Publications

@article{Qin2023,

title = {Evidence-based medication adherence among seniors in the first year after heart failure hospitalisation and subsequent long-term outcomes: a restricted cubic spline analysis of adherence-outcome relationships},

author = {Xiwen Qin and Joseph Hung and Matthew W. Knuiman and Tom G. Briffa and Tiew-Hwa Katherine Teng and Frank M. Sanfilippo},

doi = {10.1007/s00228-023-03467-7},

issn = {1432-1041},

year  = {2023},

date = {2023-04-00},

journal = {Eur J Clin Pharmacol},

volume = {79},

number = {4},

pages = {553--567},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Purpose

                Non-adherence to heart failure (HF) medications is associated with poor outcomes. We used restricted cubic splines (RCS) to assess the continuous relationship between adherence to renin-angiotensin system inhibitors (RASI) and β-blockers and long-term outcomes in senior HF patients.

              

                Methods

                We identified a population-based cohort of 4234 patients, aged 65–84 years, 56% male, who were hospitalised for HF in Western Australia between 2003 and 2008 and survived to 1-year post-discharge (landmark date). Adherence was calculated using the proportion of days covered (PDC) in the first year post-discharge. RCS Cox proportional-hazards models were applied to determine the relationship between adherence and all-cause death and death/HF readmission at 1 and 3 years after the landmark date.

              

                Results

                RCS analysis showed a curvilinear adherence-outcome relationship for both RASI and β-blockers which was linear above PDC 60%. For each 10% increase in RASI and β-blocker adherence above this level, the adjusted hazard ratio for 1-year all-cause death fell by an average of 6.6% and 4.8% respectively (trend p < 0.05) and risk of all-cause death/HF readmission fell by 5.4% and 5.8% respectively (trend p < 0.005). Linear reductions in adjusted risk for these outcomes at PDC ≥ 60% were also seen at 3 years after landmark date (all trend p < 0.05).

              

                Conclusion

                RCS analysis showed that for RASI and β-blockers, there was no upper adherence level (threshold) above 60% where risk reduction did not continue to occur. Therefore, interventions should maximise adherence to these disease-modifying HF pharmacotherapies to improve long-term outcomes after hospitalised HF.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Virk2023,

title = {Prognostic benefit of catheter ablation of atrial fibrillation in heart failure: An updated meta‐analysis of randomized controlled trials},

author = {Sohaib A. Virk and Karice Hyun and David Brieger and Raymond W. Sy},

doi = {10.1002/joa3.12812},

issn = {1883-2148},

year  = {2023},

date = {2023-04-00},

journal = {Journal of Arrhythmia},

volume = {39},

number = {2},

pages = {129--141},

publisher = {Wiley},

abstract = {AbstractBackgroundThe prognostic role of catheter ablation of atrial fibrillation (AF) in patients with heart failure (HF) remains uncertain, with guideline recommendations largely based on a single trial. We conducted a meta‐analysis of randomized controlled trials (RCTs) assessing the prognostic impact of AF ablation in patients with HF.MethodsElectronic databases were searched for RCTs comparing ‘AF ablation’ versus ‘other care’ (medical therapy and/or atrioventricular node ablation with pacing) in patients with HF. Primary endpoints were ≥1‐year mortality, HF hospitalization and change in left ventricular ejection fraction (LVEF). Meta‐analyses were performed using random‐effects modelling.ResultsNine RCTs (n = 1462) met inclusion criteria. Compared to ‘other care’, AF ablation significantly reduced ≥1‐year mortality (relative risk [RR] 0.65; 95% confidence intervals [CI], 0.49–0.87) and HF hospitalization (RR 0.64; 95% CI, 0.51–0.81). AF ablation demonstrated significantly greater improvement in LVEF (mean difference [MD] 5.4; 95% CI, 4.4–6.4), 6‐min walk test distance (MD 21.5 meters; 95% CI, 4.6–38.4) and quality of life as measured by Minnesota Living with Heart Failure Questionnaire score (MD 7.2; 95% CI, 2.8–11.7). Meta‐regression analyses showed the beneficial impact of AF ablation on LVEF was significantly blunted by higher prevalence of ischaemic cardiomyopathy.ConclusionsOur meta‐analysis demonstrates AF ablation is superior to ‘other care’ in improving mortality, HF hospitalization, LVEF and quality of life in patients with HF. However, the highly selected study populations in included RCTs and effect modification mediated by etiology of HF suggests these benefits do not uniformly apply across the HF population.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zwack2022,

title = {Stress and social isolation, and its relationship to cardiovascular risk in young adults with intellectual disability},

author = {Clara C. Zwack and Rachael McDonald and Ainura Tursunalieva and Shradha Vasan and Gavin W. Lambert and Elisabeth A. Lambert},

doi = {10.1080/09638288.2022.2046186},

issn = {1464-5165},

year  = {2023},

date = {2023-03-13},

journal = {Disability and Rehabilitation},

volume = {45},

number = {6},

pages = {974--985},

publisher = {Informa UK Limited},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zwack2022b,

title = {Stress and social isolation, and its relationship to cardiovascular risk in young adults with intellectual disability},

author = {Clara C. Zwack and Rachael McDonald and Ainura Tursunalieva and Shradha Vasan and Gavin W. Lambert and Elisabeth A. Lambert},

doi = {10.1080/09638288.2022.2046186},

issn = {1464-5165},

year  = {2023},

date = {2023-03-13},

journal = {Disability and Rehabilitation},

volume = {45},

number = {6},

pages = {974--985},

publisher = {Informa UK Limited},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zwack2022d,

title = {Stress and social isolation, and its relationship to cardiovascular risk in young adults with intellectual disability},

author = {Clara C. Zwack and Rachael McDonald and Ainura Tursunalieva and Shradha Vasan and Gavin W. Lambert and Elisabeth A. Lambert},

doi = {10.1080/09638288.2022.2046186},

issn = {1464-5165},

year  = {2023},

date = {2023-03-13},

journal = {Disability and Rehabilitation},

volume = {45},

number = {6},

pages = {974--985},

publisher = {Informa UK Limited},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gallagher2022b,

title = {Sensitivity and specificity of 5 min cognitive screening tests in patients with acute coronary syndrome},

author = {Robyn Gallagher and Meng-Lu Ouyang and Geoffrey Tofler and Adrian Bauman and Emma Zhao and Joseph Weddell and Sharon L Naismith},

doi = {10.1093/eurjcn/zvac026},

issn = {1873-1953},

year  = {2023},

date = {2023-03-01},

volume = {22},

number = {2},

pages = {166--174},

publisher = {Oxford University Press (OUP)},

abstract = {AbstractAimsThis study aimed to determine the sensitivity and specificity of the National Institute of Neurological Disorders and Stroke (NINDS) and the Canadian Stroke Network (CSN) brief (5 min) screen composed of three items of the Montreal Cognitive Assessment (MoCA), in acute coronary syndrome (ACS) patients during hospital admission, relative to the full MoCA and potential alternative combinations of other items.Methods and resultsParticipants were consecutively recruited during ACS admission and administered the MoCA before discharge. The three NINDS–CSN screen items were extracted, collated and compared to the full MoCA. Receiver operator characteristic (ROC) curves were created to determine the sensitivity, specificity, and appropriate cut-off scores of the screens. The mean age of the sample (n = 81) was 63.49 [standard deviation (SD) 10.85] years and 49.4% screened positive for cognitive impairment. The NINDS–CSN mean score was 9.22 (SD 2.09 of the potential range 0–12). Area under the ROC (AUC) indicated high accuracy levels for screening for cognitive impairment (AUC = 0.89, P < 0.01, 95% confidence interval 0.82, 0.96) with none of the alternative combination screens performing better on both sensitivity and specificity. A cut-off score of ≤10 on the NINDS–CSN protocol provided 83% sensitivity and 80% specificity for classifying cognitive impairment.ConclusionThe NINDS–CSN protocol presents an accurate, feasible screen for cognitive impairment in patients following ACS for use at the bedside and potentially also for telephone screens. Diagnostic accuracy should be confirmed using a neurocognitive battery.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Pinheiro2023,

title = {Cost-effectiveness of physical activity programs and services for older adults: a scoping review},

author = {Marina B Pinheiro and Kirsten Howard and Juliana S Oliveira and Wing S Kwok and Anne Tiedemann and Belinda Wang and Jennifer Taylor and Adrian Bauman and Catherine Sherrington},

