Medicine and Health Sciences Commons^™

Prevalence And Correlates Of Psychological Distress Among Diabetes Mellitus Adults In The Jilin Province In China: A Cross-Sectional Study, Shuang Qiu, Xuan Hong Sun, Wen Ya Liu, Joseph Sam Kanu, Ri Li, Qin Ya Yu, Xu-Feng Huang, Bo Li, Yang Xiang Zhang

Illawarra Health and Medical Research Institute

Background: Psychological disorders are common in diabetes mellitus (DM) patients, and the aim of this study was to estimate the prevalence of psychological distress and to determine the influence factors associated with psychological distress among DM patients in the Jilin province of China.

Methods and Materials: Multistage, stratified cluster sampling was used in this cross-sectional study. The 12-item General Health Questionnaire (GHQ-12) was used to assess psychological status with the total score of ≥4 as the threshold for psychological distress.

Results: A total of 1,956 subjects with DM were included in the study. Out of this total diabetic …

A Diet Enriched With Red Sorghum Flaked Biscuits, Compared To A Diet Containing White Wheat Flaked Biscuits, Does Not Enhance The Effectiveness Of An Energy-Restricted Meal Plan In Overweight And Mildly Obese Adults, Anita Stefoska-Needham, Eleanor J. Beck, Stuart K. Johnson, Marijka Batterham, Ross Grant, John F. Ashton, Linda C. Tapsell

Illawarra Health and Medical Research Institute

Objectives: Whole grain sorghum is a promising ingredient in foods, especially those targeting satiety and weight control. This study aimed to test weight loss effects of a whole grain red sorghum product incorporated into an energy-restricted diet.

Methods: Sixty subjects (46 females) were randomized to either a sorghum (intervention) or white wheat (control) group, receiving 45 g of flaked cereal biscuits to include daily in their prescribed diets for 12 weeks. Primary outcome was weight loss. Secondary outcomes included plasma glucose, glycosylated hemoglobin (HbA1c), insulin, total cholesterol, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), triacylglycerides (TAG), interleukin (IL)-1β, …

Relationship Between Sodium And Potassium Intake And Blood Pressure In A Sample Of Overweight Adults, Rhoda Ndanuko, Linda C. Tapsell, Karen E. Charlton, Elizabeth Neale, Katrina M. O'Donnell, Marijka Batterham

Faculty of Science, Medicine and Health - Papers: part A

Objective: The aim of this study was to examine the relationship between sodium and potassium intakes and blood pressure (BP) in a clinical sample.

Methods: Secondary analysis of baseline data from 328 participants (mean age: 43.6 ± 8 y, mean body mass index [BMI]: 32.4 ± 4.2 kg/m², mean systolic BP [SBP]/diastolic BP [DBP]: 124.9 ± 14.5/73.3 ± 9.9 mm Hg) of the 12-mo HealthTrack randomized controlled weight loss trial was conducted. Resting BP and 24-h urine sodium and potassium were measured. Dietary intake was evaluated with 4-d food records and self-reported diet histories.

Results: Urinary sodium was …

Efficacy Of The Herpes Zoster Subunit Vaccine In Adults 70 Years Of Age Or Older, A L Cunningham, Himal Lal, Martina Kovac, Roman Chlibek, Shinn-Jang Hwang, Javier Diez-Domingo, Olivier Godeaux, Myron J. Levin, Janet E. Mcelhaney, Joan Puig-Barbera, Wilfred W. Yeo

Illawarra Health and Medical Research Institute

BACKGROUND A trial involving adults 50 years of age or older (ZOE-50) showed that the herpes zoster subunit vaccine (HZ/su) containing recombinant varicella-zoster virus glycoprotein E and the AS01B adjuvant system was associated with a risk of herpes zoster that was 97.2% lower than that associated with placebo. A second trial was performed concurrently at the same sites and examined the safety and efficacy of HZ/su in adults 70 years of age or older (ZOE-70). METHODS This randomized, placebo-controlled, phase 3 trial was conducted in 18 countries and involved adults 70 years of age or older. Participants received two doses …

A 6-Month Randomised Controlled Trial Investigating Effects Of Mediterranean-Style Diet And Fish Oil Supplementation On Dietary Behaviour Change, Mental And Cardiometabolic Health And Health-Related Quality Of Life In Adults With Depression (Helfimed): Study Protocol, Dorota M. Zarnowiecki, Jihyun Cho, Amy Wilson, Svetlana Bogomolova, Anthony Villani, Catherine Itsiopoulos, Theo Niyonsenga, Kerin O'Dea, Sarah Blunden, Barbara J. Meyer, Leonie Segal, Natalie Parletta

