Examination Survey (HHANES). Overall agreement between the two depression measures was relatively high, which suggested

M. J. Cho; E. K. Mo?cicki; W. E. Narrow; D. A. Regier; B. Z. Locke

1993-01-01

20

The national health and nutrition examination survey and measurement of human exposure and body burden  

Microsoft Academic Search

The purposes and uses of the National Health and Nutrition Examination Survey (NHANES), conducted by the National Center for Health Statistics, are briefly described relative to environmental concerns. Questions are posed that essentially define barriers to incorporating important environmental exposure and burden assessments in future NHANES programs. Actions to aid in overcoming the barriers are proposed.

Robert S. Murphy; Kurt R. Maurer; Rosalie Dunn

1982-01-01

21

The Third National Health and Nutrition Examination Survey: Contributing Data on Aging and Health.  

ERIC Educational Resources Information Center

|Describes third National Health and Nutrition Examination Survey (NHANES III), noting that upper age limit was removed and that older black, Mexican American, and white populations were oversampled. Sees NHANES III component for older adults providing multidimensional overview of physical and functional health status (osteoporosis; arthritis;…

Burt, Vicki L.; Harris, Tamara

1994-01-01

22

Is Obesity Associated with Major Depression? Results from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Data from the Third National Health and Nutrition Examination Survey (1988-1994) were used to examine the relation between obesity and depression. Past-month depression was defined using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, and was measured with the Diagnostic Interview Schedule. Obesity was defined as a body mass index (weight (kg)\\/height (m)2) of 30 or

Chiadi U. Onyike; Rosa M. Crum; Hochang B. Lee; Constantine G. Lyketsos; William W. Eaton

23

Diabetes Mellitus and Serum Carotenoids: Findings from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Little is known about carotenoids, a diverse group of plant compounds with antioxidant activity, and their association with diabetes, a condition characterized by oxidative stress. Data from phase I of the Third National Health and Nutrition Examination Survey (1988-1991) were used to examine concentrations of a-carotene, |J- carotene, cryptoxanthin, lutein\\/zeaxanthin, and lycopene in 40- to 74-year-old persons with a normal

Earl S. Ford; Julie C. Will; Barbara A. Bowman; K. M. Venkat Narayan

24

Serum Anion Gap and Blood Pressure in the National Health and Nutrition Examination Survey  

Microsoft Academic Search

Increased production of organic acid can result in an elevated serum anion gap and may play a role in the development of hypertension. We studied the cross-sectional associations between anion gap and blood pressure and between serum bicarbonate and blood pressure in the 1999-2000 and 2001-2002 National Health and Nutrition Examination Surveys. We included 5043 adult participants who were not

Eric N. Taylor; John P. Forman; Wildon R. Farwell

2010-01-01

25

NHANES II (National Health and Nutrition Examination Survey, 1976-1980) Hematology and Biochemistry Data Tape, Catalog Number 5411.  

National Technical Information Service (NTIS)

The Second National Health and Nutrition Examination Survey (NHANES II), conducted during the peiod 1976-1980, was designed to measure and monitor the nutritional statu and health of the U.S. population ages 6 months through 74 years. A similar survey, NH...

C. Johnson M. Dudley

1980-01-01

26

Hyperhomocysteinemia and hypercholesterolemia associated with hypothyroidism in the third US National Health and Nutrition Examination Survey  

Microsoft Academic Search

Hypothyroid (thyroid stimulating hormone (TSH)?20 mIU\\/l; N=32) participants in the third National Health and Nutrition Examination Survey, Phase 2 (1991–1994) were compared with non-hypothyroid subjects (0.5 mIU\\/lexamine the relationship between hypothyroidism and hyperhomocysteinemia (serum total homocysteine>12 ?mol\\/l) and hypercholesterolemia (serum total cholesterol>6.2 mmol\\/l). After controlling for age, gender, and race ethnicity, the odds ratios (95% confidence

Martha Savaria Morris; Andrew G Bostom; Paul F Jacques; Jacob Selhub; Irwin H Rosenberg

2001-01-01

27

Total and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2011-2012  

MedlinePLUS

... and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2011–2012 On This ... to source, however, is appreciated. National Center for Health Statistics Charles J. Rothwell, M.S., Acting Director Jennifer ...

28

Creatinine levels among Mexican Americans, Puerto Ricans, and Cuban Americans in the Hispanic Health and Nutrition Examination Survey  

Microsoft Academic Search

Creatinine levels among Mexican Americans, Puerto Ricans, and Cuban Americans in the Hispanic Health and Nutrition Examination Survey.BackgroundAlthough Latinos constitute the largest and fastest growing minority group in the United States, little is known about the prevalence of renal disease among different Latino subgroups.MethodsWe used data from the Hispanic Health and Nutrition Examination Survey (HHANES) to compare serum creatinine measurements

Rudolph A. Rodriguez; German T. Hernandez; Ann M. O'Hare; David V. Glidden

2004-01-01

29

Prevalence of Childhood Hearing Loss The Hispanic Health and Nutrition Examination Survey and the National Health and Nutrition Examination Survey II  

Microsoft Academic Search

Comparative analysis of the epidemiology of childhood hearing loss was undertaken among African- American, Hispanic-American, and non-Hispanic white children. Audiometric data on children aged 6-19 years were obtained from 688 African Americans, 330 Cuban Americans, 2,602 Mexican Americans, 1,025 Puerto Ricans, and 3,243 non-Hispanic whites who participated in either the National Health and Nutrition Exami- nation Survey II, 1976-1980, or

David J. Lee; Orlando Gomez-Mann; Heidi M. Lee

30

Dietary Supplement Use by US Adults: Data from the National Health and Nutrition Examination Survey, 1999-2000  

Microsoft Academic Search

Data from the 1999-2000 National Health and Nutrition Examination Survey, a nationally representative, cross- sectional survey of US health and nutrition, were analyzed to assess prevalence of dietary supplement use overall and in relation to lifestyle and demographic characteristics. Fifty-two percent of adults reported taking a dietary supplement in the past month; 35% took a multivitamin\\/multimineral. Vitamin C, vitamin E,

Kathy Radimer; Bernadette Bindewald; Jeffery Hughes; Bethene Ervin; Christine Swanson; Mary Frances Picciano

31

Validity of U.S. Nutritional Surveillance: National Health and Nutrition Examination Survey Caloric Energy Intake Data, 1971-2010  

PubMed Central

Importance Methodological limitations compromise the validity of U.S. nutritional surveillance data and the empirical foundation for formulating dietary guidelines and public health policies. Objectives Evaluate the validity of the National Health and Nutrition Examination Survey (NHANES) caloric intake data throughout its history, and examine trends in the validity of caloric intake estimates as the NHANES dietary measurement protocols evolved. Design Validity of data from 28,993 men and 34,369 women, aged 20 to 74 years from NHANES I (1971–1974) through NHANES 2009–2010 was assessed by: calculating physiologically credible energy intake values as the ratio of reported energy intake (rEI) to estimated basal metabolic rate (BMR), and subtracting estimated total energy expenditure (TEE) from NHANES rEI to create ‘disparity values’. Main Outcome Measures 1) Physiologically credible values expressed as the ratio rEI/BMR and 2) disparity values (rEI–TEE). Results The historical rEI/BMR values for men and women were 1.31 and 1.19, (95% CI: 1.30–1.32 and 1.18–1.20), respectively. The historical disparity values for men and women were ?281 and ?365 kilocalorie-per-day, (95% CI: ?299, ?264 and ?378, ?351), respectively. These results are indicative of significant under-reporting. The greatest mean disparity values were ?716 kcal/day and ?856 kcal/day for obese (i.e., ?30 kg/m2) men and women, respectively. Conclusions Across the 39-year history of the NHANES, EI data on the majority of respondents (67.3% of women and 58.7% of men) were not physiologically plausible. Improvements in measurement protocols after NHANES II led to small decreases in underreporting, artifactual increases in rEI, but only trivial increases in validity in subsequent surveys. The confluence of these results and other methodological limitations suggest that the ability to estimate population trends in caloric intake and generate empirically supported public policy relevant to diet-health relationships from U.S. nutritional surveillance is extremely limited.

Archer, Edward; Hand, Gregory A.; Blair, Steven N.

2013-01-01

32

Helicobacter pylori and Overweight Status in the United States: Data from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Obesity is an important public health problem in the United States. Because of its potential effects on gastric leptin homeostasis, Helicobacter pylori may play a role in regulating body weight. The authors' aim in this study was to examine the association between H. pylori colonization and overweight status. Nonpregnant participants in the Third National Health and Nutrition Examination Survey (1988-1994)

Ilseung Cho; Martin J. Blaser; Fritz Franc; Jomol P. Mathew; Xiang Y. Ye; Judith D. Goldberg; Edmund J. Bini

33

Obesity and Depression in US Women: Results From the 2005–2006 National Health and Nutritional Examination Survey  

Microsoft Academic Search

Research is needed to better elucidate the relationship between obesity and depression, which has been most consistently demonstrated for women, but not for men. We examined exclusively a population-based sample of US women who participated in the 2005 or 2006 National Health and Nutritional Examination Survey. Current depression was defined as having a score of ?10 (a conventional threshold for

Jun Ma; Lan Xiao

2010-01-01

34

Nature of Dietary Reporting by Adults in the Third National Health and Nutrition Examination Survey, 1988 -1994  

Microsoft Academic Search

Objective: Low reporting of food intake is an acknowledged problem in dietary assessments; however, differences in food intake relative to reporting status are poorly understood. This study examined the relation of a measure of dietary reporting status with the nature of food intake reported by adults in the third National Health and Nutrition Examination Survey. Methods: Subjects were 6948 women

Ashima K. Kant

35

Cardiovascular Risk Assessment Using Pulse Pressure in the First National Health and Nutrition Examination Survey (NHANES I)  

Microsoft Academic Search

Increased stiffness of the conduit arteries has been associated with increased risk of death and cardiovascular death in a number of populations. None of these populations, however, are fully representative of the US population. The cohort examined in the First National Health and Nutrition Examination Survey (NHANES I) that was free of overt cardiovascular disease was selected to be representative

Michael Domanski; James Norman; Michael Wolz; Gary Mitchell; Marc Pfeffer

36

Prevalence of Subjective Olfactory Dysfunction and Its Risk Factors: Korean National Health and Nutrition Examination Survey  

PubMed Central

Background Population-based studies for olfactory dysfunction are lacking. The aim of this study is to evaluate the prevalence of subjective olfactory dysfunction and its risk factors in the Korean general population. Methods The data were obtained from the 2009 Korea National Health and Nutrition Examination Survey (KNHANES), which was a cross-sectional survey of non-institutionalized population all around the country (n?=?10,533). All interviewees underwent medical interviews, physical examinations, endoscopic examination and blood/urine tests. Whether sense of smell has been normal or abnormal during the last 3 months was asked. Complete olfaction data were obtained from 7,306 participants and the participants were divided into normosmic and hyposmic group. Multivariate logistic regression analyses were performed to identify its risk factors. Results The weighted prevalence of subjective olfactory dysfunction was 4.5%. Its increased prevalence was significantly associated with the increasing age for both men and women. In the multivariate analyses, low income (adjusted odds ratio [OR]?=?1.43, 95% Confidence Interval [CI]?=?1.01–2.03), habitual exposure to air pollutants (adjusted OR?=?2.18, CI?=?1.33–3.55), a history of hepatitis B (adjusted OR?=?3.10, CI?=?1.25–7.68), rhinitis (adjusted OR?=?1.78, CI?=?1.26–2.51) and chronic sinusitis (adjusted OR?=?14.55, CI?=?10.06–21.05) were risk factors of olfactory dysfunction. Conclusion Our population-based study showed that olfactory dysfunction was quite prevalent and several risk factors were associated with impaired sense of smell. Given its prevalence, further researches for its prevention and management are required.

Lee, Woo Hyun; Wee, Jee Hye; Kim, Dong-Kyu; Rhee, Chae-Seo; Lee, Chul Hee; Ahn, Soyeon; Lee, Ju Hyun; Cho, Yang-Sun; Lee, Kun Hee; Kim, Kyung Soo; Kim, Si Whan; Lee, Ari; Kim, Jeong-Whun

2013-01-01

37

Hispanic Health and Nutrition Examination Survey, 1982-1984. Drug Abuse, Ages 12 Years-74 Years, Version 1 (Tape Number 6543). Public Use Data Tape Documentation.  

National Technical Information Service (NTIS)

From 1982 through 1984 a Hispanic Health and Nutrition Examination Survey (HHANES) was conducted to obtain data on the health and nutritional status of three Hispanic groups: Mexican Americans from Texas, Colorado, New Mexico, Arizona, and California; Cub...

1987-01-01

38

NHANES 2 (National Health and Nutrition Examination Survey, 1976-1980) Allergy Skin Testing, Ages 6-74 Years. Data Tape Documentation. Catalog Number 5309.  

National Technical Information Service (NTIS)

The second National Health and Nutrition Examination Survey (NHANES II), conducted between 1976-80, was designed to measure the health and nutritional status of the civilian noninstitutionalized U.S. population ages 6 through 74 years. Information was col...

P. J. Gergen L. Annest C. Rippy S. Gray

1985-01-01

39

Association of polychlorinated biphenyls with hypertension in the 1999–2002 National Health and Nutrition Examination Survey  

Microsoft Academic Search

The association of 11 polychlorinated biphenyls (PCBs) with hypertension was investigated using the National Health and Nutrition Examination Survey (NHANES), 1999–2002. The unweighted number of participants assessed for hypertension ranged from 2074 to 2556 depending on the chemical(s) being analyzed. In unadjusted logistic regressions all 11 PCBs were associated with hypertension. After adjustment for age, gender, race, smoking status, body

Charles J. Everett; Arch G. Mainous; Ivar L. Frithsen; Marty S. Player; Eric M. Matheson

2008-01-01

40

Who Underreports Dietary Intake in a Dietary Recall? Evidence from the Second National Health and Nutrition Examination Survey.  

ERIC Educational Resources Information Center

|Identifies the presence and degree of apparent underreporting of dietary intake in the participants in the Second National Health and Nutrition Examination Survey. Results indicated that up to 31% of the adults in this sample may have underreported and that those at greatest risk for underreporting were less well educated and heavier. (JPS)|

Klesges, Robert C.

1995-01-01

41

Prevalence of Low Glomerular Filtration Rate in Nondiabetic Americans: Third National Health and Nutrition Examination Survey (NHANES III)  

Microsoft Academic Search

End-stage renal disease is an important and costly health problem. Strategies for its prevention are urgently needed. Knowledge of the population-based prevalence of re- nal insufficiency in nondiabetic adults would inform such strategies. Black and white nondiabetic adult participants in the Third National Health and Nutrition Examination Survey were analyzed. The analysis was stratified by age, gender, and race, and

CATHERINE M. CLASE; AMIT X. GARG; BRYCE A. KIBERD

42

Are self-reports of smoking rate biased? Evidence from the Second National Health and Nutrition Examination Survey  

Microsoft Academic Search

This study determined evidence for digit preference in self-reports of smoking in the Second National Health and Nutrition Examination Survey (NHANES II). Subjects were 4275 adult smokers. Self-reports of smoking showed a marked degree of digit preference, with the vast majority of smokers reporting in multiples of 10 cigarettes per day. When number per day was compared to an objective

Robert C. Klesges; Margaret Debon; Joanne White Ray

1995-01-01

43

Field issues for the plan and operation of the laboratory component of the Third National Health and Nutrition Examination Survey.  

PubMed

The design of the laboratory component of a mobile examination survey such as the National Health and Nutrition Examination Survey requires that the physical limitation of the mobile examination center be balanced against the requirements of the laboratory analyses needed to fulfill the goals of the survey. In order to include an analysis in the survey, the scientific merit of the laboratory test must be established and a consensus must be reached on the appropriateness of the technology for the six years of the survey. The public health importance of the analysis and the subsequent results are also evaluated before inclusion into the laboratory protocol. Finally, the feasibility of incorporating the analysis into the protocol is reviewed. The laboratory component of NHANES III is discussed, addressing these points with descriptions of the reasons for inclusion and exclusion of key analytes. PMID:2243285

McQuillan, G M; Gunter, E W; Lannom, L

1990-11-01

44

Lifestyle Modification Counseling for Hypertensive Patients: Results From the National Health and Nutrition Examination Survey 1999–2004  

Microsoft Academic Search

BackgroundLifestyle modification is recommended for all patients with the diagnosis of hypertension.MethodsWe examined 3,497 adult hypertensive participants (representing 42 million Americans), from the National Health and Nutrition Examination Survey (NHANES) 1999–2004. We analyzed the rate, demographic, and clinical factors of participants who reported receiving lifestyle counseling and their adherence.ResultsOf the 3,497 participants with hypertension, 84% reported receiving lifestyle modification counseling.

Lenny Lopez; E. Francis Cook; Mark S. Horng; LeRoi S. Hicks

2009-01-01

45

Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study13  

Microsoft Academic Search

We examined the relation of dietary diversity to subsequent all-cause mortality by using data from the First National Health and Nutrition Examination Survey (NHANES I) Epidemiologic Follow-up Study, 1982- 1987. The analytic co- hort consisted of 4 160 men and 6264 women (including 2556 deaths), 25-74 y at baseline ( 197 1- 1975). Twenty-four-hour di- etary recalls were evaluated for

K Kant; Arthur Schatzkin; Gladys Block

46

Serum C-Reactive Protein and Self-Reported Stroke Findings From the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

C-reactive protein may predict the risk of coronary heart disease, but its association with stroke has not been well studied. We used data from the Third National Health and Nutrition Examination Survey, conducted from 1988 to 1994, to examine the association between serum C-reactive protein concentrations and self-reported past history of stroke among 8850 US men and women aged $40

Earl S. Ford; Wayne H. Giles

47

Sarcopenia Exacerbates Obesity-Associated Insulin Resistance and Dysglycemia: Findings from the National Health and Nutrition Examination Survey III  

Microsoft Academic Search

BackgroundSarcopenia often co-exists with obesity, and may have additive effects on insulin resistance. Sarcopenic obese individuals could be at increased risk for type 2 diabetes. We performed a study to determine whether sarcopenia is associated with impairment in insulin sensitivity and glucose homeostasis in obese and non-obese individuals.MethodologyWe performed a cross-sectional analysis of National Health and Nutrition Examination Survey III

Preethi Srikanthan; Andrea L. Hevener; Arun S. Karlamangla; Conrad P. Earnest

2010-01-01

48

Biomarkers of pesticide exposure and diabetes in the 1999–2004 National Health and Nutrition Examination Survey  

Microsoft Academic Search

The associations of 8 pesticides and pesticide metabolites with total diabetes (diagnosed and undiagnosed) and pre-diabetes (glycohemoglobin 5.7–6.4%) were evaluated using the National Health and Nutrition Examination Survey (NHANES), 1999–2004. Six of the pesticides were found to be associated with total diabetes in separate adjusted logistic regressions. These pesticides and pesticide metabolites were beta-hexachlorocyclohexane, p,p?-DDE, p,p?-DDT, oxychlordane, trans-nonachlor, and heptachlor

Charles J. Everett; Eric M. Matheson

2010-01-01

49

Establishing the level of digitization for wrist and hand radiographs for the third National Health and Nutrition Examination Survey  

Microsoft Academic Search

In the third National Health and Nutrition Examination Survey (NHANES III) conducted by the National Center for Health Statistics,\\u000a Centers for Disease Control and Prevention, radiographs of the hands and knees were taken of participants 60 years and older\\u000a as part of the study of arthritis and musculoskeletal conditions. The purpose of the study was to decide the digitizing resolution

Yechiam Ostchega; L. Rodney Long; Gin-Hua Goh; Rosemarie Hirsch; Loralie D. Ma; William W. Scott; Wayne Johnson; George R. Thoma

1998-01-01

50

Serum 25-hydroxyvitamin D, Ethnicity, and Blood Pressure in the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Background: Populations with low vitamin D status, such as blacks living in the US or UK, have increased blood pressure (BP) compared with whites. We analyzed the association between serum 25-hydroxyvitamin D (25OHD) and BP to determine whether low 25OHD explains any of the increased BP in blacks.Methods: The Third US National Health and Nutrition Examination Survey (NHANES III) is

Robert Scragg; MaryFran Sowers; Colin Bell

2007-01-01

51

Hepatitis A virus infection in the United States: Serologic results from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

To determine the prevalence of hepatitis A virus (HAV) infection in the general U.S. population, sera from participants in the Third National Health and Nutrition Examination Survey (NHANES III) conducted in 1988–1994 were tested for antibody to HAV (anti-HAV). Among 21,260 participants aged ?6 years tested, the overall prevalence of infection was 31.3%, and increased markedly with age. The age-adjusted

Beth P. Bell; Deanna Kruszon-Moran; Craig N. Shapiro; Stephen B. Lambert; Geraldine M. McQuillan; Harold S. Margolis

2005-01-01

52

Genetic variants associated with fasting blood lipids in the U.S. population: Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

BACKGROUND: The identification of genetic variants related to blood lipid levels within a large, population-based and nationally representative study might lead to a better understanding of the genetic contribution to serum lipid levels in the major race\\/ethnic groups in the U.S. population. METHODS: Using data from the second phase (1991-1994) of the Third National Health and Nutrition Examination Survey (NHANES

Man-huei Chang; Ajay Yesupriya; Renée M Ned; Patricia W Mueller; Nicole F Dowling

2010-01-01

53

Association of serum ferritin with metabolic syndrome and diabetes mellitus in the South Korean general population according to the Korean National Health and Nutrition Examination Survey 2008  

Microsoft Academic Search

We examined the association of serum ferritin levels with metabolic syndrome (MS) and diabetes mellitus in a representative sample of the adult South Korean population using data from the 2008 Korean National Health and Nutrition Examination Survey. We conducted a cross-sectional study of 6311 adults older than 20 years who participated in the 2008 Korean National Health and Nutrition Examination

Byung-Kook Lee; Yangho Kim; Young-Il Kim

2011-01-01

54

CHINA HEALTH AND NUTRITION SURVEY  

EPA Science Inventory

The China Health and Nutrition Survey is designed to examine the effects of health, nutrition, and family planning policies and programs as they have been implemented by national and local governments. It is designed to examine how both the social and economic transformation of C...

55

C-reactive protein and body mass index in children: Findings from the Third National Health and Nutrition Examination Survey, 1988-1994  

Microsoft Academic Search

Objectives: To examine the relationship between C-reactive protein (CRP) concentration and body mass index (BMI) in children. Study design: With the use of data from 5305 children aged 6 to 18 years in the Third National Health and Nutrition Examination Survey (1988 to 1994), a cross-sectional health survey, we examined whether CRP concentrations were elevated among overweight children. Results: Among

Earl S. Ford; Deborah A. Galuska; Cathleen Gillespie; Julie C. Will; Wayne H. Giles; William H. Dietz

2001-01-01

56

EPA Handbook for Use of Data from the National Health Nutrition Examination Surveys (NHANES): A Goldmine of Data for Environmental Health Analysis.  

National Technical Information Service (NTIS)

This Handbook provides descriptive background information and general guidance on how to access and use data from the National Health and Nutrition Examination Surveys (NHANES). This is an enormous human database that can be used to develop information su...

2003-01-01

57

Statin drugs, serum cholesterol, and prostate-specific antigen in the National Health and Nutrition Examination Survey 2001–2004  

Microsoft Academic Search

Purpose  We evaluated the associations of statins and serum cholesterol with PSA to understand whether the inverse associations of\\u000a statins and low cholesterol with aggressive prostate cancer are explained by detection bias.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  We analyzed data from 2,574 men aged ?40 years without prostate cancer in The National Health and Nutrition Examination Survey\\u000a 2001–2004. We estimated multivariable-adjusted geometric mean PSA by statin use

Alison M. Mondul; Elizabeth Selvin; Angelo M. De Marzo; Stephen J. Freedland; Elizabeth A. Platz

2010-01-01

58

Health and Nutrition Examination Survey (HANES I) 1971-1975. Biochemistry, Serology, Hematology,Peripheral Blood Slide, and Urinary Data Tape, Catalog Number 4800.  

National Technical Information Service (NTIS)

The first Health and Nutrition Examination Survey (HANES I), conducted during the period 1971-75, was designed to measure the nutritional status and health of the U.S. population ages 1-74 years and to obtain more detailed information on the health status...

C. Johnson E. Stanton

1975-01-01

59

NHANES 1 (National Health and Nutrition Examination Survey, 1971-1975) Chest X-ray, Pulmonary Diffusion, and Tuberculin Test Results. Catalog Number 4251. Data Tape Documentation.  

National Technical Information Service (NTIS)

The first National Health and Nutrition Examination Survey (NHANES I), conducted during the period 1971-75, was designed to measure the nutritional status and health of the U.S. population ages 1-74 years and to obtain more detailed on the health status a...

1975-01-01

60

Health and Nutrition Examination Survey (HANES I) 1971-1975. Anthropometry, Goniometry, Skeletal Age, Bone Density, and Cortical Thickness, Catalog Number 4111.  

National Technical Information Service (NTIS)

The first Health and Nutrition Examination Survey (HANES I), conducted during the period 1971-75, was designed to measure the nutritional status and health of the U.S. population ages 1-74 years and to obtain detailed information on the health status and ...

C. Johnson R. Fulwood C. Harvey E. Collins S. Abraham

1979-01-01

61

Health and Nutrition Examination Survey (HANES I) 1971-1975. Anthropometry, Goniometry, Skeletal Age, Bone Density and Cortical Thickness Data Tape, Catalog Number 4111.  

National Technical Information Service (NTIS)

The first Health and Nutrition Examination Survey (HANES I), conducted during the period 1971-75, was designed to measure the nutritional status and health of the U.S. population ages 1-74 years and to obtain more detailed information on the health status...

C. Johnson E. Stanton

1975-01-01

62

Popcorn Consumption and Dietary and Physiological Parameters of US Children and Adults: Analysis of the National Health and Nutrition Examination Survey (NHANES) 1999-2002 Dietary Survey Data  

Microsoft Academic Search

Popcorn is a whole-grain food\\/snack that is included among foods recommended in the 2005 Dietary Guidelines for Americans and MyPyramid to increase whole-grain consumption. The purpose of the present study was to use 1999-2002 National Health and Nutrition Examination Survey 24-hour dietary recall data to determine the average popcorn intake among Americans, and whether popcorn consumers exhibited different dietary intake

Ann C. Grandjean; Victor L. Fulgoni; Kristin J. Reimers; Sanjiv Agarwal

2008-01-01

63

Use of the Nutrition Facts Label in Chronic Disease Management: Results from the National Health and Nutrition Examination Survey  

Microsoft Academic Search

Dietary modifications are common treatment strategies for patients with various chronic diseases, but it is unclear how often these individuals read food labels. The objective of this study was to determine whether patients with chronic disease who are advised to change their eating habits read nutrition labels more than patients who have not been so advised, and whether that impacts

Robert E. Post; Arch G. Mainous III; Vanessa A. Diaz; Eric M. Matheson; Charles J. Everett

2010-01-01

64

Socioeconomic status, health behavior, and leukocyte telomere length in the National Health and Nutrition Examination Survey, 1999-2002.  

PubMed

The purpose of this study was to examine the association between socioeconomic status (SES) and leukocyte telomere length (LTL) - a marker of cell aging that has been linked to stressful life circumstances - in a nationally representative, socioeconomically and ethnically diverse sample of US adults aged 20-84. Using data from the National Health and Nutrition Examination Survey (NHANES), 1999-2002, we found that respondents who completed less than a high school education had significantly shorter telomeres than those who graduated from college. Income was not associated with LTL. African-Americans had significantly longer telomeres than whites, but there were no significant racial/ethnic differences in the association between education and telomere length. Finally, we found that the association between education and LTL was partially mediated by smoking and body mass index but not by drinking or sedentary behavior. PMID:23540359

Needham, Belinda L; Adler, Nancy; Gregorich, Steven; Rehkopf, David; Lin, Jue; Blackburn, Elizabeth H; Epel, Elissa S

2013-02-21

65

Antioxidant Nutrients and Pulmonary Function: The Third National Health and Nutrition Examination Survey (NHANES III)  

Microsoft Academic Search

Recent studies of chronic obstructive pulmonary disease have raised interest in its relation to nutrition. Several dietary antioxidants have been positively associated with lung function in healthy, general population samples. This study considered the separate and joint effects of vitamin C, vitamin E, p-carotene, and selenium intake and used both dietary assessment and serum biomarkers of antioxidant status. The authors

Guizhou Hu; Patricia A. Cassano

66

A Study of the Effect of Renumeration Upon Response in the Health and Nutrition Examination Survey: United States. Vital Health Statistics: Series 2, No. 67.  

ERIC Educational Resources Information Center

|This report describes the design and results of an experiment to test whether a $10.00 payment to participate in the national Health and Nutrition Examination Survey (HANES) would significantly increase the response rate for the survey. The design and findings of the study, as well as a comparison of response rates prior to and following…

National Center for Health Statistics (DHEW/PHS), Hyattsville, MD.

67

The Associations Between Smoking and Occupational Categories: The Korea National Health and Nutrition Examination Survey From 2008 to 2010.  

PubMed

The implementation of smoke-free policies for workplaces and their impacts have been far from satisfactory. We investigated smoking prevalence in various occupations using data (n = 9283) from the Korea National Health and Nutrition Examination Survey collected from 2008 to 2010. Young adults who were working in the occupation categories of "service and sales," "skilled agricultural, fishery, and forest workers," and "crafts and machine operation" for men and "service and sales" for women showed 1.8 to 7.1 and 3.7 times higher (P < .05) smoking prevalence compared with the reference (managers and professionals), respectively, and the highest prevalence among the 7 occupational categories that were studied. Drinking and stress level were positively associated with being current smokers. We provide quantitative evidence supporting clinicians and policy makers wishing to establish smoking-cessation programs in workplaces for young adults in South Korea, and evidence supporting the improvement of prevention by the concomitant reduction of risk factors. PMID:23139337

Kim, Sungroul; Kim, Junhyoung

2012-11-01

68

Total and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2011-2012.  

PubMed

KEY FINDINGS Data from the National Health and Nutrition Examination Survey, 2011-2012 In 2011-2012, an estimated 12.9% of U.S. adults aged 20 and over (11.1% of men and 14.4% of women) had high total cholesterol, which is unchanged since 2009-2010. Approximately 17% of adults (just over one-quarter of men and less than 10% of women) had low high-density lipoprotein (HDL) cholesterol during 2011-2012. The percentage of adults with low HDL cholesterol has decreased 20% since 2009-2010. Nearly 70% of adults (67% of men and nearly 72% of women) had been screened for cholesterol, which is unchanged since 2009-2010. PMID:24165064

Carroll, Margaret D; Kit, Brian K; Lacher, David A; Yoon, Sung Sug

2013-10-01

69

Demographic, health, lifestyle, and blood vitamin determinants of serum total homocysteine concentrations in the third National Health and Nutrition Examination Survey, 1988-19941,2  

Microsoft Academic Search

Background: Elevated serum total homocysteine (tHcy) is an independent risk factor for vascular diseases. Objective: Associations between serum tHcy and demographics, health and lifestyle factors, and blood vitamin concentrations were investigated. Design: Data from the third National Health and Nutrition Examination Survey, 1988-1994 were used to examine associa- tions in men (n = 2965) and women (n = 3580) between

Vijay Ganji; Mohammmad R Kafai

70

Physical activity levels and weight control status by body mass index, among adults – National Health and Nutrition Examination Survey 1999–2004  

Microsoft Academic Search

BACKGROUND: Adequate levels of physical activity can assist with weight control efforts, however, only a modest number of national studies have examined the physical activity patterns by weight control status. This article aims to describe patterns of physical activity among men and women who reported engaging in weight control practices. METHODS: Data from the National Health and Nutrition Examination Survey

Judy Kruger; Michelle M Yore; Harold W Kohl

2008-01-01

71

Fruit juice consumption is associated with improved nutrient adequacy in children and adolescents: The National Health and Nutrition Examination Survey (NHANES) 2003-2006  

Technology Transfer Automated Retrieval System (TEKTRAN)

The goal of the study was to examine the contribution of 100% fruit juice consumption to dietary adequacy of shortfall nutrients by children and adolescents. This was a cross-sectional study and used data from the 2003–2006 National Health and Nutrition Examination Survey (NHANES). Participants were...

72

Urinary bisphenol a levels and measures of obesity: results from the national health and nutrition examination survey 2003-2008.  

PubMed

Bisphenol A (BPA) is a widely used chemical. We examined the association between urinary BPA levels and obesity in the National Health and Nutritional Examination Survey (NHANES) 2003-2008. The main outcome of interest was obesity defined as (1) body mass index (BMI) ? 30?Kg/m(2) and (2) waist circumference (WC) ? 102?cm in men and ? 88?cm in women. Urinary BPA levels were examined in quartiles. Overall, we observed a positive association between increasing levels of urinary BPA and both measures of obesity, independent of potential confounding factors including, smoking, alcohol consumption, and serum cholesterol levels. Compared to quartile 1 (referent), the multivariate-adjusted odds ratio (95% confidence interval) associated with quartile 4 for BMI-based obesity was 1.69 (1.30-2.20); P-trend < 0.0001 and for WC-based obesity was 1.59 (1.21-2.09); P-trend = 0.0009. This association between BPA and both measures of obesity was consistently present across gender and race-ethnic groups (all P-trend < 0.05). Elevated levels of urinary BPA are associated with measures of obesity independent of traditional risk factors. This association is consistently present across gender and race-ethnic groups. Future prospective studies are needed to confirm or disprove this finding. PMID:22852093

Shankar, Anoop; Teppala, Srinivas; Sabanayagam, Charumathi

2012-07-18

73

Low Pulmonary Function in Individuals with Impaired Fasting Glucose: The 2007-2009 Korea National Health and Nutrition Examination Survey  

PubMed Central

Objective To investigate the association between fasting plasma glucose level and pulmonary function. Research Design and Methods Nutritional information, pulmonary function data, and laboratory test data from 9,223 subjects from the fourth Korea National Health and Nutrition Examination Survey were examined. The participants were divided into five groups according to fasting plasma glucose (FPG) level: normal fasting glucose (NFG)1, FPG <90 mg/dl; NFG2, FPG 90-99 mg/dl; impaired fasting glucose (IFG)1: FPG 100-109 mg/dl; IFG2, FPG 110-125 mg/dl; and diabetes, FPG ?126 mg/dl and/or current anti-diabetes medications. Results After adjustment for several variables, the percentage of predicted forced vital capacity(FVC%) decreased with increasing fasting plasma glucose level in both sexes[men: (mean ± SEM) 92.0±0.3 in NFG1; 91.9±0.3 in NFG2; 92.0±0.4 in IFG1; 90.2±0.7 in IFG2; and 89.9±0.5 in diabetes, P = 0.004; women: 93.7±0.3 in NFG1; 93.7±0.3 in NFG2; 93.1±0.5 in IFG1; 91.1±0.9 in IFG2; and 90.7±0.6 in diabetes, P<0.001]. A logistic regression analysis found that IFG2 and diabetes were independently associated with the lowest quintile of predicted FVC% (IFG2: odds ratio [95%CI], 1.50 [1.18-1.89], P = 0.001; diabetes: 1.56 [1.30-1.88], P<0.001) using NFG1 as a control. Conclusions The current data suggest that forced vital capacity may begin to decrease in the higher range of IFG.

Lee, Yun Jeong; Kim, Na Kyung; Yang, Ju Yean; Noh, Jung Hyun; Lee, Sung-Soon; Ko, Kyung Soo; Rhee, Byoung Doo; Kim, Dong-Jun

2013-01-01

74

Differences in Self-Reported Health in the Osteoarthritis Initiative (OAI) and Third National Health and Nutrition Examination Survey (NHANES-III)  

Microsoft Academic Search

ObjectiveTo assess self-reported health status (SRHS) in two cohorts of participants with radiographic knee osteoarthritis (OA) and examine the extent that differences in SRHS are due to study design.MethodWe used data from the Third National Health and Nutritional Examination Survey (NHANES-III; population-based national survey) and the Osteoarthritis Initiative (OAI; prospective cohort study). Inclusion criteria for this analysis were age 60–79

William M. Reichmann; Jeffrey N. Katz; Elena Losina; Joel Gagnier

2011-01-01

75

Health Disparities Among Mexican American Women Aged 15-44 Years: National Health and Nutrition Examination Survey, 1999-2004  

PubMed Central

Objectives. We analyzed the health of Mexican American women aged 15 to 44 years, by generation and language preference, to guide planning for reproductive health services in this growing population. Methods. We used personal interview and medical examination data from the 1999 to 2004 National Health and Nutrition Examination Surveys. We used SUDAAN for calculating age-adjusted prevalence estimates of demographic and health characteristics. The Satterthwaite adjusted F test and Student t test were used for subgroup comparisons. Results. The women had different health profiles (P < .05) by generation and language preference. Second- and later-generation women and women who used more English were more likely to be sexually active, to have been younger at first intercourse, and to have had more male sexual partners than were first-generation women and women who used more Spanish. Compared with their first-generation counterparts, second- and later-generation women drank more alcohol, were better educated, had higher incomes, and were more likely to have health insurance. Third-generation women were more likely to have delivered a low-birthweight baby than were first-generation women. Conclusions. Differences by generation and language preference suggest that acculturation should be considered when planning interventions to promote healthy reproductive behaviors among Mexican American women.

Wingo, Phyllis A.; Kulkarni, Aniket; Borrud, Lori G.; McDonald, Jill A.; Villalobos, Susie A.

2009-01-01

76

Who tended to continue smoking after cancer diagnosis: the national health and nutrition examination survey 1999-2008  

PubMed Central

Background It has been estimated that there are approximately 12 million cancer survivors in the United States. Continued smoking after a cancer diagnosis is linked to adverse effects among cancer survivors on overall survival, treatment effectiveness, and quality of life. Little is known about who is more likely to quit smoking after his/her cancer diagnosis. The objective of this study is to evaluate factors associated with smoking cessation in cancer survivors, which to date has not been well studied. Method The National Health and Nutrition Examination Survey (NHANES) 1999–2008 surveys were used in this study. A total of 2,374 cancer survivors aged 20 and over with valid smoking status in the NHANES 99–08 survey were included in this study. Among them, 566 cancer survivors who regularly smoked at the time of their cancer diagnosis were included in the analyses. Results Around 50.6% of cancer survivors smoked regularly prior to their cancer diagnosis and only 36.1% of them quit smoking after their cancer diagnosis. Racial disparity was observed in smoking cessation among cancer survivors. Hispanics (OR?=?0.23, 95% CI?=?0.10-0.57) were less likely to quit smoking than Whites after their cancer diagnosis. Conclusion Two-thirds of cancer survivors continued smoking after cancer diagnosis. Our study observed that the high risk group of continued smokers among cancer survivors is made up of those who are female, younger, Hispanic, with longer smoking history, underweight or with normal weight and without smoking-related cancer. These findings suggest that smoking cessation for cancer survivors should target on the high risk subgroups.

2012-01-01

77

Sleep Disordered Breathing and Depression among U.S. Adults: National Health and Nutrition Examination Survey, 2005-2008  

PubMed Central

Study Objective: To determine if symptoms of sleep disordered breathing (SDB) are associated with depression symptomology in a national sample. Design: National Health and Nutrition Examination Survey Setting: U.S., 2005-2008. Participants: 9,714 adults (? 18 years) Measurements: Respondents were asked about frequency of snoring and snorting, gasping, or stopping breathing while asleep and completed the PHQ-9 (a 9-item depression screener). Odds ratios (OR) and 95% confidence intervals (CI) for SDB symptom-associated probable major depression (defined as a PHQ-9 score ? 10) were obtained from sex-specific logistic regression analyses adjusted for body mass index, age, race/ethnicity, and education. Results: Among men, 6.0% reported physician-diagnosed sleep apnea, 37.2% snored ? 5 nights/week, 7.1% snorted/stopped breathing ? 5 nights/week, and 5.0% had PHQ-9 scores ? 10. Among women, 3.1% reported sleep apnea, 22.4% snored ? 5 nights/week, 4.3% snorted/stopped breathing ? 5 nights/week, and 8.4% had PHQ-9 scores ? 10. Sleep apnea was associated with probable major depression (OR = 2.4; 95% CI: 1.5, 3.6 among men; OR = 5.2; 95% CI: 2.7, 9.9 among women). Snoring was not associated with depression symptoms in men or women. Snorting/stopping breathing ? 5 nights/week compared to never was strongly associated with probable major depression in men (OR = 3.1; 95% CI: 1.8, 5.2) and women (OR = 3.0; 95% CI: 1.6, 5.4). Conclusion: Frequent snorting/stopping breathing was associated with probable major depression by the PHQ-9 in a national sample of adults. Additional research may be needed to determine whether regular screening for these conditions by mental health professionals and sleep specialists should be recommended. Citation: Wheaton AG; Perry GS; Chapman DP; Croft JB. Sleep disordered breathing and depression among U.S. adults: National Health and Nutrition Examination Survey, 2005-2008. SLEEP 2012;35(4):461-467.

Wheaton, Anne G.; Perry, Geraldine S.; Chapman, Daniel P.; Croft, Janet B.

2012-01-01

78

Factors and common conditions associated with adolescent dietary supplement use: an analysis of the National Health and Nutrition Examination Survey (NHANES)  

Microsoft Academic Search

BACKGROUND: Little is known about the prevalence of dietary supplement (DS) use in American adolescents. We conducted this study to analyze the prevalence of DS use and factors associated with this use in a national population-based sample. METHODS: We used data from the 1999 – 2002 National Health and Nutrition Examination Surveys (NHANES) for adolescents age 11 to 19. Using

Paula Gardiner; Catherine Buettner; Roger B Davis; Russell S Phillips; Kathi J Kemper

2008-01-01

79

Awareness of Federal Dietary Guidance in Persons Aged 16 Years and Older: Results from the National Health and Nutrition Examination Survey 2005-2006  

Microsoft Academic Search

The National Health and Nutrition Examination Survey 2005-2006 included questions on awareness of the Dietary Guidelines for Americans (DGA), the Food Guide Pyramid, and the 5 A Day for Better Health Program. Prevalence of awareness of federal dietary guidance was estimated and differences were tested across demographic traits, health characteristics, and diet-related attitudes and behavior. The continuous National Health and

Jacqueline D. Wright; Chia-Yih Wang

2011-01-01

80

Prevalence and risk factors of work related asthma by industry among United States workers: data from the third national health and nutrition examination survey (1988–94)  

Microsoft Academic Search

Objectives: To estimate the prevalence of work related asthma and work related wheezing in United States workers. To identify high risk industries that could be targeted for future intervention. To determine the population attributable risk of work related asthma and work related wheezing.Methods: The third national health and nutrition examination survey, 1988–1994 (NHANES III) was analyzed to determine the prevalence

A A Arif; L W Whitehead; G L Delclos; S R Tortolero; E S Lee

2002-01-01

81

Self-reported Weight Status and Dieting in a Cross-sectional Sample of Young Adolescents National Health and Nutrition Examination Survey III  

Microsoft Academic Search

Objective: To explore the relationship of self-reported weight status and dieting to actual weight and height in a cross-sectional nationally representative sample of young adolescents. Methods: Weights and heights were obtained on 1932 ado- lescents aged 12 to 16 years enrolled in the National Health and Nutrition Examination Survey III. Information on ado- lescents' perception of weight status, desired weight,

Richard S. Strauss

1999-01-01

82

Estimating pesticide dose from urinary pesticide concentration data by creatinine correction in the Third National Health and Nutrition Examination Survey (NHANES-III)  

Microsoft Academic Search

The Third National Health and Nutrition Examination Survey (NHANES-III) of the Centers for Disease Control and Prevention (CDC) recorded data on the urinary concentrations of 12 chemicals (analytes), which were either pesticides or their metabolites, that represent exposure to certain pesticides, in urine samples collected from 1988 to 1994 from a cohort of 978 volunteer subjects, aged 20–59 years. We

David T Mage; Ruth H Allen; Gauthami Gondy; Woollcott Smith; Dana B Barr; Larry L Needham

2004-01-01

83

Suggested lower cutoffs of serum zinc concentrations for assessing zinc status: reanalysis of the second National Health and Nutrition Examination Survey data (1976-1980)1-3  

Microsoft Academic Search

Background: The risk of zinc deficiency in populations can be estimated by comparing serum zinc data with statistically defined lower cutoffs derived from a presumably healthy population. Serum zinc data are available from a large sample of the US pop- ulation assessed during the second National Health and Nutrition Examination Survey (NHANES II). Although the original analy- sis of these

Christine Hotz; Janet M Peerson; Kenneth H Brown

84

Relationship between transferrin saturation and iron stores in the African American and US Caucasian populations: analysis of data from the third National Health and Nutrition Examination Survey  

Microsoft Academic Search

In previous analyses of transferrin satura- tion data in African Americans and Cauca- sians from the second National Health and Nutrition Examination Survey (NHANES II), subpopulations were found consistent with population genetics for common loci that influence iron metabo- lism. The goal of this new study was to determine if these transferrin saturation subpopulations have different levels of iron stores.

Christine E. McLaren; Kuo-Tung Li; Victor R. Gordeuk; Victor Hasselblad; Gordon D. McLaren

85

The association between heavy metals, endometriosis and uterine myomas among premenopausal women: National Health and Nutrition Examination Survey 1999-2002  

Microsoft Academic Search

BACKGROUND: It has been hypothesized that exposure to exogenous estrogens may be associated with endometrio- sis and uterine myomas. We sought to investigate the association between heavy metals which have been shown to be hormonally active and these disorders using data from the National Health and Nutrition Examination Survey, 1999- 2002. METHODS: Women aged 20-49 years who had data on

L. W. Jackson; M. D. Zullo; J. M. Goldberg

2008-01-01

86

A Profile of Puerto Rican Health in the United States: Data from the Hispanic Health and Nutrition Examination Survey 1982-84.  

ERIC Educational Resources Information Center

|The health conditions and health status of Hispanic Americans will assume increased importance as their population increases. The goal of this book of charts is to present data from the Hispanic Health and Nutrition Examination Survey (HHANES) on Puerto Ricans. The Puerto Rican HHANES sampling procedure is a multi-stage probability sample of…

Munoz, Eric; And Others

87

Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey (2008-2010).  

PubMed

The objective of this study is to identify the dietary patterns associated with the risk of hypertensions among Korean adults using data from the Korean National Health and Nutrition Examination Survey (KNHANES, 2008-2010). This study analyzes data from 11,883 subjects who participated in the health and nutrition survey, aging from 20 to 64 years. We performed factor analysis based on the weekly mean intake frequencies of 36 food groups to identify major dietary patterns. We identified three major dietary patterns in both sexes, namely "traditional", "western" and "dairy and carbohydrate" patterns. Participants in the highest quartile of western pattern scores had significantly higher blood pressure, serum total cholesterol, and triglyceride levels than those in the lowest quartile. Although not statistically significant, a trend (P for trend = 0.0732) toward a positive association between the western dietary pattern and hypertension risk was observed after adjustments for age, sex, education, income, body mass index (BMI), smoking, physical activity, and energy intake. The dairy and carbohydrate pattern was inversely related with BMI and blood pressures and positively associated with serum high-density lipoprotein (HDL)-cholesterol. After adjusting the age, sex, education, income, BMI, smoking, physical activity and energy intake, the dairy and carbohydrate pattern showed inverse associations with hypertension prevalence (OR = 0.64, 95% CI = 0.55-0.75; P for trend < 0.0001). Intakes of fiber, sodium, and antioxidant vitamins were significantly higher in the top quartile for the traditional pattern than in the lowest quartile for the traditional pattern (P for trend < 0.0001). Intakes of fiber (P for trend < 0.0001), calcium (P for trend < 0.0001), retinol (P for trend = 0.0164), vitamin B1 (P for trend = 0.001), vitamin B2 (P for trend < 0.0001), niacin (P for trend = 0.0025), and vitamin C (P for trend < 0.0001) were significantly increased across quartiles for the dairy and carbohydrate pattern whereas sodium (P for trend < 0.0001) intake was decreased for this pattern. In conclusion, the dairy and carbohydrate pattern may be associated with a reduced risk of hypertension whereas the western pattern may be associated with an increased risk of hypertension among Korean adults. PMID:23766884

Shin, Ji-Ye; Kim, Ji-Myung; Kim, Yuri

2013-06-03

88

Sex-specific relationships between alcohol consumption and vitamin D levels: The Korea National Health and Nutrition Examination Survey 2009  

PubMed Central

This study assessed the association between vitamin D sufficiency (serum 25(OH)D ?30 ng/mL) and alcohol consumption using data from the Korea National Health and Nutrition Examination Survey conducted in 2009. The following characteristics were obtained in 7,010 Korean participants ?19-years-of-age: serum 25(OH)D level, alcohol consumption (drinking frequency, drinking number of alcoholic beverages on a typical occasion, average daily-alcohol intake), and potential confounders (age, residence, housing status, occupation, total fat and lean mass, smoking, physical activity, history of liver diseases, liver function, and daily intake of energy, protein, and calcium). After adjusting for confounders, vitamin D sufficiency in men was significantly associated with drinking frequency, number of alcoholic drinks consumed, and average daily alcohol intake; odds ratio of 1.21-1.72, 2.17-3.04, and 2.27-3.09, respectively. Increase in the three alcohol drinking-related behaviors was also linearly associated with increase in serum 25(OH)D level in men. By comparison, there was no significant association between alcohol intake and serum 25(OH)D level in women. The positive association between vitamin D sufficiency and alcohol consumption was evident only in Korean men.

2012-01-01

89

Hepatitis C, metabolic syndrome, and inflammatory markers: results from the Third National Health and Nutrition Examination Survey [NHANES III].  