doi = {10.1093/ageing/afad023},

issn = {1468-2834},

year  = {2023},

date = {2023-03-01},

volume = {52},

number = {3},

publisher = {Oxford University Press (OUP)},

abstract = {AbstractBackgroundEvidence supporting physical activity for older adults is strongly positive. Implementation and scale-up of these interventions need to consider the value for money. This scoping review aimed to assess the volume of (i) systematic review evidence regarding economic evaluations of physical activity interventions, and (ii) of cost utility analysis (CUA) studies (trial- or model-based) of physical activity interventions for older people.MethodsWe searched five databases (January 2010 to February 2022) for systematic reviews of economic evaluations, and two databases (1976 to February 2022) for CUA studies of physical activity interventions for any population of people aged 60+ years.ResultsWe found 12 potential reviews, two of which were eligible for inclusion. The remaining 10 reviews included eligible individual studies that were included in this review. All individual studies from the 12 reviews (n = 37) investigated the cost-effectiveness of structured exercise and most showed the intervention was more costly but more effective than no intervention. We identified 27 CUA studies: two investigated a physical activity promotion program and the remainder investigated structured exercise. Most interventions (86%) were more costly but more effective, and the remaining were cost-saving compared to no intervention.ConclusionsThere is a scarcity of reviews investigating the value for money of physical activity interventions for older adults. Most studies investigated structured exercise. Physical activity interventions were generally more effective than no intervention but more costly. As such an intervention could be cost-effective and therefore worthy of wider implementation, but there is a need for more frequent economic evaluation in this field.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gallagher2022c,

title = {Sensitivity and specificity of 5 min cognitive screening tests in patients with acute coronary syndrome},

author = {Robyn Gallagher and Meng-Lu Ouyang and Geoffrey Tofler and Adrian Bauman and Emma Zhao and Joseph Weddell and Sharon L Naismith},

doi = {10.1093/eurjcn/zvac026},

issn = {1873-1953},

year  = {2023},

date = {2023-03-01},

volume = {22},

number = {2},

pages = {166--174},

publisher = {Oxford University Press (OUP)},

abstract = {AbstractAimsThis study aimed to determine the sensitivity and specificity of the National Institute of Neurological Disorders and Stroke (NINDS) and the Canadian Stroke Network (CSN) brief (5 min) screen composed of three items of the Montreal Cognitive Assessment (MoCA), in acute coronary syndrome (ACS) patients during hospital admission, relative to the full MoCA and potential alternative combinations of other items.Methods and resultsParticipants were consecutively recruited during ACS admission and administered the MoCA before discharge. The three NINDS–CSN screen items were extracted, collated and compared to the full MoCA. Receiver operator characteristic (ROC) curves were created to determine the sensitivity, specificity, and appropriate cut-off scores of the screens. The mean age of the sample (n = 81) was 63.49 [standard deviation (SD) 10.85] years and 49.4% screened positive for cognitive impairment. The NINDS–CSN mean score was 9.22 (SD 2.09 of the potential range 0–12). Area under the ROC (AUC) indicated high accuracy levels for screening for cognitive impairment (AUC = 0.89, P < 0.01, 95% confidence interval 0.82, 0.96) with none of the alternative combination screens performing better on both sensitivity and specificity. A cut-off score of ≤10 on the NINDS–CSN protocol provided 83% sensitivity and 80% specificity for classifying cognitive impairment.ConclusionThe NINDS–CSN protocol presents an accurate, feasible screen for cognitive impairment in patients following ACS for use at the bedside and potentially also for telephone screens. Diagnostic accuracy should be confirmed using a neurocognitive battery.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Cartledge2023,

title = {Impact of Early COVID-19 Waves on Cardiac Rehabilitation Delivery in Australia: A National Survey},

author = {Susie Cartledge and Emma E. Thomas and Barbara Murphy and Bridget Abell and Christian Verdicchio and Robert Zecchin and Jan Cameron and Robyn Gallagher and Carolyn Astley},

doi = {10.1016/j.hlc.2022.12.008},

issn = {1443-9506},

year  = {2023},

date = {2023-03-00},

journal = {Heart, Lung and Circulation},

volume = {32},

number = {3},

pages = {353--363},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Straiton2023,

title = {Wearable Activity Trackers Objectively Measure Incidental Physical Activity in Older Adults Undergoing Aortic Valve Replacement},

author = {Nicola Straiton and Matthew Hollings and Janice Gullick and Robyn Gallagher},

doi = {10.3390/s23063347},

issn = {1424-8220},

year  = {2023},

date = {2023-03-00},

journal = {Sensors},

volume = {23},

number = {6},

publisher = {MDPI AG},

abstract = {Background: For older adults with severe aortic stenosis (AS) undergoing aortic valve replacement (AVR), recovery of physical function is important, yet few studies objectively measure it in real-world environments. This exploratory study explored the acceptability and feasibility of using wearable trackers to measure incidental physical activity (PA) in AS patients before and after AVR. Methods: Fifteen adults with severe AS wore an activity tracker at baseline, and ten at one month follow-up. Functional capacity (six-minute walk test, 6MWT) and HRQoL (SF 12) were also assessed. Results: At baseline, AS participants (n = 15, 53.3% female, mean age 82.3 ± 7.0 years) wore the tracker for four consecutive days more than 85% of the total prescribed time, this improved at follow-up. Before AVR, participants demonstrated a wide range of incidental PA (step count median 3437 per day), and functional capacity (6MWT median 272 m). Post-AVR, participants with the lowest incidental PA, functional capacity, and HRQoL at baseline had the greatest improvements within each measure; however, improvements in one measure did not translate to improvements in another. Conclusion: The majority of older AS participants wore the activity trackers for the required time period before and after AVR, and the data attained were useful for understanding AS patients’ physical function.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gilchrist2023,

title = {The Value of Mind–Body Connection in Physical Activity for Older People},

author = {Heidi Gilchrist and Abby Haynes and Juliana S. Oliveira and Anne Grunseit and Catherine Sherrington and Adrian Bauman and Roberta Shepherd and Anne Tiedemann},

doi = {10.1123/japa.2021-0503},

issn = {1543-267X},

year  = {2023},

date = {2023-02-01},

volume = {31},

number = {1},

pages = {81--88},

publisher = {Human Kinetics},

abstract = {Exercise that targets balance and strength is proven to prevent falls in older age. The Successful AGEing yoga trial is the first large randomized controlled trial to assess the impact of yoga on falls in people aged ≥60 years. We conducted a realist process evaluation to explain the strong participant engagement observed using interviews (21 participants and three yoga instructors) and focus groups (12 participants and four yoga instructors). Results showed that relaxation, breathing, and yoga’s mind–body connection created a satisfying internal focus on bodily sensation which was valued by participants. The mechanisms of mindfulness and embodiment appeared to facilitate this. Mindfulness and embodiment are also linked to, and enhance engagement with, other forms of physical activity. By focusing creatively on these mechanisms, we can develop a range of programs that target improvements in physical and mental health (including reducing falls and fear of falls) and appeal to older people.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Chaseling2022,

title = {The acute effect of heat exposure on forearm macro‐ and microvascular function: Impact of measurement timing, heating modality and biological sex},

author = {Georgia K. Chaseling and Amélie Debray and Hugo Gravel and Nicholas Ravanelli and Audrey‐Ann Bartlett and Daniel Gagnon},

doi = {10.1113/ep090732},

issn = {1469-445X},

year  = {2023},

date = {2023-02-00},

journal = {Experimental Physiology},

volume = {108},

number = {2},

pages = {221--239},

publisher = {Wiley},

abstract = {AbstractThe aim of this study was to gain a better understanding of the acute effect of heat exposure on brachial artery flow‐mediated dilatation (FMD) and postocclusion reactive hyperaemia (PORH) by: characterizing the time course of changes post‐heating; comparing forearm and whole‐body heating; determining the impact of forearm heating during whole‐body heating; and comparing males and females. Twenty adults (11 males and nine females; 28 ± 6 years of age) underwent two forearm [10 min electric blanket (EB) or 30 min hot water immersion (WI)] and two whole‐body [60 min water‐perfused suit with forearm covered (WBH‐C) or uncovered (WBH‐U)] heating modalities. The FMD and PORH were measured before and after (≤5, 30, 60, 90 and 120 min) heating. The FMD increased from baseline 30 min after EB, and 30 and 90 min after WI. In contrast, FMD decreased from baseline immediately after both WBH modalities. Peak PORH increased immediately after WI and both WBH modalities. Total PORH did not differ after WI, whereas it decreased immediately after both WBH modalities. Covering the forearm during WBH did not alter acute changes in FMD or PORH. Changes in FMD and PORH did not differ statistically between males and females during each heating modality, although the observed differences could not always be considered equivalent. These results demonstrate that the acute effect of heat exposure on brachial artery FMD and PORH is: (1) transient and short lasting; (2) different between forearm heating and WBH; (3) unaffected by direct forearm heating during WBH; and (4) not different but not always equivalent between males and females.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hollings2023,

title = {National survey of Australian cardiac rehabilitation programmes: does current exercise programming adhere to evidence-based guidelines and best practice?},

author = {Matthew Hollings and Yorgi Mavros and Jonathan Freeston and Maria Fiatarone Singh},

