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1.
BMC Genomics ; 20(1): 493, 2019 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-31200636

RESUMO

BACKGROUND: Limited accessibility to intestinal epithelial tissue in wild animals and humans makes it challenging to study patterns of intestinal gene regulation, and hence to monitor physiological status and health in field conditions. To explore solutions to this limitation, we have used a noninvasive approach via fecal RNA-seq, for the quantification of gene expression markers in gastrointestinal cells of free-range primates and a forager human population. Thus, a combination of poly(A) mRNA enrichment and rRNA depletion methods was used in tandem with RNA-seq to quantify and compare gastrointestinal gene expression patterns in fecal samples of wild Gorilla gorilla gorilla (n = 9) and BaAka hunter-gatherers (n = 10) from The Dzanga Sangha Protected Areas, Central African Republic. RESULTS: Although only a small fraction (< 4.9%) of intestinal mRNA signals was recovered, the data was sufficient to detect significant functional differences between gorillas and humans, at the gene and pathway levels. These intestinal gene expression differences were specifically associated with metabolic and immune functions. Additionally, non-host RNA-seq reads were used to gain preliminary insights on the subjects' dietary habits, intestinal microbiomes, and infection prevalence, via identification of fungi, nematode, arthropod and plant RNA. CONCLUSIONS: Overall, the results suggest that fecal RNA-seq, targeting gastrointestinal epithelial cells can be used to evaluate primate intestinal physiology and gut gene regulation, in samples obtained in challenging conditions in situ. The approach used herein may be useful to obtain information on primate intestinal health, while revealing preliminary insights into foraging ecology, microbiome, and diet.


Assuntos
Fezes , Trato Gastrointestinal/metabolismo , Perfilação da Expressão Gênica , Gorilla gorilla/genética , RNA-Seq , Animais , Humanos , Poli A/genética , RNA Mensageiro/genética
2.
Am J Phys Anthropol ; 169(3): 575-585, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31025322

RESUMO

OBJECTIVES: Environmental and ecological factors, such as geographic range, anthropogenic pressure, group identity, and feeding behavior are known to influence the gastrointestinal microbiomes of great apes. However, the influence of individual host traits such as age and sex, given specific dietary and social constraints, has been less studied. The objective of this investigation was to determine the associations between an individual's age and sex on the diversity and composition of the gut microbiome in wild western lowland gorillas. MATERIALS AND METHODS: Publicly available 16S rRNA data generated from fecal samples of different groups of Gorilla gorilla gorilla in the Central African Republic were downloaded and bioinformatically processed. The groups analyzed included habituated, partially habituated and unhabituated gorillas, sampled during low fruit (dry, n = 28) and high fruit (wet, n = 82) seasons. Microbial community analyses (alpha and beta diversity and analyses of discriminant taxa), in tandem with network-wide approaches, were used to (a) mine for specific age and sex based differences in gut bacterial community composition and to (b) asses for gut community modularity and bacterial taxa with potential functional roles, in the context of seasonal food variation, and social group affiliation. RESULTS: Both age and sex significantly influenced gut microbiome diversity and composition in wild western lowland gorillas. However, the largest differences were observed between infants and adults in habituated groups and between adults and immature gorillas within all groups, and across dry and wet seasons. Specifically, although adults always showed greater bacterial richness than infants and immature gorillas, network-wide analyses showed higher microbial community complexity and modularity in the infant gorilla gut. Sex-based microbiome differences were not evident among adults, being only detected among immature gorillas. CONCLUSIONS: The results presented point to a dynamic gut microbiome in Gorilla spp., associated with ontogeny and individual development. Of note, the gut microbiomes of breastfeeding infants seemed to reflect early exposure to complex, herbaceous vegetation. Whether increased compositional complexity of the infant gorilla gut microbiome is an adaptive response to an energy-limited diet and an underdeveloped gut needs to be further tested. Overall, age and sex based gut microbiome differences, as shown here, maybe mainly attributed to access to specific feeding sources, and social interactions between individuals within groups.