PubMed

Studies have shown that hepatitis C (HCV) is associated with type 2 diabetes mellitus (DM2) possibly due to insulin resistance and inflammation. Metabolic syndrome is a risk factor for DM2. Our objectives were to assess the relationship between HCV and metabolic syndrome and inflammatory markers. We used data from The Third National Health Nutrition and Examination Survey (NHANES-III). We excluded pregnant women, subjects with diabetes, those taking non-steroidal anti-inflammatory drugs, and those diagnosed with concomitant infection. We analyzed the data controlling for demographic variables, body mass index, use of contraceptives, had arthritis, and had gout. Among the 10,383 subjects, 2.3% had HCV and 16.7% had metabolic syndrome using the ATP III criteria. After controlling for the confounders, HCV was not associated with metabolic syndrome but associated with HOMA insulin resistance and inflammatory marker ferritin. Among subjects with both HCV and metabolic syndrome, the adjusted HOMA insulin level was higher than those without HCV and metabolic syndrome. In addition, the serum ferritin level was a strong predictor of HOMA insulin resistance. In clinical practice, serum ferritin can be obtained along with routine blood tests in any laboratory, and it has a potential to be a surrogate marker of insulin resistance in people with HCV and metabolic syndrome. PMID:16919355

Shaheen, Magda; Echeverry, Diana; Oblad, Marcela Garcia; Montoya, Marie I; Teklehaimanot, Senait; Akhtar, Abbasi J

2006-08-17

90

Prevalence rates for scoliosis in US adults: results from the first National Health and Nutrition Examination Survey.  

PubMed

National prevalence estimates of scoliosis in adults, based on the reading of 6594 chest X-rays from the first National Health and Nutrition Examination Survey, are presented by age, sex and race. Among US adults aged 25-74 years in 1971-75, the prevalence rate of scoliosis was 8.3%. The prevalence of scoliosis increased across age groups among women (p less than 0.001), but not among men. Women had about twice the prevalence of scoliosis as men; 10.7% versus 5.6% (p less than 0.001). Because scoliosis prevalence rates differed by age and sex, prevalence rates and means for scoliosis status subgroups were adjusted for age and sex. Blacks had a higher rate, although not statistically significant (using alpha = 0.10), of scoliosis than whites: 9.7% versus 8.1%. Bone density of the radius was lower for scoliotics than for non-scoliotics: (287.0 versus 294.0 aluminum equivalency units, p less than 0.001), suggesting a possible association between scoliosis and osteoporosis. The percentage with delayed menarche was higher for scoliotics than non-scoliotics: 37.8 versus 30.8% (p = 0.01). Scoliotic women also had a lower mean age of menstruation termination than non-scoliotic women: 43.4 years versus 44.8 years (p = 0.07). This is the first study to present national prevalence estimates for scoliosis among adults in the US. PMID:3501989

Carter, O D; Haynes, S G

1987-12-01

91

Healthy Eating Index and C-reactive protein concentration: findings from the National Health and Nutrition Examination Survey III, 1988–1994  

Microsoft Academic Search

Objective: To examine whether diet quality is associated with C-reactive protein concentration.Design: Cross-sectional study using data from the Third National Health and Nutrition Examination Survey (1988–1994).Setting: Representative sample of the US population.Subjects: A total of 13 811 men and women aged ?20 y.Interventions: We examined the cross-sectional associations between the Healthy Eating Index (HEI), a measure of diet quality according

E S Ford; A H Mokdad; S Liu

2005-01-01

92

The factor structure of the CES-D in the Hispanic health and nutrition examination survey: The influences of ethnicity, gender and language  

Microsoft Academic Search

In this paper, we examine the factor structure of the Center for Epidemiologic Studies-Depression Scale (CES-D) in the Hispanic Health and Nutrition Examination Survey (Hispanic HANES). The Hispanic HANES provides a unique opportunity to examine the patterning of depressive symptoms among the three major Hispanic groups in the U.S. and to compare the factor structures that emerge from the analysis

Peter J. Guarnaccia; Ronald Angel; Jacqueline Lowe Worobey

1989-01-01

93

The metabolic syndrome and mortality from cardiovascular disease and all-causes: findings from the National Health and Nutrition Examination Survey II Mortality Study  

Microsoft Academic Search

The prospective associations between the metabolic syndrome as defined by the National Cholesterol Education Program (NCEP\\/ATP III) expert panel and mortality from cardiovascular disease and all-causes has not been extensively examined. Using data from the National Health and Nutrition Examination Survey II Mortality Study (1976–1992), the author examined the association between the metabolic syndrome and mortality from all-causes and cardiovascular

Earl S Ford

2004-01-01

94

Activity Change in Response to Bad Air Quality, National Health and Nutrition Examination Survey, 2007-2010  

PubMed Central

Air pollution contributes to poor respiratory and cardiovascular health. Susceptible individuals may be advised to mitigate effects of air pollution through actions such as reducing outdoor physical activity on days with high pollution. Our analysis identifies the extent to which susceptible individuals changed activities due to bad air quality. This cross-sectional study included 10,898 adults from the National Health and Nutrition Examination Survey (NHANES) 2007–2010. Participants reported if they did something differently when air quality was bad. Susceptible categories included respiratory conditions, cardiovascular conditions and older age (?65 years). Analyses accounted for complex survey design; logistic regression models controlled for gender, race, education, smoking, and body mass index. 1305 individuals reported doing something differently (12.0%, 95% confidence interval (CI): 10.9, 13.1). This percentage was 14.2% (95% CI: 11.6, 16.8), 25.1% (95% CI: 21.7, 28.6), and 15.5% (95% CI: 12.2, 18.9) among older adults, those with a respiratory condition, and those with a cardiovascular condition, respectively. In adjusted regression models the following were significantly more likely to have changed activity compared to those who did not belong to any susceptible group: respiratory conditions (adjusted odds ratio (aOR): 2.61, 95% CI: 2.03, 3.35); respiratory and cardiovascular conditions (aOR: 4.36, 95% CI: 2.47, 7.69); respiratory conditions and older age (aOR: 3.83; 95% CI: 2.47, 5.96); or all three groups (aOR: 3.52; 95% CI: (2.33, 5.32). Having cardiovascular conditions alone was not statistically significant. Some individuals, especially those with a respiratory condition, reported changing activities due to poor air quality. However, efforts should continue to educate the public about air quality and health.

Wells, Ellen M.; Dearborn, Dorr G.; Jackson, Leila W.

2012-01-01

95

Food Insecurity is Associated with Diabetes Mellitus: Results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002  

PubMed Central

BACKGROUND Food insecurity refers to limited or uncertain access to food resulting from inadequate financial resources. There is a clear association between food insecurity and obesity among women, but little is known about the relationship between food insecurity and type 2 diabetes. OBJECTIVE To evaluate whether there is an independent association between food insecurity and diabetes. DESIGN Cross-sectional analysis of the nationally representative, population-based National Health and Nutrition Examination Survey (1999–2002 waves). PARTICIPANTS Four thousand four hundred twenty-three adults >20 years of age with household incomes ?300% of the federal poverty level. MEASUREMENTS We categorized respondents as food secure, mildly food insecure, or severely food insecure using a well-validated food insecurity scale. Diabetes was determined by self-report or a fasting serum glucose ?126 mg/dl. RESULTS Diabetes prevalence in the food secure, mildly food insecure, and severely food insecure categories was 11.7%, 10.0%, and 16.1%. After adjusting for sociodemographic factors and physical activity level, participants with severe food insecurity were more likely to have diabetes than those without food insecurity (adjusted odds ratio [AOR] 2.1, 95% CI 1.1–4.0, p?=?.02). This association persisted after further adjusting for body mass index (AOR 2.2, 95% CI 1.2–3.9, p?=?.01). CONCLUSIONS Food insecurity may act as a risk factor for diabetes. Among adults with food insecurity, increased consumption of inexpensive food alternatives, which are often calorically dense and nutritionally poor, may play a role in this relationship. Future work should address how primary care clinicians can most effectively assist patients with food insecurity to make healthy dietary changes.

Bindman, Andrew B.; Vittinghoff, Eric; Kanaya, Alka M.; Kushel, Margot B.

2007-01-01

96

Lower Urinary Tract Symptoms and Diet Quality: Findings From the 2000-2001 National Health and Nutrition Examination Survey  

PubMed Central

OBJECTIVE To evaluate the association between dietary quality and the prevalence of lower urinary tract symptoms (LUTS). METHODS We used urinary symptom and dietary data obtained from the 2000-2001 National Health and Nutrition Examination Survey (NHANES) for the study. Dietary quality was assessed using the 10-component United States Department of Agriculture (USDA) Healthy Eating Index (HEI). We used bivariate methods to examine rates of LUTS among men with poor versus good diets. Multivariable logistic regression was used to calculate odds ratios after applying sample weights and controlling for age, race/ethnicity, smoking status, diabetes, alcohol intake, and exercise. RESULTS Our study cohort consisted of 1385 men aged ?40 years, of whom 279 (21.1%) reported LUTS. We found higher rates of LUTS among men with poor dietary intake of dairy (22.4% vs 16.4%, P = .013) and among men with poor intake of protein (24.6% vs 17.9%, P = .012) as well as among those with overall poor diet (25.8 vs 17.8%, P = .018) with little dietary variety (26.1 vs 17.6%, P = .001). On multivariate analysis, an unhealthy diet (odds ratios [OR] = 1.7; 95% confidence interval [CI] = 1.05-2.90) was associated with more LUTS, whereas alcohol intake was protective from LUTS (OR = 0.67; 95% CI = 0.48-0.93). CONCLUSION In an analysis of NHANES data, we found that poor diet quality was independently associated with patient-reported LUTS.

Erickson, Bradley A.; Vaughan-Sarrazin, Mary; Liu, Xin; Breyer, Benjamin N.; Kreder, Karl J.; Cram, Peter

2013-01-01

97

A Sustained Decline in Postmenopausal Hormone Use: Results From the National Health and Nutrition Examination Survey, 1999-2010  

PubMed Central

Objective Short-term declines in postmenopausal hormone use were observed following the Women’s Health Initiative trial results in 2002. While concerns about the trial’s generalizability have been expressed, long-term trends in hormone use in a nationally representative sample have not been reported. We sought to evaluate national trends in the prevalence of hormone use, and assess variation by type of formulation and patient characteristics. Methods We examined postmenopausal hormone use during 1999–2010 using cross-sectional data on 10,107 women aged 40 years and older in the National Health and Nutrition Examination Survey. Results In 1999–2000, the prevalence of oral postmenopausal hormone use was 22.4% (95% CI: 19.0, 25.8) overall, 16.8% (95% CI: 14.2, 19.3) for estrogen only, and 5.2% (95% CI: 3.6, 6.8) for estrogen plus progestin. A sharp decline in use of all formulations occurred in 2003–2004, when the overall prevalence dropped to 11.9% (95% CI: 9.6, 14.2). This decline was initially limited to non-Hispanic whites; use among non-Hispanic blacks and Hispanics did not decline substantially until 2005–2006. Hormone use continued to decline through 2009–2010 across all patient demographic groups, with the current prevalence now at 4.7% (95% CI: 3.3, 6.1) overall, 2.9% (95% CI: 2.1, 3.7) for estrogen only, and 1.5% (95% CI: 0.5, 2.5) for estrogen plus progestin. Patient characteristics currently associated with hormone use include history of hysterectomy, non-Hispanic white race or ethnicity, and income. Conclusions Postmenopausal hormone use in the United States has declined in a sustained fashion to very low levels across a wide variety of patient subgroups.

Sprague, Brian L.; Trentham-Dietz, Amy; Cronin, Kathleen A.

2012-01-01

98

Geographic Variation in Stroke Risk in the United States Region, Urbanization, and Hypertension in the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Background—In the United States, stroke mortality is higher in the south than in other regions. Hypertension is the main risk factor for stroke among older adults; however, few studies have examined group-specific regional and urbanization differences in hypertension prevalence. Methods—Data from the Third National Health and Nutritional Examination Survey (NHANES III), 1988 to 1994, were analyzed to calculate the prevalence

Thomas O. Obisesan; Clemencia M. Vargas; Richard F. Gillum

2010-01-01

99

Sex, age, geographical location, smoking, and alcohol consumption influence serum selenium concentrations in the USA: third national health and nutrition examination survey, 1988–1994  

Microsoft Academic Search

Selenium has been reported to reduce the risk for heart diseases and cancer. We examined the association of sex, age, geographical location, serum cotinine concentrations, a measure of smoking intensity, and alcohol consumption with serum selenium concentrations in the third National Health and Nutrition Examination Survey (NHANES III), 1988–1994. Study sample consisted of 14,619 apparently healthy individuals (male: 7,102; female:

Mohammad R. Kafai; Vijay Ganji

2003-01-01

100

National health and nutrition examination survey 1999-2000: effect of observer training and protocol standardization on reducing blood pressure measurement error  

Microsoft Academic Search

Objective: We describe the National Health and Nutrition Examination Survey (NHANES) blood pressure (BP) observer training and protocol standardization and evaluate the quality of BP measurement.Methods: The participants were persons aged 8 years and older who had their BP measured (n=7467) during NHANES 1999-2000. Cuff width\\/arm circumference ratio (CW\\/AC), end digit preference, and observer agreement were examined.Results: In stepwise principal

Yechiam Ostchega; Ronald J Prineas; Ryne Paulose-Ram; Carlene M Grim; Grace Willard; Doreen Collins

2003-01-01

101

QRS Duration on Electrocardiography and Cardiovascular Mortality (from the National Health and Nutrition Examination Survey-III).  

PubMed

The relation of bundle branch block (BBB) with adverse outcome is controversial. We hypothesized that increased QRS duration is an independent predictor of cardiovascular (CV) mortality in a cross-sectional US population. This is a retrospective cohort study on prospectively collected data to assess the relationship between QRS duration on routine ECG and CV mortality. Participants included 8,527 patients with ECG data available from the National Health and Nutrition Examination Survey data set, representing 74,062,796 individuals in the United States. Mean age was 60.5 ± 13.6 years. Most subjects were white (87%) and women (53%). During the follow-up period of 106,244.6 person-years, 1,433 CV deaths occurred. Multivariate analysis revealed that the highest quartile of QRS duration was associated with higher CV mortality than lowest quartile (hazard ratio [HR] 1.3, 95% confidence interval [CI] 1.01 to 1.7, p = 0.04) after adjustment for established risk factors. Both left BBB (HR 2.4, 95% CI 1.3 to 4.7, p = 0.009) and right BBB (HR 1.90, 95% CI 1.2 to 3.0, p = 0.008) were significantly associated with increased CV mortality. The addition of the QRS duration in 10-millisecond increments to the Framingham Risk Score model resulted in 4.4% overall net reclassification improvement (95% CI 0.02 to 0.04; p = 0.00006). In conclusion, increased QRS duration was found to be an independent predictor of CV mortality in this cross-sectional US population. A model including QRS duration in addition to traditional risk factors was associated with improved CV risk prediction. PMID:23726176

Badheka, Apurva Omkar; Singh, Vikas; Patel, Nileshkumar Jasmatbhai; Deshmukh, Abhishek; Shah, Neeraj; Chothani, Ankit; Mehta, Kathan; Grover, Peeyush; Savani, Ghanshyambhai Tulsibhai; Gupta, Sandeepkumar; Rathod, Ankit; Marzouka, George Robert; Mitrani, Raul David; Moscucci, Mauro; Cohen, Mauricio Gabriel

2013-05-29

102

Urine Cotinine for Assessing Tobacco Smoke Exposure in Korean: Analysis of the Korea National Health and Nutrition Examination Survey (KNHANES)  

PubMed Central

Background The level of urine cotinine is an indicator of tobacco smoke exposure. The purpose of this study is to investigate urine cotinine for the purpose of assessing the smoking status of Korean smokers and non-smokers exposed to tobacco smoke. Methods The subjects were identified from the 2007-2009 and the 2010 data sets of the Korea National Health and Nutrition Examination Survey (KNHANES). They were assigned as non-smokers, current smokers and ex-smokers. Non-smokers were also divided into three subset groups according to the duration of smoke exposure. Each group was stratified by gender prior to analysis. Results The median value of urine cotinine in the male current smokers was 1,221.93 ng/mL which was the highest among all groups. The difference between levels of urine cotinine for male and the female groups was statistically significant (p<0.01). In the female group, passive smoke exposure groups reported higher urine cotinine levels than non-exposure groups (p=0.01). The cutoff point for the discrimination of current smokers from non-smokers was 95.6 ng/mL in males and 96.8 ng/mL in females. The sensitivity and specificity were 95.2% and 97.1%, respectively, in males, 96.1% and 96.5% in females. However, the determination of urine cotinine level was not useful in distinguishing between passive smoke exposure groups and non-exposure groups. Conclusion Urine cotinine concentration is a useful biomarker for discriminating non-smokers from current smokers. However, careful interpretation is necessary for assessing passive smoke exposure by urine cotinine concentration.

Jung, Sungmo; Lee, In Seon; Kim, Sae Byol; Moon, Chan Soo; Jung, Ji Ye; Kang, Young Ae; Park, Moo Suk; Kim, Young Sam; Kim, Se Kyu; Chang, Joon

2012-01-01

103

Use of food labels, awareness of nutritional programmes and participation in the special supplemental program for Women, Infants and Children (WIC): results from the National Health and Nutrition Examination Survey (2005-2006).  

PubMed

Use of nutritional labels in choosing food is associated with healthier eating habits including lower fat intake. Current public health efforts are focusing on the revamping of nutritional labels to make them easier to read and use for the consumer. The study aims to assess the frequency of use of nutritional labels and awareness of the United States Department of Agriculture (USDA) nutritional programmes by low-income women including those participating in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) as surveyed in the National Health and Nutrition Examination Survey 2005-2006. Many low-income women do not regularly use the nutrition facts panel information on the food label and less than half had heard of the USDA Dietary Guidelines for Americans (38.9%). In multivariate logistic regression, we found that WIC participation was associated with reduced use of the nutrition facts panel in choosing food products [odds ratio (OR) 0.45, 95% confidence interval (CI) 0.22-0.91], the health claims information (OR 0.54, 95% CI 0.32-0.28) and the information on carbohydrates when deciding to buy a product (OR 0.44, 95% CI 0.20-0.97) in comparison with WIC eligible non-participants. Any intervention to improve use of nutritional labels and knowledge of the USDA's nutritional programmes needs to target low-income women, including WIC participants. Future studies should evaluate possible reasons for the low use of nutrition labels among WIC participants in comparison with eligible non-participants. PMID:22171961

Wojcicki, Janet M; Heyman, Melvin B

2011-12-16

104

Actinic Skin Damage and Mortality - the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study  

PubMed Central

Background Exposure to sunlight may decrease the risk of several diseases through the synthesis of vitamin D, whereas solar radiation is the main cause of some skin and eye diseases. However, to the best of our knowledge, the association of sun-induced skin damage with mortality remains unknown. Methodology/Principal Findings Subjects were 8472 white participants aged 25–74 years in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Cardiovascular disease mortality, cancer mortality, and all-cause mortality were obtained by either a death certificate or a proxy interview, or both. Actinic skin damage was examined and recorded by the presence and severity (absent, minimal, moderate, or severe) of overall actinic skin damage and its components (i.e., fine telangiectasia, solar elastosis, and actinic keratoses). Cox regression and Kaplan-Meier methods were applied to explore the associations. A total of 672 cancer deaths, 1500 cardiovascular disease deaths, and 2969 deaths from all causes were documented through the follow-up between 1971 and 1992. After controlling for potential confounding variables, severe overall actinic skin damage was associated with a 45% higher risk for all-cause mortality (95% CI: 1.22, 1.72; P<0.001), moderate overall skin damage with a 20% higher risk (95% CI: 1.08., 1.32; P<0.001), and minimal overall skin damage with no significant mortality difference, when compared to those with no skin damage. Similar results were obtained for all-cause mortality with fine telangiectasia, solar elastosis, and actinic keratoses. The results were similar for cancer and cardiovascular disease mortality. Conclusions The present study gives an indication of an association of actinic skin damage with cardiovascular disease, cancer and all-cause mortality in white subjects. Given the lack of support in the scientific literature and potential unmeasured confounding factors, this finding should be interpreted with caution. More independent studies are needed before any practical recommendations can be made.

He, Wei; Zhu, Fei; Ma, Xiaoguang; Zhao, Xinyu; Zheng, Min; Chen, Zhao; Heymsfield, Steven B.; Zhu, Shankuan

2011-01-01

105

Energy and Fat Intakes of Children and Adolescents in the United States: Data from the National Health and Nutrition Examination Surveys. American Journal of Clinical Nutrition, vol. 72, supple. 5S  

Microsoft Academic Search

Presents secular trends in energy and fat intakes among youth ages 2 to 19 to assess dietary factors that may relate to observed increases in overweight prevalence. Dietary intake data collected in the National Health and Nutrition Examination Survey in the 1970s compared to data collected in 1988-1994 show that mean total fat and saturated fat intakes declined as a

Richard P. Troiano; Ronette R. Briefel; Margaret D. Carroll; Karil Bialostosky

2001-01-01

106

Patterns of alcohol drinking and its association with obesity: data from the third national health and nutrition examination survey, 1988–1994  

Microsoft Academic Search

BACKGROUND: Recent reports suggest that alcohol use may have a protective effect on obesity. This study explores association between obesity and alcohol consumption in the non-smoking U.S. adult population. METHODS: We analyzed data on a total of 8,236 respondents who participated in the Third National Health and Nutrition Examination Survey. Body mass index (weight-kg\\/height-m2) was derived from measured height and

Ahmed A Arif; James E Rohrer

2005-01-01

107

Comparison of Nutrient Intakes for Vegetarians, Non-Vegetarians, and Dieters: Results from the National Health and Nutrition Examination Survey 1999-2004  

Microsoft Academic Search

Studies showing lower body mass index for vegetarians than non-vegetarians suggest that a vegetarian diet may be an approach for weight management. The purpose of this study was to compare nutrient intakes of vegetarians, non-vegetarians, and dieters to show that a vegetarian diet does not compromise nutrient intake. National Health and Nutrition Examination Survey (1999-2004) data were analyzed for persons

Bonnie Farmer; A. J. Rainville; G. U. Liepa; B. Larson; V. Fulgoni

2009-01-01

108

Thirty-year Trends in Cardiovascular Risk Factor Levels among US Adults with Diabetes National Health and Nutrition Examination Surveys, 1971-2000  

Microsoft Academic Search

Among US adults with diabetes, using data from the National Health and Nutrition Examination Survey for 1971-1974, 1976-1980, 1988-1994, and 1999-2000, the authors describe 30-year trends in total cholesterol, blood pressure, and smoking levels. Using Bayesian models, the authors calculated mean changes per year and 95% credible intervals for age-adjusted mean total cholesterol and blood pressure levels and the prevalence

Giuseppina Imperatore; Betsy L. Cadwell; Linda Geiss; Jinan B. Saadinne; Desmond E. Williams; Earl S. Ford; Theodore J. Thompson; K. M. Venkat Narayan

109

Structural Trends in the Aging Femoral Neck and Proximal Shaft: Analysis of the Third National Health and Nutrition Examination Survey Dual-Energy X-Ray Absorptiometry Data  

Microsoft Academic Search

Hip scans of U.S. adults aged 20 -99 years acquired in the Third National Health and Nutrition Examination Survey (NHANES III) using dual-energy X-ray absorptiometry (DXA) were analyzed with a structural analysis program. The program analyzes narrow (3 mm wide) regions at specific locations across the proximal femur to measure bone mineral density (BMD) as well as cross-sectional areas (CSAs),

THOMAS J. BECK; ANNE C. LOOKER; CHRISTOPHER B. RUFF; HARRI SIEVANEN; HEINZ W. WAHNER

2000-01-01

110

Association of a polychlorinated dibenzo- p-dioxin, a polychlorinated biphenyl, and DDT with diabetes in the 1999–2002 National Health and Nutrition Examination Survey  

Microsoft Academic Search

The association of a polychlorinated dibenzo-p-dioxin, a polychlorinated biphenyl, and p,p?-DDT with diabetes was evaluated using the 1999–2002 National Health and Nutrition Examination Survey. Persons 20 years old and older were included. Relationships with diagnosed diabetes, undiagnosed diabetes (glycohemoglobin (HbA1c) >6.1%), and total diabetes (diagnosed plus undiagnosed) were tested. When all three chemicals were evaluated together for total diabetes, the

Charles J. Everett; Ivar L. Frithsen; Vanessa A. Diaz; Richelle J. Koopman; William M. Simpson; Arch G. Mainous

2007-01-01

111

Blood lead concentration and children’s anthropometric dimensions in the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994  

Microsoft Academic Search

Objective: To assess the association between lead exposure and children’s physical growth. Design: Cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey, 1988-1994. Participants: A total of 4391 non-Hispanic white, non-Hispanic black, and Mexican-American children age 1 to 7 years. Measurements and Results: We investigated the association between blood lead concentration and stature, head circumference, weight,

Carol Ballew; Laura Kettel Khan; Rachel Kaufmann; Ali Mokdad; Dayton T. Miller; Elaine W. Gunter

1999-01-01

112

Relationship between dietary vitamin C intake and pulmonary function in the First National Health and Nutrition Examination Survey (NHANES 1)12  

Microsoft Academic Search

We assessed the relationship between dietary vitamin C intake and the level of pulmonary function (forced expinatory volume in 1 5, FEV1) in 2526 adults seen as part of the first National Health and Nutrition Examination Survey (NHANES I) between 1971 and 1974. Multiple-linear-regression analysis was performed with ln FEV1 as the dependent variable. After age, height, body mass index,

Joel Schwartz; Scott T Weiss

113

Association of APOE polymorphism with chronic kidney disease in a nationally representative sample: a Third National Health and Nutrition Examination Survey (NHANES III) Genetic Study  

Microsoft Academic Search

BACKGROUND: Apolipoprotein E polymorphisms (APOE) have been associated with lowered glomerular filtration rate (GFR) and chronic kidney disease (CKD) with e2 allele conferring risk and e4 providing protection. However, few data are available in non-European ethnic groups or in a population-based cohort. METHODS: The authors analyzed 5,583 individuals from the Third National Health and Nutrition Examination Survey (NHANES III) to

Audrey Y Chu; Rulan S Parekh; Brad C Astor; Josef Coresh; Yvette Berthier-Schaad; Michael W Smith; Alan R Shuldiner; Wen Hong L Kao

2009-01-01

114

Association between Serum Perfluorooctanoic Acid (PFOA) and Thyroid Disease in the U.S. National Health and Nutrition Examination Survey  

PubMed Central

Background Perfluorooctanoic acid (PFOA, also known as C8) and perfluorooctane sulfonate (PFOS) are stable compounds with many industrial and consumer uses. Their persistence in the environment plus toxicity in animal models has raised concern over low-level chronic exposure effects on human health. Objectives We estimated associations between serum PFOA and PFOS concentrations and thyroid disease prevalence in representative samples of the U.S. general population. Methods Analyses of PFOA/PFOS versus disease status in the National Health and Nutrition Examination Survey (NHANES) for 1999–2000, 2003–2004, and 2005–2006 included 3,974 adults with measured concentrations for perfluorinated chemicals. Regression models were adjusted for age, sex, race/ethnicity, education, smoking status, body mass index, and alcohol intake. Results The NHANES-weighted prevalence of reporting any thyroid disease was 16.18% (n = 292) in women and 3.06% (n = 69) in men; prevalence of current thyroid disease with related medication was 9.89% (n = 163) in women and 1.88% (n = 46) in men. In fully adjusted logistic models, women with PFOA ? 5.7 ng/mL [fourth (highest) population quartile] were more likely to report current treated thyroid disease [odds ratio (OR) = 2.24; 95% confidence interval (CI), 1.38–3.65; p = 0.002] compared with PFOA ? 4.0 ng/mL (quartiles 1 and 2); we found a near significant similar trend in men (OR = 2.12; 95% CI, 0.93–4.82; p = 0.073). For PFOS, in men we found a similar association for those with PFOS ? 36.8 ng/mL (quartile 4) versus ? 25.5 ng/mL (quartiles 1 and 2: OR for treated disease = 2.68; 95% CI, 1.03–6.98; p = 0.043); in women this association was not significant. Conclusions Higher concentrations of serum PFOA and PFOS are associated with current thyroid disease in the U.S. general adult population. More work is needed to establish the mechanisms involved and to exclude confounding and pharmacokinetic explanations.

Melzer, David; Rice, Neil; Depledge, Michael H.; Henley, William E.; Galloway, Tamara S.

2010-01-01

115

Use of nicotine replacement therapy among never smokers in the 1999–2006 National Health and Nutrition Examination Surveys  

Microsoft Academic Search

Nicotine replacement therapies (NRT) have been available without a prescription in the United States since 1996. Given that nicotine, at least as it is delivered through tobacco products, is addictive, we examined whether NRT was being used by individuals who have never smoked cigarettes. Adults (n=18,986) and adolescents (n=9187) who participated in the in-home survey and physical examination components of

Karen K. Gerlach; Jeffrey M. Rohay; Joseph G. Gitchell; Saul Shiffman

2008-01-01

116

Relationship Between Obesity and Diabetes in a US Adult Population: Findings from the National Health and Nutrition Examination Survey, 1999–2006  

Microsoft Academic Search

Background  Obesity is one of the most important modifiable risk factors for the prevention of type 2 diabetes. The aim of this study\\u000a was to examine the prevalence of diabetes with increasing severity of obesity and the distribution of HbA1c levels in diabetics\\u000a participating in the latest National Health and Nutrition Examination Survey (NHANES).\\u000a \\u000a \\u000a \\u000a \\u000a Methods  Data from a representative sample of adults

Ninh T. Nguyen; Xuan-Mai T. Nguyen; Ping Wang

2011-01-01

117

Hepatitis B Vaccination Prevalence and its Predictors Among Asian, Pacific Islander, Native American, and Multiracial Adults in the National Health and Nutrition Examination Survey  

Microsoft Academic Search

Hepatitis B Virus (HBV) vaccination prevalence and its predictors were estimated among Asian, Pacific Islander, Native American,\\u000a and Multiracial (A-PI-NA-M) adults. Using 2005 National Health and Nutrition Examination Survey data, estimates of HBV vaccination\\u000a among A-PI-NA-M adults (N = 233) were compared with all other racial\\/ethnic groups. Multivariable logistic regression was used to estimate predictors\\u000a of vaccination. Among A-PI-NA-M adults 42% (95%CI

John W. AyersHee-Soon; Hee-Soon Juon; Sunmin Lee; Eunmi Park

2010-01-01

118

Innovations in national nutrition surveys.  

PubMed

The aim of this paper is to describe innovations taking place in national nutrition surveys in the UK and the challenges of undertaking innovations in such settings. National nutrition surveys must be representative of the overall population in characteristics such as socio-economic circumstances, age, sex and region. High response rates are critical. Dietary assessment innovations must therefore be suitable for all types of individuals, from the very young to the very old, for variable literacy and/or technical skills, different ethnic backgrounds and life circumstances, such as multiple carers and frequent travel. At the same time, national surveys need details on foods consumed. Current advances in dietary assessment use either technological innovations or simplified methods; neither lend themselves to national surveys. The National Diet and Nutrition Survey (NDNS) rolling programme, and the Diet and Nutrition Survey of Infants and Young Children (DNSIYC), currently use the 4-d estimated diary, a compromise for detail and respondent burden. Collection of food packaging enables identification of specific products. Providing space for location of eating, others eating, the television being on and eating at a table, adds to eating context information. Disaggregation of mixed dishes enables determination of true intakes of meat and fruit and vegetables. Measurement of nutritional status requires blood sampling and processing in DNSIYC clinics throughout the country and mobile units were used to optimise response. Hence, innovations in national surveys can and are being made but must take into account the paramount concerns of detail and response rate. PMID:23336562

Stephen, Alison M; Mak, Tsz Ning; Fitt, Emily; Nicholson, Sonja; Roberts, Caireen; Sommerville, Jill

2013-02-01

119

Healthy eating index scores are associated with blood nutrient concentrations in the third National Health and Nutrition Examination Survey  

Microsoft Academic Search

ObjectivesThe Healthy Eating Index (HEI) is a summary measure of dietary quality, based on a 100-point scale. Our objectives were to assess the HEI as a measure of dietary status through its correlation with nutritional biomarkers and to identify those biomarkers most associated with diet quality and healthful food intake patterns.

Stephanie J. Weinstein; Tara M. Vogt; Shirley A. Gerrior

2004-01-01

120

Paper P3-2 1996 Update: The Third National Health and Nutrition Examination Survey (NHANES III)  

Microsoft Academic Search

The health and nutritional status of the U.S. population two months of age and older was assessed during NHANES III, 1988-94. NHANES III is comprised of two 3-yr phases, each of which constituted a national sample; data for the entire 6-yr time period are combined to form a larger national sample. The NHANES III sample consisted of 39, 695 individuals.

Margaret McDowell

121

Association between total homocyst(e)ine and the likelihood for a history of acute myocardial infarction by race and ethnicity: Results from the Third National Health and Nutrition Examination survey  

Microsoft Academic Search

Background Few studies examining the association between total homocyst(e)ine and coronary heart disease have included blacks or Hispanics.Methods Data from the third National Health and Nutrition Examination Survey (3173 patients), a nationally representative survey of US adults, were used to examine the relation between total homocyst(e)ine and an electrocardiogram or a physician's diagnosis of acute myocardial infarction (259 patients) among

Wayne H. Giles; Janet B. Croft; Kurt J. Greenlund; Earl S. Ford; Steven J. Kittner

2000-01-01

122

Bone Mineral Density and Food-frequency in Korean Adults: The 2008 and 2009 Korea National Health and Nutrition Examination Survey  

PubMed Central

Background Diet and Nutrition are important modulators of bone health in men and women. We investigated the associations between frequency of food intake among certain food groups and bone mineral density (BMD) in a large population of Korean adults. Methods We used the data from Korea National Health and Nutrition Examination Survey during 2008 to 2009. Participants were aged 20 years and over. BMDs were measured at lumbar spine and femoral neck with dual-energy X-ray absorptiometry. Dietary and supplement intakes were assessed by food-frequency questionnaire. We used multiple linear regression analysis to evaluate the relationships between annual food-frequency of each food group and BMD. Results After adjustment of multiple covariates, femoral neck and lumbar BMD significantly increased as the frequency of fruit consumption increased in both men and women. Frequency of other carbohydrates consumption was significantly associated with greater femoral neck and lumbar BMD for women. Frequency of milk and dairy product consumption was significantly associated with greater femoral neck BMD in men. Other food groups, however, had no significant associations with BMDs. Conclusion Frequent consumption of fruit has a positive association with BMDs in men and women. Milk and dairy products and other carbohydrates also had positive effects on BMD for men and women, respectively.

Yoon, Eui-Hyun; Noh, Hyoung; Lee, Hyang-Mee; Park, Hoon-Ki; Park, Yong-Soon

2012-01-01

123

Low economic status is associated with suboptimal intakes of nutritious foods by adults in the National Health and Nutrition Examination Survey 1999-2002  

Microsoft Academic Search

Chronic diseases are the leading cause of death among older Americans. Many of the chronic health conditions that result in the loss of independence, disability, and reduced quality of life in older adults are preventable through healthful lifestyle including proper nutrition. Household income is a major economic factor that impacts food choices and nutritional status of individuals. The study examines

Shanthy Bowman

2007-01-01

124

Monitoring sodium intake of the US population: impact and implications of a change in what we eat in America, National Health and Nutrition Examination Survey dietary data processing.  

PubMed

Accurate monitoring of US sodium intake requires familiarity with national dietary data collection and processing procedures. This article describes a data processing step that impacts sodium intake estimates, reasons for discontinuing the step, and implications of its discontinuation. This step, termed salt adjustment, was performed in US Department of Agriculture (USDA) dietary intake surveys from 1985 through 2008. In What We Eat in America (WWEIA), the dietary intake interview component of the National Health and Nutrition Examination Survey (NHANES), the salt content of specific foods was reduced on the basis of a question about household use of salt in cooking. For individuals whose households used salt in cooking occasionally or less often, some or all of the salt attributable to home preparation was removed from foods that typically have salt added during preparation and were obtained from the store. The growing availability of preprepared foods in stores challenges the validity of using store purchase as a proxy indicator of home food preparation, and increased restaurant/fast-food consumption implies fewer reported foods are eligible for the procedure. In addition, USDA's Automated Multiple-Pass Method for the 24-hour dietary recall provides accurate sodium intake estimates without applying the salt-adjustment step. The final WWEIA, NHANES data release to contain salt-adjusted sodium data was 2007-2008. When assessing the effectiveness of sodium-reduction efforts over time, the nutrition community (eg, researchers, analysts, providers) must be aware of this change in WWEIA, NHANES beginning in 2009-2010 and account for it using appropriate baseline estimates. PMID:23567248

Sebastian, Rhonda S; Wilkinson Enns, Cecilia; Steinfeldt, Lois C; Goldman, Joseph D; Moshfegh, Alanna J

2013-04-06

125

25-Hydroxyvitamin D, insulin resistance, and kidney function in the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Previous research has reported reduced serum 25-hydroxyvitamin D levels in patients with chronic kidney disease (CKD), although the relationship between vitamin D status and insulin resistance (IR) in patients with CKD has not been examined in the general population. We examined the association that kidney function, based on glomerular filtration rate (eGFR) estimated from serum creatinine, has with serum levels

M Chonchol; R Scragg

2007-01-01

126

Assessment of chronic mercury exposure within the U.S. population, National Health and Nutrition Examination Survey, 1999–2006  

Microsoft Academic Search

The purpose of this study was to assess chronic mercury exposure within the US population. Time trends were analyzed for blood\\u000a inorganic mercury (I-Hg) levels in 6,174 women, ages 18–49, in the NHANES, 1999–2006 data sets. Multivariate logistic regression\\u000a distinguished a significant, direct correlation within the US population between I-Hg detection and years since the start\\u000a of the survey (OR = 1.49,

Dan R. Laks

2009-01-01

127

Has Income-related Inequity in Health Care Utilization and Expenditures Been Improved? Evidence From the Korean National Health and Nutrition Examination Survey of 2005 and 2010  

PubMed Central

Objectives The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea. Methods We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners. Results The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010. Conclusions We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.

Kim, Eunkyoung; Xu, Ke

2013-01-01

128

Lean beef contributes significant amounts of key nutrients to the diets of US adults: National Health and Nutrition Examination Survey 1999-2004.  

PubMed

Consumption of lean meat is a valuable addition to a healthy diet because it provides complete protein and is a rich source of vitamin B(12), iron, and zinc. The objective of this study was to examine the nutritional contribution of total beef and lean beef (LB) to the American diet using the USDA definition of LB as defined in MyPyramid. Twenty-four-hour dietary recall data from adults 19 to 50 years of age (n = 7049) and 51+ years (n = 6243) participating in the National Health and Nutrition Examination Survey 1999-2004 were assessed. Lean beef was defined as beef with <9.28 g fat per 100 g (excess was discretionary fat). Fifty percent of adults 19 to 50 years and 41% of adults 51+ years consumed beef on the day of the dietary recall. Total beef consumed among adults 19 to 50 and 51+ years was 49.3 +/- 1.4 g (1.74 oz/d) and 37.1 +/- 1.2 g (1.31 oz/d), respectively. In adults 19 to 50 and 51+ years, LB contributed 3.9% and 3.7% to total energy; 4.5% and 4.1% to total fat, 3.8% and 3.6% to saturated fatty acids; 13% and 11% to cholesterol intake; 15% and 14% to protein; 25% and 20% to vitamin B(12); 23% and 20% to zinc; and 8% and 7% to iron, respectively. Beef was also an important food source of many other nutrients, including niacin, vitamin B(6), phosphorus, and potassium. In addition, beef provided only 1% of total sodium intake. Consumption of beef contributed significantly to intake of protein and other key nutrients by US adults. PMID:20650344

Zanovec, Michael; O'Neil, Carol E; Keast, Debra R; Fulgoni, Victor L; Nicklas, Theresa A

2010-06-01

129

Red cell distribution width and risk of peripheral artery disease: analysis of National Health and Nutrition Examination Survey 1999-2004.  

PubMed

Red cell distribution width (RDW) is an independent predictor of the 10-year estimated risk of coronary heart disease (CHD) events. However, RDW's association with peripheral artery disease (PAD) - a CHD risk equivalent - has not been evaluated to date. In this cross-sectional study, we examined 6950 participants of the National Health and Nutrition Examination Survey, 1999-2004. PAD was defined as an ankle-brachial index below 0.9 (n = 618). RDW was divided into quartiles (Q) (Q1: ? 12.2; Q2: 12.3-12.5; Q3: 12.6-13.0; Q4: ? 13.1) and PAD risk was compared across these quartiles using adjusted multivariate logistic regression. A graded increase in prevalent PAD with increasing RDW quartiles was observed (4.2% in Q1 vs 13.9% in Q4; test of trend p < 0.001). Risk of PAD was significantly higher (odds ratio (OR) 1.19, 95% confidence interval (CI): 1.06-1.34; p = 0.003) after adjusting for age, sex, race, body mass index, hypertension, hyperlipidemia, diabetes, smoking, estimated glomerular filtration rate, C-reactive protein, hemoglobin, mean corpuscular volume, and nutritional factors (folate, iron and vitamin B(12)) deficiencies with each unit (0.1) increase in RDW. Upon receiver-operating characteristics analysis, the predictive accuracy of the American College of Cardiology / American Heart Association (ACC/AHA)-defined PAD screening criteria (for a high-risk population) was 0.657 at best, but improved significantly (0.727) after addition of RDW (p < 0.0001). In conclusion, higher levels of RDW are independently associated with a higher risk of PAD and can significantly improve the risk prediction beyond that estimated by ACC/AHA-defined PAD screening criteria. PMID:22615191

Zalawadiya, Sandip K; Veeranna, Vikas; Panaich, Sidakpal S; Afonso, Luis

2012-06-01

130

Alcohol-drinking patterns and metabolic syndrome risk: the 2007 Korean National Health and Nutrition Examination Survey  

Microsoft Academic Search

Alcohol consumption has been known to be related to the prevalence of metabolic syndrome (MS). Although some studies have revealed that mild to moderate alcohol consumption reduces the risk of MS, most of these studies have focused the effect of alcohol consumption amount on MS. We examined the association between alcohol-drinking patterns and MS by using the alcohol use disorders

Kyu-Won Lee; Byoung-Jin Park; Hee-Taik Kang; Yong-Jae Lee

2011-01-01

131

Plasma Pyridoxal 5'-phosphate (PLP) in the United States population: the National Health and Nutrition Examination Survey, 2003-2004  

Technology Transfer Automated Retrieval System (TEKTRAN)

No large-scale, population-based study has considered the descriptive epidemiology of vitamin B6 status using the biological marker, plasma pyridoxal 5’ - phosphate (PLP). Consequently, how vitamin B6 status varies with basic demographic and lifestyle factors is unclear. We sought to examine the epi...

132

Acculturation and Diabetes Among Hispanics: Evidence from the 1999-2002 National Health and Nutrition Examination Survey  

Microsoft Academic Search

b SYNOPSIS Objective. Hispanic individuals in the United States have a greater prevalence of diabetes mellitus than non-Hispanic white individuals; however, it is unclear whether Hispanics' risk of diabetes differs based on their level of acculturation. The purpose of our research was to examine acculturation among Hispanic Americans with respect to prevalence and control of diabetes. Methods. We conducted an

Arch G. Mainous; Azeem Majeed; Richelle J. Koopman; Richard Baker; Charles J. Everett; Barbara C. Tilley

133

Menopause, postmenopausal hormone use and serum uric acid levels in US women – The Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

INTRODUCTION: Despite the substantial prevalence of gout in the ageing female population, female hormonal influence has not been comprehensively examined. We evaluated and quantified the potential independent association between menopause, postmenopausal hormone use and serum uric acid levels in a nationally representative sample of women. METHODS: Using data from 7662 women aged 20 years and older in the Third National

A Elisabeth Hak; Hyon K Choi

2008-01-01

134

The association between gout and nephrolithiasis: The National Health and Nutrition Examination Survey III, 1988-1994  

Microsoft Academic Search

Background: Gout, an inflammatory arthritis, reportedly afflicts more than 2 million men and women in the United States. Previous reports have suggested an association between gout and kidney stone disease; however, these studies did not adjust for such important potential confounders as obesity and the presence of hypertension. To our knowledge, no published study has examined the independent association between

Holly Mattix Kramer; Gary Curhan

2002-01-01

135

Weight loss from maximum body weight and mortality: the Third National Health and Nutrition Examination Survey Linked Mortality File  

Microsoft Academic Search

Objective:The aim of this longitudinal study is to examine the relationship between weight loss from maximum body weight, body mass index (BMI), and mortality in a nationally representative sample of men and women.Design:Longitudinal cohort study.Subjects:In all, 6117 whites, blacks, and Mexican-Americans 50 years and over at baseline who survived at least 3 years of follow-up, from the Third National Health

D D Ingram; M E Mussolino

2010-01-01

136

The associations between blood lipids and the Food Guide Pyramid: findings from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Background. Dietary recommendations are based on nutrients, foods, and food groups, but the relationship between the Food Guide Pyramid (FGP) food groups and serum lipids has not been studied.Methods. NHANES III data were obtained for US adults who met the following criteria: aged 20–59 years, reliable participant, and typical 24-h recall. We examined whether serum lipids (serum total cholesterol (STC),

Desiree L Tande; Larry Hotchkiss; Nancy Cotugna

2004-01-01

137

Non-Linear Relationship between Serum 25-Hydroxyvitamin D and Hemoglobin in Korean Females: The Korean National Health and Nutrition Examination Survey 2010-2011  

PubMed Central

Background Anemia and vitamin D deficiency are both important health issues; however, the nature of the association between vitamin D and either hemoglobin or anemia remains unresolved in the general population. Methods Data on 11,206 adults were obtained from the fifth Korean National Health and Nutritional Examination Survey. A generalized additive model was used to examine the threshold level for relationship between serum 25-hydroxyvitamin D [25(OH)D] and hemoglobin levels. A multivariate logistic regression for anemia was conducted according to 25(OH)D quintiles. All analyses were stratified according to sex and menstrual status. Results The generalized additive model confirmed a threshold 25(OH)D level of 26.4 ng/mL (male, 27.4 ng/mL; premenopausal females, 11.8 ng/mL; postmenopausal females, 13.4 ng/mL). The threshold level affected the pattern of association between 25(OH)D and anemia risk: the odds ratio of the 1st quintile but not the 2nd, 3rd, and 4th quintiles were significantly different from the 5th quintile in both premenopausal and postmenopausal females, however there was no obvious trend in males. Conclusions This population-based study demonstrated a non-linear relationship with a threshold effect between serum 25(OH)D and hemoglobin levels in females. Further interventional studies are warranted to determine whether the appropriate level of hemoglobin can be achieved by the correction of vitamin D deficiency.

Kim, Ho; Lee, Su Mi; Oh, Yun Jung; Lee, Jung Pyo; Kim, Sejoong; Joo, Kwon Wook; Lim, Chun Soo; Kim, Yon Su; Kim, Dong Ki

2013-01-01

138

Concentrations of bisphenol A and seven other phenols in pooled sera from 3-11 year old children: 2001-2002 National Health and Nutrition Examination Survey.  

PubMed

Concerns exist regarding children's exposure to bisphenol A (BPA) and other phenols because of the higher sensitivity, compared to adults, of children's developing organs to endocrine disruptors. Several studies reported the urinary concentrations of these phenols in children, but data on levels of these compounds in children's serum are limited. We present here the total (free plus conjugated) and free concentrations of BPA and seven other phenols in 24 pooled serum samples prepared from individual specimens collected from 936 children 3-11 years old who participated in the 2001-2002 National Health and Nutrition Examination Survey. We detected benzophenone-3, triclosan, 2,4-dichlorophenol, 2,5- dichlorophenol, and three parabens in at least 60% of the pools suggesting children's exposure to these compounds or their precursors. Conjugated phenols were the major species. However, although many previous studies have shown widespread detection of BPA in children's urine, we only detected total or free BPA in 3 and 2 pooled serum samples, respectively, at concentrations of 0.1-0.2 ?g/L. The nonpersistent nature of BPA and the phenols examined and the likely episodic nature of the exposures to these compounds (or their precursors) suggest that for general population biomonitoring of these nonpersistent phenols, urine, not serum or plasma, is the preferred matrix. PMID:23102149

Ye, Xiaoyun; Zhou, Xiaoliu; Wong, Lee-Yang; Calafat, Antonia M

2012-11-05

139

A Catalog of Rules, Variables, and Definitions Applied to Accelerometer Data in the National Health and Nutrition Examination Survey, 2003-2006  

PubMed Central

Introduction The National Health and Nutrition Examination Survey (NHANES) included accelerometry in the 2003–2006 data collection cycles. Researchers have used these data since their release in 2007, but the data have not been consistently treated, examined, or reported. The objective of this study was to aggregate data from studies using NHANES accelerometry data and to catalogue study decision rules, derived variables, and cut point definitions to facilitate a more uniform approach to these data. Methods We conducted a PubMed search of English-language articles published (or indicated as forthcoming) from January 2007 through December 2011. Our initial search yielded 74 articles, plus 1 article that was not indexed in PubMed. After excluding 21 articles, we extracted and tabulated details on 54 studies to permit comparison among studies. Results The 54 articles represented various descriptive, methodological, and inferential analyses. Although some decision rules for treating data (eg, criteria for minimal wear-time) were consistently applied, cut point definitions used for accelerometer-derived variables (eg, time spent in various intensities of physical activity) were especially diverse. Conclusion Unique research questions may require equally unique analytical approaches; some inconsistency in approaches must be tolerated if scientific discovery is to be encouraged. This catalog provides a starting point for researchers to consider relevant and/or comparable accelerometer decision rules, derived variables, and cut point definitions for their own research questions.

Camhi, Sarah M.; Troiano, Richard P.

2012-01-01

140

Low-Risk Lifestyle Behaviors and All-Cause Mortality: Findings From the National Health and Nutrition Examination Survey III Mortality Study  

PubMed Central

Objectives. We examined the relationship between 4 low-risk behaviors—never smoked, healthy diet, adequate physical activity, and moderate alcohol consumption—and mortality in a representative sample of people in the United States. Methods. We used data from 16958 participants aged 17 years and older in the National Health and Nutrition Examination Survey III Mortality Study from 1988 to 2006. Results. The number of low-risk behaviors was inversely related to the risk for mortality. Compared with participants who had no low-risk behaviors, those who had all 4 experienced reduced all-cause mortality (adjusted hazard ratio [AHR]=0.37; 95% confidence interval [CI]=0.28, 0.49), mortality from malignant neoplasms (AHR=0.34; 95% CI=0.20, 0.56), major cardiovascular disease (AHR=0.35; 95% CI=0.24, 0.50), and other causes (AHR=0.43; 95% CI=0.25, 0.74). The rate advancement periods, representing the equivalent risk from a certain number of years of chronological age, for participants who had all 4 high-risk behaviors compared with those who had none were 11.1 years for all-cause mortality, 14.4 years for malignant neoplasms, 9.9 years for major cardiovascular disease, and 10.6 years for other causes. Conclusions. Low-risk lifestyle factors exert a powerful and beneficial effect on mortality.

