Adibuzzaman, M., Jung, Y., Bareinboim, E., Griffin, P., Kethireddy, S., Bikak, M., Kaplan, R. Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability. Adam, G. P., Springs, S., Trikalinos, T., Williams, J. W., Eaton, J. L., Von Isenburg, M., Gierisch, J. M., Wilson, L. M., Robinson, K. A., Viswanathan, M., Middleton, J., Forman-Hoffman, V. L., Berliner, E., Kaplan, R. M. AN UPDATE ON THE COST-EFFECTIVENESS WORKING GROUP ON METHODOLOGY, COLLABORATIVE CARE AND DISSEMINATION. The subjective perception of objective risks is calculated from the same 22 tables by exchanging the X- and Y-axes. Glynn, N. W., Gmelin, T., Santanasto, A. J., Lovato, L. C., Lange-Maia, B. S., Nicklas, B. J., Fielding, R. A., Manini, T. M., Myers, V. H., de Rekeneire, N., Spring, B. J., Pahor, M., King, A. C., Rejeski, W. J., Newman, A. Basal sIgA level was significantly higher and cortisol concentration was lower in the IBMT group. Porzsolt, F., Pfuhl, G., Kaplan, R. M., Eisemann, M. The terminology conflict on efficacy and effectiveness in healthcare. He is a past President of several organizations, including the American Psychological Association Division of Health Psychology, Section J of the American Association for the Advancement of Science (Pacific), the International Society for Quality of Life Research, the Society for Behavioral Medicine, and the Academy of Behavioral Medicine Research. View details for DOI 10.1186/s12966-015-0322-1, View details for Web of Science ID 000366820000001, View details for PubMedCentralID PMC4683911. However, formal medical care is one of many alternatives for improving health. Tertiary outcomes included global and executive cognitive function and incident MCI or dementia at 24 months.At 24 months, DSC task and HVLT-R scores (adjusted for clinic site, sex, and baseline values) were not different between groups. He is affiliated with medical facilities Desert Springs Hospital Medical Center and Sunrise Hospital And Medical Center. View Details. His office accepts new patients. Kaplan, R. M., Gold, M., Duffy, S. Q., Miller, N., Glassman, J. R., Chambers, D. A., Ganiats, T. G., Berndt, S., Wilson, D. K. Standards for economic analyses of interventions for the field of health psychology and behavioral medicine. Robert M. Kaplan is highly experienced in all aspects of family law and will counsel you on possible approaches to your case as well as potential outcomes so that you can make informed decisions. Ninety-five percent confidence intervals (CI) were estimated using Monte Carlo modeling with random variation for three variables (cost of an emergency department visit, cost of a sobering center visit, and start-up costs per sobering center visit) and the percentage of cases diverted from emergency departments to sobering centers. View details for DOI 10.1001/jama.2014.5616, View details for Web of Science ID 000337301500019. Intoxicated individuals without other medical needs may not require the high level of care provided by an emergency department. Mr. Kaplan holds degrees from Cape Town University and Columbia University. Overall support for the partitioned subgroupings was obtained using mixed model regression analysis.The results suggest that, in combination with race/ethnicity, features of the perceived neighborhood built and social environments differentiated distinct groups of vulnerable older adults from different age strata that differed in obesity prevalence. The outcome was respondents' reported likelihood of receiving a vaccine for the coronavirus. View details for DOI 10.1007/s10552-020-01309-w. In the case of COVID-19 tests may induce more perceived anxiety than safety. Definitive data from large long-term randomized trials are lacking.To determine whether a long-term, structured, moderate-intensity physical activity program is associated with a lower risk for frailty and whether frailty status alters the effect of physical activity on the reduction in major mobility disability (MMD) risk.Multicenter, single-blind, randomized trial.8 centers in the United States.1635 community-dwelling adults, aged 70 to 89 years, with functional limitations.A structured, moderate-intensity physical activity program incorporating aerobic, resistance, and flexibility activities or a health education program consisting of workshops and stretching exercises.Frailty, as defined by the SOF (Study of