Assuntos
Microbioma Gastrointestinal/fisiologia , Gorilla gorilla/microbiologia , Gorilla gorilla/fisiologia , Envelhecimento/fisiologia , Animais , Antropologia Física , DNA Bacteriano/análise , Fezes/microbiologia , Feminino , Microbioma Gastrointestinal/genética , Masculino , RNA Ribossômico 16S/genética , Fatores Sexuais
3.
Am J Primatol ; 81(10-11): e23045, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31471974

RESUMO

The study of the primate microbiome is critical in understanding the role of the microbial community in the host organism. To be able to isolate the main factors responsible for the differences observed in microbiomes within and between individuals, confounding factors due to technical variations need to be removed. To determine whether alterations due to preservatives outweigh differences due to factors such as host population, host species, body site, and habitat, we tested three methods (no preservative, 96% ethanol, and RNAlater) for preserving wild chimpanzee (fecal), wild lemur (fecal), wild vervet monkey (rectal, oral, nasal, otic, vaginal, and penile), and captive vervet monkey (rectal) samples. All samples were stored below - 20°C (short term) at the end of the field day and then at - 80°C until DNA extraction. Using 16S rRNA gene sequencing, we show a significant preservative effect on microbiota composition and diversity. Samples stored in ethanol and RNAlater appear to be less different compared with samples not stored in any preservative (none). Our differential analysis revealed significantly higher amounts of Enterococcaceae and Family XI in no preservative samples, Prevotellaceae and Spirochaetaceae in ethanol and RNAlater preserved samples, Oligosphaeraceae in ethanol-preserved samples, and Defluviitaleaceae in RNAlater preserved samples. While these preservative effects on the microbiome are not large enough to remove or outweigh the differences arising from biological factors (e.g., host species, body site, and habitat differences) they may promote misleading interpretations if they have large enough effect sizes compared to the biological factors (e.g., host population).


Assuntos
Microbiota , Preservação Biológica/métodos , Manejo de Espécimes/veterinária , Animais , Chlorocebus aethiops/microbiologia , Feminino , Interações entre Hospedeiro e Microrganismos , Lemur/microbiologia , Masculino , Pan troglodytes/microbiologia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Especificidade da Espécie , Manejo de Espécimes/métodos
4.
Microbiology (Reading) ; 164(1): 40-44, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29205130

RESUMO

Exposure to stressors can negatively impact the mammalian gastrointestinal microbiome (GIM). Here, we used 454 pyrosequencing of 16S rRNA bacterial gene amplicons to evaluate the impact of physiological stress, as evidenced by faecal glucocorticoid metabolites (FGCM; ng/g), on the GIM composition of free-ranging western lowland gorillas (Gorilla gorilla gorilla). Although we found no relationship between GIM alpha diversity (H) and FGCM levels, we observed a significant relationship between the relative abundances of particular bacterial taxa and FGCM levels. Specifically, members of the family Anaerolineaceae (ρ=0.4, FDR q=0.01), genus Clostridium cluster XIVb (ρ=0.35, FDR q=0.02) and genus Oscillibacter (ρ=0.35, FDR q=0.02) were positively correlated with FGCM levels. Thus, while exposure to stressors appears to be associated with minor changes in the gorilla GIM, the consequences of these changes are unknown. Our results may have implications for conservation biology as well as for our overall understanding of factors influencing the non-human primate GIM.


Assuntos
Bactérias/classificação , Microbioma Gastrointestinal/fisiologia , Gorilla gorilla/microbiologia , Estresse Fisiológico , Animais , Bactérias/genética , DNA Bacteriano , Fezes/química , Fezes/microbiologia , Glucocorticoides/análise , Gorilla gorilla/fisiologia , Modelos Estatísticos , RNA Ribossômico 16S , Análise de Sequência de DNA
5.
J Anim Ecol ; 87(2): 388-399, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29205327

RESUMO

Vertebrate gut microbiota form a key component of immunity and a dynamic link between an individual and the ecosystem. Microbiota might play a role in social systems as well, because microbes are transmitted during social contact and can affect host behaviour. Combining methods from behavioural and molecular research, we describe the relationship between social dynamics and gut microbiota of a group-living cooperative species of primate, the red-bellied lemur (Eulemur rubriventer). Specifically, we ask whether patterns of social contact (group membership, group size, position in social network, individual sociality) are associated with patterns of gut microbial composition (diversity and similarity) between individuals and across time. Red-bellied lemurs were found to have gut microbiota with slight temporal fluctuations and strong social group-specific composition. Contrary to expectations, individual sociality was negatively associated with gut microbial diversity. However, position within the social network predicted gut microbial composition. These results emphasize the role of the social environment in determining the microbiota of adult animals. Since social transmission of gut microbiota has the potential to enhance immunity, microbiota might have played an escalating role in the evolution of sociality.


