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Langley B, Page RM, Whelton C, Chalmers O, Morrison SC, Cramp M, Dey P, Board TN. Do patients with well-functioning total hip arthroplasty achieve typical sagittal plane hip kinematics? A proof of concept study. Hip Int 2023; 33:247-253. [PMID: 34496218 PMCID: PMC9978862 DOI: 10.1177/11207000211044471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Total hip arthroplasty (THA) patients have been shown to not achieve normal sagittal plane hip kinematics. However, previous studies have only conducted group level analysis and as such lack the sensitivity to highlight whether individual patients do achieve normal hip kinematics. As such this study looked to determine whether some patients with well-functioning THA achieve typical sagittal plane hip kinematics. METHODS Sagittal plane hip kinematics were collected on 11 well-functioning THA patients (Oxford Hip Score = 46 ± 3) and 10 asymptomatic controls using a 3-dimensional motion analysis system during self-paced walking. High-functioning THA patients were identified as those who displayed sagittal plane hip kinematics that were within the variance of the control group on average, and low-functioning patients as those who did not. RESULTS 5 THA patients were identified as high-functioning, displaying hip kinematics within the variance of the control group. High-functioning THA patients displayed peak hip flexion and extension values more closely aligned to asymptomatic control group than low-functioning patients. However, hip range of motion was comparable between high- and low-functioning total hip arthroplasty patients and reduced compared to controls. CONCLUSION The presence of high-functioning THA patients who display comparable sagittal plane hip kinematics to controls suggests these patients do achieve normative function and challenges the conclusions of previous group level analysis. Understanding why some patients achieve better function post-operatively will aid pre- and post-operative practices to maximise functional recovery.
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Affiliation(s)
- Ben Langley
- Sport and Physical Activity, Faculty of
Arts and Sciences, Edge Hill University, Ormskirk, UK,Ben Langley, Edge Hill University, St
Helens Road, Ormskirk, Lancashire, L39 4QP, UK.
| | - Richard M Page
- Sport and Physical Activity, Faculty of
Arts and Sciences, Edge Hill University, Ormskirk, UK
| | - Chris Whelton
- Centre for Hip Surgery, Wrightington
Hospital, Wigan Wrightington and Leigh NHS Trust, Wigan, UK
| | - Oliver Chalmers
- Centre for Doctoral Training in
Prosthetics and Orthotics, School of Health and Society, University of Salford,
Salford, UK
| | | | - Mary Cramp
- Allied Health Professions, Health and
Applied Sciences, University of the West of England; Bristol, UK
| | - Paola Dey
- Faculty of Health and Social Care, Edge
Hill University, Ormskirk, UK
| | - Tim N Board
- Centre for Hip Surgery, Wrightington
Hospital, Wigan Wrightington and Leigh NHS Trust, Wigan, UK
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Field AC, Harper LD, William Frederick Aldous J, Page RM. A commentary on soccer match-play simulations for applied research and practice. SCI MED FOOTBALL 2022; 7:93-105. [PMID: 35465842 DOI: 10.1080/24733938.2022.2070268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Soccer is a fast-growing area of research, demonstrated by a 10-fold increase in the number of PubMed articles derived from the search term 'soccer' between 2001 and 2021. The scope of contemporary soccer-related articles ranges from match-play observations to laboratory evaluations of performance. The activity profile of soccer match-play is variable and techniques to collect data within matches are limited. Soccer-specific simulations have been developed to simulate the evolving demands of match-play. The evolutionary designs of novel simulations provide a reproducible exercise stimulus for varying researcher and practitioner objectives. The applied researcher can utilise simulations to investigate the efficacy of nutritional interventions and environmental stress on performance, while assessing the physiological and biomechanical responses to representations of match-play. Practitioners can adopt simulations for rehabilitation to progressively facilitate return-to-play processes, while implementing extra top-up conditioning sessions for unused and partial-match players. However, there are complexities involved with the selection of varying simulations which are dependent on the research question or practical application. There also remains a paucity of published information to support researchers and practitioners in selecting from differing simulation models. To assist with researcher and practitioner interpretations, we present a commentary of the current simulations to inform decision-making processes for research and training purposes and enhance the application of future research. An objective scoring system was adopted for rating the research and practical applications of each simulation design. Overall scores of 22, 16 and 18 out of 36 were revealed for free-running (n=7), non-motorised- (n=4) and motorised-treadmill-based simulations (n=4), respectively.
