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Davis JC, Best J, Hsu CL, Nagamatsu LS, Dao E, Liu-Ambrose T. Examining the effect of the relationship between falls and mild cognitive impairment on mobility and executive functions in community-dwelling older adults. J Am Geriatr Soc 2015; 63:590-3. [PMID: 25800907 DOI: 10.1111/jgs.13290] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Aartsen MG, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Altmann D, Anderson T, Arguelles C, Arlen TC, Auffenberg J, Bai X, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berghaus P, Berley D, Bernardini E, Bernhard A, Besson DZ, Binder G, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohm C, Bos F, Bose D, Böser S, Botner O, Brayeur L, Bretz HP, Brown AM, Buzinsky N, Casey J, Casier M, Cheung E, Chirkin D, Christov A, Christy B, Clark K, Classen L, Clevermann F, Coenders S, Cowen DF, Cruz Silva AH, Daughhetee J, Davis JC, Day M, de André JPAM, De Clercq C, Dembinski H, De Ridder S, Desiati P, de Vries KD, de With M, DeYoung T, Díaz-Vélez JC, Dumm JP, Dunkman M, Eagan R, Eberhardt B, Ehrhardt T, Eichmann B, Eisch J, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Felde J, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Frantzen K, Fuchs T, Gaisser TK, Gaior R, Gallagher J, Gerhardt L, Gier D, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Goodman JA, Góra D, Grant D, Gretskov P, Groh JC, Groß A, Ha C, Haack C, Haj Ismail A, Hallen P, Hallgren A, Halzen F, Hanson K, Hebecker D, Heereman D, Heinen D, Helbing K, Hellauer R, Hellwig D, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huang F, Huelsnitz W, Hulth PO, Hultqvist K, Ishihara A, Jacobi E, Jacobsen J, Japaridze GS, Jero K, Jurkovic M, Kaminsky B, Kappes A, Karg T, Karle A, Kauer M, Keivani A, Kelley JL, Kheirandish A, Kiryluk J, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Koob A, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Kriesten A, Krings K, Kroll G, Kroll M, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Lanfranchi JL, Larsen DT, Larson MJ, Lesiak-Bzdak M, Leuermann M, Lünemann J, Madsen J, Maggi G, Maruyama R, Mase K, Matis HS, Maunu R, McNally F, Meagher K, Medici M, Meli A, Meures T, Miarecki S, Middell E, Middlemas E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Olivas A, Omairat A, O'Murchadha A, Palczewski T, Paul L, Penek Ö, Pepper JA, Pérez de los Heros C, Pfendner C, Pieloth D, Pinat E, Posselt J, Price PB, Przybylski GT, Pütz J, Quinnan M, Rädel L, Rameez M, Rawlins K, Redl P, Rees I, Reimann R, Relich M, Resconi E, Rhode W, Richman M, Riedel B, Robertson S, Rodrigues JP, Rongen M, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Sander HG, Sandroos J, Santander M, Sarkar S, Schatto K, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Sestayo Y, Seunarine S, Shanidze R, Smith MWE, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stanisha NA, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Strotjohann NL, Sullivan GW, Taavola H, Taboada I, Tamburro A, Ter-Antonyan S, Terliuk A, Tešić G, Tilav S, Toale PA, Tobin MN, Tosi D, Tselengidou M, Unger E, Usner M, Vallecorsa S, van Eijndhoven N, Vandenbroucke J, van Santen J, Vanheule S, Vehring M, Voge M, Vraeghe M, Walck C, Wallraff M, Weaver C, Wellons M, Wendt C, Westerhoff S, Whelan BJ, Whitehorn N, Wichary C, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zoll M. Flavor Ratio of Astrophysical Neutrinos above 35 TeV in IceCube. PHYSICAL REVIEW LETTERS 2015; 114:171102. [PMID: 25978221 DOI: 10.1103/physrevlett.114.171102] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Indexed: 06/04/2023]
Abstract
A diffuse flux of astrophysical neutrinos above 100 TeV has been observed at the IceCube Neutrino Observatory. Here we extend this analysis to probe the astrophysical flux down to 35 TeV and analyze its flavor composition by classifying events as showers or tracks. Taking advantage of lower atmospheric backgrounds for showerlike events, we obtain a shower-biased sample containing 129 showers and 8 tracks collected in three years from 2010 to 2013. We demonstrate consistency with the (fe:fμ:fτ)⊕≈(1:1:1)⊕ flavor ratio at Earth commonly expected from the averaged oscillations of neutrinos produced by pion decay in distant astrophysical sources. Limits are placed on nonstandard flavor compositions that cannot be produced by averaged neutrino oscillations but could arise in exotic physics scenarios. A maximally tracklike composition of (0:1:0)⊕ is excluded at 3.3σ, and a purely showerlike composition of (1:0:0)⊕ is excluded at 2.3σ.
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Liu-Ambrose T, Davis JC, Hsu CL, Gomez C, Vertes K, Marra C, Brasher PM, Dao E, Khan KM, Cook W, Donaldson MG, Rhodes R, Dian L. Action seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trial. Trials 2015; 16:144. [PMID: 25873254 PMCID: PMC4407364 DOI: 10.1186/s13063-015-0648-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2014] [Accepted: 03/12/2015] [Indexed: 11/18/2022] Open
Abstract
Background Falls are a ‘geriatric giant’ and are the third leading cause of chronic disability worldwide. About 30% of community-dwellers over the age of 65 experience one or more falls every year leading to significant risk for hospitalization, institutionalization, and even death. As the proportion of older adults increases, falls will place an increasing demand and cost on the health care system. Exercise can effectively and efficiently reduce falls. Specifically, the Otago Exercise Program has demonstrated benefit and cost-effectiveness for the primary prevention of falls in four randomized trials of community-dwelling seniors. Although evidence is mounting, few studies have evaluated exercise for secondary falls prevention (that is, preventing falls among those with a significant history of falls). Hence, we propose a randomized controlled trial powered for falls that will, for the first time, assess the efficacy and efficiency of the Otago Exercise Program for secondary falls prevention. Methods/Design A randomized controlled trial among 344 community-dwelling seniors aged 70 years and older who attend a falls prevention clinic to assess the efficacy and the cost-effectiveness of a 12-month Otago Exercise Program intervention as a secondary falls prevention strategy. Participants randomized to the control group will continue to behave as they did prior to study enrolment. The economic evaluation will examine the incremental costs and benefits generated by using the Otago Exercise Program intervention versus the control. Discussion The burden of falls is significant. The challenge is to make a difference – to discover effective, ideally cost-effective, interventions that prevent injurious falls that can be readily translated to the population. Our proposal is very practical – the exercise program requires minimal equipment, the physical therapist expertise is widely available, and seniors in Canada and elsewhere have adopted the program and complied with it. Our innovation includes applying the intervention to a targeted high-risk population, aiming to provide the best value for money. Given society’s limited financial resources and the known and increasing burden of falls, there is an urgent need to test this feasible intervention which would be eminently ready for roll out. Trial registration ClinicalTrials.gov Protocol Registration System: NCT01029171; registered 7 December 2009.