Assuntos
Comportamento Animal/fisiologia , Biodiversidade , Evolução Biológica , Microbioma Gastrointestinal/fisiologia , Lemur/imunologia , Lemur/microbiologia , Comportamento Social , Animais , Ecossistema , Microbioma Gastrointestinal/imunologia
6.
Am J Primatol ; 80(6): e22867, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29862519

RESUMO

The mammalian gastrointestinal (GI) tract is home to trillions of bacteria that play a substantial role in host metabolism and immunity. While progress has been made in understanding the role that microbial communities play in human health and disease, much less attention has been given to host-associated microbiomes in nonhuman primates (NHPs). Here we review past and current research exploring the gut microbiome of NHPs. First, we summarize methods for characterization of the NHP gut microbiome. Then we discuss variation in gut microbiome composition and function across different NHP taxa. Finally, we highlight how studying the gut microbiome offers new insights into primate nutrition, physiology, and immune system function, as well as enhances our understanding of primate ecology and evolution. Microbiome approaches are useful tools for studying relevant issues in primate ecology. Further study of the gut microbiome of NHPs will offer new insight into primate ecology and evolution as well as human health.


Assuntos
Evolução Biológica , Microbioma Gastrointestinal , Primatas/microbiologia , Animais , Bactérias/classificação , Dieta/veterinária , Ecologia , Filogenia , Primatas/classificação , Primatas/imunologia , Primatas/fisiologia
7.
Microb Ecol ; 74(1): 250-258, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28124727

RESUMO

Studies of human and domestic animal models indicate that related individuals and those that spend the most time in physical contact typically have more similar gut microbial communities. However, few studies have examined these factors in wild mammals where complex social dynamics and a variety of interacting environmental factors may impact the patterns observed in controlled systems. Here, we explore the effect of host kinship and time spent in social contact on the gut microbiota of wild, black howler monkeys (Alouatta pigra). Our results indicate that closely related individuals had less similar gut microbial communities than non-related individuals. However, the effect was small. In contrast, as previously reported in baboons and chimpanzees, individuals that spent more time in contact (0 m) and close proximity (0-1 m) had more similar gut microbial communities. This pattern was driven by adult female-adult female dyads, which generally spend more time in social contact than adult male-adult male dyads or adult male-adult female dyads. Relative abundances of individual microbial genera such as Bacteroides, Clostridium, and Streptococcus were also more similar in individuals that spent more time in contact or close proximity. Overall, our data suggest that even in arboreal primates that live in small social groups and spend a relatively low proportion of their time in physical contact, social interactions are associated with variation in gut microbiota composition. Additionally, these results demonstrate that within a given host species, subgroups of individuals may interact with the gut microbiota differently.


Assuntos
Alouatta/microbiologia , Microbioma Gastrointestinal , Comportamento Social , Animais , Feminino , Masculino
8.
Hum Factors ; 59(8): 1214-1221, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28892419

RESUMO

Objective To examine the effect of backpack hip strap use on walking energy expenditure while carrying a loaded backpack. Background Previous studies have demonstrated that energy cost increases as the mass of the load carried increases. However, few investigations have focused on backpack carriage design. Methods Fifteen young, healthy, male subjects walked at a self-selected pace for 10 minutes in two backpack loading conditions: with a hip strap (strapped) and without a hip strap (nonstrapped). Oxygen consumption (VO2), rating of perceived exertion (RPE), respiratory exchange ratio (RER), and heart rate (HR) were monitored throughout each 10-minute trial. Change scores from the 4th to 10th minute were calculated for each variable. A t test was used to evaluate the difference between conditions for each variable. Results The changes in VO2 (-0.62 ± 0.40 vs. 0.33 ± 0.23, p = .04) and RPE (1 ± 0.25 vs. 2 ± 0.21, p < .01) from the 4th to the 10th minute were different for the strapped versus nonstrapped condition. There was no difference in the change in RER (0.04 ± 0.01 vs. 0.03 ± 0.01, p > .05) or HR (3.53 ± 0.93 vs. 4.07 ± 1.39, p > .05) for the strapped versus unstrapped condition. Conclusions Wearing a hip strap reduced the energy expenditure and perceived exertion in as little as 10 minutes of walking compared to the nonstrapped condition. Future work should consider the effect of a hip strap on these variables while hiking for extended periods. Application Wearing a hip strap may increase the comfort and reduce the energy required of wearing a backpack. This is useful information for backpack designers, military personnel, and recreational hikers.


