Among women, adherence to lifestyle guidelines involving diet, exercise, and abstinence from smoking is associated with a very low risk of coronary heart disease.
Complex arrays of channel waveguides can be easily fabricated by the new approach reported here, which is based on microcontact printing and self‐assembly of solid, three‐dimensional polymeric structures from liquid precursors. It shows that structures produced by the procedure described act as multi‐mode optical waveguides, and suggestions are made for improvements following on from this demonstration of principle. Waveguides are important in communications, photonic sensors, and optical devices.
Letters20 November 2001Physical Activity and Cardiovascular Risk in Diabetic WomenFrank B. Hu, MD, PhD, Meir J. Stampfer, MD, DrPH, and JoAnn E. Manson, MD, DrPHFrank B. Hu, MD, PhDHarvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson)Search for more papers by this author, Meir J. Stampfer, MD, DrPHHarvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson)Search for more papers by this author, and JoAnn E. Manson, MD, DrPHHarvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-135-10-200111200-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Kessler questions the clinical implications of our study (1) and raises the issue of benefits compared with costs of physical activity. He has raised similar issues regarding our previous reports (2, 3). Despite his intricate calculations, Dr. Kessler misses the point of our study. First, although it may take several years of activity to prevent a single cardiovascular event among the least active group as a whole, for each individual woman, only 30 minutes to 1 hour of moderate to vigorous exercise per day is needed. Second, Dr. Kessler considers only the lowest and highest risk groups ...References1. Hu FB, Stampfer MJ, Solomon C, Liu S, Colditz GA, Speizer FE, et al . Physical activity and risk for cardiovascular events in diabetic women. Ann Intern Med. 2001;134:96-105. [PMID: 11177312] LinkGoogle Scholar2. Kessler KM. Primary prevention of coronary heart disease in women through diet and lifestyle [Letter]. N Engl J Med. 2000;343:1814; discussion 1814-5. [PMID: 11185604] CrossrefMedlineGoogle Scholar3. Kessler KM. Triggering of sudden death from cardiac causes by vigorous exertion [Letter]. N Engl J Med. 2001;344:854; discussion 855. [PMID: 11252309] CrossrefMedlineGoogle Scholar4. . Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996. Google Scholar Author, Article, and Disclosure InformationAffiliations: Harvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPhysical Activity and Risk for Cardiovascular Events in Diabetic Women Frank B. Hu , Meir J. Stampfer , Caren Solomon , Simin Liu , Graham A. Colditz , Frank E. Speizer , Walter C. Willett , and JoAnn E. Manson Physical Activity and Cardiovascular Risk in Diabetic Women Kenneth M. Kessler Metrics Cited ByVariations in tryptophan hydroxylase 2 linked to decreased serotonergic activity are associated with elevated risk for metabolic syndrome in depression 20 November 2001Volume 135, Issue 10Page: 931KeywordsBlood pressureCancer preventionCardiovascular diseasesExerciseHigh density lipoprotein cholesterolMorbidityMortalityOsteoporosisQuality of life ePublished: 20 November 2001 Issue Published: 20 November 2001 CopyrightCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...
