Browsing by Subject "MEDICATION USE"

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  • Kouvonen, A.; Vahtera, J.; Pentti, J.; Korhonen, M. J.; Oksanen, T.; Salo, P.; Virtanen, M.; Kivimaki, M. (2016)
    Background. Adverse effects of antidepressants are most common at the beginning of the treatment, but possible also later. We examined the association between antidepressant use and work-related injuries taking into account the duration of antidepressant use. Method. Antidepressant use and work-related injuries between 2000 and 2011 were measured among 66 238 employees (mean age 43.8 years, 80% female) using linkage to national records (the Finnish Public Sector study). We analysed data using time-dependent modelling with individuals as their own controls (self-controlled case-series design). Results. In 2238 individuals who had used antidepressants and had a work-related injury during a mean follow-up of 7.8 years, no increase in the risk of injury was observed in the beginning of antidepressant treatment. However, an increased injury risk was seen after 3 months of treatment (rate ratio, compared with no recent antidepressant use, 1.27, 95% confidence interval 1.10-1.48). This was also the case among those who had used only selective serotonin re-uptake inhibitors (n = 714; rate ratio 1.41, 95% confidence interval 1.08-1.83). Conclusions. Antidepressant use was not associated with an increased risk of work-related injury at the beginning of treatment. Post-hoc analyses of antidepressant trials are needed to determine whether long-term use of antidepressants increases the risk of work-related injury.
  • Romskaug, Rita; Molden, Espen; Straand, Jorund; Kersten, Hege; Skovlund, Eva; Pitkala, Kaisu H.; Wyller, Torgeir Bruun (2017)
    Background: Polypharmacy and inappropriate drug use is associated with negative health outcomes among older people. Various interventions for improving drug treatment have been evaluated, but the majority of studies are limited by the use of surrogate outcomes or suboptimal design. Thus, the potential for clinically significant improvements from different interventions is still unclear. The main objective of this study is therefore to evaluate the effect upon patient-relevant endpoints of a cooperation between geriatricians and general practitioners on complex drug regimens in home-dwelling elderly people. Methods: This is a cluster randomised, single-blind, controlled trial where general practitioners are invited to participate with patients from their lists. The patients must be 70 years or older, use at least seven different medications and have their medications administered by the home nursing service. We plan to recruit 200 patients, with randomisation at physician level. The intervention consists of three main parts: ( 1) clinical geriatric assessment of the patient, combined with a thorough review of their medications; ( 2) a meeting between the geriatrician and general practitioner, where the two physicians combine their competence and knowledge and discuss the drug list systematically; ( 3) clinical follow-up, depending on the medication changes that have been done. The study period is 24 weeks, and the patients are assessed at baseline, 16 and 24 weeks. The primary outcome measure is health-related quality of life according to the 15D instrument. Secondary outcome measures include physical and cognitive functioning, medication appropriateness, falls, carer burden, use of health services ( hospital or nursing home admissions, use of home nursing services) and mortality. Discussion: Our choice of patient-relevant outcome measures will hopefully provide new knowledge on the potential for clinical improvements after performing comprehensive medication reviews in home-dwelling elderly people receiving polypharmacy.
  • Kouvonen, A.; Kivimaki, M.; Pentti, J.; Aalto, V.; Oksanen, T.; Virtanen, M.; Vahtera, J. (2017)
    AimsTo investigate if diabetes is associated with a higher risk of occupational (workplace or commuting) injury. MethodsMedication data from the Finnish Prescription Register were used to identify diabetes cases in 2004 in a large employee cohort (the Finnish Public Sector study). These data were linked to injury records obtained from the Federation of Accident Insurance Institutions. A total of 1020 diabetes cases (median age 52 years, range 20 to 65 years; 66% women) and their 5234 age- and sex-matched controls were followed up until 2011. Sex-stratified Cox proportional hazards models, adjusting for age, occupational status, obesity and health behaviours, were applied. Because of the small number of men in the cohort, injury types and locations were only examined among women. ResultsDuring the median follow-up of 6.7 years, 25% of the participants with diabetes (n=252) and 20% of those without (n=1051) experienced an occupational injury. The association between diabetes and injury was stronger in women than men (P=0.048). Diabetes was associated with a higher risk of workplace (hazard ratio 1.37, 95% CI 1.11 to 1.69) and commuting (hazard ratio 1.36, 95% CI 1.03 to 1.79) injury in women. With regard to different injury types and locations, diabetes was associated with bone fractures, dislocations, sprains and strains, and injuries to upper and lower extremities. In men, there was an association between insulin-treated diabetes and commuting injury (hazard ratio 3.14, 95% CI 1.52 to 6.49). ConclusionsDiabetes was associated with workplace and commuting injuries in women. Men with insulin-treated diabetes had a higher risk of commuting injuries.