Assuntos
Metabolismo Energético/fisiologia , Esforço Físico/fisiologia , Caminhada/fisiologia , Suporte de Carga/fisiologia , Adulto , Fenômenos Biomecânicos , Humanos , Masculino , Adulto Jovem
9.
Microb Ecol ; 72(4): 943-954, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-26984253

RESUMO

The mammalian gastrointestinal (GI) microbiome, which plays indispensable roles in host nutrition and health, is affected by numerous intrinsic and extrinsic factors. Among them, antibiotic (ATB) treatment is reported to have a significant effect on GI microbiome composition in humans and other animals. However, the impact of ATBs on the GI microbiome of free-ranging or even captive great apes remains poorly characterized. Here, we investigated the effect of cephalosporin treatment (delivered by intramuscular dart injection during a serious respiratory outbreak) on the GI microbiome of a wild habituated group of western lowland gorillas (Gorilla gorilla gorilla) in the Dzanga Sangha Protected Areas, Central African Republic. We examined 36 fecal samples from eight individuals, including samples before and after ATB treatment, and characterized the GI microbiome composition using Illumina-MiSeq sequencing of the bacterial 16S rRNA gene. The GI microbial profiles of samples from the same individuals before and after ATB administration indicate that the ATB treatment impacts GI microbiome stability and the relative abundance of particular bacterial taxa within the colonic ecosystem of wild gorillas. We observed a statistically significant increase in Firmicutes and a decrease in Bacteroidetes levels after ATB treatment. We found disruption of the fibrolytic community linked with a decrease of Ruminoccocus levels as a result of ATB treatment. Nevertheless, the nature of the changes observed after ATB treatment differs among gorillas and thus is dependent on the individual host. This study has important implications for ecology, management, and conservation of wild primates.


Assuntos
Antibacterianos/farmacologia , Doenças dos Símios Antropoides/tratamento farmacológico , Cefalosporinas/farmacologia , Microbioma Gastrointestinal/efeitos dos fármacos , Gorilla gorilla/microbiologia , Animais , Bacteroidetes/crescimento & desenvolvimento , República Centro-Africana , Fezes/microbiologia , Firmicutes/crescimento & desenvolvimento , RNA Ribossômico 16S/genética , Ruminococcus/crescimento & desenvolvimento
10.
Oecologia ; 180(3): 717-33, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26597549

RESUMO

Recent studies suggest that variation in diet across time and space results in changes in the mammalian gut microbiota. This variation may ultimately impact host ecology by altering nutritional status and health. Wild animal populations provide an excellent opportunity for understanding these interactions. However, compared to clinical studies, microbial research targeting wild animals is currently limited, and many published studies focus only on a single population of a single host species. In this study we utilize fecal samples from two species of howler monkey (Alouatta pigra and A. palliata) collected at four sites to investigate factors influencing the gut microbiota at three scales: taxonomic (host species), ecosystemic (forest type), and local (habitat disturbance/season). The results demonstrate that the effect of host species on the gut microbiota is stronger than the effect of host forest type, which is stronger than the effect of habitat disturbance or seasonality. Nevertheless, within host species, gut microbiota composition differs in response to forest type, habitat disturbance, and season. Variations in the effect size of these factors are associated both with host species and environment. This information may be beneficial for understanding ecological and evolutionary questions associated with Mesoamerican howler monkeys, as well as determining conservation challenges facing each species. These mechanisms may also provide insight into the ecology of other species of howler monkeys, non-human primates, and mammals.


