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1.
Age Ageing ; 53(10)2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39395816

RESUMO

BACKGROUND: Whether changes in socioeconomic position (SEP) across generations, i.e. intergenerational social mobility, influence brain degeneration and cognition in later life is unclear. OBJECTIVE: To examine the association of social mobility, brain grey matter structure and global cognition. METHODS: We analysed T1 brain MRI data of 771 old adults (69.8 ± 5.2 years) from the Whitehall II MRI substudy, with MRI data collected between 2012 and 2016. Social mobility was defined by SEP changes from their fathers' generation to mid-life status. Brain structural outcomes include grey matter (GM) volume and cortical thickness (CT) covering whole brain. Global cognition was measured by the Mini Mental State Examination. We firstly conducted analysis of covariance to identify regional difference of GM volume and cortical thickness across stable high/low and upward/downward mobility groups, followed with diagonal reference models studying the relationship between mobility and brain cognitive outcomes, apart from SEP origin and destination. We additionally conducted linear mixed models to check mobility interaction over time, where global cognition was derived from three phases across 2002 to 2017. RESULTS: Social mobility related to 48 out of the 136 GM volume regions and 4 out of the 68 CT regions. Declined volume was particularly seen in response to downward mobility, whereas no independent association of mobility with global cognition was observed. CONCLUSION: Despite no strong evidence supporting direct influence of mobility on global cognition in later life, imaging findings warranted a severe level of neurodegeneration due to downward mobility from their father's generation.


Assuntos
Cognição , Substância Cinzenta , Imageamento por Ressonância Magnética , Mobilidade Social , Humanos , Masculino , Idoso , Feminino , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/patologia , Pessoa de Meia-Idade , Encéfalo/diagnóstico por imagem , Fatores de Tempo , Espessura Cortical do Cérebro , Testes de Estado Mental e Demência , Fatores Etários , Envelhecimento Cognitivo/psicologia , Estudos Longitudinais , Londres/epidemiologia
2.
Mol Divers ; 28(4): 2411-2427, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39097862

RESUMO

The deep molecular generative model has recently become a research hotspot in pharmacy. This paper analyzes a large number of recent reports and reviews these models. In the central part of this paper, four compound databases and two molecular representation methods are compared. Five model architectures and applications for deep molecular generative models are emphatically introduced. Three evaluation metrics for model evaluation are listed. Finally, the limitations and challenges in this field are discussed to provide a reference and basis for developing and researching new models published in future.


Assuntos
Desenho de Fármacos , Modelos Moleculares , Aprendizado Profundo
3.
Neuroimage ; 222: 117297, 2020 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-32828927

RESUMO

Physical activity, such as high-intensity intermittent aerobic exercise (HIE), can improve executive functions. Although performing strength or aerobic training might be problematic or not feasible for someone. An experimental situation where there is no actual movement, but the body shows physiological reactions, is during the illusion through immersive virtual reality (IVR). We aimed to demonstrate whether a virtual HIE-based intervention (vHIE) performed exclusively by the own virtual body has physical, cognitive, and neural benefits on the real body. 45 healthy young adults (cross-over design) experienced HIE training in IVR (i.e., the virtual body performed eight sets of 30 s of running followed by 30 s of slow walking, while the subject is completely still) in two random-ordered conditions (administered in two sessions one week apart): the virtual body is displayed in first-person perspective (1PP) or third-person perspective (3PP). During the vHIE, we recorded the heart rate and subjective questionnaires to confirm the effectiveness of the illusion; before and after vHIE, we measured cortical hemodynamic changes in the participants' left dorsolateral prefrontal cortex (lDLPFC) using the fNIRS device during the Stroop task to test our main hypothesis. Preliminary, we confirmed that the illusion was effective: during the vHIE in 1PP, subjects' heart rate increased coherently with the virtual movements, and they reported subjective feelings of ownership and agency. Primarily, subjects were faster in executing the Stroop task after the vHIE in 1PP; also, the lDLPFC activity increased coherently. Clinically, these results might be exploited to train cognition and body simultaneously. Theoretically, we proved that the sense of body ownership and agency can affect other parameters, even in the absence of actual movements.


