Publications by authors named "Amanda Hinerman"

Background: Tobacco biomarkers reflect smoking intensity and are used to assess cessation status. No study has evaluated variation by Latino heritage.

Methods: Data from the 2007 to 2014 National Health and Nutrition Examination Survey were used to evaluate geometric mean concentrations of serum cotinine and urinary total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), stratified by smoking status and race and ethnicity, and ROC curves estimated values to distinguish smokers from nonsmokers by race and ethnicity and Latino heritage.

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  • Hepatitis B virus (HBV) RNA and hepatitis B core-related antigen (HBcrAg) are emerging markers for assessing HBV activity, especially for those with HIV co-infection.
  • A study compared HBV marker levels between patients with chronic HBV who were co-infected with HIV and those with HBV only, revealing that HBV markers were generally higher in the HBV-HIV group among HBeAg+ individuals.
  • The findings suggest that HBV marker levels are influenced by HIV co-infection status and that they vary based on HBeAg status, with HBV RNA being a more reliable marker of transcriptional activity than HBcrAg.
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  • Researchers studied the effectiveness of HBV RNA and HBcrAg, two virological markers, in predicting various disease activity events in patients with chronic hepatitis B (CHB).
  • They analyzed data from participants in a North American study to see if these markers could enhance existing prediction models already based on demographic, clinical, and viral factors.
  • The findings indicated that while HBV RNA and HBcrAg are predictive of certain clinical events, they do not significantly improve the accuracy of models using more commonly available markers.
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Unlabelled: Among a US cohort followed 5 years after Roux-en-Y gastric bypass or sleeve gastrectomy, cumulative incidence of marriage and separation/divorce were 18% among unmarried (N=614) and 13% among married (N=827) participants, respectively. Preoperative predictors of marriage included younger age, college degree, lower BMI and cohabitating or being separated (versus single).

Objectives: To describe changes in marital status following Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG).

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Importance: Bariatric surgical procedures are associated with clinically important improvements (CIIs) in pain and physical function. However, there are declines in initial improvement by the third postoperative year, and the long-term durability of improvements are not well-described.

Objective: To evaluate the durability of improvements in pain and physical function through 7 years after Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG).

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In chronic hepatitis B virus (HBV) infection, hepatitis B e antigen (HBeAg) and hepatitis B surface antigen (HBsAg) clearance are important milestones toward immune control. A drop in HBV DNA is an established correlate of both HBeAg and HBsAg clearance. We evaluated changes in HBV RNA and hepatitis B core-related antigen (HBcrAg) levels, markers of transcriptional activity of covalently closed circular DNA (cccDNA), with HBeAg and HBsAg clearance, and compared them with changes in HBV DNA level among adult participants in the Hepatitis B Research Network (HBRN).

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Background & Aims: Most patients in the immunotolerant (IT) phase of chronic hepatitis B (CHB) transition to the immune active (IA-hepatitis B surface antigen [HBeAg]+) phase by early adulthood. We examined characteristics of adults in the IT vs IA-HBeAg+ phase and rate of transition from IT to other phases of CHB, with a focus on those ≥40 years.

Methods: Demographic, clinical, and virologic characteristics of participants in the Hepatitis B Research Network adult cohort study with IT CHB (alanine aminotransferase ≤1.

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Background: Long-term change in CRP is not well characterized in the context of RYGB.

Objective: To report C-reactive protein (CRP) after Roux-en-Y gastric bypass surgery (RYGB).

Setting: Between 2006 and 2009 1770 adults enrolled in a prospective cohort study underwent Roux-en-Y gastric bypass (RYGB) at 1 of 10 U.

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Objective: Tenofovir disoproxil fumarate (TDF) is a common component of antiretroviral therapy in hepatitis B virus (HBV)-HIV co-infected adults but few studies have evaluated worsening renal function and bone turnover, known effects of TDF.

Methods: Adults from eight North American sites were enrolled in this cohort study. Research assessments were conducted at entry and every 24 weeks for ≤192 weeks.

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Background: Reporting high-quality bariatric surgery outcomes depends on participant attrition and level of study participation among enrolled participants.

Objectives: Our aims are to report participant attrition, active enrollment, and level of participation, and to evaluate pre-surgery sociodemographic, physical health, and psychosocial factors as predictors of attrition and level of participation through 5 years.

Setting: The Longitudinal Assessment of Bariatric Surgery-2 study which enrolled 2458 adults undergoing a first bariatric surgical procedure at 1 of 6 US cites from 2006 through 2009.

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Background & Aims: The contribution of the novel biomarkers, hepatitis B virus (HBV) RNA and HBV core-related antigen (HBcrAg), to characterization of HBV-human immunodeficiency virus (HIV) coinfection is unclear. We evaluated the longitudinal dynamics of HBV RNA and HBcrAg and their association with classical HBV serum biomarkers and liver histology and viral staining.

Methods: HBV-HIV co-infected adults from 8 North American centers entered a National Institutes of Health-funded prospective cohort study.