  • Seppälä, Laura K.; Madanat-Harjuoja, Laura-Maria; Leinonen, Maarit K.; Lääperi, Mitja; Vettenranta, Kim (2021)
    Simple Summary:& nbsp;Maternal thyroid disease, especially hypothyroidism, is known to affect pregnancy and its outcome. We evaluated the risk of childhood cancer in the offspring following exposure to maternal thyroid disease in a case-control setting using registry data. In our study, maternal hypothyroidism was associated with an increased risk of lymphoma in the offspring. The association remained stable when possible familial cancers were excluded.Maternal thyroid disease, especially hypothyroidism, affects pregnancy and its outcome. In-utero exposure to autoimmune thyroid disease has been reported to associate with childhood ALL in the offspring. We evaluated the risk of childhood cancer in the offspring following exposure to maternal thyroid disease in a case-control setting using registry data. All patients with their first cancer diagnosis below the age of 20 years were identified from the Finnish Cancer Registry (n = 2037) and matched for sex and birth year at a 1:5 ratio to population controls identified from the Medical Birth Registry (n = 10,185). We collected national information on maternal thyroid disease from the Medical Birth Registry, Care Register for Health Care, Register for Reimbursed Drug Purchases and Register of Special Reimbursements. We used conditional logistic regression to analyze childhood cancer risk in the offspring. The adjusted OR for any childhood cancer was 1.41 (95%, CI 1.00-2.00) comparing the offspring of mothers with hypothyroidism and those with normal thyroid function. The risk of lymphomas was increased (adjusted OR for maternal hypothyroidism 3.66, 95%, CI 1.29-10.38). The results remained stable when mothers with cancer history were excluded from the analyses. Maternal hypothyroidism appears to be associated with an increased risk for childhood lymphoma in the offspring. The association exists even after excluding possible familial cancers.
  • Lehti, Tuuli Elina; Rinkinen, M. -O.; Aalto, U.; Roitto, H. M.; Knuutila, M.; Öhman, H.; Kautiainen, H.; Karppinen, H.; Tilvis, R.; Strandberg, T.; Pitkälä, K. H. (2021)
    Background Pain is undertreated in older populations. At the same time, increased use of opioids is of concern in the Western world. Aims We sought to analyze temporal trends in musculoskeletal pain and prescribed analgesic treatment among community-dwelling people aged 75-95 years using cross-sectional cohort data spanning 20 years. Methods The Helsinki Aging Study recruited random samples of people aged 75, 80, 85, 90, and 95 years in 1999, 2009, and 2019. In total, 5707 community-dwelling persons participated in the study. The participants reported their medical diagnoses, regular prescription medications, and the presence of back pain or joint pain within the last 2 weeks (never, sometimes, or daily). We compared analgesic use among participants reporting and not reporting musculoskeletal pain in 1999, 2009, and 2019. Results Of the participants, 57-61% reported intermittent or daily musculoskeletal pain. The percentage receiving a prescribed daily analgesic increased from 9% in 1999 to 16% in 2019. The use of non-steroidal anti-inflammatory drugs (NSAIDs) decreased from 1999 to 2019, while the use of paracetamol increased from 2 to 11%. Opioids were taken by 2% in 1999 and 3% in 2019. Of those reporting daily musculoskeletal pain, 20%, 35%, and 32% received regular pain medication in 1999, 2009, and 2019, respectively. Conclusions Pain remains undertreated in the community-dwelling older population, although the use of regular prescribed analgesics increased between 1999 and 2019. The use of NSAIDs has decreased, while the use of paracetamol has increased. Daily opioid use has remained modest.
  • Aalto, Ulla L.; Finne-Soveri, H.; Kautiainen, H.; Öhman, H.; Roitto, H.-M.; Pitkälä, K. H. (2021)
    Objectives Anticholinergic burden defined by the Anticholinergic Risk Scale (ARS) has been associated with cognitive and functional decline. Associations with health-related quality of life (HRQoL) have been scarcely studied. The aim of this study was to examine the association between anticholinergic burden and HRQoL among older people living in long-term care. Further, we investigated whether there is an interaction between ARS score and HRQoL in certain underlying conditions. Design and participants Cross-sectional study in 2017. Participants were older people residing in long-term care facilities (N=2474) in Helsinki. Measurements Data on anticholinergic burden was assessed by ARS score, nutritional status by Mini Nutritional Assessment, and HRQoL by the 15D instrument. Results Of the participants, 54% regularly used ARS-defined drugs, and 22% had ARS scores >= 2. Higher ARS scores were associated with better cognition, functioning, nutritional status and higher HRQoL. When viewing participants separately according to a diagnosis of dementia, nutritional status or level of dependency, HRQoL was lower among those having dementia, worse nutritional status, or being dependent on another person's help (adjusted for age, sex, comorbidities). Significant differences within the groups according to ARS score were no longer observed. However, interactions between ARS score and dementia and dependency emerged. Conclusion In primary analysis there was an association between ARS score and HRQoL. However, this relationship disappeared after stratification by dementia, nutritional status and dependency. The reasons behind the interaction concerning dementia or dependency remain unclear and warrant further studies.