doi = {10.1136/bmjsem-2022-001468},

issn = {2055-7647},

year  = {2023},

date = {2023-02-00},

journal = {BMJ Open Sport Exerc Med},

volume = {9},

number = {1},

publisher = {BMJ},

abstract = {ObjectivesThe efficacy of exercise-based cardiac rehabilitation (CR) for patient outcomes is well established, with better outcomes when delivery meets recommended guidelines. The aim of this study was to assess how well Australian practice aligns with national CR guidelines for exercise assessment and prescription.MethodThis cross-sectional online survey was distributed to all 475 publicly listed CR services in Australia and consisted of four sections: (1) Programme and client demographics, (2) aerobic exercise characteristics, (3) resistance exercise characteristics and (4) pre-exercise assessment, exercise testing and progression.ResultsIn total, 228 (54%) survey responses were received. Only three of five Australian guideline recommendations were consistently reported to be followed in current CR programmes: assessment of physical function prior to exercise (91%), prescription of light-moderate exercise intensity (76%) and review of referring physician results (75%). Remaining guidelines were commonly not implemented. For example, only 58% of services reported an initial assessment of resting ECG/heart rate, and only 58% reported the concurrent prescription of both aerobic and resistance exercise, which may have been influenced by equipment availability (p<0.05). Exercise-specific assessments such as muscular strength (18%) and aerobic fitness (13%) were uncommonly reported, although both were more frequent in metropolitan services (p<0.05) or when an exercise physiologist was present (p<0.05).ConclusionsClinically relevant deficits in national CR guideline implementation are common, potentially influenced by location, exercise supervisor and equipment availability. Key deficiencies include the lack of concurrent aerobic and resistance exercise prescription and infrequent assessment of important physiological outcomes including resting heart rate, muscular strength and aerobic fitness.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zhang2023,

title = {Online Health Information-Seeking Behaviours and eHealth Literacy among First-Generation Chinese Immigrants},

author = {Ling Zhang and Sherrie Chung and Wendan Shi and Dion Candelaria and Robyn Gallagher},

doi = {10.3390/ijerph20043474},

issn = {1660-4601},

year  = {2023},

date = {2023-02-00},

journal = {IJERPH},

volume = {20},

number = {4},

publisher = {MDPI AG},

abstract = {Due to linguistic and cultural barriers, immigrants often have limited access to health information. Online health information is popular and accessible, but quality is questionable and its benefits dependent on an individual’s eHealth literacy. This study examined online health information-seeking behaviours, eHealth literacy and its predictors among first-generation Chinese immigrants. A sample of 356 Chinese immigrants living in Australia completed an anonymous paper-based survey, including sociodemographic, clinical data, English proficiency, health literacy, online health information-seeking behaviours, and eHealth literacy. Linear regression models analyzed predictive factors of eHealth literacy. Participants were aged mean 59.3 years, female (68.3%), 53.1% completed university, and their English proficiency was rated fair/poor by 75.1%. Participants perceived online health information as useful (61.6%) and important (56.2%) to their health. Health information accessed was often related to lifestyle (61.2%), health resources (44.9%), diseases (36.0%), and medications (30.9%). Inadequate health literacy and eHealth literacy occurred in 48.3% and 44.9%, respectively. Age, number of technological devices used, education, and health status were independently associated with eHealth literacy. While most Chinese immigrants used online health information, many had inadequate eHealth literacy. Healthcare authorities and providers should support older immigrants, those with lower education and poorer health, and those less engaged with technology in online health information use by providing culturally and linguistically appropriate information, directing immigrants to credible websites, and involving them in health material development processes.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zwack2023b,

title = {Information Needs and Communication Strategies for People with Coronary Heart Disease: A Scoping Review},

author = {Clara C. Zwack and Carlie Smith and Vanessa Poulsen and Natalie Raffoul and Julie Redfern},

doi = {10.3390/ijerph20031723},

issn = {1660-4601},

year  = {2023},

date = {2023-02-00},

journal = {IJERPH},

volume = {20},

number = {3},

publisher = {MDPI AG},

abstract = {A critical aspect of coronary heart disease (CHD) care and secondary prevention is ensuring patients have access to evidence-based information. The purpose of this review is to summarise the guiding principles, content, context and timing of information and education that is beneficial for supporting people with CHD and potential communication strategies, including digital interventions. We conducted a scoping review involving a search of four databases (Web of Science, PubMed, CINAHL, Medline) for articles published from January 2000 to August 2022. Literature was identified through title and abstract screening by expert reviewers. Evidence was synthesised according to the review aims. Results demonstrated that information-sharing, decision-making, goal-setting, positivity and practicality are important aspects of secondary prevention and should be patient-centred and evidenced based with consideration of patient need and preference. Initiation and duration of education is highly variable between and within people, hence communication and support should be regular and ongoing. In conclusion, text messaging programs, smartphone applications and wearable devices are examples of digital health strategies that facilitate education and support for patients with heart disease. There is no one size fits all approach that suits all patients at all stages, hence flexibility and a suite of resources and strategies is optimal.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mercieca-Bebber2022,

title = {Health-related quality of life of Australians during the 2020 COVID-19 pandemic: a comparison with pre-pandemic data and factors associated with poor outcomes},

author = {Rebecca Mercieca-Bebber and Rachel Campbell and Dayna Jan Fullerton and Sabina Kleitman and Daniel S. J. Costa and Dion Candelaria and Margaret Ann Tait and Richard Norman and Madeleine King},

doi = {10.1007/s11136-022-03222-y},

issn = {1573-2649},

year  = {2023},

date = {2023-02-00},

journal = {Qual Life Res},

volume = {32},

number = {2},

pages = {339--355},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Purpose

                Compare the health-related quality of life (HRQL) of the Australian general population during the COVID-19 pandemic (2020) with pre-pandemic data (2015–2016) and identify pandemic-related and demographic factors associated with poorer HRQL.

              

                Methods

                Participants were quota sampled from an online panel by four regions (defined by active COVID-19 case numbers); then by age and sex. Participants completed an online survey about their HRQL [EORTC QLQ-C30 questionnaire and General Health Question (GHQ)], demographic characteristics, and the impact of the pandemic on daily life. HRQL scores were compared to a 2015–2016 reference sample using independent t-tests, adjusted for multiple testing. Associations between 22 pre-specified factors (pandemic-related and demographic) and 15 QLQ-C30 domains and GHQ, were assessed with multiple regressions.

              

                Results

                Most domains were statistically significantly worse for the 2020 sample (n = 1898) compared to the reference sample (n = 1979), except fatigue and pain. Differences were largest for the youngest group (18–29 years) for cognitive functioning, nausea, diarrhoea, and financial difficulties. Emotional functioning was worse for 2020 participants aged 18–59, but not for those 60 +.

                All models were statistically significant at p < .001; the most variance was explained for emotional functioning, QLQ-C30 global health/QOL, nausea/vomiting, GHQ, and financial difficulties. Generally, increased workload, negative COVID-19 impacts, COVID-19-related worries, and negative attitudes towards public health order compliance were associated with poorer HRQL outcomes.

              

                Conclusion

                During the COVID-19 pandemic, Australians reported poorer HRQL relative to a pre-pandemic sample. Risk factors for poor HRQL outcomes included greater negative pandemic-related impacts, poorer compliance attitudes, and younger age.

              

                Trial registration

                ANZCTR number is: ACTRN12621001240831. Web address of your trial: https://www.anzctr.org.au/ACTRN12621001240831.aspx. Date submitted: 26/08/2021 2:56:53 PM. Date registered: 14/09/2021 9:40:31 AM. Registered by: Margaret-Ann Tait. Principal Investigator: Madeleine King.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ungethüm2022,

title = {Secondary prevention in diabetic and nondiabetic coronary heart disease patients: Insights from the German subset of the hospital arm of the EUROASPIRE IV and V surveys},

author = {K. Ungethüm and S. Wiedmann and M. Wagner and R. Leyh and G. Ertl and S. Frantz and T. Geisler and W. Karmann and R. Prondzinsky and C. Herdeg and M. Noutsias and T. Ludwig and J. Käs and B. Klocke and J. Krapp and D. Wood and K. Kotseva and S. Störk and P. U. Heuschmann},

doi = {10.1007/s00392-022-02093-0},

issn = {1861-0692},

year  = {2023},

date = {2023-02-00},

journal = {Clin Res Cardiol},

volume = {112},

number = {2},

pages = {285--298},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Patients with coronary heart disease (CHD) with and without diabetes mellitus have an increased risk of recurrent events requiring multifactorial secondary prevention of cardiovascular risk factors. We compared prevalences of cardiovascular risk factors and its determinants including lifestyle, pharmacotherapy and diabetes mellitus among patients with chronic CHD examined within the fourth and fifth EUROASPIRE surveys (EA-IV, 2012–13; and EA-V, 2016–17) in Germany.

              

                Methods

                The EA initiative iteratively conducts European-wide multicenter surveys investigating the quality of secondary prevention in chronic CHD patients aged 18 to 79 years. The data collection in Germany was performed during a comprehensive baseline visit at study centers in Würzburg (EA-IV, EA-V), Halle (EA-V), and Tübingen (EA-V).

