Category Archives: Physiology

COVID-19: Fitness experts offer advice for fighting off the Quarantine 15 – Peace River Record Gazette

Deanna Harder, a CSEP (Canadian Society for Exercise Physiology) certified personal trainer in Edmonton poses for a picture at Custom Fit Training in Edmonton on March 18, 2020. Derek Van Diest / Postmedia

It is being called the Quarantine 15 in social media circles: the weight some are expecting to gain during the COVID-19 pandemic.

With gyms and leisure centres throughout Edmonton closed, there is concern self-isolation will be detrimental to an active lifestyle.

According to some fitness experts, however, that doesnt have to be the case, with numerous types of home workouts available.

I want to let everybody know that your body isnt made or broken in a few weeks or a few months, said Deanna Harder, a CSEP (Canadian Society for Exercise Physiology) certified personal trainer in the city. So just like building muscle takes years and years and years, atrophy in muscle is going to take a little bit of time. Its not going to happen overnight.

You can maintain your body fitness by body-weight exercise or light dumbbell work and just by keeping your stress low and managing your nutrition. You dont need to be going hard every day. I like to tell people, youre not going to make or break your body in a few weeks of not hitting the gym hard. In fact, your body may welcome the change of pace and the change of stimulus. Your gains are not going to be lost in a couple of weeks of staying home.

Harder understands these are stressful times for everyone with the uncertainty ahead due to the world-wide pandemic. Physical activity helps alleviate stress at the best of times and when it is taken away in the form of facility closures, it may only add to anxiety.

The thing is, the first couple days, you might want to eat a little bit of extra chocolate and sugar because youre stressed out and because its like a snow day, Harder said. You can treat it as a little bit of a holiday, a little bit of a staycation, but then weve got to get some structure in our day, like having a healthy breakfast and getting into a regular routine; your showering routine, put on your makeup, put on your clothes, make yourself feel better, your self-esteem will really appreciate that.

And then add in a structured workout starting as soon as you feel good again. There might be a few days where, like my myself, Ive stocked up on a few bottles of wine and some dark chocolate because I also know that comfort is something we all need right now and this isnt going to last forever. If we cant be out in the in the world working on our fitness at a big global gym, why not take this time to focus on nutrition and focus on eating healthier.

Jeff Woods, owner of Custom Fit Training in Edmonton poses for a photo on March 18, 2020. Derek Van Diest / Postmedia

A key issue with self-isolation at home is the access to food at all times. Maintaining a healthy diet is key to fighting off the Quarantine 15. It is fine to stock up on chips and frozen pizza, but as is the case under regular circumstances, moderation is important when trying to maintain a healthy lifestyle.

Whether youre exercising or not, if youre being rational about your intake of calories, youre not going to put on copious amounts of weight, said Jeff Woods, owner of Custom Fit Training. Obviously, we still want people to exercise and you can do that going outside not being in highly populated situations. Be one with nature; that still works.

You can do bodyweight training programs, you can look at virtual options, go online, theres a million options on YouTube. I hate to sort of pass the buck, and as a professional trainer we can certainly pass on good information to people online as well, but there are some really incredible home programs that you can you can pick up the internet, and itll work just fine.

Custom Fit is a small gym catering to clients interested in one-one-one personal training. They, too, will be hit hard financially as the province attempts to get through the outbreak by practicing social distancing.

If there are any positives to be taken out of self-isolation, it may be an opportunity to change a fitness routine. Gains are often difficult to make if a routine becomes too repetitive.

Elite-level athletes work on what we call a periodization model, Woods said. Theyll work for a period of time like a six-week training block and then theyll take structured time off. They might take a week off, so that they give their body a chance to recover and actually adapt to the exercise stress, so that they get stronger.

If you keep on working out all the time and there is no structured recovery time or rest period, you can actually go the other way. If you overtrain, you can actually impede or inhibit your immune systems function. You need to exercise but in times like this, too, you want to do it in a balanced manner, because over-exercising or overtraining can have a negative effect on immunity.

No one is certain how long the self-isolation period will last, but the goal for most is to come out of it in similar condition as they went into it.

People shouldnt worry so much about body change right now, Id worry about more about maintaining your body, just maintain where youre at, Harder said. Dont worry about cutting or gaining at this point because why add extra stress to yourself? Just moderation of all foods, try to focus on maintaining your fitness and your body weight and not worry so much about losing or gaining, just living in maintenance for a minute.

dvandiest@postmedia.com

twitter.com/DerekVanDiest

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COVID-19: Fitness experts offer advice for fighting off the Quarantine 15 - Peace River Record Gazette

Peter Ganz, MD and Stephen A. Williams, MD, Ph.D, Author at – The Doctor Weighs In

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Currently, Dr. Ganz, along with his collaborators at SomaLogic, is making important discoveries in the field of proteomics - using modified aptamers as binding reagents to quantify proteins in blood. He is using proteomics to construct prognostic models of disease (JAMA 2016;315:2532-2541) and to understand the biological pathways of diseases and biological mechanisms of drug therapies (Circulation. 2018;137:9991010).

He co-led a study on using proteins as a single source of health care, known as the liquid health check (Nature Medicine 2019; 25: 18511857).

Dr. Ganz received his M.D. from Harvard, completed his residency at the Massachusetts General Hospital and cardiovascular fellowship at the Brigham and Womens Hospital.

He spent 25 years directing cardiovascular research in the cardiac catheterization laboratories at the Brigham and Womens Hospital and Harvard Medical School, prior to arriving at UCSF in 2008.

He likes to spend time with his wife, three children and one grandchild. His hobbies include hiking, biking, great food and passion for classical music.

Dr. Stephen Williams has been the Chief Medical Officer at SomaLogic since 2009. Prior to SomaLogic, Dr. Williams co-founded the pharma consultancy Decisionability, LLC in 2007 and authored the book Decisionability: The Skill to Make Your Decisions Productive, Practical and Painless.