Introduction: Consumption of sugar sweetened beverages (SSB) has been consistently associated with metabolic syndrome (MetS), while results on the role of fruit juice intake are conflicting. Hispanics consume both SSB and traditional fruit-based beverages; however, studies conducted on such ethnic group are scarce. Given the high prevalence of MetS among Hispanics, describing putative contributors to this condition is essential in proposing approaches that may successfully reduce its prevalence and avoid further complications. Hypothesis: We assessed the hypothesis that substituting fruit-based beverages traditionally consumed by Hispanics for SSB may be associated with lower odds of MetS. Methods: To determine the cross-sectional association between beverages consumed by Hispanics, and MetS and its components, data were analyzed in 1,872 Costa Rican adults who served as controls of a population-based case-control study of coronary heart disease. Multivariate adjusted means were calculated for components of MetS by servings (never, <1/week, 2–6/week, ≥1/day) of two traditional fruit-based beverages (‘fresco’ and homemade fruit juice, separately) and two SSB (instant drinks and regular sodas, separately and combined). Prevalence ratio (PR) of MetS was calculated for each beverage, and odds ratio (OR) was calculated by substituting one serving of homemade fruit juice or water for one of SSB. Results: Significant positive trends were observed for increasing servings of instant drinks and combined SSB with plasma triglyceride and waist circumference, and for regular soda with waist circumference (all P -trend<0.001). Increasing servings of homemade fruit juice were associated positively with HDL-C ( P -trend=0.033). Consuming ≥1 serving/day of instant drinks was associated with higher PR of MetS (1.42, 95%CI: 1.11, 1.83) compared to no consumption; similar results were obtained for combined SSB. Substituting one serving of homemade fruit juice for instant drink was associated with 29% (95% CI=7, 47%) lower odds of MetS, and for regular soda with 30% (1, 50%) lower odds. Substituting water for combined SSB was marginally significant (OR=0.86 (0.74, 1.00). Conclusion: In conclusion, reducing consumption of SSB and substituting them with homemade fruit juices in moderation, may be a culturally-appropriate approach to lower metabolic syndrome among Hispanics. Our study provides the groundwork for interventions on beverage intake that aim to prevent MetS and type 2 diabetes in Hispanic ethnic subgroups, and may support current public health efforts on limiting availability and intake of SSB, while substituting with a healthy beverage.
Elastic and elastic-plastic results are obtained for a semi-infinite slanted through-crack propagating in a symmetrically loaded plate strip with the aim of providing theoretical background to commonly observed plate tearing behavior. Were it is not for the slant of the crack through the thickness of the plate, the problem would be mode I, but due to the slant the local conditions along the crack front are a combination of mode I and mode III. A three-dimensional formulation for steady-state crack propagation is employed to generate distributions of effective stress, stress triaxiality and Lode parameter through the plate in the plastic zone at the crack tip. The distribution of the mode I and mode III stress intensity factors along the crack front are obtained for the elastic problem. The out-of-plane bending constraint imposed on the plate significantly influences the mixed mode behavior along the crack front. The solution is examined for clues as to why propagating slant cracks sometimes undergo a transition and flip about 90° to propagate with the opposite slant orientation.
Abstract A method is described for the formation of stable, composite aqueous emulsions of 1) combinations of distinct families of bubbles of nitrogen, 2) combinations of distinct families of droplets of an organic fluid (either perfluoro(methyl)decalin or hexadecane), and 3) combinations of bubbles and droplets. A system of two or three microfluidic flow‐focusing units is coupled to a single outlet channel. The composite emulsions can be precisely tuned, both in their composition and in the number fraction of components—either bubbles or droplets—of different types. The use of microfluidic technology, with closely coupled flow‐focusing units, guarantees that the emulsions are mixed locally at a controlled local stoichiometry. The emulsions self‐assemble in a nonequilibrium process to form a wide variety of highly organized periodic lattices.
Infinite circular cylindrical elastic inclusions, or rods, embedded in an unbounded elastic matrix display various modes of instability when they undergo sufficiently large expansion due to either swelling or volumetric growth. In this letter two modes of instability are examined: sinusoidal axisymmetric modes and sinusoidal bending modes. The rod and the matrix are neo-Hookean materials, and the full range of the modulus ratio of rod to matrix is considered. In the primary case examined, deformation is driven by an isotropic volumetric expansion, or transformation, of the rod. A three-dimensional bifurcation analysis of the rod constrained by the matrix reveals the onset of the critical instability mode as dependent on the modulus ratio. Comparisons with related results are discussed, including the compressive buckling of a stiff rod in a compliant matrix and the other limit when the modulus of the rod is very small compared to that of the matrix and behaves effectively as a fluid exerting pressure on the wall of the matrix cavity. 1 1 Contributed to celebrate the awarding of the Prager medal to Prof. Horacio Espinosa.
Adherence to healthful dietary patterns is associated with lower T2DM risk among women with a history of GDM. The inverse associations are partly mediated by body mass index.