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Affiliation(s)
- Adam C Field
- School of Human and Health Sciences, University of Huddersfield, Huddersfield, United Kingdom.,Nuffield Health, The Manchester Institute of Health and Performance, Manchester
| | - Liam D Harper
- School of Human and Health Sciences, University of Huddersfield, Huddersfield, United Kingdom
| | - Jeffrey William Frederick Aldous
- Department of Sport Science and Physical Activity, Institute of Sport and Physical Activity Research, University of Bedfordshire, Bedford, United Kingdom
| | - Richard M Page
- Department of Sport & Physical Activity, Edge Hill University, Ormskirk, United Kingdom
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Finlay MJ, Greig M, Page RM, Bridge CA. The Acute Physiological, Endocrine, Biochemical and Performance Responses Associated with Amateur Boxing: A Systematic Review with Meta-analysis. Eur J Sport Sci 2022; 23:774-788. [PMID: 35380916 DOI: 10.1080/17461391.2022.2063072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AbstractPrevious research has explored the demands of amateur boxing-specific activity; however, no holistic review of the acute responses to such activity currently exists. This systematic review aimed to provide a synthesis of the available literature on the acute physiological, endocrine, biochemical and neuromuscular responses to amateur boxing-specific activity. Following a search of EBSCOhost, SportDiscus, PubMed and Google Scholar databases, 25 studies were identified as meeting the inclusion criteria for the review. Methodological quality of the included studies were assessed via a modified Downs and Black checklist. Random-effects meta-analysis of standardised mean differences (SMD) revealed large (SMD = 4.62) increases in pre-post blood lactate (BLa), cortisol (SMD = 1.33), myoglobin (Mb) (SMD = 1.43) and aspartate transaminase (AST) (SMD = 1.37), in addition to moderate increases in creatine kinase (CK) (SMD = 0.65) and alanine aminotransferase (ALT) (SMD = 0.97). Small pre-post increases in counter-movement jump (CMJ) height (SMD = 0.33) were observed. Consistently greater pre-post alterations were observed in competitive bouts, followed by sparring, when compared with boxing-specific simulations. Considerable physiological, endocrine and biochemical responses are elicited following amateur boxing. Interestingly, neuromuscular and task-specific performance may not deteriorate following boxing-specific activity. The findings of the review may assist in the designing and periodising of boxing-specific training, dependent on the desired physical adaptations, training phase and recovery status of the amateur boxer.
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Affiliation(s)
- Mitchell J Finlay
- Sports Injuries Research Group, Department. of Sport & Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, L39 4QP, United Kingdom
| | - Matt Greig
- Sports Injuries Research Group, Department. of Sport & Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, L39 4QP, United Kingdom
| | - Richard M Page
- Sports Injuries Research Group, Department. of Sport & Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, L39 4QP, United Kingdom
| | - Craig A Bridge
- Sports Injuries Research Group, Department. of Sport & Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, L39 4QP, United Kingdom
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Towlson C, Salter J, Ade JD, Enright K, Harper LD, Page RM, Malone JJ. Maturity-associated considerations for training load, injury risk, and physical performance in youth soccer: One size does not fit all. J Sport Health Sci 2021; 10:403-412. [PMID: 32961300 PMCID: PMC8343060 DOI: 10.1016/j.jshs.2020.09.003] [Citation(s) in RCA: 47] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 07/24/2020] [Accepted: 08/07/2020] [Indexed: 05/14/2023]
Abstract
Biological maturation can be defined as the timing and tempo of progress to achieving a mature state. The estimation of age of peak height velocity (PHV) or percentage of final estimated adult stature attainment (%EASA) is typically used to inform the training process in young athletes. In youth soccer, maturity-related changes in anthropometric and physical fitness characteristics are diverse among individuals, particularly around PHV. During this time, players are also at an increased risk of sustaining an overuse or growth-related injury. As a result, the implementation of training interventions can be challenging. The purpose of this review was to (1) highlight and discuss many of the methods that can be used to estimate maturation in the applied setting and (2) discuss the implications of manipulating training load around PHV on physical development and injury risk. We have provided key stakeholders with a practical online tool for estimating player maturation status (Supplementary Maturity Estimation Tools). Whilst estimating maturity using predictive equations is useful in guiding the training process, practitioners should be aware of its limitations. To increase the accuracy and usefulness of data, it is also vital that sports scientists implement reliable testing protocols at predetermined time-points.
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Affiliation(s)
- Chris Towlson
- Department of Sport, Health and Exercise Science, University of Hull, Hull HU6 7RX, UK.
| | - Jamie Salter
- School of Sport, York St John University, York YO31 7EX, UK
| | - Jack D Ade
- Liverpool FC Academy, Liverpool Football Club, Liverpool L33 7ED, UK; Research Institute for Sport and Exercise Sciences, L3, Liverpool John Moores University, Liverpool L3 3A, UK
| | - Kevin Enright
- Research Institute for Sport and Exercise Sciences, L3, Liverpool John Moores University, Liverpool L3 3A, UK
| | - Liam D Harper
- Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK
| | - Richard M Page
- Department of Sport and Physical Activity, Edge Hill University, Ormskirk L39 4QP, UK
| | - James J Malone
- School of Health Sciences, Liverpool Hope University, Liverpool L16 9JD, UK
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Ashton JS, Roberts JW, Wakefield CJ, Page RM, MacLaren DP, Marwood S, Malone JJ. The effects of medium chain triglyceride (MCT) supplementation using a C8:C10 ratio of 30:70 on cognitive performance in healthy young adults. Physiol Behav 2021; 229:113252. [DOI: 10.1016/j.physbeh.2020.113252] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 11/10/2020] [Accepted: 11/16/2020] [Indexed: 11/26/2022]
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Abstract
Eustace, SJ, Page, RM, and Greig, M. angle specific isokinetic metrics highlight strength training needs of elite youth soccer players. J Strength Cond Res 34(11): 3258-3265, 2020-The purpose of this study was to assess traditional and angle-specific isokinetic strength of eccentric knee flexors (eccKFs) and concentric knee extensors (conKEs) between senior professional and youth soccer players. Thirty-four male soccer players (17 senior and 17 youth) were recruited for bilateral assessments at 180, 270, and 60°·s. Peak torque (PT), dynamic control ratio (DCR), angle of peak torque (APT), functional range (FR), angle-specific torque (AST), and angle-specific DCR (DCRAST) were compared. The eccentric knee flexor (eccKF) and conKE PT (p = 0.782) and DCR (p = 0.508) were not different between groups across all angular velocities. Significant differences were identified for eccKF APT (p = 0.018) and FR (p = 0.006), DCRAST at 270°·s (p = 0.031), and in AST data recorded across angular velocities for eccKF and conKE (p = 0.003). Traditional strength measures were not sensitive to playing age, with implications for misinterpretation in training prescription. By contrast, AST data did differentiate between ages. Strength deficits that highlight the muscle contraction type, angular velocity, and joint angle can be manipulated within an individualized training intervention. Given the relevance to injury etiology, this study highlights potential implications for improved assessment strategies to inform training prescription for performance and injury prevention. Given the high number of injuries in adolescent soccer players, and in line with previous recommendations, practitioners should consider using more informed and specific strength and conditioning practices at younger ages.