Assuntos
Cognição/fisiologia , Exercício Físico/fisiologia , Ilusões/fisiologia , Caminhada/fisiologia , Função Executiva/fisiologia , Feminino , Humanos , Masculino , Movimento/fisiologia , Ensino , Realidade Virtual , Adulto Jovem
4.
Age Ageing ; 49(5): 850-855, 2020 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-32315383

RESUMO

BRIEF SUMMARY: We evaluated the impact of seven risk factors for dementia in China. Physical inactivity, midlife hypertension and low education are proposed to be the largest fraction contributors to dementia. 55% of dementia were attributable to one or more of the seven risk factors. BACKGROUND: Previous studies have highlighted the impact of seven risk factors (midlife obesity, physical inactivity, smoking, low education, diabetes mellitus, midlife hypertension and depression) against dementia. However, the impact of these risk factors on dementia has not been evaluated among the Chinese population. OBJECTIVE: To clarify the impact of seven major risk factors on the incidence of dementia in China. DESIGN: The prevalence of risk factors was derived from the latest national surveys. Relative risks of corresponding risk factors were derived from the latest cohort or cross-sectional studies. SETTING AND SUBJECTS: Three national surveys were included in the present study to obtain prevalence data of seven risk factors: the China Chronic Disease and Risk Factor Surveillance Survey (CCDRFSS) (2013), which covered about 170,000 adults (aged ≥18 years) from 31 provinces; (2) China National Survey of Chronic Kidney Disease (CNSCKD) (2010), which covered about 50,000 adults (aged ≥18 years) from 13 provinces; and (3) China Family Panel Studies Survey (CFPSS) (2012), which covered about 30,000 adults (aged ≥18 years) from 25 provinces. METHODS: Levin's formula was used to calculate the population attributable fraction (PAF) for each risk factor for dementia. The combined PAF of the seven risk factors was calculated assuming the independence of each risk factor. RESULTS: Physical inactivity (PAF, 24.3%), midlife hypertension (PAF, 22.1%) and low education (PAF: 11.9%) were the top three factors that contributed to dementia. The total PAF of the seven risk factors was 55% in the Chinese population. CONCLUSIONS: promotion of physical activity, control of hypertension and improvement of nationwide educational level may be helpful public health strategies to decrease the incidence of dementia in China.


Assuntos
Demência , Diabetes Mellitus , China/epidemiologia , Estudos Transversais , Demência/diagnóstico , Demência/epidemiologia , Humanos , Prevalência , Fatores de Risco
5.
Tohoku J Exp Med ; 250(2): 95-108, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32074515

RESUMO

In developed countries, the relationship between education level, wealth, and healthy aging have been found to be mediated by modifiable risk factors, such as obesity, physical activities, and smoking status. The present study was to investigate the association between education level, monthly per-capita expenditure (PCE), and healthy aging in the older Indonesian population, and to clarify modifiable risk factors that mediate this association. A 7-year prospective longitudinal study (2007-2014) was conducted on 696 older Indonesian individuals (≥ 50 years) living in 13 different provinces in Indonesia during the survey periods. Data on educational level, PCE, and modifiable risk factors were collected in 2007. Information on healthy aging was obtained in both 2007 and 2014. A multivariate-adjusted logistic regression model was used to estimate the odds ratio (ORs) and 95% confidence intervals (CIs) for healthy aging by education level and PCE. The mediating effects were estimated using a four-way effect decomposition. Out of 696 eligible subjects, 206 (29.6%) were judged as healthy aging in 2014. The OR (95% CI) for healthy aging for participants with a higher education level was 1.81 (1.23-2.65) compared with those with a lower education level, and no significant association was observed between PCE and healthy aging. An association was thus observed between education level and healthy aging, but not PCE. Importantly, the association between education level, PCE, and healthy aging does not appear to be mediated by the modifiable risk factors. Priorities in making health policy would be different between developed countries and developing countries.