  • Taddei, Cristina; Zhou, Bin; Bixby, Honor; Carrillo-Larco, Rodrigo M.; Danaei, Goodarz; Jackson, Rod T.; Farzadfar, Farshad; Sophiea, Marisa K.; Di Cesare, Mariachiara; Iurilli, Maria Laura Caminia; Martinez, Andrea Rodriguez; Asghari, Golaleh; Dhana, Klodian; Gulayin, Pablo; Kakarmath, Sujay; Santero, Marilina; Voortman, Trudy; Riley, Leanne M.; Cowan, Melanie J.; Savin, Stefan; Bennett, James E.; Stevens, Gretchen A.; Paciorek, Christopher J.; Aekplakorn, Wichai; Cifkova, Renata; Giampaoli, Simona; Kengne, Andre Pascal; Khang, Young-Ho; Kuulasmaa, Kari; Laxmaiah, Avula; Margozzini, Paula; Mathur, Prashant; Nordestgaard, Borge G.; Zhao, Dong; Aadahl, Mette; Abarca-Gomez, Leandra; Rahim, Hanan Abdul; Abu-Rmeileh, Niveen M.; Acosta-Cazares, Benjamin; Adams, Robert J.; Agdeppa, Imelda A.; Aghazadeh-Attari, Javad; Aguilar-Salinas, Carlos A.; Agyemang, Charles; Ahluwalia, Tarunveer S.; Ahmad, Noor Ani; Ahmadi, Ali; Ahmadi, Naser; Ahmed, Soheir H.; Ahrens, Wolfgang; Ajlouni, Kamel; Alarouj, Monira; AlBuhairan, Fadia; AlDhukair, Shahla; Ali, Mohamed M.; Alkandari, Abdullah; Alkerwi, Ala'a; Aly, Eman; Amarapurkar, Deepak N.; Amouyel, Philippe; Andersen, Lars Bo; Anderssen, Sigmund A.; Anjana, Ranjit Mohan; Ansari-Moghaddam, Alireza; Aounallah-Skhiri, Hajer; Araujo, Joana; Ariansen, Inger; Aris, Tahir; Arku, Raphael E.; Arlappa, Nimmathota; Aryal, Krishna K.; Aspelund, Thor; Assuncao, Maria Cecilia F.; Auvinen, Juha; Avdicova, Maria; Azevedo, Ana; Azizi, Fereidoun; Azmin, Mehrdad; Balakrishna, Nagalla; Bamoshmoosh, Mohamed; Banach, Maciej; Bandosz, Piotr; Banegas, Jose R.; Barbagallo, Carlo M.; Barcelo, Alberto; Barkat, Amina; Bata, Iqbal; Batieha, Anwar M.; Batyrbek, Assembekov; Baur, Louise A.; Beaglehole, Robert; Belavendra, Antonisamy; Ben Romdhane, Habiba; Benet, Mikhail; Benn, Marianne; Berkinbayev, Salim; Bernabe-Ortiz, Antonio; Bernotiene, Gailute; Bettiol, Heloisa; Bhargava, Santosh K.; Bi, Yufang; Bienek, Asako; Bikbov, Mukharram; Bista, Bihungum; Bjerregaard, Peter; Bjertness, Espen; Bjertness, Marius B.; Bjorkelund, Cecilia; Bloch, Katia; Blokstra, Anneke; Bo, Simona; Boehm, Bernhard O.; Boggia, Jose G.; Boissonnet, Carlos P.; Bonaccio, Marialaura; Bongard, Vanina; Borchini, Rossana; Borghs, Herman; Bovet, Pascal; Brajkovich, Imperia; Breckenkamp, Juergen; Brenner, Hermann; Brewster, Lizzy M.; Bruno, Graziella; Bugge, Anna; Busch, Markus A.; de Leon, Antonio Cabrera; Cacciottolo, Joseph; Can, Gunay; Candido, Ana Paula C.; Capanzana, Mario; Capuano, Eduardo; Capuano, Vincenzo; Cardoso, Viviane C.; Carvalho, Joana; Casanueva, Felipe F.; Censi, Laura; Chadjigeorgiou, Charalambos A.; Chamukuttan, Snehalatha; Chaturvedi, Nish; Chen, Chien-Jen; Chen, Fangfang; Chen, Shuohua; Cheng, Ching-Yu; Cheraghian, Bahman; Chetrit, Angela; Chiou, Shu-Ti; Chirlaque, Maria-Dolores; Cho, Belong; Cho, Yumi; Chudek, Jerzy; Claessens, Frank; Clarke, Janine; Clays, Els; Concin, Hans; Confortin, Susana C.; Cooper, Cyrus; Costanzo, Simona; Cottel, Dominique; Cowell, Chris; Crujeiras, Ana B.; Csilla, Semanova; Cui, Liufu; Cureau, Felipe; D'Arrigo, Graziella; d'Orsi, Eleonora; Dallongeville, Jean; Damasceno, Albertino; Dankner, Rachel; Dantoft, Thomas