              

                Results

                384 EA-V participants (median age 69.0 years, 81.3% male) and 536 EA-IV participants (median age 68.7 years, 82.3% male) were examined. Comparing EA-IV and EA-V, no relevant differences in risk factor prevalence and lifestyle changes were observed with the exception of lower LDL cholesterol levels in EA-V. Prevalence of unrecognized diabetes was significantly lower in EA-V as compared to EA-IV (11.8% vs. 19.6%) while the proportion of prediabetes was similarly high in the remaining population (62.1% vs. 61.0%).

              

                Conclusion

                Between 2012 and 2017, a modest decrease in LDL cholesterol levels was observed, while no differences in blood pressure control and body weight were apparent in chronic CHD patients in Germany. Although the prevalence of unrecognized diabetes decreased in the later study period, the proportion of normoglycemic patients was low. As pharmacotherapy appeared fairly well implemented, stronger efforts towards lifestyle interventions, mental health programs and cardiac rehabilitation might help to improve risk factor profiles in chronic CHD patients.



              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Balante2023,

title = {Nursing students' experiences of using flipcharts as a learning tool during the COVID-19 pandemic},

author = {Jay Balante and Dion Candelaria and Dawn Perez and Fung Koo},

doi = {10.1016/j.nedt.2022.105650},

issn = {0260-6917},

year  = {2023},

date = {2023-01-00},

journal = {Nurse Education Today},

volume = {120},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Chaseling2023,

title = {Extreme Heat and Adverse Cardiovascular Outcomes in Australia and New Zealand: What Do We Know?},

author = {Georgia K. Chaseling and Nathan B. Morris and Nicholas Ravanelli},

doi = {10.1016/j.hlc.2022.10.010},

issn = {1443-9506},

year  = {2023},

date = {2023-01-00},

journal = {Heart, Lung and Circulation},

volume = {32},

number = {1},

pages = {43--51},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Inglis2023,

title = {Cardiovascular Nursing and Climate Change: A Call to Action From the CSANZ Cardiovascular Nursing Council},

author = {Sally C. Inglis and Caleb Ferguson and Rebecca Eddington and Julee McDonagh and Chris J. Aldridge and Kimberley Bardsley and Dion Candelaria and Y.Y. Chen and Robyn A. Clark and Elizabeth Halcomb and Jeroen M. Hendriks and Louise D. Hickman and Rochelle Wynne},

doi = {10.1016/j.hlc.2022.10.007},

issn = {1443-9506},

year  = {2023},

date = {2023-01-00},

journal = {Heart, Lung and Circulation},

volume = {32},

number = {1},

pages = {16--25},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Redfern2023,

title = {Environment, Climate and Cardiovascular Health: What We Know, What We Need to Know and What We Need to Do},

author = {Julie Redfern and Ann T. Gregory and Jai Raman and Gemma A. Figtree and Anna Singleton and A. Robert Denniss and Caleb Ferguson},

doi = {10.1016/j.hlc.2022.12.009},

issn = {1443-9506},

year  = {2023},

date = {2023-01-00},

journal = {Heart, Lung and Circulation},

volume = {32},

number = {1},

pages = {1--3},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Waller2022,

title = {Acceptability, feasibility and preliminary impact evaluation of a pilot text‐message study on improving the health of Aboriginal people with, or at risk of, chronic disease in Australia},

author = {Karen Waller and Susan Furber and Adrian Bauman},

doi = {10.1002/hpja.676},

issn = {2201-1617},

year  = {2023},

date = {2023-01-00},

journal = {Health Prom J of Aust},

volume = {34},

number = {1},

pages = {24--29},

publisher = {Wiley},

abstract = {AbstractIssue addressedAboriginal people experience higher rates of chronic disease than other Australians, largely due to modifiable risk factors. This study aimed to evaluate the acceptability, feasibility and preliminary impact of a pilot text‐message program on improving the health of Aboriginal people with, or at risk of, chronic disease.MethodsA before and after study using a convenience sample of Aboriginal Australian adults determined the impact of a 6‐month healthy lifestyle text‐message intervention on lifestyle behavioural measures including nutrition, physical activity and smoking. Process evaluation of participants and program facilitators determined program acceptability and feasibility.ResultsTwenty Aboriginal people enrolled in the study, with high study completion and program acceptability. The two program facilitators reported the low‐cost automated text‐message program to be highly acceptable, feasible to deliver and led to environmental program changes. Preliminary impact data showed significant improvements in vegetable consumption at 3 and 6 months, but not for other health outcome measures.ConclusionsThe text‐message program was highly acceptable and feasible to deliver, and has potential as an adjunct to usual care. Further research is required to determine program efficacy with a larger sample size.So what?Text‐messages to improve the health of Aboriginal people are highly acceptable, feasible to deliver and can complement existing community‐led group programs. Further testing of this low‐cost program is warranted to determine program efficacy.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Chaseling2023b,

title = {Extreme Heat and Adverse Cardiovascular Outcomes in Australia and New Zealand: What Do We Know?},

author = {Georgia K. Chaseling and Nathan B. Morris and Nicholas Ravanelli},

doi = {10.1016/j.hlc.2022.10.010},

issn = {1443-9506},

year  = {2023},

date = {2023-01-00},

journal = {Heart, Lung and Circulation},

volume = {32},

number = {1},

pages = {43--51},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Vynckier2023,

title = {Gender differences in health-related quality of life and psychological distress among coronary patients: Does comorbidity matter? Results from the ESC EORP EUROASPIRE V registry},

author = {Pieter Vynckier and Lisa Van Wilder and Kornelia Kotseva and David Wood and Sofie Gevaert and Els Clays and Dirk De Bacquer and Delphine De Smedt},

doi = {10.1016/j.ijcard.2022.09.010},

issn = {0167-5273},

year  = {2023},

date = {2023-01-00},

journal = {International Journal of Cardiology},

volume = {371},

pages = {452--459},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gallagher2022,

title = {Predictive Accuracy of Inpatient Cognitive Screening for Correctly Classifying Mild Cognitive Impairment at 4 Months Using A Full Neurocognitive Battery in Acute Coronary Syndrome},

author = {Robyn Gallagher and Kimberley Bassett and Emma Zhao and Adrian Bauman and Geoffrey Tofler and Sharon L. Naismith},

doi = {10.1097/hcr.0000000000000760},

issn = {1932-7501},

year  = {2023},

date = {2023-00-00},

volume = {43},

number = {1},

pages = {74--75},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Nau2023,

title = {An analysis of the legal framework influencing walking in Australia},

author = {Tracy Nau and Adrian Bauman and William Bellew and Billie Giles-Corti and Ben Smith},

doi = {10.17061/phrp32122205},

issn = {2204-2091},

year  = {2023},

date = {2023-00-00},

journal = {Public Health Res Pract.},

volume = {33},

number = {1},

publisher = {CSIRO Publishing},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zhao2021,

title = {Cognitive Function and the Relationship With Health Literacy and Secondary Prevention in Patients With Acute Coronary Syndrome at Early Discharge},

author = {Emma Zhao and Nicole Lowres and Sharon L. Naismith and Geoffrey Tofler and Adrian Bauman and Robyn Gallagher},

doi = {10.1097/jcn.0000000000000865},

issn = {1550-5049},

year  = {2023},

date = {2023-00-00},

journal = {J Cardiovasc Nurs},

volume = {38},

number = {1},

pages = {E1--E11},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {

            Background

            Cognitive impairment (CI) may contribute to difficulties in understanding and implementing secondary prevention behavior change after acute coronary syndrome (ACS), but the association is poorly understood.

          

          

            Objectives

            The aim of this study was to explore the prevalence of CI in patients 4 weeks post ACS and the association with health literacy and secondary prevention.

          

          

            Methods

            Patients with ACS who were free from visual deficits, auditory impairment, and dementia diagnoses were recruited and assessed 4 weeks post discharge for cognitive function (Montreal Cognitive Assessment and Hopkins Verbal Learning Test), health literacy (Newest Vital Sign), depression (Patient Health Questionnaire), physical activity (Fitbit Activity Tracker and Physical Activity Scale for the Elderly), and medication knowledge and adherence.

          

          

            Results

            Participants (n = 45) had an average age of 65 ± 11 years, 82% were male, 64% were married/partnered, and 82% had high school education or higher. Overall CI was identified in 28.9% (n = 13/45) of the patients 4 weeks after discharge, which was composed of patients detected on both the Montreal Cognitive Assessment and Hopkins Verbal Learning Test (n = 3), patients detected on Montreal Cognitive Assessment alone (n = 6), and patients detected on Hopkins Verbal Learning Test alone (n = 4). Fewer patients with CI had adequate health literacy (61.4%) than patients with normal cognition (90.3%, P = .024). Significant correlations were found between Hopkins Verbal Learning Test scores and medication knowledge (0.4, P = .008) and adherence (0.33, P = .029).