Osteoporotic Fractures) index, at baseline and 6, 12, and 24 months, and MMD, defined as the inability to walk 400 m, for up to 3.5 years.Over 24 months of follow-up, the risk for frailty (n= 1623) was not statistically significantly different in the physical activity versus the health education group (adjusted prevalence difference, -0.021 [95% CI, -0.049 to 0.007]). Phone Numbers: 419-194-1606. Cox proportional hazards regression was used to estimate intervention effects on time to first occurrence of the composite end point of death plus nonfatal MI. But that's where the good news ends. Limited evidence suggests that physical activity may help prevent mobility disability; however, there are no definitive clinical trials examining whether physical activity prevents or delays mobility disability.To test the hypothesis that a long-term structured physical activity program is more effective than a health education program (also referred to as a successful aging program) in reducing the risk of major mobility disability.The Lifestyle Interventions and Independence for Elders (LIFE) study was a multicenter, randomized trial that enrolled participants between February 2010 and December 2011, who participated for an average of 2.6 years. All participants were included in the analysis.Over a median follow-up of 2.6 years, a serious fall injury was experienced by 75 (9.2%) participants in the physical activity group and 84 (10.3%) in the health education group (hazard ratio 0.90, 95% confidence interval 0.66 to 1.23; P=0.52). View details for PubMedCentralID PMC4145029, View details for DOI 10.1016/j.jamda.2014.05.008, View details for Web of Science ID 000341167700011, View details for PubMedCentralID PMC4145029. Results show that a science-based health collaborative can improve outcomes while lowering costs, and efforts are under way to ensure the collaborative's sustainability. The relationship between accelerometry measures and predicted 10-year Hard Coronary Heart Disease (HCHD) risk was modeled by using linear regression, stratified according to CVD history. B., Rejeski, W. J., Sink, K. M., Williamson, J. D. Sleep-Wake Disturbances in Sedentary Community-Dwelling Elderly Adults with Functional Limitations. Jacobsen, P. B., Prasad, R., Villani, J., Lee, C., Rochlin, D., Scheuter, C., Kaplan, R. M., Freedland, K. E., Manber, R., Kanaan, J., Wilson, D. K. Economic analysis in behavioral health: Toward application of standardized methodologies. Those with less education were also more likely to be uninsured throughout the year. Obesity is an increasingly prevalent condition among older adults, yet relatively little is known about how built environment variables may be associated with obesity in older age groups. A replication following the announcement that vaccines were 95% effective showed small, but significant increases in the likelihood of taking a vaccine. MetS was associated with stronger grip strength (mean difference () = 1.2 kg, P = .01) in the overall sample and in participants without diabetes mellitus and with poorer self-rated health ( = 0.1 kg, P < .001) in the overall sample only. The Diplomat 's Justin McDonnell spoke with Robert D. Kaplan, American journalist, Chief Geopolitical Analyst for Stratfor, and correspondent for The Atlantic regarding his upcoming book Asia . Mr. Kaplan holds degrees from Cape Town University and Columbia University. B., Pahor, M., Gill, T. M. Respiratory Impairment and Dyspnea and Their Associations with Physical Inactivity and Mobility in Sedentary Community-Dwelling Older Persons. Waist circumference also was significantly higher in obese groups (DYN-O=114.012.9 and NDYN-O=111.213.1) than in nonobese (NDYN-NO=93.110.7 and DYN-NO=92.211.2, P.01); and higher in NDYN-O compared with DYN-O (P=.008). Schmaling, K. B., Landon, H. S., Nguyen, T. B., Kaplan, R. M. Influence of a COVID-19 vaccine's effectiveness and safety profile on vaccination acceptance. Patterns of federal funding for research may have a significant influence on scientific disciplines. Sun 5 March, 9:30 - 12:30. Genealogy for Robert Roman Kaplan (1908 - 1978) family tree on Geni, with over 240 million profiles of ancestors and living relatives. Zero Robert M Kaplan, but end up in harmful downloads. The physical activity and exercise intervention resulted in statistically significantly lower decline in