Faculty of Science, Medicine and Health - Papers: part A

Background: Modern diets, characterised by excess consumption of processed foods, are accompanied by an epidemic of chronic diseases. Cardiovascular disease and depression carry a large burden of disease and often occur together. Poor dietary patterns have been identified as an independent risk factor for depression while healthy diets with minimally processed food are protective. Traditional Mediterranean diets have been shown to reduce risk of cardiovascular disease; however there is a need for clinical trials in people with depression. This paper reports the study protocol of a Mediterranean-style diet intervention conducted in adults with self-reported depression. Methods/design: HELFIMED is a parallel …

Identification Of Dietary Patterns Associated With Blood Pressure In A Sample Of Overweight Australian Adults, Shirin Anil, Karen E. Charlton, Linda C. Tapsell, Yasmine Probst, Rhoda Ndanuko, Marijka Batterham

Illawarra Health and Medical Research Institute

The dietary approaches to stop hypertension (DASH) diet provides strong evidence for an optimal dietary pattern for blood pressure (BP) control; however, investigation at the level of key foods in a dietary pattern is sparse. This study aimed to assess the relationship between dietary patterns driven by key foods with BP in a sample of obese Australian adults. Secondary analysis was conducted on baseline data of 118 participants (45.1±8.4 years, mean BP=124.1±15.8/72.6±9.2 mm Hg) recruited in a weight reduction randomized controlled trial (ACTRN12608000425392). Dietary assessment was by a validated diet history interview. The average of three office BP measurements was …

Feasibility Of Home-Based Dietetic Intervention To Improve The Nutritional Status Of Older Adults Post-Hospital Discharge, Aliza Haslinda Hamirudin, Karen L. Walton, Karen E. Charlton, Amanda Carrie, Linda C. Tapsell, Marianna Milosavljevic, Glen Pang, Jan M. Potter

Illawarra Health and Medical Research Institute

Aim To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation.

Methods The Department of Veterans' Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales, Australia (n = 32 men, n = 36 women). Nutritional status was assessed at home at baseline (within two weeks post-discharge) and three months post-discharge using a diet history, a food frequency checklist and Mini Nutritional Assessment (MNA). Personalised dietary advice was provided by a single dietitian according to participants' nutritional status. …

Lean Body Mass Associated With Upper Body Strength In Healthy Older Adults While Higher Body Fat Limits Lower Extremity Performance And Endurance, Karen E. Charlton, Marijka Batterham, Kelly Langford, Jenna Lateo, Erin Brock, Karen L. Walton, Philippa M. Lyons-Wall, Katie Eisenhauer, Nick Green, Cameron Mclean

Faculty of Science, Medicine and Health - Papers: part A

Impaired strength adversely influences an older person's ability to perform activities of daily living. A cross-sectional study of 117 independently living men and women (age = 73.4 9.4 year; body mass index (BMI) = 27.6 4.8 kg/m2) aimed to assess the association between body composition and: (1) upper body strength (handgrip strength, HGS); (2) lower extremity performance (timed up and go (TUG) and sit to stand test (STS)); and (3) endurance (6-minute walk (SMWT). Body composition (% fat; lean body mass (LBM)) was assessed using bioelectrical impedance. Habitual physical activity was measured using the Minnesota Leisure Time Physical Activity Questionnaire …

Dietary Patterns May Sustain Weight Loss Among Adults, Linda Tapsell, Elizabeth Neale, Deborah Nolan-Clark

Faculty of Science, Medicine and Health - Papers: part A

Sustainable weight loss requires a shift in eating behaviour maintained over a long time period. Research in this area focuses on dietary patterns based on cuisines that emphasise intakes of common core foods or those that target specific nutrients, such as fat. This review examined the literature to identify evidence on dietary patterns that may be effective for sustained weight loss. Medline, Pubmed, Scopus, and ScienceDirect were searched for relevant literature, and 14 trials were reviewed. Overall, Mediterranean, vegetarian, and low-fat dietary patterns were associated with sustained weight loss under energy-restricted conditions. Evidence to support the efficacy of the Mediterranean …

