Friday, January 19, 2024

UK

Lancaster University leads NIHR study into improving community initiatives to empower residents


Peer-Reviewed Publication

LANCASTER UNIVERSITY

Housing 

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THE STUDY HAS INVESTIGATED THE HEALTH AND SOCIAL IMPACTS OF BIG LOCAL WITH THE AIM OF IMPROVING THE DEVELOPMENT OF FUTURE COMMUNITY INITIATIVES

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CREDIT: STFC DARESBURY LABORATORY





Lancaster University has led on a major research project to help evaluate the impact of a large scale initiative in England – Big Local – that aimed to increase the control communities have over improvements in their neighbourhoods.

Funded by the National Lottery, Big Local began in 2010 with 150 areas where local residents were given £1 million over ten years to improve their own neighbourhood.

Residents had complete control over decisions about how the money was spent, with support from an independent organisation, Local Trust.

The £3M+ Communities in Control study from 2014 to 2021 is the longest evaluation of a community empowerment initiative ever conducted. The study has investigated the health and social impacts of Big Local with the aim of improving the development of future community initiatives.

As part of the study published in Public Health Research, researchers investigated how funding has acted as a facilitator for local action, as well as the challenges associated with community decision making. The study calculated that the original National Lottery grant of over £196M for the Big Local provided a return on investment of 30%.

They found “tentative evidence” that the mental health of populations in Big Local populations improved and burglaries were reduced.  There were also significant improvements in the mental health of residents actively involved in Big Local.

However, there was also evidence of negative impacts on health and wellbeing. Moreover, the benefits were also unequally distributed. Men were more likely than women to report improved mental wellbeing as were those with higher educational qualifications.

The third phase of the evaluation received over £700,000 from the NIHR Public Health Research Programme with earlier phases funded by the NIHR School for Public Health Research.

Led by Jennie Popay, Professor of Professor of Sociology and Public Health in the Division of Health Research, other Lancaster University researchers included Dr Emma Halliday, Dr Rebecca Mead, Dr Katharina Janke, Dr Michelle Collins, Dr Anne Townsend and Dr Joanna Reynolds and Professor Bruce Hollingsworth

Partner universities included Professor Margaret Whitehead from Liverpool, Professor Claire Bambra from Newcastle/Durham and Professor Matt Egan from Liverpool School of Hygiene and Tropical Medicine.

Professor Popay said: “Our findings on the positive and potential negative impacts on residents of place-based empowerment initiatives in relatively disadvantaged areas are particularly timely with growing calls in England for a new “community power paradigm” and the anticipated proposal of Government Levelling Up policies that may extend current policies, devolving more decision-making and resources down to local people.”

Matt Leach, chief executive of Local Trust, said: "Empowering residents to take the lead can drive substantial positive change. Future governments must prioritise communities at the heart of their policies if we are to address contemporary challenges effectively. 

“Communities across England are diverse and require tailored approaches. By offering appropriate resources, flexible long-term funding, and the means for local residents to form partnerships, these communities can effectively address and overcome these challenges. 

"This report demonstrates that just 10 years into what is a 15-year programme, National Lottery Community Fund investment in Big Local has delivered significant returns to local communities above and beyond the funds originally committed."

The study has implications for the design of future community empowerment initiatives, finding that:

  • investment is needed to develop and sustain smaller scale community associations and organisations to emerge from and work with communities
  • residents should take the lead in designing solutions but not necessarily be leaders in action
  • local agencies should prioritise working as equal partners with communities rather than leaving communities to act alone.
  • externally determined governance standards may undermine the development of communities’ capabilities for collective control

 

Adolescent sports activities help improve bone health in older adults, new study finds

Researchers examine the association between sports played during adolescence and bone mineral density at old age


Peer-Reviewed Publication

JUNTENDO UNIVERSITY RESEARCH PROMOTION CENTER

Which sports activities during adolescence enhance bone mineral density in older adults? Image caption: Researchers from Juntendo University in Japan show that older adults who had engaged in high-impact sports during their adolescent years incur long-ter 

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RESEARCHERS FROM JUNTENDO UNIVERSITY IN JAPAN SHOW THAT OLDER ADULTS WHO HAD ENGAGED IN HIGH-IMPACT SPORTS DURING THEIR ADOLESCENT YEARS INCUR LONG-TERM BENEFITS IN TERMS OF BONE HEALTH AND ENHANCED BONE MINERAL DENSITY.

