scholarly journals A secular trend of increasing pubertal BMI change among Swedish adolescents

2021 ◽  
Author(s):  
Maria Bygdell ◽  
Claes Ohlsson ◽  
Jenny M. Kindblom
Keyword(s):  
Young Adult ◽  
School Health ◽  
Cardiovascular Health ◽  
Secular Trend ◽  
The Novel ◽  
Health Records ◽  
Obesity Epidemic ◽  
Before And After ◽  
Study Participants ◽  
Military Conscript

AbstractPubertal BMI change is an independent risk marker of cardiovascular mortality/morbidity. Previous studies demonstrated a secular trend of increased childhood BMI but it is unknown if there is a concomitant secular trend regarding pubertal BMI change. The aim of this study was to describe the trend in pubertal BMI change. We collected heights and weights before and after puberty from school health records and military conscript records for boys born every five years during 1946–1991 (n = 3650, total cohort) and calculated pubertal BMI change (young adult BMI at 20 years of age minus childhood BMI at 8 years of age) for all study participants. A secular trend of increasing pubertal BMI change during the study period was observed. The increase in pubertal BMI change (0.27 kg/m2 per decade [0.22; 0.32]) explained 54% of the secular trend of increasing young adult BMI (0.50 kg/m2 per decade [0.43; 0.57]). We made the novel observation that there is a secular trend of increasing pubertal BMI change. We propose that the secular trend of increasing pubertal BMI change might contribute more than the secular trend of increasing childhood BMI to the adverse cardiovascular health consequences associated with the ongoing obesity epidemic.

scholarly journals Effect of a Novel Patient Garment on Perceived Privacy during Colonoscopy: A Simple Approach to Minimize Embarrassment

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Ali Aamar ◽  
Zeeshan Butt ◽  
Kamraan Madhani ◽  
Iqra Hussain ◽  
Joel Garsten ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
The United States ◽  
Simple Approach ◽  
High Rate ◽  
The Novel ◽  
Screening Programs ◽  
Before And After ◽  
Repeat Colonoscopy ◽  
Acceptance Rates ◽  
Study Participants

Background. In the United States, patients wear a one-piece, reusable cloth gown during colonoscopy procedures. Many patients report embarrassment related to bodily exposure during colonoscopy. This may limit participation in colorectal cancer screening programs. Aims. To assess whether the use of a novel, disposable patient garment (Privacy Pants, Jackson, MS), which increases patient coverage, can reduce embarrassment related to bodily exposure and increase colonoscopy acceptance rates. Methods. Patients were offered a novel gown, and they completed questionnaires before and after colonoscopy. Results. A total of 120 patients participated. 54% were female and 82% were Caucasian. The novel gown had high overall satisfaction (8.3) and was associated with a sense of respect during the procedure (9.4). 67% (80) of the patients had a prior colonoscopy, and of these, 76% would request a novel gown over a traditional gown for future procedures. Among all study participants, a high rate of acceptability for repeat colonoscopy if recommended by their doctors was reported (mean of 9.4). Nonwhites were more likely to have a concern for embarrassment addressed by using novel gowns as compared to whites (P value 0.02). Conclusion. All participants, particularly women and nonwhite participants, reported high rates of respect and satisfaction and decrease in embarrassment utilizing the novel gown during colonoscopy. Patients who had prior colonoscopy with a traditional gown preferred the novel garment. A novel procedure gown may enhance colonoscopy acceptance by minimizing embarrassment.

scholarly journals The Cardiovascular Health of Young Adults: Disparities along the Urban-Rural Continuum

2017 ◽  
Vol 672 (1) ◽  
pp. 257-281 ◽  
Author(s):  
Elizabeth Lawrence ◽  
Robert A. Hummer ◽  
Kathleen Mullan Harris
Keyword(s):  
Young Adults ◽  
Young Adult ◽  
Cardiovascular Health ◽  
Coming Of Age ◽  
Adult Health ◽  
Obesity Epidemic ◽  
Early Twenty ◽  
Urban Rural ◽  
Core Areas ◽  
Using Data