Short-Term Effects Of Fish And Fish Oil Consumption On Total And High Molecular Weight Adiponectin Levels In Overweight And Obese Adults, Elizabeth P. Neale, Beverly Muhlhausler, Yasmine C. Probst, Marijka J. Batterham, Francesca Fernandez, Linda C. Tapsell

Faculty of Science, Medicine and Health - Papers: part A

Objective: Fish or fish oil consumption may increase levels of total and high molecular weight (HMW) adiponectin, a hormone associated with anti-inflammatory and insulin-sensitising effects, however it is not known if the effects of the food and supplement are the same. The aim of this study was to compare the effect of consuming fish and fish oil supplements on plasma total and HMW adiponectin concentrations in overweight human participants.

Materials/Methods: 29 overweight and obese participants underwent a two week run-in period, followed by a four week isocaloric dietary intervention which provided 1.8g of long chain omega-3 polyunsaturated fatty acids (LC …

Development And Validation Of An Insulin Proficiency Assessment Tool For Insulin Self-Management In Adults With Type 2 Diabetes Mellitus, Dianna Fornasier, Andrew Bonney

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

Perceptions And Practices Of Adults With Asthma: A Social Cognitive Analysis, Kelly L. Andrews, Sandra C. Jones, Judy Mullan

Faculty of Science, Medicine and Health - Papers: part A

This article describes a qualitative study that investigated the experiences, attitudes, and opinions of adults with asthma regarding self-managing their disease. Focus groups were conducted with 22 adults living in metropolitan and regional New South Wales, Australia. Key findings were that the perceived stigma of asthma, the need for social support, and the need for "asthma-friendly general practitioners" concerned participants more than formal self-management procedures such as written Asthma Action Plans and medication regimes. Social cognitive theory was used to explain the fluid relationship between persons with asthma, their environment, and their behavior in relation to self-management strategies and in …

The Longitudinal Relationship Between Depression Symptoms And Disability For Older Adults: A Population-Based Study, Chun-Min Chen, Judy Mullan, Yung-Yu Su, David Atherton Griffiths, Irene Kreis, Herng-Chia Chiu

Graduate School of Medicine - Papers (Archive)

Background. Although depressive symptoms in older adults are common, their relationship with disability and the influence of disability on the development of depressive symptoms over time is not well understood. This longitudinal study investigates the change trajectories of both depressive symptoms and disability, as well as their associations over time. Methods. Participants included 442 community-dwelling older adults living in Taiwan, aged 65 years or older, who completed six waves of survey interviews. Depression was scored with the Short Psychiatric Evaluation Schedule and disability with the instrumental and physical activities of daily living measure during each consecutive data collection wave. The …

Effect Of 6 Weeks' Consumption Of Β-Glucan-Rich Oat Products On Cholesterol Levels In Mildly Hypercholesterolaemic Overweight Adults, Karen E. Charlton, Linda C. Tapsell, Marijka J. Batterham, Jane O'Shea, Rebecca Thorne, Eleanor Beck, Susan M. Tosh

Faculty of Science, Medicine and Health - Papers: part A

Several regulatory bodies have approved a health claim on the cholesterol-lowering effects of oat β-glucan at levels of 3·0 g/d. The present study aimed to test whether 1·5 g/d β-glucan provided as ready-to-eat oat flakes was as effective in lowering cholesterol as 3·0 g/d from oats porridge. A 6-week randomised controlled trial was conducted in eighty-seven mildly hypercholesterolaemic ( ≥ 5 mmol/l and < 7·5 mmol/l) men and women assigned to one of three diet arms (25 % energy (E%) protein; 45 E% carbohydrate; 30 E% fat, at energy requirements for weight maintenance): (1) minimal β-glucan (control); (2) low-dose oat β-glucan (1·5 g β-glucan; oats low – OL) or (3) higher dose oat β-glucan (3·0 g β-glucan; oats high – OH). Changes in total cholesterol and LDL-cholesterol (LDL-C) from baseline were assessed using a linear mixed model and repeated-measures ANOVA, adjusted for weight change. Total cholesterol reduced significantly in all groups ( − 7·8 (sd 13·8) %, − 7·2 (sd 12·4) % and − 5·5 (sd 9·3) % in the OH, OL and control groups), as did LDL-C ( − 8·4 (sd 18·5) %, − 8·5 (sd 18·5) % and − 5·5 (sd 12·4) % in the OH, OL and control groups), but between-group differences were not significant. In responders only (n 60), β-glucan groups had higher reductions in LDL-C ( − 18·3 (sd 11·1) % and − 18·1 (sd 9·2) % in the OH and OL groups) compared with controls ( − 11·7 (sd 7·9) %; P = 0·044). Intakes of oat β-glucan were as effective at doses of 1·5 g/d compared with 3 g/d when provided in different food formats that delivered similar amounts of soluble β-glucan.