M.; Dauchet, Luc; Davletov, Kairat; De Backer, Guy; De Bacquer, Dirk; de Gaetano, Giovanni; De Henauw, Stefaan; de Oliveira, Paula Duarte; De Ridder, David; De Smedt, Delphine; Deepa, Mohan; Deev, Alexander D.; Dehghan, Abbas; Delisle, Helene; Dennison, Elaine; Deschamps, Valerie; Dhimal, Meghnath; Di Castelnuovo, Augusto F.; Dika, Zivka; Djalalinia, Shirin; Dobson, Annette J.; Donfrancesco, Chiara; Donoso, Silvana P.; Doring, Angela; Dorobantu, Maria; Dragano, Nico; Drygas, Wojciech; Du, Yong; Duante, Charmaine A.; Duda, Rosemary B.; Dzerve, Vilnis; Dziankowska-Zaborszczyk, Elzbieta; Eddie, Ricky; Eftekhar, Ebrahim; Eggertsen, Robert; Eghtesad, Sareh; Eiben, Gabriele; Ekelund, Ulf; El Ati, Jalila; Eldemire-Shearer, Denise; Eliasen, Marie; Elosua, Roberto; Erasmus, Rajiv T.; Erbel, Raimund; Erem, Cihangir; Eriksen, Louise; Eriksson, Johan G.; Escobedo-de la Pena, Jorge; Eslami, Saeid; Esmaeili, Ali; Evans, Alun; Faeh, David; Fall, Caroline H.; Faramarzi, Elnaz; Farjam, Mojtaba; Fattahi, Mohammad Reza; Felix-Redondo, Francisco J.; Ferguson, Trevor S.; Fernandez-Berges, Daniel; Ferrante, Daniel; Ferrari, Marika; Ferreccio, Catterina; Ferrieres, Jean; Foger, Bernhard; Foo, Leng Huat; Forslund, Ann-Sofie; Forsner, Maria; Fouad, Heba M.; Francis, Damian K.; Franco, Maria do Carmo; Franco, Oscar H.; Frontera, Guillermo; Fujita, Yuki; Fumihiko, Matsuda; Furusawa, Takuro; Gaciong, Zbigniew; Galvano, Fabio; Gao, Jingli; Garcia-de-la-Hera, Manoli; Garnett, Sarah P.; Gaspoz, Jean-Michel; Gasull, Magda; Gazzinelli, Andrea; Geleijnse, Johanna M.; Ghanbari, Ali; Ghasemi, Erfan; Gheorghe-Fronea, Oana-Florentina; Ghimire, Anup; Gianfagna, Francesco; Gill, Tiffany K.; Giovannelli, Jonathan; Gironella, Glen; Giwercman, Aleksander; Goltzman, David; Goncalves, Helen; Gonzalez-Chica, David A.; Gonzalez-Gross, Marcela; Gonzalez-Rivas, Juan P.; Gonzalez-Villalpando, Clicerio; Gonzalez-Villalpando, Maria-Elena; Gonzalez, Angel R.; Gottrand, Frederic; Graff-Iversen, Sidsel; Gregor, Ronald D.; Grodzicki, Tomasz; Grontved, Anders; Grosso, Giuseppe; Gruden, Gabriella; Gu, Dongfeng; Guallar-Castillon, Pilar; Guan, Ong Peng; Gudmundsson, Elias F.; Gudnason, Vilmundur; Guerrero, Ramiro; Guessous, Idris; Gunnlaugsdottir, Johanna; Gupta, Rajeev; Gutierrez, Laura; Gutzwiller, Felix; Ha, Seongjun; Hadaegh, Farzad; Haghshenas, Rosa; Hakimi, Hamid; Hambleton, Ian R.; Hamzeh, Behrooz; Hantunen, Sari; Kumar, Rachakulla Hari; Hashemi-Shahri, Seyed Mohammad; Hata, Jun; Haugsgjerd, Teresa; Hayes, Alison J.; He, Jiang; He, Yuna; Hendriks, Marleen Elisabeth; Henriques, Ana; Herrala, Sauli; Heshmat, Ramin; Hill, Allan G.; Ho, Sai Yin; Ho, Suzanne C.; Hobbs, Michael; Hofman, Albert; Homayounfar, Reza; Hopman, Wilma M.; Horimoto, Andrea R. V. R.; Hormiga, Claudia M.; Horta, Bernardo L.; Houti, Leila; Howitt, Christina; Htay, Thein Thein; Htet, Aung Soe; Htike, Maung Maung Than; Huerta, Jose Maria; Huhtaniemi, Ilpo Tapani; Huisman, Martijn; Hunsberger, Monica L.; Husseini, Abdullatif S.; Huybrechts, Inge; Hwalla, Nahla; Iacoviello, Licia; Iannone, Anna G.; Ibrahim, Mohsen M.; Wong, Norazizah