From 1989-2007, Dr. Williams worked at Pfizer, Inc., initially in the Experimental Medicine group working in Exploratory Clinical Development and later as VP and Worldwide Head of Clinical Technology.

From 2003-2007, Dr. Williams was on the National Advisory Council for Biomedical imaging and Bioengineering at the National Institutes of Health. He helped to launch the Alzheimers Disease NeuroImaging (ADNI) study and helped form the FDA-FNIH-PhRMA biomarker consortium, serving on the inaugural executive committee.

Dr. Williams co-led the PhRMA position papers on proof of concept, surrogate endpoints and evidentiary standards for biomarkers and diagnostics.

Dr. Williams has degrees in physiology, medicine and surgery, and a Ph.D. in medicine and physiology from Charing Cross and Westminster Medical School (now a part of Imperial College, London). He also obtained training in diagnostic imaging at the University of Newcastle Upon Tyne.

He likes to spend time with his family (4 children and 3 grandchildren) and his hobbies include fitness training, skiing and mountain biking.

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Peter Ganz, MD and Stephen A. Williams, MD, Ph.D, Author at - The Doctor Weighs In

YOSHIKI Makes Donation to Meals on Wheels Across Los Angeles, Urges Support for Those Affected by Sudden Food Shortages – Business Wire

LOS ANGELES--(BUSINESS WIRE)--Japanese rock star YOSHIKI has made donations in support of multiple Meals on Wheels branches across Los Angeles through his 501(c)(3) non-profit organization Yoshiki Foundation America.

Seniors are facing the most danger from the coronavirus, and the CDC is urging community support for older adults. The State of California has called for all senior citizens to isolate themselves at home, making their access to food even more difficult.

Meals on Wheels is a federally supported program designed specifically to meet the nutritional and social needs of seniors.

"I think now is the time to support each other. It's time to give, not take, especially when there are people who are vulnerable during the current crisis," said YOSHIKI, who has made Los Angeles his home for the past 20 years.

"I wanted to make a donation to the elderly people who have difficulty going out and cannot get enough to eat. If I can help just a little, then maybe others can also be inspired to give. This situation is not just limited to L.A., and I myself am having more difficulty than usual getting food. I hope it will end soon."

YOSHIKI's relationship with Meals on Wheels extends back 10 years, and his support this week includes gifts of $3000 each to Meals on Wheel locations in:Long BeachCulver CityWest Los AngelesSan Fernando ValleyDowntown L.A.Orange CountyPasadenaSanta Monica

Donations to Meals on Wheels can be made through the organization's website.

Last week, YOSHIKI made a 10 million yen (appx. $100,000) donation to the Japanese Red Cross Society in commemoration of the ninth anniversary of the Great East Japan Earthquake.

This year alone, YOSHIKI also donated a combined $100,000 to Australian Wildfire Relief and the Rainforest Trust.

He has supported numerous other humanitarian causes, including donating $100,000 to disaster relief for Hurricane Harvey victims in Texas in 2017.

The rock musician and classical composer has also been active in promoting open sharing of information about the coronavirus (COVID-19) outbreak.

Last week, YOSHIKI hosted a conversation with Nobel Laureate Shinya Yamanaka (Nobel Prize in Physiology or Medicine and director of the Center for iPS Cell Research) to discuss worldwide health concerns. The video was streamed worldwide on Yoshiki Channel International and is available now on YouTube: https://youtu.be/yckQnJp9fp8

Yoshiki Foundation America: https://www.yoshikifoundationamerica.org YOSHIKI Official Website: https://www.yoshiki.ne

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YOSHIKI Makes Donation to Meals on Wheels Across Los Angeles, Urges Support for Those Affected by Sudden Food Shortages - Business Wire

South Korea took rapid, intrusive measures against Covid-19 and they worked – The Guardian

South Koreans are famously nonchalant about North Korean nuclear weapons. Bewilderingly to the rest of us, they keep calm and carry on whenever Pyongyang threatens to turn Seoul into a sea of fire. The South Korean approach to Covid-19 could not have been more different.

On 16 January, the South Korean biotech executive Chun Jong-yoon grasped the reality unfolding in China and directed his lab to work to stem the viruss inevitable spread; within days, his team developed detection kits now in high demand around the world.

There has been a general consensus in South Korea to trust in and respect the advice coming from doctors and scientists

Meanwhile, the South Korean government assumed the virus would hit. Experience with the 2003 Sars epidemic proved useful: existing governmental units in the ministries of health, welfare and foreign affairs, regional municipalities and the presidents office were mobilised. As a result, South Korea has been effective in controlling the nations mortality rate not through travel bans but instead through widespread rigorous quarantine measures and testing, now even exporting domestically produced test kits such as the 51,000 diagnostic products sent this week to the United Arab Emirates.

Most importantly, South Korea immediately began testing hundreds of thousands of asymptomatic people, including at drive-through centres. South Korea employed a central tracking app, Corona 100m, that publicly informs citizens of known cases within 100 metres of where they are. Surprisingly, a culture that has often rebelliously rejected authoritarianism has embraced intrusive measures.

On 17 March, a temporary provision entailed a small subsidy of 454,900 South Korean won (313) a month to cover basic living expenses. The same funding is available to those who are self-isolating, regardless of whether they test positive for the virus. Its not hugely generous, but provides subsistence for those whose lives are upended by necessary measures such as the ministry of educations closure of schools.

Other nations would be wise to copy the South Korean model: on 29 February, 700 people tested positive in the primary South Korean outbreak city of Daegu. By 15 March, 41 new cases were reported there.

There is, however, no time for complacency. As expected, based on the continued lack of immunity in the population, on 18 March, the number of cases began rising again, with Seoul now bracing for the worst.