U.S. young adults coming of age in the early twenty-first century are the first cohort to grow up during the obesity epidemic; justifiably, there is much concern about their cardiovascular health. To date, however, no research has examined the extent to which there are disparities in young adult cardiovascular health across the urban-rural continuum. We examine this topic using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). We find that young adults who live in metropolitan core areas exhibit more favorable cardiovascular health than individuals who live in smaller communities and that population density largely accounts for this association. Further, individuals living in more densely populated areas in young adulthood relative to during adolescence have better cardiovascular health than those who live in areas similar or less dense than their adolescent residence. Our results strongly suggest that the physical and social features of communities represent important contexts for young adult cardiovascular health.

More Alike Than Unalike: Cross-language Similarity Influences Novel Word Lexicalization in Bilingual Individuals

2020 ◽  
Author(s):  
Pauline Palma ◽  
Marie-France Marin ◽  
k onishi ◽  
Debra Titone
Keyword(s):  
Lexical Decision ◽  
Lexical Decision Task ◽  
Decision Task ◽  
The Novel ◽  
Lexical Representations ◽  
Before And After ◽  
Word Forms ◽  
Explicit Recognition ◽  
Novel Word Learning ◽  
Cross Language

Although several studies have focused on novel word learning and consolidation in native (presumably monolingual) speakers, less is know about how bilinguals add novel words to their mental lexicon. Here, we trained 33 English-French bilinguals on novel word-forms that were neighbors to “hermit” English words (i.e., words with no existing neighbors). Importantly, these English words varied in terms of orthographic overlap with their French translation equivalent (i.e., cognates vs. noncognates). We measured explicit recognition of the novel neighbors and the interaction between novel neighbors and English words through a lexical decision task, both before and after a sleep interval. In the lexical decision task, we found evidence of immediate facilitation for English words with novel neighbors, and evidence of competition after a sleep interval for cognate words only. These results suggest that higher quality of existing lexical representations predicts an earlier onset for novel word lexicalization.

A CRITICAL ASSESSMENT OF THE NOVEL «ASSEMBLY HALL» BY HERMANN KANT IN THE REUNIFIED GERMANY (AFTER 1991)

2020 ◽  
pp. 144-152
Author(s):  
Rimma Gurevich
Keyword(s):  
Critical Assessment ◽  
The Novel ◽  
Aesthetic Appreciation ◽  
Party Position ◽  
Creative Personality ◽  
Before And After

H. Kant’s novel received a high literary and aesthetic appreciation in criticism and wide recognition by readers. Criticism (before and after the unification of Germany) concerns mainly one aspect viz. authenticity of the events depicted in the novel and the charcters’ images. Opponents argue that Kant’s ideological views, his consistent socialist and party position have prompt him to embellish reality, create simulacra, and the idyllic world of socialist Biedermeyer. The article shows that these assessments ignore the nature of his talent, especially his creative personality peculiarities such as journalistic orientation of the motivated «political» person and writer.

scholarly journals Women’s Cardiac Health in 2020: A Systematic Review

2020 ◽  
Vol 4 (02) ◽  
pp. 104-110
Author(s):  
Fabiola B. Sozzi ◽  
Marta Belmonte ◽  
Marco Schiavone ◽  
Ciro Canetta ◽  
Rakesh Gupta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Cardiovascular Health ◽  
The Novel ◽  
Cvd Risk ◽  
Disease Manifestation ◽  
Substantial Progress ◽  
Diagnostic Approaches ◽  
Traditional Risk Factors ◽  
Gender Specific