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Affiliation(s)
- Steven J Eustace
- Department of Sport and Physical Activity, Sports Injury Research Group, Edge Hill University, Ormskirk, United Kingdom
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Finlay MJ, Greig M, McCarthy J, Page RM. Physical Response to Pad- and Bag-Based Boxing-Specific Training Modalities. J Strength Cond Res 2020; 34:1052-1061. [DOI: 10.1519/jsc.0000000000002928] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Ellison P, Jones C, Sparks SA, Murphy PN, Page RM, Carnegie E, Marchant DC. The effect of stroboscopic visual training on eye–hand coordination. Sport Sci Health 2020. [DOI: 10.1007/s11332-019-00615-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Abstract
Background
Stroboscopic visual training (SVT) has been shown to improve cognitive skills and perceptual performance by carrying out events under situations of intermittent vision.
Aims
The aim of this study was to investigate whether an SVT training period could improve the eye–hand coordination (EHC) performance on a practiced task for a group of sports participants.
Methods
Sixty-two male participants were randomly assigned to either a strobe group (SG n = 31), or control group (CG n = 31). The method employed a Sport Vision Trainer™ 80 sensor pad to measure the mean speed of reaction time of participants extinguishing randomly illuminated lights on an electronic board. One trial consists of 20 lights. One week following pre-testing on the Sport Vision Trainer™ (4 × 6 trials), a pre-training baseline assessment of 1 × 6 trials was conducted to measure their abilities to complete the EHC task. Four × six trials (480 lights) were then completed in the training phase with the CG continuing to train with unimpaired vision, whilst the SG wore Nike Vapor Strobe® (controlled rate of 100 ms visible to 150 ms opaque). Post-training assessments were administered immediately, 10 min and 10 days after SVT each consisting of six trials (120 lights). A visual search (VS) non-trained transfer test was also administered pre-SVT and after 10 days. This involved an e-prime programme using a laptop where participants had to identify a target stimulus located amongst distractor stimuli.
Results
Treatment effects were observed at each time point. Baseline performance was significantly related to retention performance immediately (p = .003), 10-min post (p = .001) and 10 days post-training (p = .002). No significant differences were found for the VS test.
Conclusion
An acute SVT exposure using stroboscopic goggles significantly improved EHC performance. Future research should explore these mechanisms further using different exposure, frequencies, and focused identification of training drills as a complementary intervention for individual or team sports.
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Page RM, Marrin K, Brogden CM, Greig M. Physical Response to a Simulated Period of Soccer-Specific Fixture Congestion. J Strength Cond Res 2019; 33:1075-1085. [DOI: 10.1519/jsc.0000000000002257] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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10
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Abstract
Finlay, MJ, Greig, M, and Page, RM. Quantifying the physical response to a contemporary amateur boxing simulation. J Strength Cond Res 32(4): 1005-1012, 2018-This study examined the physical response to a contemporary boxing-specific exercise protocol (BSEP), based on notational analysis of amateur boxing. Nine male senior elite amateur boxers completed a 3 × 3-minute BSEP, with a 1-minute passive recovery period interspersing each round. Average (HRave) and peak (HRpeak) heart rates, average (V[Combining Dot Above]O2ave) and peak oxygen consumptions (V[Combining Dot Above]O2peak), blood lactate (BLa) concentrations, rating of perceived exertion, and both triaxial and uniaxial PlayerLoad metrics were recorded during the completion of the BSEP. Blood lactate concentration increased significantly in each round (Round 1 = 2.4 ± 1.3 mmol·L; Round 2 = 3.3 ± 1.7 mmol·L; Round 3 = 4.3 ± 2.6 mmol·L). Significantly lower HRave and HRpeak values were found in the first round (HRave: 150 ± 15 b·min; HRpeak: 162 ± 12 b·min) when compared with the second (HRave: 156 ± 16 b·min; HRpeak: 166 ± 13 b·min) and third (HRave: 150 ± 15 b·min; HRpeak: 169 ± 14 b·min). No significant differences were found in any of the V[Combining Dot Above]O2 or PlayerLoad metrics recorded during the BSEP. The BSEP based on notational analysis elicited a fatigue response across rounds, confirming its validity. The BSEP can be used as a training tool for boxing-specific conditioning with implications for reduced injury risk, and to assess the physical response to boxing-specific interventions. Moreover, the BSEP can also be manipulated to suit all levels of participants or training phases, with practical applications in performance monitoring and microcycle periodization.