Zhao, Guixiang; Tsai, James; Li, Chaoyang

2011-01-01

141

Patterns of use of insulin-sensitizing agents among diabetic, borderline diabetic and non-diabetic women in the National Health and Nutrition Examination Surveys.  

PubMed

The purpose of this cross-sectional study based on the 2001-2006 National Health and Nutrition Examination Survey is to examine demographic, socioeconomic, lifestyle and reproductive characteristics that may distinguish users and non-users of insulin sensitizing agents among the US diabetic, borderline diabetic and non-diabetic women. Use of insulin-sensitizing agents was evaluated among 19,579 (3882 diabetic, 387 borderline diabetic and 15,310 non-diabetic) women. Overall, 2% of women in the study sample were users of insulin-sensitizers, including metformin, rosiglitazone and pioglitazone. Multivariate logistic regression models were constructed for predictors of insulin-sensitizer use according to diabetic status. In the overall sample, being younger or diabetic were the only factors associated with an increased odds of using insulin-sensitizing agents, after adjustment of confounders. Among diabetics, use of insulin-sensitizing agents was inversely related to age, but not other factors in the multivariable model. Among borderline and non-diabetics, body mass index (BMI) was the only predictor that remained significantly associated with the use of insulin-sensitizing agents after controlling for confounders. In conclusion, the main predictors of insulin-sensitizer use are young age and diabetic status in all women, young age in diabetic women and high BMI in borderline and non-diabetic women. PMID:23323803

Beydoun, Hind; Kancherla, Vijaya; Stadtmauer, Laurel; Beydoun, May

2013-01-17

142

Markers of Sleep-Disordered Breathing and Metabolic Syndrome in a Multiethnic Sample of US Adults: Results from the National Health and Nutrition Examination Survey 2005-2008  

PubMed Central

Previous studies have documented an association between markers of sleep-disordered breathing (SDB) and metabolic syndrome. However, it is not clear if there are gender or ethnic differences in this association. We examined 6,122 participants aged ?20 years from the National Health and Nutrition Examination Survey 2005–08. Metabolic syndrome was defined as the presence of ?3 of the following components: (1) abdominal obesity, (2) elevated blood triglycerides, (3) low HDL cholesterol, (4) high BP, and (5) hyperglycemia. SDB severity was defined based on an additive summary score including sleep duration, snoring, snorting, and daytime sleepiness. We found that short sleep duration, snoring, snorting, daytime sleepiness and the summary SDB score were significantly associated with metabolic syndrome independent of potential confounders. Compared to those without any sleep disturbance, the multivariable odds ratio (OR) (95% confidence interval [CI]) of metabolic syndrome among those with three or more sleep disturbances was 3.92 (2.98–5.16). In subgroup analyses, this association was consistently present among men and women and all race-ethnic groups. In summary, SDB was independently associated with metabolic syndrome in a nationally representative sample of US adults.

Sabanayagam, Charumathi; Zhang, Ruoxin; Shankar, Anoop

2012-01-01

143

Drinking pattern and blood pressure among non-hypertensive current drinkers: findings from 1999-2004 National Health and Nutrition Examination Survey  

PubMed Central

Context and objective Epidemiological studies show the apparent link between excessive alcohol consumption and hypertension. However, the association between alcohol intake and blood pressure among non-hypertensive individuals is scarcely examined. Methods This analysis included participants in the 1999–2004 National Health and Nutrition Examination Survey who were aged 20 to 84 years without a diagnosis of cardiovascular disease, hypertension or pregnancy, whose systolic/diastolic blood pressure (SBP/DBP) was lower than 140/90 mmHg, who were not on antihypertensive medication, and who consumed 12 drinks or more during the past 12 months (N = 3957). Average drinking volume (average alcohol intake per day), usual drinking quantity (drinks per day when drinking) and frequency of binge drinking were used to predict SBP/DBP. Covariates included age, gender, race/ethnicity, education level, smoking status, average physical activity level, and daily hours spent on TV/ video/computer. Results Drinking volume was directly associated with higher SBP in a linear dependent manner (an increment of 10 g of alcohol per day increased average SBP by 1 mmHg among both men and women). Drinking above the US Dietary Guidelines (men more than two drinks and women more than one drink per drinking day) was associated with higher SBP. Binge drinking was associated with both higher SBP and higher DBP. Average intake greater than two drinks per day was particularly associated with higher DBP among women (P = 0.0003). Conclusion This analysis from a population-based survey indicates a direct association between higher alcohol consumption and a higher prevalence of prehypertension among non-hypertensive drinkers.

Fan, Amy Z; Li, Yan; Elam-Evans, Laurie D; Balluz, Lina

2013-01-01

144

Relationship between Food-frequency and Glycated Hemoglobin in Korean Diabetics: Using Data from the 4th Korea National Health and Nutrition Examination Survey  

PubMed Central

Background This study was performed to evaluate the association between food intake frequencies and long-term blood glucose control using glycated hemoglobin (HbA1c) in Korean diabetes. Methods This study used data collected from the 4th Korea National Health and Nutrition Examination Survey. Patients with diabetes were defined as people who responded "yes" to the question "Are you currently suffering from diabetes?" or in whom serum fasting glucose was 126 mg/dL or more. Using the food frequency questionnaire and HbA1c in surveys, we examined the association between the annual food-frequencies of each food group and long-term blood glucose control. Results After adjustment for other covariates, HbA1c decreased significantly as the frequency of the intake of fish increased in each population (P = 0.001 for all, P = 0.043 for men, P = 0.001 for women). The intake of mackerel played an especially important role in the control of diabetes. Among women, HbA1c decreased as the frequency of intake of legumes increased (P = 0.029) and increased as the frequency of intake of staple carbohydrates increased (P = 0.015). On the other hand, any intake of other food groups showed no significant relationship with HbA1c. Conclusion Frequent intake of fish in all populations and legumes in woman were associated with good glycemic control in diabetics. Frequent intake of carbohydrates was associated with elevated HbA1c in women.

Lee, Kyoung-Lack; Yoon, Eui-Hyun; Lee, Hyang-Mee; Park, Hoon-Ki

2012-01-01

145

Assessments of nutrient intake and metabolic profiles in Korean adolescents according to exercise regularity using data from the 2008 Korean National Health and Nutrition Examination Survey.  

PubMed

The purpose of this study was to assess the metabolic profile and nutrient intake data in Korean adolescents according to exercise regularity using the forth Korean National Health and Nutrition Examination Survey from 2008 data. A total of 834 Korean adolescents (440 boys, 394 girls) aged 12 to 18 years were classified into exercising male (EM), non-exercising male (NM), exercising female (EF), and non-exercising female (NF) groups. EM exhibited significantly higher weight (P < 0.001), waist circumference (WC) (P < 0.01) and body mass index (BMI) (P < 0.001) than NM. EF showed significantly greater height (P < 0.01), weight (P<0.001), WC (P < 0.001), and BMI (P < 0.001) than NF. Although ratios of macronutrient intake were within the appropriate range in all groups, energy, riboflavin, vitamin C and calcium were assessed as in adequate by the nutritional adequacy ratio (NAR) in all groups. Moreover, EF and NF had inadequate intake of vitamin A and iron according to NAR, respectively. There were significant correlations between height and NAR protein (r = 0.249, P < 0.001), and mean adequacy ratio (MAR) (r = 0.177, P < 0.01), and between weight and NAR protein (r = 0.180, P < 0.01), and MAR(r = 0.136, P < 0.05) in EM. On the other hand, there were significant correlations between weight and NAR protein (r = 0.270, P < 0.01), WC and NAR protein (r = 0.271, P < 0.01), and BMI and NAR protein (r = 0.326, P < 0.01) in NM. There were significant correlations height and NAR Fe (r = 0.153, P < 0.05) in EF. However, there were no significant correlations between metabolic factors and nutritional adequacy in NF. Although we noted no significant differences in MAR between the groups, the exercising groups showed higher MAR values than the non-exercising groups. Therefore, practicing of ideal dietary behaviors appears to be induced through physical activity and regular exercise in Korean adolescents. PMID:21487499

Cho, Kang Ok; Nam, Sang Nam; Kim, Yeon Soo

2011-02-28

146

Nutritional contribution of lean beef in diets of children (9-13 Years): National Health and Nutrition Examination Survey, 1999-2004  

Technology Transfer Automated Retrieval System (TEKTRAN)

NHANES, 1999-2004, 24-hr dietary recalls were used to examine the contribution of Lean Beef (LB) to total nutrient intake in diets of children 9-13 years (n=3,273), and determine dietary intake differences between LB consumers and non-consumers. LB was defined by MyPyramid Equivalents Database as be...

147

Advance Data from Vital and Health Statistics, Number 349. Prevalence of Leading Types of Dietary Supplements Used in the Third National Health and Nutrition Examination Survey, 1988-94.  

National Technical Information Service (NTIS)

This report presents the prevalence of the leading types of dietary supplements taken during the third National Health and Nutrition Examination Survey (NHANES III), 1988-94. Approximately 40 percent of the U.S. population 2 months of age and older report...

R. B. Ervin J. D. Wright D. Reed-Gillette

2004-01-01

148

Association of erythrocyte protoporphyrin with blood lead level and iron status in the second National Health and Nutrition Examination Survey, 1976-1980  

SciTech Connect

Both iron status and body burden of lead influence heme biosynthesis. Measurement of protophorphyrin IX in the circulating erythrocyte (EP) has been used to index the extent of lead exposure and iron deficiency. The association of iron status and blood lead level with the level of EP in whole blood for persons ages 6 months through 74 years in the general US population has been investigated by using data obtained in the second National Health and Nutrition Examination Survey (NHANES II). Iron status was defined as a function of percentage transferrin saturation (%TS) and total iron-binding capacity (TIBC). Both low iron status (%TS less than or equal to 16.0 or TIBC greater than or equal to 450 ..mu..g/dl serum) and elevated blood lead levels (greater than or equal to 30 ..mu..g/dl) were associated with increased EP concentrations. The analysis of the proportions of persons in the US population with EP levels above the 95th percentile (30 ..mu..g EP/dl of whole blood in the NHANES II data) support the concern that iron status has considerable influence on interpretation of EP levels recommended for use in screening programs aimed at identifying children with lead toxicity. With screening techniques based on EP only, currently used in various public health programs, a considerable number of children with blood lead levels of greater than or equal to 30 and less than or equal to 50 ..mu..g/dl are not referred for further diagnostic evaluation.

Mahaffey, K.R.; Annest, J.L.

1986-10-01

149

Physical activity among cancer survivors and those with no history of cancer-- a report from the National Health and Nutrition Examination Survey 2003-2006  

PubMed Central

Introduction: Cancer survivors are at greater risk for chronic diseases that make regular physical activity a challenge. The purpose of this manuscript was to compare physical activity levels among five-year cancer survivors and those with no history of cancer, and to determine risk factors for physical inactivity. Methods: Participants who completed the physical activity monitoring portion of the National Health and Nutrition Examination Survey (NHANES) in 2003-04 and 2005-06 were included in these analyses. Physical activity collected via accelerometer was used to determine who completed recommended amounts of physical activity according to Centers for Disease Control (CDC) guidelines. Associations between physical activity and cancer status were evaluated with multiple logistic regressions. Results: 95.5% of five-year cancer survivors and 87.3% of those with no cancer history did not meet the CDC guidelines. After adjusting for sex, age, race, education and chronic conditions, cancer survivors were 1.7 (95% CI: 1.0, 2.9) times more likely than those with no cancer history to fail to meet CDC guidelines for physical activity. Conclusions: Neither the general population nor cancer survivors met the CDC guidelines for physical activity. Cancer survivors were less likely to meet recommendations and may need tailored interventions designed to take into account comorbid conditions to increase their physical activity levels.

Smith, Webb A; Nolan, Vikki G; Robison, Leslie L; Hudson, Melissa M; Ness, Kirsten K

2011-01-01

150

Sexual Orientation and Mortality Among US Men Aged 17 to 59 Years: Results From the National Health and Nutrition Examination Survey III  

PubMed Central

Objectives. We investigated associations between minority sexual orientation and mortality among US men. Methods. We used data from a retrospective cohort of 5574 men aged 17 to 59 years, first interviewed in the National Health and Nutrition Examination Survey III (NHANES III; 1988–1994) and then followed for mortality status up to 18 years later. We classified men into 3 groups: those reporting (1) any same-sex sexual partners (men who have sex with men [MSM]; n = 85), (2) only female sexual partners (n = 5292), and (3) no sexual partners (n = 197). Groups were then compared for all-cause mortality, HIV-related mortality, suicide-related mortality, and non–HIV-related mortality. Results. Compared with heterosexual men, MSM evidenced greater all-cause mortality. Approximately 13% of MSM died from HIV-related causes compared with 0.1% of men reporting only female partners. However, mortality risk from non–HIV-related causes, including suicide, was not elevated among MSM. Conclusions. In the United States, the HIV epidemic continues to be the major contributing factor for premature death rates among MSM. Cohorts such as the NHANES III offer a unique opportunity to track the effects of the HIV epidemic on this population.

Mays, Vickie M.

2011-01-01

151

25-Hydroxyvitamin D insufficiency is associated with cardiometabolic risk in Korean adolescents: the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES).  

PubMed

OBJECTIVE: Vitamin D insufficiency is known to be related to cardiometabolic disorders; however, the associations among serum 25-hydroxyvitamin D (25(OH)D) concentration and metabolic syndrome and cardiometabolic risk factors in children and adolescents have not yet been clearly delineated. For this reason, we investigated the relationship among serum 25(OH)D concentration and metabolic syndrome and cardiometabolic risk factors among Korean adolescents. DESIGN: We performed a cross-sectional analysis and used hierarchical multivariate logistic regression analysis models to adjust for confounding variables. SETTING: We used the data gathered during the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES). SUBJECTS: Our subjects included 1504 Korean adolescents aged 12-18 years who participated in the KNHANES. RESULTS: Vitamin D insufficiency, defined as 25(OH)D concentration <50 nmol/l, was found in 75·3 % of Korean adolescents and was associated with an increased risk of the prevalence of metabolic syndrome. Waist circumference and BMI were the most closely correlated cardiometabolic components of metabolic syndrome according to serum 25(OH)D status, but no significant relationship was found between serum 25(OH)D concentration and insulin resistance or for the risks for high blood pressure, hyperglycaemia, reduced HDL-cholesterol or hypertriacylglycerolaemia, with or without adjustment for confounding variables. CONCLUSIONS: Low serum 25(OH)D concentration appears to be associated with several cardiometabolic risk factors and an increased risk of the prevalence of metabolic syndrome in Korean adolescents. PMID:23168294

Nam, Ga Eun; Kim, Do Hoon; Cho, Kyung Hwan; Park, Yong Gyu; Han, Kyung Do; Kim, Seon Mee; Lee, Seung Hwan; Ko, Byung Joon; Ji Kim, Min

2012-11-20

152

An assessment of the performance of self-reported vaccination status for hepatitis B, national health and nutrition examination survey 1999-2008.  

PubMed

Objectives. We sought to assess the performance of self-reported vaccination with hepatitis B vaccine (HepB) compared with serological status for hepatitis B markers in the general US civilian population. Methods. Using 1999 through 2008 National Health and Nutrition Examination Survey data, we calculated 3 measures of agreement between self-reported HepB vaccination status and serological status: percent concordance, and positive (PPV) and negative predictive values (NPV) of self-report. Logistic regression was used to identify factors associated with agreement between self-report and serological status. Results. Overall agreement was 83% (95% CI?=?82.3, 83.7), NPV of self-report was high (0.95; 95% CI?=?0.93, 0.95) and PPV was low (0.53; 95% CI?=?0.51, 0.54). Birth year relative to the 1991 recommendation for universal infant HepB vaccination had a strong association with agreement, however, the association was positive for those who reported receiving at least 3 doses and negative for those who reported receiving no doses. Conclusions. Although the low PPV in our study could be attributable in part to waning of vaccine-induced anti-HBs over time, national adult HepB vaccination coverage may be lower than previously estimated because national estimates usually depend on self-report of vaccine receipt. PMID:23948014

Denniston, Maxine M; Byrd, Kathy K; Klevens, R Monina; Drobeniuc, Jan; Kamili, Saleem; Jiles, Ruth B

2013-08-15

153

Questionnaire Predictors of Atopy in a US Population Sample: Findings From the National Health and Nutrition Examination Survey, 2005-2006  

PubMed Central

Allergic conditions and biochemical measures are both used to characterize atopy. To assess questionnaires’ ability to predict biochemical measures of atopy, the authors used data on 5 allergic conditions (allergy, hay fever, eczema, rhinitis, and itchy rash) and serum-specific immunoglobulin E (IgE) levels from the 2005–2006 National Health and Nutrition Examination Survey. Atopy was defined as 1 or more positive specific IgEs (?0.35 kU/L). Questionnaire responses were assessed for sensitivity, specificity, and positive and negative predictive values for atopy. In this population-based US sample, 44% of participants were specific IgE-positive and 53% reported at least 1 allergic condition. Discordance between atopy and allergic conditions was considerable; 37% of persons with atopy reported no allergic condition, and 48% of persons who reported an allergic condition were not atopic. Thus, no combination of self-reported allergic conditions achieved both high sensitivity and high specificity for IgE. The positive predictive value of reported allergic conditions for atopy ranged from 50% for eczema to 72% for hay fever, while the negative predictive value ranged from 57% for eczema to 65% for any condition. Given the high proportion of asymptomatic participants who were specific IgE-positive and persons who reported allergic conditions but were specific IgE-negative, it is unlikely that questionnaires will ever capture the same participants as those found to be atopic by biochemical measures.

Hoppin, Jane A.; Jaramillo, Renee; Salo, Paivi; Sandler, Dale P.; London, Stephanie J.; Zeldin, Darryl C.

2011-01-01

154

Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey  

SciTech Connect

The prevalence of occupational pleural thickening in the United States in the mid-1970s was estimated; since asbestos often reduces pleural thickening, this estimate in turn was used to estimate the presence of asbestos exposure. Chest x-rays obtained by the 1971-1975 National Health and Nutrition Examination Survey were reread by three readers using the International Labour Office criteria for diagnosis of pleural thickening consistent with dust exposure. All 289 x-rays showing any pleural abnormalities plus a 3-to-1 age-, sex-, and race-matched control series were reread. Using two of three readings as positive, and extrapolating to the US population from this defined sample, the authors showed that 2.3% of males and 0.2% of females had occupational pleural thickening on x-ray, with a strong increase with age in white males. This provides a US population estimate of 1.3 million people with occupational pleural thickening and approximately 8 million people with asbestos exposure in the mid-1970s. This cohort might make a substantial contribution to cancer mortality into the next century.

Rogan, W.J.; Gladenn, B.C.; Ragan, B.; Anderson, H.A.

1987-11-01

155

Health effects of sunlight exposure in the United States. Results from the first National Health and Nutrition Examination Survey, 1971-1974.  

PubMed

The dermatologic component of the first National Health and Nutrition Examination Survey (N = 20,637), conducted from 1971 through 1974, documented the deleterious effect of ultraviolet radiation on selected skin and eye conditions. Actinic skin damage was more frequent in white men with high as compared with low sunlight exposure, 36.7% vs 23.3%, respectively. Among white women, the corresponding figures were 34.1% vs 18.6%, respectively. Actinic damage was found more often in individuals with light eye color. Basal cell epitheliomas were found in 11.3% of white men aged 65 to 74 years who had severely actinic-damaged skin as compared with 1.0% of those with undamaged skin. Sunlight exposure was positively associated with localized hypomelanism, localized hypermelanism, seborrheic keratoses, senile lentigines, freckles, acne rosacea, spider nevi, varicose veins, venus star, dry skin, wrinkled skin, pterygia, arcus senilis, and a variety of minor oral lesions of the tongue, palate, and buccal mucosa. These findings suggest that a large number of dermatologic conditions, which may in part result from overexposure to sunlight, may be preventable. PMID:3257372

Engel, A; Johnson, M L; Haynes, S G

1988-01-01

156

Noise-induced hearing threshold shift among US adults and implications for noise-induced hearing loss: National Health and Nutrition Examination Surveys.  

PubMed

The objective of this study was to estimate the prevalence and evaluate the associated risk factors of the noise-induced hearing threshold shift (NITS) in the US adult population based on the National Health and Nutrition Examination Surveys (NHANES). The study population consisted of 5,418 individuals aged 20-69 years who had complete audiologic data from the NHANES database. Stringent criteria were used to define NITS. Prevalence of unilateral, bilateral, and total NITS and their association with several socio-demographic and hearing-related factors were evaluated. The prevalence of unilateral, bilateral, and total NITS was 9.4, 3.4 and 12.8%, respectively. Prevalence of bilateral NITS was higher in subjects with older age, male gender, white (non-Hispanic) and Hispanic ethnicities, education level less than or equal to high school diploma, married/living with partner status, Mexico as country of birth, service in armed forces, smoking history, diabetes, and different kinds of noise exposure. Odds of NITS were only higher in older people, males, and smokers. This study provides comprehensive information on the prevalence of NITS in the US adult population and its associated risk factors. More targeted interventions may be done for educational, preventative, and screening purposes. PMID:22389092

Mahboubi, Hossein; Zardouz, Shawn; Oliaei, Sepehr; Pan, Deyu; Bazargan, Mohsen; Djalilian, Hamid R

2012-03-03

157

High Blood Pressure, Hypertension, and High Pulse Pressure Are Associated with Poorer Cognitive Function in Persons Aged 60 and Older: The Third National Health and Nutrition Examination Survey  

PubMed Central

OBJECTIVES To test the hypothesis that hypertension, high blood pressure, and high pulse pressure (PP) are independently associated with lower cognitive function. DESIGN Cross-sectional study of persons examined in 1988 to 1994. SETTING U.S. noninstitutionalized population. PARTICIPANTS Six thousand one hundred sixty-three men and women aged 60 and older who participated in the Third National Health and Nutrition Examination Survey (NHANES III). MEASUREMENTS Measurements included blood pressure, short-portable Mini-Mental State Examination (sp-MMSE), self-reported history of hypertension, diagnosis, and treatment. RESULTS In the initial bivariate analysis within age groups of 60 to 64, 65 to 69, and 70 to 74, optimal blood pressure (<120/80 mmHg) was associated with best cognitive performance; the severe hypertension group had the poorest performance in all age groups except the very old (?80), where the pattern was reversed, showing poorest performance in the optimal blood pressure group and best in the group with moderate hypertension. This pattern changed slightly in multiple regression analyses modeling sp-MMSE as the outcome variable. Higher stage of hypertension according to the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and higher PP were associated with worse cognitive performance than normal blood pressure at ages 70 to 79 and 80 and older. No significant negative association was seen in subjects aged 60 to 69. Subjects with treated but uncontrolled hypertension had significantly lower sp-MMSE scores than those without hypertension or with controlled hypertension after controlling for age, sex, ethnicity, income, and PP. CONCLUSION At age 70 and older, high blood pressure, hypertension, and uncontrolled blood pressure are associated with poorer cognitive function than normal blood pressure. Optimal control of blood pressure may be useful in preserving neurocognitive loss as the population ages.

Obisesan, Thomas Olabode; Obisesan, Odunayo Abiodun; Martins, Sayyida; Alamgir, Laila; Bond, Vernon; Maxwell, Celia; Gillum, Richard Frank

2008-01-01

158

Residual dyslipidemia among United States adults treated with lipid modifying therapy (data from National Health and Nutrition Examination Survey 2009-2010).  

PubMed

Despite available medications for dyslipidemia, many treated patients still have suboptimal lipid levels. The aim of this study was to examine the extent of residual dyslipidemia in United States adults. Of 2509 United States adults aged ?18 years from the National Health and Nutrition Examination Survey (NHANES) 2009-2010, 1,129 (41.8% weighted) had hyperlipidemia on the basis of modified treatment guidelines for low-density lipoprotein (LDL) cholesterol according to risk category or pharmacologic treatment. Of these, 484 (42.4%) were treated with lipid-modifying therapy, and the proportions of subjects who still had LDL cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides, or non-HDL cholesterol not at recommended levels were examined. In this cohort treated for hyperlipidemia, the mean age was 60.1 ± 14.9 years, and 52% were men. Only 36.5% of subjects receiving treatment for hyperlipidemia were at goal or normal levels for all 3 lipids (LDL cholesterol, HDL cholesterol, and triglycerides). LDL cholesterol remained higher than goal for 37.5% of subjects, 28.9% had low HDL cholesterol, and 36.3% had elevated triglycerides. One, 2, and 3 lipid parameters were at abnormal levels in 32.4%, 23.0%, and 8.2% of subjects, respectively; 36.5% had no lipid disorder. In addition, 38.6% of treated subjects were above non-HDL cholesterol goal, and even in those at LDL cholesterol goal, 12.9% were not at non-HDL cholesterol goal. Those with cardiovascular disease conditions had poorer goal attainment of LDL cholesterol, HDL cholesterol, and composite all lipids than those without cardiovascular disease. In conclusion, despite widely available treatments for dyslipidemia, many patients remain at suboptimal lipid levels, indicating need for greater adherence to lifestyle and medical therapies to address these gaps in the management of dyslipidemia. PMID:23642513

Wong, Nathan D; Chuang, Joanna; Wong, Kalina; Pham, Amy; Neff, David; Marrett, Elizabeth

2013-04-30

159

Trends in serum lipids and hypertension prevalence among non-pregnant reproductive-age women: United States national health and nutrition examination survey 1999-2008.  

PubMed

Cardiovascular disease is one of the leading causes of death among reproductive-age women. In this study, we examine trends in the prevalence of dyslipidemia, hypertension, and related clinicians' advice among reproductive-age women. We conducted trend analysis of these factors among non-pregnant women aged 20-49 years (n = 5,768) using National Health and Nutrition Examination Survey (NHANES) data obtained between 1999 and 2008. Multiple linear regression and logistic regression analyses were used to examine linear trends over a 10-year period after adjusting for covariates. A downward trend was observed for the proportion of women with abnormal levels of low density lipoprotein (LDL; P = 0.038) and high density lipoprotein (HDL; P = 0.008) cholesterol from 1999 to 2008. In contrast, no significant changes were observed in the prevalence of abnormal total cholesterol (P = 0.948) and triglyceride levels (P = 0.300), or hypertension (P = 0.632). Based on the self-reported data, upward trends were observed in the rates of cholesterol checking (P = 0.002), high cholesterol (P = 0.012), receiving clinicians' advice to use lipid-lowering agents (P < 0.001) and patients' compliance with their advice (P < 0.001). Although rates of self-reported hypertension did not change over time (P = 0.120), receiving clinicians' advice to use antihypertensive medications (P = 0.003) and patients' compliance with these medications (P = 0.015) also increased significantly. Overall improvements in LDL and HDL cholesterol over this time period could be due to increases in related awareness, receiving advice to use medications, and patients' compliance with this advice. Use of antihypertensive medication has also increased among reproductive-age women in the US. PMID:23054453

Laz, Tabassum H; Rahman, Mahbubur; Berenson, Abbey B

2013-10-01

160

Association of Childhood Obesity with Atopic and Non-Atopic Asthma: Results from the National Health and Nutrition Examination Survey 1999-2006  

PubMed Central

Background Obesity and asthma prevalence have both risen among children over the last several decades, and research efforts increasingly suggest that obesity is associated with asthma. Some, but not all, studies have shown that the effect of obesity on asthma is stronger among non-atopic individuals than among those with atopy. Systemic inflammation may be a factor in this relationship. Objective To examine the association of obesity with atopic and non-atopic asthma among U.S. children and to assess the role of C-reactive protein. Design Nationally representative data from the National Health and Nutrition Examination Survey (NHANES) were used to examine the relationship of weight to current asthma using logistic regression. Overweight was defined as ? 85th percentile of BMI-for-age and obesity was defined as ? 95% percentile of BMI-for-age. The presence of at least one positive allergen-specific IgE was used to stratify the relationship by atopic status in 2005-2006 data (n=3,387). Setting and Participants Stratified, multi-stage probability sampling was used to identify survey participants. This analysis includes children age 2-19 (n=16,074) from the 1999-2006 NHANES who have information on BMI and current asthma. Main Outcome Measure Self-report of doctor-diagnosed current asthma. Results Obesity was significantly related to current asthma among children and adolescents (OR: 1.68, 95% CI: 1.33, 2.12). The association was stronger in non-atopic children (OR: 2.46, 95% CI: 1.21, 5.02) than in atopic children (OR: 1.34, 95% CI: 0.70, 2.57)(interaction p-value=0.09). C-reactive protein levels were associated with current asthma in non-atopic children, but not after adjusting for BMI. Conclusion Excess weight in children is associated with higher rates of asthma, especially asthma that is not accompanied by allergic disease.

Visness, Cynthia M.; London, Stephanie J.; Daniels, Julie L.; Kaufman, Jay S.; Yeatts, Karin B.; Siega-Riz, Anna-Maria; Calatroni, Agustin; Zeldin, Darryl C.

2010-01-01

161

Combined effects of perchlorate, thiocyanate, and iodine on thyroid function in the National Health and Nutrition Examination Survey 2007-08.  

PubMed

Perchlorate, thiocyanate, and low iodine intake can all decrease iodide intake into the thyroid gland. This can reduce thyroid hormone production since iodide is a key component of thyroid hormone. Previous research has suggested that each of these factors alone may decrease thyroid hormone levels, but effect sizes are small. We hypothesized that people who have all three factors at the same time have substantially lower thyroid hormone levels than people who do not, and the effect of this combined exposure is substantially larger than the effects seen in analyses focused on only one factor at a time. Using data from the 2007-2008 National Health and Nutrition Examination Survey, subjects were categorized into exposure groups based on their urinary perchlorate, iodine, and thiocyanate concentrations, and mean serum thyroxine concentrations were compared between groups. Subjects with high perchlorate (n=1939) had thyroxine concentrations that were 5.0% lower (mean difference=0.40 ?g/dl, 95% confidence interval=0.14-0.65) than subjects with low perchlorate (n=2084). The individual effects of iodine and thiocyanate were even smaller. Subjects with high perchlorate, high thiocyanate, and low iodine combined (n=62) had thyroxine concentrations 12.9% lower (mean difference=1.07 ?g/dl, 95% confidence interval=0.55-1.59) than subjects with low perchlorate, low thiocyanate, and adequate iodine (n=376). Potential confounders had little impact on results. Overall, these results suggest that concomitant exposure to perchlorate, thiocyanate, and low iodine markedly reduces thyroxine production. This highlights the potential importance of examining the combined effects of multiple agents when evaluating the toxicity of thyroid-disrupting agents. PMID:23473920

Steinmaus, Craig; Miller, Mark D; Cushing, Lara; Blount, Benjamin C; Smith, Allan H

2013-03-07

162

Body Mass Index and Waist Circumference According to Glucose Tolerance Status in Korea: The 2005 Korean Health and Nutrition Examination Survey  

PubMed Central

The purpose of this study was to investigate the stage of glucose intolerance in which persons showed a maximum obesity in Korea. A total of 4,479 participants, who were involved in the 2005 Korean National Health and Nutrition Examination Survey, was examined. The participants were divided into 5 groups by fasting plasma glucose (FPG); normal fasting glucose (NFG)1, FPG < 90 mg/dL; NFG2, FPG 90-99 mg/dL; impaired fasting glucose (IFG)1, FPG 100-109 mg/dL; IFG2, FPG 110-125 mg/dL; and diabetes mellitus, FPG ? 126 mg/dL or with anti-diabetes drugs. In those with FPG < 110 mg/dL, body mass index (BMI) and waist circumference (WC) were increased with increase of FPG (BMI in men; NFG1, 23.3 ± 0.1; NFG2, 24.4 ± 0.1; IFG1, 25.0 ± 0.2 kg/m2, in women; NFG1, 23.0 ± 0.1; NFG2, 24.0 ± 0.1; IFG1, 24.8 ± 0.2 kg/m2, WC in men; NFG1, 82.1 ± 0.3; NFG2, 85.3 ± 0.3; IFG1, 86.7 ± 0.5 cm, in women; NFG1, 77.1 ± 0.2; NFG2, 79.4 ± 0.3; IFG1, 81.8 ± 0.6 cm). In IFG2 and diabetes range, there was no more increase of BMI and WC with increase of FPG in each sex. The data suggest that degree of obesity increases with an increase of FPG in range of FPG < 100 mg/dL, peaked in FPG of 100-109 mg/dL, and then plateaus in higher FPG range in general Korean population.

Kang, Hye Mi

2012-01-01

163

Consumption of Sugar-Sweetened Beverages and Blood Pressure in the United States: The National Health and Nutrition Examination Survey 2003-2006  

PubMed Central

High sugar intake has been suggested to be related to hypertension. To examine the associations between intakes of sugar and sugar-sweetened beverages (SSBs) and the prevalence of hypertension, we used the US National Health and Nutrition Examination Survey (NHANES) 2003-2006. A total of 3,044 participants aged ?19 years were included. We calculated odds ratios (ORs) and 95% confidence intervals (CIs) using multivariate logistic regression model. Prevalent hypertension cases were defined as systolic blood pressure (SBP) of ?140 mmHg or diastolic blood pressure (DBP) of ?90 mmHg. In the multivariate adjusted models, we observed no association between sugar consumption and the prevalence of hypertension. In the model where we adjusted for age, gender, NHANES period and BMI, those who consumed ?3 times per day of sugar-sweetened beverages had an OR of 1.87 (95% confidence interval, CI = 1.06-3.26) for the prevalence of hypertension compared with those who consumed <1 time per month of these beverages. Further adjustment for other factors attenuated the association; ORs (95% CIs) were 1.21 (0.81-1.81) for 1 time per month-<3 times per week, 1.39 (0.86-2.24) for 3 times per week-<1 times per day, 1.26 (0.80-1.98) for 1-<3 times per day, and 1.50 (0.84-2.68) for ?3 times per day of sugar-sweetened beverages compared to the <1 time per month (p for trend = 0.33). In conclusion, we found that sugar consumption was not associated with the prevalence of hypertension, however there was suggestion that high sugar-sweetened beverage consumption was associated with high prevalence of hypertension in the US.

Kim, Young Ha; Abris, Grace P.; Sung, Mi-Kyung

2012-01-01

164

Allergy-related outcomes in relation to serum IgE: Results from the National Health and Nutrition Examination Survey 2005-2006  

PubMed Central

Background The National Health and Nutrition Examination Survey (NHANES) 2005–2006 was the first population-based study to investigate levels of serum total and allergen-specific immunoglobulin E (IgE) in the general US population. Objective We estimated prevalence of allergy-related outcomes and examined relationships between serum IgE levels and these outcomes in a representative sample of the US population. Methods Data for this cross-sectional analysis were obtained from the NHANES 2005–2006. Study subjects aged 6 years and older (N=8086) had blood taken for measurement of total IgE and 19 specific IgEs against common aeroallergens, including Alternaria alternata, Aspergillus fumigatus, Bermuda grass, birch, oak, ragweed, Russian thistle, rye grass, cat dander, cockroach, dog dander, dust mite (Dermatophagoides farinae and D. pteronyssinus), mouse and rat urine proteins; and selected foods (egg white, cow’s milk, peanut, and shrimp). Serum samples were analyzed for total and allergen-specific IgEs using the Pharmacia CAP System. Information on allergy-related outcomes and demographics was collected by questionnaire. Results In the NHANES 2005–2006, 6.6% reported current hay fever and 23.5% suffered from current allergies. Allergy-related outcomes increased with increasing total IgE (adjusted ORs for a 10-fold increase in total IgE =1.86, 95% CI:1.44–2.41 for hay fever and 1.64, 95% CI: 1.41–1.91 for allergies). Elevated levels of plant-, pet-, and mold-specific IgEs contributed independently to allergy-related symptoms. The greatest increase in odds was observed for hay fever and plant-specific IgEs (adjusted OR=4.75, 95% CI:3.83–5.88). Conclusion In the US population, self-reported allergy symptoms are most consistently associated with elevated levels of plant-, pet-, and mold-specific IgEs.

Salo, Paivi M.; Calatroni, Agustin; Gergen, Peter J.; Hoppin, Jane A.; Sever, Michelle L.; Jaramillo, Renee; Arbes, Samuel J.; Zeldin, Darryl C.

2011-01-01

165

Employment is associated with a lower prevalence of metabolic syndrome in postmenopausal women based on the 2007-2009 Korean National Health Examination and Nutrition Survey.  

PubMed

OBJECTIVE: This study aims to investigate the association between employment status and metabolic syndrome (MetS) in adult Korean women after stratification by menopause status. METHODS: We examined the relationship between employment status and the prevalence of MetS in 5,256 Korean women (3,141 premenopausal women and 2,115 postmenopausal women) who participated in the 2007-2009 Korean National Health Examination and Nutrition Survey. Employment status was classified as unemployed, employed part time, and employed full time based on a self-reported questionnaire. A modified Asian criterion based on a harmonized definition of MetS was adopted. Sampling weights were used to take the complex sampling method into account. RESULTS: The prevalences of MetS in the unemployed group, part-time employment group, and full-time employment group were 14.5%, 11.8%, and 12.7% in premenopausal women and 54.9%, 44.0%, and 41.8% in postmenopausal women, respectively. Compared with the unemployed group, the odds ratios (95% CIs) for MetS in the part-time and full-time employment groups were 0.79 (0.52-1.22) and 0.80 (0.56-1.16) in premenopausal women and 0.67 (0.46-0.97) and 0.66 (0.51-0.84) in postmenopausal women, respectively, after adjusting for covariates such as age, inflammatory marker, socioeconomic status, and lifestyle factors. CONCLUSIONS: Employment seems to be significantly related to a lower prevalence of MetS in postmenopausal women, but not in premenopausal women. However, there may not have been adequate statistical power to detect relations in premenopausal women. Further research is warranted to clarify the menopause-specific relationship between employment status and MetS risk. PMID:23760431

Kang, Hee-Taik; Kim, Hae-Young; Kim, Jong-Koo; Linton, John A; Lee, Yong-Jae

2013-06-10

166

Prevalence of Self-Reported Diabetes and Exposure to Organochlorine Pesticides among Mexican Americans: Hispanic Health and Nutrition Examination Survey, 1982-1984  

PubMed Central

Background The prevalence of diabetes is higher among Mexican Americans than among non-Hispanic whites. Higher serum levels of organochlorine pesticides in Mexican Americans have been reported. Few studies have explored the association between pesticide exposure and diabetes. Objectives We set out to examine the association between self-reported diabetes and serum concentrations of organochlorine pesticides among Mexican Americans residing in the southwestern United States from 1982 to 1984. Methods This study was conducted among a sample of 1,303 Mexican Americans 20–74 years of age from the Hispanic Health and Nutrition Examination Survey. Serum concentrations were available for seven pesticides or pesticide metabolites at quantifiable levels in at least 1% of the study population: p,p?-DDT (dichlorodiphenyltrichloroethane), p,p?-DDE (dichlorodiphenyldichloro-ethylene), dieldrin, oxychlordane, ?-hexachlorocyclohexane, hexachlorobenzene, and trans-nonachlor. We used logistic regression to evaluate the association of self-reported diabetes with exposure to organochlorine pesticides, with and without adjustment for total serum lipids. Nonfasting serum glucose values were compared among exposure groups. Results Self-reported diabetes was significantly associated with serum levels above the detectable limit for trans-nonachlor, oxychlordane, and ?-hexachlorocyclohexane and among those with the highest level of exposure to p,p?-DDT and p,p?-DDE. On adjustment for total serum lipids, the association with p,p?-DDT remained significant. Serum glucose levels were elevated among those exposed to trans-nonachlor and ?-hexachlorocyclohexane. Conclusion This study suggests that higher serum levels of certain organochlorine pesticides may be associated with increased prevalence of diabetes. Additional studies with more extensive clinical assessment are needed to confirm this association.

Cox, Shanna; Niskar, Amanda Sue; Narayan, K.M. Venkat; Marcus, Michele

2007-01-01

167

Association of physical activity with sarcopenia and sarcopenic obesity in community-dwelling older adults: the Fourth Korea National Health and Nutrition Examination Survey.  

PubMed

OBJECTIVE: this study examined the association of physical activity with sarcopenia and sarcopenic obesity among the community-dwelling Korean elderly. METHODS: subjects consisted of 2,264 aged 65 years or older in the 2008-09 Korea National Health and Nutrition Examination Survey. Sarcopenia was defined as 2 SD below the mean of the appendicular skeletal muscle/weight for healthy young adults. Obesity was defined as waist circumference ?90 cm for men and ?85 cm for women. Levels of physical activity were classified using the metabolic equivalent task method. RESULTS: the prevalence of sarcopenia was 12.1% in men and 11.9% in women. Among those with sarcopenia, obesity was prevalent in 68.3% of men and 65.0% of women. Adjusting for all covariates, compared with those with low physical activity, men who engaged in moderate and high activity were 38% and 74%, respectively, less likely to have sarcopenia (Ptrend < 0.001). In women, the relationship between physical activity and sarcopenia was not significant. For sarcopenic obesity, men participating in moderate [odds ratio (OR) = 0.47; 95% confidence interval (CI) 0.26-0.87] and high (OR = 0.27; 95% CI: 0.12-0.60) physical activity, compared with low activity, had significantly lower risk (Ptrend = 0.001). In women, high physical activity was associated with a lower risk of sarcopenic obesity (OR = 0.43; 95% CI: 0.22-0.86). CONCLUSION: physical activity is associated with a reduced risk of sarcopenia and sarcopenic obesity in older Korean adults. There were gender differences in the relationship, with stronger associations observed in men than in women. PMID:23761456

Ryu, Mikyung; Jo, Jaeseong; Lee, Yunhwan; Chung, Yoon-Sok; Kim, Kwang-Min; Baek, Weon-Chil

2013-06-11

168

Low bone mineral density is associated with dyslipidemia in South Korean men: The 2008-2010 Korean National Health and Nutrition Examination Survey.  

PubMed

This study examined the relationship between bone mineral density (BMD) and dyslipidemia in South Korean men. Data from 6,300 men who participated in the Korean National Health and Nutrition Examination Survey from 2008 to 2010 were analyzed, including serum levels of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG) after 8 hours of fasting and mean BMD measured at the lumbar spine (LS), total hip (TH), and femoral neck (FN). Dyslipidemia was defined according to the criteria of the National Cholesterol Education Program Adult Treatment Panel III. Other parameters of dyslipidemia were also calculated, such as TG/HDL-C, TC/HDL-C, non-HDL-C (NHDL-C), and LDL-C/HDL-C. Men with dyslipidemia and high levels of TG, TG/HDL-C, TC/HDL-C, NHDL-C, and LDL-C/HDL-C had lower BMD than men without dyslipidemia at the LS, TH, and FN after adjustment for age and body mass index (all p<0.01). On multivariable regression analysis, all odds ratios for high levels of TG, TG/HDL-C, TC/HDL-C, NHDL-C, and LDL-C/HDL-C with an increase in BMD (per standard deviation) were <1 at all 3 sites after adjustment for age and body mass index (model 1). After adjustment for all covariates, only odds ratios for high levels of TG, TG/HDL-C, TC/HDL-C, and NHDL-C were <1 at all 3 sites (model 2), but an increase in BMD was not associated with high LDL-C levels in models 1 and 2. In conclusion, BMD was inversely correlated with parameters of atherogenic dyslipidemia in South Korean men. PMID:23877056

Kim, Yang-Hyun; Nam, Ga-Eun; Cho, Kyung-Hwan; Choi, Youn Seon; Kim, Seon-Mee; Han, Byung-Duck; Han, Kyung Do; Lee, Kyung-Shik; Park, Chang-Hae; Kim, Do-Hoon

2013-07-23

169

Association between serum perfluorinated chemicals and thyroid function in u.s. Adults: the national health and nutrition examination survey 2007-2010.  

PubMed

Context: Perfluorinated chemicals (PFCs) have been widely used in a variety of products worldwide for years. The relationship between serum PFCs and thyroid function has never been addressed in a nationally representative survey. Objectives: The study examined the association between serum PFCs and thyroid function in the general U.S. population. Design and Participants: We selected 1181 subjects (aged >20 years) from a National Health and Nutrition Examination Survey (NHANES) in 2007 through 2008 and 2009 through 2010 to determine the relationship between serum PFCs and thyroid function. Data were adjusted for confounding variables. Results: The geometric means and 95% confidence interval (CI) concentrations of perfluorooctanoate (PFOA), perfluorooctane sulfonate, perfluorononanoic acid, and perfluorohexane sulfonate (PFHxS) were 4.15 (4.02-4.29), 14.2 (13.59-14.86), 1.54 (1.48-1.59), and 2.00 (1.89-2.11) ng/mL, respectively. After weighting for sampling strategy, we determined a 1-U increase in natural log-serum PFOA increased serum total T3 concentration by 6.628 ng/dL (95% CI = 0.545-12.712, P = .035) in women. A 1-U increase in natural log-PFHxS was associated with an increase of total T4 by 0.26 ?g/mL (95% CI = 0.108-0.413, P = .002) and total T3 by 4.074 ng/dL (95% CI = 2.232-5.916, P < .001) in women and a decrease of natural log-free T4 by 0.016 (ng/dL) (95% CI = -0.029 to 0.003, P = .019) in men. Conclusion: Higher serum concentrations of PFOA and PFHxS are associated with total T3, total T4, and free T4 in the U.S. general population. More studies are warranted to clarify the causal relationship between PFCs and thyroid function. PMID:23864701

Wen, Li-Li; Lin, Lian-Yu; Su, Ta-Chen; Chen, Pau-Chung; Lin, Chien-Yu

2013-07-17

170

Haemoglobin A1c, fasting glucose, serum C-peptide and insulin resistance in relation to serum uric acid levels--the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Objective. To evaluate haemoglobin A1c (HbA1c), fasting glucose, serum C-peptide and insulin resistance in relation to serum uric acid levels in a nationally representative sample of men and women. Methods. Using data from 14 664 participants aged 20 yrs and older in The US Third National Health and Nutrition Examination Survey (1988-1994), we examined the relation between the levels of

H. K. Choi; E. S. Ford

2008-01-01

171

Factors Affecting the Use of Dietary Supplements by Korean Adults: Data from the Korean National Health and Nutrition Examination Survey III  

Microsoft Academic Search

We investigated the use of dietary supplements among adult Korean consumers, including associations involving sociodemographic variables, lifestyle characteristics, health-related factors, and dietary supplement use. The data were derived from the 2005 third Korean National Health and Nutrition Examination data among 4,775 adults (1,983 men and 2,792 women) regarding medical examinations and diet. In general, 21.8% of the male and 32.0%

Jung-Sug Lee; Jeongseon Kim

2009-01-01

172

Association of Low Dietary Intake of Fiber and Liquids with Constipation: Evidence from the National Health and Nutrition Examination Survey (NHANES)  

PubMed Central

Objective Epidemiological studies support an association of self-defined constipation with fiber and physical activity, but not liquid intake. The aims of this study were to assess the prevalence and associations of dietary fiber and liquid intake to constipation. Methods Analyses were based on data from 10,914 adults (?20 years) from the 2005-2008 cycles of the National Health and Nutrition Examination Surveys (NHANES). Constipation was defined as hard or lumpy stools (Bristol Stool Scale types 1 or 2) as the “usual or most common stool type.” Dietary fiber and liquid intake from total moisture content were obtained from dietary recall. Co-variables included: age, race, education, poverty income ratio, body mass index, self-reported general health status, chronic illnesses, and physical activity. Prevalence estimates and prevalence odds ratios (POR) were analyzed in adjusted multivariable models using appropriate sampling weights. Results Overall, 9,373 (85.9%) adults (4,787 women and 4,586 men) had complete stool consistency and dietary data. Constipation rates were 10.2% (95% CI: 9.6,10.9) for women and 4.0 (95% CI: 3.2,5.0) for men (p<.001). After multivariable adjustment, low liquid consumption remained a predictor of constipation among women (POR: 1.3, 95% CI: 1.0,1.6) and men (POR: 2.4, 95% CI: 1.5,3.9); however, dietary fiber was not a predictor. Among women, African-American race/ethnicity (POR: 1.4, 95% CI: 1.0,1.9), being obese (POR: 0.7, 95% CI: 0.5,0.9), and having a higher education level (POR: 0.8, 95% CI: 0.7,0.9) were significantly associated with constipation. Conclusions The findings support clinical recommendations to treat constipation with increased liquid, but not fiber or exercise.

Markland, Alayne D.; Palsson, Olafur; Goode, Patricia S.; Burgio, Kathryn L.; Busby-Whitehead, Jan; Whitehead, William E.

2013-01-01

173

Risk factors for low vitamin D status in Korean adolescents: the Korea National Health and Nutrition Examination Survey (KNHANES) 2008-2009.  