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Davis JC, Best JR, Bryan S, Li LC, Hsu CL, Gomez C, Vertes K, Liu-Ambrose T. Mobility Is a Key Predictor of Change in Well-Being Among Older Adults Who Experience Falls: Evidence From the Vancouver Falls Prevention Clinic Cohort. Arch Phys Med Rehabil 2015; 96:1634-40. [PMID: 25862255 DOI: 10.1016/j.apmr.2015.02.033] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Accepted: 02/24/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To determine the factors that predict change in well-being over time in older men and women presenting to the falls prevention clinic. DESIGN Prospective cohort study. SETTING Falls prevention clinic. PARTICIPANTS Community-dwelling older adults who were referred to the clinic after sustaining a fall (between N=244 and N=255, depending on the analysis). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES The ICEpop CAPability measure for Older people, a measure of well-being or quality of life, was administered at baseline, 6 months, and 12 months. We constructed linear mixed models to determine whether baseline predictor variables were related to baseline well-being and/or changes in well-being over time. In addition, we included interactions with sex to investigate the difference between men and women. Baseline predictors included 2 measures of mobility--Short Performance Physical Battery and timed Up and Go test--and a measure of global cognitive function--Montreal Cognitive Assessment. RESULTS All 3 predictors were associated with well-being at baseline (P<.05). Furthermore, both the Short Performance Physical Battery and the timed Up and Go test interacted with sex (P<.05) to predict changes in well-being over time. Follow-up analyses suggested that better mobility was protective against decline in well-being in men but was generally unrelated to changes in well-being in women. CONCLUSIONS We found that 2 valid and reliable measures of mobility interacted with sex to predict changes in well-being over time. This is a critical research area to develop in order to appropriately tailor future intervention strategies targeting well-being in older fallers, a population at high risk of functional decline.
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Bolandzadeh N, Kording K, Salowitz N, Davis JC, Hsu L, Chan A, Sharma D, Blohm G, Liu-Ambrose T. Predicting cognitive function from clinical measures of physical function and health status in older adults. PLoS One 2015; 10:e0119075. [PMID: 25734446 PMCID: PMC4348544 DOI: 10.1371/journal.pone.0119075] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2014] [Accepted: 01/16/2015] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Current research suggests that the neuropathology of dementia-including brain changes leading to memory impairment and cognitive decline-is evident years before the onset of this disease. Older adults with cognitive decline have reduced functional independence and quality of life, and are at greater risk for developing dementia. Therefore, identifying biomarkers that can be easily assessed within the clinical setting and predict cognitive decline is important. Early recognition of cognitive decline could promote timely implementation of preventive strategies. METHODS We included 89 community-dwelling adults aged 70 years and older in our study, and collected 32 measures of physical function, health status and cognitive function at baseline. We utilized an L1-L2 regularized regression model (elastic net) to identify which of the 32 baseline measures were strongly predictive of cognitive function after one year. We built three linear regression models: 1) based on baseline cognitive function, 2) based on variables consistently selected in every cross-validation loop, and 3) a full model based on all the 32 variables. Each of these models was carefully tested with nested cross-validation. RESULTS Our model with the six variables consistently selected in every cross-validation loop had a mean squared prediction error of 7.47. This number was smaller than that of the full model (115.33) and the model with baseline cognitive function (7.98). Our model explained 47% of the variance in cognitive function after one year. DISCUSSION We built a parsimonious model based on a selected set of six physical function and health status measures strongly predictive of cognitive function after one year. In addition to reducing the complexity of the model without changing the model significantly, our model with the top variables improved the mean prediction error and R-squared. These six physical function and health status measures can be easily implemented in a clinical setting.
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Davis JC, Bryan S. Patient Reported Outcome Measures (PROMs) have arrived in sports and exercise medicine: Why do they matter? Br J Sports Med 2015; 49:1545-6. [DOI: 10.1136/bjsports-2014-093707] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2014] [Indexed: 11/03/2022]
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Aartsen MG, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Altmann D, Anderson T, Arguelles C, Arlen TC, Auffenberg J, Bai X, Barwick SW, Baum V, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berghaus P, Berley D, Bernardini E, Bernhard A, Besson DZ, Binder G, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohm C, Bose D, Böser S, Botner O, Brayeur L, Bretz HP, Brown AM, Casey J, Casier M, Chirkin D, Christov A, Christy B, Clark K, Classen L, Clevermann F, Coenders S, Cowen DF, Cruz Silva AH, Danninger M, Daughhetee J, Davis JC, Day M, de André JPAM, De Clercq C, De Ridder S, Desiati P, de Vries KD, de With M, DeYoung T, Díaz-Vélez JC, Dunkman M, Eagan R, Eberhardt B, Eichmann B, Eisch J, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Felde J, Feusels T, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Franckowiak A, Frantzen K, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Gier D, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Goodman JA, Góra D, Grandmont DT, Grant D, Gretskov P, Groh JC, Groß A, Ha C, Haack C, Haj Ismail A, Hallen P, Hallgren A, Halzen F, Hanson K, Hebecker D, Heereman D, Heinen D, Helbing K, Hellauer R, Hellwig D, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huang F, Huelsnitz W, Hulth PO, Hultqvist K, Hussain S, Ishihara A, Jacobi E, Jacobsen J, Jagielski K, Japaridze GS, Jero K, Jlelati O, Jurkovic M, Kaminsky B, Kappes A, Karg T, Karle A, Kauer M, Kelley JL, Kheirandish A, Kiryluk J, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Koob A, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Kriesten A, Krings K, Kroll G, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Larsen DT, Larson MJ, Lesiak-Bzdak M, Leuermann M, Leute J, Lünemann J, Macías O, Madsen J, Maggi G, Maruyama R, Mase K, Matis HS, McNally F, Meagher K, Meli A, Meures T, Miarecki S, Middell E, Middlemas E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Odrowski S, Olivas A, Omairat A, O'Murchadha A, Palczewski T, Paul L, Penek O, Pepper JA, Pérez de Los Heros C, Pfendner C, Pieloth D, Pinat E, Posselt J, Price PB, Przybylski GT, Pütz J, Quinnan M, Rädel L, Rameez M, Rawlins K, Redl P, Rees I, Reimann R, Resconi E, Rhode W, Richman M, Riedel B, Robertson S, Rodrigues JP, Rongen M, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Sander HG, Santander M, Sarkar S, Schatto K, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Sestayo Y, Seunarine S, Shanidze R, Sheremata C, Smith MWE, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stanisha NA, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Strotjohann NL, Sullivan GW, Taavola H, Taboada I, Tamburro A, Tepe A, Ter-Antonyan S, Terliuk A, Tešić G, Tilav S, Toale PA, Tobin MN, Tosi D, Tselengidou M, Unger E, Usner M, Vallecorsa S, van Eijndhoven N, Vandenbroucke J, van Santen J, Vehring M, Voge M, Vraeghe M, Walck C, Wallraff M, Weaver C, Wellons M, Wendt C, Westerhoff S, Whelan BJ, Whitehorn N, Wichary C, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu DL, Xu XW, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zierke S, Zoll M. Observation of high-energy astrophysical neutrinos in three years of IceCube data. PHYSICAL REVIEW LETTERS 2014; 113:101101. [PMID: 25238345 DOI: 10.1103/physrevlett.113.101101] [Citation(s) in RCA: 150] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Indexed: 06/03/2023]
Abstract
A search for high-energy neutrinos interacting within the IceCube detector between 2010 and 2012 provided the first evidence for a high-energy neutrino flux of extraterrestrial origin. Results from an analysis using the same methods with a third year (2012-2013) of data from the complete IceCube detector are consistent with the previously reported astrophysical flux in the 100 TeV-PeV range at the level of 10(-8) GeV cm-2 s-1 sr-1 per flavor and reject a purely atmospheric explanation for the combined three-year data at 5.7σ. The data are consistent with expectations for equal fluxes of all three neutrino flavors and with isotropic arrival directions, suggesting either numerous or spatially extended sources. The three-year data set, with a live time of 988 days, contains a total of 37 neutrino candidate events with deposited energies ranging from 30 to 2000 TeV. The 2000-TeV event is the highest-energy neutrino interaction ever observed.