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CREDIT: YOSHIFUMI TAMURA FROM JUNTENDO UNIVERSITY, JAPAN





Loss of bone mineral density (BMD) with age is an important cause of osteoporosis (deterioration of bone tissue), which has been reported as one of the leading causes of falls among older adults in Japan. This leads to fractures that require long-term nursing. Prevention of osteoporosis in the aging population can thus help decrease the burden of disease and healthcare costs substantially.

 

Early lifestyle habits can largely influence health and disease onset in old age. In this regard, physical activities pursued during adolescent years can go a long way in preserving long-term health. These effects can be largely attributed to the gain of bone mass, which peaks during the 20s, and subsequently begins to decline with age. Notably, studies have shown that a 10% increase in peak bone mass during adolescence can delay osteoporosis by up to 13 years. However, which types of adolescent sports activities played during junior high and high school years have a positive impact on BMD and bone health in older adults is not known.

 

To bridge this gap, a team of researchers from Juntendo University, Japan, recently examined the relationship between the type of sport played during adolescence, together with individual-specific features, and BMD in old age. The study, published in Volume 14 of Frontiers in Physiology on 12 October 2023, was conducted by Professor Yoshifumi Tamura from the Faculty of International Liberal Arts, along with Ms. Hikaru Otsuka and Dr. Hiroki Tabata from the Sportology Center, Dr. Ryuzo Kawamori from the Department of Metabolism & Endocrinology, and Dr. Hirotaka Watada from the Department of Metabolism & Endocrinology at the Graduate School of Medicine.

 

Giving further insights into their findings, Prof. Tamura explains: “BMD is difficult to increase once it decreases. Therefore, it is important to increase peak bone mass during adolescence to maintain BMD in old age. Our study sheds light on the importance of exercise in adolescence for the prevention of osteoporosis and provides scientific evidence for establishing early preventive measures against osteoporosis in the future.”

 

The study included 1,596 older adults aged between 65 and 84 years, from the Bunkyo Health Study, residing in Bunkyo-Ku, an urban area in Tokyo, Japan. The researchers evaluated their physical fitness, blood biomarker levels including vitamin D, and BMD of the femoral neck (upper region of the thigh bone) and lumbar spine (lower region of the spine) regions using dual-energy X-ray absorptiometry. Further, the subjects were interviewed to assess their participation in sports activities during their adolescence. Other parameters, including comorbidities, lifestyle habits, medical history, and current medication status, were also recorded for analysis.

 

The researchers noted that while femoral neck and lumbar spine BMD values were in the normal range for men, women had lower values for them, with a larger number taking osteoporosis medication. Conversely, diabetes, physical activity, current smoking, and alcohol intake were significantly higher in men. The most common adolescent sports activities included baseball/softball, basketball, judo, table tennis, tennis, volleyball, and swimming.

 

The study found that basketball was associated with significantly high femoral BMD in older men and women. Further, body weight and serum vitamin D levels were found to influence femoral BMD. On the contrary, women who participated in volleyball and swimming had a higher lumbar spine BMD. However, sports type was not associated with lumbar spine BMD in older men. Notably, body weight, serum vitamin D, and presence of diabetes, were found to influence lumbar spine BMD.

 

Overall, these findings suggest that older adults who engaged in high-impact sports activities in their adolescence experience enhanced BMD and bone health in their old age. Moreover, the researchers emphasize that BMD benefits are not only limited to athletes but also extend to those in the general population who had indulged in physical activities at junior high and high school.

 

An early sport activity, once pursued as a hobby, can very well lay the foundation for lifelong healthy bones. Considering the long-term impact on the health of older adults, high-impact sports activities which stimulate bone growth should thus be encouraged in junior and high schools.

 

“Physical exercise in adolescence affects BMD more than 50 years later in older adults. Our findings can guide the selection of sports played during adolescence for longer health benefits,” concludes Prof. Tamura.

 

 

Reference

 

Authors

Hikaru Otsuka1,2, Hiroki Tabata1*, Huicong Shi1,2, Mari Sugimoto2, Hideyoshi Kaga3, Yuki Someya4, Hitoshi Naito3, Naoaki Ito3, Abulaiti Abudurezake1, Futaba Umemura2, Tsubasa Tajima3, Saori Kakehi1, Yasuyo Yoshizawa5, Muneaki Ishijima1,2,6, Ryuzo Kawamori1,2,3, Hirotaka Watada1,3, and Yoshifumi Tamura1,2,3,5,7*

 

Title of original paper

 

Playing basketball and volleyball during adolescence is associated with higher bone mineral density in old age: the Bunkyo Health Study

Journal

 

Frontiers in Physiology

 

DOI

 

10.3389/fphys.2023.1227639

Affiliations

 

