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Hullegie-Peelen DM, Hesselink DA, Dieterich M, Minnee RC, Peeters A, Hoogduijn MJ, Baan CC. Tissue-resident Lymphocytes Are Released During Hypothermic and Normothermic Machine Perfusion of Human Donor Kidneys. Transplantation 2024:00007890-990000000-00711. [PMID: 38557650 DOI: 10.1097/tp.0000000000004936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
BACKGROUND Machine perfusion is the preferred preservation method for deceased donor kidneys. Perfusate fluid, which contains a complex mixture of components, offers potential insight into the organ's viability and function. This study explored immune cell release, particularly tissue-resident lymphocytes (TRLs), during donor kidney machine perfusion and its correlation with injury markers. METHODS Perfusate samples from hypothermic machine perfusion (HMP; n = 26) and normothermic machine perfusion (NMP; n = 16) of human donor kidneys were analyzed for TRLs using flow cytometry. Residency was defined by expressions of CD69, CD103, and CD49as. TRL release was quantified exclusively in NMP. Additionally, levels of cell-free DNA, neutrophil gelatinase-associated lipocalin, and soluble E-cadherin (sE-cadherin) were measured in NMP supernatants with quantitative polymerase chain reaction and enzyme-linked immunosorbent assay. RESULTS Both HMP and NMP samples contained a heterogeneous population of TRLs, including CD4+ tissue-resident memory T cells, CD8+ tissue-resident memory T cells, tissue-resident natural killer cells, tissue-resident natural killer T cells, and helper-like innate lymphoid cells. Median TRL proportions among total CD45+ lymphocytes were 0.89% (NMP) and 0.84% (HMP). TRL quantities in NMP did not correlate with donor characteristics, perfusion parameters, posttransplant outcomes, or cell-free DNA and neutrophil gelatinase-associated lipocalin concentrations. However, CD103+ TRL release positively correlated with the release of sE-cadherin, the ligand for the CD103 integrin. CONCLUSIONS Human donor kidneys release TRLs during both HMP and NMP. The release of CD103+ TRLs was associated with the loss of their ligand sE-cadherin but not with general transplant injury biomarkers.
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Affiliation(s)
- Daphne M Hullegie-Peelen
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Dennis A Hesselink
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Marjolein Dieterich
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Robert C Minnee
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
- Division of Hepato-pancreatobiliary and Transplant Surgery, Department of Surgery, Erasmus MC Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Annemiek Peeters
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Martin J Hoogduijn
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Carla C Baan
- Department of Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center Transplant Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
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Duprez T, Vlassenbroek A, Peeters A, Poncelet PA, Levecque E, Austein F, Pahn G, Nae Y, Abdallah S, Coche E. Preliminary experience of CT imaging of the ischaemic brain penumbra through spectral processing of multiphasic CTA datasets. Sci Rep 2023; 13:11431. [PMID: 37454162 PMCID: PMC10349801 DOI: 10.1038/s41598-023-38370-9] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 07/07/2023] [Indexed: 07/18/2023] Open
Abstract
To assess ischaemic penumbra through the post-processing of the spectral multiphasic CT Angiography (mCTA) data in acute ischaemic stroke (AIS) patients. Thirty one consecutive patients strongly suspected of severe Middle Cerebral Artery AIS presenting less than 6 h after onset of symptoms or with unknown time of onset of symptoms underwent a standardized CT protocol in spectral mode including Non Contrast CT, mCTA, and Perfusion CT (CTP) on a dual-layer MDCT system. Areas disclosing delayed enhancement on iodine density (ID) maps were highlighted by subtraction of the serial mCTA datasets. Two neuroradiologists independently rated the correspondence between delayed enhancing areas at mCTA and the penumbral/infarcted areas delineated by two validated CTP applications using a 5-levels scoring scale. Interobserver agreement between observers was evaluated by kappa statistics. Dose delivery was recorded for each acquisition. Averaged correspondence score between penumbra delineation using subtracted mCTA-derived ID maps and CTP ones was 2.76 for one application and 2.9 for the other with best interobserver agreement kappa value at 0.59. All 6 stroke mimics out of the 31 patients' cohort were correctly identified. Average dose delivery was 7.55 mSv for the whole procedure of which CTP accounted for 39.7%. Post-processing of spectral mCTA data could allow clinically relevant assessment of the presence or absence of ischaemic penumbra in AIS-suspected patients if results of this proof-of-concept study should be confirmed in larger patients'series.
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Affiliation(s)
- T Duprez
- Department of Radiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium
| | - A Vlassenbroek
- CT/AMI Clinical Science, Philips Health Systems, Avenue du Bourgmestre Etienne Demunter 1, 1090, Brussels, Belgium.
| | - A Peeters
- Department of Neurology, Stroke Unit, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium
| | - P A Poncelet
- Department of Medical Imaging, Grand Hôpital de Charleroi (GHdC), Grand'Rue, 3, 6000, Charleroi, Belgium
| | - E Levecque
- Department of Neurology, Stroke Unit, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium
| | - F Austein
- Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20426, Hamburg, Germany
| | - G Pahn
- PD CT/AMI Clinical Science, Philips GmbH Market DACH, Röntgenstraße 22-24, 22335, Hamburg, Germany
| | - Y Nae
- CT/AMI Clinical Science, Advanced Technologies Center, Philips Medical Systems Technologies Ltd., Building No. 34, P.O. Box 325, 3100202, Haifa, Israel
| | - S Abdallah
- CT/AMI Clinical Science, Advanced Technologies Center, Philips Medical Systems Technologies Ltd., Building No. 34, P.O. Box 325, 3100202, Haifa, Israel
| | - E Coche
- Department of Radiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium
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Baatjes K, van der Merwe N, Moremi K, Kidd M, Peeters A, Kotze M, French D. P044 A rapid point-of-care test kit for improved clinical management of patients with breast cancer and associated co-morbidities: Significance of the MTHFR-homocysteine pathway. Breast 2023. [DOI: 10.1016/s0960-9776(23)00163-7] [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: 03/15/2023] Open
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4
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Stiles S, Stacey I, Sanfilippo F, Peeters A, Hyun K, Katzenellenbogen J, Briffa T, Chew D, Brieger D, Nedkoff L. Adverse Trends in Myocardial Infarction Incidence and Hospitalisation in Women Aged <55 years in Australia. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.483] [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: 11/15/2022]
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Ahmed N, Mazya M, Nunes AP, Moreira T, Ollikainen JP, Escudero-Martinez I, Bigliardi G, Dorado L, Dávalos A, Egido JA, Tassi R, Strbian D, Zini A, Nichelli P, Herzig R, Jurák L, Hurtikova E, Tsivgoulis G, Peeters A, Nevšímalová M, Brozman M, Cavallo R, Lees KR, Mikulik R, Toni D, Holmin S. Safety and outcomes of routine endovascular thrombectomy in large artery occlusion recorded in the SITS Register: An observational study. J Intern Med 2021; 290:646-654. [PMID: 33999451 DOI: 10.1111/joim.13302] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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] [Received: 01/21/2021] [Revised: 03/26/2021] [Accepted: 03/31/2021] [Indexed: 01/19/2023]
Abstract
BACKGROUND AND OBJECTIVE We aimed to evaluate the safety and outcomes of thrombectomy in anterior circulation acute ischaemic stroke recorded in the SITS-International Stroke Thrombectomy Register (SITS-ISTR) and compare them with pooled randomized controlled trials (RCTs) and two national registry studies. METHODS We identified centres recording ≥10 consecutive patients in the SITS-ISTR with at least 70% of available modified Rankin Scale (mRS) at 3 months during 2014-2019. We defined large artery occlusion as intracranial internal carotid artery, first and second segment of middle cerebral artery and first segment of anterior cerebral artery. Outcome measures were functional independence (mRS score 0-2) and death at 3 months and symptomatic intracranial haemorrhage (SICH) per modified SITS-MOST. RESULTS Results are presented in the following order: SITS-ISTR, RCTs, MR CLEAN Registry and German Stroke Registry (GSR). Median age was 73, 68, 71 and 75 years; baseline NIHSS score was 16, 17, 16 and 15; prior intravenous thrombolysis was 62%, 83%, 78% and 56%; onset to reperfusion time was 289, 285, 267 and 249 min; successful recanalization (mTICI score 2b or 3) was 86%, 71%, 59% and 83%; functional independence at 3 months was 45.5% (95% CI: 44-47), 46.0% (42-50), 38% (35-41) and 37% (35-41), respectively; death was 19.2% (19-21), 15.3% (12.7-18.4), 29.2% (27-32) and 28.6% (27-31); and SICH was 3.6% (3-4), 4.4% (3.0-6.4), 5.8% (4.7-7.1) and not available. CONCLUSION Thrombectomy in routine clinical use registered in the SITS-ISTR showed safety and outcomes comparable to RCTs, and better functional outcomes and lower mortality than previous national registry studies.