          

          

            Conclusions

            In this exploratory study, 30% of patients with ACS demonstrated CI at 4 weeks post discharge. Two screening instruments were required to identify all cases. Cognitive impairment was significantly associated with health literacy and worth further investigation.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Candelaria2022,

title = {Exercise Self-efficacy Improvements During Cardiac Rehabilitation},

author = {Dion Candelaria and Ann Kirkness and Christine Bruntsch and Janice Gullick and Sue Randall and Laila Akbar Ladak and Robyn Gallagher},

doi = {10.1097/hcr.0000000000000742},

issn = {1932-7501},

year  = {2023},

date = {2023-00-00},

volume = {43},

number = {3},

pages = {179--185},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {Purpose:The objective of this study was to determine exercise self-efficacy improvements during cardiac rehabilitation (CR) and identify predictors of exercise self-efficacy change in CR participants.Methods:Patients with coronary heart disease at four metropolitan CR sites completed the Exercise Self-efficacy Scale at entry and completion. A general linear model identified independent predictors of change in exercise self-efficacy.Results:The mean age of patients (n = 194) was 65.9 ± 10.5 yr, and 81% were males. The majority (80%) were married or partnered, 76% were White, and 24% were from an ethnic minority background. Patients received CR in-person (n = 91, 47%) or remote-delivered (n = 103, 54%). Exercise self-efficacy mean scores improved significantly from 25.2 ± 5.8 at CR entry to 26.2 ± 6.3 points at completion (P= .025). The majority of patients (59%) improved their self-efficacy scores, 34% worsened, and 7% had no change. Predictors of reduced exercise self-efficacy change were being from an ethnic minority (B =−2.96), not having a spouse/partner (B =−2.42), attending in-person CR (B =1.75), and having higher exercise self-efficacy at entry (B =−0.37) (adjustedR2= 0.247).Conclusions:Confidence for self-directed exercise improves in most, but not all, patients during CR. Those at risk for poor improvement (ethnic minorities, single patients) may need extra or tailored support, and screening for exercise self-efficacy at CR entry and completion is recommended. Differences identified from CR delivery mode need exploration using robust methods to account for complex factors.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Raeside2022b,

title = {A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial},

author = {Rebecca Raeside and Karen Spielman and Sarah Maguire and Seema Mihrshahi and Katharine Steinbeck and Melissa Kang and Liliana Laranjo and Karice Hyun and Julie Redfern and Stephanie R. Partridge and  and Maree L. Hackett and Gemma Figtree and Robyn Gallagher and Kyra A. Sim and Tim Usherwood and Charlotte Hepse and John Skinner and Katrina E. Champion and Lauren A. Gardner and Kathryn Williams and Danielle Castles},

doi = {10.1186/s12889-022-14183-9},

issn = {1471-2458},

year  = {2022},

date = {2022-12-00},

journal = {BMC Public Health},

volume = {22},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Adolescence presents a window of opportunity to establish good nutrition and physical activity behaviours to carry throughout the life course. Adolescents are at risk of developing cardiovascular and other chronic diseases due to poor the complex interplay of physical and mental health lifestyle risk factors. Text messaging is adolescents main form of everyday communication and text message programs offer a potential solution for support and improvement of lifestyle health behaviours. The primary aim of this study is to determine effectiveness of the Health4Me text message program to improve adolescent’s physical activity or nutrition behaviours among adolescents over 6-months, compared to usual care.

              

                Methods

                Health4Me is a virtual, two-arm, single-blind randomised controlled trial, delivering a 6-month healthy lifestyle text message program with optional health counselling. Recruitment will be through digital advertising and primary care services. In total, 330 adolescents will be randomised 1:1 to intervention or control (usual care) groups. The intervention group will receive 4–5 text messages per week for 6-months. All text messages have been co-designed with adolescents. Messages promote a healthy lifestyle by providing practical information, health tips, motivation and support for behaviour change for physical activity, nutrition, mental health, body image, popular digital media and climate and planetary health. Virtual assessments will occur at baseline and 6-months assessing physical health (physical activity, nutrition, body mass index, sleep), mental health (quality of life, self-efficacy, psychological distress, anxiety, depression, eating disorder risk) and lifestyle outcomes (food insecurity and eHealth literacy).

              

                Discussion

                This study will determine the effectiveness of a 6-month healthy lifestyle text message intervention to improve physical activity and nutrition outcomes in adolescents.

              

                Trial registration

                Australia New Zealand Clinical Trials Registry (ANZCTR) ACTRN12622000949785, Date registered: 05/07/2022.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Valenzuela2022,

title = {Study protocol for the BRAIN Training Trial: a randomised controlled trial of Balance, Resistance, And INterval training on cognitive function in older adults with mild cognitive impairment},

author = {Trinidad Valenzuela and Jeff S Coombes and Teresa Liu-Ambrose and Yorgi Mavros and Nicole Kochan and Perminder S Sachdev and Jeffrey Hausdorff and Emily C Smith and Matthew Hollings and Tess C Hawkins and Nicholas J Ashley and Natan Feter and Guy C Wilson and Isabel Hui En Shih and Yareni Guerrero and Jiyang Jiang and Wei Wen and Tom Bailey and Dorthe Stensvold and Ulrik Wisløff and Ryan S Falck and Maria Fiatarone Singh},

doi = {10.1136/bmjopen-2022-062059},

issn = {2044-6055},

year  = {2022},

date = {2022-12-00},

journal = {BMJ Open},

volume = {12},

number = {12},

publisher = {BMJ},

abstract = {IntroductionEpidemiological evidence suggests that both poor cardiovascular fitness and low muscle mass or strength markedly increase the rate of cognitive decline and incident dementia in older adults. Results from exercise trials for the improvement of cognition in older adults with mild cognitive impairment (MCI) have reported mixed results. This is possibly due to insufficient exercise intensities. The aim of the Balance, Resistance, And INterval (BRAIN) Training Trial is to determine the effects of two forms of exercise, high-intensity aerobic interval training (HIIT) and high-intensity power training (POWER) each compared with a sham exercise control group on cognition in older adults with MCI.Methods and analysisOne hundred and sixty community-dwelling older (≥ 60 years) people with MCI have been randomised into the trial. Interventions are delivered supervised 2–3 days per week for 12 months. The primary outcome measured at baseline, 6 and 12 months is performance on a cognitive composite score measuring the executive domain calculated from a combination of computerised (NeuroTrax) and paper-and-pencil tests. Analyses will be performed via repeated measures linear mixed models and generalised linear mixed models of baseline, 6-month and 12-month time points, adjusted for baseline values and covariates selected a priori. Mixed models will be constructed to determine the interaction of GROUP × TIME.Ethics and disseminationEthical approval was obtained from the University of Sydney (HREC Ref.2017/368), University of Queensland (HREC Ref. 2017/HE000853), University of British Columbia (H16-03309), and Vancouver Coastal Health Research Institute (V16-03309) Human Research Ethics. Dissemination will be via publications, conference presentations, newsletter articles, social media, talks to clinicians and consumers and meetings with health departments/managers.It is expected that communication of results will allow for the development of more effective evidence-based exercise prescription guidelines in this population while investigating the benefits of HIIT and POWER on subclinical markers of disease.Trial registration numberACTRN12617001440314 Australian New Zealand Clinical Trials Registry.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Weber2022,

title = {Emergent readmission and long-term mortality risk after incident atrial fibrillation hospitalisation},

author = {Courtney Weber and Joseph Hung and Siobhan Hickling and Ian Li and Kevin Murray and Tom Briffa},

doi = {10.1136/heartjnl-2022-321560},

issn = {1468-201X},

year  = {2022},

date = {2022-11-16},

journal = {Heart},

publisher = {BMJ},

abstract = {ObjectiveTo assess the frequency and predictors of unplanned readmissions after hospitalisation for incident atrial fibrillation (AF) and the association of readmissions with mortality over 2 years.MethodsWe performed a retrospective cohort study using Western Australian morbidity and mortality data to identify all patients, aged 25–94 years, who survived incident (first-ever) hospitalisation for AF (principal diagnosis), between 2001 and 2015. Ordinal logistic models determined the covariates independently associated with unplanned readmission(s), and Cox proportional hazards models with time-varying exposures determined the hazard ratios (HR) of one or more readmissions for mortality over 2 years after incident AF.ResultsOf 22 956 patients, 57.7% male, mean age 67.9 (SD 13.8) years, 44.0% experienced 22 053 unplanned readmissions within 2 years, 50.6% being cardiovascular-related. All-cause death occurred in 8.0% of the cohort, and the multivariable-adjusted mortality HR of 1 (vs 0) readmission was 2.9 (95% CI 2.6 to 3.3), increasing to 5.6 (95% CI 5.0 to 6.5) for 3+ readmissions. First emergent readmission for AF, stroke, heart failure or myocardial infarction was independently associated with an increased hazard for mortality. Coexistent cardiovascular and other comorbidities were independently associated with increased readmission and mortality risk, whereas AF ablation was associated with reduced risk.ConclusionThis study highlights the large burden of unplanned all-cause and cardiovascular-specific readmissions within 2 years after being hospitalised for incident AF and their associated adverse impact on mortality. Concomitant comorbidities are independently associated with unplanned hospitalisations and mortality, which supports integrated multidisciplinary management of comorbidities, along with AF-targeted treatments, to improve long-term outcomes in patients with AF.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Klimis2022,