From 16 March, South Korea started to screen all people arriving at airports, Koreans included. South Koreans have universal health care, double the number of hospital beds compared to Organisation for Economic Cooperation and Development (OECD) norms (and triple that of the UK), and are accustomed to paying half what Americans pay for similar medical procedures. At this historic juncture, there has been a general consensus to trust in and respect the advice coming from doctors and scientists.

But it hasnt all been smooth sailing: church officials south of Seoul were revealed to have sprayed salt water into parishioners mouths on the false premise it would stave off the infection. Worse, no one disinfected the bottles nozzle, and 46 people from the congregation have already tested positive. Also, despite South Koreas laudable healthcare apparatus, foreigners living in the country underscore disparities. With no Chinese allowed signs on numerous businesses and restaurants, some fear seeking medical advice.

The South Korean model is not without costs. In pre-pandemic days, the nations Oscar-winning film Parasite presciently showed the world how the rich can survive by working from home while their children enjoy the comfort of remote learning without worrying about food. These cultural imbalances are not unique to South Korea. Wealthy, independent schools are sending children home equipped with computers, books and musical instruments for remote learning, a situation being partially offered by state-run institutions, if at all.

In cities such as New York where there is now widespread community transmission of Covid-19 it is likely too late to follow the South Korean model. Efforts need to be focused elsewhere, including a wartime-like mobilisation to vastly increase the production of personal protective equipment for healthcare workers and the ventilator machines needed to treat the critically ill.

Oscars in hand, Bong Joon-ho, the director of Parasite, charmed the world on 10 February: I will drink until next morning, thank you. A week later, back in Seoul and well before most governments had woken up to the serious challenge they faced, he had already changed his tone, promising to wash [his] hands from now on, and participate in this movement to defeat coronavirus.

Alexis Dudden is professor of history at the University of Connecticut. Andrew Marks is a doctor and chair of physiology at Columbia University

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South Korea took rapid, intrusive measures against Covid-19 and they worked - The Guardian

Challenges of human nutrition research – Science Magazine

In 1945, a domiciled feeding study carried out at the University of Minnesota involved participants being fed a semistarvation diet.

Nutrition is fundamentally important for human health (1), but there is widespread public confusion about what constitutes a healthy diet. Flip-flopping headlines report conflicting information about whether individual foods (e.g., butter, eggs, meat), nutrients (e.g., saturated fat, cholesterol, sodium), or eating patterns (e.g., Mediterranean versus ketogenic diets) result in improved, worsened, or unchanged health. However, public confusion about nutrition belies expert consensus regarding important aspects of healthy diets. For example, it is widely agreed that Western diets high in ultra-processed food are deleterious and that considerable health improvements would likely result from shifting the population toward eating mostly minimally processed foods (2). But expert consensus erodes when discussing detailed questions of optimal human nutrition or the physiological mechanisms underlying the body's response to diet changes. Rigorous controlled feeding studies would help to address such questions and advance human nutrition science, a field whose overall veracity has recently been questioned (3, 4).

Much of the criticism of nutrition science has been directed at nutritional epidemiology, a field that investigates associations between diet and health outcomes in large numbers of people. Although nutritional epidemiology has ardent defenders (5, 6), its critics suggest that it is plagued by measurement error, reverse causality, selection bias, weak effects, analytical flexibility, and unmeasured or residual confounders that can result in spurious relationships between diet variables and health outcomes (7). Increased funding for large, long-term randomized diet intervention trials has been suggested as a way to mitigate reliance on nutritional epidemiology and improve causal inference about the effects of diet on human health (8). However, such trials have their own challenges, including the impracticality of randomizing large numbers of people to eat different diets for months or years while ensuring high levels of adherence throughout.

Indeed, most randomized diet intervention trials do not actually study the effects of different diets; rather, they investigate the effects of differing diet advice. In other words, subjects are randomized to receive education and support to consume diets that are assigned by the investigators. Although diet-advice trials assess real-world effectiveness, their results conflate adherence to a given diet with the effects of that diet.

Knowledge about the effects of diet per se is required for advancement of fundamental nutrition science. However, studies in free-living people have a limited ability to provide such knowledge because it is not currently possible to accurately and objectively quantify their food intake. Indeed, most human nutrition studies rely on self-reported diet measures that are known to have systematic biases, such as underestimation of energy intake. Furthermore, errors in self-reported diet measurements may be associated with other variables (e.g., socioeconomic status) or health outcomes (e.g., obesity) that can result in biased associations (9).

Rather than relying on self-reported diet assessments, some diet intervention trials provide food to their free-living subjects, but these studies seldom verify whether all the food is eaten. Even when subjects are instructed to eat only the food provided by the study, substantial quantities of off-study food may be consumed amounting to several hundred kilocalories per day that can confound study results (10, 11). To understand how these challenges impede the progress of human nutrition science, imagine trying to develop a new drug without being confident that researchers could administer known quantities of the drug or measure its pharmacokinetics, pharmacodynamics, or dose response. Successful pharmaceutical development requires such studies because they investigate benefits and risks of the drug under highly controlled conditions where questions of patient adherence are minimized because the researchers administer the drug. The inability to conduct such trials would severely impede the drug development process. Why should human nutrition science be expected to advance without the benefit of well-controlled diet efficacy studies?

Therefore, it is important to conduct human nutrition studies where subjects can comfortably reside at a research facility, thereby allowing investigators to control and objectively measure their food intake. Subjects enrolled in such domiciled feeding studies are required to stay at the research facility for periods of days, weeks, or months without leaving to ensure that they consume the provided food under observation while avoiding exposure to off-study food.

Domiciled feeding studies have a long history of yielding important discoveries about human nutrition and metabolism. For example, many of the physiological responses to starvation and nutritional rehabilitation were revealed in a controlled feeding study of 32 male volunteers who simultaneously resided at the University of Minnesota for a continuous 48-week period during the Second World War (12) (see the photo). The subjects were fed a baseline diet for 12 weeks followed by a 24-week semistarvation diet, after which they were fed several rehabilitation diets for the final 12 weeks. The resulting detailed physiological and psychological measurements in response to known diets would have been impossible had the subjects not been domiciled during this classic study.