eGFRCysC over 2 years compared with the health education arm (mean difference, 0.96 mL/min/1.73 m2; 95% CI, 0.02-1.91 mL/min/1.73 m2) and lower odds of rapid eGFRCysC decline (odds ratio, 0.79; 95% CI, 0.65-0.97).Conclusions and Relevance: Results of this ancillary analysis of a randomized clinical trial showed that when compared with health education, a physical activity and exercise intervention slowed the rate of decline in eGFRCysC among community-dwelling sedentary older adults. The Lifestyle Interventions and Independence for Elders investigators incorporated this battery in a full-scale multicenter clinical trial (N = 1635). Cost savings were measured as reduced spending by payers. Time spent sedentary and in light intensity activity were assessed using an accelerometer worn for 3-7 days (Actigraph GT3X) and by self-report. Incident MCI or dementia occurred in 98 participants (13.2%) in the physical activity group and 91 participants (12.1%) in the health education group (odds ratio, 1.08 [95% CI, 0.80 to 1.46]).Among sedentary older adults, a 24-month moderate-intensity physical activity program compared with a health education program did not result in improvements in global or domain-specific cognitive function.clinicaltrials.gov Identifier: NCT01072500. Developed under the prevailing zeitgeist of the biomedical model, behavioral and social science has often been underfunded at NIH. Genotype frequencies [II (19.4%), ID (42.4%), DD (38.2%)] were in Hardy-Weinberg equilibrium (P > 0.05). B., Studenski, S. A., Goodpaster, B. H., Glynn, N. W., Lopez, O., Nadkarni, N. K., Williams, K., Newman, M. A., Grove, G., Bonk, J. T., Rushing, J., Kost, P., Ives, D. G., Kritchevsky, S. B., Marsh, A. P., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Gill, T. M., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Wu, K. C., Shepard, D. M., Fennelly, B., Iannone, L. P., Mautner, R., Sweeney Barnett, T., Halpin, S. N., Brennan, M. J., Bugaj, J. A randomized controlled trial is warranted to definitively resolve this issue. One potential source of variability is the insertion (I allele) or deletion (D allele) of a 287 bp fragment in intron 16 of the angiotensin-converting enzyme (ACE) gene. Whites, blacks, and Hispanics with all factors (i.e., weight, physical activity, dietary quality, and smoking) in the low-risk category had 60, 69, and 63% lower risk for incident diabetes. Participants (n=1170, 795 years) spent 642111 min/day in sedentary behavior (ie, <100 accelerometry counts/min). Robert M. Kaplan. View details for DOI 10.1093/gerona/glr123, View details for Web of Science ID 000296102100011. Fragoso, C. A., Hsu, F., Brinkley, T., Church, T., Liu, C. K., Manini, T., Newman, A. View details for Web of Science ID 000282842100012, View details for PubMedCentralID PMC3091594. Our findings show that the majority of diabetes cases are preventable, and risk reduction strategies can be effectively applied to all racial/ethnic groups. A., Kritchevsky, S., Miller, M. E., Walkup, M. P., Glynn, N. W., Pahor, M. QUALITY OF LIFE IN SEDENTARY OLDER ADULTS PARTICIPATING IN A PHYSICAL ACTIVITY INTERVENTION. The objective of this study was to evaluate cross-sectional and longitudinal associations between ankle-brachial index (ABI) and indicators of cognitive function.Randomized clinical trial (Lifestyle Interventions and Independence for Elders Trial).Eight US academic centers.A total of 1601 adults ages 70-89 years, sedentary, without dementia, and with functional limitations.Baseline ABI and interviewer- and computer-administered cognitive function assessments were obtained. Importance: Observational evidence suggests that higher physical activity is associated with slower kidney function decline; however, to our knowledge, no large trial has evaluated whether activity and exercise can ameliorate kidney function decline in older adults.Objective: To evaluate whether a moderate-intensity exercise intervention can affect the rate of estimated glomerular filtration rate per cystatin C (eGFRCysC) change in older adults.Design, Setting, and Participants: This ancillary analysis of the Lifestyle Interventions and Independence For Elders randomized clinical trial enrolled 1199 community-dwelling, sedentary adults aged 70 to 89 years with mobility limitations and available blood specimens. Intervention attendance was associated