Assuntos
Alouatta/microbiologia , Ecossistema , Microbioma Gastrointestinal , Filogenia , Animais , Dieta , Fezes/microbiologia , Florestas , Estações do Ano
11.
Am J Primatol ; 78(8): 883-92, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27177345

RESUMO

The gut microbiota contributes to host health by maintaining homeostasis, increasing digestive efficiency, and facilitating the development of the immune system. The composition of the gut microbiota can change dramatically within and between individuals of a species as a result of diet, age, or habitat. Therefore, understanding the factors determining gut microbiota diversity and composition can contribute to our knowledge of host ecology as well as to conservation efforts. Here we use high-throughput sequencing to describe variation in the gut microbiota of the endangered ring-tailed lemur (Lemur catta) at the Bezà Mahafaly Special Reserve (BMSR) in southwestern Madagascar. Specifically, we measured the diversity and composition of the gut microbiota in relation to social group, age, sex, tooth wear and loss, and habitat disturbance. While we found no significant variation in the diversity of the ring-tailed lemur gut microbiota in response to any variable tested, the taxonomic composition of the gut microbiota was influenced by social group, age, and habitat disturbance. However, effect sizes were small and appear to be driven by the presence or absence of relatively low abundance taxa. These results suggest that habitat disturbance may not impact the lemur gut microbiota as strongly as it impacts the gut microbiota of other primate species, highlighting the importance of distinct host ecological and physiological factors on host-gut microbe relationships. Am. J. Primatol. 78:883-892, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Ecossistema , Microbioma Gastrointestinal , Lemur , Animais , Madagáscar , Comportamento Social , Desgaste dos Dentes
12.
Mol Ecol ; 24(10): 2551-65, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25846719

RESUMO

The metabolic activities of gut microbes significantly influence host physiology; thus, characterizing the forces that modulate this micro-ecosystem is key to understanding mammalian biology and fitness. To investigate the gut microbiome of wild primates and determine how these microbial communities respond to the host's external environment, we characterized faecal bacterial communities and, for the first time, gut metabolomes of four wild lowland gorilla groups in the Dzanga-Sangha Protected Areas, Central African Republic. Results show that geographical range may be an important modulator of the gut microbiomes and metabolomes of these gorilla groups. Distinctions seemed to relate to feeding behaviour, implying energy harvest through increased fruit consumption or fermentation of highly fibrous foods. These observations were supported by differential abundance of metabolites and bacterial taxa associated with the metabolism of cellulose, phenolics, organic acids, simple sugars, lipids and sterols between gorillas occupying different geographical ranges. Additionally, the gut microbiomes of a gorilla group under increased anthropogenic pressure could always be distinguished from that of all other groups. By characterizing the interplay between environment, behaviour, diet and symbiotic gut microbes, we present an alternative perspective on primate ecology and on the forces that shape the gut microbiomes of wild primates from an evolutionary context.


Assuntos
Fezes/microbiologia , Gorilla gorilla/microbiologia , Microbiota , Animais , República Centro-Africana , DNA Bacteriano/genética , Dieta/veterinária , Ácidos Graxos/análise , Fezes/química , Comportamento Alimentar , Geografia , Metabolômica
13.
Microb Ecol ; 69(2): 434-43, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25524570

RESUMO

For most mammals, including nonhuman primates, diet composition varies temporally in response to differences in food availability. Because diet influences gut microbiota composition, it is likely that the gut microbiota of wild mammals varies in response to seasonal changes in feeding patterns. Such variation may affect host digestive efficiency and, ultimately, host nutrition. In this study, we investigate the temporal variation in diet and gut microbiota composition and function in two groups (N = 13 individuals) of wild Mexican black howler monkeys (Alouatta pigra) over a 10-month period in Palenque National Park, Mexico. Temporal changes in the relative abundances of individual bacterial taxa were strongly correlated with changes in host diet. For example, the relative abundance of Ruminococcaceae was highest during periods when energy intake was lowest, and the relative abundance of Butyricicoccus was highest when young leaves and unripe fruit accounted for 68 % of the diet. Additionally, the howlers exhibited increased microbial production of energy during periods of reduced energy intake from food sources. Because we observed few changes in howler activity and ranging patterns during the course of our study, we propose that shifts in the composition and activity of the gut microbiota provided additional energy and nutrients to compensate for changes in diet. Energy and nutrient production by the gut microbiota appears to provide an effective buffer against seasonal fluctuations in energy and nutrient intake for these primates and is likely to have a similar function in other mammal species.