Assuntos
Escolaridade , Gastos em Saúde , Envelhecimento Saudável/fisiologia , Inquéritos e Questionários , Idoso , Família , Feminino , Humanos , Indonésia/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco
6.
Food Chem X ; 22: 101438, 2024 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-38846796

RESUMO

This study explored the effects of steam explosion-modified rice bran dietary fiber (S-RBDF) on red date-flavored naan quality and flavor characteristics. The results revealed that the rheological properties of the dough were improved with the incremental addition of S-RBDF (0-5%). The microstructure revealed that adding an appropriate amount of S-RBDF (1-5%) enabled more starch granules to be embedded in the dough network. Notably, the addition of 5% S-RBDF resulted in naan with an optimum specific volume and texture, which consumers preferred. Additionally, gas chromatography-mass spectrometry analysis showed that adding S-RBDF to naan contributed to the retention and sustained release of pleasant volatile compounds (e.g. red date flavor, etc.), while inhibiting the development of unpleasant volatile compounds by delaying the oxidation and decomposition of lipids and preserving the antioxidant phenolic compounds, thus contributing to flavor maintenance of naan during storage. Overall, these results provided a foundation for developing high-quality flavored naan.

7.
Foods ; 13(9)2024 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-38731796

RESUMO

In this study, we have investigated the effects of Tremella fuciformis polysaccharide (TP) on the pasting, rheological, structural and in vitro digestive properties of Cyperus esculentus starch (CS). The results showed that the addition of TP significantly changed the pasting characteristics of CS, increased the pasting temperature and pasting viscosity, inhibited pasting, reduced the exudation of straight-chain starch and was positively correlated with the amount of TP added. The addition of the appropriate amount of TP could increase its apparent viscosity and enhance its viscoelasticity. The composite system of CS/TP exhibited higher short-range ordered structure and solid dense structure, which protected the crystal structure of CS, but was related to the amount of TP added. In addition, the introduction of TP not only decreased the in vitro digestion rate of CS and increased the content of slow-digestible starch (SDS) and resistant starch (RS), but also reduced the degree of digestion. Correlation studies established that TP could improve the viscoelasticity, relative crystallinity and short-range order of the CS/TP composite gel, maintain the integrity of the starch granule and crystalline structure, reduce the degree of starch pasting and strengthen the gel network structure of CS, which could help to lower the digestibility of CS.

8.
Mol Inform ; : e202400146, 2024 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-39444340

RESUMO

BACKGROUND: Effective molecular feature representation is crucial for drug property prediction. Recent years have seen increased attention on graph neural networks (GNNs) that are pre-trained using self-supervised learning techniques, aiming to overcome the scarcity of labeled data in molecular property prediction. Traditional GNNs in self-supervised molecular property prediction typically perform a single masking operation on the nodes and edges of the input molecular graph, masking only local information and insufficient for thorough self-supervised training. METHOD: Hence, we propose a model for molecular property prediction based on generative double-masking self-supervised learning, termed as GDMol. This integrates generative learning into the self-supervised learning framework for latent representation, and applies a second round of masking to these latent representations, enabling the model to better capture global information and semantic knowledge of the molecules for a richer, more informative representation, thereby achieving more accurate and robust molecular property prediction. RESULTS: Our experiments on 5 datasets demonstrated superior performance of GDMol in predicting molecular properties across different domains. Moreover, we used the masking operation to traverse through the gradient changes of each node, the magnitude and sign of which reflect the positive and negative contribution respectively of the local structure in the molecule to the prediction outcome. This in-depth interpretative analysis not only enhances the model's interpretability, but also provides more targeted insights and direction for optimizing drug molecules. CONCLUSIONS: In summary, this research offers novel insights on improving molecular property prediction tasks, and paves the way for further research on the application of generative learning and self-supervised learning in the field of chemistry.

9.
Eur J Med Chem ; 277: 116735, 2024 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-39098131

RESUMO

The molecular generation models based on protein structures represent a cutting-edge research direction in artificial intelligence-assisted drug discovery. This article aims to comprehensively summarize the research methods and developments by analyzing a series of novel molecular generation models predicated on protein structures. Initially, we categorize the molecular generation models based on protein structures and highlight the architectural frameworks utilized in these models. Subsequently, we detail the design and implementation of protein structure-based molecular generation models by introducing different specific examples. Lastly, we outline the current opportunities and challenges encountered in this field, intending to offer guidance and a referential framework for developing and studying new models in related fields in the future.