Unfortunately, domiciled feeding studies have become prohibitively expensive in the United States since the National Institutes of Health ceased directly funding Clinical Research Centers (13). Very few centers around the world currently conduct domiciled feeding studies, and their study populations often comprise students, staff, and faculty, which limits their generalizability. Furthermore, the few facilities conducting domiciled feeding studies are typically limited to housing and feeding only a handful of subjects at a time, which restricts their power and duration.

Such limitations are surmountable. Investment in research facilities for domiciled feeding studies could provide the infrastructure and staff required to simultaneously house and feed dozens of subjects comfortably and safely. One possibility would be to create centralized domiciled feeding facilities that could enable teams of researchers from around the world to recruit a wide range of subjects and efficiently conduct rigorous human nutrition studies that currently can only be performed on a much smaller scale in a handful of existing facilities.

Well-designed domiciled feeding studies can increase the rigor of human nutrition science and elucidate the fundamental mechanisms by which diet affects human physiology. For example, such studies can investigate complex interactions among changes in diet, the microbiota, and its role in modulating host physiology. The effects of meal timing and circadian biology could be advanced by enabling precisely controlled periods for eating and sleeping. Personalized nutrition and nutrient-genomic interaction studies could be facilitated by reducing the usual noise of unknown diet variability to focus on individual physiological variability in response to controlled diets. Nutrient requirements and their dependence on overall dietary and physical activity patterns could be assessed in a variety of populations of men and women of different ethnicities and ages. The effects of diet on physical and cognitive performance could also be carefully evaluated. Comprehensive assessment of the effects of diet interventions on common health conditions such as obesity, metabolic syndrome, and type 2 diabetes, as well as rare diseases such as those that result from inborn errors of metabolism, could also be rigorously determined in domiciled subjects.

Although domiciled feeding studies can provide important mechanistic insights, their artificial environment may limit generalizability and application to free-living populations. Furthermore, domiciled feeding studies alone are insufficient for determining what constitutes a healthy diet because it is impossible to continuously house for several years the large numbers of subjects that would be required to objectively measure both food intake and clinical endpoints, such as cardiovascular events or diabetes progression. Therefore, long-term nutrition studies in free-living people will always be required.

Nonetheless, domiciled feeding studies can help to improve long-term human nutrition studies. For example, the development and validation of objective diet assessment technologies requires domiciled feeding studies because the only way to objectively know what people eat is to house them continuously in a research facility and directly measure their food intake. Advancement of objective diet assessment technologies has been identified as a top priority for human nutrition science (14) and promising new technologies are emerging, such as sensors and cameras that detect food intake. Biomarkers of diet are also being developed, such as plasma concentrations of vitamin C and carotenoids as indicators of fruit and vegetable intake. Domiciled feeding studies can validate objective diet assessment technologies and biomarkers in diverse subject groups consuming a variety of known diets. These validated technologies and standardized biomarkers can then be deployed in large, long-term nutrition studies to monitor diet adherence and improve understanding of the relationships between diet and disease, and diet and health.

Domiciled feeding studies can also help researchers to design and interpret large, long-term nutrition studies. For example, surrogate biomarkers of disease risk often change rapidly in response to controlled diet interventions. When surrogate markers are causally related to disease risk, then it may be possible to cautiously extrapolate the results of domiciled feeding studies, especially those that test dose responses, and to estimate the effects of diet changes on long-term disease risk. Such information can be useful for planning long-term randomized diet trials by helping to avoid underpowered studies whose null statistical results might be misinterpreted to conclude that the diet had no real effect when even a small undetected effect might be important, especially on the population scale.

For example, prior to devoting many millions of dollars to a large, long-term randomized trial of a Westernized Mediterranean diet intended to prevent cardiovascular disease, domiciled feeding studies could be used to help develop and validate biomarkers of varying degrees of adherence to the dietary pattern while also evaluating surrogate markers of disease risk in response to known diet changes. For a relatively small fraction of the overall investment, data from such a domiciled feeding study could be used to help plan and interpret the results of the large, long-term randomized trial.

The advancement of human nutrition science has enormous benefits for health and the economy (15). Knowledge of nutrition requires triangulation of evidence from a variety of study designs, including observational studies and randomized trials in free-living people. Facilitating more domiciled feeding studies will lead to fundamental new discoveries about the mechanistic physiological responses to diet and will improve human nutrition research in all its forms.

Acknowledgments: Thanks to N. K. Fukagawa, M. B. Katan, K. C. Klatt, P. Ohukainen, M. L. Reitman, and E. J. Weiss for insightful comments. Supported by the Intramural Research Program of the National Institute of Diabetes and Digestive and Kidney Diseases.

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Challenges of human nutrition research - Science Magazine

Yale researchers say artificial sweeteners can make healthy people sick if they are paired with this – Ladders

Low-calorie sweeteners are supposed to be a healthy way to still enjoy the flavors we love. When these ingredients first burst on the scene many years ago they seemed almost too good to be true, and those feelings were vindicated when several recent studies concluded that low-cal sweeteners disrupt our metabolisms and even promote diabetes and obesity.

Talk about a role reversal. These products are supposed to help people lose weight.

However, other recent research projects have come to conflicting conclusions; that food and drinks containing low-cal sweeteners are perfectly fine for our metabolisms and in all likelihood are a beneficial aid in the pursuit of weight loss.

So, which one is it? A team of Yale researchers may finally put an end to the debate. Well, sort of.

This new piece of Yale researchers found that people who regularly drank beverages containing the low-calorie sweetener sucralose did, in fact, develop problematic metabolic and neural responses. Sucralose can be found in a wide variety of diet and low-cal soft drinks, candy bars, breakfast bars, and other food products. Splenda is produced using sucralose.