1Sportology Center, Graduate School of Medicine, Juntendo University

2Department of Sports Medicine and Sportology, Graduate School of Medicine, Juntendo University

3Department of Metabolism and Endocrinology, Graduate School of Medicine, Juntendo University

4Graduate School of Health and Sports Science, Juntendo University

5Department of Healthy Life Expectancy, Graduate School of Medicine, Juntendo University

6Department of Medicine for Orthopaedics and Motor Organ, Graduate School of Medicine, Juntendo University

7Faculty of International Liberal Arts, Juntendo University

 

 

 

About Professor Yoshifumi Tamura

Yoshifumi Tamura, MD, PhD, is currently a Professor at the Faculty of International Liberal Arts at Juntendo University, Japan. He received an MD and PhD from Juntendo University in 1997 and 2005, respectively. He served as a Counselor at the Japan Sports Agency from 2016 to 2018. His research interests include insulin resistance, clinical diabetology, exercise therapy, obesity, and sarcopenia among others. He has over 200 publications to his name in these research areas, which have been cited more than 4,000 times.

 

 

Additional information for EurekAlert

 

Latest Article Publication Date:

12 October 2023

Method of Research:

Observational study

Subject of Research:

People

Conflicts of Interest Statement:

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest

   

 

FUNGI FUN

Finding a home for the wandering mushrooms —— Phylogenetic and taxonomic updates of Agaricales


Peer-Reviewed Publication

TSINGHUA UNIVERSITY PRESS

Phylogenetic and taxonomic updates of Agaricales, with an emphasis on Tricholomopsis 

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THE AGARICALES WAS DIVIDED IN TO 10 SUBORDERS. PHYLLOTOPSIDINEAE AND SARCOMYXINEAE ARE PROPOSED AS NEW SUBORDERS IN THIS STUDY.

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CREDIT: GENG-SHEN WANG, KUNMING INSTITUTE OF BOTANY, CHINESE ACADEMY OF SCIENCES





Many edible, medicinal, and poisonous mushrooms that we are familiar with belong to the order Agaricales, which is a group of fungi with important economic and ecological value. Understanding the phylogenetic relationships of Agaricales can help us to know their evolutionary history and diversity, as well as their interactions with other organisms. Moreover, the phylogenetic framework of Agaricales can provide a basis for conserving biodiversity, such as measuring phylogenetic diversity and assessing the uniqueness and importance of different species.

 

Previous studies divided Agaricales into 8 suborders and 46 families, but the systematic position and phylogenetic relationship of some genera and species were unclear. For example, genera Tricholomopsis and Sarcomyxa have been controversial for a long time.

 

In collaboration with domestic and international colleagues, the research group of fungal diversity and molecular evolution at Kunming Institute of Botany, Chinese Academy of Sciences, conducted genome skimming of fungal specimens from the genera TricholomopsisSarcomyxaMacrotyphulaPhyllotopsis, and other related groups, and combined them with publicly available genome data of some other species of Agaricales from databases. Using various analytical methods, such as single-copy orthologous gene extraction, gene conflict detection, phylogenetic tree construction, and topology structure testing, they reconstructed the most resolved and robust phylogenetic framework of Agaricales based on the amino acid sequences of 555 single-copy orthologous genes, and clarified the phylogenetic relationships among suborders, as well as the systematic position of Tricholomopsis and Sarcomyxa. They proposed a new classification system of Agaricales with 10 suborders, and made some adjustments to the members of several suborders. They also formally published 2 new suborders (Sarcomyxineae and Phyllotopsidineae), 1 new genus (Conoloma), 2 new sections, and 6 new species, and solved many problems in the classification of Tricholomopsis in China. They also discussed the substrate preference and cap surface scale evolution of this genus.

 

“It has important scientific significance for further understanding the phylogenetic relationships among the major groups of Agaricales”, Geng-Shen Wang said.


See the article:

Phylogenetic and taxonomic updates of Agaricales, with an emphasis on Tricholomopsis


About Mycology

Mycology —— An International Journal on Fungal Biology is a renowned international, peer-reviewed, open access journal that publishes all aspects of mycological research, sponsored by the Institute of Microbiology, Chinese Academy of Sciences and the Mycological Society of China. Since its inception in 2010, Mycology received strong support from mycologists around the world. By publishing cutting-edge research and facilitating collaborations, Mycology strives to advance the understanding and knowledge of mycology, while fostering innovative research and scientific discussions in the field.