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Affiliation(s)
- N Ahmed
- From the, Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - M Mazya
- From the, Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - A P Nunes
- Stroke Unit, Hospital de São José, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - T Moreira
- From the, Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - J P Ollikainen
- Department of Neurology, Tampere University Hospital, Tampere, Finland
| | - I Escudero-Martinez
- Department of Neurology, University Hospital Virgen del Rocío, Sevilla and Biomedicine Institute of Sevilla, Sevilla, Spain
| | - G Bigliardi
- Department of Neurology, Ospedale Civile "S.Agostino-Estense" - Azienda Ospedaliera Universitaria di Modena, Modena, Italy
| | - L Dorado
- Department of Neurology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - A Dávalos
- Department of Neurology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - J A Egido
- Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain
| | - R Tassi
- Stroke Unit Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - D Strbian
- Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland
| | - A Zini
- Department of Neurology and Stroke Center, Maggiore Hospital, IRCCS Istituto di Scienze Neurologiche di Bologna, Bologna, Italy
| | - P Nichelli
- Department of Biomedical, Metabolical and Neurosciences, Università degli studi di Modena e Reggio Emilia, Modena, Italy
| | - R Herzig
- Department of Neurology, Comprehensive Stroke Centre, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Charles University, Hradec Králové, Czech Republic
| | - L Jurák
- Neurocentre, Regional Hospital Liberec, Liberec, Czech Republic
| | - E Hurtikova
- Department of Neurology, University Hospital Ostrava, Ostrava, Czech Republic
| | - G Tsivgoulis
- Second Department of Neurology, National & Kapodistrian University of Athens, Athens, Greece
| | - A Peeters
- Department of Neurology, Cliniques Universitaires St-Luc, Brussels, Belgium
| | - M Nevšímalová
- Department of Neurology, Nemocnice Ceske Budejovice, Ceske Budejovice, Czech Republic
| | - M Brozman
- Faculty of Social Sciences and Health, Constantine the Philosopher University Nitra, Nitra, Slovakia
| | - R Cavallo
- Department of Neurology, Ospedale San Giovanni Bosco, Turin, Italy
| | - K R Lees
- School of Medicine, Nursing and Dentistry, University of Glasgow, Glasgow, UK
| | - R Mikulik
- International Clinical Research Center and Department of Neurology, St. Anne's University Hospital and Masaryk University, Brno, Czech Republic
| | - D Toni
- Department of Human Neurosciences, La Sapienza, Rome, Italy
| | - S Holmin
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
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6
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Ohana-Levi N, Derumigny A, Peeters A, Ben-Gal A, Bahat I, Katz L, Netzer Y, Naor A, Cohen Y. A multifunctional matching algorithm for sample design in agricultural plots. Comput Electron Agric 2021; 187:None. [PMID: 34381288 PMCID: PMC8329933 DOI: 10.1016/j.compag.2021.106262] [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] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 06/07/2021] [Accepted: 06/08/2021] [Indexed: 06/13/2023]
Abstract
Collection of accurate and representative data from agricultural fields is required for efficient crop management. Since growers have limited available resources, there is a need for advanced methods to select representative points within a field in order to best satisfy sampling or sensing objectives. The main purpose of this work was to develop a data-driven method for selecting locations across an agricultural field given observations of some covariates at every point in the field. These chosen locations should be representative of the distribution of the covariates in the entire population and represent the spatial variability in the field. They can then be used to sample an unknown target feature whose sampling is expensive and cannot be realistically done at the population scale. An algorithm for determining these optimal sampling locations, namely the multifunctional matching (MFM) criterion, was based on matching of moments (functionals) between sample and population. The selected functionals in this study were standard deviation, mean, and Kendall's tau. An additional algorithm defined the minimal number of observations that could represent the population according to a desired level of accuracy. The MFM was applied to datasets from two agricultural plots: a vineyard and a peach orchard. The data from the plots included measured values of slope, topographic wetness index, normalized difference vegetation index, and apparent soil electrical conductivity. The MFM algorithm selected the number of sampling points according to a representation accuracy of 90% and determined the optimal location of these points. The algorithm was validated against values of vine or tree water status measured as crop water stress index (CWSI). Algorithm performance was then compared to two other sampling methods: the conditioned Latin hypercube sampling (cLHS) model and a uniform random sample with spatial constraints. Comparison among sampling methods was based on measures of similarity between the target variable population distribution and the distribution of the selected sample. MFM represented CWSI distribution better than the cLHS and the uniform random sampling, and the selected locations showed smaller deviations from the mean and standard deviation of the entire population. The MFM functioned better in the vineyard, where spatial variability was larger than in the orchard. In both plots, the spatial pattern of the selected samples captured the spatial variability of CWSI. MFM can be adjusted and applied using other moments/functionals and may be adopted by other disciplines, particularly in cases where small sample sizes are desired.
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Affiliation(s)
- N. Ohana-Levi
- Independent Researcher, Variability, Ashalim 85512, Israel
| | - A. Derumigny
- Department of Applied Mathematics, Delft University of Technology, Mourik Broekmanweg 6, 2628 XE Delft, the Netherlands
| | - A. Peeters
- TerraVision Lab, Midreshet Ben-Gurion 8499000, Israel
| | - A. Ben-Gal
- Institute of Soil, Water and Environmental Sciences, Agricultural Research Organization, Gilat Research Center, Mobile post Negev 2, 85280, Israel
| | - I. Bahat
- Institute of Agricultural Engineering, Agricultural Research Organization, Volcani Center, P.O. Box 15159, Rishon LeZion 7505101, Israel
- The Robert H. Smith Institute of Plant Sciences and Genetics in Agriculture, The Hebrew University of Jerusalem, The Robert H. Smith Faculty of Agriculture, Food & Environment, Rehovot 76100, Israel
| | - L. Katz
- Institute of Soil, Water and Environmental Sciences, Agricultural Research Organization, Gilat Research Center, Mobile post Negev 2, 85280, Israel
- Institute of Agricultural Engineering, Agricultural Research Organization, Volcani Center, P.O. Box 15159, Rishon LeZion 7505101, Israel
- The Robert H. Smith Institute of Plant Sciences and Genetics in Agriculture, The Hebrew University of Jerusalem, The Robert H. Smith Faculty of Agriculture, Food & Environment, Rehovot 76100, Israel
- Department of Soil and Water Sciences, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, P.O. Box 12, Rehovot 7610001, Israel
| | - Y. Netzer
- Department of Agriculture and Oenology, Eastern R&D Center, Israel
- Department of Chemical Engineering, Ariel University, Ariel 40700, Israel
| | - A. Naor
- Department of Precision Agriculture, MIGAL Galilee Research Institute, Kiryat Shmona 11016, Israel
| | - Y. Cohen
- Institute of Agricultural Engineering, Agricultural Research Organization, Volcani Center, P.O. Box 15159, Rishon LeZion 7505101, Israel
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7
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Hintzen KFH, Grote J, Wintjens AGWE, Lubbers T, Eussen MMM, van Schooten FJ, Bouvy ND, Peeters A. Breath analysis for the detection of digestive tract malignancies: systematic review. BJS Open 2021; 5:6226007. [PMID: 33855362 PMCID: PMC8047095 DOI: 10.1093/bjsopen/zrab013] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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] [Received: 09/07/2020] [Revised: 11/27/2020] [Accepted: 02/03/2021] [Indexed: 01/01/2023] Open
Abstract
Background In recent decades there has been growing interest in the use of volatile organic compounds (VOCs) in exhaled breath as biomarkers for the diagnosis of multiple variants of cancer. This review aimed to evaluate the diagnostic accuracy and current status of VOC analysis in exhaled breath for the detection of cancer in the digestive tract. Methods PubMed and the Cochrane Library database were searched for VOC analysis studies, in which exhaled air was used to detect gastro-oesophageal, liver, pancreatic, and intestinal cancer in humans, Quality assessment was performed using the QUADAS-2 criteria. Data on diagnostic performance, VOCs with discriminative power, and methodological information were extracted from the included articles. Results Twenty-three articles were included (gastro-oesophageal cancer n = 14, liver cancer n = 1, pancreatic cancer n = 2, colorectal cancer n = 6). Methodological issues included different modalities of patient preparation and sampling and platform used. The sensitivity and specificity of VOC analysis ranged from 66.7 to 100 per cent and from 48.1 to 97.9 per cent respectively. Owing to heterogeneity of the studies, no pooling of the results could be performed. Of the VOCs found, 32 were identified in more than one study. Nineteen were reported as cancer type-specific, whereas 13 were found in different cancer types. Overall, decanal, nonanal, and acetone were the most frequently identified. Conclusion The literature on VOC analysis has documented a lack of standardization in study designs. Heterogeneity between the studies and insufficient validation of the results make interpretation of the outcomes challenging. To reach clinical applicability, future studies on breath analysis should provide an accurate description of the methodology and validate their findings.
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Affiliation(s)
- K F H Hintzen
- Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.,Department of Pharmacology and Toxicology, Maastricht University, Maastricht, the Netherlands
| | - J Grote
- Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - A G W E Wintjens
- Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - T Lubbers
- Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - M M M Eussen
- Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - F J van Schooten
- Department of Pharmacology and Toxicology, Maastricht University, Maastricht, the Netherlands
| | - N D Bouvy
- Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - A Peeters
- Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, Maastricht, the Netherlands
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8
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LITJENS N, Peeters A, Kal-van Gestel J, Klepper M, Betjes M. POS-747 A SINGLE NUCLEOTIDE POLYMORPHISM WITHIN THE FCGR3A 158 F/V GENE IS ASSOCIATED WITH DECREASED SURVIVAL OF RENAL ALLOGRAFTS WITH CHRONIC ACTIVE ANTIBODY-MEDIATED REJECTION. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.779] [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: 11/26/2022] Open
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9
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Brimblecombe J, McMahon E, De Silva K, Ferguson M, Miles E, Wycherley T, Peeters A, Minaker L, Greenacre L, Mah C. Transforming food retail for better health: The Healthy Stores 2020 trial. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
How food is promoted in food retail settings impacts population diet. Foods high in sugar, fat and/or salt are promoted by retailers to attract impulse purchases. To combat the high burden of chronic disease and associated conditions confronting society we examined the impact of restricted retail merchandising (promotion and visibility) of discretionary food and beverages on sales and business outcomes.
Methods
We conducted a pragmatic randomised controlled trial in partnership with a retail organisation operating stores in remote communities of Australia (the Arnhem Land Progress Aboriginal Corporation). Twenty consenting stores were allocated to the 12-week intervention (7-point Healthy Stores 2020 strategy) or to usual retail practice. Four intervention stores with retail competition implemented a modified 6-point strategy. Weekly sales data were used to assess intervention impact on free sugars (g) to energy (MJ) (primary outcome) derived from all purchased food and beverages. Impact on gross profit and sales of targeted food and beverages was also assessed. Managers of intervention stores were interviewed to determine their views on customer response and impact on retail practice.