Assuntos
Alouatta/microbiologia , Dieta/veterinária , Trato Gastrointestinal/microbiologia , Microbiota , Animais , Comportamento Alimentar , Feminino , Frutas , Masculino , México , Folhas de Planta , Estações do Ano
14.
Exp Brain Res ; 233(3): 751-66, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25430546

RESUMO

Damage to the right parietal cortex often leads to a syndrome known as unilateral neglect in which the patient fails to attend or respond to stimuli in left space. Recent work attempting to rehabilitate the disorder has made use of rightward-shifting prisms that displace visual input further rightward. After a brief period of adaptation to prisms, many of the symptoms of neglect show improvements that can last for hours or longer, depending on the adaptation procedure. Recent work has shown, however, that differential effects of prisms can be observed on actions (which are typically improved) and perceptual biases (which often remain unchanged). Here, we present a computational model capable of explaining some basic symptoms of neglect (line bisection behaviour), the effects of prism adaptation in both healthy controls and neglect patients and the observed dissociation between action and perception following prisms. The results of our simulations support recent contentions that prisms primarily influence behaviours normally thought to be controlled by the dorsal stream.


Assuntos
Adaptação Fisiológica/fisiologia , Modelos Neurológicos , Transtornos da Percepção/reabilitação , Percepção Visual/fisiologia , Atenção , Humanos , Transtornos da Percepção/fisiopatologia , Estimulação Luminosa , Percepção Espacial
15.
16.
J Strength Cond Res ; 29(12): 3472-9, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25970493

RESUMO

The traditional sit-up may be a poor choice for core strength training due to its focus on hip flexion. The purpose of this study was to determine differences in abdominal and hip flexor muscle activation and trunk and hip kinematics between the traditional U.S. Army sit-up and a modified sit-up focusing on trunk flexion. Eighteen trained males performed 30 seconds of repetitions of each sit-up style, while muscle activation of the rectus abdominis (RA), external oblique (EO), and rectus femoris (RF) was recorded using electromyography (EMG). Trunk and hip kinematics were measured using 2-D videography. Maximum and mean muscle activation, integrated EMG (iEMG), and trunk and hip flexion were compared using a repeated-measures design. Maximum EMG of the RF and EO and mean EMG and iEMG of the RF were greater during the traditional sit-up. In contrast, mean EMG and iEMG of the RA and EO were greater during the modified sit-up. Peak trunk flexion was greater during the modified sit-up, and peak hip flexion was greater during the traditional sit-up. The greater RF EMG activity and peak hip flexion during the traditional sit-up suggest a greater emphasis on hip flexion during this sit-up style, which may result in lumbar hyperextension. The greater RA and EO activity and peak trunk flexion during the modified sit-up suggest a greater emphasis on trunk flexion during this exercise, which may decrease the lumbar spine load. Therefore, the modified sit-up may be a better exercise selection to train the abdominal muscles.


Assuntos
Exercício Físico/fisiologia , Movimento/fisiologia , Músculo Quadríceps/fisiologia , Reto do Abdome/fisiologia , Treinamento Resistido/métodos , Adulto , Fenômenos Biomecânicos , Eletromiografia , Articulação do Quadril/fisiologia , Humanos , Joelho , Região Lombossacral/fisiologia , Masculino , Adulto Jovem
17.
J Gen Intern Med ; 29(1): 76-81, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24078406