Short And Long Sleep Duration Are Associated With Prevalent Cardiovascular Disease In Australian Adults, Christopher A. Magee, Len Kritharides, John Attia, Patrick Mcelduff, Emily Banks

Faculty of Health and Behavioural Sciences - Papers (Archive)

A growing number of studies from a range of different countries have observed an association between sleep duration and cardiovascular disease. The objective of this paper was to examine the associations between sleep duration and prevalent cardiovascular disease in a large sample of Australian adults, and identify the sociodemographic and health-related factors moderating these associations. Participants included 218 155 Australian adults aged 45 years and over. The results indicated that 6 h versus 7 h sleep was associated with increased odds of heart disease [odds ratio (OR) = 1.11 (1.06–1.17)], diabetes [OR = 1.15 (1.09–1.22)], stroke [OR = 1.25 (1.14–1.38)] …

Dementia, Stigma And Intentions To Help-Seek: A Pilot Study Of Australian Adults 40 To 65 Years, Lyn Phillipson, C Magee, Sandra C. Jones, S Reis, E Skladzien

Faculty of Health and Behavioural Sciences - Papers (Archive)

Stigma (prejudice or negative stereotypes associated with personal attributes such the presence of ill health or disease) is an important concept as it has the potential to adversely impact on social exclusion, help seeking behaviours and the utilisation of health and social services. Whilst limited international research suggests that there may be stigma associated with dementia, this paper presents results from the first comprehensive study to explore stigma towards dementia in Australia. Results from an online survey of Australian adults (45-60 years) outline the nature and presence of negative attitudes or stereotypes towards dementia and people living with dementia, and …

Effects Of A Single Dose Of Exenatide On Appetite, Gut Hormones, And Glucose Homeostasis In Adults With Prader-Willi Syndrome, Lisa Sze, Louise Purtell, Arthur Jenkins, Georgina Loughnan, Ellie Smith, Herbert Herzog, Amanda Sainsbury, Katharine Steinbeck, Lesley V. Campbell, Alexander Viardot

Faculty of Health and Behavioural Sciences - Papers (Archive)

Context: Prader-Willi syndrome (PWS) is associated with hyperphagia and obesity, without effective pharmacological treatment. Exenatide, recently developed for treatment of type 2 diabetes, induces appetite suppression and weight loss with common side effects. Objective: The objective of the study was to investigate the initial safety and effectiveness of exenatide in adult PWS subjects compared with obese controls (OBESE). Design, Setting, Patients, and Intervention: Eight PWS and 11 OBESE patients underwent standardized meal studies after a single sc injection of 10 g exenatide or placebo in a single-blinded, crossover design. Main Outcome Measures: Glucose, insulin, C-peptide, glucagon, peptide YY (PYY; total)/PYY …

Big Five Personality Factors, Obesity And 2-Year Weight Gain In Australian Adults, Christopher A. Magee, Patrick C. L Heaven

Faculty of Health and Behavioural Sciences - Papers (Archive)

The objective of this paper was to examine whether the Big-Five Personality factors were associated with obesity and 2-year weight gain in Australian adults. The sample included 5265 Australian adults aged 25– 65 years. Binary logistic regression models indicated that Extraversion, Agreeableness and Neuroticism were cross-sectionally associated with obesity, with Conscientiousness inversely associated with obesity. The longitudinal analyses indicated that Extraversion predicted 2-year weight gain. The relationships between personality and obesity/weight gain were not moderated by age or sex. These results have potentially important implications for developing more effective treatment and prevention strategies for obesity.