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Affiliation(s)
- Mitchell J Finlay
- Department of Sport and Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom
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11
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Page RM, Marrin K, Brogden CM, Greig M. Biomechanical and Physiological Response to a Contemporary Soccer Match-Play Simulation. J Strength Cond Res 2015; 29:2860-6. [DOI: 10.1519/jsc.0000000000000949] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Kruppa AJ, Ott S, Chandraratna DS, Irving JA, Page RM, Speretta E, Seto T, Camargo LM, Marciniak SJ, Lomas DA, Crowther DC. Suppression of Aβ toxicity by puromycin-sensitive aminopeptidase is independent of its proteolytic activity. Biochim Biophys Acta 2013; 1832:2115-26. [PMID: 23911349 PMCID: PMC3898073 DOI: 10.1016/j.bbadis.2013.07.019] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 07/08/2013] [Accepted: 07/25/2013] [Indexed: 12/12/2022]
Abstract
The accumulation of β-amyloid (Aβ) peptide in the brain is one of the pathological hallmarks of Alzheimer's disease and is thought to be of primary aetiological significance. In an unbiased genetic screen, we identified puromycin-sensitive aminopeptidase (PSA) as a potent suppressor of Aβ toxicity in a Drosophila model system. We established that coexpression of Drosophila PSA (dPSA) in the flies' brains improved their lifespan, protected against locomotor deficits, and reduced brain Aβ levels by clearing the Aβ plaque-like deposits. However, confocal microscopy and subcellular fractionation of amyloid-expressing 7PA2 cells demonstrated that PSA localizes to the cytoplasm. Therefore, PSA and Aβ are unlikely to be in the same cellular compartment; moreover, when we artificially placed them in the same compartment in flies, we could not detect a direct epistatic interaction. The consequent hypothesis that PSA's suppression of Aβ toxicity is indirect was supported by the finding that Aβ is not a proteolytic substrate for PSA in vitro. Furthermore, we showed that the enzymatic activity of PSA is not required for rescuing Aβ toxicity in neuronal SH-SY5Y cells. We investigated whether the stimulation of autophagy by PSA was responsible for these protective effects. However PSA's promotion of autophagosome fusion with lysosomes required proteolytic activity and so its effect on autophagy is not identical to its protection against Aβ toxicity.
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Affiliation(s)
- Antonina J. Kruppa
- Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Hills Road, Cambridge CB2 0XY, UK
- Department of Medicine, University of Cambridge, Box 157, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK
- Department of Genetics, University of Cambridge, Downing Street, Cambridge CB2 3EH, UK
| | - Stanislav Ott
- Department of Genetics, University of Cambridge, Downing Street, Cambridge CB2 3EH, UK
| | - Dhia S. Chandraratna
- Department of Genetics, University of Cambridge, Downing Street, Cambridge CB2 3EH, UK
| | - James A. Irving
- Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Hills Road, Cambridge CB2 0XY, UK
- Department of Medicine, University of Cambridge, Box 157, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK
| | - Richard M. Page
- Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Hills Road, Cambridge CB2 0XY, UK
- Department of Medicine, University of Cambridge, Box 157, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK
- Department of Genetics, University of Cambridge, Downing Street, Cambridge CB2 3EH, UK
| | - Elena Speretta
- Department of Genetics, University of Cambridge, Downing Street, Cambridge CB2 3EH, UK
| | - Tiffany Seto
- Merck Research Labs, Merck & Co., 33 Avenue Louis Pasteur, Boston, MA 02115, USA
| | - Luiz Miguel Camargo
- Merck Research Labs, Merck & Co., 33 Avenue Louis Pasteur, Boston, MA 02115, USA
| | - Stefan J. Marciniak
- Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Hills Road, Cambridge CB2 0XY, UK
- Department of Medicine, University of Cambridge, Box 157, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK
| | - David A. Lomas
- Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Hills Road, Cambridge CB2 0XY, UK
- Department of Medicine, University of Cambridge, Box 157, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK
| | - Damian C. Crowther
- Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Hills Road, Cambridge CB2 0XY, UK
- Department of Genetics, University of Cambridge, Downing Street, Cambridge CB2 3EH, UK
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Kretner B, Fukumori A, Gutsmiedl A, Page RM, Luebbers T, Galley G, Baumann K, Haass C, Steiner H. Attenuated Abeta42 responses to low potency gamma-secretase modulators can be overcome for many pathogenic presenilin mutants by second-generation compounds. J Biol Chem 2011; 286:15240-51. [PMID: 21357415 DOI: 10.1074/jbc.m110.213587] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Sequential processing of the β-amyloid precursor protein by β- and γ-secretase generates the amyloid β-peptide (Aβ), which is widely believed to play a causative role in Alzheimer disease. Selective lowering of the pathogenic 42-amino acid variant of Aβ by γ-secretase modulators (GSMs) is a promising therapeutic strategy. Here we report that mutations in presenilin (PS), the catalytic subunit of γ-secretase, display differential responses to non-steroidal anti-inflammatory drug (NSAID)-type GSMs and more potent second-generation compounds. Although many pathogenic PS mutations resisted lowering of Aβ(42) generation by the NSAID sulindac sulfide, the potent NSAID-like second-generation compound GSM-1 was capable of lowering Aβ(42) for many but not all mutants. We further found that mutations at homologous positions in PS1 and PS2 can elicit differential Aβ(42) responses to GSM-1, suggesting that a positive GSM-1 response depends on the spatial environment in γ-secretase. The aggressive pathogenic PS1 L166P mutation was one of the few pathogenic mutations that resisted GSM-1, and Leu-166 was identified as a critical residue with respect to the Aβ(42)-lowering response of GSM-1. Finally, we found that GSM-1-responsive and -resistant PS mutants behave very similarly toward other potent second-generation compounds of different structural classes than GSM-1. Taken together, our data show that a positive Aβ(42) response for PS mutants depends both on the particular mutation and the GSM used and that attenuated Aβ(42) responses to low potency GSMs can be overcome for many PS mutants by second generation GSMs.
