Search Our Scientific Publications & Authors

Support Care Cancer 2020 Jun 3. Epub 2020 Jun 3.

Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

The COVID-19 outbreak has drastically changed practices inside hospitals, which include oncology routines. In oncology, malnutrition was and certainly still is a frequent problem associated with an increase in treatment-related toxicity, a reduced response to cancer treatment, an impaired quality of life, and a worse overall prognosis. Even in this situation of healthcare crisis, nutritional support in cancer care is an essential element. Read More

J Am Med Dir Assoc 2020 May 20. Epub 2020 May 20.

Department of Dental Office, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.

Objective: The aim of this study was to evaluate the effect of sarcopenic obesity on activities of daily living and home discharge rates in adults undergoing convalescent rehabilitation. In addition, we evaluated diagnostic criteria for sarcopenic obesity to predict outcomes.

Design: A retrospective cohort study. Read More

Int Breastfeed J 2020 May 14;15(1):40. Epub 2020 May 14.

Centre for Geographic Medicine (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, P.O. Box 230, Kilifi, 80108, Kenya.

Background: The 2013 WHO guidelines for nutritional rehabilitation of hospitalized and non-hospitalized malnourished infants under six months (u6m) recommend the re-establishment of exclusive breastfeeding. However, in most low-income settings these recommendations are not consistently applied. A recently concluded pilot study on the effects of implementing these guidelines among hospitalized malnourished infants u6m of age in Kilifi, Kenya introduced breastfeeding peer supporters (BFPS) to the inpatient setting to support guideline implementation. Read More

Front Endocrinol (Lausanne) 2020 15;11:204. Epub 2020 Apr 15.

Division of Pathology, IEO - European Institute of Oncology IRCCS, Milan, Italy.

Spinal cord injuries (SCIs) represent a variety of conditions related to the damage of the spinal cord with consequent musculoskeletal repercussions. The bone and muscle tissues share several catabolic pathways that lead to variable degrees of disability in SCI patients. In this review article, we provide a comprehensive characterization of the available treatment options targeting the skeleton and the bone in the setting of SCI. Read More

Medicine (Baltimore) 2020 Apr;99(17):e19769

Institut d'investigació Sanitària Illes Balears.

Introduction: High blood pressure is the leading modifiable risk factor for cardiovascular disease, and is associated with high morbidity and mortality and with significant health care costs for individuals and society. However, fewer than half of the patients with hypertension receiving pharmacological treatment have adequate blood pressure control. The main reasons for this are therapeutic inertia, lack of adherence to treatment, and unhealthy lifestyle (i. Read More

FP Essent 2020 Mar;490:35-38

Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28310-73010.

Patients who have experienced an acute coronary syndrome should be evaluated in the office setting soon after hospital discharge. First follow-up appointments more than 6 weeks after discharge reduce adherence to therapy. Care coordinator involvement is helpful and associated with lower readmission and mortality rates. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Feb;23(2):115-122

Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Institute of Digestive Surgery, Shanghai Key Laboratory of Gastric Neoplasms, Shanghai 200025, China.

Perioperative whole-process management (WPM) for patients with advanced gastric cancer (AGC) mainly focuses on some clinical issues which are easily neglected or underappreciated. WPM is helpful in making a scientific and rational therapeutic plan, and avoiding inadequate communication in multi-disciplinary participation, so that the diagnosis, treatment and rehabilitation for AGC patients can be integrated organically. Based on the current clinical practice for AGC patients, eight key issues in WPM should be emphasized. Read More

Eur J Endocrinol 2020 Apr;182(4):447-457

Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

Context: Altered tissue-specific glucocorticoid metabolism has been described in uncomplicated obesity and type 2 diabetes. We hypothesized that weight loss induced by diet and exercise, which has previously been shown to reverse abnormal cortisol metabolism in uncomplicated obesity, also normalizes cortisol metabolism in patients with type 2 diabetes.

Objective: Test the effects of a diet intervention with added exercise on glucocorticoid metabolism. Read More

Nutr Diet 2020 02;77(1):90-102

Department of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.