But, heres the catch: these problematic reactions only occurred in participants if a carbohydrate in the form of a tasteless sugar had been added to their low-cal beverage. Conversely, participants who just drank the low-cal beverage or even a sugary drink didnt experience any of the aforementioned metabolic or neural changes.

To put it in less scientific terms, it appears that low-cal sweeteners are only harmful when paired with some carbs. So, the next time you feel like a Diet Coke, just dont drink it while eating some pasta.

The subjects had seven low-calorie drinks, each containing the equivalent of two packages of Splenda, over two weeks, says senior author Dana Small, professor of psychiatry and psychology and director of the Modern Diet and Physiology Research Center, in a press release. When the drink was consumed with just the low-calorie sweetener, no changes were observed; however, when this same amount of low-calorie sweetener was consumed with a carbohydrate added to the drink, sugar metabolism and brain response to sugar became impaired.

The research team had originally wanted to test the notion that consuming low-cal sweeteners results in an uncoupling of ones sweet taste perceptions and energy levels. Essentially, this theory suggests that regularly consuming low-cal sweetened products results in ones body developing a diminished physiological response to even real sugar; no more sugar rushes or mood boosts. This phenomenon could conceivably lead to an overall more lethargic lifestyle, contributing to weight gain, diabetes, and glucose intolerance.

These results, though, disprove that hypothesis. Instead, pointing to the mixture of low-cal products and carbs resulting in metabolic impairment.

The bottom line is that, at least in small quantities, individuals can safely drink a diet soda, but they shouldnt add French fries, concludes Small. This is important information, particularly for people with diabetes who shouldnt consume sugars.

While this study provides some answers as to why previous studies have come to varying conclusions on the effects of low-cal sweeteners, its findings also raise a number of new questions. Why does the pairing of carbs & low-cal sweeteners result in detrimental metabolic changes? What role do our brains and neurons play in all this? We seriously shouldnt eat fries with diet soda anymore?

If theres one definite conclusion that can be drawn from all of this, its that manufacturers, scientists, and consumers alike dont have a full understanding of how products like Splenda interact with ones body chemistry.

The full study can be found here, published in Cell Metabolism.

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Yale researchers say artificial sweeteners can make healthy people sick if they are paired with this - Ladders

The science behind Tom Hamiltons voice – Let’s Go Tribe

Tom Hamiltons home run call is the best in baseball. Other announcers might bring his level of passion for the game to the broadcast, but he stands alone with his talent for highlighting great moments. He never fails to rise to the occasion, and the sound of his voice is iconic. Not just in Cleveland, but around the game. You dont have to take my word for it, either; Hamilton is one of the finalists for the Ford C. Frick award, given annually to a broadcaster to recognize major contributions to the game of baseball.

What is it, exactly, that makes Hamiltons voice so captivating? I reached out to a voice and vocal performance expert by the name of Karen Perta, MS, CCC-SLP who performs research about how, exactly, humans create the sounds that they do. In addition to being the perfect person to speak with about this subject, Karen is my girlfriend. This is a transcript of our interview discussing the unique sound that Hamilton brings to millions of listeners every season.

MS: Before we get into the physiology behind Tom Hamilton I thought wed talk a little bit about your history with baseball.

KP: My history with baseball? I would say that I was not a sports fan growing up except that I have identical young twin sisters that are younger and identical twin cousins that are older. Every summer as soon as school let out, we picked up our cousins in Maryland so they could spent the summer with us in upstate New York. It was like growing up with two sets of twin sisters. My cousins are die-hard Orioles fans, so I was raised an Orioles fan despite growing up in Yankees country. I begged my Dad to take me to a baseball game the summer before fourth grade. He said he would take me but on one condition I had to learn the names, numbers, and positions of at least three players on the Red Sox and the Orioles. But my cousins taught me all of the players on both teams, all their numbers, positions, batting averages, etc. That was the crazy Brady Anderson year, and if I remember correctly they had Cal Ripken Jr, Palmeiro, Robbie Alomar, BJ Surhoff, Chris Hoiles ... and I remember Mo Vaughn on the Red Sox. So needless to say I got to go to the game, and I think I remember Vaughn hitting one out of Fenway that day. Fourth grade me concluded it was a great idea to wear a Mo Vaughn t-shirt and an Orioles hat on the first day of school. That didnt go over great in upstate New York.

MS: I think that gives you all the necessary credentials as a baseball fan. What about professionally?

KP: I am a voice-specialized medical speech language pathologist and singing voice specialist. Ive been practicing for nine years and I am coming to the end of my second year pursuing a PhD in Speech and Hearing Science with a specialization in vocal tract physiology. I use MRI, endoscopy, and cadavers to do my research. If thats too many big words, Im a speech therapist and I study how throat parts move to make all of the different sounds humans can make.

MS: We had a chance to sit down and listen to some of Tom Hamiltons most famous calls before we got started today. What are some of the things that stand out?

KP: Its distinct and recognizable. Hes got a base layer of that standard announcer voice, but when he gets excited its spontaneous, joyful, and genuine. Thats the part that really stands out to me. Hes essentially belting in the high tenor range with a vocal distortion.

MS: What do you mean by a distortion?

KP: Its an arytenoid distortion. The arytenoids are two cartilages that slide around on a unique and complex joint at the back of your larynx. They help to open and close your vocal folds. Hamilton is firmly closing his vocal folds when he gets loud, and my best guess is that its his arytenoids coming forward and vibrating against his epiglottis, or swallowing flap. Some would call that a rattle; others might call it a growl sound. Its a high pitch and his larynx is high a low larynx is what we might see in a growl that sounds darker very similar to the Cookie Monster sound.

MS: [impersonating] COOOKIE MONSTER. COOOOOOKIE. MONSTER.