PubMed

OBJECTIVE: To evaluate the prevalence of vitamin D deficiency and predictors for low vitamin D status in Korean adolescents living between latitudes 33° and 39°N. DESIGN: A descriptive cross-sectional study. SETTING: Korea National Health and Nutrition Examination Survey (KNHANES) 2008-2009. SUBJECTS: A total of 1510 healthy adolescents aged 12-18 years (806 male, mean age 14·7 years) participated. Possible predictors for low vitamin D status (log-transformed 25-hydroxyvitamin D (25(OH)D) concentrations) were evaluated. RESULTS: The prevalence of vitamin D deficiency (25(OH)D<20 ng/ml) was 89·1 % in spring, 53·7 % in summer, 63·9 % in autumn and 90·5 % in winter. Winter season, older age, higher education level reached, being female, being obese, a lack of vitamin D supplementation, lower milk consumption (0-<200 ml/d) and a lack of physical activity were unadjusted predictors (all P < 0·05). Multiple linear regression analysis showed that winter season (P < 0·001), higher education level (P < 0·001) and a lack of vitamin D supplementation (P = 0·012) were independent predictors for low vitamin D status. The modifying effect of season on the association between vitamin D supplement use and vitamin D status was significant (P < 0·001). CONCLUSIONS: Vitamin D deficiency was highly prevalent in Korean adolescents, especially those in higher school grades. Vitamin D supplementation may contribute to maintain a better vitamin D status with lower seasonal variation. Further studies are required to determine optimal vitamin D intakes to maintain sufficient vitamin D status for Korean adolescents. PMID:23462341

Lee, Young Ah; Kim, Hwa Young; Hong, Hyunsook; Kim, Ji Young; Kwon, Hyun Jin; Shin, Choong Ho; Yang, Sei Won

2013-03-01

174

Relations between QRS|T Angle, Cardiac Risk Factors, and Mortality in the Third National Health and Nutrition Examination Survey (NHANES III)  

PubMed Central

On the surface electrocardiogram (ECG), an abnormally wide QRS|T angle reflects changes in regional action potential duration profiles and in direction of repolarization sequence which is thought to increase the risk of ventricular arrhythmia. We investigated the relationship between abnormal QRS|T angle and mortality in a nationally representative sample of individuals without clinically evident heart disease. We studied 7,052 participants ? 40 years of age in the Third National Health and Nutrition Examination Survey (NHANES III) with 12-lead ECGs. Individuals with self-report or ECG evidence of a prior myocardial infarction, QRS duration ?120 msec, or history of heart failure were excluded. Borderline and abnormal spatial QRS|T angle were defined according to sex-specific 75th and 95th percentiles of frequency distributions. All-cause (n=1093 women, n=1191 men) and cardiovascular mortality (n=462 women, n=455 men) over 14 years was assessed through linkage with the National Death Index. In multivariable analyses, abnormal spatial QRS|T angle was associated with an increased hazard ratio (HR) for cardiovascular mortality in women (HR 1.82, 95% CI 1.05-3.14) and men (HR 2.21, 95% CI 1.32-3.68). An abnormal QRS|T angle was also associated with increased multivariable adjusted HRs for all-cause mortality in women (HR 1.30, 95% CI 0.95-1.78) and men (HR 1.87, 95% CI 1.29-2.7). Borderline QRS|T angle was not associated with increased risk for all-cause or cardiovascular mortality. In conclusion, abnormal QRS|T angle, as measured on a 12-lead ECG, was associated with increased risk for cardiovascular and all-cause mortality in this population-based sample without known heart disease.

Whang, William; Shimbo, Daichi; Levitan, Emily B.; Newman, Jonathan D.; Rautaharju, Pentti M.; Davidson, Karina W.; Muntner, Paul

2012-01-01

175

Factors and common conditions associated with adolescent dietary supplement use: an analysis of the National Health and Nutrition Examination Survey (NHANES)  

PubMed Central

Background Little is known about the prevalence of dietary supplement (DS) use in American adolescents. We conducted this study to analyze the prevalence of DS use and factors associated with this use in a national population-based sample. Methods We used data from the 1999 – 2002 National Health and Nutrition Examination Surveys (NHANES) for adolescents age 11 to 19. Using weighted logistic regression, we identified demographic and clinical factors associated with the use of any DS, vitamins or minerals, herbs and other DS. Results Among the 5,306 responses representing approximately 36 million Americans 11–19 years old, 27% reported use of one or more DS in the prior month. The most commonly used DS were: multivitamins (16%) and vitamin C (6%). In the multivariable analysis, African American [adjusted odds ratio 0.40 (0.31–0.50) 95% CI] and Mexican American [0.55 (0.44–0.69)] adolescents were less likely to use DS compared with non-Hispanic whites. DS use was more common in those who used prescription medications [1.37 (1.10–1.72)] and among those who had a diagnosis of chronic headaches [1.25 (1.04–1.50)]. DS use was less common among those reporting fair or poor health status [0.59 (0.40–0.88)]. Conclusion Twenty seven percent of American adolescents use DS. DS use is higher among teens that use prescription medications; physicians and pharmacists should be aware of this, ask patients, and check for potential interactions.

Gardiner, Paula; Buettner, Catherine; Davis, Roger B; Phillips, Russell S; Kemper, Kathi J

2008-01-01

176

Polyfluoroalkyl Chemicals in the U.S. Population: Data from the National Health and Nutrition Examination Survey (NHANES) 2003-2004 and Comparisons with NHANES 1999-2000  

PubMed Central

Background Polyfluoroalkyl chemicals (PFCs) have been used since the 1950s in numerous commercial applications. Exposure of the general U.S. population to PFCs is widespread. Since 2002, the manufacturing practices for PFCs in the United States have changed considerably. Objectives We aimed to assess exposure to perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), perfluorononanoic acid (PFNA), and eight other PFCs in a representative 2003–2004 sample of the general U.S. population ? 12 years of age and to determine whether serum concentrations have changed since the 1999–2000 National Health and Nutrition Examination Survey (NHANES). Methods By using automated solid-phase extraction coupled to isotope dilution–high-performance liquid chromatography–tandem mass spectrometry, we analyzed 2,094 serum samples collected from NHANES 2003–2004 participants. Results We detected PFOS, PFOA, PFHxS, and PFNA in > 98% of the samples. Concentrations differed by race/ethnicity and sex. Geometric mean concentrations were significantly lower (approximately 32% for PFOS, 25% for PFOA, 10% for PFHxS) and higher (100%, PFNA) than the concentrations reported in NHANES 1999–2000 (p < 0.001). Conclusions In the general U.S. population in 2003–2004, PFOS, PFOA, PFHxS, and PFNA serum concentrations were measurable in each demographic population group studied. Geometric mean concentrations of PFOS, PFOA, and PFHxS in 2003–2004 were lower than in 1999–2000. The apparent reductions in concentrations of PFOS, PFOA, and PFHxS most likely are related to discontinuation in 2002 of industrial production by electrochemical fluorination of PFOS and related perfluorooctanesulfonyl fluoride compounds.

Calafat, Antonia M.; Wong, Lee-Yang; Kuklenyik, Zsuzsanna; Reidy, John A.; Needham, Larry L.

2007-01-01

177

Prevalence of nonalcoholic fatty liver disease in the United States: the Third National Health and Nutrition Examination Survey, 1988-1994.  

PubMed

Previous estimates of the prevalence of nonalcoholic fatty liver disease (NAFLD) in the US population relied on measures of liver enzymes, potentially underestimating the burden of this disease. We used ultrasonography data from 12,454 adults who participated in the Third National Health and Nutrition Examination Survey, conducted in the United States from 1988 to 1994. We defined NAFLD as the presence of hepatic steatosis on ultrasonography in the absence of elevated alcohol consumption. In the US population, the rates of prevalence of hepatic steatosis and NAFLD were 21.4% and 19.0%, respectively, corresponding to estimates of 32.5 (95% confidence interval: 29.9, 35.0) million adults with hepatic steatosis and 28.8 (95% confidence interval: 26.6, 31.2) million adults with NAFLD nationwide. After adjustment for age, income, education, body mass index (weight (kg)/height (m)²), and diabetes status, NAFLD was more common in Mexican Americans (24.1%) compared with non-Hispanic whites (17.8%) and non-Hispanic blacks (13.5%) (P = 0.001) and in men (20.2%) compared with women (15.8%) (P < 0.001). Hepatic steatosis and NAFLD were also independently associated with diabetes, with insulin resistance among people without diabetes, with dyslipidemia, and with obesity. Our results extend previous national estimates of the prevalence of NAFLD in the US population and highlight the burden of this disease. Men, Mexican Americans, and people with diabetes and obesity are the most affected groups. PMID:23703888

Lazo, Mariana; Hernaez, Ruben; Eberhardt, Mark S; Bonekamp, Susanne; Kamel, Ihab; Guallar, Eliseo; Koteish, Ayman; Brancati, Frederick L; Clark, Jeanne M

2013-05-23

178

Elucidating the structural properties that influence the persistence of PCBs in humans using the National Health and Nutrition Examination Survey (NHANES) dataset.  

PubMed

In human exposure studies involving Polychlorinated Biphenyls (PCBs), it is useful to establish when an individual was potentially exposed. Age dating PCB exposure is complex but assessments can be made because different PCB congeners have different residence times in the human body. The less chlorinated congeners generally tend to have shorter residence times because they are biotransformed and eliminated faster than more chlorinated congeners. Therefore, the presence of high proportions of less chlorinated congeners is often indicative of recent exposure. The 2003-04 National Health and Nutrition Examination Survey (NHANES) dataset contains results for the concentration of 37 PCBs in a sub-sample of the US population. Multivariate statistical analysis of the NHANES data showed that less chlorinated congeners are not always biotransformed faster than higher chlorinated compounds. For example, PCB 28 (a tri-chlorobiphenyl) appears to be more resistant to biotransformation than PCB 101 and 110 (penta-chlorobiphenyls). Using statistical analysis of the NHANES data in conjunction with previously published studies on PCB persistence in humans, it was possible to identify the structural relationships that determine if a PCB is likely to be from a recent exposure (termed 'episodic') or from steady state exposure. Congeners with chlorine atoms in the 2,5- and 2,3,6-positions appear to be more susceptible to biotransformation whereas congeners with chlorine bonds in the 2,3,4- 2,4,5- 3,4,5- and 2,3,4,5-positions appear to be more persistent. This work shows that future investigations to date PCB exposure would benefit from the analysis of a wide range of congeners, including the selection of key congeners based not only on the degree of chlorination but also on the positions of the chlorine atoms on the biphenyl. PMID:23712120

Megson, David; O'Sullivan, Gwen; Comber, Sean; Worsfold, Paul J; Lohan, Maeve C; Edwards, Melanie R; Shields, Walter J; Sandau, Courtney D; Patterson, Donald G

2013-05-25

179

Association between Smoking and Latent Tuberculosis in the U.S. Population: An Analysis of the National Health and Nutrition Examination Survey  

PubMed Central

Background Evidence of an association between cigarette smoking and latent tuberculosis infection (LTBI) is based on studies in special populations and/or from high prevalence settings. We sought to evaluate the association between LTBI and smoking in a low prevalence TB setting using population-based data from the National Health and Nutrition Examination Survey (NHANES). Methods In 1999–2000, NHANES assessed LTBI (defined as a tuberculin skin test measurement ?10 mm) in participants, and those ?20 years of age were queried regarding their tobacco use and serum cotinine was measured. We evaluated the association of LTBI with self-reported smoking history and smoking intensity in multivariable logistic regression models that adjusted for known confounders (gender, age, birthplace, race/ethnicity, poverty, education, history of BCG vaccination, and history of household exposure to tuberculosis disease). Results Estimated LTBI prevalence was 5.3% among those ?20 years of age. The LTBI prevalence among never smokers, current smokers, and former smokers was 4.1%, 6.6%, and 6.2%, respectively. In a multivariable model, current smoking was associated with LTBI (OR 1.8; 95% CI, 1.1–2.9). The association between smoking and LTBI was strongest for Mexican-American and black individuals. In multivariate analysis stratified by race/ethnicity, cigarette packs per day among Mexican-American smokers and cotinine levels among black smokers, were significantly associated with LTBI. Conclusions In the large, representative, population-based NHANES sample, smoking was independently associated with significantly increased risks of LTBI. In certain populations, a greater risk of LTBI corresponded with increased smoking exposure.

Horne, David J; Campo, Monica; Ortiz, Justin R.; Oren, Eyal; Arentz, Matthew

2012-01-01

180

Patterns of alcohol drinking and its association with obesity: data from the third national health and nutrition examination survey, 1988-1994  

PubMed Central

Background Recent reports suggest that alcohol use may have a protective effect on obesity. This study explores association between obesity and alcohol consumption in the non-smoking U.S. adult population. Methods We analyzed data on a total of 8,236 respondents who participated in the Third National Health and Nutrition Examination Survey. Body mass index (weight-kg/height-m2) was derived from measured height and weight data and categorized into: normal weight, overweight, and obese. Alcohol consumption was measured using following measures: history of drinking, binge drinking, quantity of drinks/day, frequency of drinking, and average volume of drinks/week. Results Mean body mass index in this sample of non-smokers was 26.4 (95% CI: 26.1, 26.7). Approximately 46% of respondents were classified as current drinkers. Current drinkers had lower odds of obesity (Adjusted odds ratio = 0.73, 95% CI: 0.55, 0.97) as compared to non-drinkers. The odds of overweight and obesity were significantly greater among binge drinkers and those consuming four or more drinks/day. However, those who reported drinking one or two drinks per day had 0.46 (95% CI: 0.34, 0.62) and 0.59 (95% CI: 0.41, 0.86) times the odds of obesity, respectively. Similarly, the odds of obesity were significantly lower among those who reported drinking frequently and consuming less than five drinks per week. The association between overweight and other alcohol measures was less pronounced. Conclusion The results suggest further exploring the possible role of moderate alcohol drinking in controlling body weight in adults.

Arif, Ahmed A; Rohrer, James E

2005-01-01

181

National Prevalence and Risk Factors for Food Allergy and Relationship to Asthma: Results from the National Health and Nutrition Examination Survey 2005-2006  

PubMed Central

Background The national prevalence and patterns of food allergy (FA) in the United States (US) are not well understood. Objective We developed nationally representative estimates of the prevalence of and demographic risk factors for FA, and investigated associations of FA with asthma, hay fever, and eczema. Methods 8,203 participants in the National Health and Nutrition Examination Survey (NHANES) 2005–2006 had food-specific serum IgE measured to peanut, cow's milk, egg white, and shrimp. Food-specific IgE and age-based criteria were used to define Likely FA (LFA), Possible FA (PFA), and Unlikely FA (UFA), and to develop estimates of clinical FA. Self-reported data were used to evaluate demographic risk factors and associations with asthma and related conditions. Results In the US, the estimated prevalence of clinical FA was 2.5% (peanut 1.3%, milk 0.4%, egg 0.2%, shrimp 1.0%, not mutually exclusive). Risk of PFA/LFA was increased in non-Hispanic blacks (odds ratio (OR) 3.06; 95% confidence interval (CI) 2.14-4.36), males (1.87; 1.32-2.66), and children (2.04; 1.42-2.93). Study participants with doctor-diagnosed asthma (vs. no asthma) exhibited increased risk of all measures of food sensitization. Moreover, in those with LFA, the adjusted OR for current asthma (3.8; 1.5-10.7) and an emergency room (ER) visit for asthma in the past year (6.9; 2.4-19.7) were both notably increased. Conclusion Population-based serologic data on 4 foods indicate an estimated 2.5% of the US population has FA, and increased risk was found for blacks, males, and children. Additionally, FA could be an under-recognized risk factor for problematic asthma.

Liu, Andrew H.; Jaramillo, Renee; Sicherer, Scott H.; Wood, Robert A.; Bock, S. Allan; Burks, A. Wesley; Massing, Mark; Cohn, Richard D.; Zeldin, Darryl C.

2010-01-01

182

Ethnic disparities in cardiovascular risk factors and coronary disease prevalence among individuals with chronic kidney disease: findings from the Third National Health and Nutrition Examination Survey.  

PubMed

Differences in coronary disease have been reported among ethnic minorities in the US population. Whether these persist in patients with chronic kidney disease is unknown. The prevalence of myocardial infarction (MI) and angina was compared by race and GFR in the Third National Health and Nutrition Examination Survey using the Modification of Diet in Renal Disease Study equation. Age-gender standardized estimates were computed for each GFR category (>or=90, 60 to 89, and <60 ml/min per 1.73 m2), and odds ratios were compared using weighted multivariable logistic regression for each race. The age-gender standardized prevalence of MI was 3.0, 3.1, and 4.9% in white individuals; 2.8, 3.8, and 9.9% in black individuals; and 1.9, 2.9, and 3.8% in Mexican-American individuals in each category: >or=90, 60 to 89, and <60 ml/min, respectively. Compared with the referent (Mexican-American; GFR>or=90 ml/min; odds ratio 1.00), Mexican-American individuals with GFR of 60 to 89 and <60 ml/min had more than four and nine times the odds for MI; black individuals at successively lower GFR levels had 1.6, 6.1, and 16.3 times the odds for MI, whereas white individuals had 1.9, 4.7, and 20.2 times that of the referent, respectively. After adjustment for traditional risk factors, the inverse association of GFR with MI was substantially attenuated in black and white individuals and completely abolished in Mexican-American individuals. The burden of coronary disease is lower in Mexican-American than in white or black individuals with reduced kidney function even accounting for differences in traditional risk factors. PMID:16672316

Nguyen, Hoang Thanh; Stack, Austin G

2006-05-03

183

Exposure to environmental tobacco smoke and risk factors for heart disease among never smokers in the Third National Health and Nutrition Examination Survey.  

PubMed

The relative risk of coronary artery disease among never smokers exposed to environmental tobacco smoke (ETS) versus never smokers not exposed to ETS is approximately 1.2 based on more than a dozen epidemiologic studies. Most of these studies have controlled for the major heart disease risk factors, but residual or uncontrolled confounding remains a possible explanation for the epidemiologic findings. The authors studied 3,338 never-smoking adults aged 17 years or older, who are representative of all US never smokers, in the 1988-1991 Third National Health and Nutrition Examination Survey (NHANES III) to determine whether selected risk factors for heart disease differ between ETS-exposed and -nonexposed persons. Both self-reported ETS exposure (at home and at work) and serum cotinine levels were available, the latter reflecting recent ETS exposure. After adjustments were made for age, sex, race, and education among adults aged 17 years or older, no significant differences were found between the ETS exposed and the nonexposed for any of 13 cardiovascular risk factors with the exception of dietary carotene, which was lower among the exposed. On the other hand, significant positive linear trends were found between serum cotinine and two risk factors (body mass index and alcohol consumption), and significant inverse trends were found with dietary carotene. There were also few differences between exposed and nonexposed never smokers among adults aged 40 years or older, who are most at risk of heart disease. In this group, however, there was an inverse linear trend between serum cotinine and high density lipoprotein cholesterol (p < 0.001). This finding could result from ETS exposure rather than be an indication of confounding; a similar inverse trend was found for children, confirming other results in the literature. Overall, these data suggest little potential for confounding by the heart disease risk factors studied here when ETS exposure is determined by self-report. PMID:9596471

Steenland, K; Sieber, K; Etzel, R A; Pechacek, T; Maurer, K

1998-05-15

184

Serum PBDEs and Age at Menarche in Adolescent Girls: Analysis of the National Health and Nutrition Examination Survey 2003-2004  

PubMed Central

BACKGROUND Polybrominated Diphenyl Ethers (PBDEs), widely used as flame retardants since the 1970s, have exhibited endocrine disruption in experimental studies. Tetra- to hexa-BDE congeners are estrogenic, while hepta-BDE and 6-OH-BDE-47 are antiestrogenic. Most PBDEs also have antiandrogenic activity. It is not clear, however, whether PBDEs affect human reproduction. OBJECTIVES The analysis was designed to investigate the potential endocrine disruption of PBDEs on the age at menarche in adolescent girls. METHODS We analyzed the data from a sample of 271 adolescent girls (age 12–19 years) in the National Health and Nutrition Examination Survey (NHANES), 2003–2004. We estimated the associations between individual and total serum BDEs (BDE-28, -47, -99, -100, -153, and -154, lipid adjusted) and mean age at menarche. We also calculated the risk ratios (RRs) and 95% confidence intervals (CI) for menarche prior to age 12 years in relation to PBDE exposure. RESULTS The median total serum BDE concentration was 44.7 ng/g lipid. Higher serum PBDE concentrations were associated with slightly earlier ages at menarche. Each natural log unit of total BDEs was related to a change of ?0.10 (95% CI: ?0.33, 0.13) years of age at menarche and a RR of 1.60 (95% CI: 1.12, 2.28) for experiencing menarche before 12 years of age, after adjustment for potential confounders. CONCLUSION These data suggest high concentrations of serum PBDEs during adolescence are associated with a younger age of menarche.

Chen, Aimin; Chung, Ethan; DeFranco, Emily A.; Pinney, Susan M.; Dietrich, Kim N.

2011-01-01

185

Concentrations of the Sunscreen Agent Benzophenone-3 in Residents of the United States: National Health and Nutrition Examination Survey 2003-2004  

PubMed Central

Background The capability of benzophenone-3 (BP-3) to absorb and dissipate ultraviolet radiation facilitates its use as a sunscreen agent. BP-3 has other uses in many consumer products (e.g., as fragrance and flavor enhancer, photoinitiator, ultraviolet curing agent, polymerization inhibitor). Objectives Our goal was to assess exposure to BP-3 in a representative sample of the U.S. general population ? 6 years of age. Methods Using automated solid-phase extraction coupled to high-performance liquid chromatography–tandem mass spectrometry, we analyzed 2,517 urine samples collected as part of the 2003–2004 National Health and Nutrition Examination Survey. Results We detected BP-3 in 96.8% of the samples. The geometric mean and 95th percentile concentrations were 22.9 ?g/L (22.2 ?g/g creatinine) and 1,040 ?g/L (1,070 ?g/g creatinine), respectively. Least-square geometric mean (LSGM) concentrations were significantly higher (p ? 0.04) for females than for males, regardless of age. LSGM concentrations were significantly higher for non-Hispanic whites than for non-Hispanic blacks (p ? 0.01), regardless of age. Females were more likely than males [adjusted odds ratio (OR) = 3.5; 95% confidence interval (95% CI), 1.9–6.5], and non-Hispanic whites were more likely than non-Hispanic blacks (adjusted OR = 6.8; 95% CI, 2.9–16.2) to have concentrations above the 95th percentile. Conclusions Exposure to BP-3 was prevalent in the general U.S. population during 2003–2004. Differences by sex and race/ethnicity probably reflect differences in use of personal care products containing BP-3.

Calafat, Antonia M.; Wong, Lee-Yang; Ye, Xiaoyun; Reidy, John A.; Needham, Larry L.

2008-01-01

186

Naphthalene biomarkers and relationship with hemoglobin and hematocrit in White, Black, and Hispanic adults: results from the 2003-2004 National Health and Nutrition Examination Survey.  

PubMed

Naphthalene is an important contaminant in indoor and outdoor air. Acute overexposure can have toxic effects, resulting in hemolysis. There have been no studies evaluating the impact of environmental exposure on red blood cell indices. We examined 1- and 2-hydroxynaphthalene urinary metabolites (NAP1 and NAP2) in non-Hispanic White, non-Hispanic Black, and Mexican-American adults in the USA and their relationship with hemoglobin (Hb) and hematocrit (HCT). Using the 2003-2004 National Health and Nutrition Examination Survey data, weighted generalized linear regression analyses were used to examine the association between Hb (in grams per deciliter) and HCT (in percent) with NAP1 and NAP2 (per 100,000 ng/L). Beta coefficients ± SE are reported. NAP1 and NAP2 were highest in non-Hispanic Blacks, followed by non-Hispanic Whites, and lowest in Mexican-American adults. There was a positive association between NAP1 and Hb (0.39?±?0.11, p?=?0.0034) and HCT (1.14?±?0.28, p?=?0.0009) after adjusting for age, gender, race, education, and smoking. Stratified analysis by smoking showed similar results with the association being stronger for smokers (Hb 0.63?±?0.23, p?=?0.02; HCT 1.43?±?0.79, p?=?0.09) than nonsmokers (Hb 0.34?±?0.14, p?=?0.03; HCT 1.08?±?0.42, p?=?0.02). The association was also stronger for non-Hispanic blacks (Hb 0.54?±?0.20, p?=?0.02; HCT 1.43?±?0.55, p?=?0.02) than for non-Hispanic whites (Hb 0.37?±?0.18, p?=?0.06; HCT 1.20?±?0.51, p?=?0.03) and was not significant for Mexican-Americans (Hb 0.30?±?1.7, p?=?0.10; HCT 0.99?±?0.52, p?=?0.08). NAP2 was not significantly associated with Hb or HCT. The observed disparity in NAP1 and NAP2 levels by race/ethnicity is consistent with published literature. The origin of these differences in exposure is unclear but may reflect differences in environmental exposure as well as genetic susceptibility. The positive association between NAP1 with HCT and Hb is an unexpected finding. Further research is needed to understand the possible biological mechanisms or other explanations for this association. PMID:23007805

Sudakin, Daniel L; Smit, Ellen; Cardenas, Andres; Harding, Anna

2013-06-01

187

Lone mothers are at higher risk for cardiovascular disease compared with partnered mothers. Data from the National Health and Nutrition Examination Survey III (NHANES III).  

PubMed

Lone mothers are a disadvantaged population, with research in several countries indicating that they experience low levels of physical and mental health. While research has demonstrated a socioeconomic gradient for cardiovascular disease (CVD), little research has explored lifestyle and clinical risk for CVD and prevalence of CVD events in lone mothers. The purpose of this study is (1) to compare select CVD lifestyle risks (smoking, obesity, physical activity), health, and relevant sociodemographic variables in partnered versus lone mothers; (2) to examine the relationship between partner status and having experienced a CVD event (myocardial infarction [MI], congestive heart failure [CHF], stroke). Data from the U.S. National Health and Nutrition Examination Survey III (NHANES III) included 1,446 women over 60 years with one or more children less than 17 years old. Lone mothers included women who were widowed, divorced, separated, never married, or married without the spouse living in the household (n = 623; weighted sample represents n = 3,904,450). Partnered mothers included women who reported living as married or married with the spouse in the household (n = 832; weighted sample represents n = 8,614,362). Weighted logistic regression was used to compare the prevalence of CVD risk factors in lone (43%) ver sus partnered (57%) mothers. Multivariate modeling was used to examine the relationship between partner status, CVD risks, and Coronary Heart Disease (CHD) events. Compared with partnered mothers, lone mothers were less educated and reported lower levels of income, health, and social support; and they were more likely to report non-White ethnicity. Lone mothers were more likely to be current smokers, overweight or obese, and physically active than partnered mothers. Those with clinical risks for CVD, including diabetes, elevated C-reactive protein, hypercholesterolemia, or hypertension, or all of these were more likely to be lone mothers. After adjusting for age, we found that mothers who had experienced a CVD event (MI, CHF, or stroke) were 3.3 times more likely to be a lone mother than a partnered mother (95% confidence interval (CI) 3.24, 3.31). Lone mothers are at increased risk for CVD. Health professionals and lone mothers should collaborate in the development of programs and policies not only to reduce lone mothers' risk for CVD, but also improve their conditions of living. PMID:16126603

Young, L E; Cunningham, S L; Buist, D S M

2005-08-01

188

Comparing the association of GFR estimated by the CKD-EPI and MDRD study equations and mortality: the third national health and nutrition examination survey (NHANES III)  

PubMed Central

Background The Chronic Kidney Disease Epidemiology Collaboration equation for estimation of glomerular filtration rate (eGFRCKD-EPI) improves GFR estimation compared with the Modification of Diet in Renal Disease Study equation (eGFRMDRD) but its association with mortality in a nationally representative population sample in the US has not been studied. Methods We examined the association between eGFR and mortality among 16,010 participants of the Third National Health and Nutrition Examination Survey (NHANES III). Primary predictors were eGFRCKD-EPI and eGFRMDRD. Outcomes of interest were all-cause and cardiovascular disease (CVD) mortality. Improvement in risk categorization with eGFRCKD-EPI was evaluated using adjusted relative hazard (HR) and Net Reclassification Improvement (NRI). Results Overall, 26.9% of the population was reclassified to higher eGFR categories and 2.2% to lower eGFR categories by eGFRCKD-EPI, reducing the proportion of prevalent CKD classified as stage 3–5 from 45.6% to 28.8%. There were 3,620 deaths (1,540 from CVD) during 215,082 person-years of follow-up (median, 14.3?years). Among those with eGFRMDRD 30–59?ml/min/1.73?m2, 19.4% were reclassified to eGFRCKD-EPI 60–89?ml/min/1.73?m2 and these individuals had a lower risk of all-cause mortality (adjusted HR, 0.53; 95% CI, 0.34-0.84) and CVD mortality (adjusted HR, 0.51; 95% CI, 0.27-0.96) compared with those not reclassified. Among those with eGFRMDRD >60?ml/min/1.73?m2, 0.5% were reclassified to lower eGFRCKD-EPI and these individuals had a higher risk of all-cause (adjusted HR, 1.31; 95% CI, 1.01-1.69) and CVD (adjusted HR, 1.42; 95% CI, 1.01-1.99) mortality compared with those not reclassified. Risk prediction improved with eGFRCKD-EPI; NRI was 0.21 for all-cause mortality (p?

2012-01-01

189

Evaluation of PCDD\\/F and dioxin-like PCB serum concentration data from the 2001–2002 National Health and Nutrition Examination Survey of the United States population  

Microsoft Academic Search

We analyzed the weighted 2001–2002 National Health and Nutrition Examination Survey data to assess potential differences in mean total 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) TEQ between various groups of individuals and to determine serum reference concentrations for polychlorinated dibenzo-p-dioxins, dibenzofurans (PCDD\\/Fs) and dioxin-like polychlorinated biphenyls (PCBs) in the general US population. Differences appeared to exist between female smokers and non-smokers and between non-Hispanic

Laura L Ferriby; Jeffrey S Knutsen; Mark Harris; Kenneth M Unice; Paul Scott; Paul Nony; Laurie C Haws; Dennis Paustenbach

2007-01-01

190

Associations of Body Mass Index and Anthropometric Indicators of Fat Mass and Fat Free Mass with All-cause Mortality among Women in the First and Second National Health and Nutrition Examination Surveys Follow-up Studies  

Microsoft Academic Search

PURPOSE: This study tests whether fat mass (FM) and fat free mass (FFM) have opposite associations with mortality in a nationally representative sample of females.METHODS: Data on 13,369 female participants from National Health and Nutrition Examination Surveys (NHANES) I and II (aged 25 to 75 years) were analyzed. Mean follow-up time was 16.1 years. Ninety-seven percent of the participants with

Shankuan Zhu; Moonseong Heo; Michael Plankey; Myles S Faith; David B Allison

2003-01-01

191

Factors Associated with Discrepancies between Self-Reports on Cigarette Smoking and Measured Serum Cotinine Levels among Persons Aged 17 Years or Older Third National Health and Nutrition Examination Survey, 1988-1994  

Microsoft Academic Search

The discrepancy between cigarette smoking status reported during an interview and measured level of serum cotinine, a nicotine biomarker, was investigated in a representative sample of the US population aged ?17 years (N = 15,357). Data were collected from participants in the Third National Health and Nutrition Examination Survey (1988-1994). Among self-reported smokers, 7.5% (95% confidence interval: 6.3, 8.7) had

Ralph S. Caraballo; Gary A. Giovino; Terry F. Pechacek; Paul D. Mowery

192

Addendum to: Evaluation of PCDD\\/F and dioxin-like PCB serum concentration data from the 2001–2002 National Health and Nutrition Examination Survey of the United States population  

Microsoft Academic Search

In 2007, we published a paper in the Journal of Exposure Science and Environmental Epidemiology describing PCDD\\/F and dioxin-like PCB serum concentration data collected for the 2001–2002 National Health and Nutrition Examination Survey. Since publication of this paper, several of the 1998 World Health Organization Toxic Equivalency Factors (TEFs), which were used to calculate the summary statistics we presented, have

Laura L F Scott; Kenneth M Unice; Paul Scott; Ly M Nguyen; Laurie C Haws; Mark Harris; Dennis Paustenbach

2008-01-01

193

The Association between Blood Lead Levels and Osteoporosis among Adults--Results from the Third National Health and Nutrition Examination Survey (NHANES III)  

PubMed Central

Background Osteoporosis is a reduction in bone mass sufficient to increase the risk of fracture. Lead exposure during childhood may be a risk factor for low bone mineral density (BMD). Basic-science research demonstrates that lead exposure is associated with a decrease in BMD in animals. However, human studies are limited. Objective Our objective was to conduct a secondary analysis of a national database to explore the association between lead exposure and osteoporosis in adult humans. Methods In this study we used data from the Third National Health and Nutrition Examination Survey (NHANES III). We analyzed subjects who were ? 50 years of age. A concurrent venous blood lead level defined lead exposure. The primary outcome variable was the BMD of the total hip. We conducted analyses on four groups: non-Hispanic white men, non-Hispanic white women, African-American men, and African-American women. We conducted bivariate analyses between covariates known to be associated with bone density (i.e., age, body mass index, calcium intake, ethanol/tobacco consumption, physical activity, socioeconomic status) and the total hip BMD. The significant covariates were introduced into analysis of covariance to determine the association between BMD and blood lead level tercile. Results The adjusted mean total hip BMD among non-Hispanic white males with a blood lead level in the lowest tercile versus the highest tercile was 0.961 g/cm2 and 0.934 g/cm2, respectively (p < 0.05). We also found a similar association among white females, but the difference was marginally significant (0.05 < p < 0.10). Conclusions We found a significant inverse association between lead exposure and BMD, but only among white subjects. However, because of the cross-sectional design of NHANES, we cannot make inferences about the temporal sequence of this association. With the large number of adults who had lead exposure in the past and the morbidity associated with osteoporosis, further inquiry is necessary on the possible casusal association between lead exposure and osteoporosis in humans.

Campbell, James R.; Auinger, Peggy

2007-01-01

194

Decreased prevalence of diabetes in marijuana users: cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) III  

PubMed Central

Objective To determine the association between diabetes mellitus (DM) and marijuana use. Design Cross-sectional study. Setting Data from the National Health and Nutrition Examination Survey (NHANES III, 1988–1994) conducted by the National Center for Health Statistics of the Centers for Disease Control and Prevention. Participants The study included participants of the NHANES III, a nationally representative sample of the US population. The total analytic sample was 10?896 adults. The study included four groups (n=10?896): non-marijuana users (61.0%), past marijuana users (30.7%), light (one to four times/month) (5.0%) and heavy (more than five times/month) current marijuana users (3.3%). DM was defined based on self-report or abnormal glycaemic parameters. We analysed data related to demographics, body mass index, smoking status, alcohol use, total serum cholesterol, high-density lipoprotein, triglyceride, serum 25-hydroxy vitamin D, plasma haemoglobin A1c, fasting plasma glucose level and the serum levels of C reactive protein and four additional inflammatory markers as related to marijuana use. Main outcome measures OR for DM associated with marijuana use adjusted for potential confounding variables (ie, odds of DM in marijuana users compared with non-marijuana users). Results Marijuana users had a lower age-adjusted prevalence of DM compared to non-marijuana users (OR 0.42, 95% CI 0.33 to 0.55; p<0.0001). The prevalence of elevated C reactive protein (>0.5?mg/dl) was significantly higher (p<0.0001) among non-marijuana users (18.9%) than among past (12.7%) or current light (15.8%) or heavy (9.2%) users. In a robust multivariate model controlling for socio-demographic factors, laboratory values and comorbidity, the lower odds of DM among marijuana users was significant (adjusted OR 0.36, 95% CI 0.24 to 0.55; p<0.0001). Conclusions Marijuana use was independently associated with a lower prevalence of DM. Further studies are needed to show a direct effect of marijuana on DM.

Rajavashisth, Tripathi B; Norris, Keith C; Pan, Deyu; Sinha, Satyesh K; Ortega, Juan; Friedman, Theodore C

2012-01-01

195

Association of APOE polymorphism with chronic kidney disease in a nationally representative sample: a Third National Health and Nutrition Examination Survey (NHANES III) Genetic Study  

PubMed Central

Background Apolipoprotein E polymorphisms (APOE) have been associated with lowered glomerular filtration rate (GFR) and chronic kidney disease (CKD) with e2 allele conferring risk and e4 providing protection. However, few data are available in non-European ethnic groups or in a population-based cohort. Methods The authors analyzed 5,583 individuals from the Third National Health and Nutrition Examination Survey (NHANES III) to determine association with estimated GFR by the Modification of Diet in Renal Disease (MDRD) equation and low-GFR cases. Low-GFR cases were defined as GFR <75 ml/min/1.73 m2; additionally, GFR was analyzed continuously. Results In univariate analysis, the e4 allele was negatively associated with low-GFR cases in non-Hispanic whites, odds ratio (OR): 0.76, 95% confidence interval (CI): 0.60, 0.97. In whites, there was a significant association between increasing APOE score (indicating greater number of e2 alleles) and higher prevalence of low-GFR cases (OR: 1.21, 95%CI: 1.01, 1.45). Analysis of continuous GFR in whites found the e4 allele was associated with higher levels of continuous GFR (?-coefficient: 2.57 ml/min/1.73 m2, 95%CI: 0.005, 5.14); in non-Hispanic blacks the e2 allele was associated with lower levels of continuous GFR (?-coefficient: -3.73 ml/min/1.73 m2, 95%CI: -6.61, -0.84). APOE e2 and e4 alleles were rare and not associated with low-GFR cases or continuous GFR in Mexican Americans. Conclusion In conclusion, the authors observed a weak association between the APOE e4 allele and low-GFR cases and continuous GFR in non-Hispanic whites, and the APOE e2 allele and continuous GFR in non-Hispanic blacks, but found no association with either measure of kidney function in Mexican Americans. Larger studies including multiethnic groups are needed to determine the significance of this association.

Chu, Audrey Y; Parekh, Rulan S; Astor, Brad C; Coresh, Josef; Berthier-Schaad, Yvette; Smith, Michael W; Shuldiner, Alan R; Kao, Wen Hong L

2009-01-01

196

Diabetes and Hearing Impairment in the United States: Audiometric Evidence from the National Health and Nutrition Examination Surveys, 1999-2004  

PubMed Central

Background The vasculature and neural system of the inner ear may be affected by diabetes. Objective To determine whether hearing impairment is more prevalent among U.S. adults with diabetes than among those without diabetes. Design Cross-sectional analysis of nationally representative data. Setting National Health and Nutrition Examination Survey, 1999–2004. Participants 5140 non-institutionalized adults aged 20–69 years who underwent audiometric testing. Measurements Hearing impairment assessed from the pure tone average of thresholds over low/mid frequencies (500, 1000, 2000 Hz) and high frequencies (3000, 4000, 6000, 8000 Hz), and defined for mild or greater severity (pure tone average > 25 decibels hearing level (dB HL)) and moderate or greater severity (pure tone average > 40 dB HL). Results For low/mid frequency hearing impairment of mild or greater severity assessed in the worse ear, age-adjusted prevalence estimates (95% confidence limits) were 21.3% (15.0, 27.5) among 399 adults with diabetes and 9.4% (8.2, 10.5) among 4741 adults without diabetes. For high frequency hearing impairment of mild or greater severity assessed in the worse ear, age-adjusted prevalence estimates were 54.1% (45.9, 62.3) among those with diabetes and 32.0% (30.5, 33.5) among those without. Adjusted odds ratios (95% confidence limits) of 1.82 (1.27, 2.60) and 2.16 (1.47, 3.18) for the low/mid frequency and high frequency impairments, respectively, indicated that differences in socio-demographic characteristics, noise exposure, ototoxic medication use, and smoking did not account for the association between diabetes and hearing impairment. Limitations Diagnosed diabetes was based on self-report and does not distinguish between type 1 and type 2 diabetes. Noise exposure assessments were based on participant recall. Conclusion Adults with diabetes have a higher occurrence of hearing impairment than those without diabetes. Screening for this problem would allow for interventions to improve hearing.

Bainbridge, Kathleen E.; Hoffman, Howard J.; Cowie, Catherine C.

2008-01-01

197

Structural trends in the aging femoral neck and proximal shaft: analysis of the Third National Health and Nutrition Examination Survey dual-energy X-ray absorptiometry data.  

PubMed

Hip scans of U.S. adults aged 20-99 years acquired in the Third National Health and Nutrition Examination Survey (NHANES III) using dual-energy X-ray absorptiometry (DXA) were analyzed with a structural analysis program. The program analyzes narrow (3 mm wide) regions at specific locations across the proximal femur to measure bone mineral density (BMD) as well as cross-sectional areas (CSAs), cross-sectional moments of inertia (CSMI), section moduli, subperiosteal widths, and estimated mean cortical thickness. Measurements are reported here on a non-Hispanic white subgroup of 2,719 men and 2,904 women for a cortical region across the proximal shaft 2 cm distal to the lesser trochanter and a mixed cortical/trabecular region across the narrowest point of the femoral neck. Apparent age trends in BMD and section modulus were studied for both regions by sex after correction for body weight. The BMD decline with age in the narrow neck was similar to that seen in the Hologic neck region; BMD in the shaft also declined, although at a slower rate. A different pattern was seen for section modulus; furthermore, this pattern depended on sex. Specifically, the section modulus at both the narrow neck and the shaft regions remains nearly constant until the fifth decade in females and then declined at a slower rate than BMD. In males, the narrow neck section modulus declined modestly until the fifth decade and then remained nearly constant whereas the shaft section modulus was static until the fifth decade and then increased steadily. The apparent mechanism for the discord between BMD and section modulus is a linear expansion in subperiosteal diameter in both sexes and in both regions, which tends to mechanically offset net loss of medullary bone mass. These results suggest that aging loss of bone mass in the hip does not necessarily mean reduced mechanical strength. Femoral neck section moduli in the elderly are on the average within 14% of young values in females and within 6% in males. PMID:11127194

Beck, T J; Looker, A C; Ruff, C B; Sievanen, H; Wahner, H W

2000-12-01

198

Television Watching, Energy Intake, and Obesity in US Children Results From the Third National Health and Nutrition Examination Survey, 1988-1994  

Microsoft Academic Search

Objectives: To examine the relationship between tele- vision watching, energy intake, physical activity, and obe- sity status in US boys and girls, aged 8 to 16 years. Methods: We used a nationally representative cross- sectional survey with an in-person interview and a medi- cal examination, which included measurements of height and weight, daily hours of television watching, weekly par- ticipation

Carlos J. Crespo; Ellen Smit; Richard P. Troiano; Susan J. Bartlett; Caroline A. Macera; Ross E. Andersen

199

Nutrients from dairy foods are difficult to replace in diets of Americans: food pattern modeling and an analyses of the National Health and Nutrition Examination Survey 2003-2006.  

PubMed

Because dairy products provide shortfall nutrients (eg, calcium, potassium, and vitamin D) and other important nutrients, this study hypothesized that it would be difficult for Americans to meet nutritional requirements for these nutrients in the absence of dairy product consumption or when recommended nondairy calcium sources are consumed. To test this hypothesis, MyPyramid dietary pattern modeling exercises and an analyses of data from the National Health and Nutrition Examination Survey 2003-2006 were conducted in those aged at least 2 years (n = 16 822). Impact of adding or removing 1 serving of dairy, removing all dairy, and replacing dairy with nondairy calcium sources was evaluated. Dietary pattern modeling indicated that at least 3 servings of dairy foods are needed to help individuals meet recommendations for nutrients, such as calcium and magnesium, and 4 servings may be needed to help some groups meet potassium recommendations. A calcium-equivalent serving of dairy requires 1.1 servings of fortified soy beverage, 0.6 serving of fortified orange juice, 1.2 servings of bony fish, or 2.2 servings of leafy greens. The replacement of dairy with calcium-equivalent foods alters the overall nutritional profile of the diet and affects nutrients including protein, potassium, magnesium, phosphorus, riboflavin, vitamins A, D and B(12). Similar modeling exercises using consumption data from the National Health and Nutrition Examination Survey also demonstrated that nondairy calcium replacement foods are not a nutritionally equivalent substitute for dairy products. In conclusion, although it is possible to meet calcium intake recommendations without consuming dairy foods, calcium replacement foods are not a nutritionally equivalent substitute for dairy foods and consumption of a calcium-equivalent amount of some nondairy foods is unrealistic. PMID:22074800

Fulgoni, Victor L; Keast, Debra R; Auestad, Nancy; Quann, Erin E

2011-10-01

200

Association of acculturation factors with dietary intakes of folate among older Mexican Americans in the post-fortification era: National Health and Nutrition Examination Survey (NHANES) 2001-2006.  

PubMed

Previous studies have shown that acculturation factors are associated with dietary patterns of older Mexican Americans (MAs), but the association of these factors with post-fortification folate intake is unknown. We estimated usual folate intakes for U.S. MAs aged ?60 years (N = 712) by acculturation factors using data from the National Health and Nutrition Examination Survey 2001-2006. Mean total folic acid and total folate, but not natural folate intakes, were lower for MAs with lower acculturation factors, and 16% of MAs had total folate intakes less than the estimated average requirement (EAR) of 320 µg/day. Most older U.S. MAs did not meet requirements from natural food folate intake alone, regardless of acculturation status, but their intakes were adequate when fortified foods and supplement sources were taken into account. Logistic regression models including age, sex, education, poverty, and acculturation factors indicated that low income, not acculturation, was significantly associated with intake below the EAR. Thus our findings indicate that the association of low acculturation with folate intake below the EAR is not independent of poverty. [Supplementary materials are available for this article. Go to the publisher's online edition of the Journal of Nutrition in Gerontology and Geriatrics for the following free supplemental resource: a table of the distribution of usual folate intake among Mexican Americans aged ?60 years by sex, age, education level, poverty income ratio, and acculturation factors, from the National Health and Nutrition Examination Survey 2001-2006.]. PMID:23286640

Hamner, Heather C; Cogswell, Mary E; Johnson, Mary Ann

2011-01-01

201

Nutrient contribution of total and lean beef in diets of US children and adolescents: National Health and Nutrition Examination Survey 1999-2004.  

PubMed

This study examined the nutritional contribution of total beef and lean beef (LB) to the diet of US children and adolescents using the US Department of Agriculture definition of LB as defined in MyPyramid. Twenty-four hour dietary recall data from children 4-8 years of age [y] (n=2474), 9-13 y (n=3273), and adolescents 14-18 y (n=4044) participating in the NHANES 1999-2004 were assessed. LB was defined as beef with ?9.28 grams [g] fat/100 g (excess was discretionary fat). Means and standard errors were determined using appropriate sample weights. Consumption of LB contributed significantly to intake of protein and many key nutrients such as vitamins B6 and B12, zinc, iron, niacin, phosphorus, and potassium by US children and adolescents without providing significantly to intakes of total fat, saturated fatty acids, or sodium. PMID:21093990

O'Neil, Carol E; Zanovec, Michael; Keast, Debra R; Fulgoni, Victor L; Nicklas, Theresa A

2010-10-30

202

Educational attainment and differences in fruit and vegetable consumption among middle-aged adults in the Korean National Health and Nutrition Examination Survey IV  

PubMed Central

We investigated whether socioeconomic differences affect fruit and vegetable (FV) consumption with respect to total intake and intake of various FV subgroups. Our study included 6667 adults aged 40-64 years who completed a dietary survey in the fourth Korean NHANES (2007-2009). FV intake was estimated from 24-hour recalls and food frequency questionnaires. Differences in FV consumption related to educational attainment were analyzed according to different nutritional categories of FV. Both men and women in the low-education group had the lowest intake of total FV and total fruits, and women also had the lowest intake of total vegetables. Also lowest in this group was consumption of mushrooms and vegetables (excluding kimchi) among men, and cruciferous and allium vegetables (excluding Chinese cabbage and radish) among women, while kimchi consumption was the highest in this group. Additionally, an association between educational level and intake of citrus fruits was evident among men. Adults in the low-education group consumed less carotene-rich FV, red fruit and/or vegetables, and dark-green leafy vegetables, fewer total vegetable dishes, and fewer types of fruit than in other groups. Men in this group had the lowest intake of yellow/orange fruit and/or vegetables, and women consumed the least folate-rich FV. There is a clear association between educational attainment and FV intake with regard to total intake, and to specific nutrients, bioactive compounds, colors, and variety.

Hong, Seo Ah; Kim, Kirang

2012-01-01

203

Internet Survey of Nutrition Claim Knowledge  

Microsoft Academic Search

Consumer interest in healthy foods has spurred approval of several health claims for foods and dietary supple- ments. Although undergraduate and gradu- ate food science curricula address food laws and regulations, nutrition claims may not be fully addressed. We posted a survey on the Internet for 2 mo for food industry professionals and others interested in tak- ing the survey

Mary E. Camire; Michael P. Dougherty

2006-01-01

204

U.S. HEALTH AND NUTRITION: SAS SURVEY PROCEDURES AND NHANES  

Technology Transfer Automated Retrieval System (TEKTRAN)

The National Health and Nutrition Examination Survey (NHANES) is used to evaluate the health and nutrition of the United States. It is composed of cross-sectional, nationally representative health examination surveys of the U.S. civilian, non-institutionalized population. A complex, stratified, mult...

205

Internet Survey of Nutrition Claim Knowledge  

ERIC Educational Resources Information Center

|Consumer interest in healthy foods has spurred approval of several health claims for foods and dietary supplements. Although undergraduate and graduate food science curricula address food laws and regulations, nutrition claims may not be fully addressed. We posted a survey on the Internet for 2 mo for food industry professionals and others…

Camire, Mary E.; Dougherty, Michael P.

2005-01-01

206

Periodontal Disease, Tooth Loss and Incident Rheumatoid Arthritis: Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-up Study  

PubMed Central

Aims Infection may be a rheumatoid arthritis (RA) risk factor. We examined whether signs of periodontal infection were associated with RA development in NHANES I & NHEFS. Materials and Methods In 1971–1974, 9,702 men and women aged 25–74 were enrolled and surveyed longitudinally (1982,1986,1987,1992). Periodontal infection was defined by baseline tooth loss or clinical evidence of periodontal disease. Baseline(n=138) and incident(n=433) RA cases were defined via self-report physician diagnosis, joint pain/swelling, ICD-9 codes (714.0–714.9), death certificates, and/or RA hospitalization. Results Adjusted odds ratios (ORs)[95%CI] for prevalent RA in gingivitis and periodontitis (vs. healthy) were 1.09[0.57,2.10] and 1.85[0.95,3.63]; incident RA ORs were 1.32[0.85,2.06] and 1.00[0.68,1.48]. The ORs for prevalent RA among participants missing 5–8, 9–14, 15–31 or 32 teeth (vs. 0–4 teeth) were 1.74[1.03,2.95], 1.82[0.81,4.10], 1.45[0.62,3.41] and 1.30[0.48,3.53]; ORs for incident RA were 1.12[0.77,1.64], 1.67[1.12,2.48], 1.40[0.85,2.33] and 1.22[0.75,2.00]. Dose-responsiveness was enhanced among never-smokers. The rate of death or loss-to-follow-up after 1982 was 2–4 fold higher among participants with periodontitis or missing ?9 teeth (vs. healthy participants). Conclusions Although participants with periodontal disease or?5 missing teeth experienced higher odds of prevalent/incident RA, most ORs were nonstatistically significant and lacked dose-responsiveness. Differential RA ascertainment bias complicated the interpretation of these data.