AbstractAlthough substantial progress has been made toward improving gender- and sex-specific cardiovascular disease (CVD) management and outcomes, contemporary reports indicate a persistent knowledge gap with regard to optimal risk-stratification and management in female cardiac heart disease (CHD) patients. Prominent patient and system delays in diagnosing CHD are, in part, due to the limited awareness for the latent CVD risk in women, a lack of sex-specific thresholds within clinical guidelines, and subsequent limited performance of contemporary diagnostic approaches in women. Several traditional risk factors for CHD affect both women and men. But other factors can play a bigger role in the development of heart disease in women. In addition, little is known about the influence of socioenvironmental and contextual factors on gender-specific disease manifestation and outcomes. It is imperative that we understand the mechanisms that contribute to worsening risk factors profiles in young women to reduce future atherosclerotic CVD morbidity and mortality. This comprehensive review focuses on the novel aspects of cardiovascular health in women and sex differences as they relate to clinical practice and prevention, diagnosis, and treatment of CVD. Increased recognition of the prevalence of traditional cardiovascular risk factors and their differential impact in women, as well as emerging nontraditional risk factors unique to or more common in women, contribute to new understanding mechanisms, leading to worsening outcome for women.

scholarly journals Rationale and design of the Novel Uses of adaptive Designs to Guide provider Engagement in Electronic Health Records (NUDGE-EHR) pragmatic adaptive randomized trial: a trial protocol

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Julie C. Lauffenburger ◽  
Thomas Isaac ◽  
Lorenzo Trippa ◽  
Punam Keller ◽  
Ted Robertson ◽  
...  
Keyword(s):  
Older Adults ◽  
Usual Care ◽  
Behavioral Science ◽  
Inappropriate Prescribing ◽  
The Novel ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health ◽  
Stage 1

Abstract Background The prescribing of high-risk medications to older adults remains extremely common and results in potentially avoidable health consequences. Efforts to reduce prescribing have had limited success, in part because they have been sub-optimally timed, poorly designed, or not provided actionable information. Electronic health record (EHR)-based tools are commonly used but have had limited application in facilitating deprescribing in older adults. The objective is to determine whether designing EHR tools using behavioral science principles reduces inappropriate prescribing and clinical outcomes in older adults. Methods The Novel Uses of Designs to Guide provider Engagement in Electronic Health Records (NUDGE-EHR) project uses a two-stage, 16-arm adaptive randomized pragmatic trial with a “pick-the-winner” design to identify the most effective of many potential EHR tools among primary care providers and their patients ≥ 65 years chronically using benzodiazepines, sedative hypnotic (“Z-drugs”), or anticholinergics in a large integrated delivery system. In stage 1, we randomized providers and their patients to usual care (n = 81 providers) or one of 15 EHR tools (n = 8 providers per arm) designed using behavioral principles including salience, choice architecture, or defaulting. After 6 months of follow-up, we will rank order the arms based upon their impact on the trial’s primary outcome (for both stages): reduction in inappropriate prescribing (via discontinuation or tapering). In stage 2, we will randomize (a) stage 1 usual care providers in a 1:1 ratio to one of the up to 5 most promising stage 1 interventions or continue usual care and (b) stage 1 providers in the unselected arms in a 1:1 ratio to one of the 5 most promising interventions or usual care. Secondary and tertiary outcomes include quantities of medication prescribed and utilized and clinically significant adverse outcomes. Discussion Stage 1 launched in October 2020. We plan to complete stage 2 follow-up in December 2021. These results will advance understanding about how behavioral science can optimize EHR decision support to improve prescribing and health outcomes. Adaptive trials have rarely been used in implementation science, so these findings also provide insight into how trials in this field could be more efficiently conducted. Trial registration Clinicaltrials.gov (NCT04284553, registered: February 26, 2020)

Does Aerobic Exercise Decrease Brain Activation?

1997 ◽  
Vol 19 (3) ◽  
pp. 291-301 ◽  
Author(s):  
Karla A. Kubitz ◽  
Konstantinos Pothakos
Keyword(s):  
Reaction Times ◽  
Brain Activation ◽  
Vigilance Task ◽  
Beta Activity ◽  
Significant Group ◽  
Eeg Activity ◽  
Time Interaction ◽  
Before And After ◽  
Study Participants ◽  
Group Effects