Aim: There is no standardised interventional approach to preventing or treating sarcopenia in older adults in hospital. The aim of this review was to systematically identify and synthesise the effects of nutritional interventions on markers of sarcopenia in hospitalised patients aged 65 years and older.

Methods: Four databases were searched using terms for intervention, population and setting. Read More

Trials 2020 Jan 21;21(1):105. Epub 2020 Jan 21.

Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Introduction: Intermittent claudication (IC) caused by peripheral artery disease (PAD) is a common cardiovascular disease. Patients with IC have reduced walking capacity, restricted activity levels and mobility, and reduced health-related quality of life. The disease leads to social isolation, the risk of cardiovascular morbidity, and mortality. Read More

BMJ Open 2019 12 31;9(12):e030310. Epub 2019 Dec 31.

Department of Nursing and Nutrition, University College Copenhagen, Copenhagen, Denmark.

Introduction: Spinal cord injury (SCI) predisposes those who suffer from it to physical inactivity and weight gain; consequently, death due to cardiovascular diseases is more frequent among people with SCI than in the general population. The literature documents a consensus about an interdisciplinary multimodal approach for the prevention and treatment of cardiovascular risk factors including overweight and obesity in people with SCI, focusing on diet, physical activity (PA) and behavioural interventions. This study will investigate implementation of recommendations from a recent clinical practice guideline for identification and management of cardiometabolic risk after SCI through multimodal patient education in a subacute clinical setting. Read More

Disabil Rehabil 2019 Nov 21:1-13. Epub 2019 Nov 21.

Neural Engineering and Therapeutic Team, Lyndhurst Centre, KITE-Toronto Rehab, University Health Network, Toronto, ON, Canada.

This review describes the effects of Whole Body Vibration therapy (WBV) for reducing fat mass (%/kg) among healthy (no comorbid disease) overweight and obese adults. Systematic literature search was conducted using Medline, Embase, Cochrane, CINAHL, and PubMed databases up to 27 March 2019. Studies evaluating the effects of WBV therapy on fat mass as a primary or secondary outcome among healthy (no comorbid disease), overweight or obese adults (Body Mass Index ≥25) were included. Read More

J Am Geriatr Soc 2019 12 18;67(12):2593-2599. Epub 2019 Oct 18.

University of Michigan and Ann Arbor Veterans Affairs Health System, Ann Arbor, Michigan.

Background/objectives: The American College of Cardiology (ACC) Geriatric Cardiology Section Leadership Council recently outlined 4 key domains (which are composed of 14 subdomains) that are important to assess in older adults with heart failure (HF). We sought to determine which geriatric domains/subdomains are routinely assessed, how they are assessed, and how they impact clinical management in the care of ambulatory older adults with HF.

Design: Survey. Read More

BMC Pediatr 2019 09 14;19(1):336. Epub 2019 Sep 14.

REVAL Rehabilitation Research Center, Biomedical Research Institute, Faculty of Rehabilitation Sciences and Physiotherapy, Hasselt University, Hasselt, Belgium.

Background: The World Health Organization (WHO) recommends incorporating psychosocial stimulation into the management of severe acute malnutrition (SAM). However, there is little evidence about the effectiveness of these interventions for SAM children, particularly when serious food shortages and lack of a balanced diet prevail. The objective of this study was to examine whether family-based psychomotor/psychosocial stimulation in a low-income setting improves the development, linear growth, and nutritional outcomes in children with SAM. Read More

Yakugaku Zasshi 2019 ;139(9):1147-1153

Department of Gastroenterology, Kobe Asahi Hospital.

The number of patients with chronic liver diseases is expected to decline due to progress in antivirus therapy, including direct-acting antivirals for hepatitis C and nucleot(s)ide analogues for hepatitis B. On the other hand, the number of patients with nonalcoholic fatty liver disease/nonalcoholic steatohepatitis (NAFLD/NASH) in the setting of metabolic syndrome has been increasing worldwide. Hepatocellular carcinoma (HCC) arises in the setting of chronic hepatic inflammation and liver cirrhosis associated with NAFLD/NASH. Read More

BMC Fam Pract 2019 08 29;20(1):120. Epub 2019 Aug 29.

Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.

Background: To enable delivery of high quality patient-centered care, as well as to allow primary care health systems to allocate appropriate resources that align with patients' identified self-management problems (SM-Problems) and priorities (SM-Priorities), a practical, systematic method for assessing self-management needs and priorities is needed. In the current report, we present patient reported data generated from Connection to Health (CTH), to identify the frequency of patients' reported SM-Problems and SM-Priorities; and examine the degree of alignment between patient SM-Priorities and the ultimate Patient-Healthcare team member selected Behavioral Goal.

Methods: CTH, an electronic self-management support system, was embedded into the flow of existing primary care visits in 25 primary care clinics and was used to assess patient-reported SM-Problems across 12 areas, patient identified SM-Priorities, and guide the selection of a Patient-Healthcare team member selected Behavioral Goal. Read More

Int J Med Inform 2019 10 2;130:103941. Epub 2019 Aug 2.

Department of Biomedical Informatics, Columbia University, New York, NY, United States.

Background And Significance: Data-driven interventions for health can help to personalize self-management of Type 2 Diabetes (T2D), but lack of sustained engagement with self-monitoring among disadvantaged populations may widen existing health disparities. Prior work developing approaches to increase motivation and engagement with self-monitoring holds promise, but little is known about applicability of these approaches to underserved populations.

Objective: To explore how low-income, Latino adults with T2D respond to different design concepts for data-driven solutions in health that require self-monitoring, and what features resonate with them the most. Read More

J Hum Nutr Diet 2020 Feb 21;33(1):12-22. Epub 2019 Aug 21.

Department of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima, Japan.

Background: Malnutrition may worsen clinical outcomes in stroke patients. Few malnutrition screening tools have been validated in the rehabilitation setting. The present study aimed to assess the concurrent and predictive validity of two malnutrition screening tools. Read More

BMC Geriatr 2019 08 1;19(1):203. Epub 2019 Aug 1.

Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Philipp-Rosenthal-Strasse 55, 04103, Leipzig, Germany.

Background: In the absence of treatment options, the WHO emphasizes the identification of effective prevention strategies as a key element to counteract the dementia epidemic. Regarding the complex nature of dementia, trials simultaneously targeting multiple risk factors should be particularly effective for prevention. So far, however, only few such multi-component trials have been launched, but yielding promising results. Read More

Am J Clin Nutr 2019 09;110(3):562-573

Musculoskeletal Growth and Regeneration Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

The ketogenic diet (KD) is a normocaloric diet composed of high-fat, low-carbohydrate, and adequate protein that induces fasting-like effects and results in the production of ketone bodies. Initially used widely for children with refractory epilepsy, the KD gained popularity due to its beneficial effects on weight loss, diabetes, and cancer. In recent years, there has been a resurgence in interest surrounding the KD and exercise performance. Read More

Complement Ther Med 2019 Aug 18;45:172-178. Epub 2019 Jun 18.

Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Australia. Electronic address:

Background: Approximately one in four adults do not meet the World Health Organisation physical activity recommendations. While health promotion (i.e. Read More

Scand J Prim Health Care 2019 Sep 12;37(3):345-352. Epub 2019 Jul 12.

Department of Social Pharmacy, School of Pharmacy, University of Oslo , Oslo , Norway.

To explore the experiences of immigrant Kurdish patients in Oslo, Norway, related to the management of type 2 diabetes mellitus (T2DM). A qualitative study with focus group interviews. Participants were recruited at meeting places in Oslo through Kurdish networks. Read More

J Clin Nurs 2019 Oct 14;28(19-20):3710-3720. Epub 2019 Jul 14.

School of Health Sciences, University of Southampton, Southampton, UK.

Background: Nutrition by enteral tube is a complex therapy requiring significant management to ensure safe, timely delivery of nutrients and avoidance of complications. In the home setting, people with enteral tubes and their carers are required to self-manage the therapy, including the need to cope with problems that arise. Whilst previous studies have conveyed experiences of people with enteral tubes, few have described views on enteral tube problems. Read More

BMJ Open 2019 06 24;9(6):e026822. Epub 2019 Jun 24.