Demmer, Ryan T.; Molitor, Jerry A.; Jacobs, David R.; Michalowicz, Bryan S.

2012-01-01

207

Excess type 2 diabetes in African-American women and men aged 40–74 and socioeconomic status: evidence from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

OBJECTIVETo examine whether socioeconomic status (SES) explains differences in the prevalence of type 2 diabetes between African-American and non-Hispanic white women and men.DESIGNCross sectional study of diabetes prevalence, SES, and other risk factors ascertained by physical examination and interview.SETTINGInterviews were conducted in subjects' homes; physical examinations were conducted in mobile examination centres.PARTICIPANTS961 African-American women, 1641 non-Hispanic white women, 839 African-American

Jessica M Robbins; Viola Vaccarino; Heping Zhang; Stanislav V Kasl

2000-01-01

208

Intake of added sugars is not associated with weight measures in children 6 to 18 years: National Health and Nutrition Examination Surveys 2003-2006  

Technology Transfer Automated Retrieval System (TEKTRAN)

Studies examining an association between consumption of added sugars (AS) and weight measures in children are inconclusive. This study examined the association between intake of AS and 5 measures of weight or adiposity using a nationally recent representative sample of children. National Health and ...

209

Dried fruit consumption is associated with improved diet quality and reduced obesity in US adults: National Health and Nutrition Examination Survey, 1999-2004  

Microsoft Academic Search

Epidemiological studies examining potential associations between dried fruit consumption, diet quality, and weight status are lacking. The goal of this study was to examine the association of dried fruit consumption with nutrient intake, diet quality, and anthropometric indicators of overweight\\/obesity. A secondary analysis of dietary and anthropometric data collected from adult (19+ years) participants (n = 13 292) of the 1999-2004

Debra R. Keast; Carol E. O'Neil; Julie M. Jones

2011-01-01

210

Asthma and Maternal Body Mass Index Are Related to Pediatric Body Mass Index and Obesity: Results from the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Objective: Clinical research has shown an increased prevalence of obesity in children with asthma. This study was designed to assess the relationship between asthma and pediatric body mass index (BMI) in a national database and to examine factors that may modify this relationship.Design: The cross-sectional relationship between asthma and pediatric BMI and obesity (BMI ? 85th percentile) was studied. Variables

Leonard H. Epstein; Yow-Wu B. Wu; Rocco A. Paluch; Frank J. Cerny; Joan P. Dorn

2000-01-01

211

Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey  

ERIC Educational Resources Information Center

|Purpose: The proportion of people over 65 years of age is higher in rural areas than in urban areas, and their numbers are expected to increase in the next decade. This study used Andersen's behavioral model to examine quality of life (QOL) in a nationally representative sample of community-dwelling adults 65 years and older according to…

Baernholdt, Marianne; Yan, Guofen; Hinton, Ivora; Rose, Karen; Mattos, Meghan

2012-01-01

212

Exposure to occupational noise and cardiovascular disease in the United States: the National Health and Nutrition Examination Survey 1999–2004  

Microsoft Academic Search

BackgroundChronic exposure to occupational noise may be associated with increased risk of coronary heart disease (CHD) and hypertension. However, findings are inconsistent and many previous studies are limited by small sample size and inappropriate control for potential confounders. We used a nationally representative US sample to examine associations of self-reported exposure to occupational noise with CHD and hypertension.MethodsThis cross-sectional study

Wen Qi Gan; Hugh W Davies; Paul A Demers

2010-01-01

213

Is breakfast skipping associated with physical activity among US adolescents? A cross-sectional study of adolescents aged 12-19 years, National Health and Nutrition Examination Survey (NHANES).  

PubMed

OBJECTIVE: To examine the association between breakfast skipping and physical activity among US adolescents aged 12-19 years. DESIGN: A cross-sectional study of nationally representative 2007-2008 National Health and Nutrition Examination Survey (NHANES) data. SETTING: Breakfast skipping was assessed by two 24 h dietary recalls. Physical activity was self-reported by participants and classified based on meeting national recommendations for physical activity for the appropriate age group. Multiple logistic regression analysis was used to model the association between breakfast skipping and physical activity while controlling for confounders. SUBJECTS: A total of 936 adolescents aged 12-19 years in the USA. RESULTS: After adjusting for family income, there was no association between breakfast skipping and meeting physical activity guidelines for age among adolescents aged 12-19 years (OR = 0·95, 95 % CI 0·56, 1·32). CONCLUSIONS: Findings from the study differ from previous research findings on breakfast skipping and physical activity. Therefore, further research that uses large, nationally representative US samples and national recommended guidelines for physical activity is needed. PMID:23534672

Lyerly, Jordan E; Huber, Larissa R; Warren-Findlow, Jan; Racine, Elizabeth F; Dmochowski, Jacek

2013-03-27

214

Home artificial nutritional support: the value of the British Artificial Nutrition Survey  

Microsoft Academic Search

The British Artificial Nutrition Survey (BANS) was established in 1996 by the British Association for Enteral and Parenteral Nutrition to audit and research nutritional care in hospital and the community, with the overall aim of improving the quality of nutritional support in patients with disease-related malnutrition. In this article the following information emerging from BANS is presented: growth and prevalence

M. Elia; R. J. Stratton; C. Holden; N. Meadows; A. Micklewright; C. Russell; D. Scott; A. Thomas; J. Shaffer; C. Wheatley; S. Woods

2001-01-01

215

Army Food and Nutrition Survey, 1995-97.  

National Technical Information Service (NTIS)

This technical report contains data on nutrition attitudes, nutrition knowledge, and dietary practices of over 3,000 Army soldiers. This survey included soldiers from 32 Army installations across the continental United States, Alaska, Hawaii, Germany, Hun...

F. M. Kramer J. Warber L. Lesher S. McGraw W. Johnson

1997-01-01

216

Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey.  

PubMed

This study was performed to determine the effects of dietary calcium (Ca) intake, milk and dairy product intake, and serum vitamin D level on bone mineral density. The survey data from the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES) for adults (3,819 males, 5,625 females) aged > 20 years were examined; osteoporosis was defined according to the standards for Asian populations (T-score < -2.5). The risk for osteoporosis significantly decreased as Ca intake increased; this effect persisted (quartile 4 vs. quartile 1 of Ca intake: odds ratio [OR] 0.66; 95% confidence interval [CI]: 0.50-0.87) even after adjustment for gender, age, and other factors (body mass index, serum vitamin D, menstruation, female hormone intake, menopausal status, and the number of days per week of muscular strength exercise). Additionally, the risk for osteoporosis significantly decreased as the Ca/P ratio increased (quartile 4 vs. quartile 1: OR 0.76; 95% CI: 0.58-0.98). The degree of risk was 0.96 (0.66-1.38) in those who consumed < 1 portion of milk or dairy products daily, and 0.71 (0.53-0.96) in those who consumed > 1 portion per day, compared with those who had zero intake. The risk for osteoporosis significantly decreased as the serum 25(OH) vitamin D level increased. From these results, we advocate an increase in Ca, milk, and dairy product intake, and that serum 25(OH) vitamin D levels be maintained within the normal range, for the maintenance of bone health and the prevention of osteoporosis in adults. PMID:24133621

Hong, Heeok; Kim, Eun-Kyung; Lee, Jung-Sug

2013-10-01

217

Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey  

PubMed Central

This study was performed to determine the effects of dietary calcium (Ca) intake, milk and dairy product intake, and serum vitamin D level on bone mineral density. The survey data from the 2008-2009 Korea National Health and Nutrition Examination Survey (KNHANES) for adults (3,819 males, 5,625 females) aged > 20 years were examined; osteoporosis was defined according to the standards for Asian populations (T-score < -2.5). The risk for osteoporosis significantly decreased as Ca intake increased; this effect persisted (quartile 4 vs. quartile 1 of Ca intake: odds ratio [OR] 0.66; 95% confidence interval [CI]: 0.50-0.87) even after adjustment for gender, age, and other factors (body mass index, serum vitamin D, menstruation, female hormone intake, menopausal status, and the number of days per week of muscular strength exercise). Additionally, the risk for osteoporosis significantly decreased as the Ca/P ratio increased (quartile 4 vs. quartile 1: OR 0.76; 95% CI: 0.58-0.98). The degree of risk was 0.96 (0.66-1.38) in those who consumed < 1 portion of milk or dairy products daily, and 0.71 (0.53-0.96) in those who consumed > 1 portion per day, compared with those who had zero intake. The risk for osteoporosis significantly decreased as the serum 25(OH) vitamin D level increased. From these results, we advocate an increase in Ca, milk, and dairy product intake, and that serum 25(OH) vitamin D levels be maintained within the normal range, for the maintenance of bone health and the prevention of osteoporosis in adults.

Hong, Heeok; Kim, Eun-Kyung

2013-01-01

218

C-reactive protein is elevated in atypical but not nonatypical depression: data from the National Health and Nutrition Examination Survey (NHANES) 1999-2004.  

PubMed

Little is known about the association of depression subtypes with inflammatory markers predictive of coronary artery disease. In a sample of younger adults representative of the U.S. population, we examined differences in serum C-reactive protein (CRP) among individuals with atypical major depressive disorder (MDD; n = 16), nonatypical MDD (n = 93), and no MDD (n = 1,682). Adults with atypical MDD exhibited higher CRP levels than those with no MDD (mean difference = 1.56 mg/L) or nonatypical MDD (mean difference = 1.40 mg/L), even after adjustment for potential cofounders, anxiety disorders, body mass, and smoking. Nearly twice as many adults with atypical MDD had CRP levels in the high cardiovascular risk range than did those with no MDD or nonatypical MDD. CRP levels of adults with nonatypical MDD or no MDD did not differ. Individuals with atypical depression may be partially driving the overall depression-inflammation relationship and may be a subgroup at elevated risk for coronary artery disease. PMID:23624671

Hickman, Ruth J; Khambaty, Tasneem; Stewart, Jesse C

2013-04-30

219

Impact of pregnancy and other factors on the levels of urinary perchlorate, thiocyanate, and nitrate among females aged 15-44 years: data from National Health and Nutrition Examination Survey: 2003-2008.  

PubMed

Impact of pregnancy on levels of urinary perchlorate, thiocyanate, and nitrate has not been studied using large scale data. Data from National Health and Nutrition Examination Survey for the years 2003-2008 were used to evaluate risk factors that impact levels of these contaminants among females of child bearing age. In addition to pregnancy, other risk factors evaluated were: age, race/ethnicity, smoking status, serum triglyceride levels, and iodine deficiency status. Pregnancy did not affect the levels of perchlorate and nitrate but, new to this study, it was found that thiocyanate levels were statistically significantly lower among pregnant females as compared to non-pregnant females (p<0.01). Iodine deficient females had statistically significantly lower levels of these contaminates than iodine replete females (p<0.01). Levels of thiocyanate among smokers were about five times higher than among non-smokers. Non-Hispanic Blacks had the lowest and Mexican Americans had the highest levels of perchlorate and nitrate. The reverse was true for thiocyanate levels. There was an inverse association between nitrate and education levels. There was a positive association between serum triglyceride levels and the levels of these contaminants. Also, new to this study, of concern, was the fact that levels of these contaminants increased among females over the period 2005-2008. Levels of perchlorate, thiocyanate, and nitrate did not vary across pregnancy trimesters. PMID:23522032

Jain, Ram B

2013-03-19

220

Effect of pregnancy on the levels of blood cadmium, lead, and mercury for females aged 17-39 years old: data from National Health and Nutrition Examination Survey 2003-2010.  

PubMed

Data from the National Health and Nutrition Examination survey for the years 2003-2010 were used (n = 4700) to evaluate the effect of age, parity, body mass index (BMI), race/ethnicity, pregnancy, iron (Fe) storage status, smoking status, and fish/shellfish consumption on the levels of blood cadmium (Cd), lead (Pb), and total mercury (Hg)for females aged 17-39 years old. Regression analysis was used to fit models for each of the three metals. For all three metals, age was positively and BMI was negatively associated with levels of these metals in blood. Smokers had statistically significantly higher levels of Cd and Pb irrespective of race/ethnicity and Fe storage status as compared to nonsmokers. Novel to this study, pregnancy was found to be associated with significantly lower levels of Cd, Pb, and Hg irrespective of race/ethnicity and Fe storage status as compared to nonpregnant females. It is conceivable that pregnancy may thus accelerate clearance of these metals from blood. Fish/shellfish consumption was associated with higher levels of Hg but not with Cd levels. PMID:23151210

Jain, Ram B

2013-01-01

221

The relationship between height and neighborhood context across racial/ethnic groups: a multi-level analysis of the 1999-2004 U.S. National Health and Nutrition Examination Survey.  

PubMed

While a growing literature has documented a link between neighborhood context and health outcomes, little is known about the relationship between neighborhood characteristics and height. Using individual data from the 1999-2004 U.S. National Health and Nutrition Examination Survey merged with tract-level data from the U.S. Census, we investigate several neighborhood characteristics, including neighborhood socioeconomic status (NSES), education index of concentration at the extremes (ICE), and population density, as potential predictors of height. Employing a series of two-level random intercept models, we find a one standard deviation increase in NSES to be associated with a 0.6-1.4 cm height advantage for white and foreign-born Mexican-American females and for U.S. born Mexican-American males, net of individual-level controls. Similarly, a 10 point increase in neighborhood education ICE was associated with 0.23-0.32 cm greater height for white and foreign-born Mexican-American females and U.S. born Mexican-American males. Population density was nominally negatively associated with height for foreign-born Mexican-American females. Our findings reveal that lower physical stature for some ethnic and gender groups is clustered within neighborhoods of low SES and education, suggesting that contextual factors may play a role in influencing height above individual-level attributes. PMID:22613511

Do, D Phuong; Watkins, Daphne C; Hiermeyer, Martin; Finch, Brian K

2012-02-16

222

Associations between omega-3 poly-unsaturated fatty acids from fish consumption and severity of depressive symptoms: an analysis of the 2005-2008 National Health and Nutrition Examination Survey  

PubMed Central

SUMMARY Fish is the primary source of dietary omega-3 poly-unsaturated fatty acids EPA and DHA, which have been reported to reduce depressive symptoms in clinical trials. We assessed the association between fish consumption and depressive symptoms in a nationally representative sample of 10,480 adults from the 2005–2008 National Health and Nutrition Examination Survey. Depressive symptoms were classified by severity using the Patient Health Questionnaire. Fish meal consumption reported in 30-day food frequency questionnaires, and EPA+DHA intake computed from 24-hour dietary recalls were evaluated in relation to depressive symptoms using multivariable ordinal logistic regression. Consumption of breaded fish showed an increased risk of greater depressive symptom severity, while all fish, non-breaded fish, and shell fish were not associated. Any EPA+DHA intake was significantly associated with fewer depressive symptoms. Exposure-response analyses revealed no clear patterns for any intake measures. Inconsistent patterns of associations in our study may be partially explained by exposure misclassification.

Hoffmire, Claire A.; Block, Robert C.; Thevenet-Morrison, Kelly; van Wijngaarden, Edwin

2012-01-01

223

The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999-2006.  

PubMed

OBJECTIVE: To examine the association between breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome (MetS). DESIGN: Cross-sectional. Three breakfast groups were identified, breakfast skippers (BS), ready-to-eat-cereal (RTEC) consumers and other breakfast (OB) consumers, using a 24 h dietary recall. Risk factors were compared between the breakfast groups using covariate-adjusted statistical procedures. SETTING: The 1999-2006 National Health and Nutrition Examination Survey, USA. SUBJECTS: Young adults (20-39 years of age). RESULTS: Among these young adults (n 5316), 23·8 % were BS, 16·5 % were RTEC consumers and 59·7 % were OB consumers. Relative to the BS, the RTEC consumers were 31 %, 39 %, 37 %, 28 %, 23 %, 40 % and 42 % less likely to be overweight/obese or have abdominal obesity, elevated blood pressure, elevated serum total cholesterol, elevated serum LDL-cholesterol, reduced serum HDL-cholesterol or elevated serum insulin, respectively. Relative to the OB consumers, the BS were 1·24, 1·26 and 1·44 times more likely to have elevated serum total cholesterol, elevated serum LDL-cholesterol or reduced serum HDL-cholesterol, respectively. Relative to the OB consumers, the RTEC consumers were 22 %, 31 % and 24 % less likely to be overweight/obese or have abdominal obesity or elevated blood pressure, respectively. No difference was seen in the prevalence of the MetS by breakfast skipping or type of breakfast consumed. CONCLUSIONS: Results suggest that consumption of breakfast, especially that included an RTEC, was associated with an improved cardiometabolic risk profile in US young adults. Additional studies are needed to determine the nature of these relationships. PMID:23031568

Deshmukh-Taskar, Priya; Nicklas, Theresa A; Radcliffe, John D; O'Neil, Carol E; Liu, Yan

2012-10-01

224

Elevated cardiovascular risk among adults with obstructive and restrictive airway functioning in the United States: a cross-sectional study of the National Health and Nutrition Examination Survey from 2007-2010  

PubMed Central

Background Reasons for the excess risk for cardiovascular disease among people with chronic obstructive pulmonary disease remain unclear. Our objective was to examine the cardiovascular risk profile for adults with obstructive and restrictive impairments of lung functioning in a representative sample of adults from the United States. Methods We used data from adults aged 20–79 years who participated in the National Health and Nutrition Examination Survey from 2007 to 2010 and had a pulmonary function test. The severity of obstructive impairment was defined by adapting the Global Initiative for Chronic Obstructive Lung Disease criteria. Results Among 7249 participants, 80.9% had a normal pulmonary function test, 5.7% had a restrictive impairment, 7.9% had mild obstructive impairment, and 5.5% had moderate or severe/very severe obstructive impairment. Participants with obstructive impairment had high rates of smoking and increased serum concentrations of cotinine. Compared to participants with normal pulmonary functioning, participants with at least moderate obstructive impairment had elevated concentrations of C-reactive protein but lower concentrations of total cholesterol and non-high-density lipoprotein cholesterol. Among participants aged 50–74 years, participants with at least a moderate obstructive impairment or a restrictive impairment had an elevated predicted 10-year risk for cardiovascular disease. Conclusions The high rates of smoking among adults with impaired pulmonary functioning, particularly those with obstructive impairment, point to a need for aggressive efforts to promote smoking cessation in these adults. In addition, adults with restrictive impairment may require increased attention to and fine-tuning of their cardiovascular risk profile.

2012-01-01

225

Cardiovascular Risk Factor Control and Adherence to Recommended Lifestyle and Medical Therapies in Persons With Coronary Heart Disease (from the National Health and Nutrition Examination Survey 2007-2010).  

PubMed

Persons with known coronary heart disease (CHD) are at a greater risk of subsequent events. The current guidelines for secondary prevention have focused on lifestyle modifications, risk factor control, and drug therapy. However, current data lack information on the United States population and its adherence to these guidelines. Using data from the National Health and Nutrition Examination Survey from 2007 to 2010, we identified those with CHD and assessed the adequacy of their adherence to the current guidelines for secondary prevention. Of 759 subjects with CHD (weighted to 12.7 million), the use of recommended therapies was 55%, 45%, and 62% for ? blockers, angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, and lipid-lowering agents, respectively (24% for all), with adherence lower in women than in men and in blacks and Hispanics than in whites. The nonsmoking status and control of blood pressure, low-density lipoprotein cholesterol, and, for those with diabetes, glycated hemoglobin was 73%, 67%, 59%, 60%, respectively (14% for all). Also, 17%, 70%, and 7% were at the recommended levels for physical activity, alcohol consumption, and sodium intake, respectively. Moreover, only 20% and 29% were at the recommended body mass index and waist circumference targets, respectively. Those with metabolic syndrome and diabetes were more likely to have ?2 risk factors uncontrolled, despite being more likely to be receiving recommended therapies. A significant gap still exists between the secondary prevention guidelines and their adherence and control of CHD risk factors among United States adults. In conclusion, greater efforts are needed to ensure adherence to all aspects of secondary prevention guidelines to optimize the prognosis in subjects with CHD. PMID:23827404

Tang, Lijiang; Patao, Chistopher; Chuang, Joanna; Wong, Nathan D

2013-07-02

226

Iodine Status in Pregnant Women in the National Children's Study and in U.S. Women (15-44 Years), National Health and Nutrition Examination Survey 2005-2010.  

PubMed

Background: This report presents iodine data from National Health and Nutrition Examination Survey (NHANES) and from a sample of pregnant women in the National Children's Study (NCS) Vanguard Study. Methods: Urinary iodine (UI) was measured in a one third subsample of NHANES 2005-2006 and 2009-2010 participants and in all 2007-2008 participants age 6 years and older. These measurements are representative of the general U.S. population. UI was also measured in a convenience sample of 501 pregnant women enrolled in the NCS initial Vanguard Study from seven study sites across the United States. Results: NHANES median UI concentration in 2009-2010 (144??g/L) was significantly lower than in 2007-2008 (164??g/L). Non-Hispanic blacks had the lowest UI concentrations (131??g/L) compared with non-Hispanic whites or Hispanics (147 and 148??g/L, respectively). The median for all pregnant women in NHANES 2005-2010 was less than adequate (129??g/L), while third trimester women had UI concentrations that were adequate (median UI 172??g/L). Third trimester women participating in the NCS similarly had an adequate level of iodine intake, with a median UI concentration of 167??g/L. Furthermore, NCS median UI concentrations varied by geographic location. Conclusions: Dairy, but not salt, seafood, or grain consumption, was significantly positively associated with median UI concentration in women of childbearing age. Pregnant women in their third trimester in the NHANES 2005-2010 had adequate median UI concentrations, but pregnant women in NHANES who were in their first or second trimesters had median UI concentrations that were less than adequate. Non-Hispanic black pregnant women from both the NHANES 2005-20010 and the NCS consistently had lower UI median concentrations than non-Hispanic whites or Hispanics. PMID:23488982

Caldwell, Kathleen L; Pan, Yi; Mortensen, Mary E; Makhmudov, Amir; Merrill, Lori; Moye, John

2013-07-20

227

Relationship between Urinary Phthalate and Bisphenol A Concentrations and Serum Thyroid Measures in U.S. Adults and Adolescents from the National Health and Nutrition Examination Survey (NHANES) 2007-2008  

PubMed Central

Background: Limited animal, in vitro, and human studies have reported that exposure to phthalates or bisphenol A (BPA) may affect thyroid signaling. Objective: We explored the cross-sectional relationship between urinary concentrations of metabolites of di(2-ethylhexyl) phthalate (DEHP), dibutyl phthalate (DBP), and BPA with a panel of serum thyroid measures among a representative sample of U.S. adults and adolescents. Methods: We analyzed data on urinary biomarkers of exposure to phthalates and BPA, serum thyroid measures, and important covariates from 1,346 adults (ages ? 20 years) and 329 adolescents (ages 12–19 years) from the National Health and Nutrition Examination Survey (NHANES) 2007–2008 using multivariable linear regression. Results: Among adults, we observed significant inverse relationships between urinary DEHP metabolites and total thyroxine (T4), free T4, total triiodothyronine (T3), and thyroglobulin, and positive relationships with thyroid-stimulating hormone (TSH). The strongest and most consistent relationships involved total T4, where adjusted regression coefficients for quintiles of oxidative DEHP metabolites displayed monotonic dose-dependent decreases in total T4 (p-value for trend < 0.0001). Suggestive inverse relationships between urinary BPA and total T4 and TSH were also observed. Conversely, among adolescents, we observed significant positive relationships between DEHP metabolites and total T3. Mono(3-carboxypropyl) phthalate, a secondary metabolite of both DBP and di-n-octyl phthalate, was associated with several thyroid measures in both age groups, whereas other DBP metabolites were not associated with thyroid measures. Conclusions: These results support previous reports of associations between phthalates—and possibly BPA—and altered thyroid hormones. More detailed studies are needed to determine the temporal relationships and potential clinical and public health implications of these associations.

Ferguson, Kelly K.

2011-01-01

228

The Cutoff Value of Waist Circumference for Predicting Metabolic Risks in Pre- and Post-Menopausal Korean Women: Analysis of 2010 Korean National Health and Nutrition Examination Survey Data  

PubMed Central

Background With metabolic syndrome (MS) being a major risk factor for cardiovascular disease, and central obesity being a major predisposing factor for MS, intensive research is currently being performed on cutoff values according to race and sex. Menopause is an especially significant factor in designating cutoff values for female central obesity, as menopause brings sudden bodily changes that induce central obesity and increased prevalence of MS. Therefore this study aimed to investigate the cutoff values for the obesity index and its validity in predicting the criteria for MS in Korean women according to menstrual status. Methods The study focused on 3,103 women 20 years of age or older participating in the 2007 Korea National Health and Nutrition Examination Survey. Definitions of non-adipose components of MS were defined by the International Diabetes Federation, and menstrual status was judged on the basis of survey results. The sensitivity, specificity, and positive and negative predictive values of the central obesity index (body mass index [BMI], waist circumference [WC], waist-to-height ratio [WHtR]) according to menstrual status for two or more non-adipose components of MS were calculated based on the Youden index. Results Area under the curve (AUC) values predicting the presence of two or more metabolic risk factors were higher in pre-menopausal women, with AUC values for BMI, WC, and WHtR being, in pre- and post-menopausal women, 23.1 kg/m2 vs. 23.9 kg/m2, 76.1 cm vs. 82.5 cm, and 0.49 vs. 0.53, respectively. The WC cut off (76 cm) for pre-menopausal women was found to be more sensitive and more effective at screening for MS risks than the cutoff value given by the Korea Society for the Study of Obesity. Conclusion The central obesity index showed better predictability for MS risk in pre-menopausal women. Because the central obesity index cutoff values are lower in pre-menopausal women, the possibility of metabolic risk can be considered for pre-menopausal women with WC lower than 85 cm. Assessment and control of other risks are needed accordingly for preventing the development of MS.

Lee, Ok-Gyu; Kang, Jae-Heon; Park, Hyun-Ah; Kim, Kyoung-Woo; Cho, Young-Gyu; Choi, Won-Young; Park, Hyesook; Lee, Hye-Ah

2013-01-01

229

Weight indicators and nutrient intake in children and adolescents do not vary by sugar content in ready-to-eat cereal: results from National Health and Nutrition Examination Survey 2001-2006  

Microsoft Academic Search

Few studies have explored the relationship between sugar content in cereal and health outcome among children and adolescents. This study was designed to investigate the associations between ready-to-eat cereals, categorized by sugar content, with weight indicators and nutrient intake profiles. Data collected from 6- to 18-year-old US children and adolescents (N = 9660) in the National Health and Nutrition Examination

Ann M. Albertson; Douglas R. Thompson; Debra L. Franko; Norton M. Holschuh

2011-01-01

230

Impact of calcium and vitamin D insufficiencies on serum parathyroid hormone and bone mineral density: analysis of the fourth and fifth Korea National Health and Nutrition Examination Survey (KNHANES IV-3, 2009 and KNHANES V-1, 2010).  

PubMed

The relative contributions of calcium and vitamin D to calcium metabolism and bone mineral density (BMD) have been examined previously, but not in a population with very low calcium intake. To determine the relative importance of dietary calcium intake and serum 25-hydroxyvitamin D [25(OH)D] concentration to calcium metabolism and bone mass in a population with low calcium intake, a total of 4662 adults (2567 men and 2095 women) ?50 years of age from the 2009-2010 Korea National Health and Nutrition Examination Survey (KNHANES) were divided into groups according to dietary calcium intakes (quintiles means: 154, 278, 400, 557, and 951?mg/d) and serum 25(OH)D concentrations (<50, 50-75, and >75?nmol/L). Serum intact parathyroid hormone (PTH) and femoral neck and lumbar spine BMD were evaluated according to dietary calcium intake and serum 25(OH)D. Mean calcium intake was 485?mg/d; mean serum 25(OH)D concentration was 48.1?nmol/L; PTH was 68.4?pg/mL; femoral neck BMD was 0.692?g/cm(2) ; and lumbar spine BMD was 0.881?g/cm(2) . Lower dietary calcium intakes were significantly associated with higher serum PTH concentrations and lower femoral neck BMD, not only at lower (<50?nmol/L) but also at higher (>75?nmol/L) serum 25(OH)D concentrations. Serum PTH was highest and femoral neck BMD was lowest in the group, with a serum 25(OH)D less than 50?nmol/L. In this low-intake population, calcium intake is a significant determinant of serum PTH and BMD at higher as well as lower 25(OH)D levels. This finding indicates that low calcium intake cannot be compensated for with higher 25(OH)D levels alone. As expected, serum 25(OH)D levels were inversely associated with serum PTH and BMD. A calcium intake of at least 668?mg/d and a serum 25(OH)D level of at least 50?nmol/L may be needed to maintain bone mass in this calcium deficient population. PMID:23045165

Joo, Nam-Seok; Dawson-Hughes, Bess; Kim, Young-Sang; Oh, Kyungwon; Yeum, Kyung-Jin

2013-04-01

231

Nutrition risk screening in acute care: a survey of practice.  

PubMed

The Joint Commission-accredited acute care hospitals are required to screen patients for nutrition risk, but criteria and procedures in use have not been described. The purpose of this study was to survey managers of clinical nutrition services in acute care hospitals regarding procedures for screening for nutrition risk. Members of the Clinical Nutrition Management Dietetic Practice Group were surveyed using an e-mailed link to an electronic survey. Of 1668 members contacted, 522 usable surveys were completed (31%). Most respondents (84%) reported that nursing staff had primary responsibility for nutrition screening; 10% used nutrition services staff; 4% used a computerized system. Where nursing staff did nutrition screening (n=441), 57% (n=252) said that nutrition services staff do a secondary admission screen. Dietitians most often performed secondary screens (70%), followed by dietetic technicians (16%), 4-year-degreed staff (4%), and clerks (3%). Most nutrition services staff screens (61%) used different data than nursing staff screens; 12% collected the same data as nursing staff. Screening criteria most often used by nursing staff were a history of weight loss (95%), poor intake prior to admission (81%), nutrition support (79%), chewing/swallowing issues (75%), and skin breakdown (72%). Criteria most commonly used by nutrition services staff were diagnosis (90%), nutrition support (81%), nothing by mouth (NPO)/clear liquid diet order (78%), visceral proteins (71%), and specific diet orders (68%). Most respondents had not formally evaluated their screening systems for sensitivity or specificity. There is a need to further evaluate the nutrition screening systems used in acute care hospitals in the U.S. PMID:18682594

Chima, Cinda S; Dietz-Seher, Christin; Kushner-Benson, Susan

232

Examination timetabling in British Universities: A survey  

Microsoft Academic Search

This paper describes the results of a questionnaire on examination timetabling sent to the registrars of ninety five British Universities. The survey asked questions in three specific categories. Firstly, universities were asked about the nature of their examination timetabling problem: how many people, rooms, periods are involved and what difficulties are associated with the problem? Secondly, we asked about how

Edmund Burke; Dave Elliman; Peter Ford; Rupert Weare

233

Serum Non-high-density lipoprotein cholesterol concentration and risk of death from cardiovascular diseases among U.S. adults with diagnosed diabetes: the Third National Health and Nutrition Examination Survey linked mortality study  

PubMed Central

Background Non-high-density lipoprotein cholesterol (non-HDL-C) measures all atherogenic apolipoprotein B-containing lipoproteins and predicts risk of cardiovascular diseases (CVD). The association of non-HDL-C with risk of death from CVD in diabetes is not well understood. This study assessed the hypothesis that, among adults with diabetes, non-HDL-C may be related to the risk of death from CVD. Methods We analyzed data from 1,122 adults aged 20 years and older with diagnosed diabetes who participated in the Third National Health and Nutrition Examination Survey linked mortality study (299 deaths from CVD according to underlying cause of death; median follow-up length, 12.4 years). Results Compared to participants with serum non-HDL-C concentrations of 35 to 129 mg/dL, those with higher serum levels had a higher risk of death from total CVD: the RRs were 1.34 (95% CI: 0.75-2.39) and 2.25 (95% CI: 1.30-3.91) for non-HDL-C concentrations of 130-189 mg/dL and 190-403 mg/dL, respectively (P = 0.003 for linear trend) after adjustment for demographic characteristics and selected risk factors. In subgroup analyses, significant linear trends were identified for the risk of death from ischemic heart disease: the RRs were 1.59 (95% CI: 0.76-3.32) and 2.50 (95% CI: 1.28-4.89) (P = 0.006 for linear trend), and stroke: the RRs were 3.37 (95% CI: 0.95-11.90) and 5.81 (95% CI: 1.96-17.25) (P = 0.001 for linear trend). Conclusions In diabetics, higher serum non-HDL-C concentrations were significantly associated with increased risk of death from CVD. Our prospective data support the notion that reducing serum non-HDL-C concentrations may be beneficial in the prevention of excess death from CVD among affected adults.

2011-01-01

234

Ability Among Adolescents for the Metabolic Syndrome to Predict Elevations in Factors Associated with Type 2 Diabetes and Cardiovascular Disease: Data from the National Health and Nutrition Examination Survey 1999-2006  

PubMed Central

Abstract Objective The aim of this study was to compare currently proposed sets of pediatric metabolic syndrome criteria for the ability to predict elevations in “surrogate” factors that are associated with metabolic syndrome and with future cardiovascular disease and type 2 diabetes mellitus. These surrogate factors were fasting insulin, hemoglobin A1c (HbA1c), high-sensitivity C-reactive protein (hsCRP), and uric acid. Methods Waist circumference (WC), blood pressure, triglycerides, high-density lipoprotein cholesterol (HDL-C), fasting glucose, fasting insulin, HbA1c, hsCRP, and uric acid measurements were obtained from 2,624 adolescent (12–18 years old) participants of the 1999–2006 National Health and Nutrition Examination Surveys. We identified children with metabolic syndrome as defined by six commonly used sets of pediatric metabolic syndrome criteria. We then defined elevations in the surrogate factors as values in the top 5% for the cohort and calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for each set of metabolic syndrome criteria and for each surrogate factor. Results Current pediatric metabolic syndrome criteria exhibited variable sensitivity and specificity for surrogate predictions. Metabolic syndrome criteria had the highest sensitivity for predicting fasting insulin (40–70%), followed by uric acid (31–54%), hsCRP (13–31%), and HbA1c (7–21%). The criteria of de Ferranti (which includes children with WC >75th percentile, compared to all other sets including children with WC >90th percentile) exhibited the highest sensitivity for predicting each of the surrogates, with only modest decrease in specificity compared to the other sets of criteria. However, the de Ferranti criteria also exhibited the lowest PPV values. Conversely, the pediatric International Diabetes Federation criteria exhibited the lowest sensitivity and the highest specificity. Conclusions Pediatric metabolic syndrome criteria exhibit moderate sensitivity for detecting elevations in surrogate factors associated with metabolic syndrome and with risk for future disease. Inclusion of children with more modestly elevated WC improved sensitivity.

Gurka, Matthew J.

2010-01-01

235

Out-of-hand nut consumption is associated with improved nutrient intake and health risk markers in US children and adults: National Health and Nutrition Examination Survey 1999-2004.  

PubMed

The purpose of this study was to determine the association of out-of-hand nut (OOHN) consumption with nutrient intake, diet quality, and the prevalence of risk factors for cardiovascular disease and metabolic syndrome. Data from 24-hour recalls from individuals aged 2+ years (n = 24,385) participating in the 1999-2004 National Health and Nutrition Examination Survey were used. The population was divided into children aged 2 to 11, 12 to 18, and adults 19+ years, and each group was dichotomized into OOHN consumers and nonconsumers. Out-of-hand nut consumers were defined as those individuals consuming ¼ oz of nuts or more per d. Means, standard errors, and covariate-adjusted analyses of variance were determined using appropriate sample weights. Diet quality was determined using the Healthy Eating Index-2005. Significance was set at P < .05. The percent of OOHN consumers increased with age: 2.1% ± 0.3%, 2.6% ± 0.3%, 6.5% ± 0.5%, and 9.6% ± 0.5% those aged 2 to 11, 12 to 18, 19 to 50, and 51+ years, respectively. The 2 latter groups were combined into a single group of consumers aged 19+ years for subsequent analyses. Consumers of OOHN from all age groups had higher intakes of energy, monounsaturated and polyunsaturated fatty acids, dietary fiber, copper, and magnesium and lower intakes of carbohydrates, cholesterol, and sodium than did nonconsumers. Diet quality was higher in OOHN consumers of all age groups. In children aged 2 to 11 years, consumers had a higher prevalence of overweight/obesity. In those aged 12 to 18 years, weight and percent overweight were lower in consumers. Adult consumers had higher high-density lipoprotein cholesterol, red blood cell folate, and serum folate levels and lower insulin, glycohemoglobin, and C-reactive protein levels than did nonconsumers. Adult consumers also had a 19% decreased risk of hypertension and a 21% decreased risk of low high-density lipoprotein cholesterol levels. Data suggested that OOHN consumption was associated with improved nutrient intake, diet quality, and, in adults, a lower prevalence of 2 risk factors for metabolic syndrome. Consumption of OOHN, as part of a healthy diet, should be encouraged by health professionals. PMID:22464805

O'Neil, Carol E; Keast, Debra R; Nicklas, Theresa A; Fulgoni, Victor L

2012-03-01

236

Body-Composition Methodology in Military Nutrition Surveys.  

National Technical Information Service (NTIS)

A series of nutrition surveys were carried out on troops living in military camps throughout the United States, under varied conditions of temperature and environment (heat, cold, and altidude), and on troops performing light, moderate, and heavy physical...

H. J. Krzywicki C. F. Consolazio

1967-01-01

237

Communication in Surveys: Examining Cognitive Effects in Survey Research.  

ERIC Educational Resources Information Center

|Panel studies have frequently been used by mass communication researchers. While these studies allow researchers to draw inferences about mass communication effects over time, they also tend to sensitize respondents to the issue under study. A study was undertaken to investigate panel effects by examining the survey interview as a medium of…

Salmon, Charles T.; And Others

238

ASSOCIATION OF REGION OF RESIDENCE AND IMMIGRANT STATUS WITH HYPERTENSION ,R ENAL FAILURE ,C ARDIOVASCULAR DISEASE, AND STROKE ,A MONG AFRICAN-AMERICAN PARTICIPANTS IN THE THIRD NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES III)  

Microsoft Academic Search

Objective: To determine whether current re- gion of residence and immigrant status (born in the United States (US) vs abroad), are associated with the prevalence of hypertension (HTN), un- controlled HTN, and HTN-related target-organ damage, among African Americans. Methods: We studied the survey and physical examination data from a nationally represen- tative cohort of 3,369 self-designated Black participants, aged 30-79

LeRoi S. Hicks; David G. Fairchild; E. Francis Cook; John Z. Ayanian

239

Avocado consumption is associated with better diet quality and nutrient intake, and lower metabolic syndrome risk in US adults: results from the National Health and Nutrition Examination Survey (NHANES) 2001-2008  

PubMed Central

Background Avocados contain monounsaturated fatty acids (MUFA) dietary fiber, essential nutrients and phytochemicals. However, no epidemiologic data exist on their effects on diet quality, weight management and other metabolic disease risk factors. The objective of this research was to investigate the relationships between avocado consumption and overall diet quality, energy and nutrient intakes, physiological indicators of health, and risk of metabolic syndrome. Methods Avocado consumption and nutrition data were based on 24-hour dietary recalls collected by trained NHANES interviewers using the USDA Automated Multiple Pass Method (AMPM). Physiological data were collected from physical examinations conducted in NHANES Mobile Examination Centers. Diet quality was calculated using the USDA’s Healthy Eating Index-2005. Subjects included 17,567 US adults ???19 years of age (49% female), including 347 avocado consumers (50% female), examined in NHANES 2001–2008. Least square means, standard errors, and ANOVA were determined using appropriate sample weights, with adjustments for age, gender, ethnicity, and other covariates depending on dependent variable of interest. Results Avocado consumers had significantly higher intakes of vegetables (p?

2013-01-01

240

Improving children's nutrition environments: A survey of adoption and implementation of nutrition guidelines in recreational facilities  

PubMed Central

Background Although the mandate of recreational facilities is to enhance well-being, many offer foods inconsistent with recommendations for healthy eating. Little is known regarding recreational facility food environments and how they might be improved, as few studies exist. The Alberta Nutrition Guidelines for Children and Youth (ANGCY) are intended to ensure access to healthy food choices in schools, childcare and recreational facilities. This study investigated awareness, adoption and implementation of the ANGCY among recreational facilities in Alberta, Canada, one year following their release. Methods A cross-sectional telephone survey was conducted from June - December, 2009 (n = 151) with managers of publicly funded recreational facilities that served food. The questionnaire included 10 closed and 7 open ended questions to assess the organizational priority for healthy eating, awareness, adoption and implementation of the ANGCY. Chi-squared tests examined quantitative variables, while qualitative data were analysed using directed content analysis. Greenhalgh's model of diffusion of complex innovations within health service organizations constituted the theoretical framework for the study. Results One half of respondents had heard of the ANGCY, however their knowledge of them was limited. Although 51% of facilities had made changes to improve the nutritional quality of foods offered in the past year, only a small fraction (11%) of these changes were motivated by the ANGCY. At the time of the survey, 14% of facilities had adopted the ANGCY and 6% had implemented them. Barriers to adoption and implementation were primarily related to perceived negative attributes of the ANGCY, the inner (organizational) context, and negative feedback received during the implementation process. Managers strongly perceived that implementing nutrition guidelines would limit their profit-making ability. Conclusions If fully adopted and implemented, the ANGCY have the potential to make a significant and sustained contribution to improving the recreational facility food environment, however one year following their release, awareness, adoption and implementation of the ANGCY remained low. A mandated policy approach could offer an efficacious, cost-effective means of improving the food environment within recreational facilities.

2011-01-01

241

Adolescent lipoprotein classifications according to National Health and Nutrition Examination Survey (NHANES) vs. National Cholesterol Education Program (NCEP) for predicting abnormal lipid levels in adulthood in a Middle East population  

PubMed Central

Background To compare the predictive ability of adolescent lipoprotein classification using the National Examination Survey (NHANES) cut points and those of the National Cholesterol Education Program (NCEP) for predicting abnormal levels in adulthood. Method From 1032 adolescents, aged 14–19 years, participants of the Tehran Lipid and Glucose Study, all lipid measures were determined at baseline and again after 6 years. Multivariable Odds Ratios (ORs) were calculated for borderline and high categories of lipids to predict dyslipidemia in adulthood, considering the normal level as a reference. Area under the receiving characteristics curve (AUC) was used to assess the predictive ability of each adolescent lipid classification. Result Applying the NCEP classification, the prevalences of high total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglycerides and low high density lipoprotein cholesterol (HDL-C) in males were 12.1%, 12.9%, 26.1% and 34.2% respectively; in females the corresponding prevalences were 15.4%, 17.9%, 21.4% and 25.0%, respectively. Using NHANES cut points, the prevalence of high TC, LDL-C and triglycerides were lower, than those defined by NCEP; the ORs of high categories of lipids (defined by NHANES) were higher than ORs based on the NECP classification, except for HDL-C. For all lipid measures, both classifications had similar predictive abilities, except for TC/HDL-C, which had higher predictive power applying the NHANES classification rather than the NCEP one (AUC 71% vs. 68%, respectively). Conclusion No differences were found between NCEP and NHANES classifications for prediction of adult dyslipidemia, except for TC/HDL-C. Because of their simple application, NCEP cut points can be used in clinical settings.

2012-01-01

242

Nutrition education for medical students: evaluation of the relative contribution of freshman courses in biochemistry and nutrition to performance on a standardized examination in nutrition.  

PubMed

An examination previously developed and used for assessment of nutrition knowledge of medical students in the Southeastern Regional Medical-Nutrition Education Network was used to compare the effectiveness of a basic medical biochemistry course and a 58-hour required nutrition course. The examination was administered to a cohort of freshman students upon entry to medical school, after biochemistry, and then after nutrition. Two other student groups took the examination at the end of the sophomore and senior years, respectively. In the freshman cohort, mean nutrition knowledge scores increased slightly after biochemistry, (52% to 56%), which contained 37 nutrition-related lectures. The mean score of the cohort was 75% after the nutrition course. The sophomores scored 75% and the seniors 73%. These findings suggest 1) basic science courses such as biochemistry cannot be relied upon to add significantly to nutrition knowledge, and 2) a required freshman course can be an effective way to introduce basic and clinical nutrition with good retention of knowledge in subsequent years. PMID:2520254

Morgan, S L; Weinsier, R L; Boker, J R; Brooks, C M

243

Worry as a predictor of nutrition behaviors: results from a nationally representative survey.  

PubMed

Worry has been shown to predict a variety of health behaviors, such as cancer screening, yet there are few studies linking worry and nutrition. This study used nationally representative data from National Cancer Institute's Food Attitudes and Behavior Survey (n = 3,397) to examine the association between health-related worry and a variety of nutrition behaviors. Greater worry was associated with higher fruit and vegetable consumption (B = 0.19, p < .01), but also more meals eaten when watching television (B = 0.34, p < .01) and fewer with family (B = -0.13, p = .02). Importantly, and counterintuitively, greater worry appeared to reverse the conventional relationship between self-efficacy and dietary restriction; those who were self-efficacious and worried were less likely to restrict unhealthy foods. Similarly, worry attenuated the relationship between perceived benefits and special effort to buy produce. A complex relationship between worry and nutrition emerged, with potentially important clinical implications. PMID:22505569

Ferrer, Rebecca A; Bergman, Hannah E; Klein, William M P

2012-04-13

244

Examining the Nutritional Quality of Breakfast Cereals Marketed to Children  

Microsoft Academic Search

There are both public health and food industry initiatives aimed at increasing breakfast consumption among chil- dren, particularly the consumption of ready-to-eat cere- als. The purpose of this study was to determine whether there were identifiable differences in nutritional quality between cereals that are primarily marketed to children and cereals that are not marketed to children. Of the 161 cereals

MARLENE B. SCHWARTZ; LENNY R. VARTANIAN; CHRISTOPHER M. WHARTON; KELLY D. BROWNELL

245

Implementation of nutritional guidelines in a university hospital monitored by repeated point prevalence surveys  

PubMed Central

Background/Objectives: Malnutrition is present in 20–50% of hospitalized patients, and nutritional care is a challenge. The aim was to evaluate whether the implementation of a nutritional strategy would influence nutritional care performance in a university hospital. Subjects/Methods: This was a prospective quality improvement program implementing guidelines for nutritional care, with the aim of improving nutritional practice. The Nutrition Risk Screening (NRS) 2002 was used. Point prevalence surveys over 2 years to determine whether nutritional practice had improved. Results: In total, 3604 (70%) of 5183 eligible patients were screened and 1230 (34%) were at nutritional risk. Only 53% of the at-risk patients got nutritional treatment and 5% were seen by a dietician. The proportion of patients screened increased from the first to the eighth point prevalence survey (P=0.012), but not the proportion of patients treated (P=0.66). The four initial screening questions in NRS 2002 identified 92% of the patients not at nutritional risk. Conclusions: Implementation of nutritional guidelines improved the screening performance, but did not increase the proportion of patients who received nutritional treatment. Point prevalence surveys were useful to evaluate nutritional practice in this university hospital. In order to improve practice, we suggest using only the four initial screening questions in NRS 2002 to identify patients not at risk, better education in nutritional care for physicians and nurses, and more dieticians employed. Audit of implementation of guidelines, performed by health authorities, and specific reimbursement for managing nutrition may also improve practice.

Tangvik, R J; Guttormsen, A B; Tell, G S; Ranhoff, A H

2012-01-01

246

An Examination of Correlates and Effects Associated with a Concise Measure of Consumers' Nutrition Knowledge.  

ERIC Educational Resources Information Center

Consumers in two studies (n=374 and 500) were surveyed regarding their nutrition knowledge and the information on food labels. Validity of the survey instrument was supported by comparing results from professional nutritionists and dietitian students. Knowledge level was an important factor in consumer comprehension of and attitudes toward label…

Suter, Tracy A.; Burton, Scot

1996-01-01

247

Nutrition labeling and public health: survey of American Institute of Nutrition members, food industry, and consumers13  

Microsoft Academic Search

Five hundred thirty-one members of the American Institute of Nutrition, 177 persons from the food industry, and 107 consumers from a Food and Drug Administration mailing list responded to a survey dealing with nutrition labeling of foods. They identified obesity and heart disease as the major diet-related national health problems and chose information about calories, sodium, fat, protein, iron, calcium,

James T Heimbach; Raymond C Stokes

248

Impact of calcium and vitamin D insufficiencies on serum parathyroid hormone and bone mineral density: analysis of the 4th & 5th Korean National Health and Nutrition Examination Survey  

Technology Transfer Automated Retrieval System (TEKTRAN)

The relative contributions of calcium and vitamin D to calcium metabolism and bone mineral density (BMD) have been examined previously, but not in a population with very low calcium intake. To determine the relative importance of dietary calcium intake and serum 25-hydroxyvitamin D [25(OH)D] concent...