KP: Anyway, theres not really a consistently agreed-upon term for it, but its a distortion involving parts above the vocal folds. You can hear similar examples in metal music. Or, Alex Brightman (Beetlejuice on Broadway) is doing something a little different, but its in the same neighborhood. The main difference is that Hamiltons distortion is more intermittent, and it happens consistently on certain words. CAN you BUH-lieve it! or aWAYYY back, GONE! He uses it for emphasis, especially on the more exciting calls.

MS: Is that a conscious choice that hes making?

KP: Probably not. In my professional opinion Id consider what he does art, and hes in a similar situation to what is expected from you in the recording studio. He needs to have a distinct and instantly recognizable sound. If Im flipping stations on the radio and I listen for two or three seconds, I know Oh, thats Adele. Sports casters need to have that same recognition to stand out. A lot of sportscasters have that deep, smooth, clear voice but soothing. Think someone like Dan Rather or Casey Casem to borrow from non-sportscasters.

MS: What about someone like Vin Scully?

KP: Hes a little bit twangier, kind of like the old-timey newscaster voice from war reels and such.

MS: Kind of like what Hank Azaria does as Brockmire?

KP: A little bit, yes. With Hamilton, I think [the arytenoid distortion] is a quirk of his that he, probably subconsciously, developed over time. But its a feature of his voice that makes him immediately recognizable and distinct. Hes one of the only broadcasters Ive ever heard that uses a distortion. Historically, its something thats been discouraged, but I think that view is rapidly changing. These sounds are becoming more mainstream and the Beetlejuice musical is a good example of that. Thats what makes it kind of amazing Hamilton has been doing it for so long and its never something that got fixed or caused him any injuries that I am aware of. Thats one of the hallmarks of a talented vocal artists that use distortions, too: the ability to do it consistently, night after night, and not injure their voice.

MS: What type of other artists might you compare him to?

KP: Well, B-Flat 4 is consistently his high note on exciting plays like game winners. Belting that high with a distortion is not all that different from what metal singers might do. Another thing that immediately comes to mind is Louis Armstrong, but hes not doing it on notes that are nearly as high. Its a very similar mechanic but on much lower pitches.

MS: Is Rob Thomas close? Think about, say, the I in I wanna take you for granted or throughout the rest of Push?

KP: Thats close, but its not quite right. He does that a little bit but its not quite as pronounced. I hate the Yankees but Enter Sandman is also awfully close. And Zack de la Rocha from Rage Against the Machine goes there, too, but again, not there. Kurt Cobain on the other hand had a growly sound, but that was more constriction than anything. Disturbed might actually be the closest on Down with the Sickness.

MS: This sounds like it underlines how distinct Hamilton is, then? Even among people who we more traditionally associate as performers use the same, people that use that distortion tend to do it in a much lower range and with a low larynx rather than a belt.

KP: I would say so, yes! In my mind hes definitely worthy of the Ford C. Frick award.

MS: I think everybody here will agree with you on that. Well see whether or not we have the normal Hall of Fame weekend this year given all the cancellations, but I imagine theyll still give the award.

KS: You can even consider this as scientific evidence that he deserves it.

MS: Done. Well quote you on that when he wins.

Contact information for Karen Perta available upon request for further discussion of and questions regarding vocal physiology.

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The science behind Tom Hamiltons voice - Let's Go Tribe

With Temperatures Rising, Can Animals Survive the Heat Stress? – Yale Environment 360

In the early 20th century, pioneering naturalist Joseph Grinnell and his team studied the flora and fauna of California, conducting meticulous surveys across large swaths of the state, including the Mojave Desert. They collected 100,000 specimens and took 74,000 pages of field notes, creating an invaluable baseline against which to measure long-term change.

Several years ago, a research team from the Grinnell Resurvey Project at the University of California, Berkeley set out to find how desert birds had fared over the last century. The changes were profound. In a study published last fall, the team found that on average temperatures in the desert had increased 3.6 degrees Fahrenheit, making one of the worlds hottest places even hotter.

They also found that nearly a third of the 135 bird species present a century ago are far less common today and not nearly as widespread. The heat stress associated with climate change is the culprit, the study concluded, because desert birds need more water to keep cool, but it is not available.

We often think that climate change may cause a mass mortality event in the future, but this study tells us that the change in climate that has already occurred is too hot and in certain areas, animals cant tolerate the warming and drying that has already occurred, said Eric Riddell, a physiological ecologist and the lead author.

The impacts of a hotter world are no longer off in the future they have already arrived. As the planet grows warmer, the effects of heat stress on organisms trying to survive outside the temperature envelope they evolved in is becoming increasingly evident. From insects to coral reefs to biodiversity across entire ecosystems, researchers are chronicling the serious impacts of heat stress as temperatures break records. And several leading scientists believe we are underestimating the impacts, even as the heat ramps up.

The period from 2015 to 2019 was the warmest five-year period on record, according to a new report from the World Meteorological Association, and the just-finished decade was the hottest since record-keeping began. Last summer across Europe numerous high temperature records were broken, and the frequency, intensity, and duration of heat waves are all expected to increase, according to a recent paper. Marine heat waves are occurring four or five times more frequently than in the 1980s, according to another recent study.

Australia has been ground zero for recent extreme heat waves. Heat waves have occurred for centuries across the dry continent, but of the 39 known ones, 35 have taken place since 1994. This past summer was the second-hottest on record and the country is projected to warm faster than the global average, rising 4 degrees Celsius (7 degrees F) by 2100. Australia set a new record high in 2019 of 107.4 degrees F, which was an average of highs across the country. The individual record-high temperature was 121 degrees F in 2019 in Port Augusta.