Results
Free sugars were reduced by a relative 2.8% (95% CI -4.8, -0.7). There were significant reductions in free sugars from targeted beverages (-6.4%; -11.1, -1.5) and soft drinks (-12.5%; -18.1, -6.5). Gross profit was not impacted adversely. Managers mostly viewed the strategy favourably and of benefit to the community.
Conclusions
The public health and business relevant gains demonstrated by this novel trial have resulted in ALPA converting their stores to the Healthy Stores 2020 strategy and integrating the strategy in to their nutrition policy. Retail competition impedes complete implementation of the 7-point strategy. Tackling this will require collective agreement by retailers to implement the full strategy and/or government policy power.
Key messages
Restricting merchandising of unhealthy foods can achieve both public health relevant and business relevant gains. Working in partnership with retailers is critical to testing real-world interventions to impact population diet.
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Affiliation(s)
- J Brimblecombe
- Public Health Nutrition, Department of Nutrition, Dietetics and Food, Monash University, Victoria, Australia
| | - E McMahon
- Wellbeing and Preventable Chronic Disease, Menzies School of Health Research, Brisbane, Australia
| | - K De Silva
- Arnhem Land Progress Aboriginal Corporation, Darwin, Northern Territory, Australia
| | - M Ferguson
- Public Health Nutrition, The University of Queensland, Brisbane, Queensland, Australia
| | - E Miles
- Menzies School of Health Research, Darwin, Australia
| | - T Wycherley
- School of Health Sciences, University of South Australia, Adelaide, Australia
| | - A Peeters
- Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia
| | - L Minaker
- University of Waterloo, Waterloo, Ontario, Canada
| | - L Greenacre
- Department of Marketing, Monash University, Victoria, Australia
| | - C Mah
- Dalhousie University, Halifax, Nova Scotia, Canada
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10
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Nedkoff L, Greenland M, Hyun K, Sanfilippo F, Briffa T, Redfern J, Peeters A, Chew D, Brieger D. 552 Sex Specific Risk Profiles and Outcomes in Adults <55 Years With Acute Coronary Syndromes. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.559] [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: 10/23/2022]
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11
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Keselman B, Cooray C, Vanhooren G, Bassi P, Consoli D, Nichelli P, Peeters A, Sanak D, Zini A, Wahlgren N, Ahmed N, Mazya MV. Intravenous thrombolysis in stroke mimics: results from the
SITS
International Stroke Thrombolysis Register. Eur J Neurol 2019; 26:1091-1097. [DOI: 10.1111/ene.13944] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Accepted: 02/19/2019] [Indexed: 11/27/2022]
Affiliation(s)
- B. Keselman
- Department of Neurology Karolinska University Hospital and Department of Clinical Neuroscience Karolinska Institutet StockholmSweden
| | - C. Cooray
- Department of Neurology Karolinska University Hospital and Department of Clinical Neuroscience Karolinska Institutet StockholmSweden
| | - G. Vanhooren
- Department of Neurology AZ Sint‐Jan Brugge‐Oostende Brugge Belgium
| | - P. Bassi
- Neurological Department San Giuseppe Hospital Milan
| | - D. Consoli
- Department of Neurology Iazzolino Hospital Vibo Valentia
| | - P. Nichelli
- Stroke Unit Neurology Clinic Department of Neuroscience Ospedale Civile S. Agostino Estense Modena University Hospital University of Modena and Reggio Emilia Modena Italy
| | - A. Peeters
- Department of Neurology Cliniques Universitaires St‐Luc Brussels Belgium
| | - D. Sanak
- Comprehensive Stroke Centre Department of Neurology Palacký University Hospital Olomouc Czech Republic
| | - A. Zini
- Stroke Unit Neurology Clinic Department of Neuroscience Ospedale Civile S. Agostino Estense Modena University Hospital University of Modena and Reggio Emilia Modena Italy
| | - N. Wahlgren
- Department of Neurology Karolinska University Hospital and Department of Clinical Neuroscience Karolinska Institutet StockholmSweden
| | - N. Ahmed
- Department of Neurology Karolinska University Hospital and Department of Clinical Neuroscience Karolinska Institutet StockholmSweden
| | - M. V. Mazya
- Department of Neurology Karolinska University Hospital and Department of Clinical Neuroscience Karolinska Institutet StockholmSweden
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12
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Koc ÖM, Savelkoul PHM, van Loo IHM, Peeters A, Oude Lashof AML. Safety and immunogenicity of HBAI20 Hepatitis B vaccine in healthy naïve and nonresponding adults. J Viral Hepat 2018; 25:1048-1056. [PMID: 29660190 DOI: 10.1111/jvh.12909] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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] [Received: 12/01/2017] [Accepted: 03/06/2018] [Indexed: 12/15/2022]
Abstract
Approximately 5% of the healthy adult population respond inadequately to the commercial recombinant hepatitis B vaccines. As the recombinant vaccines all have an aluminium-based adjuvant, we tried to enhance the immune response by adding a cytokine-based adjuvant. This new adjuvant AI20, containing 20 μg recombinant human IL-2 attached to 20 μg aluminium hydroxide, was added to HBVaxPro©-10 μg (HBAI20). In a double-blind randomized controlled trial (RCT), 24 naïve subjects were randomized to receive either HBAI20 or commercial HBVaxPro©-10 μg vaccine. In an open-label study, 10 nonresponders received HBAI20 vaccine. All participants received 3 vaccinations (0, 1 and 6 months). In the RCT, the occurrence of any adverse events or severe events was similar between the trial arms. At month 7, all naïve participants were seroprotected; moreover, 92% in the HBAI20 group had protective antibodies 10 days after the second vaccination vs 58% in the HBVaxPro©-10 μg group, P = .16. In the open-label study, no serious adverse events were noted. The HBAI20 vaccine was able to elicit protective anti-HBs titres in 90% of nonresponders, 1 month after the third vaccination. According to these results, the new HBAI20 vaccine seems safe, well-tolerated and may promote more rapid protection against hepatitis B infection.
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Affiliation(s)
- Ö M Koc
- Department of Medical Microbiology, School of NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands.,Department of Gastro-enterology and Hepatology, Ziekenhuis Oost-Limburg, Genk, Belgium.,Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium
| | - P H M Savelkoul
- Department of Medical Microbiology, School of NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands.,Department of Medical Microbiology & Infection Control, VU University Medical Center, Amsterdam, The Netherlands
| | - I H M van Loo
- Department of Medical Microbiology, School of NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - A Peeters
- Department of Clinical Epidemiolgy and Medical Technology Assessment, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - A M L Oude Lashof
- Department of Medical Microbiology, School of NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands
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13
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Blake MR, Backholer K, Hettiarachchi J, Palermo C, Peeters A, Boelsen-Robinson T. The experiences of a large health service food retailer in implementing a healthy food policy. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- MR Blake
- Monash University, Melbourne, Australia
| | | | | | - C Palermo
- Monash University, Melbourne, Australia
| | - A Peeters
- Deakin University, Melbourne, Australia
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14
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Turine G, Peeters A, Hermans C, Eeckhoudt S, Duprez T. Intravenous thrombolysis after reversal of dabigatran by idarucizumab: a moment to be a pioneer. Acta Neurol Belg 2017; 117:753-755. [PMID: 28138937 DOI: 10.1007/s13760-017-0751-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Accepted: 01/17/2017] [Indexed: 11/28/2022]
Affiliation(s)
- G Turine
- Department of Neurology, Cliniques Universitaires St-Luc, 10 Avenue Hippocrate 10, 1200, Brussels, Belgium.
| | - A Peeters
- Department of Neurology, Cliniques Universitaires St-Luc, 10 Avenue Hippocrate 10, 1200, Brussels, Belgium
| | - C Hermans
- Haemostasis and Thrombosis Unit, Division Haematology, Cliniques Universitaires Luc, 10 Avenue Hippocrate 10, 1200, Brussels, Belgium
| | - S Eeckhoudt
- Haemostasis and Thrombosis Laboratory, Department of Clinical Biology, Cliniques Universitaires Saint-Luc, 1200, Brussels, Belgium
| | - T Duprez
- Neuroradiology Section, Department of Radiology, Cliniques Universitaires UCL St-Luc, 10 Avenue Hippocrate 10, 1200, Brussels, Belgium
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15
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Ng WL, Stevenson CE, Wong E, Tanamas S, Boelsen-Robinson T, Shaw JE, Naughton MT, Dixon J, Peeters A. Does intentional weight loss improve daytime sleepiness? A systematic review and meta-analysis. Obes Rev 2017; 18:460-475. [PMID: 28117952 DOI: 10.1111/obr.12498] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Revised: 11/24/2016] [Accepted: 12/02/2016] [Indexed: 12/11/2022]
Abstract
Obesity is associated with excessive daytime sleepiness, but its causality remains unclear. We aimed to assess the extent to which intentional weight loss affects daytime sleepiness. Electronic databases were searched through 24 October 2016. Studies involving overweight or obese adults, a weight loss intervention and repeated valid measures of daytime sleepiness were included in the review. Two independent reviewers extracted data on study characteristics, main outcome (change in daytime sleepiness score standardized by standard deviation of baseline sleepiness scores), potential mediators (e.g. amount of weight loss and change in apnoea-hypopnoea index) and other co-factors (e.g. baseline demographics). Forty-two studies were included in the review. Fifteen before-and-after studies on surgical weight loss interventions showed large improvements in daytime sleepiness, with a standardized effect size of -0.97 (95% confidence interval [CI] -1.21 to -0.72). Twenty-seven studies on non-surgical weight loss interventions showed small-to-moderate improvement in daytime sleepiness, with a standardized effect size of -0.40 (95%CI -0.52 to -0.27), with no difference between controlled and before-and-after studies. We found a nonlinear association between amount of weight loss and change in daytime sleepiness. This review suggests that weight loss interventions improve daytime sleepiness, with a clear dose-response relationship. This supports the previously hypothesized causal effect of obesity on daytime sleepiness. It is important to assess and manage daytime sleepiness in obese patients.
