Discover and read the best of Twitter Threads about #nhanes

Most recents (6)

1/ Alright, let's chat the #NHANES (IV)

As usual, I'll give my caveats this is back-of-the-envelope on data I wrangled via CDC on this expansive dataset -- and it's associational, ofc (observational)

So what are the lipids like for those who live to 100yr in NHANES?
2/ Remember, these aren't the lipid levels taken *at* age 100+, it's what their levels where at the time of examination 15-20 years prior.

This is very relevant when considering reverse causality given this extreme gap in time for all who were reaching centenarian status.
3/ First up -- #LDL #Cholesterol.

Yes, 73% of you correctly guessed 130mg/dL is the mean average for these 32 individuals (lipids taken age 85 or earlier).

LDL mean average: 130 mg/dL

0% 25% 50% 75% 100%
72.0 102.5 126.0 154.0 215.0

Read 9 tweets
1a) Welcome to one of our favorite events on the @academiccme #accredited #tweetorial feeds: a takeover of our programming from @GoggleDocs! The focus of this tweetorial is data from #ADA2022 on #SGLT2i beyond cardiac disease. Our expert author is @GoggleDocs' @drpatrickholmes. Image
1b) Check out our other #ADA2022 recap #tweetorial by new @GoggleDocs family member @Ines_VFonseca who focused on the cardiac data presented: ckd-ce.com/dkd13_ada22a/
2) This program is #accredited for CE/#CME #physicians #physicianassociates #nurses #pharmacists #nursepractitioners & is supported by an educational grant from the Boehringer Ingelheim Pharmaceuticals Inc and Eli Lilly Company. It is intended for healthcare professionals.
Read 59 tweets
People are living in crisis from hunger 🚨 @USDA est that 30 mil in USA (includ 12 mil children) are experiencing food insecurity.
Many Americans are just a job loss, missed paycheck, or 🏥 medical emergency away from experiencing hunger.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
🧵1/
Food insecurity (FI) is lack of *consistent & socially acceptable* access to enough safe food for an active, healthy life. The COVID-19 pandemic has exacerbated FI for so many.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
2/
Why should FI matter to #NephTwitter? It’s a social determinant of health w/ *major* implications 👉 poorer overall levels of health, chronic med conditions, & lower levels of psychosocial/physical functioning.
renalfellow.org/2018/02/13/hun…
@mcstarr1 @RenalFellowNtwk
#HCWvsHunger
3/
Read 14 tweets
Our next paper: Abnormal #thyroid function is common in #takotsubo syndrome and depends on two distinct mechanisms: results of a multicentre observational study onlinelibrary.wiley.com/doi/full/10.11…
In this study, we compared patients with #takotsubo syndrome (#TTS) with age- and sex-matched normal subjects from the #NHANES collective and with patients affected by acute coronary syndrome (#ACS) from the AQUA FONTIS study (@StudyAqua). Main outcome measure was serum #FT4. Image
With artificial intelligence / machine learning we identified two clusters of #thyroid function in #TTS and three clusters in the whole population. #AI #ML pubmed.ncbi.nlm.nih.gov/33179374/ Image
Read 7 tweets
Tweetorial on our new paper, part 1: #Thyrotropin (#TSH) concentration is elevated in post-traumatic stress disorder (#PTSD), reflecting an elevated #setpoint of #pituitary-#thyroid feedback control. doi.org/10.3389/fendo.…
2 | TSH correlates to #allostatic load, measured by #SIQALS 2 score. Although #TSH rises, #FT4 and #FT3 concentration don't go down. Therefore, TSH doesn't reflect #hypothyroidism, but an increased setpoint due to type 2 #allostasis. frontiersin.org/articles/10.33…
3 | #Jostel's TSH index (#JTI) correlates to the #SIQALS 2 score for type 2 #allostatic_load in a large dataset of the #NHANES collective. This supports an elevated reference input (set point) of #thyroid #homeostasis in chronic #stress. doi.org/10.3389/fendo.…
Read 6 tweets
Sorry @SecretaryPerry our hormones are our molecular ambassadors of freedom. “Natural” gas molecules are synthetic chemical terrorists, wreaking havoc and disease and disability. This #tweetorial explains why. #SickerFatterPoorer 1/
The natural gas revolution in the US has driven down oil prices and produced a boon in the supply of ethane, a two carbon molecule that is the feedstock for all sorts of plastics. No, it’s not #ethan (though it’s pronounced that way in German) - got your attention though!
Cracking ethane removes two hydrogen atoms and makes ethylene, the building block for polyethylene plastics. Look at the bottom of a plastic water bottle these days, & it’s typically got a 1 in the recycling triangle, which is used to signal it is a polyethylene water bottle. 3/
Read 15 tweets

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