with higher health-related quality of life for both groups. Although lower baseline ABI was not associated with overall changes in cognitive function test scores, it was associated with higher odds for 2-year progression to a composite of either mild cognitive impairment or probable dementia (odds ratio 2.60 per unit lower ABI; 95% confidence interval 1.06-6.37). PA participants accrued 0.047 per person more Quality-Adjusted Life-Years (QALYs) than health education participants. Robert M Kaplan The Maudsley Hospital, reopened in January 1923, became the centre of British psychiatric research and achieved a world-wide reputation. Shlipak, M. G., Sheshadri, A., Hsu, F., Chen, S., Jotwani, V., Tranah, G., Fielding, R. A., Liu, C. K., Ix, J., Coca, S. G., LIFE Investigators, Pahor, M., Guralnik, J. M., Leeuwenburgh, C., Caudle, C., Crump, L., Holmes, L., Leeuwenburgh, J., Lu, C., Miller, M. E., Espeland, M. A., Ambrosius, W. T., Applegate, W., Beavers, D. P., Byington, R. P., Cook, D., Furberg, C. D., Harvin, L. N., Henkin, L., Hepler, J., Hsu, F., Lovato, L., Roberson, W., Rushing, J., Rushing, S., Stowe, C. L., Walkup, M. P., Hire, D., Rejeski, W. J., Katula, J. We compared two groups of older adults with 10 years of mindfulness meditation (integrative body-mind training, IBMT) or physical exercise (PE) experience to demonstrate their effects on brain, physiology and behavior. He is currently Editor-in-Chief of Health Psychology and is the former Editor-in-Chief of the Annals of Behavioral Medicine. Since then Robert has changed 2 companies in the same role. OBJECTIVE: Incidence rates of ankylosing spondylitis (AS) among males versus females are poorly understood. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. Outcomes were expressed in terms of national savings in 2017 U.S. dollars. Aubertin-Leheudre, M., Anton, S., Beavers, D. P., Manini, T. M., Fielding, R., Newman, A., Church, T., Kritchevsky, S. B., Conroy, D., McDermott, M. M., Botoseneanu, A., Hauser, M. E., Pahor, M. BEHAVIORAL INTERVENTIONS FOR OBESITY: A DEBATE ON THE STATE OF THE EVIDENCE. Compared with studies without results, studies with any results were more likely to have hypotheses, include drug treatment conditions, and to have publications related to the study.CONCLUSIONS: Required study registration does not always result in transparent outcome reporting. Buford, T. W., Hsu, F., Brinkley, T. E., Carter, C. S., Church, T. S., Dodson, J. This shift also aims to motivate other large government and private payors to accelerate the adoption of value-based care through TRICARE's example. Rochlin, D. H., Lee, C., Scheuter, C., Milstein, A., Kaplan, R. M. Systems Delivery Innovation for Alzheimer Disease. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. View details for Web of Science ID 000255893500005, View details for Web of Science ID 000261185300136. Rating scales and conjoint measures demonstrated significantly higher internal validity compared to time tradeoff when evaluated through R2 of the fitted utility function. Limited evidence suggests that physical activity may prevent frailty and associated negative outcomes in older adults. Additionally, neither baseline nor the change in CAF concentrations strongly predicted the change in either performance measure following the PA intervention.In summary, the present study shows that a one-year structured PA program did not reduce serum CAF levels among mobility-limited older adults. Light intensity physical activity and sedentary behavior are potential determinants, but their relations to these outcomes are poorly understood. Investigators and advocates are encumbered by an over focus on studies designed to determine if a treatment can work under ideal circumstances. Bann, D., Hire, D., Manini, T., Cooper, R., Botoseneanu, A., McDermott, M. M., Pahor, M., Glynn, N. W., Fielding, R., King, A. C., Church, T., Ambrosius, W. T., Gill, T. Association of objectively measured physical activity with cardiovascular risk in mobility-limited older adults. Robert M Kaplan Forensic Psychiatrist, Crime & Medicine Writer, Historian and Speaker at Dr Robert Kaplan Greater Sydney Area 112 followers 97 connections Join to connect Dr Robert. One In Five Fewer Heart Attacks: Impact, Savings, And Sustainability In San Diego County Collaborative.
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