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Affiliation(s)
- W L Ng
- Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
- Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
- Obesity and Population Health Unit, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia
- Obesity and Population Health Unit, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - C E Stevenson
- Obesity and Population Health Unit, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia
| | - E Wong
- Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
- Obesity and Population Health Unit, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia
- Obesity and Population Health Unit, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - S Tanamas
- Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
- Diabetes Epidemiology and Clinical Research Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, Arizona, USA
| | - T Boelsen-Robinson
- Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
- Obesity and Population Health Unit, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia
- Obesity and Population Health Unit, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - J E Shaw
- Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
- Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - M T Naughton
- General Respiratory and Sleep Medicine, Department of Allergy, Immunology, and Respiratory Medicine, The Alfred, Melbourne, Australia
- Department of Medicine, Monash University, The Alfred Hospital, Melbourne, Australia
| | - J Dixon
- Clinical Obesity Research, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - A Peeters
- Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
- Obesity and Population Health Unit, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia
- Obesity and Population Health Unit, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
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16
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Baatjes K, Santhia S, Peeters A, Mccaul M, Kotze M. Clinical outcomes in South African breast cancer patients on tamoxifen: 10 years following CYP2D6 genotyping. Breast 2017. [DOI: 10.1016/s0960-9776(17)30104-2] [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: 11/24/2022] Open
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17
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Peeters A, Van Heerden C, Kotze M. Whole exome sequencing revealed a novel 1-bp PALB2 deletion mutation (D434fs) in a breast cancer patient with a BRCA1 variant of uncertain clinical significance. Breast 2017. [DOI: 10.1016/s0960-9776(17)30164-9] [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: 11/28/2022] Open
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18
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Peeters A, Backholer K. How to influence the obesity landscape using health policies. Int J Obes (Lond) 2017; 41:835-839. [PMID: 28127043 DOI: 10.1038/ijo.2017.24] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 08/01/2016] [Accepted: 12/13/2016] [Indexed: 12/11/2022]
Abstract
There is widespread acceptance that a significant and sustained impact on the growing global obesity burden requires implementation of a range of health policies to influence the obesity landscape. This acceptance is underpinned by the understanding that the obesity landscape is a complex interaction between the many factors that influence an individual's dietary intake and physical activity levels. Over the past decade we have seen increasing convergence in national and international recommendations on how to best improve this obesity landscape. In the past few years this has led to a noticeable increase in the implementation of these recommended national, state and local government policies. Here, we argue that to maximise the impact of population-level policies intended to improve diet and activity environments we need to see progress in a number of key areas, namely: broadening the range of environments that can be empowered to implement policy; improving our understanding of how best to combine multiple policies and interventions; and improving our understanding of the equity impact of these policies. We also argue that a key goal moving forward should be better capture and communication of the existing activities in order to more rapidly spread the uptake of these policies globally and at scale.
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Affiliation(s)
- A Peeters
- School of Health and Social Development,Deakin University, Geelong, Victoria, Australia
| | - K Backholer
- School of Health and Social Development,Deakin University, Geelong, Victoria, Australia
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19
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Backholer K, Peeters A. The utility of the agency-structure framework to estimate the health equity impact of universal obesity prevention policies. Obes Rev 2017; 18:126-128. [PMID: 27749993 DOI: 10.1111/obr.12480] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 09/28/2016] [Accepted: 09/29/2016] [Indexed: 11/30/2022]
Affiliation(s)
- K Backholer
- Deakin University, Centre for Population Health, Global Obesity Centre (GLOBE), Burwood, Victoria, Australia.,Monash University, Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia
| | - A Peeters
- Deakin University, Centre for Population Health, Global Obesity Centre (GLOBE), Burwood, Victoria, Australia.,Monash University, Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia
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20
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Tanamas SK, Lean MEJ, Combet E, Vlassopoulos A, Zimmet PZ, Peeters A. Changing guards: time to move beyond body mass index for population monitoring of excess adiposity. QJM 2016; 109:443-446. [PMID: 26527773 DOI: 10.1093/qjmed/hcv201] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Indexed: 11/14/2022] Open
Abstract
With the obesity epidemic, and the effects of aging populations, human phenotypes have changed over two generations, possibly more dramatically than in other species previously. As obesity is an important and growing hazard for population health, we recommend a systematic evaluation of the optimal measure(s) for population-level excess body fat. Ideal measure(s) for monitoring body composition and obesity should be simple, as accurate and sensitive as possible, and provide good categorization of related health risks. Combinations of anthropometric markers or predictive equations may facilitate better use of anthropometric data than single measures to estimate body composition for populations. Here, we provide new evidence that increasing proportions of aging populations are at high health-risk according to waist circumference, but not body mass index (BMI), so continued use of BMI as the principal population-level measure substantially underestimates the health-burden from excess adiposity.
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Affiliation(s)
- S K Tanamas
- From the 1Baker IDI Heart and Diabetes Institute, the Alfred Centre, Level 4, 99 Commercial Road, Melbourne, Victoria 3004, Australia
| | - M E J Lean
- Human Nutrition, School of Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Royal Infirmary Campus, Alexandra Parade, Glasgow G31 2ER, UK
| | - E Combet
- Human Nutrition, School of Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Royal Infirmary Campus, Alexandra Parade, Glasgow G31 2ER, UK
| | - A Vlassopoulos
- Human Nutrition, School of Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Royal Infirmary Campus, Alexandra Parade, Glasgow G31 2ER, UK
| | - P Z Zimmet
- From the 1Baker IDI Heart and Diabetes Institute, the Alfred Centre, Level 4, 99 Commercial Road, Melbourne, Victoria 3004, Australia
| | - A Peeters
- From the 1Baker IDI Heart and Diabetes Institute, the Alfred Centre, Level 4, 99 Commercial Road, Melbourne, Victoria 3004, Australia
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21
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Hammond A, Meesters J, Vliet Vlieland T, Peeters A, Tennant A, Tyson S, Nordenskiold U, Prior Y. AB1056 Psychometric Testing of The Dutch Evaluation of Daily Activities Questionnaire in Rheumatoid Arthritis. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2517] [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: 11/03/2022]
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22
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Affiliation(s)
| | | | | | | | - P. Mahieu
- Department of Intensive Care, Cliniques Universitaires St-Luc
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23
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Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev 2016; 17:276-95. [PMID: 26693831 DOI: 10.1111/obr.12360] [Citation(s) in RCA: 172] [Impact Index Per Article: 21.5] [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] [Received: 06/05/2015] [Revised: 10/29/2015] [Accepted: 10/30/2015] [Indexed: 11/29/2022]
Abstract
Recent obesity trends in children and adolescents suggest a plateau. However, it is unclear whether such trends have been experienced across socioeconomic groups. We analysed whether recent trends in child and adolescent overweight and obesity differ by socioeconomic position (SEP) across economically advanced countries. Eligible studies reported overweight and obesity prevalence in children and/or adolescents (2-18 years), for at least two time points since 1990, stratified by SEP. Socioeconomic differences in trends in child and adolescent overweight and obesity over time were analysed. Differences in trends between SEP groups were observed across a majority of studies. Over half the studies indicated increasing prevalence among low SEP children and adolescents compared to a third of studies among children and adolescents with a high SEP. Around half the studies indicated widening socioeconomic inequalities in overweight and obesity. Since 2000 a majority of studies demonstrated no change or a decrease in prevalence among both high and low SEP groups. However around 40% of studies indicated widening of socioeconomic inequalities post-2000. While our study provides grounds for optimism, socioeconomic inequalities in overweight and obesity continue to widen. These findings highlight the need for greater consideration of different population groups when implementing obesity interventions.
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Affiliation(s)
- A Chung
- Baker IDI Heart and Diabetes Institute, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - K Backholer
- Baker IDI Heart and Diabetes Institute, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - E Wong
- Baker IDI Heart and Diabetes Institute, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - C Palermo
- Department of Nutrition and Dietetics, Monash University, Australia
| | - C Keating
- Baker IDI Heart and Diabetes Institute, Population Health, Deakin University, Melbourne, Australia
| | - A Peeters
- Baker IDI Heart and Diabetes Institute, School of Public Health and Preventive Medicine, Deakin University, Burwood, Australia.,Monash University, Melbourne, Australia
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24
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Wong E, Stevenson C, Woodward M, Backholer K, Peeters A. The Impact of Trends in Obesity and Diabetes on Physical Disability in Australian Elderly. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.086] [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: 11/14/2022] Open
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25
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Wong E, Tanamas S, Wolfe R, Stevenson C, Abdullah A, Peeters A. The Role of Duration on the Association between Obesity and Risk of Physical Disability. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.176] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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26
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Tanamas S, Backholer K, Wong E, Abdullah A, Wolfe R, Barendregt J, Peeters A. Duration of Obesity and Incident Hypertension in Adults from the Framingham Heart Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.279] [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: 11/13/2022] Open
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27
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Boelsen-Robinson T, Peeters A, Beauchamp A, Chung A, Gearon E, Backholer K. A systematic review of the effectiveness of whole-of-community interventions by socioeconomic position. Obes Rev 2015. [PMID: 26214391 DOI: 10.1111/obr.12297] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [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: 12/12/2022]
Abstract
Whole-of-community (WOC) interventions have led to modest reductions in population weight gain. Whether they exhibit differential effectiveness by socioeconomic position (SEP) remains unknown. We aimed to summarize evidence of differential effectiveness of WOC interventions by SEP. Electronic databases and grey literature were searched to identify studies that evaluated the effectiveness of a WOC intervention on behavioural change measures, energy balance behaviours and/or anthropometric outcomes according to any measure of SEP. Interventions were assessed for the following characteristics: structural changes to the environment, number of settings the intervention acted in, presence of community engagement and whether equity was considered in its design. Ten studies were included. Nine reported a greater or equal effect among low SEP groups compared with high SEP groups. These studies commonly featured interventions that incorporated structural changes to the environment, acted across more than three settings and/or employed community engagement. Conclusions did not change when excluding low-quality studies (n = 4). WOC interventions represent an effective and equitable approach for the reduction of population weight. Structural components, a larger number of settings and community engagement were common in equitable WOC interventions and should be considered in the design of future WOC interventions.