Department of Medicine, University Hospital Network, Toronto, Ontario, Canada.

Objective: To evaluate the utility of a novel discharge tool adapted for heart failure (HF) on patient experience.

Design: Semistructured interviews assessed the utility of a novel discharge tool adapted for HF; patient-oriented discharge summary (PODS-HF) at 72 hours and 30 days after leaving hospital. Interviews were recorded and transcribed verbatim. Read More

Facts Views Vis Obgyn 2018 Sep;10(3):125-130

University of Antwerp, Faculty of Medicine and Health Sciences; Department of Rehabilitation Sciences and Physiotherapy, Research group MOVANT, Antwerp Multidisciplinary Research Unit (AM2RUN); Universiteitsplein 1 2610 Wilrijk. Belgium.

Although cancer survivorship has improved over the last decades, numbers of cancer incidence and prevalence are rising. Evidence is growing that lifestyle factors, such as physical activity, a healthy weight management and -diet, play an important role in first- and second line preventive strategies. When implementing a healthy lifestyle, the maintenance of the energy balance should be taken into account. Read More

Postgrad Med 2019 Jun 3;131(5):357-365. Epub 2019 Jun 3.

j NP from Home, LLC ., Munds Park , AZ , USA.

: Our aim was to explore how differing attitudes, expectations, and experiences among people with obesity (PwO) and healthcare providers (HCPs) might have an impact on effectively implementing current obesity treatment guidelines. : Online surveys were conducted among 3,008 adult PwO (BMI≥30 by self-reported height and weight) and 606 HCPs. : PwO with weight loss ≥ 10% during the previous three years were more likely to have been diagnosed with obesity and to have discussed a weight loss plan with an HCP. Read More

J Acad Nutr Diet 2019 09 30;119(9):1525-1532. Epub 2019 May 30.

Background: Dietary self-monitoring (DSM) of foods and beverages is associated with weight loss in behavioral interventions; however, DSM may be burdensome, and adherence may decrease over time. Novel methods of DSM, including apps that track food using photographs, may decrease burden, increase DSM adherence, and improve weight loss.

Objective: The objective was to test a mobile photo DSM app compared to a calorie-tracking DSM app on tracking frequency and weight loss in a remotely delivered behavioral weight-loss intervention. Read More

J Acad Nutr Diet 2019 09 30;119(9):1516-1524. Epub 2019 May 30.

Background: Mobile dietary self-monitoring methods allow for objective assessment of adherence to self-monitoring; however, the best way to define self-monitoring adherence is not known.

Objective: The objective was to identify the best criteria for defining adherence to dietary self-monitoring with mobile devices when predicting weight loss.

Design: This was a secondary data analysis from two 6-month randomized trials: Dietary Intervention to Enhance Tracking with Mobile Devices (n=42 calorie tracking app or n=39 wearable Bite Counter device) and Self-Monitoring Assessment in Real Time (n=20 kcal tracking app or n=23 photo meal app). Read More

Crit Care Nurse 2019 Jun;39(3):e9-e17

Helen Kenedi is a clinical faculty member in the Communication Disorders program, School of Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, Texas; JoBeth Campbell-Vance is a board certified specialist in swallowing and swallowing disorders at Baylor Scott & White Institute of Rehabilitation, Hospital Division, Dallas, Texas; Jenny Reynolds is an advanced clinical specialist in the neonatal intensive care unit at Baylor University Medical Center, Dallas, Texas; Michael Foreman is the chief of the Division of Trauma, Critical Care and Acute Care Surgery, the medical director of the Trauma and Neuro-trauma Intensive Care Unit, the codirector of the Car-diothoracic and Transplant Intensive Care Unit, and the codirector of critical care services at Baylor University Medical Center; Christine Dollaghan is a professor in the Communication Sciences and Disorders program at the University of Texas at Dallas; Dion Graybeal specializes in neurology and is the medical director of stroke at Baylor University Medical Center; Anne Marie Warren is a licensed psychologist and associate investigator of trauma research at the level I trauma center at Baylor University Medical Center; Monica Bennett is a biostatistician at Baylor Scott & White Health, Dallas, Texas.