title = {Can existing electronic medical records be used to quantify cardiovascular risk at point of care?},

author = {Harry Klimis and Tim Shaw and Amy Von Huben and Emma Charlston and Tim Usherwood and Garry Jennings and Ray Messom and Aravinda Thiagalingam and Naren Gunja and Amith Shetty and Clara K. Chow},

doi = {10.1111/imj.15439},

issn = {1445-5994},

year  = {2022},

date = {2022-11-00},

journal = {Internal Medicine Journal},

volume = {52},

number = {11},

pages = {1934--1942},

publisher = {Wiley},

abstract = {AbstractBackgroundUsing electronic data for cardiovascular risk stratification could help in prioritising healthcare access and optimise cardiovascular prevention.AimsTo determine whether assessment of absolute cardiovascular risk (Australian absolute cardiovascular disease risk (ACVDR)) and short‐term ischaemic risk (History, ECG, Age, Risk factors, and Troponin (HEART) score) is possible from available data in Electronic Medical Record (EMR) and My Health Record (MHR) of patients presenting with acute cardiac symptoms to a Rapid Access Cardiology Clinic (RACC).MethodsAudit of EMR and MHR on 200 randomly selected adults who presented to RACC between 1 March 2017 and 4 February 2020. The main outcomes were the proportion of patients for which ACVDR score and HEART score could be calculated.ResultsMean age was 55.2 ± 17.8 years and 43% were female. Most (85%) were referred from emergency for chest pain (52%). Forty‐six percent had hypertension, 35% obesity, 20% diabetes mellitus, 17% ischaemic heart disease and 18% were current smokers. There was no significant difference in MHR accessibility with age, gender and number of comorbidities. An ACVDR score could be estimated for 17.5% (EMR) and 0% (MHR) of patients. None had complete data to estimate HEART score in either EMR or MHR. Most commonly missing variables for ACVDR score were blood pressure (MHR) and high‐density lipoprotein cholesterol (EMR), and for HEART score the missing variables were body mass index and comorbidities (MHR and EMR).ConclusionsSignificant gaps are apparent in electronic medical data capture of key variables to perform cardiovascular risk assessment. Medical data capture should prioritise the collection of clinically important data to help address gaps in cardiovascular management.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Candelaria2022b,

title = {Remote-delivered cardiac rehabilitation during COVID-19: a prospective cohort comparison of health-related quality of life outcomes and patient experiences},

author = {Dion Candelaria and Ann Kirkness and Maura Farrell and Kellie Roach and Louise Gooley and Ashlee Fletcher and Sarah Ashcroft and Helen Glinatsis and Christine Bruntsch and Jayne Roberts and Sue Randall and Janice Gullick and Laila Akbar Ladak and Keith Soady and Robyn Gallagher},

doi = {10.1093/eurjcn/zvac006},

issn = {1873-1953},

year  = {2022},

date = {2022-10-14},

volume = {21},

number = {7},

pages = {732--740},

publisher = {Oxford University Press (OUP)},

abstract = {AbstractAimsEnforced suspension and reduction of in-person cardiac rehabilitation (CR) services during the coronavirus disease-19 (COVID-19) pandemic restrictions required rapid implementation of remote delivery methods, thus enabling a cohort comparison of in-person vs. remote-delivered CR participants. This study aimed to examine the health-related quality of life (HRQL) outcomes and patient experiences comparing these delivery modes.Methods and resultsParticipants across four metropolitan CR sites receiving in-person (December 2019 to March 2020) or remote-delivered (April to October 2020) programmes were assessed for HRQL (Short Form-12) at CR entry and completion. A General Linear Model was used to adjust for baseline group differences and qualitative interviews to explore patient experiences. Participants (n = 194) had a mean age of 65.94 (SD 10.45) years, 80.9% males. Diagnoses included elective percutaneous coronary intervention (40.2%), myocardial infarction (33.5%), and coronary artery bypass grafting (26.3%). Remote-delivered CR wait times were shorter than in-person [median 14 (interquartile range, IQR 10–21) vs. 25 (IQR 16–38) days, P < 0.001], but participation by ethnic minorities was lower (13.6% vs. 35.2%, P < 0.001). Remote-delivered CR participants had equivalent benefits to in-person in all HRQL domains but more improvements than in-person in Mental Health, both domain [mean difference (MD) 3.56, 95% confidence interval (CI) 1.28, 5.82] and composite (MD 2.37, 95% CI 0.15, 4.58). From qualitative interviews (n = 16), patients valued in-person CR for direct exercise supervision and group interactions, and remote-delivered for convenience and flexibility (negotiable contact times).ConclusionRemote-delivered CR implemented during COVID-19 had equivalent, sometimes better, HRQL outcomes than in-person, and shorter wait times. Participation by minority groups in remote-delivered modes are lower. Further research is needed to evaluate other patient outcomes.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hendriks2021,

title = {Sleep apnoea management in atrial fibrillation in clinical practice: key messages for health care professionals based on a joint survey by EHRA and ACNAP},

author = {Jeroen M Hendriks and Geraldine Lee and Lien Desteghe and Dominik Linz},

doi = {10.1093/eurjcn/zvab082},

issn = {1873-1953},

year  = {2022},

date = {2022-10-14},

volume = {21},

number = {7},

pages = {641--642},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Shi2022,

title = {A systematic review, meta-analysis, and meta-regression of patient education for secondary prevention in patients with coronary heart disease: impact on psychological outcomes},

author = {Wendan Shi and Gabriela L M Ghisi and Ling Zhang and Karice Hyun and Maureen Pakosh and Robyn Gallagher},

doi = {10.1093/eurjcn/zvac001},

issn = {1873-1953},

year  = {2022},

date = {2022-10-14},

volume = {21},

number = {7},

pages = {643--654},

publisher = {Oxford University Press (OUP)},

abstract = {Abstract

               

                  Background

                  Patient education is a cardiac rehabilitation core component and is associated with improvements in self-management of patients with coronary heart disease (CHD). However, the efficacy of such interventions on psychosocial outcomes and relative impact of duration is less clear.

               

               

                  Objectives

                  This study aimed to assess the efficacy of patient education for secondary prevention related to behaviour change and risk factor modification on psychological outcomes in CHD patients.

               

               

                  Design

                  A systematic review and meta-analysis.

               

               

                  Data sources

                  PsycINFO, CINAHL, Embase, EmCare, MEDLINE, PubMed, and the Cochrane Central Register of Controlled Trials were searched from inception to February 2021.

               

               

                  Eligibility criteria for study selection

                  Randomized controlled trials (RCTs) evaluating patient education in CHD patients, or following myocardial infarction, or revascularization compared with usual care were identified. Outcomes included depression and anxiety at <6 and 6–12 months of follow-up.

               

               

                  Results

                  A total of 39 RCTs and 8748 participants were included. Patient education significantly improved participants’ depressive symptoms at <6 (SMD −0.82) and 6–12 months (SMD −0.38) of follow-up and anxiety level at <6 (SMD −0.90), and 6–12 months (SMD −0.32) of follow-up. Patient education also reduced the risk for having clinical depression by 35% and anxiety by 60%. Longer patient education of ≥3 months, resulted in more improvement in depressive symptoms at 6–12 months (coefficient −0.210) compared to shorter duration.

               

               

                  Conclusions

                  Patient education for secondary prevention reduces anxiety and depressive symptoms in CHD patients. Regardless of intensity, longer patient education improves depression more than short duration. More information is needed on the relative impact of other intervention components.

               

               

                  Data registration

                  PROSPERO (CRD42020200504).

               },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gauci2022b,

title = {Biology, Bias, or Both? The Contribution of Sex and Gender to the Disparity in Cardiovascular Outcomes Between Women and Men},

author = {Sarah Gauci and Susie Cartledge and Julie Redfern and Robyn Gallagher and Rachel Huxley and Crystal Man Ying Lee and Amy Vassallo and Adrienne O’Neil},

doi = {10.1007/s11883-022-01046-2},

issn = {1534-6242},

year  = {2022},

date = {2022-09-00},

journal = {Curr Atheroscler Rep},

volume = {24},

number = {9},

pages = {701--708},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract



                Purpose of Review

                Cardiovascular disease (CVD) is the leading cause of mortality and morbidity worldwide for both men and women. However, CVD is understudied, underdiagnosed, and undertreated in women. This bias has resulted in women being disproportionately affected by CVD when compared to men. The aim of this narrative review is to explore the contribution of sex and gender on CVD outcomes in men and women and offer recommendations for researchers and clinicians.

              

                Recent Findings

                Evidence demonstrates that there are sex differences (e.g., menopause and pregnancy complications) and gender differences (e.g., socialization of gender) that contribute to the inequality in risk, presentation, and treatment of CVD in women.