One of the best-studied heat events in Australia took place in 2011 and shows how devastating the effects of extreme heat can be, on both terrestrial and marine ecosystems. The exceptional temperatures, a 2018 paper concluded, caused rapid, diverse, and broad scale changes and triggered abrupt, synchronous ecological disruptions, including mortality, demographic shifts, and altered species distributions. The paper said that tree die-off and coral bleaching occurred simultaneously in response to the heat wave and were accompanied by terrestrial plant mortality, seagrass and kelp loss, population crash of an endangered terrestrial bird species [Carnabys black cockatoo], plummeting breeding success in marine penguins, and outbreaks of terrestrial wood-boring insects.

A spectacled flying fox that died in the November 2018 heat wave in Australia. Marc McCormack/EPA

This cascade of events led the team of researchers to conclude that the extent of ecological vulnerability to projected increases in heat waves is underestimated.

Other recent events show the disparate impacts of extreme heat. In November 2018, the temperature in northern Australia soared to 107 degrees and stayed there for days. Endangered spectacled flying foxes 2-pound animals with 5-foot wing spans were overwhelmed. They tried to cool off by fanning themselves with their wings and panting, but that fell far short. In the end, some 23,000 of the endangered animals fell out of trees and died. The heat also killed fish, wild horses, and camels.

In 2014, an Australian heat wave killed more than 45,000 bats of various species. In some places fire trucks were deployed to spray and cool off dying bats.

Last month, the U.S. National Oceanic and Atmospheric Administration (NOAA) predicted that this year would bring the third major coral bleaching event to the Great Barrier Reef in five years because of heat waves. Coral bleaching occurs when high sea temperatures cause the living corals to expel the symbiotic algae on which the corals depend.

Research on impacts to the natural world from increasing temperatures is still in its early stages. But David Breshears a University of Arizona professor of ecology and an expert in forests and climate change, is deeply worried. First you get drought, on top of that the average temperature is going up, and on top of that a heatwave occurs, said Breshears, who co-authored the 2018 heat wave paper. Do extremes matter? You better believe they do, and its scary and getting scarier.

Extreme temperatures as opposed to warmer average temperatures are the catalyst for a growing number of local extinctions, experts say. A recent study looked at 538 plant and animal species at 581 sites around the world that had been previously surveyed. The goal was to understand what aspect of climate change was the most serious threat to biodiversity. Researchers found that 44 percent of the species at the sites had gone locally extinct, and that the culprit was an increase in the temperature of the hottest days of the year.

John J. Wiens, an evolutionary ecologist at the University of Arizona and a co-author of that study, said this research creates a model that allows scientists to estimate at what temperatures species around the world will not be able to take the heat anymore. We can estimate the global extinction for each species, he said. He estimated that if there is moderate global warming, 16 percent of all species would be lost; if theres more severe warming, 30 percent could be lost. The big picture is that one in three species could go extinct over the next 50 years, Wiens said.

Part of what dictates whether species will survive is their physiology and habits. Birds pant to cool off, exhaling air and water. The hotter they get, the more water they need to expel. The mourning dove, for example, requires 10 to 30 percent more water to keep cool than it did a century ago, according to the Grinnell Resurvey Project.

A dead tree in the Brazilian Amazon rainforest during the September 2010 drought. NASA/JPL-Caltech

Insect or animal-eating birds, which get their water from their prey, are even worse off. The Mojave Desert study found that if water needs increase by 30 percent, larger birds need to catch 60 to 70 bugs more per day to satisfy their water needs, which has an energetic cost. Thats why avian carnivores in the desert including the kestrel, prairie falcon and turkey vulture have declined along with insectivores such as gnatcatchers and mountain chickadees. All told, the increasing need for water has led to a 43 percent decline in species richness, the Grinnell Resurvey Project concluded.

Birds suffer more than other animals. They have high exposure to climate change, said Riddell. They are diurnal and exposed to the hottest part of the day. Small mammals live underground and are generally nocturnal. Insects are small and can take advantage of smaller habitat niches.

If current trends continue, well see more declines in the desert birds, Riddell said. Even desert specialists are struggling to live in this environment that they are supposedly well adapted for.

Some insects in some places have taken a heat hit as well. A recent study found that the number of areas that native bumblebees occupy has plummeted 46 percent in North America and 17 percent in Europe compared to surveys taken from 1901 to 1974. Those bee-less areas were also places with a high degree of climate variation, especially higher temperatures. Climate change is related to the growing extinction risk that animals are facing around the world, lead author Peter Soroye said, because of hotter and more frequent extremes in temperatures.

At the same time, an increase in temperatures is also expected to boost some insect populations including those that eat crops. A 2018 study predicted that could have a serious detrimental impact on world food supplies. Warmer temperatures increase insect metabolic rates exponentially, said Chris Deutsch, a professor of oceanography at the University of Washington, who led the team. Second, with the exception of the tropics, warmer temperatures will increase the reproductive rates of insects. You have more insects and theyre eating more.

Warmer temperatures are already causing major damage to the worlds forests. As temperatures warm, trees become less resilient and die-offs become more frequent as much as five times more so. If the climate warms a little more, things dont get a little different, they get very different, said Henry Adams, a plant biologist at Oklahoma State University and co-author of a recent paper on the topic. You get an acceleration in the rate of mortality. As you crank up the heat, the time it takes to kill trees is less and less.

Warmer temperatures, in other words, make droughts more deadly.

And there is concern that warmer temperatures will also keep burned forests from re-growing and that those ecosystems will instead transform into grasslands or shrub ecosystems.

Part of the reason is that, in the American West, fires are becoming bigger and hotter and more frequent, which kills the mother trees needed to drop seeds and regenerate the forest. Extreme heat then reduces seedling survival. The hotter, drier climate is making it more difficult for trees to regenerate on sites to which a lot of these conifers were suited, said Craig Allen, a research ecologist with the U.S. Geological Survey in New Mexico. Parts of the landscape are becoming less available to regrowth.

Native bumblebee species, such as the Bombus impatiens, have declined 46 percent in North America. Courtesy of Antoine Morin

This trend is especially important because forests are a significant carbon sink. For 30 years, nearly 100 institutions studied 565 tropical forests in Africa and the Amazon to understand their role in taking up and sequestering atmospheric carbon dioxide, which helps mitigate climate warming.