RESUMO

BACKGROUND: The prevalence and consequences of financial barriers to health care among patients with multiple chronic diseases are poorly understood. OBJECTIVE: We sought to assess the prevalence of self-reported financial barriers to health care among individuals with diabetes and coronary heart disease (CHD) and to determine their association with access to care, quality of care and clinical outcomes. DESIGN: The 2007 Centers for Disease Control Behavioral Risk Factor Surveillance Survey. PARTICIPANTS: Diabetic patients with CHD. MAIN MEASURES: Financial barriers to health care were defined by a self-reported time in the past 12 months when the respondent needed to see a doctor but could not because of cost. The primary clinical outcome was vascular morbidity­a composite of stroke, retinopathy, nonhealing foot sores or bilateral foot amputations. KEY RESULTS: Among the 11,274 diabetics with CHD, 1,541 (13.7 %) reported financial barriers to health care. Compared to individuals without financial barriers, those with financial barriers had significantly reduced rates of medical assessments within the past 2 years, hemoglobin (Hgb) A1C measurements in the past year, cholesterol measurements at any time, eye and foot examinations within the past year, diabetic education, antihypertensive treatment, aspirin use and a higher prevalence of vascular morbidity. In multivariable analyses, financial barriers to health care were independently associated with reduced odds of medical checkups (Odds Ratio [OR], 0.61; 95 % Confidence Intervals [CI], 0.55­0.67), Hgb A1C measurement (OR, 0.85; 95 % CI, 0.77­0.94), cholesterol measurement (OR, 0.76; 95 % CI, 0.67­0.86), eye (OR, 0.85; 95 % CI, 0.79­0.92) and foot (OR, 0.92; 95 % CI, 0.84­1.00) examinations, diabetic education (OR, 0.93; 95 % CI, 0.87­0.99), aspirin use (OR, 0.88; 95 % CI, 0.81­0.96) and increased odds of vascular morbidity (OR, 1.23; 95 % CI, 1.14­1.33). CONCLUSIONS: In diabetic adults with CHD, financial barriers to health care were associated with impaired access to medical care, inferior quality of care and greater vascular morbidity. Eliminating financial barriers and adherence to guideline-based recommendations may improve the health of individuals with multiple chronic diseases.


Assuntos
Doença das Coronárias/terapia , Diabetes Mellitus Tipo 2/terapia , Angiopatias Diabéticas/terapia , Financiamento Pessoal/estatística & dados numéricos , Acessibilidade aos Serviços de Saúde/economia , Qualidade da Assistência à Saúde , Idoso , Sistema de Vigilância de Fator de Risco Comportamental , Colesterol/sangue , Doença das Coronárias/economia , Estudos Transversais , Diabetes Mellitus Tipo 2/economia , Angiopatias Diabéticas/diagnóstico , Angiopatias Diabéticas/economia , Uso de Medicamentos/estatística & dados numéricos , Feminino , Hemoglobinas Glicadas/metabolismo , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Hipoglicemiantes/uso terapêutico , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Guias de Prática Clínica como Assunto , Autorrelato
18.
Am J Phys Anthropol ; 155(4): 652-64, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25252073

RESUMO

In all mammals, growth, development, pregnancy, and lactation increase nutritional demands. Although primate field studies tend to focus on shifts in activity and diet as mechanisms to compensate for these demands, differences in digestive efficiency also are likely to be important. Because the gut microbiota can impact host digestive efficiency, we examined differences in activity budget, diet, and the gut microbial community among adult male (N = 4), adult female (N = 4), and juvenile (N = 5) wild black howler monkeys (Alouatta pigra) across a ten-month period in Palenque National Park, Mexico to determine how adult females and juveniles compensate for increased nutritional demands. Results indicate that adult females and juveniles consumed more protein and energy than adult males. Adult males, adult females, and juveniles also possessed distinct gut microbial communities, unrelated to diet. Juveniles exhibited a gut microbiota characterized by bacteria from the phylum Firmicutes, such as Roseburia and Ruminococcus, and demonstrated high fecal volatile fatty acid content, suggesting increased microbial contributions to host energy balances. Adult females possessed a higher Firmicutes to Bacteroidetes ratio, also suggesting increased energy production, and their gut microbiota was characterized by Lactococcus, which has been associated with folate biosynthesis. On the basis of these patterns, it appears that the gut microbiota differentially contributes to howler monkey nutrition during reproduction and growth. Determining the nutritional and energetic importance of shifts in activity, diet, and the gut microbiota in other nonhuman primate taxa, as well as humans, will transform our understanding of these life history processes and the role of host-microbe relationships in primate evolution.


