Using Structural Equation Modeling to Examine the Effects of Sex and Physical Activity on the Metabolic Syndrome and Health-related Quality of Life Relationship

Peter D. Hart(Peter D. Hart ) 사피엔시아 2018 Exercise Medicine Vol.2 No.-

Objectives: The purpose of this study was to use structural equation modeling (SEM) to investigate the moderating effects of sex and the mediating effects of physical activity (PA) on the metabolic syndrome (MetS) and health-related quality of life (HRQOL) relationship. Methods: The 2013-14 NHANES was used and included 1,077 adults 50+ years of age. A latent construct of MetS was created using five observed variables: waist circumference, HDL cholesterol, triglycerides, fasting glucose, and mean arterial pressure. A PA variable was created from self-reported moderate and vigorous recreational activity and converted to quartiles of moderate-to-vigorous PA minutes per week. HRQOL was assessed from a question regarding self-rated general health and dichotomized to indicate poor/good HRQOL. Results: The MetS latent model showed adequate fit (χ2/df = 2.47, GFI = 0.99, CFI = 0.99, and RMSEA = 0.04) and significantly (P<.001) predicted all observed variables. The structural model also showed adequate fit with significant direct effects of MetS on HRQOL (β= −0.118, P<0.001) and PA on HRQOL (β=0.176, P<0.001). The effect of MetS on HRQOL (β= −0.048, P=0.001) through PA revealed that PA mediates the relationship. The multi-group analysis showed that the structural model was significantly different between males and females, with PA completely mediating the MetS and HRQOL relationship in males and partially mediating the relationship in females. Conclusions: Results from this study support the use of SEM for investigating moderating and mediating effects while simultaneously measuring a latent construct. Additionally, PA was a stronger mediator to the MetS and HRQOL relationship in older males than in older females.

Meeting Recommended Levels of Physical Activity in Relation to Preventive Health Behavior and Health Status Among Adults

Peter D. Hart,Gabriel Benavidez,James Erickson 대한예방의학회 2017 Journal of Preventive Medicine and Public Health Vol.50 No.1

Objectives: The purpose of this study was to examine the relationship of meeting the recommended levels of physical activity (PA) with health status and preventive health behavior in adults. Methods: A total of 5630 adults 18 years of age or older were included in this study. PA was assessed using a series of questions that categorized activities based on their metabolic equivalent values and then categorized individuals based on the reported frequency and duration of such activities. Participants reporting 150 minutes or more of moderate-intensity PA per week were considered to have met the PA guidelines. Multiple logistic regression was used to model the relationships between meeting PA guidelines and health status and preventive health behavior, while controlling for confounding variables. Results: Overall, 53.9% (95% confidence interval [CI], 51.9 to 55.9%) of adults reported meeting the recommended levels of PA. Among adults with good general health, 56.9% (95% CI, 54.7 to 59.1%) reported meeting the recommended levels of PA versus 43.1% (95% CI, 40.9 to 45.3%) who did not. Adults who met the PA guidelines were significantly more likely not to report high cholesterol, diabetes, chronic obstructive pulmonary disease, arthritis, asthma, depression, or overweight. Furthermore, adults meeting the PA guidelines were significantly more likely to report having health insurance, consuming fruits daily, consuming vegetables daily, and not being a current cigarette smoker. Conclusions: In this study, we found meeting the current guidelines for PA to have a protective relationship with both health status and health behavior in adults. Health promotion programs should focus on strategies that help individuals meet the current guidelines of at least 150 minutes per week of moderate-intensity PA.

Meeting Recommended Levels of Physical Activity in Relation to Preventive Health Behavior and Health Status Among Adults

Hart, Peter D.,Benavidez, Gabriel,Erickson, James The Korean Society for Preventive Medicine 2017 Journal of Preventive Medicine and Public Health Vol.50 No.1