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Affiliation(s)
- Benedikt Kretner
- DZNE-German Center for Neurodegenerative Diseases, Ludwig-Maximilians-University, 80336 Munich, Germany
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Page RM, Gutsmiedl A, Fukumori A, Winkler E, Haass C, Steiner H. Beta-amyloid precursor protein mutants respond to gamma-secretase modulators. J Biol Chem 2010; 285:17798-810. [PMID: 20348104 DOI: 10.1074/jbc.m110.103283] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Pathogenic generation of the 42-amino acid variant of the amyloid beta-peptide (Abeta) by beta- and gamma-secretase cleavage of the beta-amyloid precursor protein (APP) is believed to be causative for Alzheimer disease (AD). Lowering of Abeta(42) production by gamma-secretase modulators (GSMs) is a hopeful approach toward AD treatment. The mechanism of GSM action is not fully understood. Moreover, whether GSMs target the Abeta domain is controversial. To further our understanding of the mode of action of GSMs and the cleavage mechanism of gamma-secretase, we analyzed mutations located at different positions of the APP transmembrane domain around or within the Abeta domain regarding their response to GSMs. We found that Abeta(42)-increasing familial AD mutations of the gamma-secretase cleavage site domain responded robustly to Abeta(42)-lowering GSMs, especially to the potent compound GSM-1, irrespective of the amount of Abeta(42) produced. We thus expect that familial AD patients carrying mutations at the gamma-secretase cleavage sites of APP should respond to GSM-based therapeutic approaches. Systematic phenylalanine-scanning mutagenesis of this region revealed a high permissiveness to GSM-1 and demonstrated a complex mechanism of GSM action as other Abeta species (Abeta(41), Abeta(39)) could also be lowered besides Abeta(42). Moreover, certain mutations simultaneously increased Abeta(42) and the shorter peptide Abeta(38), arguing that the proposed precursor-product relationship of these Abeta species is not general. Finally, mutations of residues in the proposed GSM-binding site implicated in Abeta(42) generation (Gly-29, Gly-33) and potentially in GSM-binding (Lys-28) were also responsive to GSMs, a finding that may question APP substrate targeting of GSMs.
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Affiliation(s)
- Richard M Page
- German Center for Neurodegenerative Diseases DZNE)and Adolf-Butenandt-Institute, Biochemistry, Ludwig-Maximilians-University, 80336 Munich, Germany
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Rival T, Page RM, Chandraratna DS, Sendall TJ, Ryder E, Liu B, Lewis H, Rosahl T, Hider R, Camargo LM, Shearman MS, Crowther DC, Lomas DA. Fenton chemistry and oxidative stress mediate the toxicity of the beta-amyloid peptide in a Drosophila model of Alzheimer's disease. Eur J Neurosci 2009; 29:1335-47. [PMID: 19519625 PMCID: PMC2777252 DOI: 10.1111/j.1460-9568.2009.06701.x] [Citation(s) in RCA: 132] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
The mechanism by which aggregates of the β-amyloid peptide (Aβ) mediate their toxicity is uncertain. We show here that the expression of the 42-amino-acid isoform of Aβ (Aβ1–42) changes the expression of genes involved in oxidative stress in a Drosophila model of Alzheimer’s disease. A subsequent genetic screen confirmed the importance of oxidative stress and a molecular dissection of the steps in the cellular metabolism of reactive oxygen species revealed that the iron-binding protein ferritin and the H2O2 scavenger catalase are the most potent suppressors of the toxicity of wild-type and Arctic (E22G) Aβ1–42. Likewise, treatment with the iron-binding compound clioquinol increased the lifespan of flies expressing Arctic Aβ1–42. The effect of iron appears to be mediated by oxidative stress as ferritin heavy chain co-expression reduced carbonyl levels in Aβ1–42 flies by 65% and restored the survival and locomotion function to normal. This was achieved despite the presence of elevated levels of the Aβ1–42. Taken together, our data show that oxidative stress, probably mediated by the hydroxyl radical and generated by the Fenton reaction, is essential for Aβ1–42 toxicity in vivo and provide strong support for Alzheimer’s disease therapies based on metal chelation.
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Affiliation(s)
- Thomas Rival
- Department of Medicine, University of Cambridge, Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Cambridge, UK.