Ibrahim; Iglesia, Iris; Ikeda, Nayu; Ikram, M. Arfan; Iotova, Violeta; Irazola, Vilma E.; Ishida, Takafumi; Islam, Muhammad; Ismail, Aziz Al-Safi; Iwasaki, Masanori; Jacobs, Jeremy M.; Jaddou, Hashem Y.; Jafar, Tazeen; James, Kenneth; Jamrozik, Konrad; Janszky, Imre; Janus, Edward; Jarvelin, Marjo-Riitta; Jasienska, Grazyna; Jelakovic, Ana; Jelakovic, Bojan; Jennings, Garry; Jensen, Gorm B.; Jeong, Seung-lyeal; Jha, Anjani Kumar; Jiang, Chao Qiang; Jimenez, Ramon O.; Jockel, Karl-Heinz; Joffres, Michel; Jokelainen, Jari J.; Jonas, Jost B.; Jorgensen, Torben; Joshi, Pradeep; Joukar, Farahnaz; Jozwiak, Jacek; Juolevi, Anne; Kafatos, Anthony; Kajantie, Eero O.; Kalter-Leibovici, Ofra; Kamaruddin, Nor Azmi; Kamstrup, Pia R.; Karki, Khem B.; Katz, Joanne; Kauhanen, Jussi; Kaur, Prabhdeep; Kavousi, Maryam; Kazakbaeva, Gyulli; Keil, Ulrich; Keinanen-Kiukaanniemi, Sirkka; Kelishadi, Roya; Keramati, Maryam; Kerimkulova, Alina; Kersting, Mathilde; Khader, Yousef Saleh; Khalili, Davood; Khateeb, Mohammad; Kheradmand, Motahareh; Khosravi, Alireza; Kiechl-Kohlendorfer, Ursula; Kiechl, Stefan; Killewo, Japhet; Kim, Hyeon Chang; Kim, Jeongseon; Kim, Yeon-Yong; Klumbiene, Jurate; Knoflach, Michael; Ko, Stephanie; Kohler, Hans-Peter; Kohler, Iliana; Kolle, Elin; Kolsteren, Patrick; Konig, Jurgen; Korpelainen, Raija; PaulKorrovits; Kos, Jelena; Koskinen, Seppo; Kouda, Katsuyasu; Kowlessur, Sudhir; Kratzer, Wolfgang; Kriemler, Susi; Kristensen, Peter Lund; Krokstad, Steiner; Kromhout, Daan; Kujala, Urho M.; Kurjata, Pawel; Kyobutungi, Catherine; Laamiri, Fatima Zahra; Laatikainen, Tiina; Lachat, Carl; Laid, Youcef; Lam, Tai Hing; Lambrinou, Christina-Paulina; Lanska, Vera; Lappas, Georg; Larijani, Bagher; Latt, Tint Swe; Laugsand, Lars E.; Lazo-Porras, Maria; Lee, Jeannette; Lee, Jeonghee; Lehmann, Nils; Lehtimaki, Terho; Levitt, Naomi S.; Li, Yanping; Lilly, Christa L.; Lim, Wei-Yen; Lima-Costa, M. Fernanda; Lin, Hsien-Ho; Lin, Xu; Lin, Yi-Ting; Lind, Lars; Linneberg, Allan; Lissner, Lauren; Liu, Jing; Loit, Helle-Mai; Lopez-Garcia, Esther; Lopez, Tania; Lotufo, Paulo A.; Lozano, Jose Eugenio; Luksiene, Dalia; Lundqvist, Annamari; Lundqvist, Robert; Lunet, Nuno; Ma, Guansheng; Machado-Coelho, George L. L.; Machado-Rodrigues, Aristides M.; Machi, Suka; Madar, Ahmed A.; Maggi, Stefania; Magliano, Dianna J.; Magriplis, Emmanuella; Mahasampath, Gowri; Maire, Bernard; Makdisse, Marcia; Malekzadeh, Fatemeh; Reza Malekzadeh; Rao, Kodavanti Mallikharjuna; Manios, Yannis; Mann, Jim; Mansour-Ghanaei, Fariborz; Manzato, Enzo; Marques-Vidal, Pedro; Martorell, Reynaldo; Mascarenhas, Luis P.; Mathiesen, Ellisiv B.; Matsha, Tandi E.; Mavrogianni, Christina; McFarlane, Shelly R.; McGarvey, Stephen T.; McLachlan, Stela; McLean, Rachael M.; McLean, Scott B.; McNulty, Breige A.; Mediene-Benchekor, Sounnia; Mehdipour, Parinaz; Mehlig, Kirsten; Mehrparvar, AmirHoushang; Meirhaeghe, Aline; Meisinger, Christa; Menezes, Ana Maria B.; Menon, Geetha R.; Merat, Shahin; Mereke, Alibek; Meshram, Indrapal I.; Metcalf, Patricia; Meyer, Haakon E.; Mi, Jie; Michels, Nathalie; Miller, Jody C.; Minderico, Claudia S.; Mini, G. K.; Miquel, Juan