Background: Free water protocols allow patients who aspirate thin liquids and meet eligibility criteria to have access to water or ice according to specific guidelines. Limited research is available concerning free water protocols in acute care settings.

Objectives: To compare rates of positive clinical outcomes and negative clinical indicators of a free water protocol in the acute care setting and to continue monitoring participants discharged into the hospital system's rehabilitation setting. Read More

PLoS Med 2019 05 7;16(5):e1002793. Epub 2019 May 7.

Institute of Health & Society, Newcastle University, Newcastle upon Tyne, United Kingdom.

Background: Scalable weight loss maintenance (WLM) interventions for adults with obesity are lacking but vital for the health and economic benefits of weight loss to be fully realised. We examined the effectiveness and cost-effectiveness of a low-intensity technology-mediated behavioural intervention to support WLM in adults with obesity after clinically significant weight loss (≥5%) compared to standard lifestyle advice.

Methods And Findings: The NULevel trial was an open-label randomised controlled superiority trial in 288 adults recruited April 2014 to May 2015 with weight loss of ≥5% within the previous 12 months, from a pre-weight loss BMI of ≥30 kg/m2. Read More

Home Healthc Now 2019 May/Jun;37(3):136-144

Linda Berti-Hearn, MSN, RN, CWOCN, is a Wound Ostomy Nurse, Virtua Health-Home Health Division, Mt. Laurel, New Jersey. Brenda Elliott, PhD, RN, CNE, is an Assistant Professor, Wilson College, Chambersburg, Pennsylvania.

This article focuses on the care and management of patients living with an ileostomy. Due to shortened hospital stays, patient teaching related to self-care of ostomies has shifted from the hospital to the home setting. It is important for home care clinicians to be knowledgeable about all aspects of ostomy care. Read More

J Laparoendosc Adv Surg Tech A 2019 Jun 24;29(6):730-740. Epub 2019 Apr 24.

1 Department of Surgery, William S. Middleton Memorial VA, Madison, Wisconsin.

Both medical weight management (MWM) and bariatric surgery are significantly underutilized by patients with severe obesity, particularly males. Less than 30% of participants in MWM programs are male, and only 20% of patients undergoing bariatric surgery are men. To identify motivations of males who pursue either MWM or bariatric surgery. Read More

J Am Geriatr Soc 2019 08 23;67(8):1625-1631. Epub 2019 Apr 23.

Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.

Objective: To investigate the effects of 10 weeks of progressive vigorous-intensity interval training as a single intervention on body composition among 70-year-old individuals with central obesity.

Design: Randomized controlled trial (ClinicalTrials.gov registration No. Read More

Oral Oncol 2019 05 28;92:59-66. Epub 2019 Mar 28.

Bobby R. Alford Department of Otolaryngology - Head and Neck Surgery, Baylor College of Medicine, Houston, TX, United States. Electronic address:

Objective: Primary surgery followed by adjuvant therapy is the current standard of care in the multidisciplinary management of squamous cell carcinoma (SCC) of the oral tongue. Additionally, salvage glossectomy is used to treat recurrent base of tongue SCC. Microvascular free tissue transfer reconstruction (MVFTT) is utilized to maximize functional outcomes such as swallowing. Read More

Arch Phys Med Rehabil 2019 12 12;100(12):2334-2345. Epub 2019 Apr 12.

University of Groningen, University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen; University of Groningen, University Medical Center Groningen, Department of Neurology, Groningen, the Netherlands. Electronic address:

Objective: To assess the prevalence, severity, and change in health-related problems in a sample of older adults who received individual care and support from Embrace, for the whole sample, per subgroup based on complexity of care needs and frailty, and for those who had at baseline a health-related problem.

Design: A pretest-posttest study with assessments at baseline and after 12 months.

Setting: Community. Read More

Am J Kidney Dis 2019 10 2;74(4):474-482. Epub 2019 Apr 2.