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Affiliation(s)
- T Boelsen-Robinson
- Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - A Peeters
- Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.,Department of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - A Beauchamp
- Deakin Population Health, Deakin University, Melbourne, Australia
| | - A Chung
- Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.,Department of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - E Gearon
- Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.,Department of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - K Backholer
- Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.,Department of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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28
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Temmingh H, Stein DJ, Howells FM, Botha UA, Koen L, Mazinu M, Jordaan E, Niehaus DJH, Burger A, Brooks S, Stein DJ, Howells FM, Burger A, Roos A, Kwiatkowski M, Stein DJ, Donald KA, Howells FM, Chiliza B, Asmal L, Emsley R, Clark HM, Du Plessis I, Du Plessis I, Du Plessis S, Vink M, Joska JA, Koutsilieri E, Bagadia A, Stein DJ, Emsley R, Emsley R, Sian MJ, Hemmings SMJ, Martin LI, Van der Merwe L, Benecke R, Domschke K, Seedat S, Janse van Rensburg S, Van Toorn R, Schoeman JF, Peeters A, Fisher LR, Moremi K, Kotze MJ, Joubert P, Lippi G, Lochner C, Taljaard L, Stein DJ, Louw KA, Phillips N, Ipser J, Hoare J, Malan-Muller S, Fairbairn L, Daniels WMU, Dashti MJS, Oakeley EJ, Altorfer M, Harvey J, Seedat S, Gamieldien J, Hemmings SMJ, Maodi ML, Rataemande ST, Kyaw T, McGregor NW, Dimatelis J, Hemmings SMJ, Kinnear CJ, Stein DJ, Russel V, Nortje G. Biological Psychiatry Congress 2015. S Afr J Psychiatr 2015. [DOI: 10.4102/sajpsychiatry.v21i3.893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
<p><strong>List of Abstract Titles and authors:<br /></strong></p><p><strong>1. Psychosis: A matter of mental effort?</strong></p><p>M Borg, Y Y van der Zee, J H Hsieh, H Temmingh, D J Stein, F M Howells</p><p><strong>2.In search of an affordable, effective post-discharge intervention: A randomised control trial assessing the influence of a telephone-based intervention on readmissions for patients with severe mental illness in a developing country</strong></p><p><strong></strong>U A Botha, L Koen, M Mazinu, E Jordaan, D J H Niehaus</p><p><strong>3. The effect of early abstinence from long-term methamphetamine use on brain metabolism using 1H-magnetic resonance spectro-scopy (1H-MRS)</strong></p><p>A Burger, S Brooks, D J Stein, F M Howells</p><p><strong>4. The effect of <em>in utero exposure </em>to methamphetamine on brain metabolism in childhood using 1H-magnetic resonance spectroscopy (1H-MRS)</strong></p><p>A Burger, A Roos, M Kwiatkowski, D J Stein, K A Donald, F M Howells</p><p><strong>5. A prospective study of clinical, biological and functional aspects of outcome in first-episode psychosis: The EONKCS Study</strong></p><p><strong></strong>B Chiliza, L Asmal, R Emsley</p><p><strong>6. Stimulants as cognitive enhancers - perceptions v. evidence in a very real world</strong></p><p><strong></strong>H M Clark</p><p><strong>7. Pharmacogenomics in antipsychotic drugs</strong></p><p><strong></strong>Ilse du Plessis</p><p><strong>8. Serotonin in anxiety disorders and beyond</strong></p><p><strong></strong>Ilse du Plessis</p><p><strong>9. HIV infection results in ventral-striatal reward system hypo-activation during cue processing</strong></p><p><strong></strong>S du Plessis, M Vink, J A Joska, E Koutsilieri, A Bagadia, D J Stein, R Emsley</p><p><strong>10. Disease progression in schizophrenia: Is the illness or the treatment to blame?</strong></p><p>R Emsley, M J Sian</p><p><strong>11. Serotonin transporter variants play a role in anxiety sensitivity in South African adolescents</strong></p><p> S M J Hemmings, L I Martin, L van der Merwe, R Benecke, K Domschke, S Seedat</p><p><strong>12. Iron deficiency in two children diagnosed with multiple sclerosis: Report on whole exom sequencing</strong></p><p><strong></strong>S Janse van Rensburg, R van Toorn, J F Schoeman, A Peeters, L R Fisher, K Moremi, M J Kotze</p><p><strong>13. Benzodiazepines: Practical pharmacokinetics</strong></p><p><strong></strong>P Joubert</p><p><strong>14. What to consider when prescribing psychotropic medications</strong></p><p><strong></strong>G Lippi</p><p><strong>15. Current prescribing practices for obsessive-compulsive disorder in South Africa: Controversies and consensus</strong></p><p><strong></strong>C Lochner, L Taljaard, D J Stein</p><p><strong>16. Correlates of emotional and behavioural problems in children with preinatally acquired HIV in Cape Town, South Africa</strong></p><p><strong></strong>K-A Louw, N Phillips, JIpser, J Hoare</p><p><strong>17. The role of non-coding RNAs in fear extinction</strong></p><p><strong></strong>S Malan-Muller, L Fairbairn, W M U Daniels, M J S Dashti, E J Oakleley, M Altorfer, J Harvey, S Seedat, J Gamieldien, S M J Hemmings</p><p><strong>18. An analysis of the management og HIV-mental illness comorbidity at the psychiatric unit of the Dr George Mukhari Academic Hospital</strong></p><p><strong></strong>M L Maodi, S T Rataemane, T Kyaw</p><p><strong>19. The identification of novel genes in anxiety disorders: A gene X environment correlation and interaction study</strong></p><p><strong></strong>N W McGregor, J Dimatelis, S M J Hemmings, C J Kinnear, D J Stein, V Russel, C Lochner</p><p><strong>20. Collaborations between conventional medicine and traditional healers: Obstacles and possibilities</strong></p><p><strong></strong>G Nortje, S Seedat, O Gureje</p><p><strong>21. Thought disorder and form perception: Relationships with symptoms and cognitive function in first-episode schizophrenia</strong></p><p>M R Olivier, R Emsley</p><p><strong>22. Investigating the functional significance of genome-wide variants associated with antipsychotic treatment response</strong></p><p><strong></strong>E Ovenden, B Drogemoller, L van der Merwe, R Emsley, L Warnich</p><p><strong>23. The moral and bioethical determinants of "futility" in psychiatry</strong></p><p><strong></strong>W P Pienaar</p><p><strong>24. Single voxel proton magnetic resonance spectroscopy (1H-MRS) and volumetry of the amylgdala in social anxiety disorder in the context of early developmental trauma</strong></p><p>D Rosenstein, A T Hess, J Zwart, F Ahmed-Leitao, E Meintjies, S Seedat</p><p><strong>25. Schizoaffective disorder in an acute psychiatric unit: Profile of users and agreement with Operational Criteria (OPCRIT)</strong></p><p><strong></strong>R R Singh, U Subramaney</p><p><strong>26. The right to privacy and confidentiality: The ethics of expert diagnosis in the public media and the Oscar Pistorius trial</strong></p><p><strong></strong>C Smith</p><p><strong>27. A birth cohort study in South Africa: A psychiatric perspective</strong></p><p>D J Stein</p><p><strong>28. 'Womb Raiders': Women referred for observation in terms of the Criminal Procedures Act (CPA) charged with fetal abduction and murder</strong></p><p><strong></strong>U Subramaney</p><p><strong>29. Psycho-pharmacology of sleep wake disorders: An update</strong></p><p>R Sykes</p><p><strong>30. Refugee post-settlement in South Africa: Role of adjustment challenges and family in mental health outcomes</strong></p><p><strong></strong>L Thela, A Tomita, V Maharaj, M Mhlongo, K Jonathan</p><p><strong>31. Dstinguishing ADHD symptoms in psychotic disorders: A new insight in the adult ADHD questionnaire</strong></p><p>Y van der Zee, M Borg, J H Hsieh, H Temmingh, D J Stein, F M Howells</p><p><strong>32. Oscar Pistorius ethical dilemmas in a trial by media: Does this include psychiatric evaluation by media?</strong></p><p>M Vorster</p><p><strong>33. Genetic investigation of apetite aggression in South African former young offenders: The involvement of serotonin transporter gene</strong></p><p>K Xulu, J Somer, M Hinsberger, R Weierstall, T Elbert, S Seedat, S Hemmings</p><p><strong>34. Effects of HIV and childhood trauma on brain morphemtry and neurocognitive function</strong></p><p>G Spies, F Ahmed-Leitao, C Fennema-Notestine, M Cherner, S Seedat</p><p><strong>35. Measuring intentional behaviour normative data of a newly developed motor task battery</strong></p><p><strong></strong>S Bakelaar, J Blampain, S Seedat, J van Hoof, Y Delevoye-Turrel</p><p><strong>36. Resilience in social anxiety disorder and post-traumatic stress disorder in the context of childhood trauma</strong></p><p>M Bship, S Bakelaar, D Rosenstein, S Seedat</p><p><strong>37. The ethical dilemma of seclusion practices in psychiatry</strong></p><p>G Chiba, U Subramaney</p><p><strong>38. Physical activity and neurological soft signs in patients with schizophrenia</strong></p><p>O Esan, C Osunbote, I Oladele, S Fakunle, C Ehindero</p><p><strong>39. A retrospective study of completed suicides in the Nelson Mandela Bay Metropolitan Area from 2008 to 2013 - preliminary results</strong></p><p><strong></strong>C Grobler, J Strumpher, R Jacobs</p><p><strong>40. Serotonin transporter variants play a role in anxiety sensitivity in South African