A high-tech research clinic on wheels


NHLBI study assesses health of residents in rural South for heart, lung disease


Peer-Reviewed Publication

NIH/NATIONAL HEART, LUNG AND BLOOD INSTITUTE





Adults in the rural South region, which includes Appalachia and the Mississippi Delta, have some of the highest rates of heart disease, obesity, high blood pressure, and chronic obstructive pulmonary disease (COPD) in the country. Heart failure rates, for example, are 19% higher in the rural South than in urban areas, while COPD rates are twice as high. It takes a toll as rural residents tend to live shorter lives, compared with urban residents.

No one knows exactly why the disease rates are so high, but researchers supported by the NHLBI are determined to find out.

Since 2021, they have been conducting the Risk Underlying Rural Areas Longitudinal (RURAL) Cohort Study, a long-term research project aimed at uncovering the roots of these disparities. The researchers hope their findings will lead to actions and policies that help improve the health of the estimated 45 million people living in the region, which includes some of the poorest and most remote areas of the country.

In fact, it can take hours to reach health care in some parts of the region, for example.

To address this problem, the RURAL researchers have come up with a unique solution: They’ve built a state-of-the-art mobile exam unit, or MEU, that will bring to the region badly needed health technologies that make it possible for researchers to get the information they need. The MEU is basically a massive tractor-trailer -- about 52 feet long and weighing 53,000 pounds (26.5 US tons) – with the functionality of an urban primary care office. The custom-made unit houses a high-tech medical imaging room, examination room, laboratory, and waiting room.

David C. Goff, M.D., Ph.D., director of the NHLBI’s Division of Cardiovascular Sciences, said there’s great value in a study like this. “We know a lot about the health of urban populations, but there is a critical gap in research data regarding the health of people in the rural South that needs to be addressed,” he said. “In particular, we’d like to help reduce the region’s high burden of heart and lung diseases, the number one and number six leading causes of death in this country. The RURAL study is an important step toward that goal.”

“This is one of the first epidemiological cohort studies of its kind conducted in the rural South,” said Vasan Ramachandran, M.D., a co-leader of the RURAL Cohort Study and a professor and dean of the School of Public Health at the University of Texas Health Science Center at San Antonio. 

According to Ramachandran, the region’s health decline first became noticeable in the 1980s, and it has steadily worsened. Researchers think they know at least some of what’s contributing to the decline: vast food insecurity, poor access to healthcare, excess weight, and high rates of smoking. But they have had difficulty studying the area in detail – and broadly – due in part to its remoteness and lack of research infrastructure. The vehicle is scheduled to travel through 10 rural counties in Alabama, Kentucky, Louisiana, and Mississippi to conduct a variety of health exams on adult residents ages 25 to 64 who volunteer for the study. Already it’s been to four counties (two in Alabama and two in Mississippi), and about 2,100 participants, roughly half the study’s goal of 4,600 enrollees, have been tested.

Researchers have been looking at routine measures like blood pressure, cholesterol, and blood sugar levels, as well as images of the participants’ heart and lungs. They also have been administering surveys focused on the social determinants of health – the conditions in which people grow up, live, work, and play. Those include questions about education levels, income, neighborhoods, social stresses, and lifestyle, all of which give researchers insights they would never get from health exams alone. 

“So far, we’re seeing striking health challenges, including heart disease at a younger age, as well as high rates of obesity,” said Ramachandran, a former principal investigator for the NHLBI’s Framingham Heart Study, which has followed over 14,000 people since 1948. “Diseases that we saw in participants of the Framingham Heart Study at age 75 are occurring in these rural populations at age 50.” 

While it’s too early to publish comprehensive results from the study, some initial results might be published in early 2024, he said. Data collected by the researchers will be shared with the participants, who will be encouraged to share the information with their healthcare providers. If they do not have a provider, the researchers will refer them to local healthcare professionals. Some health data also will be shared with County officials to help them design improved healthcare policies and programs for the region.

“One of the keys to the success of our project is building up community trust, and we’re doing that by working closely with local community leaders,” Ramachandran said. “The community has welcomed us, and we hope this study will serve as a call to action to improve rural health in the South.”

The study, which is funded through 2025, involves a collaboration with over 50 investigators at 15 institutions nationwide. Researchers hope it will be renewed so they can re-examine the participants during a second visit and see how the diseases have progressed or whether improvements have occurred.

Time change for biological aging clocks: How immune cells shape our body's true age


New research reveals the secret to slowing down the aging process is intricately tied to a balance in your immune system.