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Page RM, Baumann K, Tomioka M, Pérez-Revuelta BI, Fukumori A, Jacobsen H, Flohr A, Luebbers T, Ozmen L, Steiner H, Haass C. Generation of Abeta38 and Abeta42 is independently and differentially affected by familial Alzheimer disease-associated presenilin mutations and gamma-secretase modulation. J Biol Chem 2007; 283:677-83. [PMID: 17962197 DOI: 10.1074/jbc.m708754200] [Citation(s) in RCA: 139] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Alzheimer disease amyloid beta-peptide (Abeta) is generated via proteolytic processing of the beta-amyloid precursor protein by beta- and gamma-secretase. Gamma-secretase can be blocked by selective inhibitors but can also be modulated by a subset of non-steroidal anti-inflammatory drugs, including sulindac sulfide. These drugs selectively reduce the generation of the aggregation-prone 42-amino acid Abeta(42) and concomitantly increase the levels of the rather benign Abeta(38). Here we show that Abeta(42) and Abeta(38) generation occur independently from each other. The amount of Abeta(42) produced by cells expressing 10 different familial Alzheimer disease (FAD)-associated mutations in presenilin (PS) 1, the catalytic subunit of gamma-secretase, appeared to correlate with the respective age of onset in patients. However, Abeta(38) levels did not show a negative correlation with the age of onset. Modulation of gamma-secretase activity by sulindac sulfide reduced Abeta(42) in the case of wild type PS1 and two FAD-associated PS1 mutations (M146L and A285V). The remaining eight PS1 FAD mutants showed either no reduction of Abeta(42) or only rather subtle effects. Strikingly, even the mutations that showed no effect on Abeta(42) levels allowed a robust increase of Abeta(38) upon treatment with sulindac sulfide. Similar observations were made for fenofibrate, a compound known to increase Abeta(42) and to decrease Abeta(38). For mutants that predominantly produce Abeta(42), the ability of fenofibrate to further increase Abeta(42) levels became diminished, whereas Abeta(38) levels were altered to varying extents for all mutants analyzed. Thus, we conclude that Abeta(38) and Abeta(42) production do not depend on each other. Using an independent non-steroidal anti-inflammatory drug derivative, we obtained similar results for PS1 as well as for PS2. These in vitro results were confirmed by in vivo experiments in transgenic mice expressing the PS2 N141I FAD mutant. Our findings therefore have strong implications on the selection of transgenic mouse models used for screening of the Abeta(42)-lowering capacity of gamma-secretase modulators. Furthermore, human patients with certain PS mutations may not respond to gamma-secretase modulators.
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Affiliation(s)
- Richard M Page
- Center for Integrated Protein Science Munich and Adolf Butenandt Institute, Department of Biochemistry, Laboratory for Neurodegenerative Disease Research, Ludwig Maximilians University, 80336 Munich, Germany
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Abstract
The purpose of this study was to assess dieting behavior, the number of friends who diet, and number of friends who pressure to go on a diet among a sample of 2,519 Thai adolescents. More than half of the girls (52.2%) and over one-fourth of boys (28.0%) reported going on a diet in the past 30 days. Dieting among friends was very common with only 14.2% of girls and 34.3% of boys saying none of their friends dieted. Results also showed significant associations between 1) number of friends who diet and 2) number of friends who pressure to diet with dieting behavior, body mass index (BMI), weight satisfaction, perceived body fatness, effort to look like people in the media, and frequency of thinking about wanting to be thinner in girls. In addition, several of these associations for boys were significant. The role of BMI in these relationships was also explored.
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Affiliation(s)
- R M Page
- Department of Health Science, 221 Richards Building, Brigham Young University, Provo, Utah 84602, USA.
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18
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Abstract
The association between frequency of watching TV and scores on a measure of shyness was estimated for a sample of 3,307 Philippine high school students (1,267 boys and 1,819 girls). Students who watched more than 5 hours of TV a day scored significantly higher on shyness than students who watch less TV.
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Affiliation(s)
- R M Page
- University of Idaho, Moscow 83844-2401, USA.
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19
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Abstract
Recent government guidelines suggest that simply increasing physical activity, regardless of mode, leads to improved health profiles. This study examined the relationship between amount of work-related physical activity of United States Forest Service (USFS) workers and 12 indicators of health and fitness. Subjects were 110 USFS workers recruited from 8 separate USFS ranger stations in the Pacific Northwest. The associations between work-related physical activity and indicators of health and fitness indicated the 63 workers who were physically active on the job displayed better overall health and fitness patterns as evidenced by higher aerobic capacity, lower body fat, and greater muscular flexibility than their 47 inactive peers.
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Abstract
This study incorporates the Stages of Change model to examine the relationship between the stages of exercise adoption and indicators of health and fitness. Subjects were 198 United States Forest Service (USFS) workers recruited from 8 USFS ranger stations in the Pacific Northwest. Analysis indicated that those subjects in Action and Maintenance stages of exercise adoption differed significantly from those in Preparation and Precontemplation/Contemplation stages on a variety of indicators of both health and fitness. Also, interesting differences were noted among the physically inactive stages, e.g., Preparation stage subjects showed lower triglycerides, systolic blood pressure, and higher HDL cholesterol compared with subjects in the Precontemplation/Contemplation stage. Progressing to the Preparation stage, where the individual remains inactive but is aware of the problem and has begun to make small changes, is associated with a differing (more positive) health profile in this study compared to those in the Precontemplation/Contemplation stage. These results imply that simply advancing in stage can have a variety of health benefits.