A Meta-Analysis Of Response Inhibition And Stroop Interference Control Deficits In Adults With Traumatic Brain Injury (Tbi), Aneta Dimoska-Di Marco, Skye Mcdonald, Michelle Kelly, Robyn Tate, Stuart Johnstone

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Increased Intake Of Dietary Polyunsaturated Fat Does Not Promote Whole Body Or Preferential Abdominal Fat Mass Loss In Overweight Adults, Sze-Yen Tan, Marijka Batterham, Linda Tapsell

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: There is evidence that increasing the proportion of polyunsaturated fatty acids (PUFA) in a diet can enhance the rate of fat oxidation acutely. Higher PUFA in a diet has also been associated with greater abdominal fat loss in longer term studies. This study aimed to investigate if higher PUFA intake would result in greater fat mass loss over a 12-week period, mainly from the abdominal region.

Methods: Data at the 12-week time point from two weight loss studies, both comparing high PUFA versus low PUFA diets was, accessed for 141 overweight subjects from the same area. Specifically, data on …

Effects Of 2g And 3g Mobile Phones On Performance And Electrophysiology In Adolescents, Young Adults And Older Adults, Shuk Man Sumie Leung, Rodney Croft, Raymond J. Mckenzie, Steve Iskra, Beata Silber, Nick Cooper, Barry O'Neill, Vanessa Cropley, Arnulfo Diaz-Trujillo, Denise Hamblin, David Simpson

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

The Use Of Female Sexuality In Australian Alcohol Advertising: Public Policy Implications Of Young Adults' Reactions To Stereotypes, Sandra C. Jones, Amanda Reid

Faculty of Health and Behavioural Sciences - Papers (Archive)

Coinciding with the rise of raunch culture, a new female stereotype has emerged in advertising - the lusty, busty exhibitionist who exudes sexual power and confidence. Previous research has generally found that women react less positively to female sexual images in alcohol advertising than males, but different sexual stereotypes have not been explicitly examined. The present study utilizes different types of sexual appeals in three televised advertisements for alcohol brands and investigates the relationship between types of sexual imagery and attitude to the advertisement, stated reasons for (dis)liking the advertisement and purchase intention (PI) among 268 Australian university students. Surprisingly, …

Sleep Duration And Obesity In Middle-Aged Australian Adults, Christopher A. Magee, Donald C. Iverson, Peter Caputi

Faculty of Health and Behavioural Sciences - Papers (Archive)

The present study examined the association between sleep duration and obesity in 40,834 middle-aged Australian adults. Multinomial logistic regression was used to test the relationship between sleep duration and obesity while controlling for important demographic and health covariates; separate models were tested for males and females. Short sleep (i.e., <7 h a night) was found to be independently associated with obesity in males and females. To our knowledge, this is the first study to report an association between short sleep and obesity in Australian adults. Although more research is required, interventions targeting short sleep could aid obesity treatment and prevention.

Is Sleep Duration Associated With Obesity In Older Australian Adults?, Christopher A. Magee, Peter Caputi, Don C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objectives: To investigate the relationship between sleep duration and obesity in older Australian adults. Method: Self-reported health data were collected through the 45 and Up Study. Multinomial logistic regression models were used to test the relationship between sleep duration and body mass index, controlling for a range of demographic and health-related variables. Results: The sample included 45,325 Australian adults aged 55 to 95 years. The regression models demonstrated that short and long sleep were associated with obesity in 55- to 64-year-olds but not in those aged 65 years and above. Discussion: The present results suggest that the relationships between sleep …

Increases In Peptide Y-Y Levels Following Oat Β-Glucan Ingestion Are Dose-Dependent In Overweight Adults, Eleanor J. Beck, Linda C. Tapsell, Marijka J. Batterham, Susan M. Tosh, Xu-Feng Huang

Faculty of Science, Medicine and Health - Papers: part A

Peptide Y-Y (PYY) is an anorexigenic hormone implicated in appetite control, and β-glucan is a fiber known to affect appetite. We hypothesized that plasma PYY levels would increase in overweight human adults consuming increasing doses of β-glucan. The objective was to test whether the effect could be seen with β-glucan delivered through extruded cereals containing a high β-glucan oat bran with demonstrated high molecular weight and solubility. Fourteen subjects consumed a control meal and 3 cereals of varying β-glucan concentration (between 2.2 and 5.5 g), and blood samples were collected over 4 hours. Analysis of raw PYY data showed a …

Profiles Of Underreporting In Healthy Adults And Adults With Type Ii Diabetes Mellitus Participating In A Dietary Intervention Trial, Gina Martin, Linda C. Tapsell, Marijka Batterham

Faculty of Health and Behavioural Sciences - Papers (Archive)

Abstract from The Proceedings of the Nutrition Society of Australia, 2002.