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Davis JC, Verhagen E, Bryan S, Liu-Ambrose T, Borland J, Buchner D, Hendriks MRC, Weiler R, Morrow JR, van Mechelen W, Blair SN, Pratt M, Windt J, al-Tunaiji H, Macri E, Khan KM. 2014 Consensus Statement from the first Economics of Physical Inactivity Consensus (EPIC) Conference (Vancouver). Br J Sports Med 2014; 48:947-51. [DOI: 10.1136/bjsports-2014-093575] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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Fujita K, Kim CK, Lee I, Lee J, Hamidian MH, Firmo IA, Mukhopadhyay S, Eisaki H, Uchida S, Lawler MJ, Kim EA, Davis JC. Simultaneous transitions in cuprate momentum-space topology and electronic symmetry breaking. Science 2014; 344:612-6. [PMID: 24812397 DOI: 10.1126/science.1248783] [Citation(s) in RCA: 185] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
The existence of electronic symmetry breaking in the underdoped cuprates and its disappearance with increased hole density p are now widely reported. However, the relation between this transition and the momentum-space (k-space) electronic structure underpinning the superconductivity has not yet been established. Here, we visualize the Q = 0 (intra-unit-cell) and Q ≠ 0 (density-wave) broken-symmetry states, simultaneously with the coherent k-space topology, for Bi₂Sr₂CaCu₂O(8+δ) samples spanning the phase diagram 0.06 ≤ p ≤ 0.23. We show that the electronic symmetry-breaking tendencies weaken with increasing p and disappear close to a critical doping p(c) = 0.19. Concomitantly, the coherent k-space topology undergoes an abrupt transition, from arcs to closed contours, at the same p(c). These data reveal that the k-space topology transformation in cuprates is linked intimately with the disappearance of the electronic symmetry breaking at a concealed critical point.
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Al Tunaiji H, Davis JC, Mackey DC, Khan KM. Population attributable fraction of type 2 diabetes due to physical inactivity in adults: a systematic review. BMC Public Health 2014; 14:469. [PMID: 24885278 PMCID: PMC4083369 DOI: 10.1186/1471-2458-14-469] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 04/15/2014] [Indexed: 12/30/2022] Open
Abstract
Background Physical inactivity is a global pandemic. The population attributable fraction (PAF) of type 2 diabetes mellitus (T2DM) associated with physical inactivity ranges from 3% to 40%. The purpose of this systematic review was to determine the best estimate of PAF for T2DM attributable to physical inactivity and absence of sport participation or exercise for men and women. Methods We conducted a systematic review that included a comprehensive search of MEDLINE, EMBASE, SportDiscus, and CINAHL (1946 to April 30 2013) limited by the terms adults and English. Two reviewers screened studies, extracted PAF related data and assessed the quality of the selected studies. We reconstructed 95% CIs for studies missing these data using a substitution method. Results Of the eight studies reporting PAF in T2DM, two studies included prospective cohort studies (3 total) and six were reviews. There were distinct variations in quality of defining and measuring physical inactivity, T2DM and adjusting for confounders. In the US, PAFs for absence of playing sport ranged from 13% (95% CI: 3, 22) in men and 29% (95% CI: 17, 41) in women. In Finland, PAFs for absence of exercise ranged from 3% (95% CI: -11, 16) in men to 7% (95% CI: -9, 20) in women. Conclusions The PAF of physical inactivity due to T2DM is substantial. Physical inactivity is a modifiable risk factor for T2DM. The contribution of physical inactivity to T2DM differs by sex; PAF also differs if physical inactivity is defined as the absence of ‘sport’ or absence of ‘exercise’.
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ten Brinke LF, Bolandzadeh N, Nagamatsu LS, Hsu CL, Davis JC, Miran-Khan K, Liu-Ambrose T. Aerobic exercise increases hippocampal volume in older women with probable mild cognitive impairment: a 6-month randomised controlled trial. Br J Sports Med 2014; 49:248-54. [PMID: 24711660 DOI: 10.1136/bjsports-2013-093184] [Citation(s) in RCA: 234] [Impact Index Per Article: 23.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Mild cognitive impairment (MCI) is a well-recognised risk factor for dementia and represents a vital opportunity for intervening. Exercise is a promising strategy for combating cognitive decline by improving brain structure and function. Specifically, aerobic training (AT) improved spatial memory and hippocampal volume in healthy community-dwelling older adults. In older women with probable MCI, we previously demonstrated that resistance training (RT) and AT improved memory. In this secondary analysis, we investigated: (1) the effect of RT and AT on hippocampal volume and (2) the association between change in hippocampal volume and change in memory. METHODS 86 women aged 70-80 years with probable MCI were randomly assigned to a 6-month, twice-weekly programme of: (1) AT, (2) RT or (3) balance and tone training (BAT; ie, control). At baseline and trial completion, participants performed a 3T MRI scan to determine hippocampal volume. Verbal memory and learning were assessed by Rey's Auditory Verbal Learning Test. RESULTS Compared with the BAT group, AT significantly improved left, right and total hippocampal volumes (p≤0.03). After accounting for baseline cognitive function and experimental group, increased left hippocampal volume was independently associated with reduced verbal memory and learning performance as indexed by loss after interference (r=0.42, p=0.03). CONCLUSIONS Aerobic training significantly increased hippocampal volume in older women with probable MCI. More research is needed to ascertain the relevance of exercise-induced changes in hippocampal volume on memory performance in older adults with MCI. TRAIL REGISTRATION NUMBER NCT00958867.