Francisco; Miranda, J. Jaime; Mirjalili, Mohammad Reza; Mirrakhimov, Erkin; Modesti, Pietro A.; Moghaddam, Sahar Saeedi; Mohajer, Bahram; Mohamed, MostafaK; Mohammad, Kazem; Mohammadi, Zahra; Mohammadifard, Noushin; Mohammadpourhodki, Reza; Mohan, Viswanathan; Mohanna, Salim; MohdYusoff, Muhammad Fadhli; Mohebbi, Iraj; Mohebi, Farnam; Moitry, Marie; Mollehave, Line T.; Mller, Niels C.; Molnar, Denes; Momenan, Amirabbas; Mondo, Charles K.; Monterrubio-Flores, Eric; Moosazadeh, Mahmood; Morejon, Alain; Moreno, Luis A.; Morgan, Karen; Morin, Suzanne N.; Moschonis, George; Mossakowska, Malgorzata; Mostafa, Aya; Mota, Jorge; Motlagh, Mohammad Esmaeel; Motta, Jorge; Msyamboza, Kelias P.; Muiesan, Maria L.; Muller-Nurasyid, Martina; Mursu, Jaakko; Mustafa, Norlaila; Nabipour, Iraj; Naderimagham, Shohreh; Nagel, Gabriele; Naidu, Balkish M.; Najafi, Farid; Nakamura, Harunobu; Nang, Ei Ei K.; Nangia, Vinay B.; Nauck, Matthias; Neal, William A.; Nejatizadeh, Azim; Nenko, Ilona; Nervi, Flavio; Nguyen, Nguyen D.; Quang Ngoc Nguyen; Nieto-Martinez, Ramfis E.; Nihal, Thomas; Niiranen, Teemu J.; Ning, Guang; Ninomiya, Toshiharu; Noale, Marianna; Noboa, Oscar A.; Noto, Davide; Al Nsour, Mohannad; Nuhoglu, Irfan; O'Neill, Terence W.; O'Reilly, Dermot; Ochoa-Aviles, Angelica M.; Oh, Kyungwon; Ohtsuka, Ryutaro; Olafsson, Orn; Olie, Valerie; Oliveira, Isabel O.; Omar, Mohd Azahadi; Onat, Altan; Ong, SokKing; Ordunez, Pedro; Ornelas, Rui; Ortiz, Pedro J.; Osmond, Clive; Ostojic, Sergej M.; Ostovar, Afshin; Otero, Johanna A.; Owusu-Dabo, Ellis; Paccaud, Fred Michel; Pahomova, Elena; Pajak, Andrzej; Palmieri, Luigi; Pan, Wen-Harn; Panda-Jonas, Songhomitra; Panza, Francesco; Parnell, Winsome R.; Patel, Nikhil D.; Peer, Nasheeta; Peixoto, Sergio Viana; Peltonen, Markku; Pereira, Alexandre C.; Peters, Annette; Petersmann, Astrid; Petkeviciene, Janina; Peykari, Niloofar; Son Thai Pham; Pichardo, Rafael N.; Pigeot, Iris; Pilav, Aida; Pilotto, Lorenza; Piwonska, Aleksandra; Pizarro, Andreia N.; Plans-Rubio, Pedro; Plata, Silvia; Pohlabeln, Hermann; Porta, Miquel; Portegies, Marileen L. P.; Poudyal, Anil; Pourfarzi, Farhad; Poustchi, Hossein; Pradeepa, Rajendra; Price, Jacqueline F.; Providencia, Rui; Puder, Jardena J.; Puhakka, Soile E.; Punab, Margus; Qorbani, Mostafa; Tran Quoc Bao; Radisauskas, Ricardas; Rahimikazerooni, Salar; Raitakari, Olli; Rao, Sudha Ramachandra; Ramachandran, Ambady; Ramos, Elisabete; Ramos, Rafel; Rampal, Lekhraj; Rampal, Sanjay; Redon, Josep; Reganit, Paul Ferdinand M.; Revilla, Luis; Rezaianzadeh, Abbas; Ribeiro, Robespierre; Richter, Adrian; Rigo, Fernando; de Wit, Tobias F. Rinke; Rodriguez-Artalejo, Fernando; Rodriguez-Perez, Maria del Cristo; Rodriguez-Villamizar, Laura A.; Roggenbuck, Ulla; Rojas-Martinez, Rosalba; Romaguera, Dora; Romeo, Elisabetta L.; Rosengren, Annika; Roy, Joel G. R.; Rubinstein, Adolfo; Ruidavets, Jean-Bernard; Ruiz-Betancourt, Blanca Sandra; Russo, Paola; Rust, Petra; Rutkowski, Marcin; Sabanayagam, Charumathi; Sachdev, Harshpal S.; Sadjadi, Alireza; Safarpour, Ali Reza; Safiri, Saeid; Saidi, Olfa; Saki, Nader; Salanave, Benoit; Salmeron, Diego; Salomaa, Veikko; Salonen, Jukka