249

Investigation of the Correlates of Iron Deficiency Among Non-Pregnant ChildBearing Age Females, (18–49 years) Using the National Health and Nutrition Examination Survey III – National Data Set (NHANES III-1988–1994)  

Microsoft Academic Search

One of the Healthy People 2010 Objectives is to reduce iron deficiency to 7% or less among reproductive age women. This study examined the correlates of iron deficiency among 2,942 non-pregnant women aged 18–49 years in a representative sample using the NHANES III Data Set. Even though the overall prevalence of iron deficiency was 6.6%, disparities were notable among ethnic

Mable Everette

2008-01-01

250

Age and kidney function are the primary correlates of fasting plasma total homocysteine levels in non-diabetic and diabetic adults. Results from the 1999–2002 National Health and Nutrition Examination Survey  

Microsoft Academic Search

BACKGROUND: Plasma total homocysteine (tHcy) is commonly elevated in persons with diabetes. This may be due to effects of insulin and\\/or glucose and\\/or metabolic control on the metabolism or plasma levels of tHcy. This study examined the effects of fasting plasma glucose status on fasting tHcy levels among adults without diabetes, and diabetes per se among adults with a self-report

Glen E Duncan; Sierra M Li; Xiao-Hua Zhou

2005-01-01

251

Nutrition Environment Measures Survey in Stores (NEMS-S)  

Microsoft Academic Search

Background: Eating, or nutrition, environments are believed to contribute to obesity and chronic diseases. There is a need for valid, reliable measures of nutrition environments. This article reports on the development and evaluation of measures of nutrition environments in retail food stores. Methods: The Nutrition Environment Measures Study developed observational measures of the nutrition environment within retail food stores (NEMS-S)

Karen Glanz; James F. Sallis; Brian E. Saelens; Lawrence D. Frank

2007-01-01

252

Sports Nutrition Knowledge Survey of High-School Health Class Students  

Microsoft Academic Search

LEARNING OUTCOME:To state areas of sports nutrition knowledge lacking in a high school population.Dietitians are often asked to present sports nutrition programs to high school classes or athletic teams. There is little data that addresses sports nutrition knowledge of this age group. A survey of 59 high school students (68% sophomores, 25% juniors, and 7% seniors), evenly divided between male

L. Grieger

1997-01-01

253

Barriers to Providing Nutrition Counseling by Physicians: A Survey of Primary Care Practitioners  

Microsoft Academic Search

Background. Previous surveys have shown that there is a disparity between physicians? beliefs about the importance of diet and nutrition in health maintenance and disease prevention and the actual delivery of nutrition counseling. The primary objective of this study was to assess the current attitudes, practice behavior, and barriers to the delivery of nutrition counseling by primary care physicians. Methods.

R. F. Kushner

1995-01-01

254

Dietary and Physical Activity Behaviors of Middle School Youth: The Youth Physical Activity and Nutrition Survey  

ERIC Educational Resources Information Center

|Background: Obesity has become a national epidemic among youth. Declining physical activity and poor nutrition contribute to this epidemic. The purpose of this study was to obtain data on middle school students' physical activity and nutrition knowledge and practices. Methods: The Youth Physical Activity and Nutrition Survey was developed and…

Zapata, Lauren B.; Bryant, Carol A.; McDermott, Robert J.; Hefelfinger, Jennie A.

2008-01-01

255

Adolescent Nutrition and Physical Fitness. Selected Indicators. Findings for 9th-12th Grade Students from the 1993 North Carolina Youth Risk Behavior Survey.  

ERIC Educational Resources Information Center

|A survey of 2,439 high school students (the 1993 Youth Risk Behavior Survey) in North Carolina found that students present a mixed picture of healthy and risky physical, nutritional, and weight management practices. The survey examined perception of body weight; weight control by gender; method of weight control; consumption of fruit or fruit…

Mikow, Victoria A.

256

Household budget survey nutritional data in relation to mortality from coronary heart disease, colorectal cancer and female breast cancer in European countries  

Microsoft Academic Search

Objective: We have undertaken a study to examine whether Household Budget Survey (HBS)-derived nutritional patterns are related to mortality from diseases with strong nutritional components, namely coronary heart disease, colorectal cancer and cancer of the female breast.Design: Ecological correlation study. In the context of the Data Food Networking projects of the European Union, raw data from the national HBS of

P Lagiou; A Trichopoulou; HK Henderickx; C Kelleher; I Leonhauser; O Moreiras; M Nelson; A Schmitt; W Sekula; K Trygg; G Zajkas

1999-01-01

257

Nutrition Education in Public Elementary and Secondary Schools. Statistical Analysis Report. Fast Response Survey System (FRSS).  

ERIC Educational Resources Information Center

|This report presents the findings from the "Nutrition Education in Public Schools, K-12" survey that was designed to provide data on the status of nutrition education in U.S. public schools. Questionnaires were sent to 1,000 school principals of a nationally representative sample of U.S. elementary, middle, and high schools. The survey requested…

Celebuski, Carin; Farris, Elizabeth

258

Influences in child growth associated with poverty in the 1970's: an examination of HANESI and HANESII, cross-sectional US national surveys13  

Microsoft Academic Search

This research examines associations between various measures of child growth (height, weight, triceps skinfold thickness, subscapular skinfold thickness), dietary variables, and poverty status in a sample of 13,750 black and white children aged 1 to 17 yr. The data used in this survey were collected in the National Health and Nutrition Examination Surveys I and II (HANESI, 1971-1975, and HANESII,

D Yvonne Jones; Maiden C Nesheim; Jean-Pierre Habichi

259

Lessons Learned About Adolescent Nutrition from the Minnesota Adolescent Health Survey  

Microsoft Academic Search

In 1986–1987, more than 30,000 adolescents completed the Minnesota Adolescent Health Survey, a comprehensive assessment of adolescent health status, health behaviors, and psychosocial factors. Although the survey included relatively few items on nutrition-related issues, a wealth of knowledge about adolescent nutrition was gained. Lessons learned from a decade of subsequent analyses of data collected in the survey and implications for

DIANNE NEUMARK-SZTAINER; MARY STORY; MICHAEL D RESNICK; ROBERT W BLUM

1998-01-01

260

Investigating the media power of a population health monitoring survey: case study of the NSW Schools Physical Activity and Nutrition Survey (SPANS).  

PubMed

OBJECTIVE : To examine the extent and nature of news coverage of a government-funded population monitoring survey of children and the potential implications of this coverage for public health advocacy. METHODS : Case study of the NSW Schools Physical Activity and Nutrition Survey (SPANS), a population monitoring survey of school-aged children's weight and weight-related behaviours, conducted in 1997, 2004 and 2010. Printed news items from all Australian newspapers between January 1997 and December 2011 mentioning the survey findings were identified from the Factiva database and a descriptive analysis of the content conducted. RESULTS : Overall, 144 news items were identified. The news angles focused mainly on physical activity/sedentary behaviour; overweight/obesity and nutrition; however these angles changed between 1997 and 2011, with angles focused on physical activity/sedentary behaviour increasing, compared with overweight/obesity and nutrition angles (p=0.001). Responsibility for obesity and weight-related behaviours was most frequently assigned to parents and food marketing, and the most common solutions were policy strategies and parental/child education and support. CONCLUSIONS : Population health surveys are newsworthy and when coupled with strategic dissemination, media can contribute to communicating health issues and interpreting findings in ways that are relevant for consumers, policy makers and stakeholders. Implications : This case study emphasises the news value of government-funded population surveys, while providing a cautionary note about media focus on individual studies rather than a larger body of research evidence. PMID:23731113

Espinel, Paola T; Laws, Rachel; Bonfiglioli, Catriona; Hardy, Louise L; King, Lesley

2013-06-01

261

[Prevalence of nutritional anemia in women of reproductive age. Costa Rica. National nutrition survey, 1996].  

PubMed

In 1996, The Ministry of Health and Inciensa conducted the latest National Nutrition Survey, to provide support and guidance to the national policies, plans and programs in the field of food and nutrition. The present paper reports the results for the prevalence of anemia estimated in a total of 884 women of reproductive age, in three areas: metropolitan area, other urban areas and rural areas. Anemia was determined through measurements of hemoglobin, plasma ferritin and plasma folates. In addition, hemoglobin patterns were determined by electrophoresis. The cutt-off points used were those recommended by the WHO. Anemia was present in 18.6% of the women. Severe to moderate deficiency of iron (< 12 ng/dl) and of folates (< 6 ng/dl) were found in 43.2 and 24.7% of women respectively, with statistically significant differences by area of residence. The magnitude of the problem for anemia can be classified as mild, for iron deficiency as severe, and for folate deficiency as moderate. In conclusion, Anemia represents a public health problem for Costa Rica that has remained constant throughout the last decade. In women of reproductive age, iron deficiency is the main cause of Anemia, followed by folates deficiency, and in a small percentage hemoglobinopathies. Intestinal parasites are not longer a mayor cause of Anemia. Prevalence of Anemia is influenced by place of residence, but not by age. In summary, despite the favorable health conditions present in Costa Rica, the prevalence of Anemia and of iron deficiency are similar to those of the Latin-American region. To improve this situation, public health interventions are necessary. PMID:11515228

Rodríguez, S; Blanco, A; Cunningham, L; Ascencio, M; Chávez, M; Muñoz, L

2001-03-01

262

Survey Nonrespondents as Bad Soldiers: Examining the relationship between organizational citizenship and survey response behavior  

Microsoft Academic Search

The present paper examines whether organizational survey response behavior relates to organizational citizenship behavior (OCB). In Study 1, we examined the relationship between OCB dimensions and survey completion intentions in a field setting (n=228). In Study 2, we compared respondents and different groups of nonrespondents on OCB dimensions using an experimental design in a university setting (n=622). Survey response and

Christiane Spitzmüller; Dana M. Glenn; Meagan M. Sutton; Christopher D. Barr; Steven G. Rogelberg

2007-01-01

263

Comparison of the Micro-Nutrica Nutritional Analysis program and the Russian Food Composition Database using data from the Baltic Nutrition Surveys  

Microsoft Academic Search

Objective: The objective of this study was to compare the nutrient content of foods and diets based on data from two food composition databases used in the Baltic Nutrition Surveys (conducted in Estonia, Latvia and Lithuania in 1997): an adapted version of the Finnish Micro-Nutrica Nutritional Analysis program (used in Estonia) and the Russian Institute of Nutrition Food Composition Database

S Vaask; J Pomerleau; I Pudule; D Grinberga; A Abaravicius; A Robertson; M McKee

2004-01-01

264

Nutrition and Health Survey of Taiwan Elementary School Children 2001-2002: research design, methods and scope.  

PubMed

The "Nutrition and Health Survey of Taiwan's Elementary School Children (2001-2002)" was to investigate the nutritional status, influential dietary and non-dietary factors, health and development, and school performance, as well as the inter-relationships among these factors. The survey adopted a two-staged stratified, clustered probability sampling scheme. Towns and districts in Taiwan with particular ethnic and geographical characteristics were designated into 13 strata including Hakka areas, mountain areas, eastern Taiwan, the Penghu Islands, 3 northern regions, 3 central regions and 3 southern regions. Eight schools were selected from each stratum using the probabilities proportional to sizes method. Twenty-four pupils were randomly selected within each school. The survey included face-to-face interviews and health examinations. Taking seasonal effects into consideration, the face-to-face interviews were evenly allocated into each of the two semesters. A total of 2,419 face-to-face interviews and 2,475 health examinations were completed. Interview data included household information, socio-demographics, 24-hour dietary recall, food frequency, dietary and nutritional knowledge, attitudes and behaviors, physical activity, medical history, oral health, pubertal development, and bone health. Health exam data included anthropometry, blood pressure, physical fitness, bone density, dental health, and blood and urine collection. SUDAAN was used to adjust sampling design effect. There were no significant differences in sibling rank and parental characteristics between respondents and non-respondents, which indicates that our survey is representative and unbiased. The results of this survey will increase our understanding on the nutrition and health status of schoolchildren and can be used to shape public health policy in Taiwan. PMID:17723991

Tu, Su-Hao; Hung, Yung-Tai; Chang, Hsing-Yi; Hang, Chi-Ming; Shaw, Ning-Sing; Lin, Wei; Lin, Yi-Chin; Hu, Su-Wan; Yang, Yao-Hsu; Wu, Tzee-Chung; Chang, Ya-Hui; Su, Shu-Chen; Hsu, Hsiao-Chi; Tsai, Keh-Sung; Chen, Ssu-Yuan; Yeh, Chih-Jung; Pan, Wen-Harn

2007-01-01

265

PRELIMINARY RESULTS OF NUTRITIONAL SURVEYS IN UNITED STATES ARMY CAMPS  

PubMed Central

Before the war there had never been presented to food experts in this country an opportunity for the extended study of nutrition comparable to that afforded these investigators. Their report sets forth details of observations which support the “training ration,” which is appetizing and secures a proper distribution of the nutrients. Imagesp413-a

Murlin, John R.; Miller, Caspar W.

1919-01-01

266

Evaluation of Supplemental Nutrition Assistance Program Education: Application of Behavioral Theory and Survey Validation  

ERIC Educational Resources Information Center

|Objective: Application of the Transtheoretical Model (TTM) to Supplemental Nutrition Assistance Program Education (SNAP-Ed) evaluation and development and validation of an evaluation tool used to measure TTM constructs is described. Methods: Surveys were collected from parents of children receiving food at Summer Food Service Program sites prior…

Wyker, Brett A.; Jordan, Patricia; Quigley, Danielle L.

2012-01-01

267

Nutritional support in 111 pediatric intensive care units: a European survey  

Microsoft Academic Search

Objective To study current strategies in nutritional management of pediatric intensive care units (PICUs) in Europe, focusing on energy requirements. Design and setting Survey by a 35-item questionnaire sent to representatives of 242 PICUs in 28 countries. Addresses were obtained from national PICU associations and the members’ list of the European Society of Pediatric and Neonatal Intensive Care. Participants Staff

Martijn van der Kuip; Michiel J. S. Oosterveld; K. de Meer; Harry N. Lafeber; Reinoud J. B. J. Gemke

2004-01-01

268

Evaluation of Supplemental Nutrition Assistance Program Education: Application of Behavioral Theory and Survey Validation  

ERIC Educational Resources Information Center

Objective: Application of the Transtheoretical Model (TTM) to Supplemental Nutrition Assistance Program Education (SNAP-Ed) evaluation and development and validation of an evaluation tool used to measure TTM constructs is described. Methods: Surveys were collected from parents of children receiving food at Summer Food Service Program sites prior…

Wyker, Brett A.; Jordan, Patricia; Quigley, Danielle L.

2012-01-01

269

Methods of the NSW Schools Physical Activity and Nutrition Survey 2010 (SPANS 2010)  

Microsoft Academic Search

Objectives: Addressing the high prevalence of overweight and obesity and unhealthy lifestyles among New South Wales (NSW) (the most populous state in Australia) youth is a government priority. The primary aim of the NSW Schools Physical Activity and Nutrition Survey (SPANS 2010; n=8058) was to monitor progress towards the NSW State Plan and State Health Plan priorities and targets for

L. L. Hardy; L. King; P. Espinel; A. D. Okely; A. Bauman

2011-01-01

270

Nutritional status of indigenous children: findings from the First National Survey of Indigenous People's Health and Nutrition in Brazil  

PubMed Central

Introduction The prevalence of undernutrition, which is closely associated with socioeconomic and sanitation conditions, is often higher among indigenous than non-indigenous children in many countries. In Brazil, in spite of overall reductions in the prevalence of undernutrition in recent decades, the nutritional situation of indigenous children remains worrying. The First National Survey of Indigenous People’s Health and Nutrition in Brazil, conducted in 2008–2009, was the first study to evaluate a nationwide representative sample of indigenous peoples. This paper presents findings from this study on the nutritional status of indigenous children?survey evaluated the health and nutritional status of children?nutritional status of indigenous peoples.

2013-01-01

271

Nutritional research in World War 2: the Oxford Nutrition Survey and its research potential 50 years later.  

PubMed

To investigate the nutritional status of the population of the UK during the Second World War, nutritional surveys were commissioned in 1941. These included surveys of two groups of pregnant women: the first comprised 120 working-class women who were studied in the spring of 1942, and a second group of 253 women in 1944. Both groups were followed up until after delivery. Detailed biochemical assessments were performed on each subject. Our statistical analysis of the haematological data showed that nearly 25% of women from the 1942 group were deficient in protein, over 60% were deficient in Fe and vitamin A, and over 70% had severe vitamin C deficiency. The findings were reported to the Ministries of Health and Food who instigated a food supplementation policy at the end of 1942 that entitled pregnant women in the UK to extra rations of fruit, dairy produce and to a supply of cod-liver-oil tablets. A second group of 253 pregnant women were studied 15 months later which enabled the effects of this programme to be investigated. Supplementation reduced the proportion of women with vitamin A concentrations below the normal range from 63% to 38%, and vitamin C from 78% to 20%, but protein and Fe concentrations were not increased but actually declined. These findings continued to exert an influence over government food policy for pregnant women until the abolition of rationing in 1954. PMID:11029976

Huxley, R R; Lloyd, B B; Goldacre, M; Neil, H A

2000-08-01

272

Nutrition education tools used in phenylketonuria: clinician, parent and patient perspectives from three international surveys.  

PubMed

BACKGROUND: Three international surveys were developed aiming to identify the current nutrition educational tools used in the management of phenylketonuria (PKU) and the perceived effectiveness of these tools by clinicians, parents and patients. METHODS: The first two surveys were distributed through the Metabolic Dietitians ListServe (pno-metabl@listserv.cc.emory.edu), and the third survey was distributed by international clinics and the National PKU Alliance website (www.npkua.org). A total of 888 responses (S1, n = 88; S2, n = 81; S3, n = 719) were collected from all three surveys. The surveys represent participants from 17 countries, in Europe; North America (USA and Canada); Mexico; Argentina; Turkey; Australia; and Africa (Tunisia). RESULTS: A consistent decline in 'parents as role models' as an educational tool was observed starting at age 10 years. Patients responded they feel their families are the most effective form of education, whereas handouts were selected as the least effective educational tool by patients. Parents responded they feel the most effective educational tool is one-on-one counselling. Patients and parents show a desirable trend in wanting to attend group clinic, even in centres where this type of educational tool is not offered. CONCLUSIONS: There was a discrepancy between clinicians and patient views regarding the perceived effectiveness of the nutrition education tools. Future research is needed surrounding the impact nutrition education may have on improved dietary compliance in patients with PKU. PMID:23607595

Bernstein, L E; Helm, J R; Rocha, J C; Almeida, M F; Feillet, F; Link, R M; Gizewska, M

2013-04-23

273

Nutrition  

Microsoft Academic Search

Nutrition appeared somewhat late on the scene in the I.B.P. projects in the U.K., but eventually it occupied an integral part of many of the H.A. (human adaptability) investigations. The nutritional data obtained in the studies of isolated and near-isolated communities in Tristan da Cunha and in New Guinea provided information of wide nutritional significance. There were also detailed and

J. V. G. A. Durnin

1976-01-01

274

Development and Validation of the Type 1 Diabetes Nutrition Knowledge Survey  

PubMed Central

OBJECTIVE The purpose of this study was to develop a survey of general and diabetes-specific nutrition knowledge for youth with type 1 diabetes and their parents and to assess the survey’s psychometric properties. RESEARCH DESIGN AND METHODS A multidisciplinary pediatric team developed the Nutrition Knowledge Survey (NKS) and administered it to youth with type 1 diabetes (n = 282, 49% females, 13.3 ± 2.9 years) and their parents (82% mothers). The NKS content domains included healthful eating, carbohydrate counting, blood glucose response to foods, and nutrition label reading. Higher NKS scores reflect greater nutrition knowledge (score range is 0–100%). In youths, glycemic control was assessed by A1C, and dietary quality was determined by the Healthy Eating Index-2005 (HEI-2005) derived from 3-day diet records. Validity was based on associations of NKS scores with A1C and dietary quality. Reliability was assessed using the Kuder-Richardson Formula 20 (KR-20) and correlations of domain scores to total score. RESULTS Mean NKS scores (23 items) were 56.9 ± 16.4% for youth and 73.4 ± 12.5% for parents. The KR-20 was 0.70 for youth and 0.59 for parents, representing acceptable internal consistency of the measure. In multivariate analysis, controlling for youth age, family income, parent education, diabetes duration, and insulin regimen, parent NKS scores were associated with corresponding youth A1C (? = ?0.13, P = 0.03). Both parent (? = 0.20, P = 0.002) and youth (? = 0.25, P < 0.001) NKS scores were positively associated with youth HEI-2005 scores. CONCLUSIONS The NKS appears to be a useful measure of general and diabetes-specific nutrition knowledge for youth with type 1 diabetes and their parents.

Rovner, Alisha J.; Nansel, Tonja R.; Mehta, Sanjeev N.; Higgins, Laurie A.; Haynie, Denise L.; Laffel, Lori M.

2012-01-01

275

Nutrition  

NSDL National Science Digital Library

Here we will be discussing different nutritional topics my pyramid my calorie counter calorie king health finder healthy people National Institutes of Health: Health Information diabetes nutrition live strong teen health facts tone teen kidshealth beauty campaign Center For Change Eating Disorders ...

Huish, Mrs.

2009-11-02

276

[A survey on nutritional management planning for patients attending an another institute after discharge].  

PubMed

We sent the reports and plans concerning nutritional management to the 81 facilities, such as a hospital, nursing home, or clinic of home care, and carried out the questionnaire to determine their level of understanding and utilization of the reports. Sixty-nine % understood the purpose of the survey, with 74% noting that the report served as a reference. The purpose of the report was relatively well understood in the hospital or nursing home environments, but was not sufficiently understood in the clinics. In addition, it became clear that several facilities involved with one patient. Therefore, it was necessary to send a report to each facility. The interest in the report concerning nutritional management was very high in a range of various medical workers. Sections such as "matters that require attention, a characteristic in the nourishment management", "dysphagia ", and "a nourishment management method" were considered useful by these workers. The nutritional evaluation of patients discharged may be difficult; therefore, information from reports on nutritional management may help to make a more informed decision on future nutritional management. PMID:23268909

Hidaka, Kumi; Waguchi, Hideko; Shinoki, Keiji; Matsuoka, Mio; Mito, Saori; Doi, Seiko; Hata, Akiko; Ibata, Takeshi; Komuro, Ryutaro; Iijima, Shohei

2012-12-01

277

Energy and nutrient intake in preschool and school age Mexican children: National Nutrition Survey 1999  

Microsoft Academic Search

Objective. To estimate energy and nutrient intake and ad- equacy in preschool and school age Mexican children, using the National Nutrition Survey 1999 (NNS-1999). Material and Methods. Twenty four-h dietary recalls from pre-school (n=1 309) and school (n=2 611) children obtained from a representative sub-sample of the NNS-1999 were analyzed. Intakes and adequacies were estimated and compared across four regions,

Simón Barquera; Juan A Rivera; Margarita Safdie; Mario Flores; Ismael Campos-Nonato; Fabricio Campirano

2003-01-01

278

Food Consumption Patterns: Findings from the Malaysian Adult Nutrition Survey(MANS)  

Microsoft Academic Search

This study reports the food consumption patterns of adults aged 18 to 59 years in the Malaysian Adults Nutrition Survey (MANS) carried out between October 2002 and December 2003. A total of 6,742 subjects comprising 3,274 men and 3,468 women representing the northern, central , southern and east coast of Peninsular Malaysia as well as Sabah and Sarawak were interviewed.

Norimah AK; Safiah M; Jamal K; Siti Haslinda; Fatimah S; Siti Norazlin; Poh BK; Kandiah M; Wan Manan WM; Jalan Raja; Abdul Muda Aziz

2008-01-01

279

Physical activity and inactivity in Chinese school-aged youth: the China Health and Nutrition Survey  

Microsoft Academic Search

OBJECTIVE: To describe physical activity (PA) and inactivity levels and patterns in Chinese school children (aged 6–18 y).DESIGN: PA and inactivity were assessed in a youth cohort enrolled in the China Health and Nutrition Survey (CHNS) in 1997.SUBJECTS: A total of 1423 males (11.5±3.2 y) and 1252 females (11.5±3.3 y).MEASUREMENTS: PA and inactivity were assessed by self-reported usual activity (questionnaire).

C Tudor-Locke; B E Ainsworth; L. S. Adair; S. Du; B. M. Popkin

2003-01-01

280

The nutritional status of disabled children in Nigeria: a cross-sectional survey  

Microsoft Academic Search

Objective: To compare the nutritional status of disabled children in Nigeria with their non-disabled siblings and neighbours. A second aim was to investigate anthropometric techniques appropriate for disabled children in this situation.Design: A cross-sectional survey.Setting: Nasarawa and Plateau States and the Federal Capital Territory in Central Nigeria.Subjects: 311 children under 10 years of age were studied: 112 with various disabilities,

J Tompsett; AK Yousafzai; SM Filteau

1999-01-01

281

Nutrition survey of Finnish rural children. IV. Serum cholesterol values in relation to dietary variables?3  

Microsoft Academic Search

Veikko N#{228}ntO,7 M.D., Antti Ahlstr#{246}m,8 D.Sc., and Nub Hallman,9 M.D. ABSTRACT In connection with a survey of child nutrition in Finland a study was carried out on the serum cholesterol concentration in childhood and its relationship to dietary and other variables. The material consisted of 1496 children ages 5, 9, and 13 years from 14 local districts in Finland. Total

Leena R; Maija Wilska; Riitta-Liisa Kantero

282

Improving measurement in nutrition literacy research using Rasch modelling: examining construct validity of stage-specific 'critical nutrition literacy' scales.  

PubMed

OBJECTIVE: Critical nutrition literacy (CNL), as an increasingly important area in public health nutrition, can be defined as the ability to critically analyse nutrition information, increase awareness and participate in action to address barriers to healthy eating behaviours. Far too little attention has been paid to establishing valid instruments for measuring CNL. The aim of the present study was to assess the appropriateness of utilizing the latent scales of a newly developed instrument assessing nursing students' 'engagement in dietary habits' (the 'engagement' scale) and their level of 'taking a critical stance towards nutrition claims and their sources' (the 'claims' scale). DESIGN: Data were gathered by distributing a nineteen-item paper-and-pencil self-report questionnaire to university colleges offering nursing education. The study had a cross-sectional design using Rasch analysis. Data management and analysis were performed using the software packages RUMM2030 and SPSS version 20. SETTING: School personnel handed out the questionnaires. SUBJECTS: Four hundred and seventy-three students at ten university colleges across Norway responded (52 % response rate). RESULTS: Disordered thresholds were rescored, an under-discriminating item was discarded and one item showing uniform differential item functioning was split. The assumption of item locations being differentiated by stages was strengthened. The analyses demonstrated possible dimension violations of local independence in the 'claims' scale data and the 'engagement' scale could have been better targeted. CONCLUSIONS: The study demonstrates the usefulness of Rasch analysis in assessing the psychometric properties of scales developed to measure CNL. Qualitative research designs could further improve our understanding of CNL scales. PMID:23472785

Guttersrud, Oystein; Dalane, Jorån Østerholt; Pettersen, Sverre

2013-03-11

283

An algorithm to assess methodological quality of nutrition and mortality cross-sectional surveys: development and application to surveys conducted in Darfur, Sudan  

PubMed Central

Background Nutrition and mortality surveys are the main tools whereby evidence on the health status of populations affected by disasters and armed conflict is quantified and monitored over time. Several reviews have consistently revealed a lack of rigor in many surveys. We describe an algorithm for analyzing nutritional and mortality survey reports to identify a comprehensive range of errors that may result in sampling, response, or measurement biases and score quality. We apply the algorithm to surveys conducted in Darfur, Sudan. Methods We developed an algorithm based on internationally agreed upon methods and best practices. Penalties are attributed for a list of errors, and an overall score is built from the summation of penalties accrued by the survey as a whole. To test the algorithm reproducibility, it was independently applied by three raters on 30 randomly selected survey reports. The algorithm was further applied to more than 100 surveys conducted in Darfur, Sudan. Results The Intra Class Correlation coefficient was 0.79 for mortality surveys and 0.78 for nutrition surveys. The overall median quality score and range of about 100 surveys conducted in Darfur were 0.60 (0.12-0.93) and 0.675 (0.23-0.86) for mortality and nutrition surveys, respectively. They varied between the organizations conducting the surveys, with no major trend over time. Conclusion Our study suggests that it is possible to systematically assess quality of surveys and reveals considerable problems with the quality of nutritional and particularly mortality surveys conducted in the Darfur crisis.

2011-01-01

284

Vision Test Validation Study for the Health Examination Survey Among Youths 12-17 years.  

ERIC Educational Resources Information Center

A validation study of the vision test battery used in the Health Examination Survey of 1966-1970 was conducted among 210 youths 12-17 years-old who had been part of the larger survey. The study was designed to discover the degree of correspondence between survey test results and clinical examination by an opthalmologist in determining the…

Roberts, Jean

285

Vision Test Validation Study for the Health Examination Survey Among Youths 12-17 years.  

ERIC Educational Resources Information Center

|A validation study of the vision test battery used in the Health Examination Survey of 1966-1970 was conducted among 210 youths 12-17 years-old who had been part of the larger survey. The study was designed to discover the degree of correspondence between survey test results and clinical examination by an opthalmologist in determining the…

Roberts, Jean

286

Nutrition  

MedlinePLUS

... One-on-One or Small-Group Sessions and Eating Disorders Treatment Services Location Nutrition and Dietary Behavior Counseling * Eating Disorders Treatment † At school by health services or mental ...

287

Lung disease and asthma severity in adults with asthma: data from the Third National Health and Nutrition Examination.  

PubMed

Risk factors for obstructive or restrictive lung disease among persons with asthma are not well defined. Data from the Third National Health and Nutrition Examination Survey were used to determine predictors of poor lung function among 1063 adults, aged 20 years and older, who self-report physician-diagnosed asthma any time during their life regardless of current asthma status. Obstructive lung disease and restrictive lung disease were defined by using spirometry and modified Global Initiative for Chronic Obstructive Lung Disease criteria. Reported symptoms were used to grade asthma severity. Logistic regression models were used to examine associations between lung disease, respiratory symptom severity, and adults who ever had asthma. Risk factors for spirometry-defined obstructive lung disease included increasing age, body mass index < 18.5, current asthma, and non-white race (p < 0.05). Risk factors for spirometry-defined restrictive lung disease included older age at asthma diagnosis, low socioeconomic status, current asthma, and being female (p < 0.05). Risk factors for moderate or severe respiratory symptoms included older age at diagnosis and current smoking status (p < 0.05). Asthma is a known risk factor for chronic obstructive lung disease; these data also suggest that adults, particularly females, who are older at the time of asthma diagnosis, may be at risk to develop spirometry-defined restrictive lung disease as well. These data also suggest that a significant proportion of people with lifetime asthma have impaired lung function; however, it is unclear if more aggressive therapy for asthma would prevent these complications. To further examine the role of these factors in predicting poor lung function among adults with asthma, additional information is needed on these patients' asthma therapy, natural history, and environmental exposures. PMID:16293549

Savage-Brown, Amanda; Mannino, David M; Redd, Stephen C

288

Zinc Intake and Its Dietary Sources: Results of the 2007 Australian National Children's Nutrition and Physical Activity Survey  

PubMed Central

The current Australian Nutrient Reference Values (NRV) use different Estimated Average Requirements (EAR) for zinc for adolescent boys and girls compared to the previous recommendations. The adequacy of zinc intakes of 2–16 years old children (n = 4834) was examined in the 2007 Australian National Children’s Nutrition and Physical Activity Survey. Zinc intakes were estimated from two 24-h recalls and compared with age- and gender-specific NRV. Food sources of zinc were assessed and compared with those of the 1995 National Nutrition Survey. The mean (SD) zinc intake was 10.2 (3.0) mg/day for all children. Nearly all children met the EAR for zinc except for 14–16 years old boys (29% did not meet EAR). Children (2–3 years) were at highest risk of excessive zinc intakes with 79% exceeding the Upper Level of Intake. Meat and poultry; milk products; and cereals and cereal products contributed 68% of total zinc intake. The contribution of cereals to total zinc intake has increased significantly since 1995, due to the greater market-availability of zinc-fortified breakfast cereals. We conclude that sub-groups of Australian children are at-risk of inadequate (boys 14–16 years) or excessive (children 2–3 years) zinc intakes, and monitoring of zinc status is required.

Rangan, Anna M.; Samman, Samir

2012-01-01

289

Using focus groups to determine what constitutes quality of life in clients receiving medical nutrition therapy: First steps in the development of a nutrition quality-of-life survey  

Microsoft Academic Search

Objective As the first part of a multiphase process to develop a Nutrition Quality of Life (NQOL) survey, our objective was to identify items that later will be psychometrically evaluated for inclusion into the NQOL survey, a survey that can be used in routine practice to monitor the impact of medical nutrition therapy (MNT). Design We used a prospective, six-step

Judith Barr; Gerald Schumacher

2003-01-01

290

Nutrition education: a survey of practices and perceptions in undergraduate dietetics education.  

PubMed

Electronic mail messages linked to an online survey were sent to 281 directors of didactic and coordinated programs in dietetics to investigate coverage of nutrition education in undergraduate curriculua, perceived importance of topics, and perceived trends. Descriptive statistics and content analysis were performed on responses from 117 programs. Programs addressed nutrition education through a variety of methods and materials. Fifty-three percent (n=62) offered a course dedicated to nutrition education. The most common teaching methods were didactic (88%) and experiential learning (87%). Most of the topics investigated, including those addressed by the Commission on Accreditation for Dietetics Education Accreditation Manual, were viewed as important, very important, or essential. Perceived trends included increased use of technology, theories/models, client-centered education, cultural awareness, and behavior change. Eighty-eight percent of respondents indicated satisfaction with nutrition education curriculum strategies. Dissatisfaction was associated with inadequate time and resources, need for course improvement, and lack of control over experiences. Results may aid in curriculum development. PMID:15389422

Short, Joy E; Chittooran, Mary M

2004-10-01

291

Survey results of the training, nutrition, and mental preparation of triathletes: practical implications of findings.  

PubMed

Although triathlon is growing in popularity at a remarkable rate, it has not been extensively studied. The aims of this research were to identify preparation strategies used by triathletes and to categorize these strategies according to gender and consultation with triathlon coaches. Survey data collected from 401 triathletes (207 males, 194 females) revealed training, nutritional, and mental preparation habits. Most participants engaged in strength training, consumed food and/or fluids during and after training, set training and competition goals, and applied mental preparation strategies during training and the hour before racing. Water was the most commonly consumed fluid; positive self-talk was the most used mental strategy. Participants were more likely to consult with a triathlon coach than a nutrition or sport psychology professional. Athletes with more years of experience in triathlon and those competing in longer distances were more likely to consult a triathlon coach. Female triathletes were more likely than male triathletes to train with others, use mental preparation strategies, and report feeling anxious before competitions. More male triathletes reported using nutritional supplements during training than their female counterparts. These findings add to the limited research base on triathletes' training habits, and hopefully will help guide practitioners who work with this group. The results provide guidance for collaborative efforts among training, nutrition, and mental health professionals to best support triathletes. PMID:21623532

Dolan, Shawn H; Houston, Melinda; Martin, Scott B

2011-06-21

292

Multi-Site Survey Using the Nutrition Screening Initiative's Determine Checklist Shows Evidence of Nutritional Risks in Outpatient Veterans  

Microsoft Academic Search

In ambulatory care settings at many VA medical centers and outpatient clinics, current practice involves referral via consult of selected veterans for nutritional intervention and counseling. However, it is speculated that there are many more veterans with poor nutritional status who are not detected. As a result, a group of ambulatory care network dietitians implemented the use of the Nutrition

S. H. Hagood; J. E. Chambers; F. V. Rice; J. A. McGhee; R. Matthews; K. Maloof; O. Strickland-Roland; E. Turner; L. H. Schmidt

1999-01-01

293

Examining Preschoolers' Nutrition Knowledge Using a Meal Creation and Food Group Classification Task: Age and Gender Differences  

ERIC Educational Resources Information Center

|Eating behaviours begin to develop during early childhood, but relatively little is known about preschoolers' nutrition knowledge. The current study examined age and gender differences in this knowledge using two tasks: food group classification and the creation of unhealthy, healthy and preferred meals. Sixty-nine three- to six-year-old children…

Holub, Shayla C.; Musher-Eizenman, Dara R.

2010-01-01

294

A National Survey to Examine Teacher Professional Development and Implementation of Desktop GIS  

ERIC Educational Resources Information Center

This article examines the results of an online national survey of K-12 educators who attended a series of GIS training workshops conducted by the authors between 1998 and 2004. Data from the self-report survey (N = 186) suggest new information about potential changes in instruction and assessment patterns following GIS training. The survey

Baker, Thomas R.; Palmer, Anita M.; Kerski, Joseph J.

2009-01-01

295

A Survey of Professional Licensure Examinations in Texas.  

ERIC Educational Resources Information Center

|A determination was made of how graduates of Texas professional education programs perform on licensure examinations in comparison with their counterparts in other states. Test scores of Texas graduates were compared with national norms and averages in other states, when available, as well as with scores of graduates of out-of-state programs who…

Texas Coll. and Univ. System, Austin. Coordinating Board.

296

A Survey of Professional Licensure Examinations in Texas.  

ERIC Educational Resources Information Center

A determination was made of how graduates of Texas professional education programs perform on licensure examinations in comparison with their counterparts in other states. Test scores of Texas graduates were compared with national norms and averages in other states, when available, as well as with scores of graduates of out-of-state programs who…

Texas Coll. and Univ. System, Austin. Coordinating Board.

297

Nutritive Values of Foods Used in the Nationwide Food Consumption Survey (Including Puerto Rico), Basic Household, 1977-78.  

National Technical Information Service (NTIS)

This file contains nutritive values for 4,083 food items reported used by households in the USDA Nationwide Food Consumption Survey 1977-78 and the Household Food Consumption Survey in Puerto Rico. Food composition values are for 1 pound of food, as purch...

B. C. Gray M. Hama

1978-01-01

298

Examining Associations of Circulating Endotoxin with Nutritional Status, Inflammation and Mortality in Hemodialysis Patients  

PubMed Central

Objective Lipopolysaccharide or endotoxin constitutes most part of the outer portion of the cell wall in the gram negative bacteria. Sub-clinical endotoxemia could contribute to increased inflammation and mortality in hemodialysis patients. Endotoxin level and clinical effect are determined by its soluble receptor sCD14 and high density lipoprotein. We examine the hypothesis that endotoxin level correlates with mortality. Methods In this cohort study, endotoxin levels were measured in 306 long-term hemodialysis patients who were then followed for up to 42 months. Soluble CD14 and cytokines levels were also measured. Results The mean (±SD) endotoxin level was 2.31±3.10 EU/ml (min: 0.26 EU/ml, max: 22.94 EU/ml, inter-quartile range: 1.33EU/ml, median: 1.27EU/ml). Endotoxin correlated with C-reactive protein (r = 0.11, p<0.04). On multivariate logistic regression analysis, high body mass index (BMI) and low HDL cholesterol levels were associated with higher endotoxinemia (endotoxin below or above of median). In multivariable Cox regression analysis adjusted for case-mix and nutritional/inflammatory confounders, endotoxin levels in the 3rd quartile vs. 1st quartile was associated with a trend towards increased hazard ratio (HR) for death (HR 1.83, 95% confidence interval: 0.93–3.6, p=0.08). Conclusions In this hemodialysis cohort, we found associations between endotoxinemia and CRP, body composition and HDL. A moderately high endotoxin levels tended to correlate with increased mortality than the highest circulating endotoxin level. Additional studies are required to asses the effect of endotoxemia on mortality in dialysis population.

Feroze, Usama; Kalantar-Zadeh, Kamyar; Sterling, Kevin A; Molnar, Miklos Z.; Noori, Nazanin; Benner, Debbie; Shah, Vhalab; Dwivedi, Rama; Becker, Kenneth; Kovesdy, Csaba P; Raj, Dominic S

2011-01-01

299

Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs.  

PubMed

Both the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Head Start/Early Head Start (HS/EHS) Programs serve low-income women and children at high risk for health disparities, yet they do not have a formal state-level partnership in Connecticut. Both programs serve children up to age five, yet children's participation in the WIC Program declines sharply after 2 years of age, limiting the potential benefits of cross-program participation. The goal of this study is to examine current and prospective collaboration efforts among the WIC and HS/EHS Programs in Connecticut and identify barriers to collaboration. An online survey was administered to staff from both programs. Six focus groups were held in January, 2012 with staff and participants from both programs. Results showed areas of existing collaboration between local WIC and HS/EHS Programs, yet also identified many areas where relationships could be strengthened or established. Common themes that were identified included a need for more knowledge among staff about the other program, collaboration involving sharing of client information, and improving referral procedures. Staff from both programs strongly expressed interest in a cross-program collaboration (73 % of HS staff and 86 % of WIC staff). This research serves as a framework for how a state-level collaboration could be established in Connecticut, to enable these two programs to work together more efficiently and effectively for the benefit of mothers and children. Results can provide other State WIC Programs with a blueprint for collaborating with HS/EHS. PMID:23417212

Martin, Katie S; Wolff, Michele; Lonczak, Marilyn; Chambers, Marjorie; Cooke, Caroline; Whitney, Grace

2013-02-17

300

Anatomy of Culturally Sensitive Interventions Promoting Nutrition and Exercise in Hispanics: A Critical Examination of Existing Literature  

PubMed Central

Compared with non-Hispanic Whites, Hispanics experience a disproportionate burden of chronic diseases. Understanding the factors influencing the success of health programs in Hispanics requires a clearer examination of the principles and components of tailored interventions. This research comprises a comprehensive literature review of randomized controlled trials testing nutrition and exercise interventions tailored for Hispanics and an examination of how these interventions were constructed. The review of 18 interventions meeting study criteria suggests that most tailored programs promoting nutrition and exercise in Hispanics are theory driven and are informed by formative research. Also, the findings indicate that salient culturally sensitive intervention components are (a) bilingual and bicultural facilitators and materials, (b) family-based activities, (c) literacy-appropriate materials, and (d) social support. A clear understanding of Hispanic cultural values is also required. Further empirical examination is warranted to determine the factors mediating or predicting the efficacy of culturally sensitive health programs for Hispanics.

Mier, Nelda; Ory, Marcia G.; Medina, Alvaro A.

2013-01-01

301

Anatomy of culturally sensitive interventions promoting nutrition and exercise in hispanics: a critical examination of existing literature.  

PubMed

Compared with non-Hispanic Whites, Hispanics experience a disproportionate burden of chronic diseases. Understanding the factors influencing the success of health programs in Hispanics requires a clearer examination of the principles and components of tailored interventions. This research comprises a comprehensive literature review of randomized controlled trials testing nutrition and exercise interventions tailored for Hispanics and an examination of how these interventions were constructed. The review of 18 interventions meeting study criteria suggests that most tailored programs promoting nutrition and exercise in Hispanics are theory driven and are informed by formative research. Also, the findings indicate that salient culturally sensitive intervention components are (a) bilingual and bicultural facilitators and materials, (b) family-based activities, (c) literacy-appropriate materials, and (d) social support. A clear understanding of Hispanic cultural values is also required. Further empirical examination is warranted to determine the factors mediating or predicting the efficacy of culturally sensitive health programs for Hispanics. PMID:19193933

Mier, Nelda; Ory, Marcia G; Medina, Alvaro A

2009-02-04

302

Consumption of monosodium glutamate in relation to incidence of overweight in Chinese adults: China Health and Nutrition Survey (CHNS)123  

PubMed Central

Background: It has been hypothesized that monosodium glutamate (MSG), a flavor enhancer, is positively associated with weight gain, which influences energy balance through the disruption of the hypothalamic signaling cascade of leptin action. Objective: The objective was to examine the longitudinal association between MSG consumption and incidence of overweight. Design: Data were collected from the China Health and Nutrition Survey (CHNS), a prospective open-cohort, ongoing nationwide health and nutrition survey, consisting of 10,095 apparently healthy Chinese adults aged 18–65 y at entry from 1991 to 2006. Diet, including MSG and other condiments, was assessed with a weighed food inventory in combination with three 24-h recalls. Incident overweight was defined as a body mass index (BMI; in kg/m2) ? 25 or ?23 based on World Health Organization recommendations for Asian populations. Multilevel mixed-effects models were constructed to estimate change in BMI, and Cox regression models with gamma shared frailty were used to determine the incidence of overweight. Results: The mean follow-up was 5.5 y. The cumulative mean (±SD) MSG intake of 2.2 ± 1.6 g/d was positively associated with BMI after adjustment for potential confounders and cluster effects at different levels (individual, household, and community). The adjusted hazard ratio of overweight was 1.33 (95% CI: 1.01, 1.75; P for trend < 0.01) for participants in the highest quintile of MSG intake compared with those in the lowest quintile after adjustment for age, physical activity, total energy intake, and other major lifestyle factors. Conclusions: MSG consumption was positively, longitudinally associated with overweight development among apparently healthy Chinese adults. Additional studies are needed to elucidate mechanisms of action and to establish causal inference.

Du, Shufa; Xun, Pengcheng; Sharma, Sangita; Wang, Huijun; Zhai, Fengying; Popkin, Barry

2011-01-01

303

German health interview and examination survey for adults (DEGS) - design, objectives and implementation of the first data collection wave  

PubMed Central

Background The German Health Interview and Examination Survey for Adults (DEGS) is part of the recently established national health monitoring conducted by the Robert Koch Institute. DEGS combines a nationally representative periodic health survey and a longitudinal study based on follow-up of survey participants. Funding is provided by the German Ministry of Health and supplemented for specific research topics from other sources. Methods/design The first DEGS wave of data collection (DEGS1) extended from November 2008 to December 2011. Overall, 8152 men and women participated. Of these, 3959 persons already participated in the German National Health Interview and Examination Survey 1998 (GNHIES98) at which time they were 18–79?years of age. Another 4193 persons 18–79?years of age were recruited for DEGS1 in 2008–2011 based on two-stage stratified random sampling from local population registries. Health data and context variables were collected using standardized computer assisted personal interviews, self-administered questionnaires, and standardized measurements and tests. In order to keep survey results representative for the population aged 18–79?years, results will be weighted by survey-specific weighting factors considering sampling and drop-out probabilities as well as deviations between the design-weighted net sample and German population statistics 2010. Discussion DEGS aims to establish a nationally representative data base on health of adults in Germany. This health data platform will be used for continuous health reporting and health care research. The results will help to support health policy planning and evaluation. Repeated cross-sectional surveys will permit analyses of time trends in morbidity, functional capacity levels, disability, and health risks and resources. Follow-up of study participants will provide the opportunity to study trajectories of health and disability. A special focus lies on chronic diseases including asthma, allergies, cardiovascular conditions, diabetes mellitus, and musculoskeletal diseases. Other core topics include vaccine-preventable diseases and immunization status, nutritional deficiencies, health in older age, and the association between health-related behavior and mental health.

2012-01-01

304

Food and nutrient intake in East and West Germany, 8 years after the reunification—The German Nutrition Survey 1998  

Microsoft Academic Search

Objective: To explore differences in food and nutrient intake as well as cardiovascular risk factors between the eastern and western parts of Germany in 1998 and to compare food consumption information between 1991 and 1998.Design and subjects: In all, 4030 people, aged 18–79 y, sampled from the East and West parts of Germany participated in the German Nutrition Survey (1998)

GBM Mensink; R Beitz

2004-01-01

305

The Nutrition Attitude Survey: Associations With Dietary Habits, Psychological and Physical Well-Being, and Coronary Risk Factors  

Microsoft Academic Search

Attitudes play an important role in the adoption and maintenance of a variety of health habits. In the present study, the Nutrition Attitude Survey (NAS) was developed to measure attitudes pertaining to the adoption of a low-fat, low-cholesterol diet. Factor analysis identified four primary attitudinal factors: (a) Helpless and Unhealthy, (b) Food Exploration, (c) Meat Preference, and (d) Health Consciousness.

Jack F. Hollis; Timothy P. Carmody; Sonja L. Connor; Steven G. Fey; Joseph D. Matarazzo

1986-01-01

306

Prevalence of self-reported hypercholesterolaemia and its relation to dietary habits, in Greek adults; a national nutrition & health survey  

Microsoft Academic Search

BACKGROUND: The strong causal role of hypercholesterolaemia on the progression of atherosclerosis and subsequently on the development of cardiovascular disease is well described. Main aim of this study was to evaluate the prevalence of self-reported hypercholesterolaemia and its relation to nutritional habits, in a representative nationwide sample of adult Greek population. METHODS: Cross sectional survey. Based on a multistage sampling,

George A Milias; Demosthenes B Panagiotakos; Christos Pitsavos; Dimitra Xenaki; George Panagopoulos; Christodoulos Stefanadis

2006-01-01

307

Malnutrition prevalence and precision in nutritional care differed in relation to hospital volume – a cross-sectional survey  

Microsoft Academic Search

BACKGROUND: To explore the point prevalence of the risk of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk and hospital volume. METHODS: A cross-sectional survey performed in nine hospitals including 2 170 (82.8%) patients that agreed to participate. The hospitals were divided into large, middle, and small sized hospitals. Undernutrition risk and overweight (including obesity) were

Albert Westergren; Christine Wann-Hansson; Elisabet Bergh Börgdal; Jeanette Sjölander; Rosmarie Strömblad; Rosemarie Klevsgård; Carolina Axelsson; Christina Lindholm; Kerstin Ulander

2009-01-01

308

Prevalence of self-reported hypertension and its relation to dietary habits, in adults; a nutrition & health survey in Greece  

Microsoft Academic Search

BACKGROUND: Hypertension leads to many degenerative diseases, the most common being cardiovascular in origin. This study has been designed to estimate the prevalence of self-reported hypertension in a random nationwide sample of adult Greek population, while focus was set to the assessment of participants' nutritional habits in relation to their hypertension status. METHODS: A random-digit dialed telephone survey. Based on

Christos Pitsavos; George A Milias; Demosthenes B Panagiotakos; Dimitra Xenaki; George Panagopoulos; Christodoulos Stefanadis

2006-01-01

309

Understanding Needs Is Important for Assessing the Impact of Food Assistance Program Participation on Nutritional and Health Status in U.S. Elderly Persons1  

Microsoft Academic Search

This study aimed to assess the impact of food assistance programs on nutritional and health status of nutritionally needy elderly persons. Two cross-sectional and one longitudinal data sets were used: Third National Health and Nutrition Examination Survey (1988 -94), Nutrition Survey of the Elderly in New York State (1994) and Longitudinal Study of Aging (1984 -1990). Multiple logistic and linear

Jung Sun Lee; Edward A. Frongillo

310

Status of nutrition labeling, health claims, and nutrient content claims for processed foods: 1997 Food Label and Package Survey.  

