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Murrell DF, Lucky AW, Salas-Alanis JC, Woodley DT, Palisson F, Natsuga K, Nikolic M, Ramirez-Quizon M, Paller AS, Lara-Corrales I, Barzegar MA, Sprecher E, Has C, Laimer M, Bruckner AL, Bilgic A, Nanda A, Purvis D, Hovnanian A, Murat-Sušić S, Bauer J, Kern JS, Bodemer C, Martin LK, Mellerio J, Kowaleski C, Robertson SJ, Bruckner-Tuderman L, Pope E, Marinkovich MP, Tang JY, Su J, Uitto J, Eichenfield LF, Teng J, Aan Koh MJ, Lee SE, Khuu P, Rishel HI, Sommerlund M, Wiss K, Hsu CK, Chiu TW, Martinez AE. Multidisciplinary care of epidermolysis bullosa during the COVID-19 pandemic-Consensus: Recommendations by an international panel of experts. J Am Acad Dermatol 2020; 83:1222-1224. [PMID: 32682031 PMCID: PMC7363613 DOI: 10.1016/j.jaad.2020.06.1023] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 06/27/2020] [Accepted: 06/29/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Dedee F Murrell
- Department of Dermatology, St George Hospital, University of New South Wales, Sydney, New South Wales, Australia.
| | - Anne W Lucky
- Cincinnati Children's Epidermolysis Bullosa Center, Cincinnati Children's Hospital, Cincinnati, Ohio
| | - Julio C Salas-Alanis
- DebRA (Dystrophic Epidermolysis Bullosa Research Association) Mexico, Monterrey, Mexico
| | - David T Woodley
- Department of Dermatology, University of Southern California, Los Angeles, California
| | - Francis Palisson
- Dystrophic Epidermolysis Bullosa Research Association DebRA (Dystrophic Epidermolysis Bullosa Research Association) Chile; Clinica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Ken Natsuga
- Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | - Milos Nikolic
- Deptartment of Dermatovenereology, University of Belgrade School of Medicine, Belgrade, Serbia
| | - Mae Ramirez-Quizon
- Department of Dermatology, University of the Philippines, Philippines General Hospital, Manila, Philippines
| | - Amy S Paller
- Departments of Dermatology and Pediatrics, Children's Hospital, Northwestern University, Chicago, Illinois
| | - Irene Lara-Corrales
- Section of Dermatology, Hospital for Sick Children, Toronto, Ontario, Canada
| | | | - Eli Sprecher
- Department of Dermatology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Cristina Has
- Department of Dermatology, Medical Center-University of Freiburg, Freiburg, Germany
| | - Martin Laimer
- EB Haus, Department of Dermatology, Paracelsus University, Salzburg, Austria
| | - Anna L Bruckner
- Pediatric Dermatology Department, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado
| | - Asli Bilgic
- Department of Dermatology, Akdeniz University, Antalya, Turkey
| | - Arti Nanda
- Pediatric Dermatology Unit, As'ad Al-Hamad Dermatology Center, Kuwait
| | - Diana Purvis
- Department of Dermatology, Starship Children's Health, Auckland, New Zealand
| | - Alain Hovnanian
- Department of Genetics, Institut National de la Santé et de la Recherche Médicale Unité Mixte de Recherche 1163, Laboratory of Genetic Skin Diseases, Paris, France; Institut des Maladies Génétiques (IMAGINE), University of Paris, Paris, France
| | | | - Johannes Bauer
- EB Haus, Department of Dermatology, Paracelsus University, Salzburg, Austria
| | - Johannes S Kern
- Dermatology Department, The Royal Melbourne Hospital, Melbourne, Victoria, Australia; The University of Melbourne, Parkville, Victoria, Australia
| | - Christine Bodemer
- Department of Dermatology, Necker Enfants Malades Hospital, University of Paris, Paris, France; Reference Centre for Genodermatoses and Rare Skin Diseases (MAGEC), Paris, France
| | - Linda K Martin
- Department of Dermatology, Sydney Children's Hospital, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia
| | - Jemima Mellerio
- Adult Epidermolysis Bullosa Service, St John's Institute of Dermatology, St Thomas' Hospital, London, United Kingdom
| | - Cezary Kowaleski
- Department of Dermatology and Immunodermatology, University of Warsaw, Warsaw, Poland
| | - Susan J Robertson
- Dermatology Department, The Royal Melbourne Hospital, Melbourne, Victoria, Australia; Department of Dermatology, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | | | - Elena Pope
- Section of Dermatology, Hospital for Sick Children, Toronto, Ontario, Canada
| | - M Peter Marinkovich
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | - Jean Y Tang
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | - John Su
- The University of Melbourne, Parkville, Victoria, Australia; Monash University, Eastern Health, Melbourne, Victoria, Australia
| | - Jouni Uitto
- Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania
| | - Lawrence F Eichenfield
- Departments of Dermatology and Pediatrics, University of California, San Diego, California; Department of Pediatric Dermatology, Rady Children's Hospital, San Diego, California
| | - Joyce Teng
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | | | - Sang Eun Lee
- Department of Dermatology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
| | - Phuong Khuu
- Department of Dermatology, Stanford University Medical Center, Palo Alto, California
| | - Heather I Rishel
- Rishel Pediatric Dermatology, PC, Rishel Enterprises, LLC, San Francisco, California
| | - Mette Sommerlund
- Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark
| | - Karen Wiss
- Department of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts
| | - Chao-Kai Hsu
- Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Tor Wo Chiu
- Chinese University of Hong Kong, Hong Kong, China
| | - Anna E Martinez
- Paediatric Dermatology Department, Great Ormond Street National Health Service Foundation Trust, London, United Kingdom
