Tremor in a population-based cohort of children in New York City.
نویسندگان
چکیده
BACKGROUND There have been virtually no surveys of the prevalence, clinical features, or correlates of tremor in children and none in the United States. METHODS A total of 317 children (age 11.0 ± 1.1 years; range, 9.0 to 14.7) underwent an evaluation at one time point. Each drew Archimedes spirals, which were rated by a senior neurologist specializing in movement disorders. RESULTS A spiral score of 1 (mild but consistent tremor) was present in either hand in 105 (33.1%) children; a higher score (1.5, mild-to-moderate tremor) was present in either hand in 7 (2.2%) children. Higher spiral scores were associated with poorer motor hand function as assessed using the Purdue Pegboard test. Spiral scores were higher in boys than girls, were inversely associated with age, and were higher in the nondominant than dominant hand. Spiral scores were highest in children who were taking psychiatric medications and in children with psychiatric or neurological disorders. CONCLUSIONS Mild tremor is common in children and covaries significantly with several demographic and clinical factors as well as usage of certain medications. It also lessens with advancing age. Rather than an isolated finding, tremor was associated with other measures of poorer motor hand function.
منابع مشابه
Risk Factors for Growth Failure of One-Year Old Children in the Suburbs of Bandar Abbas City: A Population-Based Prospective Cohort Study in the South of Iran, Conducted by Bandar Abbas Health Research Station
Background and Aim: The aim of this study was to determine the risk factors of growth failure of one-year old children in the suburban regions of Bandar-e-Abbas City based on a population-based cohort study conducted by Bandar Abbas Health Research Station, affiliated to School of Public Health, Tehran University of Medical Sciences in the south of Iran. Materials and Methods: In this prospec...
متن کاملNeeded: Global Collaboration for Comparative Research on Cities and Health
Over half of the world’s population lives in cities and United Nations (UN) demographers project an increase of 2.5 billion more urban dwellers by 2050. Yet there is too little systematic comparative research on the practice of urban health policy and management (HPAM), particularly in the megacities of middle-income and developing nations. We make a case for creating a global database on citie...
متن کاملShanghai Rising: Health Improvements as Measured by Avoidable Mortality since 2000
Over the past two decades, Shanghai, the largest megacity in China, has been coping with unprecedented growth of its economy and population while overcoming previous underinvestment in the health system by the central and local governments. We study the evolution of Shanghai’s healthcare system by analyzing “Avoidable Mortality” (AM) – deaths amenable to public health and healthcare interventio...
متن کاملBacterial diversity impacts as a result of combined sewer overflow in a polluted waterway
Newtown Creek is an industrial waterway and former tidal wetland in New York City. It is one of the most polluted water bodies in the United States and was designated as a superfund site in 2010. For over a century, organic compounds, heavy metals, and other forms of industrial pollution have disrupted the creek’s environment. The creek is also impacted by discharges from twenty combined sewer ...
متن کاملBRIC Health Systems and Big Pharma: A Challenge for Health Policy and Management
BRIC nations – Brazil, Russia, India, and China – represent 40% of the world’s population, including a growing aging population and middle class with an increasing prevalence of chronic disease. Their healthcare systems increasingly rely on prescription drugs, but they differ from most other healthcare systems because healthcare expenditures in BRIC nations have exhibited the highest revenue gr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Pediatric neurology
دوره 52 2 شماره
صفحات -
تاریخ انتشار 2015