Department of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Interdisciplinary Chronic Disease Collaboration, Calgary, Alberta, Canada. Electronic address:

Rationale & Objective: Fostering the ability of patients to self-manage their chronic kidney disease (CKD), with support from caregivers and providers, may slow disease progression and improve health outcomes. However, little is known about such patients' needs for self-management interventions. We aimed to identify and describe the needs of adults with CKD and informal caregivers for CKD self-management support. Read More

Am J Occup Ther 2019 Mar/Apr;73(2):7302205060p1-7302205060p8

Susan Stark, PhD, OTR/L, FAOTA, is Associate Professor of Occupational Therapy, Neurology, and Social Work, Program in Occupational Therapy, Washington University in St. Louis, St. Louis, MO.

Importance: Forty percent to 75% of community-dwelling older adults are not able to adhere to their medication routine. A medication management assessment can correctly identify the reasons for nonadherence and the barriers contributing to it.

Objective: To further develop the HOME-Rx, an in-home medication management assessment, by modifying scoring metrics, improving clinical utility, and establishing psychometric properties. Read More

J Clin Endocrinol Metab 2019 07;104(7):2994-3002

Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Context: Patients with a body mass index (BMI) ≥35 kg/m2 have lower benefits with intensive treatments and metabolic control goals are more difficult to reach.

Objective: Evaluate the effect of a comprehensive care program in patients with a BMI ≥35 kg/m2.

Design: Prospective cohort study. Read More

BMJ Open 2019 03 20;9(3):e025819. Epub 2019 Mar 20.

School of Nursing, Xi'an Jiaotong University, Health Science Center, Xi'an, Shaanxi, China.

Objectives: This study explored the relationship between self-management and blood pressure (BP) control in China.

Design: A cross-sectional study.

Setting: Eight community health centres from four cities in the Northeast (Shenyang), Northwest (Xi'an), Southwest (Chengdu) and South (Changsha) of China. Read More

BMC Public Health 2019 Mar 15;19(1):310. Epub 2019 Mar 15.

School of Food and Nutritional Sciences, Brescia University College at The University of Western Ontario, London, ON, Canada.

Background: The nutrigenomics, overweight/obesity and weight management trial (NOW Trial) is a pragmatic randomized controlled trial of community-dwelling adults recruited from the Group Lifestyle Balance™ (GLB™) Program. The GLB™ Program (formerly referred to as the Diabetes Prevention Program) is an evidence-based, intensive weight management program, which was offered to overweight/obese patients (BMI ≥ 25.0 kg/m) in a rural Ontario community. Read More

J Athl Train 2019 Apr 14;54(4):439-444. Epub 2019 Mar 14.

School of Exercise and Nutritional Sciences, Doctor of Physical Therapy Program, San Diego State University, CA.

Context: Balance tests are a recommended assessment of motor function in concussion protocols. The BTrackS Balance Test (BBT) is a tool for concussion balance testing that uses low-cost force-plate technology to objectively measure postural sway.

Objective: To provide normative data for the BBT in a large population of athletes. Read More

Arch Phys Med Rehabil 2019 09 2;100(9):1629-1639. Epub 2019 Mar 2.

School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada; Groupe de recherche interdisciplinaire sur les maladies neuromusculaires (GRIMN), Neuromuscular Clinic, Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-St-Jean, Jonquière, Québec, Canada; Centre de recherche Charles-Le Moyne - Saguenay-Lac-Saint-Jean sur les innovations en santé (CR-CSIS), Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-St-Jean, Chicoutimi, Québec, Canada.

Objective: To describe and compare changes in participation over a 9-year period in women and men with myotonic dystrophy type 1 (DM1). To compare participation restrictions with available reference values from a typical aging population living in the community.

Design: Descriptive longitudinal design comparing data from baseline (2002) with data from follow-up (2011). Read More

J Nutr Health Aging 2019 ;23(3):256-265

Hidetaka Wakabayashi, Department of Rehabilitation Medicine, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami ward, Yokohama, Kanagawa, Japan, Tel: +81-45-261-5656 Fax: +81-45-253-9955, E-mail:

Sarcopenia is a very important issue in rehabilitation medicine and nutritional care. The prevalence of sarcopenia in older people is approximately 50% in the rehabilitation setting, and also approximately 15% of inpatients without sarcopenia upon admission developed sarcopenia during hospitalization. There is a concern that secondary sarcopenia may occur iatrogenically during hospitalization. Read More

J Am Geriatr Soc 2019 06 26;67(6):1138-1144. Epub 2019 Feb 26.