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White SA, Ward N, Verghese J, Kramer AF, Grandjean da Costa K, Liu CK, Kowaleski C, Reid KF. NUTRITIONAL RISK STATUS, DIETARY INTAKE AND COGNITIVE PERFORMANCE IN OLDER ADULTS WITH MOTORIC COGNITIVE RISK SYNDROME. JAR Life 2020; 9:47-54. [PMID: 36034540 PMCID: PMC9410506 DOI: 10.14283/jarlife.2020.10] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background Modifiable lifestyle factors such as diet are associated with cognitive decline and dementia. Greater understanding of the nutritional intake of older adults who are at increased risk for cognitive decline may allow for the development of more effective dietary interventions to prevent or delay the onset of dementia. Objectives The purpose of this study was to characterize the nutritional status, diet quality and individual nutritional components of older adults with motoric cognitive risk syndrome (MCR). MCR is a pre-dementia syndrome classified by slow gait speed and subjective memory impairments. Design Cross-sectional analysis. Setting A community-based senior center located in an urban setting. Participants Twenty-five community-dwelling older adults with MCR aged 60-89 yrs. Measurements Nutritional risk status was determined using the Nestle Mini Nutritional Assessment (MNA). A food frequency questionnaire was used to quantify: overall dietary quality using the Healthy Eating Index (HEI); adherence to the Mediterranean-DASH for Neurodegenerative Delay (MIND) dietary pattern; and intake of individual nutritional components shown to be protective or harmful for cognitive function in older adults. Participants completed a computerized cognitive testing battery to assess cognitive abilities. Results More than one third (36%) of participants were at increased risk for malnutrition. Participants at lower risk for malnutrition had better working memory (r = 0.40, p = 0.04), executive functioning (r = 0.44, p = 0.03), and overall cognition (r = 0.44, p = 0.03). While participants generally consumed a reasonable quality diet (HEI = 65.15), 48% of participants had poor adherence to a neuroprotective MIND dietary pattern. Higher intake of B-complex vitamins was associated with better task switching (r = 0.40, p ≤ 0.05) and faster processing speeds (r = 0.39, p ≤ 0.05). Higher vitamin C intake was associated with better executive functioning (r = 0.40, p ≤ 0.05). Conclusions Our findings suggest that a significant proportion of older adults with MCR may be at increased risk for malnutrition. While the diet quality of older adults with MCR appeared to need improvement, future studies should investigate the effects of more specific nutritional interventions, including the MIND diet, on cognition in at-risk older adults.
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Affiliation(s)
- S A White
- Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human, Nutrition Research on Aging at Tufts University, Boston, MA, USA
| | - N Ward
- Tufts University Department of Psychology, Medford, MA, USA
| | - J Verghese
- Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.,Institute of Aging Research, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA
| | - A F Kramer
- Department of Psychology, Northeastern University, Boston, MA, USA.,Beckman Institute, University of Illinois, Urbana, Illinois, USA
| | | | - C K Liu
- Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human, Nutrition Research on Aging at Tufts University, Boston, MA, USA.,Stanford University School of Medicine, Stanford, CA, USA
| | - C Kowaleski
- City of Somerville Council on Aging, Health and Human Services Department, Somerville, MA, USA
| | - K F Reid
- Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human, Nutrition Research on Aging at Tufts University, Boston, MA, USA
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Laussen J, Kowaleski C, Martin K, Hickey C, Fielding RA, Reid KF. Disseminating a Clinically Effective Physical Activity Program to Preserve Mobility in a Community Setting for Older Adults. J Frailty Aging 2016; 5:82-7. [PMID: 27224498 DOI: 10.14283/jfa.2016.94] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND As the population of older adults continues to increase, the dissemination of strategies to maintain independence of older persons is of critical public health importance. Recent large-scale clinical trial evidence has definitively shown intervention of moderate-intensity physical activity (PA) reduces major mobility disability in at-risk older adults. However, it remains unknown whether structured PA interventions, with demonstrated efficacy in controlled, clinical environments, can be successfully disseminated into community settings to benefit wider populations of older adults. OBJECTIVE To assess the dissemination of an evidence-based PA program for older adults by evaluating program participation and its impact on mobility, strength and quality of life. SETTING An urban senior center. PARTICIPANTS Fifty older adults (71.2 ± 8 years aged; BMI: 30.1 ± 7 kg/m2). INTERVENTION Average of 8.0 ± 1.8 months of participation in the Fit-4-Life Program, a community-based PA and nutrition counseling intervention. MEASUREMENTS Mobility (Short Physical Performance Battery (SPPB)), self-reported physical activity (CHAMPS questionnaire), leg strength, grip strength, and quality of life (Quality of Well-Being Self-Administered (QWB-SA) scale) were assessed at baseline and follow-up. RESULTS Mean attendance was 55.8%. Fourteen participants were lost to follow-up. Those who dropped-out engaged in less PA at baseline (78 ± 108 mins/wk) compared to those who completed follow-up (203 ± 177 mins/wk, P=0.01). Participants exhibited sustained increases of PA (65 ± 153 mins/wk, P= 0.08), and there were meaningful improvements in SPPB (0.5 ± 0.2, P< 0.01), knee extensor strength (2.6 ± 4.4 kg, P< 0.01) and QWB-SA (0.04 ± 0.09, P= 0.05). CONCLUSION The dissemination of a clinically efficacious PA intervention into a community-based setting can improve mobility, strength and quality of life for older adults. This knowledge may be helpful for the design and implementation of larger-scale PA intervention studies designed to preserve mobility in older adults within community-based settings.
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Affiliation(s)
- J Laussen
- Kieran Reid, PhD, MPH, Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, 711 Washington Street, Boston, MA 02111, USA, Phone: +1-617-556-3081, Fax: +1-617-556-3083, E-mail:
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