Objectives: The purpose of this study was to examine the relationship of meeting the recommended levels of physical activity (PA) with health status and preventive health behavior in adults. Methods: A total of 5630 adults 18 years of age or older were included in this study. PA was assessed using a series of questions that categorized activities based on their metabolic equivalent values and then categorized individuals based on the reported frequency and duration of such activities. Participants reporting 150 minutes or more of moderate-intensity PA per week were considered to have met the PA guidelines. Multiple logistic regression was used to model the relationships between meeting PA guidelines and health status and preventive health behavior, while controlling for confounding variables. Results: Overall, 53.9% (95% confidence interval [CI], 51.9 to 55.9%) of adults reported meeting the recommended levels of PA. Among adults with good general health, 56.9% (95% CI, 54.7 to 59.1%) reported meeting the recommended levels of PA versus 43.1% (95% CI, 40.9 to 45.3%) who did not. Adults who met the PA guidelines were significantly more likely not to report high cholesterol, diabetes, chronic obstructive pulmonary disease, arthritis, asthma, depression, or overweight. Furthermore, adults meeting the PA guidelines were significantly more likely to report having health insurance, consuming fruits daily, consuming vegetables daily, and not being a current cigarette smoker. Conclusions: In this study, we found meeting the current guidelines for PA to have a protective relationship with both health status and health behavior in adults. Health promotion programs should focus on strategies that help individuals meet the current guidelines of at least 150 minutes per week of moderate-intensity PA.

Effects of Yoga on Measures of Health-related Quality of Life from SF-36 and SF-12 Assessments: A Systematic Review and Meta-analysis

Gabriel Benavidez(Gabriel Benavidez ),Peter D. Hart(Peter D. Hart ) 사피엔시아 2017 Exercise Medicine Vol.1 No.-

Objectives: Yoga is commonly being adopted and prescribed with the intent to increase a participant’s health-related quality of life. In practice, the current gold-standard health-related quality of life measurement tool is the SF-36 and SF-12 assessments. Therefore, it is important for yoga scientists and practitioners to understand yoga’s effects on health-related quality of life when in fact a gold-standard assessment is implemented. The purpose of this study was to employ systematic review and meta-analytic techniques to examine the effect of yoga on measures of health-related quality of life measured using only the SF-36/12 assessments. Methods: A current (January 2007 to December 2016) systematic review of the Pubmed database was conducted and included studies that used yoga as an intervention with outcomes measures of health-related quality of life measured by the SF-36/12. Ten different measures were extracted from studies including eight dimension scores (physical functioning, bodily pain, physical role function, general health, mental health, emotional role function, social function, and vitality) and two summary scores (physical component and mental component). Ten different meta-analyses were performed using calculated standardized mean effect sizes and random effects models. Both moderator and sensitivity analyses were conducted. Results: A total of 34 studies were included is the analyses with 185 independent effect sizes. Yoga intervention showed a significant positive effect on all ten measures of the SF-36/12. Effects ranged from 0.56 (0.39-0.73) to 0.28 (0.17-0.40). Yoga type (Hatha, Iyengar, Other) moderated the effects of yoga intervention on the mental component (p=.021), with Hatha yielding the greatest effects (ES=1.63, 0.61-2.65). The sensitivity analysis showed little to no bias in mean effect size estimates. Conclusions: The meta-analytic evidence clearly supports the small-to-medium positive effects of yoga on health-related quality of life, as measured by the SF-36/12 assessments.

Inhibitor of MYC identified in a Kröhnke pyridine library

Hart, Jonathan R.,Garner, Amanda L.,Yu, Jing,Ito, Yoshihiro,Sun, Minghao,Ueno, Lynn,Rhee, Jin-Kyu,Baksh, Michael M.,Stefan, Eduard,Hartl, Markus,Bister, Klaus,Vogt, Peter K.,Janda, Kim D. National Academy of Sciences 2014 PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF Vol.111 No.34

<P>In a fluorescence polarization screen for the MYC–MAX interaction, we have identified a novel small-molecule inhibitor of MYC, KJ-Pyr-9, from a Kröhnke pyridine library. The <I>K</I><SUB>d</SUB> of KJ-Pyr-9 for MYC in vitro is 6.5 ± 1.0 nM, as determined by backscattering interferometry; KJ-Pyr-9 also interferes with MYC–MAX complex formation in the cell, as shown in a protein fragment complementation assay. KJ-Pyr-9 specifically inhibits MYC-induced oncogenic transformation in cell culture; it has no or only weak effects on the oncogenic activity of several unrelated oncoproteins. KJ-Pyr-9 preferentially interferes with the proliferation of MYC-overexpressing human and avian cells and specifically reduces the MYC-driven transcriptional signature. In vivo, KJ-Pyr-9 effectively blocks the growth of a xenotransplant of MYC-amplified human cancer cells.</P>