They also spent 13843 min/day engaging in PA registering 100 to 499 accelerometry counts/min and 5437 min/day engaging in PA 500 counts/min. These null results were accompanied by suggestive evidence that the physical activity program may reduce the rate of fall related fractures and hospital admissions in men.Trial registration ClinicalsTrials.gov NCT01072500. Time spent watching television was positively associated with BMI, while reading and computer use were not. B., Sink, K., Gill, T. M., King, A. C., Miller, M. E., Guralnik, J., Katula, J., Church, T., Manini, T., Reid, K. F., McDermott, M. M. The MAT-sf: Identifying Risk for Major Mobility Disability. Fielding, R. A., Rejeski, W. J., Blair, S., Church, T., Espeland, M. A., Gill, T. M., Guralnik, J. M., Hsu, F., Katula, J., King, A. C., Kritchevsky, S. B., McDermott, M. M., Miller, M. E., Nayfield, S., Newman, A. Robert M. Kaplan View details for Web of Science ID 000255893500005, View details for Web of Science ID 000261185300136. The results are preliminary and a longer study is required to fully assess the costs and health benefits of these interventions. Associated persons: . Investigators and advocates are encumbered by an over focus on studies designed to determine if a treatment can work under ideal circumstances. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. We estimate the impact on U.S. health care spending if individuals with uncomplicated, acute alcohol intoxication were treated in sobering centers instead of the emergency department. Robert Kaplan; Found 609 results for. 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. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017.RESULTS: The sample had an overall mean Quality of Well-Being score of 0.613. Robert M. Kaplan in the United States of America. Kaplan, R. M., Glassman, J. R., Milstein, A. The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults.A total of 1453 men and women (age 70years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index. In the USA, ClinicalTrials.gov increases transparency through mandatory prospective trial registration and outcome reporting. gait speed and performance on the Short Physical Performance Battery (SPPB).The group*time interaction was not significant for serum CAF concentrations (p=0.265), indicating that the PA intervention did not significantly reduce serum CAF levels compared to SA. View details for DOI 10.1111/jgs.12738 Before 2011 rates of hospitalization for heart attacks were about the same in San Diego County as they were in the rest of California. Mendel Kaplan, a prominent leader of the South African Jewish community, died in South Africa on Thursday evening at the age of 73 after suffering a massive stroke on Tuesday. Robert M. Kaplan is a forensic psychiatrist, speaker and writer based in Wollongong, Australia. However, formal medical care is one of many alternatives for improving health. South African Medical Journal March 2001, 90-3;216-217.] View details for DOI 10.1016/j.jamda.2015.03.010, View details for Web of Science ID 000358423400010, View details for PubMedCentralID PMC4516564. Clinicians should consider targeted recommendation of physical activity and moderate-intensity exercise for older adults as a treatment to slow decline in eGFRCysC.Trial Registration: ClinicalTrials.gov Identifier: NCT01072500. In total, 194 men who were biopsy negative for prostate cancer were randomly assigned to complete 2 preference assessment modules, either conjoint analysis and a rating scale module or conjoint analysis and a time tradeoff module. Physical activity is an effective means of intervening on self-efficacy and satisfaction with physical function in older adults with impaired lower extremity functioning. Robert Kaplan. Participants were randomized to a structured, moderate intensity physical activity program (n=818) conducted in a center (twice a week) and at home (3-4 times a week) that included aerobic, strength, flexibility, and balance training activities, or to a health education program (n=817) consisting of workshops on topics relevant to older people and upper extremity stretching exercises.Serious fall injuries, defined as a fall that resulted in a clinical, non-vertebral fracture or that led to a hospital admission for another serious injury, was a prespecified secondary outcome in the LIFE Study. A., Gill, T. M., Marsh, A. P., Hsu, F., Yaghjyan, L., Woods, A. J., Glynn, N. W., King, A. C., Newton, R. L., Fielding, R. A., Pahor, M., Manini, T. M., Lifestyles Intervention and Independence for Elders Study Investigators. Click a location below to find Robert more easily. Covariates included clinic site, body mass index, age, sex, baseline score, comorbidity, and use of angiotensin receptor blockers or ACE inhibitors. View details for Web of Science ID 000282842100012, View details for PubMedCentralID PMC3091594. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. The Tragic Mind Fear, Fate and the Burden of Power Kissinger "A moving culmination by one of America's most thoughtful observers of international trends." - Dr. Henry Kissinger Amazon | Barnes & Noble | Indiebound Robert D. Kaplan: Writing Career Reflections Robert M Kaplan Catherine M Crespi Ely Dahan Josemanuel D Saucedo Casey Pagan Christopher S Saigal. Abramson, J., Kaplan, R. M., Redberg, R. F. Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges. Foreign Correspondent. Fremont, A., Kim, A. Y., Bailey, K., Hanley, H. R., Thorne, C., Dudl, R. J., Kaplan, R. M., Shortell, S. M., DeMaria, A. N. Educational Attainment and Health Outcomes: Data From the Medical Expenditures Panel Survey, Dynapenia and Metabolic Health in Obese and Nonobese Adults Aged 70 Years and Older: The LIFE Study. Also, a sizable subgroup required one or more rest stops. The methods are general and can be used to estimate the cost-effectiveness of social and environmental interventions in addition to traditional medical and surgical treatments. Robert M. Kaplan, Michael L. Spittel, and Tia L. Zeno Volume 1, Issue 1 https://doi.org/10.1177/2372732214549754 Abstract Tweet Key Points Introduction U.S. Life Expectancy in International Perspective Explanations of the Relationship Between Education and Life Expectancy Relationship Between Education and Changes in Life Expectancy Conclusions Cost savings were measured as reduced spending by payers. The incremental cost-effectiveness ratios were US$42,376/major mobility disability prevented and US$49,167/QALY. Previous observations of male predominance have typically been derived from clinic populations that are less representative of the US race/ethnicity distribution and based on disease ascertainment tools that may have identified subjects later in their disease course. A randomized controlled trial is warranted to definitively resolve this issue. Costs were estimated from medical records and self-reported health care use. Robert D. Kaplan is senior fellow at the Center for a New American Security, national correspondent for the Atlantic, and a member of the U.S.Defense Department's Defense Policy Board. The mental component summary (MCS) score of the 12-item Short Form (SF-12) was used as a measure of mental health status. Although contributions of different risk factors varied slightly by race/ethnicity, most findings were similar across groups, and women who had both a healthy weight and were in the highest tertile of physical activity had less than one-third the risk of diabetes compared with obese and inactive women.Despite large racial/ethnic differences in diabetes incidence, most variability could be attributed to lifestyle factors. The company is headquartered in Wollongong, New South Wales, Australia. Robert M. Kaplan. Mr. Kaplan holds degrees from Cape Town University and Columbia University. Saab, P. G., Bang, H., Williams, R. B., Powell, L. H., Schneiderman, N., Thoresen, C., Burg, M., Keefe, F. Physical activity in prefrail older adults: Confidence and satisfaction related to physical function. The mean number of counts per minute of daily PA was not significantly associated with HCHD risk in any model (P>0.05). Although a safe and effective vaccine holds the greatest promise for resolving the COVID-19 pandemic, hesitancy to accept vaccines remains common. View details for DOI 10.1377/hlthaff.2018.0443, View details for Web of Science ID 000463962900016. Previous studies have shown that physical exercise and mindfulness meditation can both lead to improvement in physical and mental health. A., Brubaker, P. H., Mihalko, S. L., Jennings, J. M., Hadley, E. C., Romashkan, S., Patel, K. V., Bonds, D., McDermott, M. M., Spring, B., Hauser, J., Kerwin, D., Domanchuk, K., Graff, R., Rego, A., Church, T. S., Blair, S. N., Myers, V. H., Monce, R., Britt, N. E., Harris, M., McGucken, A., Rodarte, R., Millet, H. K., Tudor-Locke, C., Butitta, B. P., Donatto, S., Cocreham, S. H., King, A. C., Castro, C. M., Haskell, W. L., Stafford, R. S., Pruitt, L. A., Berra, K., Yank, V., Fielding, R. A., Nelson, M. E., Folta, S. C., Phillips, E. M., Liu, C. K., McDavitt, E. C., Reid, K. F., Kirn, D. R., Pasha, E. P., Kim, W. S., Beard, V. E., Tsiroyannis, E. X., Hau, C., Manini, T. M., Anton, S. D., Nayfield, S., Buford, T. W., Marsiske, M., Sandesara, B. D., Knaggs, J. D., Lorow, M. S., Marena, W. C., Korytov, I., Morris, H. L., Fitch, M., Singletary, F. F., Causer, J., Radcliff, K. A., Newman, A. Among the studies with both a record and publication, there was also wide variability in the match between published outcomes and those listed in ClinicalTrials.gov. A., Ahn, D. K., Gill, T. M., Miller, M., Newman, A. OBJECTIVE: The study examined whether comorbid low mental health functioning inflates the cost of treating a chronic disease.METHODS: Data were from the 2015 Medical Expenditure Panel Survey (N=33,893). The Pittsburgh Fatigability Scale measured physical and mental fatigability (score 0-50; higher physical fatigability15; higher mental fatigability13). In 2011 a multistakeholder population health collaborative consisting of partners at the federal, state, and local levels launched Be There San Diego. 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. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. This shift also aims to motivate other large government and private payors to accelerate the adoption of value-based care through TRICARE's example. #204. Report. In order to make better use of scarce resources, cost-effectiveness methodologies have been developed to evaluate how to produce the most health within the constraints of available resources. Schmaling, K., Kaplan, R. M., Porzsolt, F. Questioning the Benefit of Statins for Low-Risk Populations-Medical Misinformation or Scientific Evidence?-Reply. Outcomes were assessed every six months for up to 42 months by staff masked to intervention assignment. Contributions of Health Care to Longevity: A Review of 4 Estimation Methods. In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. Robert D. Kaplan is the bestselling author of sixteen books on foreign affairs and travel translated into many languages, including In Europe's Shadow, Asia's Cauldron, The Revenge of Geography, Monsoon, The Coming Anarchy, and Balkan Ghosts. February 1994 Issue. The Women's Health Initiative 1993-2009. Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. Groessl, E. J., Kaplan, R. M., Blair, S. N., Rejeski, W. J., Katula, J. (PsycINFO Database Record (c) 2019 APA, all rights reserved). Competing interests: None declared Competing interests: No competing interests 20 February 2004 Robert M Kaplan psychiatrist 2500 B., Lifestyle Interventions and Independence for Elders Study Group, Pahor, M., Guralnik, J. M., Anton, S. D., Buford, T. W., Leeuwenburgh, C., Nayfield, S. G., Manini, T. M., Caudle, C., Crump, L., Holmes, L., Lee, 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., Joyce, K., Lovato, L., Pierce, J., Roberson, W., Robertson, J., Rushing, J., Rushing, S., Stowe, C. L., Walkup, M. P., Hire, D., Rejeski, W. J., Katula, J. To control for confounding of group participation with survival (because individual sessions preceded group), we used risk set sampling to match minimal survival time of those receiving or not receiving group training.Analyses correcting for differential survival among comparison groups showed that group plus individual therapy was associated with a 33% reduction (hazard ratio=0.67; 95% confidence interval, 0.49-0.92, P=.01) in medical outcome compared to usual care.
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