Assuntos
Inteligência Artificial , Modelos Moleculares , Proteínas , Proteínas/química , Conformação Proteica , Descoberta de Drogas , Humanos
10.
Foods ; 12(8)2023 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-37107404

RESUMO

In this paper, the effects of different proteins (soybean protein isolate, wheat protein hydrolysate, tremella protein) on the activity of tremella polysaccharide under different conditions were studied. The optimal protein-polysaccharide complex was determined by grafting degree and activity screening, and the microstructure and rheological properties were studied. The results showed that when the ratio of soybean protein isolate to tremella polysaccharide was 2:1 and the solution pH was 7, the optimal complex was obtained by heating at 90 °C for 4 h, and its grafting degree and antioxidant activity were the best. Studies have shown that tremella polysaccharide and soybean protein isolate complex (TFP-SPI) solution is pseudoplastic fluids. At the same time, tremella polysaccharide (TFP) and TFP-SPI were used for electrospinning to observe its spinnability. When the ratio of PVA/TFP-SPI/PL was 8:1:1, nanofibers with uniform diameter and good morphology were obtained. This paper provides a theoretical basis for the comprehensive utilization of tremella polysaccharide and its electrospun fiber can be used as active film for food packaging.

11.
Curr Res Food Sci ; 7: 100550, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37534307

RESUMO

In this study, steam explosion was employed as a modification process for rice bran insoluble dietary fiber (RBIDF) to improve the flavor adsorption and controlled release capacities of RBIDF. Results showed that the flavor adsorption ability of RBIDF was effectively improved due to the unfolding structure, increased specific surface area and pore volume and exposure of more functional groups after steam explosion treatment. The mechanism of the flavor adsorption behavior of modified RBIDF was preliminarily explored using adsorption kinetics and isotherms combined with SEM and DSC analysis. Results showed that the Langmuir isotherm model and pseudo-second-order kinetic model yielded the best fit to the adsorption data, indicating monolayer adsorption of flavor onto the modified RBIDF, and the adsorption was mainly driven by chemisorption process. The flavor release profile of modified RBIDF was investigated by HS-SPME/GC-MS and E-nose. After long-time storage, the flavor compounds were retained at a higher concentration in the modified RBIDF compared with the untreated RBIDF, indicating that the steam explosion treatment prolonged the retention time and enhanced the retention and controlled release capacities of RBIDF for flavor compounds. This study provides indications for potential applications of steam explosion-modified RBIDF as a novel flavor delivery system and functional ingredient.

12.
Front Aging Neurosci ; 15: 1227325, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37593375

RESUMO

Introduction: Present study was to investigate hs-CRP concentration, brain structural alterations, and cognitive function in the context of AD [Subjective cognitive decline (SCD), mild cognitive impairment (MCI), and AD]. Methods: We retrospectively included 313 patients (Mean age = 76.40 years, 59 SCD, 101 MCI, 153 AD) in a cross-sectional analysis and 91 patients (Mean age = 75.83 years, 12 SCD, 43 MCI, 36 AD) in a longitudinal analysis. Multivariable linear regression was conducted to investigate the relationship between hs-CRP concentration and brain structural alterations, and cognitive function, respectively. Results: Hs-CRP was positively associated with gray matter volume in the left fusiform (ß = 0.16, pFDR = 0.023) and the left parahippocampal gyrus (ß = 0.16, pFDR = 0.029). Post hoc analysis revealed that these associations were mainly driven by patients with MCI and AD. The interaction of diagnosis and CRP was significantly associated with annual cognitive changes (ß = 0.43, p = 0.008). Among these patients with AD, lower baseline CRP was correlated with greater future cognitive decline (r = -0.41, p = 0.013). Conclusion: Our study suggests that increased hs-CRP level may exert protective effect on brain structure alterations and future cognitive changes among patients already with cognitive impairment.