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Hsu CL, Voss MW, Handy TC, Davis JC, Nagamatsu LS, Chan A, Bolandzadeh N, Liu-Ambrose T. Disruptions in brain networks of older fallers are associated with subsequent cognitive decline: a 12-month prospective exploratory study. PLoS One 2014; 9:e93673. [PMID: 24699668 PMCID: PMC3977422 DOI: 10.1371/journal.pone.0093673] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2013] [Accepted: 03/07/2014] [Indexed: 11/24/2022] Open
Abstract
Cognitive impairment and impaired mobility are major public health concerns. There is growing recognition that impaired mobility is an early biomarker of cognitive impairment and dementia. The neural basis for this association is currently unclear. We propose disrupted functional connectivity as a potential mechanism. In this 12-month prospective exploratory study, we compared functional connectivity of four brain networks– the default mode network (DMN), fronto-executive network (FEN), fronto-parietal network (FPN), and the primary motor sensory network (SMN) – between community-dwelling older adults with ≥ two falls in the last 12 months and their non-falling counterparts (≤ one fall in the last 12 months). Functional connectivity was examined both at rest and during a simple motor tapping task. Compared with non-fallers, fallers showed more connectivity between the DMN and FPN during right finger tapping (p = 0.04), and significantly less functional connectivity between the SMN and FPN during rest (p≤0.05). Less connectivity between the SMN and FPN during rest was significantly associated with greater decline in both cognitive function and mobility over the12-month period (r = −0.32 and 0.33 respectively; p≤0.04). Thus, a recent history of multiple falls among older adults without a diagnosis of dementia may indicate sub-clinical changes in brain function and increased risk for subsequent decline.
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Aartsen MG, Abbasi R, Abdou Y, Ackermann M, Adams J, Aguilar JA, Ahlers M, Altmann D, Auffenberg J, Bai X, Baker M, Barwick SW, Baum V, Bay R, Beatty JJ, Bechet S, Becker Tjus J, Becker KH, Benabderrahmane ML, BenZvi S, Berghaus P, Berley D, Bernardini E, Bernhard A, Bertrand D, Besson DZ, Binder G, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohaichuk S, Bohm C, Bose D, Böser S, Botner O, Brayeur L, Bretz HP, Brown AM, Bruijn R, Brunner J, Carson M, Casey J, Casier M, Chirkin D, Christov A, Christy B, Clark K, Clevermann F, Coenders S, Cohen S, Cowen DF, Cruz Silva AH, Danninger M, Daughhetee J, Davis JC, Day M, De Clercq C, De Ridder S, Desiati P, de Vries KD, de With M, DeYoung T, Díaz-Vélez JC, Dunkman M, Eagan R, Eberhardt B, Eichmann B, Eisch J, Ellsworth RW, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Feusels T, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Franckowiak A, Frantzen K, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Goodman JA, Góra D, Grandmont DT, Grant D, Groß A, Ha C, Haj Ismail A, Hallen P, Hallgren A, Halzen F, Hanson K, Heereman D, Heinen D, Helbing K, Hellauer R, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huelsnitz W, Hulth PO, Hultqvist K, Hussain S, Ishihara A, Jacobi E, Jacobsen J, Jagielski K, Japaridze GS, Jero K, Jlelati O, Kaminsky B, Kappes A, Karg T, Karle A, Kelley JL, Kiryluk J, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krasberg M, Krings K, Kroll G, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Landsman H, Larson MJ, Lesiak-Bzdak M, Leuermann M, Leute J, Lünemann J, Madsen J, Maggi G, Maruyama R, Mase K, Matis HS, McNally F, Meagher K, Merck M, Meures T, Miarecki S, Middell E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Odrowski S, Olivas A, O'Murchadha A, Paul L, Pepper JA, Pérez de los Heros C, Pfendner C, Pieloth D, Pinat E, Posselt J, Price PB, Przybylski GT, Rädel L, Rameez M, Rawlins K, Redl P, Reimann R, Resconi E, Rhode W, Ribordy M, Richman M, Riedel B, Rodrigues JP, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Salameh T, Sander HG, Santander M, Sarkar S, Schatto K, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Sestayo Y, Seunarine S, Shanidze R, Sheremata C, Smith MWE, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Sullivan GW, Taavola H, Taboada I, Tamburro A, Tepe A, Ter-Antonyan S, Tešić G, Tilav S, Toale PA, Toscano S, Unger E, Usner M, van Eijndhoven N, Van Overloop A, van Santen J, Vehring M, Voge M, Vraeghe M, Walck C, Waldenmaier T, Wallraff M, Weaver C, Wellons M, Wendt C, Westerhoff S, Whitehorn N, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu DL, Xu XW, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zierke S, Zoll M. Evidence for high-energy extraterrestrial neutrinos at the IceCube detector. Science 2013; 342:1242856. [PMID: 24264993 DOI: 10.1126/science.1242856] [Citation(s) in RCA: 179] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
We report on results of an all-sky search for high-energy neutrino events interacting within the IceCube neutrino detector conducted between May 2010 and May 2012. The search follows up on the previous detection of two PeV neutrino events, with improved sensitivity and extended energy coverage down to about 30 TeV. Twenty-six additional events were observed, substantially more than expected from atmospheric backgrounds. Combined, both searches reject a purely atmospheric origin for the 28 events at the 4σ level. These 28 events, which include the highest energy neutrinos ever observed, have flavors, directions, and energies inconsistent with those expected from the atmospheric muon and neutrino backgrounds. These properties are, however, consistent with generic predictions for an additional component of extraterrestrial origin.
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Davis JC, Bryan S, Marra CA, Hsiung GYR, Liu-Ambrose T. Challenges with cost-utility analyses of behavioural interventions among older adults at risk for dementia. Br J Sports Med 2013; 49:1343-7. [PMID: 24195918 DOI: 10.1136/bjsports-2013-092743] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2013] [Indexed: 11/04/2022]
Abstract
BACKGROUND Cognitive decline is one of the most prominent healthcare issues of the 21st century. Within the context of combating cognitive decline through behavioural interventions, physical activity is a promising approach. There is a dearth of health economic data in the area of behavioural interventions for dementia prevention. Yet, economic evaluations are essential for providing information to policy makers for resource allocation. It is essential we first address population and intervention-specific methodological challenges prior to building a larger evidence base. We use a cost-utility analysis conducted alongside the exercise for cognition and everyday living (EXCEL) study to illustrate methodological challenges specific to assessing the cost-effectiveness of behavioural interventions aimed at older adults at risk of cognitive decline. METHODS A cost-utility analysis conducted concurrently with a 6-month, three-arm randomised controlled trial (ie, the EXCEL study) was used as an example to identify and discuss methodological challenges. RESULTS Both the aerobic training and resistance training interventions were less costly than twice weekly balance and tone classes. In critically evaluating the economic evaluation of the EXCEL study we identified four category-specific challenges: (1) analysing costs; (2) assessing quality-adjusted life-years; (3) Incomplete data; and (4) 'Intervention' activities of the control group. CONCLUSIONS Resistance training and aerobic training resulted in healthcare cost saving and were equally effective to balance and tone classes after only 6 months of intervention. To ensure this population is treated fairly in terms of claims on resources, we first need to identify areas for methodological improvement.