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Background: Fatty liver disease (FLD) and hepatitis B virus (HBV) infection occur commonly in human immunodeficiency virus (HIV). FLD resolution is associated with improvement in lipoproteins in HIV-uninfected patients. We evaluated changes in FLD in an HBV/HIV-coinfected cohort.

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Background And Aims: Histological and clinical outcomes in HBV-HIV coinfection in the era of combination antiretroviral therapy (cART) are poorly defined.

Approach And Results: Adult patients co-infected with HBV-HIV from eight North American sites were enrolled in this National Institutes of Health (NIH)-funded prospective observational study (n = 139). Demographic, clinical, serological, and virological data were collected at entry and every 24 weeks for ≤ 192 weeks.

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Background: Change in short-term (i.e., 10-year) and lifetime risk of cardiovascular disease (CVD) following Roux-en-Y gastric bypass (RYGB) has significant heterogeneity.

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Background: There are limited data on noninvasive methods to identify hepatic steatosis in coexisting hepatitis B virus (HBV) infection.

Aims: To evaluate the diagnostic performance of noninvasive serum-based scores to detect steatosis using two distinct chronic HBV cohorts with liver histology evaluation.

Methods: Chronic HBV cohorts with untreated HBV mono-infection (N = 302) and with treated HBV-HIV (N = 92) were included.

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Article Synopsis
  • The study investigates how physical activity (PA) affects depressive symptoms and quality of life in adults who underwent Roux-en-Y gastric bypass surgery over a 7-year period.
  • It utilized data from a cohort of 646 participants, analyzing their activity levels and mental health scores using linear mixed models while accounting for various factors like age and weight change.
  • The results show a positive correlation between increased steps and moderate-to-vigorous physical activity with reduced depression and improved mental and physical health scores, suggesting that engaging in PA can enhance patient outcomes after surgery, regardless of weight loss.
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  • - This study aimed to understand how physical activity (PA) affects weight changes in people who had roux-en-Y gastric bypass (RYGB) over a span of 7 years.
  • - Researchers tracked the activity levels of 649 RYGB participants using monitors and found that although their physical activity levels were below health recommendations, higher levels of steps and less sedentary behavior were linked to better weight loss and less weight regain.
  • - The findings suggest that even small increases in physical activity after RYGB can significantly impact weight management over the long term.
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Background: Long-term changes in cardiovascular disease (CVD) risk after bariatric surgery are not well characterized.

Objective: To report sex-specific changes in CVD risk after Roux-en-Y gastric bypass surgery (RYGB).

Setting: Observational cohort study at ten hospitals throughout the United States.

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Published estimates of weight regain (WR) after bariatric surgery vary greatly. Understanding the sources of variability in the literature and clarifying the magnitude of WR after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are critical for informing expectations and planning interventions. A literature search through January 2019 yielded 15 English-language studies that reported WR in at least 30 participants, not selected based on weight loss or WR, at least 3 years after primary RYGB (n = 11) or SG (n = 5).

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This study examined dispositional emotion-, personality/temperament-, and reward-related variables in relation to post-surgery eating pathology and weight-change among 107 adults who underwent Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB). As part of a prospective cohort study, annual post-surgical assessments were conducted to evaluate eating pathology, using the Eating Disorder Examination-Bariatric Surgery Version, and percent weight change from pre-surgery. Dispositional measures were administered at the 6- or 7-year assessment and included the Affect Intensity Measure, Difficulties in Emotion Regulation Scale, UPPS-P Impulsive Behavior Scale, Adult Temperament Questionnaire-Effortful Control Scale, and Sensitivity to Punishment/Sensitivity to Reward Questionnaire.

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Background: Some studies suggest that changes in weight or metabolic outcomes are affected by the lengths of the gastrointestinal limbs in the Roux-en-Y gastric bypass.

Methods: Participants (N = 1,770) underwent primary Roux-en-Y gastric bypass and were followed ≤7 years in the Longitudinal Assessment of Bariatric Surgery-2, a multicenter US cohort study. Alimentary limb and biliopancreatic limb lengths were measured according to research protocol; common channel was measured in a subsample (N = 547).

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Background: History of childhood trauma is associated with increased risk of mental disorders, eating pathology, and obesity.

Objective: To examine associations between childhood trauma and changes in depressive symptoms, eating pathology, and weight after Roux-en-Y Gastric Bypass (RYGB).

Setting: Three U.

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Article Synopsis
  • - The study aimed to identify behaviors and characteristics that contribute to weight regain in patients after Roux-en-Y gastric bypass surgery (RYGB), highlighting the variability in weight outcomes after surgery.
  • - Researchers analyzed data from a prospective cohort of 1,278 adults over several years, focusing on their post-surgery behaviors such as activity levels, eating habits, and psychological factors.
  • - Key findings revealed that sedentary behavior, fast food consumption, eating when full, and certain psychological issues were linked to increased weight regain, suggesting the need for targeted healthcare strategies to support patients in maintaining weight loss.
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