13.
Heliyon ; 8(9): e10567, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36158100

RESUMO

Subculture, includes animation, comics, games (ACG), and idol fan culture, is popular among young generations in Japan. Previous studies have shown different psychological outcomes within different subcultural groups; however, underlying mechanisms remain unclear. This study proposes that subcultural identity may play a crucial role in mental health outcomes by interweaving social support and reputation. We examined the interplay between subcultural identity, social support, reputation, and different psychological outcomes through structural equation modeling (N = 300). Furthermore, we trained neural networks (NN) by applying a deep learning algorithm to predict psychological outcomes of different subcultures. The results suggest identity related to anime, idol, and hip-hop was positively associated with anxiety, aggression, depressive symptoms, and suicidal tendencies. By contrast, fashion and sports identities associated with no adverse or positive psychological outcomes. Perceived reputation mediates adverse psychological outcomes in the ACG, idol, and hip-hop groups. The highest accuracy in our NN reached 71%, indicating that NN could be an effective tool for predicting mental problems. Our work points up an urgent need to improve the mental health of the young generation by de-stigmatizing discriminated cultural groups.

14.
J Gerontol A Biol Sci Med Sci ; 77(9): 1789-1797, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-35443061

RESUMO

Altruistic social activity, such as giving support to others, has shown protective benefits on dementia risk and cognitive decline. However, the pathological mechanism is unclear. In the present study, we investigated the association between altruistic social activity and brain regional gray matter. Furthermore, to explore the psychological interplay in altruistic social activity, we tested mediating effect of depressive symptoms on brain regional gray matter. We performed a cross-sectional voxel-based morphology (VBM) analysis including 8 695 old adults (72.9 ± 6.1 years) from Japan Prospective Studies Collaboration for Aging and Dementia (JPSC-AD) Cohort. We measured altruistic social activities by self-report questionnaires, depressive symptoms by Geriatric Depression Scale (GDS)-short version. We employed the whole-brain VBM method to detect relevant structural properties related to altruistic social activity. We then performed multiple regression models to detect the mediating effect of depressive symptoms on particular brain regional gray matter volume while adjusting possible physical and social lifestyle covariables. We found that altruistic social activity is associated with larger gray matter volume in posterior insula, middle cingulate gyrus, hippocampus, thalamus, superior temporal gyrus, anterior orbital gyrus, and middle occipital gyrus. Depressive symptoms mediated over 10% on altruistic social activity and hippocampus volume, over 20% on altruistic social activity and cingulate gyrus volume. Our results indicated that altruistic social activity might preserve brain regional gray matter which are sensitive to aging and cognitive decline. Meanwhile, this association may be explained by indirect effect on depressive symptoms, suggesting that altruistic social activity may mitigate the neuropathology of dementia.


Assuntos
Demência , Substância Cinzenta , Idoso , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Estudos Transversais , Demência/patologia , Depressão , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/patologia , Humanos , Imageamento por Ressonância Magnética , Estudos Prospectivos
15.
Geroscience ; 44(3): 1563-1574, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35526259

RESUMO

Both objective and perceived social isolations were associated with future cognitive decline and increase risk of Alzheimer's disease (AD). However, the impacts of perceived social isolation depending on different clinical stages of AD have not been elucidated. The aim of this study was to investigate the influence of perceived social isolation or loneliness on brain structure and future cognitive trajectories in patients who are living with or are at risk for AD. A total of 176 elderly patients (mean age of 78 years) who had complaint of memory problems (39 subjective cognitive decline [SCD], 53 mild cognitive impairment [MCI], 84 AD) underwent structural MRI and neuropsychological testing. Loneliness was measured by one binary item question "Do you often feel lonely?." Voxel-based morphometry was conducted to evaluate regional gray matter volume (rGMV) difference associated with loneliness in each group. To evaluate individual differences in cognitive trajectories based on loneliness, subgroup analysis was performed in 51 patients with AD (n = 23) and pre-dementia status (SCD-MCI, n = 28) using the longitudinal scores of Alzheimer's Disease Assessment Scale-cognitive component-Japanese version (ADAS-Jcog). Whole brain VBM analysis comparing lonely to non-lonely patients revealed loneliness was associated with decreased rGMV in bilateral thalamus in SCD patients and in the left middle occipital gyrus and the cerebellar vermal lobules I - V in MCI patients. Annual change of ADAS-Jcog in patients who reported loneliness was significantly greater comparing to these non-lonely in SCD-MCI group, but not in AD group. Our results indicate that perceived social isolation, or loneliness, might be a comorbid symptom of patients with SCD or MCI, which makes them more vulnerable to the neuropathology of future AD progression.