PubMed

The Food and Drug Administration (FDA) conducts studies of food labels as part of its ongoing monitoring of the nutritional status of the US population. In 1994 FDA nutrition labeling rules were implemented and in 1997 the Food Label and Package Survey characterized various aspects of the labeling of processed, packaged foods, including nutrition labeling, health claims, and nutrient content claims. For the survey, FDA selected a multistage, representative sample of food products from the SCAN-TRACK food sales database (AC Nielsen Co, Schaumburg, Ill). FDA identified 58 product groups and selected those product classes from the database that accounted for 80% of sales in each group. From each product class, FDA selected the 3 top-selling product brands and randomly selected follower brands. Based on label information from a final sample of 1,267 food products, FDA determined the percentage of products sold that bear Nutrition Facts labels, health claims, and nutrient content claims. The purpose of this article was to present FDA findings regarding the status of food labels 3 years after implementation of the nutrition labeling rules. Nutrition-labeled products accounted for an estimated 96.5% of the annual sales of processed, packaged foods. An additional 3.4% of products sold were exempt from labeling regulations. Nutrient content claims and health claims appeared on an estimated 39% and 4%, respectively, of the products sold. Dietitians and other health care professionals can use this survey information to identify food types with specific label information and to assist the US consumer in making more varied and healthful food choices in the marketplace. PMID:11019354

Brecher, S J; Bender, M M; Wilkening, V L; McCabe, N M; Anderson, E M

2000-09-01

311

Urinary Cadmium and Beta2-Microglobulin: Correlation with Nutrition and Smoking History (Journal Version).  

National Technical Information Service (NTIS)

Urinary cadmium and beta2-microglobulin concentrations from approximately 1000 samples from the general adult U.S. population, collected as part of the National Health and Nutritional Examination Survey II (NHANES II), were related to nutritional and smok...

N. E. Kowal

1988-01-01

312

Do Nutrition Claims Matter to Consumers? An Empirical Analysis Considering European Requirements  

Microsoft Academic Search

EU Regulation 1924\\/2006 introduced a European legal framework for nutrition messages for food product labels. The study analyses consumer interest towards nutrition labelling and claims, and examines the information consumers consider important during their purchasing decisions, and the main characteristics of those consumers interested in nutrition claims and nutrition labelling use. A total of 1,025 northern Italian consumers were surveyed.

Stefanella Stranieri; Lucia Baldi; Alessandro Banterle

2010-01-01

313

Survey of Forensic Document Examination Habit Areas: Degree of Use and Discriminatory Power  

SciTech Connect

Beginning in 1998, the Pacific Northwest National Laboratory (PNL), US Postal Inspection Service Forensic Laboratory (USPIS), and the Data Fusion Laboratory, Drexel University (DFL) have been collaborating on a large scale research project ''Handwriting Individuality--Moving From Art to Science''. In April 1998 a survey was distributed to the community of forensic document examiners (FDEs) requesting input on the habit areas used and their utility in distinguishing handwriting. The information obtained from this survey was intended to provide the data necessary to select the criteria and begin the evaluation of the handwriting samples currently in the project. Preliminary results of the survey were made available to the community at the American Society of Questioned Document Examiners (ASQDE) meeting in August 1998 and the American Academy of Forensic Sciences (AAFS) meeting in February 1999. This report provides final documentation of the survey and its results. This survey has two objectives: (1) to compile a list of handwriting features and characteristics used by professional forensic document examiners in the examination and comparison of handwriting and (2) to gather information about the significance of these features and characteristics. These objectives are met by having the FDEs provide an indication of their experience in the frequency of habit area evaluation and the utility of the habit area for discrimination.

G Sperry; PA Manzolillo; RC Hanlan; RJ Muehlberger

1999-09-07

314

Assessment of Nutrition Knowledge and Behaviors of Massachusetts Adolescents  

Microsoft Academic Search

Nutrition knowledge and behaviors of Massachusetts adolescents are identified and examined based on gender, community type and whether respondents reported learning nutrition in school. Responses of Massachusetts adolescents are compared to responses from a similar population from the National Adolescent Health Survey (NASHS),The purpose of the study was to provide information for use in planning nutrition education programs and in

Patricia F. Plummer; C John

1995-01-01

315

Intraindividual variation in serum retinol concentrations among participants in the third National Health and Nutrition Examination  

Microsoft Academic Search

Background: The biological variability in serum retinol concentra- tions has never been examined in a large sample, and its effect on population distribution estimates and the clinical assessment of vi- tamin A status is unknown. Objective: We evaluated the biological CV of serum retinol and examined the effect of the CV on both population distribution esti- mates and clinical assessments

Cathleen Gillespie; Carol Ballew; Barbara A Bowman; Ralph Donehoo; Mary K Serdula

316

Nutritional Risk Needs Assessment of Community-Living Seniors: Prevalence of Nutrition Problems and Priorities for Action.  

ERIC Educational Resources Information Center

|Surveyed community-dwelling older adults to examine the prevalence of nutritional risk, specific nutrition problems, and educational format preferences. Results revealed that nutrition problems and risk were prevalent among community-dwelling older adults. Common problems included significant weight change in 6 months and low intake of fruits,…

Keller, Heather H.; Hedley, Margaret R.

2002-01-01

317

A Pilot Study to Examine the Effects of a Nutrition Intervention on Nutrition Knowledge, Behaviors, and Efficacy Expectations in Middle School Children  

ERIC Educational Resources Information Center

|Background: This was a pilot study to determine the impact of the Michigan Model (MM) Nutrition Curriculum on nutrition knowledge, efficacy expectations, and eating behaviors in middle school students. Methods: The study was conducted in a large metropolitan setting and approved by the Institutional Review Board. The participants for this study…

Fahlman, Mariane M.; Dake, Joseph A.; McCaughtry, Nate; Martin, Jeffrey

2008-01-01

318

A UK and Irish survey of enteral nutrition practices in paediatric intensive care units.  

PubMed

The aim of the present study was to describe the present knowledge of healthcare professionals and the practices surrounding enteral feeding in the UK and Irish paediatric intensive care unit (PICU) and propose recommendations for practice and research. A cross-sectional (thirty-four item) survey was sent to all PICU listed in the Paediatric Intensive Care Audit Network (PICANET) database (http://www.picanet.org.uk) in November 2010. The overall PICU response rate was 90 % (27/30 PICU; 108 individual responses in total). The overall breakdown of the professional groups was 59 % nursing staff (most were children's nurses), 27 % medical staff, 13 % dietitians and 1 % physician assistants. Most units (96 %) had some written guidance (although brief and generic) on enteral nutrition (EN); 85 % of staff, across all professional groups (P= 0.672), thought that guidelines helped to improve energy delivery in the PICU. Factors contributing to reduced energy delivery included: fluid-restrictive policies (60 %), the child just being 'too ill' to feed (17 %), surgical post-operative orders (16 %), nursing staff being too slow in starting feeds (7 %), frequent procedures requiring fasting (7 %) and haemodynamic instability (7 %). What constituted an 'acceptable' level of gastric residual volume (GRV) varied markedly across respondents, but GRV featured prominently in the decision to both stop EN and to determine feed tolerance and was similar for all professional groups. There was considerable variation across respondents about which procedures required fasting and the duration of this fasting. The present survey has highlighted the variability of the present enteral feeding practices across the UK and Ireland, particularly with regard to the use of GRV and fasting for procedures. The present study highlights a number of recommendations for both practice and research. PMID:22853808

Tume, Lyvonne; Carter, Bernie; Latten, Lynne

2012-08-01

319

The Psychological Autopsy and Determination of Child Suicides: A Survey of Medical Examiners  

Microsoft Academic Search

This study explored the decision-making processes of medical examiners in the determination of child suicide. Ninety-four medical examiners completed a survey regarding those factors considered when making a child suicide determination, sources of information used, and considerations in accident vs. suicide classifications. No significant differences between groups of respondents were observed. Well-known risk factors such as suicide notes were considered

Franci Crepeau-Hobson

2010-01-01

320

Midwest growers' mail survey of contributors to migrant health and nutrition.  

PubMed

The purpose of this study was to solicit information from farm owners (growers), as representatives of their farm businesses, regarding descriptive information on migrant camp housing that may contribute to the health and nutritional status of employed workers and their families. This cross-sectional descriptive mail survey was sent to 802 growers in Indiana, Michigan, Ohio, and Pennsylvania via the US Postal Service. The growers were identified by an Internet search for licensed agricultural work camps in Midwest departments of agriculture. Response rate was 34%. Overall, growers reported a median of one migrant camp with 23 residents, employing workers seasonally for either 10 weeks or 6 months, with seven accompanying children on site. Individual kitchen appliances varied across the states, potentially influencing the preparation of healthy meals. Three themes were identified from the results. First, over one third of owners lacked or had limited knowledge about the health services available to migrant families. Second, migrant workers may have limited access to a variety of fresh produce for household meal preparation. Third, migrant children were unable to easily access public play areas, and families lacked recreational spaces in agricultural work camps. Play areas in migrant camps were mostly identified as open fields with little play equipment on site. Knowledge learned can influence future agricultural camp practices and the design of future research studies, and provide direction for grower education topics presented at agricultural conferences and by extension services. PMID:22994639

Kilanowski, Jill F

2012-01-01

321

Body mass index: comparing mean values and prevalence rates from telephone and examination surveys  

Microsoft Academic Search

Background: Cost effective means of assessing the levels of risk factors in the population have to be defined in order to monitor these factors over time and across populations. This study is aimed at analyzing the difference in population estimates of the mean levels of body mass index (BMI) and the prevalences of overweight, between health examination survey and telephone

F. PACCAUD; V. WIETLISBACH; M. RICKENBACH

2001-01-01

322

The U.S. National Health and Nutrition Examination Survey and human exposure to environmental chemicals  

Microsoft Academic Search

Researchers are increasingly interested in using human biomonitoring – the measurement of chemicals, their metabolites or specific reaction products in biological specimens\\/body fluids – for investigating exposure to environmental chemicals. General population human biomonitoring programs are useful for investigating human exposure to environmental chemicals and an important tool for integrating environment and health. One of these programs, the National Health

Antonia M. Calafat

323

An overview of the European Health Examination Survey Pilot Joint Action  

PubMed Central

Background Health Examination Surveys (HESs) can provide essential information on the health and health determinants of a population, which is not available from other data sources. Nevertheless, only some European countries have systems of national HESs. A study conducted in 2006–2008 concluded that it is feasible to organize national HESs using standardized measurement procedures in nearly all EU countries. The feasibility study also outlined a structure for a European Health Examination Survey (EHES), which is a collaboration to organize standardized HESs in countries across Europe. To facilitate setting up national surveys and to gain experience in applying the EHES methods in different cultures, EHES Joint Action (2010–2011) planned and piloted standardized HESs in the working age population in 12 countries. This included countries with earlier national HESs and countries which were planning their first national HES. The core measurements included in all surveys were weight, height, waist circumference and blood pressure, and blood samples were taken to measure lipid profiles and glucose or glycated haemoglobin (HbA1c). These are modifiable determinants of major chronic diseases not identified in health interview surveys. There was a questionnaire to complement the data on the examination measurements. Methods Evaluation of the pilot surveys was based on review of national manuals and evaluation reports of survey organizers; observations and discussions of survey procedures during site visits and training seminars; and other communication with the survey organizers. Results Despite unavoidable differences in the ways HESs are organized in the various countries, high quality and comparability of the data seems achievable. The biggest challenge in each country was obtaining high participation rate. Most of the pilot countries are now ready to start their full-size national HES, and six of them have already started. Conclusions The EHES Pilot Project has set up the structure for obtaining comparable high quality health indicators on health and important modifiable risk factors of major non-communicable diseases from the European countries. The European Union is now in a key position to make this structure sustainable. The EHES core survey can be expanded to cover other measurements.

2012-01-01

324

Principles of Sports Nutrition  

Microsoft Academic Search

LEARNING OUTCOME: To measure if nutrition course work enhances athletes’ knowledge of sports nutrition principles.The objectives of this study were to determine if nutrition course work enhances athletes’ knowledge of sports nutrition principles and to identify athletes’ resources for nutrition information. Questionnaires were distributed to 40 athletes at a state university. Seventeen completed surveys were returned and included members from

L. D. Tartamella; D. S. Kemler

1996-01-01

325

Design of the South East Asian Nutrition Survey (SEANUTS): a four-country multistage cluster design study.  

PubMed

Nutrition is a well-known factor in the growth, health and development of children. It is also acknowledged that worldwide many people have dietary imbalances resulting in over- or undernutrition. In 2009, the multinational food company FrieslandCampina initiated the South East Asian Nutrition Survey (SEANUTS), a combination of surveys carried out in Indonesia, Malaysia, Thailand and Vietnam, to get a better insight into these imbalances. The present study describes the general study design and methodology, as well as some problems and pitfalls encountered. In each of these countries, participants in the age range of 0·5-12 years were recruited according to a multistage cluster randomised or stratified random sampling methodology. Field teams took care of recruitment and data collection. For the health status of children, growth and body composition, physical activity, bone density, and development and cognition were measured. For nutrition, food intake and food habits were assessed by questionnaires, whereas in subpopulations blood and urine samples were collected to measure the biochemical status parameters of Fe, vitamins A and D, and DHA. In Thailand, the researchers additionally studied the lipid profile in blood, whereas in Indonesia iodine excretion in urine was analysed. Biochemical data were analysed in certified laboratories. Study protocols and methodology were aligned where practically possible. In December 2011, data collection was finalised. In total, 16,744 children participated in the present study. Information that will be very relevant for formulating nutritional health policies, as well as for designing innovative food and nutrition research and development programmes, has become available. PMID:24016763

Schaafsma, Anne; Deurenberg, Paul; Calame, Wim; van den Heuvel, Ellen G H M; van Beusekom, Christien; Hautvast, Jo; Sandjaja; Bee Koon, Poh; Rojroongwasinkul, Nipa; Le Nguyen, Bao Khanh; Parikh, Panam; Khouw, Ilse

2013-09-01

326

Nutrition surveys or surveillance: one-night stands or a long-term commitment?  

Microsoft Academic Search

oor nutrition contributes to Australia's current health prob- lems in several ways. Heart disease and cancer, both strongly related to nutrition, remain the leading causes of death. At the same time, the prevalence of obesity and diabetes is alarmingly high, and deficiencies of vitamin D, iodine, and calcium are re- emerging. As a consequence, policymakers, food regulators and health professionals

Karen L Webb; Ingrid H Rutishauser; Geoffrey C Marks; Gregory Masters; Stephen R Leeder

327

A survey of physical examination skills taught in undergraduate nursing programs: are we teaching too much?  

PubMed

Because content saturation is a growing concern, as reflected in the nursing literature, the content taught in undergraduate nursing curricula should be critically examined. The purpose of this descriptive cross-sectional research was to determine and analyze the physical assessment content currently taught in undergraduate nursing programs. A total of 198 individuals teaching in undergraduate nursing programs completed a Web-based survey. Of the 122 skills included on the survey, 81% were reportedly being taught in most of the nursing programs. Total scores for 18 systems-based assessment categories were significantly different among associate and baccalaureate nursing programs in all but three categories: assessment of integument, breast, and female genitals. Previous research has shown that nurses use less than 25% of these same skills regularly in clinical practice, regardless of their educational preparation. Findings from this research raise questions about the breadth to which physical examination content should be taught in undergraduate nursing education. PMID:19227752

Giddens, Jean Foret; Eddy, Linda

2009-01-01

328

Full Fields, Empty Cupboards: The Nutritional Status of Migrant Farmworkers in America.  

ERIC Educational Resources Information Center

|This study is the result of a 1987-88 nutrition survey of Florida farmworkers, and it develops a composite picture of this group's overall health. The survey included a nutritional profile questionnaire identifying factors limiting migrants' access to an adequate diet and a survey examining their nutrient-specific dietary adequacy. The data show…

Shotland, Jeffrey

329

Provision of Nutrition Counseling, Referrals to Registered Dietitians, and Sources of Nutrition Information Among Practicing Chiropractors in the United States  

Microsoft Academic Search

Objective To investigate US chiropractors’ provision of nutrition counseling and referrals to registered dietitians and sources of nutrition information. Chiropractors’ perceptions of the minimum educational requirement for registered dietitians and nutrition training received in chiropractic school were also examined.Design A descriptive study was conducted by use of a nationwide, mailed survey.Subjects\\/setting Surveys were sent to 1,590 practicing chiropractors in the

BRENT H WALKER; MILDRED K MATTFELDT-BEMAN; TERRY J TOMAZIC; MARJORIE A SAWICKI

2000-01-01

330

Trends in the nursing doctoral comprehensive examination process: a national survey.  

PubMed

The doctoral comprehensive or qualifying examination (CE/QE) is a traditional rite of passage into the community of scholars for the nursing profession. This exploratory, descriptive cross-sectional study examined trends in the process, timing, and methodology of comprehensive and qualifying examinations in nursing doctoral programs in the United States. Administrators from 45 schools responded to an online survey from 27 states across the country (37% response rate). Participants reported wide variations in the process. The most common method of implementation was the written take-home test (47%), two thirds of which had a subsequent oral examination. Eleven survey respondents (24%) reported using a form of the traditional written, timed, on-site examination; however, only 4 of these also followed up with an oral defense. Nine schools (20%) moved to a requirement for a written publishable paper; three schools consider the written proposal and its defense as the CE/QE. Approximately half had changed their policy in the past 5 years. With the increase in nursing doctor of philosophy programs over the past decade, information is needed to facilitate the development of methods to achieve program outcomes. An understanding of national CE/QE trends can provide a starting point for discussion and allow innovative ideas to meet the need of individual programs. PMID:22640947

Mawn, Barbara E; Goldberg, Shari

331

Artificial nutrition support in hospitals in the UnitedKingdom — 1994: Third national survey  

Microsoft Academic Search

ObjectiveTo determine how artificial nutrition support is used in hospitals inthe United Kingdom and to determine whether there have been any alterations in practice when compared to similar studies in 1988 (1) and 1991 (2).

J. J. Payne-James; C. J. De Gara; G. K. Grimble; D. B. A. Silk

1995-01-01

332

National Diet and Nutrition Survey: UK food consumption and nutrient intakes from the first year of the rolling programme and comparisons with previous surveys.  

PubMed

The National Diet and Nutrition Survey (NDNS) is a cross-sectional survey designed to gather data representative of the UK population on food consumption, nutrient intakes and nutritional status. The objectives of the present paper were to identify and describe food consumption and nutrient intakes in the UK from the first year of the NDNS rolling programme (2008-09) and compare these with the 2000-01 NDNS of adults aged 19-64 years and the 1997 NDNS of young people aged 4-18 years. Differences in median daily food consumption and nutrient intakes between the surveys were compared by sex and age group (4-10 years, 11-18 years and 19-64 years). There were no changes in energy, total fat or carbohydrate intakes between the surveys. Children aged 4-10 years had significantly lower consumption of soft drinks (not low calorie), crisps and savoury snacks and chocolate confectionery in 2008-09 than in 1997 (all P < 0·0001). The percentage contribution of non-milk extrinsic sugars to food energy was also significantly lower than in 1997 in children aged 4-10 years (P < 0·0001), contributing 13·7-14·6 % in 2008-09 compared with 16·8 % in 1997. These changes were not as marked in older children and there were no changes in these foods and nutrients in adults. There was still a substantial proportion (46 %) of girls aged 11-18 years and women aged 19-64 years (21 %) with mean daily Fe intakes below the lower reference nutrient intake. Since previous surveys there have been some positive changes in intakes especially in younger children. However, further attention is required in other groups, in particular adolescent girls. PMID:21736781

Whitton, Clare; Nicholson, Sonja K; Roberts, Caireen; Prynne, Celia J; Pot, Gerda K; Olson, Ashley; Fitt, Emily; Cole, Darren; Teucher, Birgit; Bates, Beverley; Henderson, Helen; Pigott, Sarah; Deverill, Claire; Swan, Gillian; Stephen, Alison M

2011-06-07

333

Socioeconomic Profiles of Nutrition Label Users  

Microsoft Academic Search

This paper aims to explore the socio-economic profiles of the nutrition label users and focuses on seven key nutrients: calories, calories from fat, total fat, trans fat, saturated fat, cholesterol, and sodium. The data are from National Health and Nutrition Examination Survey (NHANES) 2005-2006 and Continuing Survey of Food Intakes by Individuals (CSFII) 1994-96. Similar conclusions are drawn from both

Ge Zhang; Wen You; Rodolfo M. Nayga Jr.

2010-01-01

334

Food Consumption Patterns: Findings from the Malaysian Adult Nutrition Survey (MANS).  

PubMed

This study reports the food consumption patterns of adults aged 18 to 59 years in the Malaysian Adults Nutrition Survey (MANS) carried out between October 2002 and December 2003. A total of 6,742 subjects comprising 3,274 men and 3,468 women representing the northern, central , southern and east coast of Peninsular Malaysia as well as Sabah and Sarawak were interviewed. A semiquantitative food frequency questionnaire (FFQ) which consisted of 126 food items was used to evaluate the food consumption pattern (habitual food intake) of the respondents during the previous one- year period. The results demonstrate that nasi putih (cooked rice) was consumed by 97% of the population twice daily (average 2½ plates per day). Other food items consumed daily were marine fish, (one medium fish per day), green leafy vegetables (one cup per day) and sweetened condensed milk (three teaspoons per day. The mean frequencies for daily intake of rice, leafy vegetables, marine fish, local kuih, anchovy (ikan bilis) and biscuits were significantly higher among the rural compared to the urban adults. In contrast, more urban dwellers consumed chicken and eggs more frequently than their rural counterparts. More men than women consumed chicken and eggs more frequently. Malaysian adults showed a satisfactory habit of drinking plain water, with 99% drinking at least six glasses of plain water daily. Other beverages such as tea (47%), coffee (28%), chocolate-based drinks (23%) and cordial syrup (11%) were also consumed on daily basis, however, in a smaller proportion of the population. There were differences in the prevalence of daily consumption of foods when comparing urban and rural population, and also between men and women. The prevalence of daily consumption of marine fish among rural and urban adults was 51% and 34% respectively. For sweetened condensed milk, men and women consumed 43% and 28% respectively; however, more women drank full cream milk than men. Between the age groups, 21% of adults below 20 years old consumed chicken at least once a day, while this pattern of intake was not shown in the older age groups. Our findings show that adults, aged 50 to 59 years old, had the highest prevalence of daily consumption of full cream milk with 24% while those aged 18 to 19 years old had the lowest prevalence of daily consumption at 15%. The food consumption pattern of Malaysian adults appears to be satisfactory. However, some changes in food habits are recommended especially in substituting the less wholesome sweetened condensed milk with the more nutritious full cream or skimmed milk. PMID:22691762

Norimah, A K; Safiah, M; Jamal, K; Haslinda, Siti; Zuhaida, H; Rohida, S; Fatimah, S; Norazlin, Siti; Poh, B K; Kandiah, M; Zalilah, M S; Wan Manan, W M; Fatimah, S; Azmi, M Y

2008-03-15

335

Trends in food and nutritional intakes of French adults from 1999 to 2007: results from the INCA surveys.  

PubMed

Two independent cross-sectional dietary surveys (the Individual and National Food Consumption Surveys, INCA), performed in 1998-99 (INCA1) and in 2006-07 (INCA2) on nationally representative samples of French people, were used to analyse trends in the dietary habits and nutritional intake of French adults. Food consumption was recorded through 7-d dietary records, and nutritional intakes were assessed using the French food composition database. After exclusion of under-reporters, analyses were performed on 3267 adults, aged 18-79 years: 1345 from INCA1 and 1922 from INCA2. The trends highlighted over the 8-year period showed a decrease in consumption of dairy products, meat, bread, potatoes, pastries/croissant-like pastries/cakes/biscuits and sugar/confectionery. In contrast, the consumption of fruits and vegetables, rice, ice cream and chocolate increased. Other food groups, like fish and snacking foods, remained stable. Food choices were mostly age specific. These age differences remained consistent over the years and underlined two opposite dietary trends: a 'traditional' one mainly followed by the elderly, and a 'snacking and convenience' one mainly adopted by young adults. The overall trends in food consumption did not influence the mean energy intake, but did slightly modify the contribution of each macronutrient to energy intake. These repeated surveys highlighted the fact that trends in French food habits have moved towards an average European diet at the crossroads between Mediterranean and Northern diets, and that food consumption changes impacted, to a lesser extent, nutritional intake. PMID:20028601

Dubuisson, Carine; Lioret, Sandrine; Touvier, Mathilde; Dufour, Ariane; Calamassi-Tran, Gloria; Volatier, Jean-Luc; Lafay, Lionel

2009-12-23

336

The First National Survey of Indigenous People's Health and Nutrition in Brazil: rationale, methodology, and overview of results  

PubMed Central

Background Although case studies indicate that indigenous peoples in Brazil often suffer from higher morbidity and mortality rates than the national population, they were not included systematically in any previous national health survey. Reported here for the first time, the First National Survey of Indigenous People’s Health and Nutrition in Brazil was conducted in 2008–2009 to obtain baseline information based on a nationwide representative sample. This paper presents the study’s rationale, design and methods, and selected results. Methods The survey sought to characterize nutritional status and other health measures in indigenous children less than 5 years of age and indigenous women from 14 to 49 years of age on the basis of a survey employing a representative probabilistic sample of the indigenous population residing in villages in Brazil, according to four major regions (North, Northeast, Central-West, and South/Southeast). Interviews, clinical measurements, and secondary data collection in the field addressed the major topics: nutritional status, prevalence of hypertension and diabetes mellitus in women, child hospitalization, prevalence of tuberculosis and malaria in women, access to health services and programs, and characteristics of the domestic economy and diet. Results The study obtained data for 113 villages (91.9% of the planned sample), 5,305 households (93.5%), 6,692 women (101.3%), and 6,128 children (93.1%). Multiple household variables followed a pattern of greater economic autonomy and lower socioeconomic status in the North as compared to other regions. For non-pregnant women, elevated prevalence rates were encountered for overweight (30.3%), obesity (15.8%), anemia (32.7%), and hypertension (13.2%). Among children, elevated prevalence rates were observed for height-for-age deficit (25.7%), anemia (51.2%), hospitalizations during the prior 12 months (19.3%), and diarrhea during the prior week (23.6%). Conclusions The clinical-epidemiological parameters evaluated for indigenous women point to the accentuated occurrence of nutrition transition in all regions of Brazil. Many outcomes also reflected a pattern whereby indigenous women’s and children’s health indicators were worse than those documented for the national Brazilian population, with important regional variations. Observed disparities in health indicators underscore that basic healthcare and sanitation services are not yet as widely available in Brazil’s indigenous communities as they are in the rest of the country.

2013-01-01

337

Barriers to providing nutrition counseling cited by physicians: a survey of primary care practitioners.  

PubMed

In a 1995 pivotal study, Kushner described the attitudes, practice behaviors, and barriers to the delivery of nutrition counseling by primary care physicians. This article recognized nutrition and dietary counseling as key components in the delivery of preventive services by primary care physicians. Kushner called for a multifaceted approach to change physicians' counseling practices. The prevailing belief today is that little has changed. Healthy People 2010 and the U.S. Preventive Task Force identify the need for physicians to address nutrition with patients. The 2010 objective was to increase to 75% the proportion of office visits that included ordering or providing diet counseling for patients with a diagnosis of cardiovascular disease, diabetes, or hypertension. At the midcourse review, the proportion actually declined from 42% to 40%. Primary care physicians continue to believe that providing nutrition counseling is within their realm of responsibility. Yet the gap remains between the proportion of patients who physicians believe would benefit from nutrition counseling and those who receive it from their primary care physician or are referred to dietitians and other healthcare professionals. The barriers cited in recent years continue to be those listed by Kushner: lack of time and compensation and, to a lesser extent, lack of knowledge and resources. The 2010 Surgeon General's Vision for a Healthy and Fit Nation and First Lady Obama's "Let's Move Campaign" spotlight the need for counseling adults and children on diet and physical activity. PMID:20962310

Kolasa, Kathryn M; Rickett, Katherine

2010-10-01

338

Reliability and Validity of Nutrition Knowledge and Diet-Health Awareness Tests Developed from the 1989–1991 Diet and Health Knowledge Surveys  

Microsoft Academic Search

The purpose of this study was to develop tests for measuring nutrition knowledge and diet-health awareness using items appearing in the 1989—1991 Diet and Health Knowledge Surveys. The development and evaluation of these tests relied upon estimates of their reliability and their discriminant, convergent, correspondence, and representative validity. The reliability estimates for the 23-item nutrition knowledge test were less than

Stephen G. Sapp; Helen H. Jensen

1997-01-01

339

Dietary intakes of Canadians in the 1990s using population-weighted data derived from the provincial nutrition surveys.  

PubMed

Provincial nutrition surveys of adults were conducted between 1990 and 1999 in Canada. Eight reports have been issued, and one is forthcoming. The purpose of this study was to estimate the national dietary intake of adult Canadians, using the publicly available data. Group mean-nutrient-intake data from 16 915 adults, aged 18 to 84 years, from published provincial reports were collated by age and sex for each of 9 provinces (Manitoba data were unavailable). Using Canadian census data appropriate to the year of collection, intake data were weighted to provide 1 national intake value for each nutrient, by 8 age and sex categories. In general, the energy and nutrient intake of adults decreased with age. For every age group, with the exception of vitamin C, intake of nutrients by men was greater than that by women. On the basis of a comparison of recently recommended intakes (Dietary Reference Intakes), the nutrients that are of concern because of inadequate intake include dietary fibre, calcium, magnesium, and folate. The data demonstrate the impact of folate fortification on folate intake; the mean intake became twice that of prefortification levels. This study used group mean-intake data; therefore, we cannot make definitive conclusions about the prevalence of inadequacy for the nutrients. Because of limitations with some provincial response rates, our data should not be construed as representative of the Canadian population. However, because these surveys were completed between the 19701972 Nutrition Canada Survey and the 2004 Canadian Community Health Survey, these population-weighted data might be a useful point of comparison for monitoring trends in nutrient intake from food. PMID:17213891

Dolega-Cieszkowski, Jadwiga H; Bobyn, Joan P; Whiting, Susan J

2006-12-01

340

Public health: computer simulation of a mobile examination center  

Microsoft Academic Search

The National Health and Nutrition Examination Survey (NHANES), sponsored by the United States Centers for Disease Control and Prevention (CDC), uses large custom-built Mobile Examination Centers (MECs) to gather confidential data on the residential population of the United States. The data are used to generate national statistics and standards on health and nutrition for the nation. CDC is also exploring

Vera Z. Osidach; Michael C. Fu

2003-01-01

341

Nutrition and Eating in Female College Athletes: A Survey of Coaches  

Microsoft Academic Search

The purpose of the present study was to gather information from coaches regarding their monitoring\\/management of athlete eating and weight, knowledge of nutritional health issues, availability of prevention\\/intervention services for athletes at their school, expience with athletes exhibiting symptoms of eating and body image disturbances, and their attitudes toward eating and weight in the sport. A total of 303 coaches

Jaimee L. Heffner; Benjamin M. Ogles; Ellsa Gold; Kimberlyann Marsden; Michael Johnson

2003-01-01

342

Income-related inequality in health insurance coverage: analysis of China Health and Nutrition Survey of 2006 and 2009  

PubMed Central

Introduction China introduced the urban resident basic medical insurance (URBMI) in 2007 to cover children and urban unemployed adults, in addition to the new cooperative medical scheme (NCMS) for rural residents in 2003 and the basic health insurance scheme (BHIS) for urban employees in 1998. This study examined whether the overall income-related inequality in health insurance coverage improved during 2006 and 2009 in China. Methods The China Health and Nutrition Survey (CHNS) data of 2006 and 2009 were used to create the concentration curve and the concentration index. GEE logistic regression was used to model the health insurance coverage as dependent variable and household income per capita as independent variable, controlling for individuals' age, gender, marital status, educational attainment, employment status, year 2009 (Y2009), household size, retirement status, and geographic variations. The change in the income-related inequality in 2009 was estimated using the interaction term of income*Y2009. Results In 2006, 49.7% (4,712/9,476) respondents had health insurance: 13.4% with BHIS and 28.4% with NCMS. In 2009, 90.8% (8,964/9,863) had health insurance: 10.1% with URBMI, 18.3% with BHIS, and 57.6% with NCMS. The BHIS, URBMI, and NCMS programs had different patterns of population coverage over 10 income deciles. The concentration index was 0.15 in 2006 and 0.04 in 2009. The dominance test showed that the concentration curves were significantly different between 2006 and 2009 (p?

2012-01-01

343

Factors associated with low drinking water intake among adolescents: the Florida Youth Physical Activity and Nutrition Survey, 2007.  

PubMed

There is limited information on which characteristics are associated with water intake among adolescents. This cross-sectional study examined the association between demographic, dietary, and behavioral factors and low water intake as the outcome measure. Analyses were based on the 2007 Florida Youth Physical Activity and Nutrition Survey using a representative sample of 4,292 students in grades six through eight in 86 Florida public middle schools. Multivariable logistic regression was used to calculate adjusted odds ratios (ORs) and 95% confidence intervals for factors associated with low water intake (<3 glasses water per day). About 64% of students had low water intake. Factors significantly associated with low water intake were Hispanic ethnicity and non-Hispanic other (vs non-Hispanic white; ORs 0.79 and 0.76, respectively), drinking no 100% juice, drinking it <1 time/day, and drinking it 1 to 2 times/day (vs drinking it ?3 times/day; ORs 1.83, 1.91, and 1.32, respectively), drinking no milk and drinking <2 glasses of milk/day (vs drinking ?2 glasses/day; ORs 1.42 and 1.41, respectively), drinking <1 soda/day (vs drinking none; OR 1.40), drinking fruit-flavored drinks/sports drinks <1 time/day and drinking it ?1 time/day (vs drinking none; ORs 1.49 and 1.41, respectively), eating at a fast-food restaurant ?3 days/week (vs none; OR 1.38, respectively), not participating on team sports or participating on 1 to 2 team sports in previous 12 months (vs participating on ?3 teams; ORs 1.77 and 1.24, respectively), and consuming snack/soda while watching television/movies "sometimes" and "most/every time" (vs never; ORs 1.65 and 2.20, respectively). The strongest factor associated with low water intake was frequent consumption of snacks/sodas while watching television/movies. Although study findings should be corroborated in other states and in a nationally representative sample, they may be useful in targeting adolescents for increased water consumption. PMID:21802569

Park, Sohyun; Sherry, Bettylou; O'Toole, Terrence; Huang, Youjie

2011-08-01

344

FDA Consumer Nutrition Knowledge Survey. Report II, 1975. A Nationwide Study of Food Shopper's Knowledge, Beliefs, Attitudes and Reported Behavior Regarding Food and Nutrition. Factors Related to Nutrition Labeling.  

ERIC Educational Resources Information Center

During 1973, a nationwide study for the Food and Drug Administration (FDA) was conducted which provided information on nutrition knowledge, beliefs about nutrition, and first reactions to nutrition labeling among food shoppers. This initial research provided a baseline measurement of nutrition knowledge and attitudes among consumers, and in 1975…

Abelson, Herbert; And Others

345

FDA Consumer Nutrition Knowledge Survey. Report II, 1975. A Nationwide Study of Food Shopper's Knowledge, Beliefs, Attitudes and Reported Behavior Regarding Food and Nutrition. Factors Related to Nutrition Labeling.  

ERIC Educational Resources Information Center

|During 1973, a nationwide study for the Food and Drug Administration (FDA) was conducted which provided information on nutrition knowledge, beliefs about nutrition, and first reactions to nutrition labeling among food shoppers. This initial research provided a baseline measurement of nutrition knowledge and attitudes among consumers, and in 1975…

Abelson, Herbert; And Others

346

The state of radiographic technique in the examination of the colon: a survey.  

PubMed

The results of an extensive, multiple choice questionnaire sent to 113 leading medical centers in the world (100 centers responded) were analyzed and compared to those of a similar survey from 1968: single-contrast and double-contrast barium enema procedures are still the standard methods of radiographic assessment of the colon; the double-contrast, barium enema examination is now used more frequently, especially in conjunction with the single-contrast barium enema; preparation of the colon is now more meticulous; and drugs are added more frequently to the barium enema. Equipment has become more sophisticated through increased use of image intensifiers, television, and remote controls. More use is made of videotapes. Water-soluble contrast media are administered more frequently. The use of special radiographic procedures to evaluate the colon has decreased. PMID:644051

Thoeni, R F; Margulis, A R

1978-05-01

347

Catheter-related infection in patients on home parenteral nutrition: results of a prospective survey  

Microsoft Academic Search

Background & Aims: Central venous catheter (CVC) infection is the most frequent complication during home parenteral nutrition (HPN). We prospectively assessed incidence and catheter-related sepsis (CRS)-associated factors in the 42 adult patients enrolled in our HPN centre since its opening. Methods: Age, frequency of infusions, CVC type, autonomy or nurse\\/family aid, underlying disease, involved infectious organism(s), hospital stay, efficacy of

J.-M. REIMUND; Y. ARONDEL; G. FINCK; F. ZIMMERMANN; B. DUCLOS; R. BAUMANN

2002-01-01

348

Mortality and nutrition surveys by Non-Governmental organisations. Perspectives from the CE-DAT database  

PubMed Central

In this paper we explore the strengths and gaps among NGO surveys based on an analysis of the records held in the CE-DAT database at CRED. We conclude by recommending the priority areas for strengthening NGO capacity to undertake surveys and ways to improve data quality in general.

Degomme, Olivier; Guha-Sapir, Debarati

2007-01-01

349

Consumer use of nutrition labels  

Microsoft Academic Search

Increasing consumer interest in nutrition has led to an increased interest in nutrition labelling. Finds that over half (58 per cent) of the sample surveyed read nutrition labels. Nutrition labelling was found to have an impact on consumer purchase decisions. Of those consumers who read nutritional labels, 81 per cent use them in their evaluation of food products. Consumers have

Angela Shine; Seamus O’Reilly; Kathleen O’Sullivan

1997-01-01

350

HOUSEHOLD PERCEPTIONS OF THE NUTRITIONAL LABELING OF MEATS  

Microsoft Academic Search

Previous research on the relationship between diet and health has increased consumer interest in the nutritional content of specific foods. Federal programs, such as the Dietary Guidelines for Americans and The Food Pyramid, have had similar impacts. A 1994 mail survey of 3,080 Louisiana households in eight rural and urban parishes examined consumer awareness of the nutritional labeling of fresh

Mario A. Piedra; Alvin R. Schupp; Donna E. Montgomery

1995-01-01

351

Balancing nutrition, luxury, and time constraints in food preparation choices  

Microsoft Academic Search

Purpose – The purpose of this paper is to examine how nutritional concerns, luxurious tastes, and the value of time affect time allocation decisions for food preparation. Design\\/methodology\\/approach – A time allocation model is developed and tested with Tobit and Heckman's sample selection models using the 2003-2007 American Time Use Survey data. Findings – Individuals concerned more with nutrition or

Sanae Tashiro; Chu-Ping Lo

2011-01-01

352

National Diet and Nutrition Survey: fat and fatty acid intake from the first year of the rolling programme and comparison with previous surveys.  

PubMed

High saturated fat intake is an established risk factor for several chronic diseases. The objective of the present study is to report dietary intakes and main food sources of fat and fatty acids (FA) from the first year of the National Diet and Nutrition Survey (NDNS) rolling programme in the UK. Dietary data were collected using 4 d estimated food diaries (n 896) and compared with dietary reference values (DRV) and previous NDNS results. Total fat provided 34-36 % food energy (FE) across all age groups, which was similar to previous surveys for adults. Men (19-64 years) and older girls (11-18 years) had mean intakes just above the DRV, while all other groups had mean total fat intakes of < 35 % FE. SFA intakes were lower compared with previous surveys, ranging from 13 to 15 % FE, but still above the DRV. Mean MUFA intakes were 12·5 % FE for adults and children aged 4-18 years and all were below the DRV. Mean n-3 PUFA intake represented 0·7-1·1 % FE. Compared with previous survey data, the direction of change for n-3 PUFA was upwards for all age groups, although the differences in absolute terms were very small. Trans-FA intakes were lower than in previous NDNS and were less than 2 g/d for all age groups, representing 0·8 % FE and lower than the DRV in all age groups. In conclusion, dietary intake of fat and FA is moving towards recommended levels for the UK population. However, there remains room for considerable further improvement. PMID:21767448

Pot, Gerda K; Prynne, Celia J; Roberts, Caireen; Olson, Ashley; Nicholson, Sonja K; Whitton, Clare; Teucher, Birgit; Bates, Beverley; Henderson, Helen; Pigott, Sarah; Swan, Gillian; Stephen, Alison M

2011-07-18

353

National Diet and Nutrition Survey: fat and fatty acid intakes from the first year of the rolling programme and comparison with previous surveys  

PubMed Central

High saturated fat intake is an established risk factor for several chronic diseases. The objective of the present study is to report dietary intakes and main food sources of fat and fatty acids (FA) from the first year of the National Diet and Nutrition Survey (NDNS) rolling programme in the UK. Dietary data were collected using 4d estimated food diaries (n896) and compared with dietary reference values (DRV) and previous NDNS results. Total fat provided 34–36% food energy (FE) across all age groups, which was similar to previous surveys for adults. Men (19–64 years) and older girls (11–18 years) had mean intakes just above the DRV, while all other groups had mean total fat intakes of <35% FE. SFA intakes were lower compared with previous surveys, ranging from 13 to 15% FE, but still above the DRV. Mean MUFA intakes were 12.5% FE for adults and children aged 4–18 years and all were below the DRV. Mean n–3 PUFA intake represented 0.7–1.1% FE. Compared with previous survey data, the direction of change for n–3 PUFA was upwards for all age groups, although the differences in absolute terms were very small. Trans-FA intakes were lower than in previous NDNS and were less than 2g/d for all age groups, representing 0.8% FE and lower than the DRV in all age groups. In conclusion, dietary intake of fat and FA is moving towards recommended levels for the UK population. However, there remains room for considerable further improvement.

Pot, Gerda K.; Prynne, Celia J.; Roberts, Caireen; Olson, Ashley; Nicholson, Sonja K.; Whitton, Clare; Teucher, Birgit; Bates, Beverley; Henderson, Helen; Pigott, Sarah; Swan, Gillian; Stephen, Alison M.

2012-01-01

354

The Relationship Between BMI and Intake of Energy and Fat in Australian Youth: A Secondary Analysis of the National Nutrition Survey 1995  

Microsoft Academic Search

Objectives: To explore the association between overweight or obesity and the intake of energy and fat in Australian children and adolescents. Design: Secondary data analyses were conducted on children and adolescents participating in the Australian National Nutrition Survey in 1995. Dietary information had been obtained by 24-hour dietary recalls conducted on participants by qualified nutritionists. The participants were regrouped into

Zaimin Wang; Carla M. Patterson; Andrew P. Hills

355

2000–2001 food label and package survey: an update on prevalence of nutrition labeling and claims on processed, packaged foods  

Microsoft Academic Search

The food label is an important tool for improving the public’s understanding of the health benefits of following a nutritious diet. The Center for Food Safety and Applied Nutrition (CFSAN) of the Food and Drug Administration (FDA) has continued to study food labels with its Food Label and Package Survey (FLAPS). Data from the 2000–2001 FLAPS characterize various aspects of

Lori Legault; Mary Bender Brandt; Nancie McCabe; Carole Adler; Anna-Marie Brown; Susan Brecher

2004-01-01

356

Oral health, dental prophylaxis and catheter related bloodstream infections in home parenteral nutrition patients: results of a UK survey and cohort study  

Microsoft Academic Search

Background Concern that some catheter related bloodstream infections (CRBSI) arise from dental treatment in home parenteral nutrition (HPN) patients results in recommendation of antibiotic prophylaxis. Clinical guideline 64 is widely recognised and observed. There is a lack of consistent guidance for other patient groups viewed at risk from procedural bacteraemia.Methods 1. An email survey of the British Association for Parenteral

S. M. Gabe; J. M. Nightingale; M. Burke; A. M. Lee

2012-01-01

357

Use of the Youth Risk Behavior Survey to Monitor Trends for Nutrition and Physical Activity in a Midwest City School District  

ERIC Educational Resources Information Center

|Background: The Youth Risk Behavior Survey (YRBS) was used by a city school district (approximately 11,000 students) in the upper Midwest to monitor trends for nutrition and physical activity (PA) behaviors both within and between years and to compare with national 2003 data. Methods: Independent random samples were obtained in 1999 (387 middle…

Edwards, Jane U.; Magel, Rhonda

2007-01-01

358

Nutrition knowledge of senior medical students: a collaborative study of southeastern medical schools13  

Microsoft Academic Search

The Southeastern Regional Medical-Nutrition Education Network (SERMEN) comprises 11 medical schools with varied nutrition training programs. A faculty representative from each school rated 41 topics in nutrition as to their importance for medicalpractice. From the seven topics unanimously chosen, a 90-item examination was prepared using the University of Alabama School of Medicine's Nutrition Test-Item Bank. Thirteen additional items surveyed student

Roland L Weinsier; John R Boker PH; Elaine B Feldman; Merrill S Read; C Michael Brooks

359

Nutrition Products and Services Provided by Health Clubs in Northeastern Pennsylvania (NEPA)  

Microsoft Academic Search

A telephone survey was conducted of 55 health clubs in NEPA to examine which types of nutrition products and services were provided, and who provided these services. The response rate was 94.8% (55 out of 58). Nutrition information was provided at a 76.4% (n=42) of the clubs. Of those clubs who provided nutrition information, 52.4% provided nutrition counseling, 50% provided

D. Tomanek; A. M. Levine

1998-01-01

360

Nutrition survey of schoolchildren in greater Winnipeg. II. Dietary intake and biochemical assessment.  

PubMed Central

The total dietary intake of energy and of individual nutrients of 99 grades 3 and 6 children from 10 greater Winnipeg shcools were generally comparable to those reported by Nutrition Canada for the Manitoba and national samples, although the percentile distributions of total caloric intake and dietary intake of vitamin A for the Winnipeg children tended to be lower. The median daily intake of protein was 212% of the Canadian Dietary Standard and most came from animal sources. Dietary fat was largely from animal sources as well. Hemoglobin concentrations were marginally low in four children, and urinary riboflavin:creatinine ratios were low in six children. There was no biochemical evidence of thiamin deficiency. The results suggest a need for change in dietary patterns and for education in nutrition, including relative nutrient/cost benefits. A well planned school snack program with an education component is a medium by which change could be introduced. This should preferable be part of a total school health program.

Ellestad-Sayed, J.; Haworth, J. C.; Medovy, H.

1977-01-01

361

The Nutritional Status of Low-Income Preschool Children in the United States: A Review of the Literature.  

ERIC Educational Resources Information Center

|This review of the nutritional status of low-income preschool children in the United States discusses the topic in historical perspective and details current knowledge of the nutritional status of preschoolers. Discussion first focuses on the National Health and Nutrition Examination Survey II of 1976-80, and then turns to the National Food…

Kotch, Jonathan; Shackelford, Jo

362

Laboratory diagnosis of syphilis: A survey to examine the range of tests used in Canada.  

PubMed

Laboratory diagnosis of syphilis has undergone major changes in the past decade with the introduction of immunoassays and recombinant Treponema pallidum antigens as screening tools for syphilis infection. To address this change in laboratory practice, a national syphilis laboratory working group was established with members from the Public Health Agency of Canada, provincial public health laboratories across the country as well as sexually transmitted infection researchers, clinicians and epidemiologists. This working group aims to examine how the use of newer immunoassays will affect syphilis diagnosis, surveillance and disease management. To provide a baseline for this work, an e-mail survey was conducted in the fall of 2009 to determine current laboratory practices for syphilis diagnosis in Canada. The most commonly used tests were rapid plasma reagin, enzyme immunoassay, T pallidum passive particle agglutination, venereal disease research laboratory, fluorescent treponemal antibody absorption, line immunoassay and polymerase chain reaction with 92%, 36%, 32%, 20%, 12%, 12% and 12% of the responding laboratories reporting using these tests, respectively. The ultimate goal of this working group will be to update laboratory guidelines for the diagnosis of syphilis, and to identify syphilis surveillance and research priorities in Canada. PMID:22942884

Tsang, Raymond Sw; Radons, Sandra Michelle; Morshed, Muhammad

2011-01-01

363

2000-2001 food label and package survey: an update on prevalence of nutrition labeling and claims on processed, packaged foods.  

PubMed

The food label is an important tool for improving the public's understanding of the health benefits of following a nutritious diet. The Center for Food Safety and Applied Nutrition (CFSAN) of the Food and Drug Administration (FDA) has continued to study food labels with its Food Label and Package Survey (FLAPS). Data from the 2000-2001 FLAPS characterize various aspects of the labeling of processed, packaged foods, including nutrition labeling and various types of label claims. The FDA used a multistage, representative sample of food products from the Information Resources Inc (IRI) 1999 supermarket database as the basis for the FLAPS sample. The final FLAPS database consists of 1281 foods. An estimated 98.3% of FDA-regulated processed, packaged foods sold annually have nutrition labels, with an additional 1.7% of products exempt from nutrition labeling requirements. Health claims (4.4%), structure/function claims (6.2%), and nutrient content claims (49.7%) were identified on food labels. In addition to the resource this survey provides to CFSAN in assessing health and nutrition information on the food label, registered dietitians and other health professionals can use FLAPS data to assist consumers in choosing a more nutritious diet to improve their health and well-being. PMID:15175594

Legault, Lori; Brandt, Mary Bender; McCabe, Nancie; Adler, Carole; Brown, Anna-Marie; Brecher, Susan

2004-06-01

364

Demographic characteristics and health behaviours of consenters to medical examination. Results from the Welsh Heart Health Survey.  

PubMed Central

STUDY OBJECTIVE--The aim was to compare the demographic characteristics and health related behaviours of people who consented to a medical examination as part of a population survey with those who did not. STUDY DESIGN--The study formed part of the (1985) Welsh Heart Health Survey, which comprised a three stage design involving household interview, self completion questionnaire, and medical examination. Subjects for medical examination were selected from responders to the questionnaire survey (67%). Sixty six per cent of this group consented to medical examination (n = 11,637). Odds ratio analysis techniques were used to compare consenters and non-consenters. MEASUREMENTS AND MAIN RESULTS--The analysis was based on self reported information available from previously completed questionnaires, and from personal interviews. The study supported the findings of previous research indicating that consenters to medical examination are more likely to be from non-manual social groups, to be aged 25-44 years, to be educated beyond school age, and to be married. Individuals with healthy lifestyle characteristics (diet, physical activity) were overrepresented among consenters. The only exception to this finding was in relation to excessive alcohol consumption. CONCLUSIONS--These findings emphasise the importance of maximising response rates in all forms of social research including surveys with a clinical component. They also have methodological and analytical implications for the Welsh Heart Health Survey.