Division of Clinical Geriatrics, Center for Alzheimer Research, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.

Objective: To investigate the effect of a 2-year multidomain lifestyle intervention on daily functioning of older people.

Design: A 2-year randomized controlled trial (ClinicalTrials.gov, NCT01041989). Read More

J Altern Complement Med 2019 Mar 11;25(3):336-345. Epub 2019 Feb 11.

2 Research Department, MOA Health Science Foundation, Tokyo, Japan.

Objective: To investigate whether the frequency of the practice of each of diet, art, and biofield therapy influences improvement in quality of life (QOL), and to examine whether the simultaneous practice of all three components increasingly improves QOL in a real-world setting.

Design: Pre-post-test design using convenience sampling methods.

Setting: Home setting. Read More

Contemp Clin Trials 2019 04 7;79:104-110. Epub 2019 Feb 7.

Division of Endocrinology, Department of Medicine, The University of British Columbia, Canada. Electronic address:

Background: The objective of this randomized controlled trial is to examine the effects of a 12-month telephone-based peer-led diabetes self-management support (DSMS) intervention on long-term diabetes-related health outcomes.

Methods: In total, 197 participants with type 2 diabetes were recruited from specialty care settings (diabetes and endocrinology clinics). They were randomly assigned to 1) a 12-month Peer-Led, Empowerment-based Approach to Self-management Efforts in Diabetes (PLEASED) program where they received 12 weekly contacts from their peer supporter (PS) in the first 3 months, followed by 18 biweekly telephone support contacts over the last 9 months, or 2) usual care. Read More

BMJ Open 2019 01 29;9(1):e024551. Epub 2019 Jan 29.

Faculty of Health Science and Medicine, Bond University, Robina, Queensland, Australia.

Objective: To evaluate the feasibility and acceptability of a personalised telehealth intervention to support dietary self-management in adults with stage 3-4 chronic kidney disease (CKD).

Design: Mixed-methods process evaluation embedded in a randomised controlled trial.

Participants: People with stage 3-4 CKD (estimated glomerular filtration rate [eGFR]15-60 mL/min/1. Read More

BMC Med 2019 01 14;17(1). Epub 2019 Jan 14.

Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.

Background: Excessive gestational weight gain (GWG) leads to obstetric complications, maternal postpartum weight retention and an increased risk of offspring obesity. The GeliS study examines the effect of a lifestyle intervention during pregnancy on the proportion of women with excessive GWG and pregnancy and obstetric complications, as well as the long-term risk of maternal and infant obesity.

Methods: The GeliS study is a cluster-randomised multicentre controlled trial including 2286 women with a pre-pregnancy BMI between 18. Read More

Nutrients 2019 Jan 10;11(1). Epub 2019 Jan 10.

Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do 14068, Korea.

This study aimed to develop a multidisciplinary lifestyle intervention program targeted at children and adolescents with moderate to severe obesity, and assess the additional effects of exercise intervention when compared to usual care. Overall, the 103 enrolled participants were ≥85th percentile of age and sex-specific body mass index (BMI). Participants were divided into groups that received 16 weeks of either usual care or exercise intervention. Read More

Diabetes Metab Res Rev 2019 03 21;35(3):e3112. Epub 2018 Dec 21.

Department of Endocrinology, Danyang People's Hospital of Jiangsu Province, Danyang, China.

Background: The aim of the study was to investigate whether simulation education (SE) and case management had any effect on glycemic control in type 2 diabetes (T2DM) patients.

Methods: In this single center pilot trial, 100 T2DM patients who received medication and basic diabetes self-management education (DSME) were randomly divided into a control group (n = 50) and an experimental group (n = 50), who received SE and a case management program. Evaluation of biochemical indices was conducted at baseline and after 6 months. Read More