In the present study, participants were randomly assigned to an exercise or a nonexercise group to measure brain activation (spontaneous EEG activity), affect, and cognitive functioning before and after a 15-min treatment period. Exercisers (a) sat quietly for 5 min, (b) exercised for 15 min, (c) recovered for 5 min, and (d) completed a 15-min vigilance task. Nonexercisers did not exercise. There was a significant (a) Condition × Band × Time interaction for EEG activity, (b) Condition × Time interaction for Activation-Deactivation Adjective Checklist (AD ACL) scores, and (c) Condition × Time interaction for reaction times (RTs). Post hoc tests showed (a) no significant group effects at the baseline and 15-min vigilance periods, and (b) significant group effects at the postexercise and 5-min vigilance periods. Exercisers had lower levels of brain activation (i.e., more theta and alpha activity and less beta activity), higher AD ACL scores, and slower RTs than nonexercisers during these periods.

scholarly journals A review on gut microbiota: a central factor in the pathophysiology of obesity

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
A. L. Cunningham ◽  
J. W. Stephens ◽  
D. A. Harris
Keyword(s):  
Gut Microbiota ◽  
Pivotal Role ◽  
The Novel ◽  
Causal Relationships ◽  
Obesity Epidemic ◽  
Central Factor ◽  
Host Health ◽  
Published Research ◽  
Homeostatic Mechanisms

AbstractObesity and its complications constitute a substantial burden. Considerable published research describes the novel relationships between obesity and gut microbiota communities. It is becoming evident that microbiota behave in a pivotal role in their ability to influence homeostatic mechanisms either to the benefit or detriment of host health, the extent of which is not fully understood. A greater understanding of the contribution of gut microbiota towards host pathophysiology is revealing new therapeutic avenues to tackle the global obesity epidemic. This review focuses on causal relationships and associations with obesity, proposed central mechanisms encouraging the development of obesity and promising prospective methods for microbiota manipulation.

scholarly journals Resistance and aerobic exercise protects against acute endothelial impairment induced by a single exposure to hypertension during exertion

2011 ◽  
Vol 110 (4) ◽  
pp. 1013-1020 ◽  
Author(s):  
Shane A. Phillips ◽  
Emon Das ◽  
Jingli Wang ◽  
Kirkwood Pritchard ◽  
David D. Gutterman
Keyword(s):  
Blood Pressure ◽  
Resistance Exercise ◽  
Aerobic Exercise ◽  
Vascular Function ◽  
Cardiovascular Health ◽  
Weight Lifting ◽  
Acute Hypertension ◽  
Before And After ◽  
Weight Lifters ◽  
Blood Pressure Responses

Resistance and aerobic exercise is recommended for cardiovascular health and disease prevention. However, the accompanying increase in arterial pressure during resistance exercise may be detrimental to vascular health. This study tests the vascular benefits of aerobic compared with resistance exercise on preventing impaired vascular function induced by a single weight lifting session that is associated with acute hypertension. Healthy, lean sedentary (SED) subjects, weight lifters, runners (>15 miles/wk), and cross trainers (chronic aerobic and resistance exercisers), underwent a single progressive leg press weight lifting session with blood pressure measurements. Brachial artery flow-mediated vasodilation (FMD; an index of arterial endothelial function) was determined using ultrasonography immediately before and after weight lifting. Sublingual nitroglycerin (0.4 mg) was used to determine endothelium-independent dilation after weight lifting. All subjects were normotensive with similar blood pressure responses during exercise. Baseline FMD was lower in runners (5.4 ± 0.5%; n = 13) and cross trainers (4.44 ± 0.3%; n = 13) vs. SED (8.5 ± 0.8%; n = 13; P = 0.037). Brachial FMD improved in conditioned weight lifters (to 8.8 ± 0.9%; P = 0.007) and runners (to 7.6 ± 0.6%; P < 0.001) but not cross trainers (to 5.3 ± 0.6%; P = NS) after acute hypertension. FMD was decreased in SED (to 5.7 ± 0.4%; P = 0.019). Dilation to nitroglycerin was similar among groups. These data suggest that endothelial responses are maintained after exposure to a single bout of weight lifting in resistance and aerobic athletes. Resistance and aerobic exercise may confer similar protection against acute vascular insults such as exertional hypertension.

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