Assuntos
Doença de Alzheimer , Disfunção Cognitiva , Idoso , Doença de Alzheimer/diagnóstico , Encéfalo/patologia , Cognição , Disfunção Cognitiva/diagnóstico , Humanos , Isolamento Social
16.
Arch Gerontol Geriatr ; 86: 103964, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31683175

RESUMO

Previous studies have suggested that emotional support may promote cognition; however, the effects of giving or receiving emotional support on incident dementia remain unclear. Therefore, we sought to investigate the relationship between emotional support (giving or receiving) and incident dementia. In December 2006, we conducted a prospective cohort study of 31,694 Japanese individuals aged ≥65 years who lived in Ohsaki City, Miyagi Prefecture, Japan. A self-reported questionnaire including items on emotional support and lifestyle factors was distributed. After excluding those who did not provide consent or responses to all items, 13,636 eligible responses were analyzed for this study. According to responses of "yes" or "no" for emotional support, we made two categories for both giving (gave or did not give) and receiving (received or did not receive) emotional support. Furthermore, we combined giving and receiving emotional support into four categories ("giving = no & receiving = no", "giving = no & receiving = yes", "giving = yes & receiving = no", "giving = yes & receiving = yes"). Data on incident dementia were retrieved from the Long-term Care Insurance Database in which participants were followed up for 5.7 years. Using multivariate Cox proportional hazards models, we found that compared with participants who did not give emotional support to others, those who did give had a lower risk of dementia (multivariate-adjusted hazard ratio [HR]: 0.61 (95% confidence interval [CI]: 0.52, 0.71)). However, a nonsignificant relationship was observed for receiving emotional support. Additionally, compared to "giving = no & receiving = no" for emotional support, "giving = no & receiving = yes" showed a higher risk of dementia (multivariate-adjusted HR: 1.51 [95% CI: 1.07, 2.14]).


Assuntos
Cognição/fisiologia , Aconselhamento , Demência/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Demência/psicologia , Feminino , Humanos , Incidência , Seguro de Assistência de Longo Prazo , Japão/epidemiologia , Masculino , Modelos de Riscos Proporcionais , Estudos Prospectivos , Fatores de Risco , Autorrelato , Inquéritos e Questionários
17.
BMJ Open ; 10(11): e037303, 2020 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-33148725

RESUMO

OBJECTIVE: The aim of this study was to investigate the effect of a financial incentive on the number of daily walking steps among community-dwelling adults in Japan. STUDY DESIGN: Two-arm, parallel-group randomised controlled trial. SETTING/PARTICIPANTS: We recruited physically inactive community-dwelling adults from Sendai city, Japan. Eligible participants were randomly allocated to an intervention or a wait list control group. Pedometers were used to assess the mean number of daily steps in three periods: baseline (weeks 1-3), intervention (weeks 4-6) and follow-up (weeks 7-9). INTERVENTION: The intervention group was offered a financial incentive (shopping points) to meet the target number of increased daily steps in the intervention period. MAIN OUTCOME MEASURES: The primary outcome was an increase in the mean number of daily steps in the intervention and follow-up periods compared with baseline. RESULTS: Seventy-two participants (69.4% women; mean age, 61.2±16.2 years; mean number of daily steps at baseline, 6364±2804) were randomised to the intervention (n=36) and control groups (n=36). During the intervention period, the increase in mean daily steps was significantly higher in the intervention group (1650, 95% CI=1182 to 2119) than in the control group (514, 95% CI=136 to 891; p<0.001). However, the difference between groups was not significant at follow-up after the incentives were removed (p=0.311). In addition, compared with controls, a significantly higher proportion of participants in the intervention group showed an increase in mean daily steps of ≥1000 (69.4% vs 30.6%, respectively; OR=5.17, 95% CI=1.89 to 14.08). There were no adverse effects from the intervention. CONCLUSIONS: The present results suggest that financial incentives are effective in promoting short-term increases in physical activity. TRIAL REGISTRATION NUMBER: UMIN000033276.