T.; Salvetti, Massimo; Sanchez-Abanto, Jose; Sans, Susana; Santaliestra-Pasias, Alba M.; Santos, Diana A.; Santos, MariaPaula; Santos, Rute; Saramies, Jouko L.; Sardinha, Luis B.; Sarrafzadegan, Nizal; Saum, Kai-Uwe; Savva, Savvas C.; Sawada, Norie; Sbaraini, Mariana; Scazufca, Marcia; Schaan, Beatriz D.; Schargrodsky, Herman; Scheidt-Nave, Christa; Schienkiewitz, Anja; Schipf, Sabine; Schmidt, Carsten O.; Schottker, Ben; Schramm, Sara; Sebert, Sylvain; Sein, Aye Aye; Sen, Abhijit; Sepanlou, Sadaf G.; Servais, Jennifer; Shakeri, Ramin; Shalnova, Svetlana A.; Shamah-Levy, Teresa; Sharafkhah, Maryam; Sharma, Sanjib K.; Shaw, Jonathan E.; Shayanrad, Amaneh; Shi, Zumin; Shibuya, Kenji; Shimizu-Furusawa, Hana; Shin, Dong Wook; Shin, Youchan; Shirani, Majid; Shiri, Rahman; Shrestha, Namuna; Si-Ramlee, Khairil; Siani, Alfonso; Siantar, Rosalynn; Sibai, Abla M.; Santos Silva, Diego Augusto; Simon, Mary; Simons, Judith; Simons, Leon A.; Sjostrom, Michael; Skaaby, Tea; Slowikowska-Hilczer, Jolanta; Slusarczyk, Przemyslaw; Smeeth, Liam; Snijder, Marieke B.; Soderberg, Stefan; Soemantri, Agustinus; Sofat, Reecha; Solfrizzi, Vincenzo; Somi, Mohammad Hossein; Sonestedt, Emily; Sorensen, Thorkild I. A.; Jerome, Charles Sossa; Soumare, Aicha; Sozmen, Kaan; Sparrenberger, Karen; Staessen, Jan A.; Stathopoulou, Maria G.; Stavreski, Bill; Steene-Johannessen, Jostein; Stehle, Peter; Stein, Aryeh D.; Stessman, Jochanan; Stevanovic, Ranko; Stieber, Jutta; Stockl, Doris; Stokwiszewski, Jakub; Stronks, Karien; Strufaldi, Maria Wany; Suarez-Medina, Ramon; Sun, Chien-An; Sundstrom, Johan; Suriyawongpaisal, Paibul; Sy, Rody G.; Sylva, Rene Charles; Szklo, Moyses; Tai, E. Shyong; Tamosiunas, Abdonas; Tan, EngJoo; Tarawneh, Mohammed Rasoul; Tarqui-Mamani, Carolina B.; Taylor, Anne; Taylor, Julie; Tell, Grethe S.; Tello, Tania; Thankappan, K. R.; Thijs, Lutgarde; Thuesen, Betina H.; Toft, Ulla; Tolonen, Hanna K.; Tolstrup, Janne S.; Topbas, Murat; Topor-Madry, Roman; Tormo, Maria Jose; Tornaritis, Michael J.; Torrent, Maties; Torres-Collado, Laura; Traissac, Pierre; Trinh, Oanh T. H.; Truthmann, Julia; Tsugane, Shoichiro; Tulloch-Reid, Marshall K.; Tuomainen, Tomi-Pekka; Tuomilehto, Jaakko; Tybjaerg-Hansen, Anne; Tzourio, Christophe; Ueda, Peter; Ugel, Eunice; Ulmer, Hanno; Unal, Belgin; Uusitalo, Hannu M. T.; Valdivia, Gonzalo; Valvi, Damaskini; van Dam, RobM; van der Schouw, Yvonne T.; Van Herck, Koen; Hoang Van Minh; Rossem, Lenievan; Van Schoor, Natasja M.; van Valkengoed, Irene G. M.; Vanderschueren, Dirk; Vanuzzo, Diego; Varbo, Anette; Varona-Perez, Patricia; Vasan, Senthil K.; Vatten, Lars; Vega, Tomas; Veidebaum, Toomas; Velasquez-Melendez, Gustavo; Venero-Fernandez, Silvia J.; Veronesi, Giovanni; MoniqueVerschuren, W. M.; Victora, Cesar G.; Vidiawati, Dhanasari; Viet, Lucie; Villalpando, Salvador; Vioque, Jesus; Virtanen, Jyrki K.; Visvikis-Siest, Sophie; Viswanathan, Bharathi; Vlasoff, Tiina; Vollenweider, Peter; Voutilainen, Ari; Wade, Alisha N.; Wagner, Aline; Walton, Janette; Bebakar, Wan Mohamad Wan; WanMohamud, Wan Nazaimoon; Wang, Ming-Dong; Wang, Ningli; Wang, Qian; Wang, Ya