Assuntos
Alouatta/microbiologia , Alouatta/fisiologia , Comportamento Animal/fisiologia , Dieta , Ingestão de Energia/fisiologia , Trato Gastrointestinal/microbiologia , Ciclos de Atividade , Aminoácidos/análise , Animais , Carboidratos/análise , Ácidos Graxos/análise , Fezes/química , Fezes/microbiologia , Feminino , Masculino , Microbiota
19.
Am J Primatol ; 76(4): 347-54, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24285224

RESUMO

Primate gastrointestinal microbial communities are becoming increasingly appreciated for their relevance to comparative medicine and conservation, but the factors that structure primate "microbiomes" remain controversial. This study examined a community of primates in Kibale National Park, Uganda, to assess the relative importance of host species and location in structuring gastrointestinal microbiomes. Fecal samples were collected from primates in intact forest and from primates in highly disturbed forest fragments. People and livestock living nearby were also included, as was a geographically distant population of related red colobus in Kenya. A culture-free microbial community fingerprinting technique was used to analyze fecal microbiomes from 124 individual red colobus (Procolobus rufomitratus), 100 individual black-and-white colobus (Colobus guereza), 111 individual red-tailed guenons (Cercopithecus ascanius), 578 human volunteers, and 364 domestic animals, including cattle (Bos indicus and B. indicus × B. taurus crosses), goats (Caprus hircus), sheep (Ovis aries), and pigs (Sus scrofa). Microbiomes sorted strongly by host species, and forest fragmentation did not alter this pattern. Microbiomes of Kenyan red colobus sorted distinctly from microbiomes of Ugandan red colobus, but microbiomes from these two red colobus populations clustered more closely with each other than with any other species. Microbiomes from red colobus and black-and-white colobus were more differentiated than would be predicted by the phylogenetic relatedness of these two species, perhaps reflecting heretofore underappreciated differences in digestive physiology between the species. Within Kibale, social group membership influenced intra-specific variation among microbiomes. However, intra-specific variation was higher among primates in forest fragments than among primates in intact forest, perhaps reflecting the physical separation of fragments. These results suggest that, in this system, species-specific processes such as gastrointestinal physiology strongly structure microbial communities, and that primate microbiomes are relatively resistant to perturbation, even across large geographic distances or in the face of habitat disturbance.


Assuntos
Cercopithecus/microbiologia , Colobus/microbiologia , Fezes/microbiologia , Microbiota/genética , Animais , Bovinos/microbiologia , DNA Bacteriano , Ecossistema , Cabras/microbiologia , Humanos/microbiologia , Ovinos/microbiologia , Suínos/microbiologia , Árvores , Uganda
20.
J Bodyw Mov Ther ; 39: 279-284, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38876639

RESUMO

Lateral ankle sprains (LAS) often lead to chronic ankle instability (CAI). The Ebbets foot drills were created to strengthen the lower leg muscles and reduce the risk of LAS. The current study aimed to explore the activation of the lower leg muscles during the Ebbets foot drills. Twenty-two (22) college students without LAS participated in the study. Surface electromyography (sEMG) of the tibialis anterior (TA), tibialis posterior (TP), and peroneus longus (PL) was collected during each of the Ebbets foot drills and a normal walking trial. The sEMG mean root mean square (RMS) was calculated for each walking and Ebbets foot drill trial duration. The mean RMS was higher during the Ebbets foot drills compared to normal walking for all muscles. The TA sEMG mean RMS was greater (4.0-68.3%, P = 0.001-0.023) during all the Ebbets foot drills than during the walking trial. The TP had greater mean RMS during the toe-in (50.4%, P < 0.001), toe-out (55.0%, P < 0.001), and backward walking (47.3%, P < 0.001) drills, than during the walking trial. The PL had greater mean RMS during all Ebbets foot drills (19.4-53.7%, P < 0.001) except for the heel walking and inversion drills. Ebbets foot drills higher muscle activity than regular walking, suggesting that the Ebbets foot drills could aid in the strengthening of the TA, TP, and PL muscles. These results build evidence on Ebbets' theory and indicate that these drills may be used to rehabilitate LAS and CAI.


Assuntos
Eletromiografia , Músculo Esquelético , Caminhada , Humanos , Masculino , Músculo Esquelético/fisiologia , Feminino , Adulto Jovem , Caminhada/fisiologia , Traumatismos do Tornozelo , Adulto , Perna (Membro)/fisiologia , Terapia por Exercício/métodos , Instabilidade Articular/fisiopatologia , Instabilidade Articular/reabilitação
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