What they found, in a paper published this month in the journal Nature, is that the uptake of CO2 in these forests peaked in the 1990s. By 2010, their ability to take up carbon had dropped by a third.

As warming alters Alaska, can a key wildlife refuge adapt? Read more.

The cause was the growing number of dead trees in these forests, which were killed by higher temperatures, according to Wannes Hubau, who worked on the project as a post-doctoral researcher at the University of Leeds and who now works with the Royal Museum for Central Africa in Belgium.

Our modeling of these factors shows a long-term future decline in the African [carbon] sink, said Hubau, and that the Amazonian sink will continue to rapidly weaken, which we predict to become a carbon source in the mid-2030s.

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With Temperatures Rising, Can Animals Survive the Heat Stress? - Yale Environment 360

[Sponsored] Why Remote Monitoring of Senior Health is More Important Than Ever – Senior Housing News

Remote-resident monitoring has long been a focus of senior housing operators, with great benefits for preventing falls, a leading cause of senior hospitalization and 30-day readmissions.

Yet further advancements in fall prevention technology are needed to not merely react to falls, but anticipate them. Now, one software provider is doing just that. And because the technology lets caregivers monitor residents remotely 24/7, the service is proving deeply valuable for resident monitoring during the current COVID-19 crisis.

Owlytics Healthcare is a Tel Aviv, Israel-based technology company with a new artificial intelligence platform embedded in an off-the-shelf Samsung Active 2 smartwatch to monitor falls and health trends in independent and assisted living communities. The companys HIPAA-compliant (Health Insurance Portability and Accountability Act) health-detection platform combines multiple health inputs to give senior housing operators and staff a more complete picture of a given residents fall risk.

And as there is no infrastructure needed to implement the Owlytics solution, facilities can quickly and easy implement the service into the community.

The software-based cloud service tracks three main areas of coordinated data:

Movement, steps and walking patterns Heart rate, HRV, Sleep and other physiological measures Medication status

By pulling data from these three areas and synthesizing the data into an analytics system, the service tracks fall risk on a real-time, continuous basis. The solution even has benefits broader than fall prevention, because as a cellular-enabled Samsung smart watch with built-in GPS tracking and two-way cellular communication, the watch enables staff to easily locate the resident in need.

The solutions health-monitoring capabilities makes this service an ideal technology solution for senior living operators to stay one step ahead of any potential health deterioration in residents by monitoring trends in body vital signs or changes in sleeping patterns. As a result, staff can more effectively monitor residents remotely and reduce contact with high-risk residents, a critical step in preventing the spread of the coronavirus.

Owlytics has an interesting technology, says Dr. Ari Naim, founder, president and CEO of location-based technology platform CenTrak, the daughter company of Owlytics partner Halma. If there is a fall or potential fall or other hazard, then location is paramount.

Naim notes that Owlytics watch-based service creates a unique entrant in the area of fall prevention. The watch is essentially a three-in-one system.

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Its quite unique to add physiology as another parameter that you would assess, Naim says. Other people who are approaching this problem are only using motion sensors on the watch.

Professor Jeffrey Hausdorff is director of The Center for the Study of Movement, Cognition and Mobility at Tel Aviv University, and has been working on early research around Owlytics service platform.

There is a lot of data, and its integrated over time [to] get an accurate measure of where the person is in the beginning and using it as a reference to how a person changes over time, Hausdorff says.

How Owlytics watches with an impact on COVID-19

The benefits of Owlytics new service goes beyond falls, as the novel coronavirus strain, known as COVID-19, presents new challenges for operators. The Owlytics service helps caregivers minimize the interaction of residents and staff to reduce risk of being exposed to the virus.

Beyond that benefit, Owlytics service offers three main approaches for fall prevention.

First, by collecting and tracking these multiple, related areas of data, and using A.I., machine learning and predictive analytics to analyze personal physiology pattern, and deviation from that pattern. Owlytics enables senior housing operators to engage more proactively with those residents who are at a higher risk of falling.

The second approach takes place upon medication change input. The data is checked with a unique data set of medications with known side effects that could increase a residents risk of falling, and can recommend an alternative or help follow the residents at risk during the days needed for new medication adoption.

The third approach uses the data to minimize false positives.

If you use accelerometers, you can get a lot of false alarms, Naim says. Just sitting down, [the resident] could bump against [the wall], and you wouldnt know if that was a fall. But having the physiology trends gives you the extra [information] to compare and say, Did an event happen or not? Just detecting a true fall is not a simple problem to solve.

Owlytics is even working on adding a fourth component, Hausdorff says: sensorized shoe insoles, which can provide even more detailed information about walking patterns, missteps and fall risk.

While its too early for Hausdorff to offer conclusive results about the insoles, the initial work hes seen, and Naims seen, has been very exciting, he says.

Adds Naim: Exciting times.To see how Owlytics Healthcare can help you prevent falls for your residents, and give you a comprehensive picture of your residents well-being beyond falls, visit Owlytics.com.

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[Sponsored] Why Remote Monitoring of Senior Health is More Important Than Ever - Senior Housing News

Koch Institute awards highlight the hidden beauty of research – STAT

Sometimes the most beautiful images are ones that cant be seen with the naked eye. Take the hot pink grid of microscopic capsules or the sea of shimmering bubbles (below). Not only are they visually arresting images, but they reveal the inner workings of human physiology and bioscience on the microscopic scale.

For the 10th year, the Massachusetts Institute of Technologys Koch Institute has featured a public gallery of bioscience images in its Cambridge, Mass., lobby. Those on display represent the winners of the institutes annual images award. You can see them all here.

Captions were provided by the Koch Institute and have been edited and shortened for clarity.

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Koch Institute awards highlight the hidden beauty of research - STAT