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Aartsen MG, Abbasi R, Abdou Y, Ackermann M, Adams J, Aguilar JA, Ahlers M, Altmann D, Auffenberg J, Bai X, Baker M, Barwick SW, Baum V, Bay R, Beatty JJ, Bechet S, Becker Tjus J, Becker KH, Bell M, Benabderrahmane ML, Benzvi S, Berdermann J, Berghaus P, Berley D, Bernardini E, Bernhard A, Bertrand D, Besson DZ, Binder G, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohaichuk S, Bohm C, Bose D, Böser S, Botner O, Brayeur L, Bretz HP, Brown AM, Bruijn R, Brunner J, Carson M, Casey J, Casier M, Chirkin D, Christov A, Christy B, Clark K, Clevermann F, Coenders S, Cohen S, Cowen DF, Cruz Silva AH, Danninger M, Daughhetee J, Davis JC, De Clercq C, De Ridder S, Desiati P, de With M, DeYoung T, Díaz-Vélez JC, Dunkman M, Eagan R, Eberhardt B, Eisch J, Ellsworth RW, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Feusels T, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Franckowiak A, Franke R, Frantzen K, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Goodman JA, Góra D, Grandmont DT, Grant D, Groß A, Ha C, Haj Ismail A, Hallen P, Hallgren A, Halzen F, Hanson K, Heereman D, Heinen D, Helbing K, Hellauer R, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huelsnitz W, Hulth PO, Hultqvist K, Hussain S, Ishihara A, Jacobi E, Jacobsen J, Jagielski K, Japaridze GS, Jero K, Jlelati O, Kaminsky B, Kappes A, Karg T, Karle A, Kelley JL, Kiryluk J, Kislat F, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krasberg M, Krings K, Kroll G, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Landsman H, Larson MJ, Lesiak-Bzdak M, Leuermann M, Leute J, Lünemann J, Madsen J, Maruyama R, Mase K, Matis HS, McNally F, Meagher K, Merck M, Mészáros P, Meures T, Miarecki S, Middell E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Odrowski S, Olivas A, Olivo M, O'Murchadha A, Palazzo A, Paul L, Pepper JA, Pérez de los Heros C, Pfendner C, Pieloth D, Pinat E, Pirk N, Posselt J, Price PB, Przybylski GT, Rädel L, Rameez M, Rawlins K, Redl P, Reimann R, Resconi E, Rhode W, Ribordy M, Richman M, Riedel B, Rodrigues JP, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Salameh T, Sander HG, Santander M, Sarkar S, Schatto K, Scheel M, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Sestayo Y, Seunarine S, Sheremata C, Smith MWE, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Sullivan GW, Taavola H, Taboada I, Tamburro A, Tepe A, Ter-Antonyan S, Tešić G, Tilav S, Toale PA, Toscano S, Usner M, van der Drift D, van Eijndhoven N, Van Overloop A, van Santen J, Vehring M, Voge M, Vraeghe M, Walck C, Waldenmaier T, Wallraff M, Wasserman R, Weaver C, Wellons M, Wendt C, Westerhoff S, Whitehorn N, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu C, Xu DL, Xu XW, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zierke S, Zoll M. Measurement of atmospheric neutrino oscillations with IceCube. PHYSICAL REVIEW LETTERS 2013; 111:081801. [PMID: 24010427 DOI: 10.1103/physrevlett.111.081801] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2013] [Indexed: 06/02/2023]
Abstract
We present the first statistically significant detection of neutrino oscillations in the high-energy regime (>20 GeV) from an analysis of IceCube Neutrino Observatory data collected in 2010 and 2011. This measurement is made possible by the low-energy threshold of the DeepCore detector (~20 GeV) and benefits from the use of the IceCube detector as a veto against cosmic-ray-induced muon background. The oscillation signal was detected within a low-energy muon neutrino sample (20-100 GeV) extracted from data collected by DeepCore. A high-energy muon neutrino sample (100 GeV-10 TeV) was extracted from IceCube data to constrain systematic uncertainties. The disappearance of low-energy upward-going muon neutrinos was observed, and the nonoscillation hypothesis is rejected with more than 5σ significance. In a two-neutrino flavor formalism, our data are best described by the atmospheric neutrino oscillation parameters |Δm(32)(2)|=(2.3(-0.5)(+0.6))×10(-3) eV(2) and sin(2)(2θ(23))>0.93, and maximum mixing is favored.
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Aartsen MG, Abbasi R, Abdou Y, Ackermann M, Adams J, Aguilar JA, Ahlers M, Altmann D, Auffenberg J, Bai X, Baker M, Barwick SW, Baum V, Bay R, Beatty JJ, Bechet S, Becker Tjus J, Becker KH, Bell M, Benabderrahmane ML, BenZvi S, Berdermann J, Berghaus P, Berley D, Bernardini E, Bernhard A, Bertrand D, Besson DZ, Binder G, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohaichuk S, Bohm C, Bose D, Böser S, Botner O, Brayeur L, Bretz HP, Brown AM, Bruijn R, Brunner J, Carson M, Casey J, Casier M, Chirkin D, Christov A, Christy B, Clark K, Clevermann F, Coenders S, Cohen S, Cowen DF, Cruz Silva AH, Danninger M, Daughhetee J, Davis JC, De Clercq C, De Ridder S, Desiati P, de With M, DeYoung T, Díaz-Vélez JC, Dunkman M, Eagan R, Eberhardt B, Eisch J, Ellsworth RW, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Feusels T, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Franckowiak A, Franke R, Frantzen K, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Goodman JA, Góra D, Grant D, Groß A, Gurtner M, Ha C, Haj Ismail A, Hallen P, Hallgren A, Halzen F, Hanson K, Heereman D, Heinen D, Helbing K, Hellauer R, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huelsnitz W, Hulth PO, Hultqvist K, Hussain S, Ishihara A, Jacobi E, Jacobsen J, Jagielski K, Japaridze GS, Jero K, Jlelati O, Kaminsky B, Kappes A, Karg T, Karle A, Kelley JL, Kiryluk J, Kislat F, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krasberg M, Krings K, Kroll G, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Landsman H, Larson MJ, Lesiak-Bzdak M, Leuermann M, Leute J, Lünemann J, Madsen J, Maruyama R, Mase K, Matis HS, McNally F, Meagher K, Merck M, Mészáros P, Meures T, Miarecki S, Middell E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Odrowski S, Olivas A, Olivo M, O'Murchadha A, Paul L, Pepper JA, Pérez de los Heros C, Pfendner C, Pieloth D, Pinat E, Pirk N, Posselt J, Price PB, Przybylski GT, Rädel L, Rameez M, Rawlins K, Redl P, Reimann R, Resconi E, Rhode W, Ribordy M, Richman M, Riedel B, Rodrigues JP, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Salameh T, Sander HG, Santander M, Sarkar S, Schatto K, Scheel M, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Sestayo Y, Seunarine S, Sheremata C, Smith MWE, Soiron M, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Sullivan GW, Taavola H, Taboada I, Tamburro A, Ter-Antonyan S, Tešić G, Tilav S, Toale PA, Toscano S, Usner M, van der Drift D, van Eijndhoven N, Van Overloop A, van Santen J, Vehring M, Voge M, Vraeghe M, Walck C, Waldenmaier T, Wallraff M, Wasserman R, Weaver C, Wellons M, Wendt C, Westerhoff S, Whitehorn N, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu C, Xu DL, Xu XW, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zierke S, Zilles A, Zoll M. First observation of PeV-energy neutrinos with IceCube. PHYSICAL REVIEW LETTERS 2013; 111:021103. [PMID: 23889381 DOI: 10.1103/physrevlett.111.021103] [Citation(s) in RCA: 81] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2013] [Indexed: 06/02/2023]
Abstract
We report on the observation of two neutrino-induced events which have an estimated deposited energy in the IceCube detector of 1.04±0.16 and 1.14±0.17 PeV, respectively, the highest neutrino energies observed so far. These events are consistent with fully contained particle showers induced by neutral-current ν(e,μ,τ) (ν(e,μ,τ)) or charged-current ν(e) (ν(e)) interactions within the IceCube detector. The events were discovered in a search for ultrahigh energy neutrinos using data corresponding to 615.9 days effective live time. The expected number of atmospheric background is 0.082±0.004(stat)(-0.057)(+0.041)(syst). The probability of observing two or more candidate events under the atmospheric background-only hypothesis is 2.9×10(-3) (2.8σ) taking into account the uncertainty on the expected number of background events. These two events could be a first indication of an astrophysical neutrino flux; the moderate significance, however, does not permit a definitive conclusion at this time.