              

                Summary

                To start addressing the CVD issues that disproportionately impact women, it is essential that these sex and gender differences are addressed through educating health care professionals on gender bias; offering patient-centered care and programs tailored to women’s needs; and conducting inclusive health research.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Straiton2021,

title = {Prioritizing what matters most in digital health research},

author = {Nicola Straiton and Robyn Gallagher},

doi = {10.1093/eurjcn/zvab103},

issn = {1873-1953},

year  = {2022},

date = {2022-08-29},

volume = {21},

number = {6},

pages = {519--520},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Candelaria2021,

title = {Future-proofing your research career post-PhD: top tips for doctoral students},

author = {Dion Candelaria and Robyn Gallagher and Jeroen Hendriks},

doi = {10.1093/eurjcn/zvab115},

issn = {1873-1953},

year  = {2022},

date = {2022-06-30},

volume = {21},

number = {5},

pages = {402--404},

publisher = {Oxford University Press (OUP)},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Xiao2022,

title = {Time-resolved phosphoproteome and proteome analysis reveals kinase signaling on master transcription factors during myogenesis},

author = {Di Xiao and Marissa Caldow and Hani Jieun Kim and Ronnie Blazev and Rene Koopman and Deborah Manandi and Benjamin L. Parker and Pengyi Yang},

doi = {10.1016/j.isci.2022.104489},

issn = {2589-0042},

year  = {2022},

date = {2022-06-00},

journal = {iScience},

volume = {25},

number = {6},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Zwack2022c,

title = {Exploration of diet, physical activity, health knowledge and the cardiometabolic profile of young adults with intellectual disability},

author = {C. C. Zwack and R. McDonald and A. Tursunalieva and G. W. Lambert and E. A. Lambert},

doi = {10.1111/jir.12917},

issn = {1365-2788},

year  = {2022},

date = {2022-06-00},

journal = {J intellect Disabil Res},

volume = {66},

number = {6},

pages = {517--532},

publisher = {Wiley},

abstract = {AbstractBackgroundYoung adults with intellectual disability (ID) are experiencing early mortality, and it is suggested that they are living with undiagnosed cardiovascular and metabolic risk factors (hereafter referred to as cardiometabolic).MethodsWe investigated the association between modifiable risk factors and cardiometabolic health profile in adults with ID aged 18–45 years through clinical evaluation of traditional cardiometabolic parameters, and assessment of physical activity levels, diet and associated health knowledge.ResultsWe found that young adults with ID have an increased obesity (mean body mass index; ID group: 32.9 ± 8.6 vs. control group: 26.2 ± 5.5, P = 0.001), are engaging in less physical activity than the age‐matched general population (total activity minutes per week; ID group: 172.2 ± 148.9 vs. control group: 416.4 ± 277.1, P < 0.001), and overall have unhealthier diets. Additionally, knowledge about nutrition and physical activity appears to be an important predictor of cardiometabolic risk in this population. If young people with ID are to improve their cardiometabolic health to reduce morbidity and early mortality, we need to further explore how to consistently apply health messaging to get lasting behavioural change in this population.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gauci2022,

title = {RETRACTED: The Association Between Diet and Cardio-Metabolic Risk on Cognitive Performance: A Cross-Sectional Study of Middle-Aged Australian Adults},

author = {Sarah Gauci and Lauren M. Young and Lizanne Arnoldy and Andrew Scholey and David J. White and Annie-Claude Lassemillante and Denny Meyer and Andrew Pipingas},

doi = {10.3389/fnut.2022.862475},

issn = {2296-861X},

year  = {2022},

date = {2022-04-28},

journal = {Front. Nutr.},

volume = {9},

publisher = {Frontiers Media SA},

abstract = {Adherence to different dietary patterns has been linked to the development of cognitive decline; yet little is known about whether this relationship is present in middle age. The current study aimed to explore the relationship between different dietary patterns, cognitive performance, and potential cardio-metabolic mechanisms for this relationship. Participants were recruited using a diet screening tool to ensure that the cohort had a range of diet quality ranging from relatively poor to relatively healthy. In a sample of 141 middle-aged adults (age: M = 52.84 years, SD = 6.87 years), multiple 24 h diet recalls were collected and used to score adherence to the Mediterranean diet, dietary approaches to stop hypertension (DASH) diet, and Mediterranean–DASH diet intervention for neurodegenerative delay (MIND) diet. Metabolic risk was assessed using the metabolic syndrome severity score (MetSSS) and arterial stiffness. Cognitive performance was assessed using the Swinburne University Computerized Cognitive Assessment Battery (SUCCAB). Adherence to the MIND diet was significantly related to Stroop Processing domain (β = 0.19, p = 0.035). None of the dietary patterns were significantly related to MetSSS or arterial stiffness. However, adherence to the DASH diet was significantly associated with two cardio-metabolic measures including lower augmentation index (β = −0.17, p = 0.032) and lowered cholesterol (β = −0.18, p = 0.041). Interestingly, two cardio-metabolic risk factors were also associated with better cognitive performance: MetSSS (β = 0.21, p = 0.010) and waist circumference (β = 0.22, p = 0.020). Together these findings suggest that diet in middle age may be important for cognitive functioning and cardio-metabolic risk. However, more research is needed in the form of randomized controlled trials to confirm the direction of these relationships.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gauci2022c,

title = {RETRACTED: The Association Between Diet and Cardio-Metabolic Risk on Cognitive Performance: A Cross-Sectional Study of Middle-Aged Australian Adults},

author = {Sarah Gauci and Lauren M. Young and Lizanne Arnoldy and Andrew Scholey and David J. White and Annie-Claude Lassemillante and Denny Meyer and Andrew Pipingas},

doi = {10.3389/fnut.2022.862475},

issn = {2296-861X},

year  = {2022},

date = {2022-04-28},

journal = {Front. Nutr.},

volume = {9},

publisher = {Frontiers Media SA},

abstract = {Adherence to different dietary patterns has been linked to the development of cognitive decline; yet little is known about whether this relationship is present in middle age. The current study aimed to explore the relationship between different dietary patterns, cognitive performance, and potential cardio-metabolic mechanisms for this relationship. Participants were recruited using a diet screening tool to ensure that the cohort had a range of diet quality ranging from relatively poor to relatively healthy. In a sample of 141 middle-aged adults (age: M = 52.84 years, SD = 6.87 years), multiple 24 h diet recalls were collected and used to score adherence to the Mediterranean diet, dietary approaches to stop hypertension (DASH) diet, and Mediterranean–DASH diet intervention for neurodegenerative delay (MIND) diet. Metabolic risk was assessed using the metabolic syndrome severity score (MetSSS) and arterial stiffness. Cognitive performance was assessed using the Swinburne University Computerized Cognitive Assessment Battery (SUCCAB). Adherence to the MIND diet was significantly related to Stroop Processing domain (β = 0.19, p = 0.035). None of the dietary patterns were significantly related to MetSSS or arterial stiffness. However, adherence to the DASH diet was significantly associated with two cardio-metabolic measures including lower augmentation index (β = −0.17, p = 0.032) and lowered cholesterol (β = −0.18, p = 0.041). Interestingly, two cardio-metabolic risk factors were also associated with better cognitive performance: MetSSS (β = 0.21, p = 0.010) and waist circumference (β = 0.22, p = 0.020). Together these findings suggest that diet in middle age may be important for cognitive functioning and cardio-metabolic risk. However, more research is needed in the form of randomized controlled trials to confirm the direction of these relationships.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Redfern2022,

title = {Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future},

author = {Julie Redfern and Robyn Gallagher and Adrienne O’Neil and Sherry L. Grace and Adrian Bauman and Garry Jennings and David Brieger and Tom Briffa},

doi = {10.3389/fcvm.2022.842567},

issn = {2297-055X},

year  = {2022},

date = {2022-04-27},

journal = {Front. Cardiovasc. Med.},

volume = {9},

publisher = {Frontiers Media SA},

abstract = {Contemporary myocardial infarction (MI) care and management has evolved dramatically since the 1950’s; yet outpatient rehabilitation remains underutilized. Deepening our understanding of the origins and history of cardiac rehabilitation highlights a contemporary shift required for policy and practice related to secondary prevention of coronary disease in light of societal changes as well as medical, digital and surgical advancements. Contemporary “cardiac rehabilitation” began when bed rest and physical inactivity was recommended and commonplace for MI survivors. Today, most patients who survive an MI, undergo reperfusion therapy, a short inpatient stay and are discharged with minimal physical morbidity. Despite this, the majority of modern day programs continue to be structured in the same way they have been for the past 50 years and this model has become incongruent with the contemporary context, especially in the COVID-19 era. This review aims to describe the historical foundations of cardiac rehabilitation to inform solutions and meet the demands of contemporary MI management. Delivering health systems reform to address modernization is current healthcare challenge where a united and interdisciplinary effort is needed.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Jia2022,