Assuntos
Motivação , Caminhada , Adulto , Idoso , Exercício Físico , Feminino , Humanos , Vida Independente , Japão , Masculino , Pessoa de Meia-Idade
18.
BMJ Open ; 9(6): e026086, 2019 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-31221872

RESUMO

INTRODUCTION: Physical activity is one of the major modifiable factors for promotion of public health. Although it has been reported that financial incentives would be effective for promoting health behaviours such as smoking cessation or attendance for cancer screening, few randomised controlled trials (RCTs) have examined the effect of financial incentives for increasing the number of daily steps among individuals in a community setting. The aim of this study is to investigate the effects of financial incentives for increasing the number of daily steps among community-dwelling adults in Japan. METHODS AND ANALYSIS: This study will be a two-arm, parallel-group RCT. We will recruit community-dwelling adults who are physically inactive in a suburban area (Nakayama) of Sendai city, Japan, using leaflets and posters. Participants that meet the inclusion criteria will be randomly allocated to an intervention group or a waitlist control group. The intervention group will be offered a financial incentive (a chance to get shopping points) if participants increase their daily steps from their baseline. The primary outcome will be the average increase in the number of daily steps (at 4-6 weeks and 7-9 weeks) relative to the average number of daily steps at the baseline (1-3 weeks). For the sample size calculation, we assumed that the difference of primary outcome would be 1302 steps. ETHICS AND DISSEMINATION: This study has been ethically approved by the research ethics committee of Tohoku University Graduate School of Medicine, Japan (No. 2018-1-171). The results will be submitted and published in a peer-reviewed scientific journal. TRIAL REGISTRATION NUMBER: UMIN000033276; Pre-results.


Assuntos
Promoção da Saúde/métodos , Motivação , Caminhada/fisiologia , Adulto , Promoção da Saúde/economia , Humanos , Vida Independente , Japão , Ensaios Clínicos Controlados Aleatórios como Assunto , Recompensa , Caminhada/economia
19.
Artigo em Inglês | MEDLINE | ID: mdl-22254254

RESUMO

We have developed a web-based tool to predict lung cancer patient's survival probability using previously developed survivability prediction software architecture. Four statistical models are included in this version, three for non-small cell lung cancer and one for limited-stage small cell lung cancer. To make the software tool more accessible and convenient for doctors and patients in a clinical setting, user interfaces are developed using a model based approach. Inputs common to prediction models are placed in interface which appears first, model specific inputs later. This design approach reduced both number of entries per interface and average number of interfaces a user needs to navigate.


Assuntos
Carcinoma Pulmonar de Células não Pequenas/mortalidade , Sistemas de Apoio a Decisões Clínicas , Neoplasias Pulmonares/mortalidade , Modelos Estatísticos , Modelos de Riscos Proporcionais , Análise de Sobrevida , Interface Usuário-Computador , Simulação por Computador , Humanos , Incidência , Prevalência , Prognóstico , Medição de Risco/métodos , Fatores de Risco , Taxa de Sobrevida
20.
Artigo em Chinês | MEDLINE | ID: mdl-21207854

RESUMO

AIM AND METHODS: The effects of losartan (after operation 2 week to 10 week, 5 mg/kg d ig) on generation of AT1R-AA in sera were observed during development of hypertension in rats. The renovascular hypertension (RVH) model was established by two-kidney one-clip method, a synthetic peptide corresponding to amino acid sequence 165-191 of the second extracellular loop of the angiotensin II-1 receptor (AT1R) was used as antigen, SA-ELISA were used to examine sera AT1R autoantibody (AT1R-AA). RESULTS: The frequencies and titres of AT1R-AA after operation one week rats were significantly increased (P < 0.05). The treatment with losartan not only inhibited structural and functional changes, but also the frequencies and titres of AT1R-AA was significantly lower (P < 0.05) than RVH group. CONCLUSION: It is suggested that the losartan significantly inhibits generation of the AT1R-AA.


Assuntos
Autoanticorpos/biossíntese , Hipertensão Renovascular/sangue , Losartan/farmacologia , Receptores de Angiotensina/imunologia , Animais , Autoanticorpos/sangue , Hipertensão Renovascular/imunologia , Masculino , Ratos , Ratos Wistar
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