adolescents</strong></p><p><strong></strong>S M J Hemmings, L I Martin, L van der Merwe, R Benecke, K Domschke, S Seedat</p><p><strong>41. Investigation of variants within antipsychotic candidate pharmacogenes associated with treatment outcome</strong></p><p>F Higgins, B Drogmoller, G Wright, L van der Merwe, N McGregor, B Chiliza, L Asmal, L Koen, D Niehaus, R Emsley, L Warnich</p><p><strong>42. Effects of diet, smoking and alcohol consumption on disability (EDSS) in people diagnosed with multiple sclerosis</strong></p><p>S Janse van Rensburg, W Davis, D Geiger, F J Cronje, L Whati, M Kidd, M J Kotze</p><p><strong>43. The clinical utility of neuroimaging in an acute adolescnet psychiatric inpatient population</strong></p><p><strong></strong>Z Khan, A Lachman, J Harvey</p><p><strong>44. Relationships between childhood trauma (CT) and premorbid adjustment (PA) in a highly traumatised sample of patients with first-episode schizophrenia (FES</strong>)</p><p>S Kilian, J Burns, S Seedat, L Asmal, B Chiliza, S du Plessis, R Olivier, R Emsley</p><p><strong>45. Functional and cognitive outcomes using an mTOR inhibitor in an adolescent with TSC</strong></p><p>A Lachman, C van der Merwe, P Boyes, P de Vries</p><p><strong>46. Perceptions about adolescent body image and eating behaviour</strong></p><p><strong></strong>K Laxton, A B R Janse van Rensburg</p><p><strong>47. Clinical relevance of FTO rs9939609 as a determinant of cardio-metabolic risk in South African patients with major depressive disorder</strong></p><p>H K Luckhoff, M J Kotze</p><p><strong>48. Childhood abuse and neglect as predictors of deficits in verbal auditory memory in non-clinical adolescents with low anxiety proneness</strong></p><p>L Martin, K Martin, S Seedat</p><p><strong>49. The changes of pro-inflammatory cytokines in a prenatally stressed febrile seizure animal model and whether <em>Rhus chirindensis</em> may attenuate these changes</strong></p><p><strong></strong>A Mohamed, M V Mabandla, L Qulu</p><p><strong>50. Influence of TMPRSS6 A736v and HFE C282y on serum iron parameters and age of onset in patients with multiple sclerosis</strong></p><p><strong></strong>K E Moremi, M J Kotze, H K Luckhoff, L R Fisher, M Kidd, R van Toorn, S Janse van Rensburg</p><p><strong>51. Polypharmacy in pregnant women with serious mental illness</strong></p><p>E Thomas, E du Toit, L Koen, D Niehaus</p><p><strong>52. Infant attachment and maternal depression as predictors of neurodevelopmental and behavioural outcomes at follow-up</strong></p><p>J Nothling, B Laughton, S Seedat</p><p><strong>53. Differences in abuse, neglect and exposure to community violence in adolescents with and without PTSD</strong></p><p><strong></strong>J Nothling, S Suliman, L Martin, C Simmons, S Seedat</p><p><strong>54. Assessment of oxidative stress markers in children with autistic spectrum disorders in Lagos, Nigeria</strong></p><p><strong></strong>Y Oshodi, O Ojewunmi, T A Oshodi, T Ijarogbe, O F Aina, J Okpuzor, O C F E A Lesi</p><p><strong>55. Change in diagnosis and management of 'gender identity disorder' in pre-adolescent children</strong></p><p>S Pickstone-Taylor</p><p><strong>56. Brain network connectivity in women exposed to intimate partner violence</strong></p><p>A Roos, J-P Fouche, B Vythilingum, D J Stein</p><p><strong>57. Prolonged exposure treatment for PTSD in a Third-World, task-shifting, community-based environment</strong></p><p>J Rossouw, E Yadin, I Mbanga, T Jacobs, W Rossouw, D Alexander, S Seedat</p><p><strong>58. Contrasting effects of early0life stress on mitochondrial energy-related proteins in striatum and hippocampus of a rat model of attention-deficit/ hyperactivity disorder</strong></p><p><strong></strong>V Russell, J Dimatelis, J Womersley, T-L Sterley</p><p><strong>59. Attention-deficit hyperactivity disorder in adults: A South African perspective</strong></p><p>R Schoeman, M de Klerk, M Kidd</p><p><strong>60. Cognitive function in women with HIV infection and early-life stress</strong></p><p>G Spies, C Fennema-Notestine, M Cherner, S Seedat</p><p><strong>61. Changes in functional connectivity networks in bipolar disorder patients after mindfulness-based cognitic therapy</strong></p><p>J A Starke, C F Beckmann, N Horn</p><p><strong>62. Post-traumatic stress disorder, overweight and obesity: A systematic review and meta-analysis</strong></p><p><strong></strong>S Suliman, L Anthonissen, J Carr, S du Plessis, R Emsley, S M J Hemmings, C Lochner, N McGregor L van den Heuvel, S Seedat</p><p><strong>63. The brain and behaviour in a third-trimester equivalent animal model of fetal alcohol spectrum disorders</strong></p><p>P C Swart, C B Currin, J J Dimatelis, V A Russell</p><p><strong>64. Irritability Assessment Model (IAM) to monitor irritability in child and adolescent psychiatric disorders.</strong></p><p>D van der Westhuizen</p><p><strong>65. Outcome of parent-adolescent training in chilhood victimisation: Adaptive functioning, psychosocial and physiological variables</strong></p><p>D van der Westhuizen</p><p><strong>66. The effect of ketamine in the Wistar-Kyoto and Sprague Dawley rat models of depression</strong></p><p>P J van Zyl, J J Dimatelis, V A Russell</p><p><strong>67. Investigating COMT variants in anxiety sensitivity in South African adolescents</strong></p><p>L J Zass, L Martin, S Seedat, S M J Hemmings</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong><br /></strong></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p>
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Bruyneel M, Peeters A, Silance PG, Alard S, Horn D. An unusual cause of pulmonary embolism. Thorax 2015; 70:1007-8. [PMID: 25855610 DOI: 10.1136/thoraxjnl-2015-206807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Accepted: 03/19/2015] [Indexed: 11/03/2022]
Affiliation(s)
- M Bruyneel
- Chest Service, CHU Saint Pierre, Brussels, Belgium
| | - A Peeters
- Chest Service, CHU Saint Pierre, Brussels, Belgium
| | - P G Silance
- Department of Cardiology, CHU Saint Pierre, Brussels, Belgium
| | - S Alard
- Department of Radiology, CHU Saint Pierre, Brussels, Belgium
| | - D Horn
- Vascular Surgery Service, CHU Saint Pierre, Brussels, Belgium
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Merwe NVD, Peeters A, Rensburg SV, Pienaar R, Bezuidenhout J, Kotze M. P275 Implications of discordance between reference genomes applied in breast cancer exome sequencing. Breast 2015. [DOI: 10.1016/s0960-9776(15)70307-3] [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: 10/23/2022] Open
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Affiliation(s)
| | | | - L Annemans
- Ghent University & Brussels University, Ghent, Belgium
| | - A Peeters
- Cliniques universitaires Saint-Luc, Bruxelles, Belgium
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Dewilde S, Peeters A, Thijs V, Annemans L, Belgian SCNP. Place Of Residence And Employment Status After Stroke. Value Health 2014; 17:A495. [PMID: 27201486 DOI: 10.1016/j.jval.2014.08.1472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
| | - A Peeters
- Cliniques universitaires Saint-Luc, Bruxelles, Belgium
| | | | - L Annemans
- Ghent University & Brussels University, Ghent, Belgium
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Beauchamp A, Backholer K, Magliano D, Peeters A. The effect of obesity prevention interventions according to socioeconomic position: a systematic review. Obes Rev 2014; 15:541-54. [PMID: 24629126 DOI: 10.1111/obr.12161] [Citation(s) in RCA: 144] [Impact Index Per Article: 14.4] [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] [Received: 10/15/2013] [Revised: 01/01/2014] [Accepted: 01/02/2014] [Indexed: 01/19/2023]
Abstract
Obesity prevention is a major public health priority. It is important that all groups benefit from measures to prevent obesity, but we know little about the differential effectiveness of such interventions within particular population subgroups. This review aimed to identify interventions for obesity prevention that evaluated a change in adiposity according to socioeconomic position (SEP) and to determine the effectiveness of these interventions across different socioeconomic groups. A systematic search of published and grey literature was conducted. Studies that described an obesity prevention intervention and reported anthropometric outcomes according to a measure of SEP were included. Evidence was synthesized using narrative analysis. A total of 14 studies were analysed, representing a range of study designs and settings. All studies were from developed countries, with eight conducted among children. Three studies were shown to have no effect on anthropometric outcomes and were not further analysed. Interventions shown to be ineffective in lower SEP participants were primarily based on information provision directed at individual behaviour change. Studies that were shown to be effective in lower SEP participants primarily included community-based strategies or policies aimed at structural changes to the environment. Interventions targeting individual-level behaviour change may be less successful in lower SEP populations. It is essential that our efforts to prevent obesity do not leave behind the most disadvantaged members of society.