title = {Perspective: Are Online Food Delivery Services Emerging as Another Obstacle to Achieving the 2030 United Nations Sustainable Development Goals?},

author = {Si Si Jia and Alice A. Gibson and Ding Ding and Margaret Allman-Farinelli and Philayrath Phongsavan and Julie Redfern and Stephanie R. Partridge},

doi = {10.3389/fnut.2022.858475},

issn = {2296-861X},

year  = {2022},

date = {2022-03-03},

journal = {Front. Nutr.},

volume = {9},

publisher = {Frontiers Media SA},

abstract = {Online food delivery usage has soared during the 2019 novel coronavirus (COVID-19) pandemic which has seen increased demand for home-delivery during government mandated stay-at-home periods. Resulting implications from COVID-19 may threaten decades of development gains. It is becoming increasingly more important for the global community to progress toward sustainable development and improve the wellbeing of people, economies, societies, and the planet. In this perspective article, we discuss how the rising use of these platform-to-consumer delivery operations may impede advances toward the United Nations 2030 Sustainable Development Goals (SDGs). Specifically, online food delivery services may disrupt SDGs that address good health and wellbeing, responsible consumption and production, climate action and decent work and economic growth. To mitigate potential negative impacts of these meal delivery apps, we have proposed a research and policy agenda that is aligned with entry points within a systems approach identified by the World Health Organization. Food industry reforms, synergised public health messaging and continuous monitoring of the growing impact of online food delivery should be considered for further investigation by researchers, food industry, governments, and policy makers.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Hyde2022,

title = {Association between maternal adversity, DNA methylation, and cardiovascular health of offspring: a longitudinal analysis of the ALSPAC cohort study},

author = {Natalie K Hyde and James G Dowty and Anna Scovelle and Gregory Armstrong and Georgina Sutherland and Lisa Olive and Kate Lycett and Adrienne O’Neil},

doi = {10.1136/bmjopen-2021-053652},

issn = {2044-6055},

year  = {2022},

date = {2022-03-00},

journal = {BMJ Open},

volume = {12},

number = {3},

publisher = {BMJ},

abstract = {ObjectivesMaternal adversity during pregnancy has been shown to be associated with some health outcomes in the offspring. This study investigated the association of maternal adversity during pregnancy and DNA methylation with offspring cardiovascular (CV) health.DesignLongitudinal observational cohort studySettingAll pregnant residents in county Avon (∼0.9 million), UK, were eligible to participate if their estimated delivery date was between 1 April 1991 and 31 December 1992.ParticipantsMother–offspring pairs enrolled in the Avon Longitudinal Study of Parents and Children cohort at seven (n=7431) and 17 years of age (n=3143).Primary and secondary outcome measuresOffspring CV health primary measures were heart rate (HR), blood pressure (BP) and secondary measures were pulse-wave velocity and carotid intima–media thickness.ResultsOverall, there was no association between maternal adversity scores (number or perceived impact) and primary CV measures (Perceived impact; HR: 0.999-fold change 95% CI 0.998 to 1.001; systolic BP (SBP): 1.000-fold change 95% CI 0.999 to 1.001; diastolic BP: 1.000-fold change 95% CI 0.999 to 1.002). Some small offspring sex effects were observed and there was also a small association between methylation of some CpG sites and offspring BP measures.ConclusionsWe found little evidence to support the overall association of maternal adversity during pregnancy and DNA methylation with offspring CV measures. Offspring sex-specific and age-specific associations require further investigation.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Munot2022,

title = {Out-of-hospital cardiac arrests and bystander response by socioeconomic disadvantage in communities of New South Wales, Australia},

author = {Sonali Munot and Emily J. Rugel and Amy Von Huben and Simone Marschner and Julie Redfern and Sandra Ware and Clara K. Chow},

doi = {10.1016/j.resplu.2022.100205},

issn = {2666-5204},

year  = {2022},

date = {2022-03-00},

journal = {Resuscitation Plus},

volume = {9},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bachelet2021,

title = {Sex differences in the management and outcomes of non‐ST‐elevation acute coronary syndromes},

author = {Bianca C Bachelet and Karice Hyun and Mario D'Souza and Clara K Chow and Julie Redfern and David B Brieger},

doi = {10.5694/mja2.51220},

issn = {1326-5377},

year  = {2022},

date = {2022-02-21},

journal = {Medical Journal of Australia},

volume = {216},

number = {3},

pages = {153--155},

publisher = {Wiley},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Olive2022,

title = {Child and Parent Physical Activity, Sleep, and Screen Time During COVID-19 and Associations With Mental Health: Implications for Future Psycho-Cardiological Disease?},

author = {Lisa S. Olive and Emma Sciberras and Tomer S. Berkowitz and Erin Hoare and Rohan M. Telford and Adrienne O'Neil and Antonina Mikocka-Walus and Subhadra Evans and Delyse Hutchinson and Jane A. McGillivray and Michael Berk and Sam J. Teague and Amanda G. Wood and Craig Olsson and Elizabeth M. Westrupp},

doi = {10.3389/fpsyt.2021.774858},

issn = {1664-0640},

year  = {2022},

date = {2022-02-10},

journal = {Front. Psychiatry},

volume = {12},

publisher = {Frontiers Media SA},

abstract = {The COVID-19 pandemic has afforded the opportunity for some to improve lifestyle behaviours, while for others it has presented key challenges. Adverse changes in global lifestyle behaviours, including physical activity, sleep, and screen time can affect proximal mental health and in turn distal cardiovascular outcomes. We investigated differences in physical activity, sleep, and screen time in parents and children during early stages of the COVID-19 pandemic in Australia compared to pre-COVID-19 national data; and estimated associations between these movement behaviours with parent and child mental health. Cross-sectional baseline data from the COVID-19 Pandemic Adjustment Study (CPAS; N = 2,365) were compared to nationally representative pre-pandemic data from the Longitudinal Study of Australian Children (LSAC; N = 9,438). Participants were parents of children aged ≤ 18 years, residing in Australia. Parents provided self-report measures of mental health, physical activity and sleep quality, and reported on child mental health, physical activity and screen time. Children in CPAS had significantly more sleep problems and more weekend screen time. Their parents had significantly poorer sleep quality, despite increased weekly physical activity. Children's sleep problems were significantly associated with increased mental health problems, after accounting for socioeconomic status, physical activity, and screen time. Poorer parent sleep quality and lower levels of physical activity were significantly associated with poorer mental health. Monitoring this cohort over time will be important to examine whether changes in movement behaviour are enduring or naturally improve with the easing of restrictions; and whether these changes have lasting effects on either parent or child mental health, and in turn, future risk for CVD.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Schutte2021,

title = {Uncontrolled blood pressure in Australia: a call to action},

author = {Aletta E Schutte and Ruth Webster and Garry Jennings and Markus P Schlaich},

doi = {10.5694/mja2.51350},

issn = {1326-5377},

year  = {2022},

date = {2022-02-07},

journal = {Medical Journal of Australia},

volume = {216},

number = {2},

pages = {61--63},

publisher = {Wiley},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Gauci2022d,

title = {Diet May Moderate the Relationship Between Arterial Stiffness and Cognitive Performance in Older Adults},

author = {Sarah Gauci and Lauren M. Young and David J. White and Jeffery M. Reddan and Annie-Claude Lassemillante and Denny Meyer and Andrew Pipingas and Andrew Scholey},

doi = {10.3233/jad-210567},

issn = {1875-8908},

year  = {2022},

date = {2022-01-18},

journal = {JAD},

volume = {85},

number = {2},

pages = {815--828},

publisher = {SAGE Publications},

abstract = {Background: Cognitive decline is influenced by various factors including diet, cardiovascular disease, and glucose control. However, the combined effect of these risk factors on cognitive performance is yet to be fully understood. Objective: The current study aimed to explore the inter-relationship between these risk factors and cognitive performance in older adults at risk of future cognitive decline. Methods: The sample comprised 163 (Age: M = 65.23 years, SD = 6.50) participants. Food Frequency Questionnaire data was used to score diet quality and adherence to the Western Style Diet (WSD) and Prudent Style Diet (PSD). Glucose control was gauged by serum levels of glycated hemoglobin (HbA1c) and arterial stiffness was measured using carotid to femoral pulse wave velocity. Cognitive performance was assessed using two subtests of the Swinburne University Computerized Cognitive Assessment Battery (SUCCAB) and Rey’s Verbal Learning Test (RVLT). Results: Diet quality, adherence to the WSD or PSD, and glucose control were not significantly related to cognitive outcomes. However, a significant negative association was found between arterial stiffness and the spatial working memory subtest of SUCCAB (β= –0.21, p < 0.05). Arterial stiffness also significantly interacted with the PSD to impact total recall (F change (1,134) = 5.37, p < 0.05) and the composite score of RVLT (F change (1,134) = 4.03, p < 0.05). Conclusion: In this sample of older adults at risk of cognitive decline, diet alone was not found to predict cognitive performance; however, it was found to moderate the relationship between arterial stiffness and cognition.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}