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Nagamatsu L, Chan A, Davis JC, Beattie BL, Graf P, Voss MW, Sharma D, Liu‐Ambrose T. P1–370: The effects of exercise on memory performance in older adults with probable mild cognitive impairment: A 6‐month randomized controlled trial. Alzheimers Dement 2013. [DOI: 10.1016/j.jalz.2013.05.597] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bolandzadeh N, Kording K, Salowitz N, Hsu CL, Davis JC, Sharma D, Liu‐Ambrose T. P4–208: Predicting cognitive function from clinical measures of mobility and health status: A L1‐L2 regularized regression approach. Alzheimers Dement 2013. [DOI: 10.1016/j.jalz.2013.05.1600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Davis JC, Bryan S, Marra CA, Sharma D, Chan A, Beattie BL, Graf P, Liu-Ambrose T. An economic evaluation of resistance training and aerobic training versus balance and toning exercises in older adults with mild cognitive impairment. PLoS One 2013; 8:e63031. [PMID: 23690976 PMCID: PMC3653911 DOI: 10.1371/journal.pone.0063031] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Accepted: 03/27/2013] [Indexed: 11/18/2022] Open
Abstract
Background Mild cognitive impairment (MCI) represents a critical window to intervene against dementia. Exercise training is a promising intervention strategy, but the efficiency (i.e., relationship of costs and consequences) of such types of training remains unknown. Thus, we estimated the incremental cost-effectiveness of resistance training or aerobic training compared with balance and tone exercises in terms of changes in executive cognitive function among senior women with probable MCI. Methods Economic evaluation conducted concurrently with a six-month three arm randomized controlled trial including eighty-six community dwelling women aged 70 to 80 years living in Vancouver, Canada. Participants received twice-weekly resistance training (n = 28), twice weekly aerobic training (n = 30) or twice-weekly balance and tone (control group) classes (n = 28) for 6 months. The primary outcome measure of the Exercise for Cognition and Everyday Living (EXCEL) study assessed executive cognitive function, a test of selective attention and conflict resolution (i.e., Stroop Test). We collected healthcare resource utilization costs over six months. Results Based on the bootstrapped estimates from our base case analysis, we found that both the aerobic training and resistance training interventions were less costly than twice weekly balance and tone classes. Compared with the balance and tone group, the resistance-training group had significantly improved performance on the Stroop Test (p = 0.04). Conclusions Resistance training and aerobic training result in health care cost saving and are more effective than balance and tone classes after only 6 months of intervention. Resistance training is a promising strategy to alter the trajectory of cognitive decline in seniors with MCI. Trial Registration ClinicalTrials.gov NCT00958867.
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Aartsen MG, Abbasi R, Abdou Y, Ackermann M, Adams J, Aguilar JA, Ahlers M, Altmann D, Auffenberg J, Bai X, Baker M, Barwick SW, Baum V, Bay R, Beattie K, Beatty JJ, Bechet S, Becker Tjus J, Becker KH, Bell M, Benabderrahmane ML, BenZvi S, Berdermann J, Berghaus P, Berley D, Bernardini E, Bernhard A, Bertrand D, Besson DZ, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohaichuk S, Bohm C, Bose D, Böser S, Botner O, Brayeur L, Brown AM, Bruijn R, Brunner J, Buitink S, Carson M, Casey J, Casier M, Chirkin D, Christy B, Clark K, Clevermann F, Cohen S, Cowen DF, Cruz Silva AH, Danninger M, Daughhetee J, Davis JC, De Clercq C, De Ridder S, Desiati P, de Vries-Uiterweerd G, de With M, DeYoung T, Díaz-Vélez JC, Dreyer J, Dunkman M, Eagan R, Eberhardt B, Eisch J, Ellsworth RW, Engdegård O, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Feusels T, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Franckowiak A, Franke R, Frantzen K, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Goodman JA, Góra D, Grant D, Groß A, Gurtner M, Ha C, Haj Ismail A, Hallgren A, Halzen F, Hanson K, Heereman D, Heimann P, Heinen D, Helbing K, Hellauer R, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huelsnitz W, Hulth PO, Hultqvist K, Hussain S, Ishihara A, Jacobi E, Jacobsen J, Japaridze GS, Jero K, Jlelati O, Kaminsky B, Kappes A, Karg T, Karle A, Kelley JL, Kiryluk J, Kislat F, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krasberg M, Kroll G, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Landsman H, Larson MJ, Lesiak-Bzdak M, Leute J, Lünemann J, Madsen J, Maruyama R, Mase K, Matis HS, McNally F, Meagher K, Merck M, Mészáros P, Meures T, Miarecki S, Middell E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Odrowski S, Olivas A, Olivo M, O'Murchadha A, Panknin S, Paul L, Pepper JA, Pérez de los Heros C, Pfendner C, Pieloth D, Pirk N, Posselt J, Price PB, Przybylski GT, Rädel L, Rawlins K, Redl P, Resconi E, Rhode W, Ribordy M, Richman M, Riedel B, Rodrigues JP, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Salameh T, Sander HG, Santander M, Sarkar S, Schatto K, Scheel M, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönherr L, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Seo SH, Sestayo Y, Seunarine S, Sheremata C, Smith MWE, Soiron M, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Sullivan GW, Taavola H, Taboada I, Tamburro A, Ter-Antonyan S, Tilav S, Toale PA, Toscano S, Usner M, van der Drift D, van Eijndhoven N, Van Overloop A, van Santen J, Vehring M, Voge M, Vraeghe M, Walck C, Waldenmaier T, Wallraff M, Wasserman R, Weaver C, Wellons M, Wendt C, Westerhoff S, Whitehorn N, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu C, Xu DL, Xu XW, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zierke S, Zilles A, Zoll M. Measurement of the atmospheric νe flux in IceCube. PHYSICAL REVIEW LETTERS 2013; 110:151105. [PMID: 25167245 DOI: 10.1103/physrevlett.110.151105] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 03/14/2013] [Indexed: 06/03/2023]
Abstract
We report the first measurement of the atmospheric electron neutrino flux in the energy range between approximately 80 GeV and 6 TeV, using data recorded during the first year of operation of IceCube's DeepCore low-energy extension. Techniques to identify neutrinos interacting within the DeepCore volume and veto muons originating outside the detector are demonstrated. A sample of 1029 events is observed in 281 days of data, of which 496±66(stat)±88(syst) are estimated to be cascade events, including both electron neutrino and neutral current events. The rest of the sample includes residual backgrounds due to atmospheric muons and charged current interactions of atmospheric muon neutrinos. The flux of the atmospheric electron neutrinos is consistent with models of atmospheric neutrinos in this energy range. This constitutes the first observation of electron neutrinos and neutral current interactions in a very large volume neutrino telescope optimized for the TeV energy range.