Peer-Reviewed Publication

DARTMOUTH HEALTH





LEBANON, NH—When asked, “How old are you?” Most people measure by how many birthdays they’ve had. But scientists have developed epigenetic clocks to measure how 'old' your body really is. At the forefront of aging research, these clocks go beyond our calendar age to try and reveal our biological age—a true marker of how healthy we are. However, scientists don't fully understand how they work. As a recent NYT article pointed out, it's a bit like having a sophisticated gadget without a manual. Our bodies' internal workings, especially our immune system, play a huge role, but the details are still unclear.

New research by Dartmouth Cancer Center scientists has taken the first step to change that. The team, led by Ze Zhang, PhD, Lucas Salas, MD, MPH, PhD, and Brock Christensen, PhD, is diving deep into the immune system to learn how different immune cells affect epigenetic clocks, to make them more accurate and reliable.

In their study, “Deciphering the role of immune cell composition in epigenetic age acceleration: Insights from cell-type deconvolution applied to human blood epigenetic clocks,” newly published in Aging Cell, the team determined how our body's biological age is related to our immune system. Using novel tools they recently developed for immune profiling, they were able to more closely examine how immune cell profiles relate with biological age estimates from epigenetic clocks. In particular, the balance between naïve and memory immune cells seems to accelerate or slow down biological aging. Key innovations of the study include:

  • Enabling the calculation of Intrinsic Epigenetic Age Acceleration (IEAA) with unprecedented immune cell granularity, allowing for a much more detailed understanding of the aging process at a cellular level.
  • Offering a more direct comparison between immune cells and aging than the traditional Extrinsic Epigenetic Age Acceleration (EEAA) method, which only considers a limited range of immune cells.
  • Adding a new layer of understanding to the biological interpretation of epigenetic clocks, by mapping out how various immune cell subsets contribute to epigenetic aging and providing insights that previous research has missed.

“Our findings open new doors to a much more detailed understanding of the relationships between the immune system and biological age at a cellular level, and the internal and external factors that influence how quickly we age,” says Zhang.

The implications of these findings are far-reaching, offering new insights into the aging process and potential pathways for health interventions. Future studies will focus on incorporating groundbreaking findings that link immune cell composition to epigenetic aging into calculating biological age using epigenetic clocks—a significant shift in how we evaluate biological age that will ensure a more comprehensive and accurate assessment.

Upcoming research will delve directly into different immune cells' roles in various disease settings, particularly in different types of cancer. By unraveling the complex roles of immune cells influenced by epigenetic aging, the team’s research could lead to more targeted and effective cancer treatments, a deeper understanding of how cancer develops, and new approaches for precision cancer prevention.

“This exciting trajectory can transform our understanding of disease and aging and open new possibilities in precision prevention, precision medicine, and targeted treatments,” says Zhang. “With these steps, we move closer to a future where predicting and preventing diseases like cancer becomes more precise and effective, guided by the deepened knowledge of biological age and the immune system.”

 

Ze Zhang, PhD, is the lead author of the paper. His research interests include molecular epidemiology, specifically epigenetics in cancer, developmental biology, immunology, and cell heterogeneity.

Lucas Salas, MD, MPH, PhD, is a member of of Dartmouth Cancer Center’s Cancer Population Sciences Research Program, and Assistant Professor of Epidemiology at Dartmouth’s Geisel School of Medicine. His research interests include investigation into how cell heterogeneity impacts human health and disease, with an emphasis on genetic, environmental and lifestyle factors. @lsalas_epigenet

Brock C. Christensen, PhD, Co-Leads the Cancer Population Sciences Research Program at Dartmouth Cancer Center, and is a Professor of Epidemiology, Professor of Community and Family Medicine, and Professor of Molecular and Systems Biology at Dartmouth’s Geisel School of Medicine. His research interests include understanding relationships between epigenetic states and exposures in the context of disease susceptibility, occurrence, and progression. @Brockclarke

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About Dartmouth Cancer Center: Dartmouth Cancer Center combines the advanced cancer research in partnership with Dartmouth and the Geisel School of Medicine, with award-winning, personalized, and compassionate patient-centered cancer care based at the Norris Cotton Cancer Care Pavilion at Dartmouth Hitchcock Medical CenterWith 14 locations around New Hampshire and Vermont, Dartmouth Cancer Center is one of only 56 National Cancer Institute-designated Comprehensive Cancer Centers. Each year the Dartmouth Cancer Center schedules 74,000 appointments seeing more than 4,500 newly diagnosed patients and currently offers patients more than 240 active clinical trials. Celebrating its 50th anniversary in 2022, Dartmouth Cancer Center remains committed to excellence, outreach and education. We strive to prevent and cure cancer, enhance survivorship and to promote cancer health equity through pioneering interdisciplinary research and collaborations. Learn more at http://cancer.dartmouth.edu.