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Affiliation(s)
- A Beauchamp
- Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Population Health Strategic Research Centre, Deakin University, Melbourne, Victoria, Australia
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Mpembi Nkosi M, Mampunza Ma Miezi S, Massamba Kubuta V, Matonda Ma Nzuzi T, Dubois V, De Partz MP, Peeters A, Macq J, Constant E. [Clinical course of post-stroke depression in Kinshasa]. Rev Neurol (Paris) 2014; 170:614-20. [PMID: 24854963 DOI: 10.1016/j.neurol.2014.03.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Revised: 02/24/2014] [Accepted: 03/04/2014] [Indexed: 01/09/2023]
Abstract
OBJECTIVES To describe the evolution of the clinical profile of post-stroke depression over a period of one year and to determine factors associated with changes in post-stroke depression. METHODS Prospective cohort study with a follow-up of 1year including 30 consecutive eligible patients. The severity of depression was assessed with the patient health questionnaire (PHQ9). RESULTS The mean age was 55.87±12.67years. Seventy percent of patients were men. The two assessments for neurological status, perceived health status and test results of attention were not statistically different. The rate of depressive symptoms was 26.67% in 2011 and 20% in 2012. Disability and apathy were significantly improved. The average for disability increased from 2.77±1.19 to 2.46±2.19 (P=0.002). From 66.7% in 2011, the proportion of patients able to walk without assistance rose to 93.3% in 2012 (P=0.03). In addition, the proportion of patients apathetic decreased from 43.3% to 13.3% (P=0.01). Greater age, female sex, sleep disorders and post-stroke apathy remained associated with DPAVC between the two assessments, with an increase in the strength of the association for apathy. CONCLUSIONS The frequency of post-stroke depression is high and remains stable over time. Disability is the clinical feature that evolved more favorably. The association with apathy, present at the beginning, of the study was strengthened one year later.
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Affiliation(s)
- M Mpembi Nkosi
- Département de psychiatrie, université catholique de Louvain, institut de recherche santé publique, santé et société, place de l'Université 1, 1348 Louvain-La-Neuve, Belgique; Département de psychiatrie, université de Kinshasa, Lemba, Kinshasa, Congo.
| | | | - V Massamba Kubuta
- École de santé publique, université Libre de Bruxelles, avenue Franklin-Roosevelt 50, 1050 Bruxelles, Belgique
| | - T Matonda Ma Nzuzi
- Département de psychiatrie, université catholique de Louvain, institut de recherche santé publique, santé et société, place de l'Université 1, 1348 Louvain-La-Neuve, Belgique; Département de psychiatrie, université de Kinshasa, Lemba, Kinshasa, Congo
| | - V Dubois
- Département de psychiatrie, université catholique de Louvain, institut de recherche santé publique, santé et société, place de l'Université 1, 1348 Louvain-La-Neuve, Belgique
| | - M-P De Partz
- Unité de neuropsychologie, université catholique de Louvain, cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Woluwe-Saint-Lambert, Belgique
| | - A Peeters
- Département de neurologie, université catholique de Louvain, place de l'Université 1, 1348 Louvain-La-Neuve, Belgique
| | - J Macq
- Université catholique de Louvain, institut de recherche santé publique santé et société, Clos Chapelle-aux-Champs, 30 boîte 3016, 1200 Bruxelles, Belgique
| | - E Constant
- Département de psychiatrie, université catholique de Louvain, institut de recherche santé publique, santé et société, place de l'Université 1, 1348 Louvain-La-Neuve, Belgique
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Madjid IS, Backholer K, Williams ED, Magliano DJ, Shaw JE, Peeters A. The effect of educational status on the relationship between obesity and risk of type 2 diabetes. Obes Res Clin Pract 2014; 8:e172-7. [PMID: 24743013 DOI: 10.1016/j.orcp.2013.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2012] [Revised: 04/23/2013] [Accepted: 04/24/2013] [Indexed: 12/18/2022]
Abstract
OBJECTIVE Obesity trends are likely to increase social disparities in diabetes. The magnitude of this effect depends on the strength of the relationship between obesity and diabetes across categories of disadvantage. This study aims to test the hypothesis that education level moderates the association between obesity and fasting plasma glucose (FPG), 2-h plasma glucose (2hPG), HbA1c level, and diabetes prevalence. METHODS We used the baseline data from the Australian Obesity, Diabetes, and Lifestyle study in 2000 (n = 8646). We performed multiple linear regression analysis adjusted for confounding factors and stratified by education level. Body mass index (BMI) and waist circumference (WC) were positively associated with FPG, 2hPG, HbA1c and prevalence of diabetes. RESULTS No moderating effect of education on these relationships was observed in the total population. In never smokers free of diagnosed diabetes at baseline the association of WC with 2hPG and HbA1c and of BMI with HbA1c was stronger in those with a lower level of education. CONCLUSIONS Overall, these results suggest that the association between obesity and diabetes risk is independent of educational status. However, inconsistent results suggest that further analyses of an adequately powered longitudinal study of never smokers free of diabetes would be useful to further explore this hypothesis.
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Affiliation(s)
- I S Madjid
- Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - K Backholer
- Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - E D Williams
- Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - D J Magliano
- Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - J E Shaw
- Baker IDI Heart and Diabetes Institute, Melbourne, Australia
| | - A Peeters
- Baker IDI Heart and Diabetes Institute, Melbourne, Australia
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Baram S, Kurtzman D, Ronen Z, Peeters A, Dahan O. Assessing the impact of dairy waste lagoons on groundwater quality using a spatial analysis of vadose zone and groundwater information in a coastal phreatic aquifer. J Environ Manage 2014; 132:135-144. [PMID: 24295724 DOI: 10.1016/j.jenvman.2013.11.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 02/25/2013] [Revised: 11/01/2013] [Accepted: 11/09/2013] [Indexed: 06/02/2023]
Abstract
Dairy waste lagoons are considered to be point sources of groundwater contamination by chloride (Cl(-)), different nitrogen-species and pathogens/microorganisms. The objective of this work is to introduce a methodology to assess the past and future impacts of such lagoons on regional groundwater quality. The method is based on a spatial statistical analysis of Cl(-) and total nitrogen (TN) concentration distributions in the saturated and the vadose (unsaturated) zones. The method provides quantitative data on the relation between the locations of dairy lagoons and the spatial variability in Cl(-) and TN concentrations in groundwater. The method was applied to the Beer-Tuvia region, Israel, where intensive dairy farming has been practiced for over 50 years above the local phreatic aquifer. Mass balance calculations accounted for the various groundwater recharge and abstraction sources and sinks in the entire region. The mass balances showed that despite the small surface area covered by the dairy lagoons in this region (0.8%), leachates from lagoons have contributed 6.0% and 12.6% of the total mass of Cl(-) and TN (mainly as NO3(-)-N) added to the aquifer. The chemical composition of the aquifer and vadose zone water suggested that irrigated agricultural activity in the region is the main contributor of Cl(-) and TN to the groundwater. A low spatial correlation between the Cl(-) and NO3(-)-N concentrations in the groundwater and the on-land location of the dairy farms strengthened this assumption, despite the dairy waste lagoon being a point source for groundwater contamination by Cl(-) and NO3(-)-N. Mass balance calculations, for the vadose zone of the entire region, indicated that drying of the lagoons would decrease the regional groundwater salinization process (11% of the total Cl(-) load is stored under lagoons). A more considerable reduction in the groundwater contamination by NO3(-)-N is expected (25% of the NO3(-)-N load is stored under lagoons). Results demonstrate that analyzing vadose zone and groundwater data by spatial statistical analysis methods can significantly contribute to the understanding of the relations between groundwater contaminating sources, and to assessing appropriate remediation steps.
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Affiliation(s)
- S Baram
- Department of Environmental Hydrology & Microbiology, Zuckerberg Institute for Water Research, Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Midreshet Ben-Gurion, 84990, Israel.
| | - D Kurtzman
- Institute of Soil, Water and Environmental Sciences, Agricultural Research Organization, The Volcani Center, Bet Dagan 50250, Israel.
| | - Z Ronen
- Department of Environmental Hydrology & Microbiology, Zuckerberg Institute for Water Research, Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Midreshet Ben-Gurion, 84990, Israel.
| | - A Peeters
- Unit of Desert Architecture and Urban Planning, The Swiss Institute for Dryland Environmental and Energy Research, J. Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer Campus, 84990, Israel.
| | - O Dahan
- Department of Environmental Hydrology & Microbiology, Zuckerberg Institute for Water Research, Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Midreshet Ben-Gurion, 84990, Israel.
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Tanamas S, Shaw J, Backholer K, Magliano D, Peeters A. Weight change, waist circumference change and incident of obesity in Australian adults between 1999 and 2012: The Australian diabetes, obesity and lifestyle (AusDiab) study. Obes Res Clin Pract 2013. [DOI: 10.1016/j.orcp.2013.08.083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wijaya R, Peeters A, Backholer K. To what extent does diet quality and total energy intake explain the relationship between education and weight change in the Australian population? Obes Res Clin Pract 2013. [DOI: 10.1016/j.orcp.2013.08.059] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ng W, Peeters A, Freak-Poli R. The prevalence and characteristics associated with excessive daytime sleepiness among Australian workers. Obes Res Clin Pract 2013. [DOI: 10.1016/j.orcp.2013.08.054] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Octaviani S, Backholer K, Peeters A. The extent to which physical activity and sedentary time explain the relationship between socio-economic position and weight change. Obes Res Clin Pract 2013. [DOI: 10.1016/j.orcp.2013.08.073] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Crammond B, Van C, Allender S, Peeters A, Lawrence M, Sacks G, Mavoa H, Swinburn BA, Loff B. The possibility of regulating for obesity prevention--understanding regulation in the Commonwealth Government. Obes Rev 2013; 14:213-21. [PMID: 23171416 DOI: 10.1111/obr.12004] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2012] [Revised: 09/19/2012] [Accepted: 10/13/2012] [Indexed: 10/27/2022]
Abstract
A complex regulatory package is likely to be necessary to effectively reduce obesity prevalence in developed countries. This study investigated the barriers and facilitators to implementing regulatory interventions to prevent obesity within the executive arm of the Australian Commonwealth Government. Policy reviews were conducted on nine government departments to understand their roles and interests in obesity. From this process we identified regulatory review carried out by the Office of Best Practice Regulation as possibly posing a barrier to law reform for obesity prevention, along with the complexity of the food policymaking structures. The policy reviews informed subsequent in-depth semi-structured interviews with senior Commonwealth government officers (n = 13) focused on refining our understanding of the barriers to enacting obesity prevention policy. In addition to the two barriers already identified, interviewees identified a lack of evidence for interventions, which would reduce obesity prevalence, and the influence of politicians on executive decisions as posing obstacles. Most interviewees believed that the barriers to regulating to prevent obesity were strong and that intervention by elected politicians would be the most likely method of implementing obesity prevention policy.