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Aartsen MG, Abbasi R, Abdou Y, Ackermann M, Adams J, Aguilar JA, Ahlers M, Altmann D, Auffenberg J, Bai X, Baker M, Barwick SW, Baum V, Bay R, Beattie K, Beatty JJ, Bechet S, Becker Tjus J, Becker KH, Bell M, Benabderrahmane ML, BenZvi S, Berdermann J, Berghaus P, Berley D, Bernardini E, Bernhard A, Bertrand D, Besson DZ, Bindig D, Bissok M, Blaufuss E, Blumenthal J, Boersma DJ, Bohaichuk S, Bohm C, Bose D, Böser S, Botner O, Brayeur L, Brown AM, Bruijn R, Brunner J, Buitink S, Carson M, Casey J, Casier M, Chirkin D, Christy B, Clark K, Clevermann F, Cohen S, Cowen DF, Cruz Silva AH, Danninger M, Daughhetee J, Davis JC, De Clercq C, De Ridder S, Desiati P, de Vries-Uiterweerd G, de With M, DeYoung T, Díaz-Vélez JC, Dreyer J, Dunkman M, Eagan R, Eberhardt B, Eisch J, Ellsworth RW, Engdegård O, Euler S, Evenson PA, Fadiran O, Fazely AR, Fedynitch A, Feintzeig J, Feusels T, Filimonov K, Finley C, Fischer-Wasels T, Flis S, Franckowiak A, Franke R, Frantzen K, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Goodman JA, Góra D, Grant D, Groß A, Gurtner M, Ha C, Haj Ismail A, Hallgren A, Halzen F, Hanson K, Heereman D, Heimann P, Heinen D, Helbing K, Hellauer R, Hickford S, Hill GC, Hoffman KD, Hoffmann R, Homeier A, Hoshina K, Huelsnitz W, Hulth PO, Hultqvist K, Hussain S, Ishihara A, Jacobi E, Jacobsen J, Japaridze GS, Jero K, Jlelati O, Kaminsky B, Kappes A, Karg T, Karle A, Kelley JL, Kiryluk J, Kislat F, Kläs J, Klein SR, Köhne JH, Kohnen G, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krasberg M, Kroll G, Kunnen J, Kurahashi N, Kuwabara T, Labare M, Landsman H, Larson MJ, Lesiak-Bzdak M, Leute J, Lünemann J, Madsen J, Maruyama R, Mase K, Matis HS, McNally F, Meagher K, Merck M, Mészáros P, Meures T, Miarecki S, Middell E, Milke N, Miller J, Mohrmann L, Montaruli T, Morse R, Nahnhauer R, Naumann U, Niederhausen H, Nowicki SC, Nygren DR, Obertacke A, Odrowski S, Olivas A, Olivo M, O'Murchadha A, Paul L, Pepper JA, Pérez de los Heros C, Pfendner C, Pieloth D, Pirk N, Posselt J, Price PB, Przybylski GT, Rädel L, Rawlins K, Redl P, Resconi E, Rhode W, Ribordy M, Richman M, Riedel B, Rodrigues JP, Rott C, Ruhe T, Ruzybayev B, Ryckbosch D, Saba SM, Salameh T, Sander HG, Santander M, Sarkar S, Schatto K, Scheel M, Scheriau F, Schmidt T, Schmitz M, Schoenen S, Schöneberg S, Schönherr L, Schönwald A, Schukraft A, Schulte L, Schulz O, Seckel D, Seo SH, Sestayo Y, Seunarine S, Sheremata C, Smith MWE, Soiron M, Soldin D, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stasik A, Stezelberger T, Stokstad RG, Stößl A, Strahler EA, Ström R, Sullivan GW, Taavola H, Taboada I, Tamburro A, Ter-Antonyan S, Tilav S, Toale PA, Toscano S, Usner M, van der Drift D, van Eijndhoven N, Van Overloop A, van Santen J, Vehring M, Voge M, Vraeghe M, Walck C, Waldenmaier T, Wallraff M, Wasserman R, Weaver C, Wellons M, Wendt C, Westerhoff S, Whitehorn N, Wiebe K, Wiebusch CH, Williams DR, Wissing H, Wolf M, Wood TR, Woschnagg K, Xu C, Xu DL, Xu XW, Yanez JP, Yodh G, Yoshida S, Zarzhitsky P, Ziemann J, Zierke S, Zilles A, Zoll M. Search for dark matter annihilations in the sun with the 79-string IceCube detector. PHYSICAL REVIEW LETTERS 2013; 110:131302. [PMID: 23581307 DOI: 10.1103/physrevlett.110.131302] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2012] [Revised: 02/20/2013] [Indexed: 06/02/2023]
Abstract
We have performed a search for muon neutrinos from dark matter annihilation in the center of the Sun with the 79-string configuration of the IceCube neutrino telescope. For the first time, the DeepCore subarray is included in the analysis, lowering the energy threshold and extending the search to the austral summer. The 317 days of data collected between June 2010 and May 2011 are consistent with the expected background from atmospheric muons and neutrinos. Upper limits are set on the dark matter annihilation rate, with conversions to limits on spin-dependent and spin-independent scattering cross sections of weakly interacting massive particles (WIMPs) on protons, for WIMP masses in the range 20-5000 GeV/c2. These are the most stringent spin-dependent WIMP-proton cross section limits to date above 35 GeV/c2 for most WIMP models.