Xing; Wang, Ying-Wei; Wannamethee, S. Goya; Wedderkopp, Niels; Wei, Wenbin; Whincup, Peter H.; Widhalm, Kurt; Widyahening, Indah S.; Wiecek, Andrzej; Wijga, Alet H.; Wilks, Rainford J.; Willeit, Johann; Willeit, Peter; Wilsgaard, Tom; Wojtyniak, Bogdan; Wong-McClure, Roy A.; Wong, Andrew; Wong, Tien Yin; Woo, Jean; Woodward, Mark; Wu, Frederick C.; Wu, Shouling; Xu, Haiquan; Xu, Liang; Yan, Weili; Yang, Xiaoguang; Yasuharu, Tabara; Ye, Xingwang; Yeow, Toh Peng; Yiallouros, Panayiotis K.; Yoosefi, Moein; Yoshihara, Akihiro; You, San-Lin; Younger-Coleman, Novie O.; Yusoff, Ahmad Faudzi; Zainuddin, Ahmad A.; Zakavi, Seyed Rasoul; Zali, Mohammad Reza; Zamani, Farhad; Zambon, Sabina; Zampelas, Antonis; KoZaw, Ko; Zdrojewski, Tomasz; Vrkic, Tajana Zeljkovic; Zhang, Zhen-Yu; Zhao, Wenhua; Zhen, Shiqi; Zheng, Yingfeng; Zholdin, Bekbolat; Zhussupov, Baurzhan; Zoghlami, Nada; Cisneros, Julio Zuniga; Gregg, Edward W.; Ezzati, Majid (2020)
    High blood cholesterol is typically considered a feature of wealthy western countries(1,2). However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world(3) and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health(4,5). However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol-which is a marker of cardiovascular riskchanged from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million-4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.
  • Aalto, Ulla Liisa; Roitto, Hanna-Maria; Finne-Soveri, Harriet; Kautiainen, Hannu; Pitkälä, Kaisu (2018)
    Objectives: To assess the burden of drugs with anticholinergic properties (DAPs) and associated factors in long-term care facilities and to explore how psychological well-being and mortality are associated with the use of DAPs. Design: Cross-sectional study and 1-year follow-up of all-cause mortality. Setting and Participants: All 4449 older people (>65 years of age) living in nursing homes and assisted living facilities in Helsinki in 2011 were recruited. After refusals and excluding residents with severe dementia, 2432 participants remained. Measurements: Data on demographics, drug use, and medical history were collected by trained nurses using a structured assessment. Psychological well-being (PWB) of participants was assessed by 6 questions resulting in a validated PWB score (range 0-1). Mortality data were retrieved from central registers. The total number of anticholinergic drugs was determined according to the Anticholinergic Risk Scale. Results: Of the participants, 51% used at least 1 DAP. DAP users were younger and had better cognition than nonusers. There was a linear relationship between the number of DAPs used and poorer PWB. A similar trend was present between the number of DAPs and poorer PWB both among those with and without depression and among those with and without functional dependency. No difference in mortality existed between DAP users and nonusers. Conclusions: Despite DAP users being younger and having better cognition, they had poorer PWB. Clinicians should carefully consider the potential benefits and harm when prescribing DAPs to older people. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.