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Affiliation(s)
- B Crammond
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
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Douxfils J, Michel S, Beauloye C, Goethals M, Hainaut P, Heidbuchel H, Hermans C, Ickx B, Jochmans K, Mottes S, Mullier F, Peeters A, Scavée C, Sinnaeve P, Sprynger M, Thijs V, Vandenbroeck C, Vandermeulen E, Verhamme P, Dogné JM. [Rivaroxaban: Xarelto--recommendations for pharmacists]. J Pharm Belg 2013:28-36. [PMID: 23638610] [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: 06/02/2023]
Abstract
Rivaroxaban is one of the new oral anticoagulants (NOACs). It has many potential advantages in comparison with Vitamin K Antagonists (VKA). It has a predictable anticoagulant effect and does not theoretically require biological monitoring. It is also characterized by less food and drug interactions. However, due to major risks associated with over- and under-dosage, its optimal use in patients should be carefully followed by health care professionals. The aim of this article is to provide recommendations for pharmacists on the practical use of Xarelto in its different approved indications. This document is adapted from the practical user guide of rivaroxaban which was developed by an independent group of Belgian experts in the field of thrombosis and haemostasis.
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Affiliation(s)
- J Douxfils
- Département de pharmacie, Université de Namur, Namur
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Lefebvre S, Laloux P, Peeters A, Desfontaines P, Jamart J, Vandermeeren Y. Dual-tDCS Enhances Online Motor Skill Learning and Long-Term Retention in Chronic Stroke Patients. Front Hum Neurosci 2013; 6:343. [PMID: 23316151 PMCID: PMC3541043 DOI: 10.3389/fnhum.2012.00343] [Citation(s) in RCA: 88] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2012] [Accepted: 12/13/2012] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Since motor learning is a key component for stroke recovery, enhancing motor skill learning is a crucial challenge for neurorehabilitation. Transcranial direct current stimulation (tDCS) is a promising approach for improving motor learning. The aim of this trial was to test the hypothesis that dual-tDCS applied bilaterally over the primary motor cortices (M1) improves online motor skill learning with the paretic hand and its long-term retention. METHODS Eighteen chronic stroke patients participated in a randomized, cross-over, placebo-controlled, double bind trial. During separate sessions, dual-tDCS or sham dual-tDCS was applied over 30 min while stroke patients learned a complex visuomotor skill with the paretic hand: using a computer mouse to move a pointer along a complex circuit as quickly and accurately as possible. A learning index involving the evolution of the speed/accuracy trade-off was calculated. Performance of the motor skill was measured at baseline, after intervention and 1 week later. RESULTS After sham dual-tDCS, eight patients showed performance worsening. In contrast, dual-tDCS enhanced the amount and speed of online motor skill learning compared to sham (p < 0.001) in all patients; this superiority was maintained throughout the hour following. The speed/accuracy trade-off was shifted more consistently after dual-tDCS (n = 10) than after sham (n = 3). More importantly, 1 week later, online enhancement under dual-tDCS had translated into superior long-term retention (+44%) compared to sham (+4%). The improvement generalized to a new untrained circuit and to digital dexterity. CONCLUSION A single-session of dual-tDCS, applied while stroke patients trained with the paretic hand significantly enhanced online motor skill learning both quantitatively and qualitatively, leading to successful long-term retention and generalization. The combination of motor skill learning and dual-tDCS is promising for improving post-stroke neurorehabilitation.
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Affiliation(s)
- S Lefebvre
- Neurology Department, CHU Mont-Godinne UCL, Université catholique de Louvain (UCL) Yvoir, Belgium ; Institute of Neuroscience (IoNS) UCL Brussels, Belgium
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Backholer K, Peeters A, Shaw J, Magliano D. The effect of obesity prevention and treatment strategies on the future population prevalence of diabetes among Australian adults. Obes Res Clin Pract 2012. [DOI: 10.1016/j.orcp.2012.08.088] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Freak-Poli R, Peeters A. Is change in waist circumference associated with change in well-being during a health program? Obes Res Clin Pract 2012. [DOI: 10.1016/j.orcp.2012.08.127] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Abstract
Obesity is well recognized as a significant risk factor for certain cancers; however, a corresponding risk reduction with weight loss is not yet clearly defined. This review aims to examine the literature investigating the effect of all types of weight loss on cancer incidence and mortality, and to more clearly describe the relationship between these two factors. A literature search identified 34 publications reporting weight loss data in relation to cancer incidence or mortality. All except one were observational studies and the majority used self-reported weights and did not define intentionality of weight loss. 16/34 studies found a significant inverse association between weight loss and cancer incidence or mortality. The remainder returned null findings. The observed association was more consistently seen in studies that investigated the effect of intentional weight loss (5/6 studies) and the risk reduction was greatest for obesity-related cancers and in women. In conclusion, intentional weight loss does result in a decreased incidence of cancer, particularly female obesity-related cancers. However, there is a need for further evaluation of sustained intentional weight loss in the obese with less reliance on self-reported weight data and more focus on male populations.
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Affiliation(s)
- S Birks
- Monash University, Centre for Obesity Research and Education (CORE), Melbourne, Victoria, Australia.
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Backholer K, Wong E, Freak-Poli R, Walls HL, Peeters A. Increasing body weight and risk of limitations in activities of daily living: a systematic review and meta-analysis. Obes Rev 2012; 13:456-68. [PMID: 22212629 DOI: 10.1111/j.1467-789x.2011.00970.x] [Citation(s) in RCA: 82] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This study examined the relationship between normal weight, overweight and obesity class I and II+, and the risk of disability, which is defined as impairment in activities of daily living (ADL). Systematic searching of the literature identified eight cross-sectional studies and four longitudinal studies that were comparable for meta-analysis. An additional four cross-sectional studies and one longitudinal study were included for qualitative review. Results from the meta-analysis of cross-sectional studies revealed a graded increase in the risk of ADL limitations from overweight (1.04, 95% confidence interval [CI] 1.00-1.08), class I obesity (1.16, 95% CI 1.11-1.21) and class II+ obesity (1.76, 95% CI 1.28-2.41), relative to normal weight. Meta-analyses of longitudinal studies revealed a similar graded relationship; however, the magnitude of this relationship was slightly greater for all body mass index categories. Qualitative analysis of studies that met the inclusion criteria but were not compatible for meta-analysis supported the pooled results. No studies identified met all of the pre-defined quality criteria, and subgroup analysis was inhibited due to insufficient comparable studies. We conclude that increasing body weight increases the risk of disability in a graded manner, but also emphasize the need for additional studies using contemporary longitudinal cohorts with large numbers of obese class III individuals, a range of ages and with measured height and weight, and incident ADL questions.
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Affiliation(s)
- K Backholer
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
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Werring D, Gregoire SM, Charidimou A, Gadapa N, Dolan E, Antoun N, Peeters A, Vandermeeren Y, Laloux P, Baron JC, Jager HR. 013 Acute ischaemic brain lesions in intracerebral haemorrhage: multicentre cross-sectional MRI study. J Neurol Neurosurg Psychiatry 2012. [DOI: 10.1136/jnnp-2011-301993.55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Shill J, Mavoa H, Allender S, Lawrence M, Sacks G, Peeters A, Crammond B, Swinburn B. Government regulation to promote healthy food environments--a view from inside state governments. Obes Rev 2012; 13:162-73. [PMID: 21955783 DOI: 10.1111/j.1467-789x.2011.00937.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Food policy interventions are an important component of obesity-prevention strategies and can potentially drive positive changes in obesogenic environments. This study sought to identify regulatory interventions targeting the food environment, and barriers/facilitators to their implementation at the Australian state government level. In-depth interviews were conducted with senior representatives from state/territory governments, statutory authorities and non-government organizations (n =45) to examine participants' (i) suggestions for regulatory interventions for healthier food environments and (ii) support for pre-selected regulatory interventions derived from a literature review. Data were analysed using thematic and constant comparative analyses. Interventions commonly suggested by participants were regulating unhealthy food marketing; limiting the density of fast food outlets; pricing reforms to decrease fruit/vegetable prices and increase unhealthy food prices; and improved food labelling. The most commonly supported pre-selected interventions were related to food marketing and service. Primary production and retail sector interventions were least supported. The dominant themes were the need for whole-of-government and collaborative approaches; the influence of the food industry; conflicting policies/agenda; regulatory challenges; the need for evidence of effectiveness; and economic disincentives. While interventions such as public sector healthy food service policies were supported by participants, marketing restrictions and fiscal interventions face substantial barriers including a push for deregulation and private sector opposition.
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Affiliation(s)
- J Shill
- WHO Collaborating Centre for Obesity Prevention, Deakin University, Burwood, Victoria, Australia.
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