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Najafzadeh M, Davis JC, Joshi P, Marra C. Barriers for integrating personalized medicine into clinical practice: a qualitative analysis. Am J Med Genet A 2013; 161A:758-63. [PMID: 23444119 DOI: 10.1002/ajmg.a.35811] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2012] [Accepted: 11/12/2012] [Indexed: 11/10/2022]
Abstract
Personalized medicine-tailoring interventions based on individual's genetic information-will likely change routine clinical practice in the future. Yet, how practitioners plan to apply genetic information to inform medical decision making remains unclear. We aimed to investigate physician's perception about the future role of personalized medicine, and to identify the factors that influence their decision in using genetic testing in their practice. We conducted three semi-structured focus groups in three health regions (Fraser, Vancouver coastal, and Interior) in British Columbia, Canada. In the focus groups, participants discussed four topics on personalized medicine: (i) physicians' general understanding, (ii) advantages and disadvantages, (iii) potential impact and role in future clinical practice, and (iv) perceived barriers to integrating personalized medicine into clinical practice. Approximately 36% (n = 9) of physicians self-reported that they were not familiar with the concept of personalized medicine. After introducing the concept, the majority of physicians (68%, n = 19 of 28) were interested in incorporating personalized medicine in their practice, provided they have access to the necessary knowledge and tools. Participants mostly believed that genetic developments will directly affect their practice in the future. The key concerns highlighted were physician's access to clinical guidelines and training opportunities for the use of genetic testing and data interpretation. Despite the challenges that personalized medicine can create, in general, physicians in the focus groups expressed strong interest in using genetic information in their practice if they have access to the necessary knowledge and tools.
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Dao E, Davis JC, Sharma D, Chan A, Nagamatsu LS, Liu-Ambrose T. Change in body fat mass is independently associated with executive functions in older women: a secondary analysis of a 12-month randomized controlled trial. PLoS One 2013; 8:e52831. [PMID: 23308123 PMCID: PMC3538688 DOI: 10.1371/journal.pone.0052831] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2012] [Accepted: 11/22/2012] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES To investigate the independent contribution of change in sub-total body fat and lean mass to cognitive performance, specifically the executive processes of selective attention and conflict resolution, in community-dwelling older women. METHODS This secondary analysis included 114 women aged 65 to 75 years old. Participants were randomly allocated to once-weekly resistance training, twice-weekly resistance training, or twice-weekly balance and tone training. The primary outcome measure was the executive processes of selective attention and conflict resolution as assessed by the Stroop Test. Sub-total body fat and lean mass were measured by dual-energy x-ray absorptiometry (DXA) to determine the independent association of change in both sub-total body fat and sub-total body lean mass with Stroop Test performance at trial completion. RESULTS A multiple linear regression model showed reductions in sub-total body fat mass to be independently associated with better performance on the Stroop Test at trial completion after accounting for baseline Stroop performance, age, baseline global cognitive state, baseline number of comorbidities, baseline depression, and experimental group. The total variance explained was 39.5%; change in sub-total body fat mass explained 3.9% of the variance. Change in sub-total body lean mass was not independently associated with Stroop Test performance (P>0.05). CONCLUSION Our findings suggest that reductions in sub-total body fat mass - not sub-total lean mass - is associated with better performance of selective attention and conflict resolution.
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Bolandzadeh N, Davis JC, Tam R, Handy TC, Liu-Ambrose T. The association between cognitive function and white matter lesion location in older adults: a systematic review. BMC Neurol 2012; 12:126. [PMID: 23110387 PMCID: PMC3522005 DOI: 10.1186/1471-2377-12-126] [Citation(s) in RCA: 136] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Accepted: 10/12/2012] [Indexed: 11/16/2022] Open
Abstract
Background Maintaining cognitive function is essential for healthy aging and to function autonomously within society. White matter lesions (WMLs) are associated with reduced cognitive function in older adults. However, whether their anatomical location moderates these associations is not well-established. This review systematically evaluates peer-reviewed evidence on the role of anatomical location in the association between WMLs and cognitive function. Methods In accordance with the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement, databases of EMBASE, PUBMED, MEDLINE, and CINAHL, and reference lists of selected papers were searched. We limited our search results to adults aged 60 years and older, and studies published in the English language from 2000 to 2011. Studies that investigated the association between cognitive function and WML location were included. Two independent reviewers extracted: 1) study characteristics including sample size, sample characteristic, and study design; 2) WML outcomes including WML location, WML quantification method (scoring or volume measurement), strength of the MRI magnet in Tesla, and MRI sequence used for WML detection; and 3) cognitive function outcomes including cognitive tests for two cognitive domains of memory and executive function/processing speed. Results Of the 14 studies included, seven compared the association of subcortical versus periventricular WMLs with cognitive function. Seven other studies investigated the association between WMLs in specific brain regions (e.g., frontal, parietal lobes) and cognitive function. Overall, the results show that a greater number of studies have found an association between periventricular WMLs and executive function/processing speed, than subcortical WMLs. However, whether WMLs in different brain regions have a differential effect on cognitive function remains unclear. Conclusions Evidence suggests that periventricular WMLs may have a significant negative impact on cognitive abilities of older adults. This finding may be influenced by study heterogeneity in: 1) MRI sequences, WML quantification methods, and neuropsychological batteries; 2) modifying effect of cardiovascular risk factors; and 3) quality of studies and lack of sample size calculation.
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Davis JC, Bryan S, McLeod R, Rogers J, Khan K, Liu-Ambrose T. Exploration of the association between quality of life, assessed by the EQ-5D and ICECAP-O, and falls risk, cognitive function and daily function, in older adults with mobility impairments. BMC Geriatr 2012; 12:65. [PMID: 23095570 PMCID: PMC3534357 DOI: 10.1186/1471-2318-12-65] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Accepted: 10/19/2012] [Indexed: 11/27/2022] Open
Abstract
Background Our research sought to understand how falls risk, cognitive function, and daily function are associated with health related quality of life (using the EuroQol-5D) and quality of life (using the ICECAP-O) among older adults with mobility impairments. Methods The EQ-5D and ICECAP-O were administered at 12 months post first clinic attendance at the Vancouver Falls Prevention Clinic. We report descriptive statistics for all baseline characteristics collected at first clinic visit and primary outcomes of interest. Using multivariate stepwise linear regression, we assessed the construct validity of the EQ-5D and ICECAP-O using three dependent measures that are recognized indicators of “impaired mobility” – physiological falls risk, general balance and mobility, and cognitive status among older adults. Results We report data on 215 seniors who attended the Vancouver Falls Prevention Clinic and received their first clinic assessment. Patients had a mean age of 79.3 (6.2) years. After accounting for known covariates (i.e., age and sex), the ICECAP-O domains explained a greater amount of variation in each of the three dependent measures compared with the EQ-5D domains. Conclusion Both the EQ-5D and ICECAP-O demonstrate associations with falls risk and general balance and mobility; however, only the ICECAP-O was associated with cognitive status among older adults with mobility impairments. Trial registration ClinicalTrials.gov Identifier: NCT01022866
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