Pullen, E; Nutbeam, D; Moore, L

1992-01-01

365

Interactions between people's diet and their smoking habits: the dietary and nutritional survey of British adults  

Microsoft Academic Search

OBJECTIVE--To compare diet, nutrient intakes, and biochemical measures between smokers and non-smokers. DESIGN--Analysis of data collected in cross sectional survey conducted in 1986 and 1987. Subjects were recruited from electoral wards in England, Wales, and Scotland to reflect the regional distribution of the population. SUBJECTS--2197 subjects (70% of those asked) aged between 16 and 64 undertook dietary assessment. Of these,

B M Margetts; A A Jackson

1993-01-01

366

Income differences in food consumption in the 1995 Australian National Nutrition Survey  

Microsoft Academic Search

Objective: To assess the relationships between an index of per capita income and the intake of a variety of individual foods as well as groups of food for men and women in different age groups.Design: Cross-sectional national survey of free-living men and women.Subjects: A sample of 5053 males and 5701 females aged 18 y and over who completed the Australian

A Worsley; R Blasche; K Ball; D Crawford

2003-01-01

367

THE VALUE OF PHYSICAL EXAMINATION IN CONJUNCTION WITH A SURVEY FOR IDENTIFYING YOUTH PITCHERS WITH ARM PAIN  

PubMed Central

Objective The purpose of this study is to evaluate the effectiveness of a screening survey in identifying injuries in youth baseball pitchers. It is hypothesized that a standalone survey is unlikely to give a complete picture and that an additional physical examination is necessary to identify all injuries. Methods Seventy-seven youth baseball players who pitched in the last 12 months completed the survey. Players underwent physical examination if they reported a history of time-loss injury (16 players) or if they had any current complaints of pain without a history of time-loss injury (22 players). Results This screening protocol resulted in positive physical examination findings in 37.6% of all 77 players. This included a rate of 56.3% of pitchers with a positive time-loss injury history and 90.9% of pitchers with a negative time-loss injury, but positive complaint of pain. The most common complaint in both groups was elbow tenderness with the most common location being the medial epicondyle. Conclusion While the survey was effective at identifying time-loss injuries, it may neglect more mild injuries, underestimating the percentage of players with pain and positive physical examination findings. The high frequency of positive examination findings in athletes without a history of time-loss injury demands further investigation.

Mellecker, Chloe; Scallon, Greg; Wooldridge, Caitlin; Edwards, Alan; Albright, John

2011-01-01

368

When Findings Collide: Examining Survey vs. Interview Data in Leadership Education Research  

Microsoft Academic Search

The purpose of the study was to determine the impact of an agricultural leadership program on rural community development beyond self-report survey data typically collected for program evaluation. Participants in the study were graduates of the program from 1982 to 2002 (N=290). Quantitative and qualitative research methods were used. Each participant was asked to complete a then-post survey that addressed

Leah J. Wall; Kathleen D. Kelsey

369

Coprophagy in a cave-adapted salamander; the importance of bat guano examined through nutritional and stable isotope analyses  

PubMed Central

During a two year population ecology study in a cave environment, 15 Eurycea (=Typhlotriton) spelaea were observed ingesting bat guano. Furthermore, E. spelaea capture numbers increased significantly during the time that grey bats (Myotis grisescens) deposited fresh guano. We investigated the hypothesis that this behaviour was not incidental to the capture of invertebrate prey, but a diet switch to an energy-rich detritus in an oligotrophic environment. Stable isotope assays determined that guano may be assimilated into salamander muscle tissue, and nutritional analyses revealed that guano is a comparable food source to potential invertebrate prey items. This is the first report of coprophagy in a salamander and in any amphibian for reasons other than intestinal inoculation. Because many temperate subterranean environments are often energy poor and this limitation is thought to select for increased diet breadth, we predict that coprophagy may be common in subterranean vertebrates where it is not currently recognized.

Fenolio, Dante B; Graening, G.O; Collier, Bret A; Stout, Jim F

2005-01-01

370

Television viewing and its association with overweight in Colombian children: results from the 2005 National Nutrition Survey: A cross sectional study  

PubMed Central

Background There has been an ongoing discussion about the relationship between time spent watching television and childhood obesity. This debate has special relevance in the Latin American region were the globalization process has increased the availability of screen-based entertainment at home. The aim of this study is to examine the association between television viewing and weight status in Colombian children. Methods This cross sectional investigation included children aged 5 to12 yrs from the National Nutrition Survey in Colombia (ENSIN 2005). Weight and height were measured in 11,137 children in order to calculate body mass index. Overweight was defined by international standards. Time spent viewing television was determined for these children through parental reports. Multiple logistic regression analyses were conducted for different subgroups and adjusted for potential confounders in order to study the association between television viewing and weight status in this population. Results Among the surveyed children, 41.5% viewed television less than two hours/day; 36.8% between two and 3.9 hours/day and 21.7% four or more hours/day. The prevalence of overweight (obesity inclusive) in this population was 11.1%. Children who were classified as excessive television viewers (between two and 3.9 hours/day or 4 or more hours/day) were more likely to be overweight (OR: 1.44 95% CI: 1.41–1.47 and OR: 1.32 95% CI: 1.30–1.34, respectively) than children who reported to watch television less than 2 hours/day. Stratified analyses by age, gender and urbanization levels showed similar results. Conclusion Television viewing was positively associated with the presence of overweight in Colombian children. A positive association between urbanization level and television viewing was detected. Considering that the majority of Colombian children lives in densely populated cities and appear to engage in excessive television viewing these findings are of public health relevance for the prevention of childhood obesity.

Gomez, Luis F; Parra, Diana C; Lobelo, Felipe; Samper, Belen; Moreno, Jose; Jacoby, Enrique; Lucumi, Diego I; Matsudo, Sandra; Borda, Catalina

2007-01-01

371

From Ethnography to Items: A Mixed Methods Approach to Developing a Survey to Examine Graduate Engineering Student Retention  

ERIC Educational Resources Information Center

As part of a sequential exploratory mixed methods study, 9 months of ethnographically guided observations and interviews were used to develop a survey examining graduate engineering student retention. Findings from the ethnographic fieldwork yielded several themes, including international diversity, research group organization and climate,…

Crede, Erin; Borrego, Maura

2013-01-01

372

Examining the Cultural Validity of Fear Survey Schedule for Children: The Contemporary Fears of Turkish Children and Adolescents  

ERIC Educational Resources Information Center

|The authors examined the cultural validity of Fear Survey Schedule for Children (FSSC-AM) developed by J. J. Burnham (2005) with Turkish children. The relationships between demographic variables and the level of fear were also tested. Three independent data sets were used. The first data set comprised 676 participants (321 women and 355 men) and…

Serim-Yildiz, Begum; Erdur-Baker, Ozgur

2013-01-01

373

What Money Can Buy: Examining the effects of prepaid monetary incentives on survey response rates among college students  

Microsoft Academic Search

This study examined the effects of prepaid monetary incentives on college students' rate of responding to a survey designed to assess beliefs and values. It also assessed the extent to which incentive effectiveness depended on such student characteristics as gender, race, and socioeconomic status. The findings suggest that $2 incentives enhance response rates over $0, but that $5 incentives do

Katalin Szelényi; Alyssa N. Bryant; Jennifer A. Lindholm

2005-01-01

374

Why have physical activity levels declined among Chinese adults? Findings from the 1991 - 2006 China Health and Nutrition Surveys  

PubMed Central

Between 1991 and 2006, average weekly physical activity among adults in China fell by 32%. This paper discusses why total and occupational physical activity levels have fallen, and models the association between the rapid decline and various dimensions of exogenous community urbanization. We hypothesize that a) physical activity levels are negatively associated with urbanization; b) urbanization domains that affect job functions and opportunities will contribute most to changes in physical activity levels; and c) these urbanization domains will be more strongly associated for men than for women because home activities account for a larger proportion of physical activity for women. To test these hypotheses, we used longitudinal data from individuals aged 18 to 55 in the 1991-2006 China Health and Nutrition Surveys. We find that physical activity declines were strongly associated with greater availability of higher educational institutions, housing infrastructure, sanitation improvements and the economic well-being of the community in which people function. These urbanization factors predict more than four-fifths of the decline in occupational physical activity over the 1991-2006 period for men and nearly two-thirds of the decline for women. They are also associated with 57% of the decline in total physical activity for men and 40% of the decline for women. Intervention strategies to promote physical activity in the workplace, at home, for transit and via exercise should be considered a major health priority in China.

Ng, Shu Wen; Norton, Edward C; Popkin, Barry M

2009-01-01

375

A survey of the nutritional and haemagglutination properties of legume seeds generally available in the UK  

Microsoft Academic Search

1. Eighty-five samples from fifteen different legume seed lines generally available in the UK were examined by measurements of their net protein utilization by rats and by haemagglutination tests with erythrocytes from a number of different animal species. From these results the seeds were classified into four broad groups. 2. Group a seeds from most varieties of kidney (Phaseolus vulgaris),

George Grant; Linda J. More; Norma H. McKenzie; James C. Stewart; Arpad Pusztai

1983-01-01

376

Determination of Fat-Soluble Vitamins in Human Plasma, Breast Milk and Food Samples: Application in Nutrition Survey for Establishment of “Dietary Reference Intakes for Japanese”  

Microsoft Academic Search

Dietary habits are an important risk factor for lifestyle-related diseases. To carry out a nutrition survey of fat-soluble vitamins, we developed determination methods of fat-soluble vitamins using liquid chromatography- atmospheric pressure chemical ionization\\/tandem mass spectrometry or high-performance liquid chromatography with fluorescence detection. In these methods, stable isotope-labeled compounds or vitamin K analogs with a satu- rated side-chain were used as

Maya Kamao; Naoko Tsugawa; Yoshitomo Suhara; Toshio Okano

2007-01-01

377

A survey to examine attitudes and patterns of practice of physiotherapists who perform cervical spine manipulation  

Microsoft Academic Search

As part of the process of developing a Clinical Practice Guideline (CPG) on cervical spine manipulation (CSM), a working group sent out an 82-item postal survey to 150 randomly selected Ontario physiotherapists (PTs) who perform spinal manipulation, to collect information on the socio-demographics, practices, opinions of risk, and attitudes towards CPGs of these PTs (n=118; response rate=79%). Of the 118

L. Hurley; K. Yardley; A. R. Gross; L. Hendry; L. McLaughlin

2002-01-01

378

Nutritional Assessment of Children with Autism  

Microsoft Academic Search

Differences were investigated between dietary intake of children with autism and the recommendations of the Food Guide Pyramid (Pyramid) and kcals and protein levels of the RDA, and differences in subject anthropometric measurements from the 50th percentile for the National Center for Health Statistics (NCHS) growth charts and data adapted from the National Health and Nutrition Examination Survey (NHANES) for

SC Chapman; MJ Lucas; S McCamman

1998-01-01

379

Nutrition considerations in food selection  

Microsoft Academic Search

The importance of nutrition consideration to households in food selection is instrumental in the development of information programs to promote public health and to market healthy food. Using a national telephone survey of 2880 U.S. households, this study examines the role and influence of socio-economic characteristics and lifestyle on a household meal planner’s consideration of four dietary components in food

Arbindra P. Rimal; Stanley M. Fletcher; Kay H. McWatters

2000-01-01

380

Homemaker Reaction to EFNEP/Food Stamp Pilot Nutrition Education Project. A 1983 Pennsylvania and Massachusetts Survey. Extension Studies 92.  

ERIC Educational Resources Information Center

Between 1982 and 1983, more than 750 homemakers from Pennsylvania and Massachusetts participated in a national study to test selected methods of delivering nutrition education to low-income families. The study, the Expanded Food and Nutrition Education Program (EFNEP)/Food Stamp Pilot Project, was conducted through the EFNEP in 10 states. At the…

Dunn, Polly P.; And Others

381

Examining correlates of different cigarette access behaviours among Canadian youth: Data from the Canadian Youth Smoking Survey (2006)  

Microsoft Academic Search

Understanding factors associated with youth cigarette access behaviours can provide insight into the development of more effective means of preventing youth from accessing cigarettes. This cross-sectional study used self-reported data collected from 41,886 students in grades 9 to 12 who participated in the 2006–07 Youth Smoking Survey to examine the student- and school-level characteristics that differentiate youth smokers who usually

Mary Vu; Scott T. Leatherdale; Rashid Ahmed

2011-01-01

382

Medical Conditions, Medication Use And Their Relationship With Subsequent Motor Vehicle Injuries: Examination Of The Canadian National Population Health Survey  

Microsoft Academic Search

Purpose: To examine the effects of various medical conditions and medications on subsequent motor vehicle injuries (MVIs).Method: The National Population Health Survey, a large, nationally representative, longitudinal study of Canadians, included self-reported medical conditions of asthma, arthritis\\/rheumatism, back problems excluding arthritis, high blood pressure, migraine headaches, diabetes, heart disease and distress and medication use during the past month for asthma,

Evelyn Vingilis; Piotr Wilk

2012-01-01

383

Medical Conditions, Medication Use, and Their Relationship With Subsequent Motor Vehicle Injuries: Examination of the Canadian National Population Health Survey  

Microsoft Academic Search

Purpose: To examine the effects of various medical conditions and medications on subsequent motor vehicle injuries (MVIs).Method: The National Population Health Survey, a large, nationally representative, longitudinal study of Canadians, included self-reported medical conditions of asthma, arthritis\\/rheumatism, back problems excluding arthritis, high blood pressure, migraine headaches, diabetes, heart disease and distress, and medication use during the past month for asthma,

Evelyn Vingilis; Piotr Wilk

2012-01-01

384

Urinary Phthalate Metabolite Concentrations and Diabetes among Women in the National Health and Nutrition Examination Survey (NHANES) 2001-2008  

PubMed Central

Background: Previous studies have shown that women have higher urinary concentrations of several phthalate metabolites than do men, possibly because of a higher use of personal care products. Few studies have evaluated the association between phthalate metabolites, diabetes, and diabetes-related risk factors among women. Objective: We explored the association between urinary phthalate metabolite concentrations and diabetes among women who participated in a cross-sectional study. Methods: We used urinary concentrations of phthalate metabolites, analyzed by the Centers for Disease Control and Prevention, and self-reported diabetes of 2,350 women between 20 and 79 years of age who participated in the NHANES (2001–2008). We used multiple logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (CIs) and adjusted for urinary creatinine, sociodemographic characteristics, dietary factors, and body size. A secondary analysis was conducted for women who did not have diabetes to evaluate the association between phthalate metabolite concentrations and fasting blood glucose (FBG), homeostasis model assessment–estimated insulin resistance, and glycosylated hemoglobin A1c. Results: After adjusting for potential confounders, women with higher levels of mono-n-butyl phthalate (MnBP), mono-isobutyl phthalate (MiBP), monobenzyl phthalate (MBzP), mono-(3-carboxypropyl) phthalate (MCPP), and three di-(2-ethylhexyl) phthalate metabolites (?DEHP) had an increased odds of diabetes compared with women with the lowest levels of these phthalates. Women in the highest quartile for MBzP and MiBP had almost twice the odds of diabetes [OR = 1.96 (95% CI: 1.11, 3.47) and OR = 1.95 (95% CI: 0.99, 3.85), respectively] compared with women in the lowest quartile. Nonmonotonic, positive associations were found for MnBP and ?DEHP, whereas MCPP appeared to have a threshold effect. Certain phthalate metabolites were positively associated with FBG and insulin resistance. Discussion: Urinary levels of several phthalates were associated with prevalent diabetes. Future prospective studies are needed to further explore these associations to determine whether phthalate exposure can alter glucose metabolism and increase the risk of insulin resistance and diabetes.

Stahlhut, Richard; Meeker, John D.; Powell, Sheena-Gail; Hauser, Russ; Huang, Tianyi; Rich-Edwards, Janet

2012-01-01

385

Sodium and potassium intake among U.S. adults, National Health and Nutrition Examination Survey, 2003-2008  

Technology Transfer Automated Retrieval System (TEKTRAN)

The 2010 Dietary Guidelines recommend Americans reduce sodium intake and choose foods that contain potassium to decrease the risk of hypertension and subsequent heart disease and stroke. We estimated the distributions of usual daily sodium and potassium intakes by sociodemographic and health charact...

386

Impaired Glucose Tolerance and the Likelihood of Nonfatal Stroke and Myocardial Infarction The Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Background and Purpose—Although diabetes mellitus (DM) is known to increase the risk of cardiovascular disease (CVD), the effect of impaired glucose tolerance (IGT) on the risk remains unclear. We determined whether IGT was associated with an increased likelihood for stroke and myocardial infarction in a nationally representative sample of US adults. Methods—We evaluated the association between IGT (defined as a

Adnan I. Qureshi; Wayne H. Giles; Janet B. Croft

387

Depression and the Metabolic Syndrome in Young Adults: Findings From the Third National Health and Nutrition Examination Survey  

Microsoft Academic Search

Objective: Previous reports have suggested that depression may lead to the development of cardiovascular disease through its association with the metabolic syndrome; however, little is known about the relationship between depression and the metabolic syndrome. The aim of this study was to establish an association between depression and the metabolic syndrome in a nationally representative sample. Methods: The Third National

LESLIE S. KINDER; MERCEDES R. CARNETHON; LATHA P. PALANIAPPAN; ABBY C. KING; STEPHEN P. FORTMANN

2004-01-01

388

The impact of diabetes and age on pulmonary function: data from the National Health and Nutrition Examination Survey.  

PubMed

Using data from NHANES III, we evaluated the effect of diabetes on the age-related decline in lung function. The Diabetes group (n=471) had significantly lower mean FEV(1) and FVC values than the No Diabetes group (n=4317), but pulmonary function declined with increasing age at a similar rate for both groups. PMID:19022514

Berclaz, Pierre-Yves; Gao, Haitao; Tobian, Janet A; Swanson, Diana L; Webb, David M; Crapo, Robert O; Jensen, Robert L

2008-11-20

389

Serum selenium concentrations and diabetes in U.S. adults: National Health and Nutrition Examination Survey (NHANES) 2003-2004  

Technology Transfer Automated Retrieval System (TEKTRAN)

BACKGROUND: Increasing evidence suggests that high selenium levels are associated with diabetes and other cardiometabolic risk factors. OBJECTIVES: We evaluated the association of serum selenium concentrations with fasting plasma glucose, glycosylated hemoglobin levels, and diabetes in the most rec...

390

A survey of the nutritional and haemagglutination properties of legume seeds generally available in the UK.  

PubMed

Eighty-five samples from fifteen different legume seed lines generally available in the UK were examined by measurements of their net protein utilization by rats and by haemagglutination tests with erythrocytes from a number of different animal species. From these results the seeds were classified into four broad groups. Group a seeds from most varieties of kidney (Phaseolus vulgaris), runner (Phaseolus coccineus) and tepary (Phaseolus acutifolius) beans showed high reactivity with all cell types and were also highly toxic. Group b, which contained seeds from lima or butter beans (Phaseolus lunatus) and winged bean (Psophocarpus tetragonolobus), agglutinated only human and pronase-treated rat erythrocytes. These seeds did not support proper growth of the rats although the animals survived the 10 d experimental period. Group c consisted of seeds from lentils (Lens culinaris), peas (Pisum sativum), chick-peas (Cicer arietinum), blackeyed peas (Vigna sinensis), pigeon peas (Cajanus cajan), mung beans (Phaseolus aureus), field or broad beans (Vicia faba) and aduki beans (Phaseolus angularis). These generally had low reactivity with all cells and were non-toxic. Group d, represented by soya (Glycine max) and pinto (Phaseolus vulgaris) beans, generally had low reactivity with all cells but caused growth depression at certain dietary concentrations. This growth depression was probably mainly due to antinutritional factors other than lectins. Lectins from group a seeds showed many structural and immunological similarities. However the subunit composition of the lectin from the tepary bean samples was different from that of the other bean lectins in this or any other groups. PMID:6615758

Grant, G; More, L J; McKenzie, N H; Stewart, J C; Pusztai, A

1983-09-01

391

Critical Examinations of QSO Redshift Periodicities and Associations with Galaxies in Sloan Digital Sky Survey Data  

NASA Astrophysics Data System (ADS)

We have used the publicly available data from the Sloan Digital Sky Survey and 2dF QSO redshift survey to test the hypothesis that QSOs are ejected from active galaxies with periodic noncosmological redshifts. For two different intrinsic redshift models, namely the Karlsson log(1+z) model and Bell's decreasing intrinsic redshift (DIR) model, we do two tests. First, using different criteria, we generate four sets of QSO-galaxy pairs and find there is no evidence for a periodicity at the predicted frequency in log(1+z), or at any other frequency. We then check the relationship between high-redshift QSOs and nearby active galaxies, and we find that the distribution of projected distance between high-redshift QSOs and nearby active galaxies and the distribution of redshifts of those active galaxies are consistent with a distribution of simulated random pairs, completely different from Bell's previous conclusion. We also analyze the periodicity in redshifts of QSOs, and no periodicity is found in high-completeness samples, contrary to the DIR model. These results support the hypothesis that QSOs are not ejected from active galaxies.

Tang, Su Min; Zhang, Shuang Nan

2005-11-01

392

URINARY CADMIUM AND BETA2-MICROGLOBULIN: CORRELATION WITH NUTRITION AND SMOKING HISTORY (JOURNAL VERSION)  

EPA Science Inventory

Urinary cadmium and beta2-microglobulin concentrations from approximately 1000 samples from the general adult U.S. population, collected as part of the National Health and Nutritional Examination Survey II (NHANES II), were related to nutritional and smoking history of the indivi...

393

Nutrition and Fitness Programs - An Integral Component of Cigna Corporation's Award Winning Worksite Wellness Initiative  

Microsoft Academic Search

LEARNING OUTCOME: To examine how a range of nutrition and fitness programs become a visible and successful component of corporate-wide wellness initiatives.A company health survey established that the nutritional and physical activity habits of employees placed them at increased health risk. Simultaneously, employees indicated that exercising regularly, losing ten or more pounds and eating healthier were their desired improvement areas.

Patricia Bucaccio

1996-01-01

394

Consumer Understanding and Use of Food and Nutrition Labeling in Turkey  

ERIC Educational Resources Information Center

|Objectives: To determine patterns of food and nutrition labels use by Turkish consumers, and examine constraints on the use of this information. Design: Cross-sectional survey. Setting: Twenty-six regions of Turkey. Participants: Consumers (n = 1,536), aged 12-56 years. Variables measured: Level of interest in food and nutrition labels, the…

Besler, Halit Tanju; Buyuktuncer, Zehra; Uyar, Muhemmed Fatih

2012-01-01

395

[The German Health Interview and Examination Survey for Children and Adolescents (KiGGS): sample design, response and nonresponse analysis].  

PubMed

From May 2003 to May 2006, the Robert Koch Institute conducted the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Aim of this nationwide interview and examination survey was to collect, for the first time, comprehensive and nationwide data on the health status of children and adolescents aged 0 to 17 years. Subject recruitment was carried out in two steps: first, 167 study locations (sample points) were chosen; second, subjects were selected from the official registers of residents of the local residents' registration offices. The percentage of quality-neutral drop-outs was comparatively low (5.3%). The participation rate was 66.6% and showed only little variation between age groups and sexes, but marked variation between resident aliens and Germans, between inhabitants of cities with a population of 100,000 or more and sample points with fewer inhabitants, as well as between the old West German states and the newly-formed German states (incl. Berlin). A total of 17,641 children and adolescents were surveyed, of whom 8,985 were boys and 8,656 were girls. The completeness of the data sets in relation to the modules was good. The main reasons for non-participation were failure to appear at an agreed appointment time (or cancellation of the appointment at short notice), the refusal of the child/adolescent himself, or lack of interest of the parents. PMID:17514438

Kamtsiuris, P; Lange, M; Schaffrath Rosario, A

396

Does nutrition information on food products lead to healthier food choices?  

Microsoft Academic Search

This paper examines the link between nutrition label use and consumers’ healthier food choices. Label use is considered for the two main types of labels currently found on food products; nutrition facts panels and nutrition\\/health claims. This link is tested using a three-equation multivariate probit model. Data were obtained from an ad hoc survey conducted in two medium-sized Spanish cities.

Jesús Barreiro-Hurlé; Azucena Gracia; Tiziana de-Magistris

2010-01-01

397

Use Of Food Nutrition Labels is Associated with Lower Fat Intake  

Microsoft Academic Search

Objective The Nutrition Labeling and Education Act of 1990 mandated that standardized nutrition information appear on almost all packaged foods manufactured after May 1994. This study describes the demographic and diet-related psychosocial correlates of nutrition label use, and examines the relationship between label use and diet.Design\\/subjects Data are from a random-digit-dial telephone survey of 1,450 adult residents of Washington State.

MARIAN L NEUHOUSER; ALAN R KRISTAL; RUTH E PATTERSON

1999-01-01

398

Awareness, use and main source of information on preventive health examinations: a survey of childbearing women in Uyo, Nigeria.  

PubMed

The study determined awareness, use and the main source of information about preventive health examinations among 387 childbearing women attending three health facilities in Uyo, Nigeria. Respondents were consenting women aged 15-49 years who had a live birth in the two months preceding the survey. Respondents were interviewed using structured questionnaires during child welfare clinic visits at each facility. Awareness about pap smears and breast self examination was 14.2% and 35.3% respectively. Testing rates were highest for blood pressure checks, HIV and blood sugar and lowest for Pap smears and mammograms. Health workers were the main informants on preventive tests. Awareness and secondary education enhanced women's uptake of screening services across levels of health care. Secondary education as a minimum and intensified awareness creation about preventive health examinations through media, school based programs, durbars and public health campaigns are vital to the health and well being of women and children. PMID:23444552

Udofia, Emilia A; Akwaowo, Christie D; Ekanem, Uwemedimbuk S

2012-12-01

399

Food Insecurity is Associated with Diabetes Mellitus: Results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002  

Microsoft Academic Search

BACKGROUND  Food insecurity refers to limited or uncertain access to food resulting from inadequate financial resources. There is a clear\\u000a association between food insecurity and obesity among women, but little is known about the relationship between food insecurity\\u000a and type 2 diabetes.\\u000a \\u000a \\u000a \\u000a OBJECTIVE  To evaluate whether there is an independent association between food insecurity and diabetes.\\u000a \\u000a \\u000a \\u000a DESIGN  Cross-sectional analysis of the nationally representative,

Hilary K. Seligman; Andrew B. Bindman; Eric Vittinghoff; Alka M. Kanaya; Margot B. Kushel

2007-01-01

400

Prevalence of anemia and associated factors among indigenous children in Brazil: results from the First National Survey of Indigenous People's Health and Nutrition  

PubMed Central

Background Anemia is the most prevalent nutritional deficiency globally, affecting about a quarter of the world population. In Brazil, about one-fifth of children under five years of age are anemic. Previous case studies indicate prevalence rates much higher among indigenous peoples in the country. The First National Survey of Indigenous People’s Health and Nutrition in Brazil, conducted in 2008–2009, was the first survey based on a nationwide representative sample to study the prevalence of anemia and associated factors among indigenous children in Brazil. Methods The survey assessed the health and nutritional status of indigenous children < 5 years of age based on a representative sample of major Brazilian geopolitical regions. A stratified probabilistic sampling was carried out for indigenous villages. Within villages, children < 5 years of age in sampled households were included in the study. Prevalence rates of anemia were calculated for independent variables and hierarchical multivariate analysis were conducted to assess associations. Results Evaluation of hemoglobin levels was conducted for 5,397 children (88.1% of the total sample). The overall prevalence of anemia was 51.2%. Higher risk of presenting anemia was documented for boys, lower maternal schooling, lower household socioeconomic status, poorer sanitary conditions, presence of maternal anemia, and anthropometric deficits. Regional differences were observed, with the highest rate being observed in the North. Conclusions The prevalence rates of anemia in indigenous children were approximately double than those reported for non-indigenous Brazilian children in the same age group. Similarly notable differences in the occurrence of anemia in indigenous and non-indigenous children have been reported for other countries. Deeper knowledge about the etiology of anemia in indigenous children in Brazil is essential to its proper treatment and prevention.

2013-01-01

401

Examination of the equivalence of self-report survey-based paper-and-pencil and internet data collection methods.  

PubMed

Self-report survey-based data collection is increasingly carried out using the Internet, as opposed to the traditional paper-and-pencil method. However, previous research on the equivalence of these methods has yielded inconsistent findings. This may be due to methodological and statistical issues present in much of the literature, such as nonequivalent samples in different conditions due to recruitment, participant self-selection to conditions, and data collection procedures, as well as incomplete or inappropriate statistical procedures for examining equivalence. We conducted 2 studies examining the equivalence of paper-and-pencil and Internet data collection that accounted for these issues. In both studies, we used measures of personality, social desirability, and computer self-efficacy, and, in Study 2, we used personal growth initiative to assess quantitative equivalence (i.e., mean equivalence), qualitative equivalence (i.e., internal consistency and intercorrelations), and auxiliary equivalence (i.e., response rates, missing data, completion time, and comfort completing questionnaires using paper-and-pencil and the Internet). Study 1 investigated the effects of completing surveys via paper-and-pencil or the Internet in both traditional (i.e., lab) and natural (i.e., take-home) settings. Results indicated equivalence across conditions, except for auxiliary equivalence aspects of missing data and completion time. Study 2 examined mailed paper-and-pencil and Internet surveys without contact between experimenter and participants. Results indicated equivalence between conditions, except for auxiliary equivalence aspects of response rate for providing an address and completion time. Overall, the findings show that paper-and-pencil and Internet data collection methods are generally equivalent, particularly for quantitative and qualitative equivalence, with nonequivalence only for some aspects of auxiliary equivalence. PMID:23477606

Weigold, Arne; Weigold, Ingrid K; Russell, Elizabeth J

2013-03-01

402

Comparability of ophthalmic diagnoses by clinical and Reading Center examiners in the Visual Acuity Impairment Survey Pilot Study.  

PubMed

Technologic advances in ophthalmic equipment offer the possibility of replacing direct clinical examinations with Reading Center evaluations of data recorded in epidemiologic studies. Clinical and Reading Center examiners made independent ophthalmic diagnoses of 133 right and 132 left eyes of 138 adults in the Visual Acuity Impairment Survey Pilot Study, carried out in three US cities, Boston, Detroit, and Minneapolis, in August 1981-December 1982. The Reading Center diagnosed eye conditions using only photographic and visual field data collected at the time of the clinical examination. In the comparisons of clinical and Reading Center evaluations reported here, only eyes judged by the examiners to have pathology severe enough to reduce visual acuity to 6/9 or worse were classified as having pathology. (No visual acuity criterion was required for the diagnosis of glaucoma or diabetic retinopathy.) There was agreement in diagnostic assessments between clinical and Reading Center examiners in about 80% of eyes. The kappa statistic, which adjusts for chance agreement, was in the fair to good range: 0.60 for 133 right eyes and 0.62 for 132 left eyes. When the Reading Center examiners were provided with additional information on medical history, refractive error and best corrected visual acuity, the agreement between clinical and Reading Center assessments among the subset of eyes with 6/9 or worse vision again was in the fair to good range, with kappas of 0.61 for 45 right eyes and 0.68 for 48 left eyes. Inter-observer agreement between Reading Center examiners in diagnosing pathology was in the good to excellent range. Use of Reading Centers in future epidemiologic studies should be considered, but elimination of the clinical examinations is not recommended until modifications in the protocol described here have been made and shown to improve levels of agreement between clinical and Reading Center examiners. PMID:3776982

Sperduto, R D; Hiller, R; Podgor, M J; Palmberg, P; Ferris, F L; Wentworth, D

1986-12-01

403

[Esthetic nutrition: body and beauty enhancement through nutritional care].  

PubMed

Nowadays, there is an increasing quest for beauty and the models proposed by fashion goods and service segments, to achieve the perfect body. The standard of beauty corresponds to a thin body, without considering health aspects. The number of women who go on diets to control weight is increasing; and taking this into consideration the objective of this study is to conduct a bibliographical review and extract data on esthetics and body image to support the practice of nutritional care. Socio-cultural aspects, which motivate the quest for the perfect body, as well as body, beauty, esthetics, nutritional counseling and cognitive behavior therapy were examined in this survey. On the basis of this work, it is possible to conclude that the continuing obsession with the body may lead the person to go on diets and other drastic methods to control weight, such as surgical procedures. In this respect, nutritional care is far more than merely recommending a standard diet or giving information, as it represents providing an effective model for nutritional reeducation, prioritizing improvement in the style and quality of life. This article provides data about enhancing esthetics and beauty by means of appropriate nutrition. PMID:21987334

Witt, Juliana da Silveira Gonçalves Zanini; Schnider, Aline Petter

2011-09-01

404

Nutritional Assessment  

Technology Transfer Automated Retrieval System (TEKTRAN)

Nutritional assessment is an essential component of the history and physical examination of children with gastrointestinal disorders. An understanding of the patterns of growth and the changes in body composition during childhood, as well as a working knowledge of the methods used to assess the nutr...

405

Dental Caries Prevalence and Tooth Loss in Chilean Adult Population: First National Dental Examination Survey  

PubMed Central

The purpose of this study was to assess the prevalence of dental caries, tooth loss, and risk factors among adult population of Chile. Furthermore, age, gender, and behavioural specific differences in caries prevalence and tooth loss were examined. A national stratified multistage probabilistic sample design in two-age cohorts was applied to the Chilean population. A sample of 1553 adults, comprising 1088 individuals aged 35–44 and 465 senior individuals aged 65–74, were examined. The DMFT was evaluated following WHO recommendations using diagnostic criteria of caries lesions into dentin. The data were analyzed by univariate and multivariate models using logistic regression analyses. Results showed a mean DMFT of 15.06 in the 35–44-year-old group and of 21.57 in the 65–74 group. Factors related to tooth loss in the 35–44 group through univariate logistic regression were depression (OR 1.9 CI 95% 1.26–2.85), education level <12 years (OR 2.24 CI 95% 1.31–3.73), personal income (OR 1.51 CI 95% 1.04–2.19), and familiar income (OR 2.05 CI 95% 1.34–3.13), and through multivariate logistic regression in the same age group were depression (OR 1.93 CI 95% 1.24–3.0), education level <12 years (OR 1.94 CI 95% 1.2–3.14), and familiar income (OR 1.71 CI 95% 1.09–2.68). Factors related to tooth loss in the 65–74-year-old group through univariate logistic regression were education level <12 years (OR 2.54 CI 95% 1.3–4.96) and personal income (OR 1.66 CI 95% 1.05–2.63), and for multivariate logistic regression in the same age group, it was education level <12 years (OR 2.51 CI 95% 1.21–5.18). In conclusion, adult population in Chile showed a high prevalence of dental caries and tooth loss, as age, education level, personal and familiar incomes, and depression are being the main risk factors.

Urzua, I.; Mendoza, C.; Arteaga, O.; Rodriguez, G.; Cabello, R.; Faleiros, S.; Carvajal, P.; Munoz, A.; Espinoza, I.; Aranda, W.; Gamonal, J.

2012-01-01

406

[Vaccination coverage in German adults: results of the German Health Interview and Examination Survey for Adults (DEGS1)].  

PubMed

In the absence of an immunisation register, vaccination coverage in Germany must be estimated. Ten years after the German National Health Interview and Examination Survey 1998 (GNHIES98), the population survey DEGS1 is one of the data sources to be used for monitoring vaccination coverage. In the survey, data on vaccination history were obtained from vaccination cards and self-reports. The prevalence of immunisation for tetanus and diphtheria was higher compared to the prevalence estimated ten years previously in GNHIES98. Nonetheless, 28.6?% of adults have not been vaccinated against tetanus and 42.9?% have not been vaccinated against diphtheria within the last ten years. Vaccination is especially low among the elderly, among adults with low socio-economic status and in western Germany. During the last ten years, only 11.8?% of women and 9.4?% of men were vaccinated against pertussis in western Germany; vaccination coverage was twice as high in eastern Germany. In 2009, recommendations were published to combine the next tetanus immunisation with a pertussis immunisation; therefore pertussis vaccination coverage might improve in the coming years. The lifetime prevalence of influenza vaccination obtained in DEGS1 is higher than the annual vaccination rate for influenza. However, the lifetime prevalence among adults aged 60 years or older is still below the annual rate of 75?% recommended by the WHO. An English full-text version of this article is available at SpringerLink as supplemental. PMID:23703506

Poethko-Müller, C; Schmitz, R

2013-05-01

407

Sudbury Schools' Mission Nutrition  

Microsoft Academic Search

LEARNING OUTCOME: To show RDs how to facilitate, integrate, and communicate effective nutrition education in school cafeterias, the classrooms, and the home.A grant was received from the Sudbury Education Resource Fund, Inc., (SERF) in Sudbury, Massachusetts, from September 1996 to June 1997, to facilitate the translation of nutrition awareness and education. In June of 1996, a survey was sent home

J. S. Blake; R. Skog; A. Lynch

1997-01-01

408

Use of an activity diary survey to examine travel and activity reporting in a home interview survey: An example using data from Adelaide, Australia  

Microsoft Academic Search

Research presented in this paper uses results from an acitivity diary survey to comment on the quality of data collected in a home interview travel survey. The two surveys were conducted in Adelaide, Australia. Evidence is presented to suggest that although a period of slightly more than three years separated the two surveys, the samples were reasonably similar with respect

P. O. Barnard

1986-01-01

409

Adolescent nutrition: what do pediatricians do?  

PubMed Central

Multiple psychosocial problems and many chronic diseases of adulthood can be influenced by adolescent nutritional problems. In Korea, adolescent obesity and obesity related health risks have been increased and insufficient intakes of nutrients, such as calcium, iron and potassium, and distorted thinking about obesity are also common. However there are no comprehensive countermeasure because of the excessive burden of studies and the lack of community interest. And the nutrition guidelines that is suitable for Korean adolescent leaves something to be desired, and the pediatrician's concern is lacking yet. In the Korean dietary reference intakes 2010 that was revised according to the 2007 Korean National Growth Chart and 2007 Korean National Health and Nutrition Examination Survey, the range for adolescents is changed to the age 12-18 and dietary reference intakes of some nutrients mainly with vitamin D is changed. Recently several researches, about how school nutrition policies and media effect on eating habits and the weight concerns, and influences of public nutrition policies and fast food commercials have been actively studied to improve adolescent nutritive conditions. In this review, I summarize the dietary reference intakes for Korean adolescents that were revised in 2010, and current studies about the adolescent nutrition.

2011-01-01

410

Adolescent nutrition: what do pediatricians do?  

PubMed

Multiple psychosocial problems and many chronic diseases of adulthood can be influenced by adolescent nutritional problems. In Korea, adolescent obesity and obesity related health risks have been increased and insufficient intakes of nutrients, such as calcium, iron and potassium, and distorted thinking about obesity are also common. However there are no comprehensive countermeasure because of the excessive burden of studies and the lack of community interest. And the nutrition guidelines that is suitable for Korean adolescent leaves something to be desired, and the pediatrician's concern is lacking yet. In the Korean dietary reference intakes 2010 that was revised according to the 2007 Korean National Growth Chart and 2007 Korean National Health and Nutrition Examination Survey, the range for adolescents is changed to the age 12-18 and dietary reference intakes of some nutrients mainly with vitamin D is changed. Recently several researches, about how school nutrition policies and media effect on eating habits and the weight concerns, and influences of public nutrition policies and fast food commercials have been actively studied to improve adolescent nutritive conditions. In this review, I summarize the dietary reference intakes for Korean adolescents that were revised in 2010, and current studies about the adolescent nutrition. PMID:22025921

Ryoo, Eell

2011-07-31

411

Nutrition Education Needs Pantry Clients  

ERIC Educational Resources Information Center

|Two food pantries were surveyed for nutrition education (NE) interests and experiences. One site provided nutrition education classes; the comparison site was utilized to assess client interest in class topics. "Fixing low cost meals," "fixing quick and easy recipes," and "stretching food and food dollars" were topics rated highly by nutrition

Wood, Dolores K.; Shultz, Jill Armstrong; Edlefsen, Miriam; Butkus, Sue N.

2007-01-01

412

Consumer attitudes to nutrition labelling  

Microsoft Academic Search

Research findings have suggested that today’s consumers view nutrition in a positive light. The findings of this survey support such evidence. The majority of consumers consider diet to be a very important component of their lifestyles and regard nutrition as a positive attribute of food products. A high level of awareness of nutrition labelling is evident among consumers, and 58

Angela Shine; Seamus O’Reilly; Kathleen O’Sullivan

1997-01-01

413

Survey of dose area product received by patients undergoing common radiological examinations in four centers in Nigeria.  

PubMed

Patient dosimetry studies in diagnostic radiology in Nigeria have been on measurement of entrance skin dose and effective dose. Another important and easy to measure radiation dose descriptor that could be used to assess patient dose in radiological procedures is dose area product (DAP). Knowledge of DAP with location and projection of X-ray beam allows direct calculation of organ dose and effective dose. In this study, DAP for commonly performed radiological examinations (abdomen, chest, lumbo sacral joint, pelvis, paranasal sinus, and skull) in four diagnostic centers in Nigeria were determined. These centers comprise of three classes of health care center namely tertiary, private, and specialist hospitals. Mathematical method was used to determine DAP received by 336 patients undergoing radiological examinations at the selected diagnostic centers. The DAP received by patient from each radiological examination varies from center to center. The range factor (RF) of DAP for individual patients ranged from 1.55-4.56, while RF of DAP among the selected centers was 2.27-55.84. The highest RF of DAP (55.84) was obtained from X-ray examination of the chest. This variation was due to the application of anti-scatter grid, and high kVp and high mAs values for chest examination by only one of the centers. The very wide variation in DAP found among diagnostic centers in this survey showed that there is need to harmonize radiological techniques of common X-ray examination among different diagnostic centers. This would ensure optimal protection of patient against excessive radiation dose. PMID:22766942

Akinlade, Bidemi I; Farai, Idowu P; Okunade, Akintunde A

2012-07-05

414

Ten-State Nutrition Survey in the United States, 1968-70. Preliminary Report to the Congress, April 1971.  

ERIC Educational Resources Information Center

This report of the Department of Health, Education, and Welfare to the Congress concerns the nutrition of people living in 10 states, from 1968-70. The data presented in this booklet present the preliminary findings for New York City and New York State. The data represent selected characteristics and findings in the population groups that were…

Center for Disease Control (DHEW/PHS), Atlanta, GA.

415

Public health and nutrition after the Spanish Civil War. An intervention by the Rockefeller Foundation.  

PubMed

We describe a nutritional intervention by the Rockefeller Foundation's International Health Division in Spain after the Spanish Civil War, delineating the relationships between the technicians sent by the Rockefeller Foundation and the Spanish health authorities. We analyze reports of the nutritional situation in Spain in the early 1940s and the design and outcomes of a nutrition survey conducted in a district of Madrid by American and Spanish nutritionists. This nutritional survey, which was based on food intake interviews and was complemented with anthropometric measurements, clinical examinations, and blood tests, found several symptoms and signs of malnutrition. The Rockefeller Foundation's nutritional research was an important historical precedent for later studies made in emergency situations or armed conflicts. Similar surveys have been carried out in the last several decades by distinguished academic departments of public health and epidemiology and by humanitarian aid agencies. PMID:19696398

Del Cura, Isabel; Huertas, Rafael

2009-08-20

416

Nutrition inequities in Canada.  

PubMed

In Canada, increased morbidity and shorter life expectancy have been found among those with lower incomes and lower levels of education, but there has been little examination of socioeconomic variation in food and nutrient intake. Using data from the 2004 Canadian Community Health Survey, we examined the relationship between household income and education level and adults' and children's intakes of energy, fibre, micronutrients, and number of servings consumed of food groups from Canada's Food Guide. To explore the public health significance of observed associations, we estimated the prevalence of inadequacy for selected nutrients for adults, stratifying by household income, education level, and sex. We found that a higher household income adequacy and (or) higher levels of education were associated with increased consumption of milk and alternatives, and vegetables and fruit, and significantly higher vitamin, mineral, and fibre intakes among both adults and children. The prevalence of inadequate nutrient intakes among adults was higher among adults with the lowest level of income adequacy or educational attainment, compared with others. Our results suggest that the nutritional quality of Canadians' food intakes is, in part, a function of their social position. The impact of policy and program interventions needs to be examined across socioeconomic strata to ensure that actions reduce rather than exacerbate nutrition inequities. PMID:20383227

Tarasuk, Valerie; Fitzpatrick, Sandra; Ward, Heather

2010-04-01

417

Examining the cultural validity of fear survey schedule for children: the contemporary fears of Turkish children and adolescents.  

PubMed

The authors examined the cultural validity of Fear Survey Schedule for Children (FSSC-AM) developed by J. J. Burnham (2005) with Turkish children. The relationships between demographic variables and the level of fear were also tested. Three independent data sets were used. The first data set comprised 676 participants (321 women and 355 men) and was used for examining factor structure and internal reliability of FSSC. The second data set comprised 639 participants (321 women and 318 men) and was used for testing internal reliability and to confirm the factor structure of FSCC. The third data set comprised 355 participants (173 women and 182 men) and used for analyses of test-retest reliability, inter-item reliability, and convergent validity for the scores of FSSC. The sum of the first and second samples (1,315 participants; 642 women and 673 men) was used for testing the relationships between demographic variables and the level of fear. Results indicated that FSSC is a valid and reliable instrument to examine Turkish children's and adolescents' fears between the ages of 8 and 18 years. The younger, female, children of low-income parents reported a higher level of fear. The findings are discussed in light of the existing literature. PMID:23991610

Serim-Yildiz, Begüm; Erdur-Baker, Ozgür

418

Factors Influencing Adoption and Implementation of Cooking with Kids, an Experiential School-Based Nutrition Education Curriculum  

ERIC Educational Resources Information Center

|Little research has been conducted to examine factors leading to adoption and implementation of nutrition education curricula. Data from two Web-based surveys (n = 313) and 27 interviews were used to explore how Diffusion of Innovations' perceived attributes contributed to adoption and implementation of Cooking with Kids (CWK) food and nutrition

Diker, Ann; Walters, Lynn M.; Cunningham-Sabo, Leslie; Baker, Susan S.

2011-01-01

419

Examining correlates of different cigarette access behaviours among Canadian youth: data from the Canadian Youth Smoking Survey (2006).  

PubMed

Understanding factors associated with youth cigarette access behaviours can provide insight into the development of more effective means of preventing youth from accessing cigarettes. This cross-sectional study used self-reported data collected from 41,886 students in grades 9 to 12 who participated in the 2006-07 Youth Smoking Survey to examine the student- and school-level characteristics that differentiate youth smokers who usually access cigarettes from a social source versus buying their own from retailers. Multi-level regression analyses revealed significant between-school variability in the odds of a smoking student reporting that they usually buy their own cigarettes. Important student-level characteristics associated with how youth usually access their cigarettes included binge drinking and being asked for age or photo identification when purchasing cigarettes from a retailer. Future studies should further explore the school- and student-level characteristics associated with youth cigarette access behaviour. PMID:21821363

Vu, Mary; Leatherdale, Scott T; Ahmed, Rashid

2011-07-22

420

The National Adolescent Student Health Survey: Survey Replication Booklet.  

ERIC Educational Resources Information Center

|The National Adolescent Student Health Survey (NASHS), initiated in 1985, is conducted to examine the health-related knowledge, practices, and attitudes of the nation's youth in the following health areas: AIDS; Nutrition; Consumer Health; Sexually Transmitted Disease; Drug and Alcohol Use; Suicide; Injury Prevention; and Violence. Findings…

American School Health Association, Kent, OH.

421

Nationwide shifts in the double burden of overweight and underweight in Vietnamese adults in 2000 and 2005: two national nutrition surveys  

PubMed Central

Background In developing countries, overweight prevalence is increasing while underweight prevalence is still high. This situation is known as the double nutrition burden. Both underweight and overweight are related to increased risk of chronic non-communicable diseases, reduced well-being and quality of life. This study aims to compare the prevalence of overweight and underweight among Vietnamese adults in 2000 and 2005. Methods The study was based on two nationally representative surveys, the National Nutrition Survey 2000 (14,452 subjects) and the National Adult Obesity Survey 2005 (17,213 subjects). Adults aged 25-64 years were sampled to be nationally representative. Multiple multinomial logistic regression analysis was used to investigate the association of underweight and overweight with socio-economic indicators. Results The distribution of BMI across the population and population groups indicated a shift towards higher BMI levels in 2005 as compared to 2000. The nationwide prevalence of overweight (BMI ? 25 kg/m2) and obesity (BMI ? 30 kg/m2) was 6.6% and 0.4% respectively in 2005, almost twice the rates of 2000 (3.5% and 0.2%). Using the Asian BMI cut-off of 23 kg/m2 the overweight prevalence was 16.3% in 2005 and 11.7% in 2000. In contrast, the underweight prevalence (BMI < 18.5 kg/m2) of 20.9% in 2005 was lower than the rate of 25.0% in 2000. Women were more likely to be both underweight and overweight as compared to men in both 2000 and 2005. Urban residents were more likely to be overweight and less likely to be underweight as compared to rural residents in both years. The shifts from underweight to overweight were clearer among the higher food expenditure levels. Conclusions The double nutrition burden was clearly present in Vietnam. The distribution of BMI across the population groups generally indicated a shift towards higher BMI levels in 2005 as compared to 2000. The prevalence of overweight was increased while the declined level of undernutrition was still high in 2005. The shifts of underweight to overweight were most obvious among population groups with higher food expenditure levels.

2011-01-01

422

French consumers' use of nutrition labels  

Microsoft Academic Search

Purpose – To survey consumers living in Paris, France, to determine the extent to which they use nutrition labels, and to determine the percentage of French consumers who use nutrition labels, how often they use nutrition labels, and how they would like to see current nutrition labels improved. The researchers also wanted to determine the reasons why consumers do not

Ashley Mannell; Patricia Brevard; Jr Rodolfo Nayga; Pierre Combris; Robert Lee; Janet Gloeckner

2006-01-01

423

The mental health module (BELLA study) within the German Health Interview and Examination Survey of Children and Adolescents (KiGGS): study design and methods  

Microsoft Academic Search

The BELLA study on mental health and well-being in children and adolescents is the mental health module of the German Health\\u000a Interview and Examination Survey for Children a