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Johnson AE, Donkin AJ, Morgan K, Lilley JM, Neale RJ, Page RM, Silburn R. Food safety knowledge and practice among elderly people living at home. J Epidemiol Community Health 1998; 52:745-8. [PMID: 10396508 PMCID: PMC1756646 DOI: 10.1136/jech.52.11.745] [Citation(s) in RCA: 69] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To assess the food storage knowledge and practice of elderly people living at home. METHODS Three phase survey data collection: face to face interviews; dietary diaries with a food frequency questionnaire; and follow up interviews. SETTING Urban Nottingham. PARTICIPANTS 809 elderly people (aged 65+) randomly selected from general practitioner lists. MAIN OUTCOME MEASURES Respondent's refrigerator temperature; knowledge of freezer star rating; understanding of "use by" and "sell by" dates; reported ability to read food product safety labels. RESULTS From a weighted total of 645 refrigerators measured, 451 (70%) were too warm for the safe storage of food (> or = 6 degrees Celsius). Only 41% of respondents (n = 279) knew the star rating of their freezer. Within a smaller sub-sample knowledge of the "use by" and "sell by" dates was good, but 45% of these respondents reported difficulty reading food labels. The storage of foods at inappropriate temperatures was not independent of socioeconomic or demographic status, and tended to be more likely among the poorer and those not living alone. CONCLUSIONS Food storage practices among the majority of elderly people interviewed in this study do not meet recommended safety standards to minimise the risk of food poisoning.
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Affiliation(s)
- A E Johnson
- Department of Health Care of the Elderly, University of Nottingham, Queens Medical Centre
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22
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Abstract
OBJECTIVE to assess levels of fruit and vegetable consumption in elderly people, and to examine the socio-economic, physical and psychological factors which influence this consumption. METHODS a three-phase survey: face to face interviews; self-completed dietary diaries with a food frequency questionnaire; and follow-up face-to-face interviews. PARTICIPANTS 445 elderly people (aged 65+) randomly selected from general practitioner lists in urban Nottingham and rural Nottinghamshire, Lincolnshire and Leicestershire. RESULTS the recommended target of five portions of fruit and vegetables a day was achieved by less than half the respondents: 37% of those living in the urban area and 51% of those living in the rural area. Low fruit and vegetable consumption was particularly associated with being male, smoking and having low levels of social engagement. CONCLUSIONS most elderly people consume less than the recommended levels of fruit and vegetables. Health programmes promoting fruit and vegetable consumption may not be successfully reaching elderly people and need to target those particularly at risk of low consumption.
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Affiliation(s)
- A E Johnson
- Department of Health Care of the Elderly, The University of Nottingham, Queens Medical Centre, UK
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23
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Abstract
Estimations of the prevalence of daily smoking of cigarettes by men and women on a college campus were obtained from 775 college students. Estimations greatly exceeded the percent of students who personally reported smoking cigarettes daily.
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Affiliation(s)
- R M Page
- University of Idaho, Moscow 83844-2401, USA.
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Donkin AJ, Johnson AE, Morgan K, Neale RJ, Page RM, Silburn RL. Gender and living alone as determinants of fruit and vegetable consumption among the elderly living at home in urban Nottingham. Appetite 1998; 30:39-51. [PMID: 9500802 DOI: 10.1006/appe.1997.0110] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Consumption of fruits and vegetables by a sample of 369 elderly people living in Nottingham, England, was analysed in relation to whether or not they were eating five portions a day. Living status was only of significance to men who, if single, consumed 2.66 portions of fruits and vegetables per day compared with an overall mean of 4.1. The salient question is therefore not "Are you living alone?" but " s there a woman in the household?". Those respondents who were older and less educated ate less vegetables and those respondents who had a lower income or social grade ate less fruit. Men were less likely to be able to cook a range of meals, to have had a job that involved cooking or to watch cookery programmes on television. Single men were more likely than single women to say that eating food that was easy to cook and prepare was an important influence on their food choice. Single women on the other hand were more influenced by body image. Finding foods that were the right portion size and easy to open, prepare and cook was more important to single men than married men, as was the amount of money left after paying the bills.
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Affiliation(s)
- A J Donkin
- Department of Health Care of the Elderly, University of Nottingham, UK
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Page RM, Hammermeister J. Weapon-carrying and youth violence. Adolescence 1997; 32:505-13. [PMID: 9360727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Weapons, and firearms in particular, are widely available in the United States and are at the heart of youth violence. Many schools and communities throughout the nation have identified weapon-carrying among youth as a substantial health, educational, and social problem. In fact, one of the national health objectives for the year 2000 is to substantially reduce the incidence of weapon-carrying among adolescents. This paper reviews the prevalence of weapon-carrying by youth, reasons they carry weapons, ways that firearms are obtained, firearms and violence (especially youth violence), and the controlling of weapons in schools.
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Affiliation(s)
- R M Page
- Division of Health, Physical Education, Recreation, and Dance, University of Idaho, Moscow 83844, USA
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26
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Abstract
Analysis of perception of body weight and weight satisfaction among 1,915 adolescents showed that a perception of being too fat was particularly dissatisfying for girls while a perception of being much too thin was most dissatisfying for boys.
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Affiliation(s)
- R M Page
- Division of Health, physical Education, Recreation, and Dance, University of Idaho, Moscow
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Abstract
The purpose of the current study was to estimate the relationship between exercise frequency and measures of shyness and loneliness in a sample of 882 college students. Analysis provided evidence that higher shyness and loneliness scores were associated with not exercising and infrequent exercising. Also, subjects who exercise 7 times a week scored significantly lower than the other exercise-frequency groups. Analysis of covariance, controlling for possible confounding variables, gives further support.
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Affiliation(s)
- R M Page
- University of Idaho, Moscow 83844-2401, USA
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Abstract
This research among a sample of 1,915 Mississippi adolescents investigated whether lonely adolescents who use illicit substances were at increased risk of hopelessness. Relative risk of scoring within the severe hopelessness range was 6.9 for non-substance users who were lonely and 4.2 for substance users who were not lonely. Yet, relative risk for severe hopelessness in substance-using lonely adolescents was 25.2. Lonely, substance-using adolescents were 25 times more likely to be severely hopeless than the reference group composed of non-substance using, not-lonely adolescents. Lonely adolescents who get drunk also were 15.9 times more likely to be severely hopeless than the reference group. Because hopelessness often is an indicator of suicidal behavior, these results may have important implications for school health adolescent suicide prevention efforts.
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Affiliation(s)
- R M Page
- University of Idaho, Division of Health, Physical Education, Recreation, and Dance, Moscow 83843
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Abstract
The purpose of the present study was to investigate differences in demoralization between those who live in single-person households and those who live in households with others in a random sample of 8,634 urban adults. Responses to the 26-item Psychiatric Epidemiologic Research Interview did not substantiate that adults who live alone are more likely to be demoralized than those who live with others, until age and gender are considered. Men who live alone scored higher on demoralization than men who live with others, yet women who live with others scored higher on demoralization than those who live alone. An interaction for living arrangement and age group on demoralization was also observed.
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Abstract
The relative magnitude of individual demographic characteristics, compared with other demographic characteristics, in the prediction or explanation of frequency of loneliness has not been examined or reported in the literature. The relative strengths of a series of demographic variables (gender, age, marital status, household income, educational attainment, race or ethnicity, employment status, and occupation) in explaining frequency of loneliness in a random sample of 8,634 adults residing in a large metropolitan county were examined. Logistic regression analysis indicated several variables significantly affected group membership as lonely vs not lonely: marital status, household income, gender, and educational attainment. The strongest predictor of all was marital status. Age group as a predictor variable approached significance, but employment status, occupational, and race/ethnicity were not significant predictors of group membership as lonely vs not lonely in the logistic regression model.
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Affiliation(s)
- R M Page
- University of Idaho, Moscow 83843
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31
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Abstract
Familiarity with the foregoing recent important studies and reports is fundamental to the planning and delivery of effective and sound health promotion and risk-reduction programs. Of particular concern to community health nurses is that most people are unaware of their cholesterol level. High blood cholesterol can effectively be lowered in most instances when individuals are educated about proper dietary and/or drug interventions.
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Donaldson K, Page RM. Radial keratotomy surgery: what health educators should know. Health Educ 1988; 19:27-30. [PMID: 3152229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Page RM. Adolescent loneliness: a priority for school health education. Health Educ 1988; 19:20-1. [PMID: 3152378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Abstract
A survey of 238 college students indicated that those who prefer to drink caffeine containing drinks maintain different perceptions about the negative and positive consequences of drinking caffeinated drinks from those who do not prefer to drink caffeinated drinks. 154 of the students reported that the last soft drink they consumed was caffeinated.
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Page RM. Seatbelt use among preadolescent children: implications for school health education. Health Educ 1984; 15:35-8. [PMID: 6444041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Abstract
Variations in cigarette smoking patterns between men and women have led to the speculation that there may be systematic gender differences which account for these patterns. The purpose of the current study was to determine whether such gender differences exist in beliefs about the consequences of smoking, evaluations of those consequences, one's normative beliefs and one's motivations to comply among 221 college-age students. These subcomponents of Fishbein's model of behavioral intentions were tested with multivariate analysis procedures. Significant gender differences found in beliefs about the consequences of smoking, normative beliefs concerning smoking, and motivations to comply indicate that educational and treatment programs should address members of the two sexes in different ways.
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Page RM, Humber RA. Phototropism in Conidiobolus coronatus. Mycologia 1973; 65:335-54. [PMID: 4712316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Abstract
Stages in the discharge of sporangia by the fungus, Pilobolus kleinii, were photographed by means of a high-speed electronic flash triggered by a photocell. The photographs confirm that the sporangium is propelled by a jet of cell sap. The jet is deflected from the sporangium and attains a considerable length before it breaks into droplets.
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Abstract
The action spectrum for phototropism of Conidiobolus conidiophores was determined crudely with glass filters and by projecting a spectrum on cultures of the fungus. The active wavelengths (about 400 to 650 mmicro) corresponded in general with those absorbed by extracts containing a pigment with an absorption spectrum characteristic of a porphyrin.
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Page RM. Gilbert Morgan Smith, Botanist. Science 1959; 130:1693-5. [PMID: 17742248 DOI: 10.1126/science.130.3390.1693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Dorrell WW, Page RM. The Use of Fragmented Mycelial Inoculum in the Culture of Fungi. J Bacteriol 1947; 53:360-1. [PMID: 16561281 PMCID: PMC518317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2023] Open
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