Publications by authors named "Deborah Hart"

Studies suggest that inducing gut microbiota changes may alter both muscle physiology and cognitive behaviour. Gut microbiota may play a role in both anabolic resistance of older muscle, and cognition. In this placebo controlled double blinded randomised controlled trial of 36 twin pairs (72 individuals), aged ≥60, each twin pair are block randomised to receive either placebo or prebiotic daily for 12 weeks.

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Article Synopsis
  • The study investigates the burden of musculoskeletal pain among UK individuals aged 50 and older, focusing on prevalence, incidence rates, and re-occurrence risks for various pain types, specifically back, hand, hip, knee, and foot pain.
  • Data was gathered from two UK studies with follow-ups over eight years, allowing for a comparison of responses related to pain episodes and pain when walking.
  • Results showed significant rates of musculoskeletal pain, with women experiencing higher prevalence than men, though men had a greater risk of re-occurrence; they also projected that many individuals will still be affected by pain in the UK by 2030.
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Whilst most individuals with SARS-CoV-2 infection have relatively mild disease, managed in the community, it was noted early in the pandemic that individuals with cardiovascular risk factors were more likely to experience severe acute disease, requiring hospitalisation. As the pandemic has progressed, increasing concern has also developed over long symptom duration in many individuals after SARS-CoV-2 infection, including among the majority who are managed acutely in the community. Risk factors for long symptom duration, including biological variables, are still poorly defined.

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Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody levels can be used to assess humoral immune responses following SARS-CoV-2 infection or vaccination, and may predict risk of future infection. Higher levels of SARS-CoV-2 anti-Spike antibodies are known to be associated with increased protection against future SARS-CoV-2 infection. However, variation in antibody levels and risk factors for lower antibody levels following each round of SARS-CoV-2 vaccination have not been explored across a wide range of socio-demographic, SARS-CoV-2 infection and vaccination, and health factors within population-based cohorts.

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This study assessed T-cell responses in individuals with and without a positive antibody response to SARS-CoV-2, in symptomatic and asymptomatic individuals during the COVID-19 pandemic. Participants were drawn from the TwinsUK cohort, grouped by (a) presence or absence of COVID-associated symptoms (S+, S-), logged prospectively through the COVID Symptom Study app, and (b) anti-IgG Spike and anti-IgG Nucleocapsid antibodies measured by ELISA (Ab+, Ab-), during the first wave of the UK pandemic. T-cell helper and regulatory responses after stimulation with SARS-CoV-2 peptides were assessed.

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A dynamic energy budget (DEB) model integrating pCO was used to describe ocean acidification (OA) effects on Atlantic surfclam, Spisula solidissima, bioenergetics. Effects of elevated pCO on ingestion and somatic maintenance costs were simulated, validated, and adapted in the DEB model based upon growth and biological rates acquired during a 12-week laboratory experiment. Temperature and pCO were projected for the next 100 years following the intergovernmental panel on climate change representative concentration pathways scenarios (2.

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: Twins offer social scientists a unique opportunity to understand the interplay of social factors and physical and mental well-being. TwinsUK is the largest UK registry of adult mono- and dy-zygotic twins, but most of the research that utilises the cohorts' data to date has focused on the genetic underpinnings of complex disease. : Following formal unstructured discussions with social scientists we identified key areas of research interest and annotated the historical data collections in TwinsUK where they could be applied to these research aims.

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  • The study investigates the link between obesity and back pain in middle-aged women, focusing on weight and its components while considering both direct mechanical effects and indirect effects through inflammation and metabolism.
  • Data from the Chingford 1000 Women Study was analyzed, involving 826 women at the first follow-up and 645 in a later follow-up, using statistical methods to assess associations.
  • Results revealed that higher weight, BMI, and total fat mass directly increase the likelihood of experiencing back pain, while indirect effects through inflammation or metabolic factors were not consistently observed.
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Objective: We aimed to study 19-year body mass index (BMI) patterns and their (1) bidirectional relationship with musculoskeletal pain and (2) mortality risk.

Study Design And Setting: We used data from the Chingford study and group-based trajectory modelling to define 19-year BMI patterns. We investigated whether baseline back, hand, hip, and knee pain (as single- and multi-site) predicted 19-year BMI trajectory, and whether 19-year BMI patterns predicted pain in year 20.

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Objective: Our aims were to examine the effects of heeled shoes on incident knee osteoarthritis (OA) and joint pain.

Methods: We used longitudinal data from the Chingford 1000 Women Study (Chingford Study), a prospective cohort of women aged 50 years or older. Participants with musculoskeletal disorders and/or a history of knee-related injury/surgery were excluded.

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Background: Loss of skeletal muscle mass and strength occurs with increasing age and is associated with loss of function, disability, and the development of sarcopenia and frailty. Dietary protein is essential for skeletal muscle function, but older adults do not anabolise muscle in response to protein supplementation as well as younger people, so called 'anabolic resistance'. The aetiology and molecular mechanisms for this are not understood, however the gut microbiome is known to play a key role in several of the proposed mechanisms.

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Importance: Previous studies, using mostly cross-sectional data, provide conflicting evidence of an association between lumbar spine radiographic changes and the severity of back pain-related disability. Such conflicting evidence may be associated with widely unnecessary diagnostic imaging of the lumbar spine.

Objective: To examine both cross-sectional and longitudinal associations between lumbar spine radiographic changes and the severity of back pain-related disability among middle-aged, community-dwelling women.

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In this study, we assessed the Atlantic surfclam (Spisula solidissima) energy budget under different ocean acidification conditions (OA). During 12 weeks, 126 individuals were maintained at three different ρCO concentrations. Every two weeks, individuals were sampled for physiological measurements and scope for growth (SFG).

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  • * A study examined 431 participants from the TwinsUK cohort, finding a seroprevalence rate of 12%, with 19% of seropositive individuals being fully asymptomatic and 27% asymptomatic for key COVID-19 symptoms.
  • * Anosmia was identified as the most specific symptom for a positive antibody response, with a specificity rate of 95%, while using a symptom tracking app, 52% of those predicted to have COVID-19 were found to be seropositive.
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Metabolic responses to food influence risk of cardiometabolic disease, but large-scale high-resolution studies are lacking. We recruited n = 1,002 twins and unrelated healthy adults in the United Kingdom to the PREDICT 1 study and assessed postprandial metabolic responses in a clinical setting and at home. We observed large inter-individual variability (as measured by the population coefficient of variation (s.

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Background: Prior research on accelerated knee osteoarthritis (AKOA) was primarily confined to the Osteoarthritis Initiative, which was enriched with people with risk factors for knee osteoarthritis (KOA). It is unclear how often AKOA develops in a community-based cohort and whether we can replicate prior findings from the Osteoarthritis Initiative in another cohort. Hence, we determined the incidence and characteristics of AKOA among women in the Chingford Study, which is a prospective community-based cohort.

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TwinsUK is the largest cohort of community-dwelling adult twins in the UK. The registry comprises over 14,000 volunteer twins (14,838 including mixed, single and triplets); it is predominantly female (82%) and middle-aged (mean age 59). In addition, over 1800 parents and siblings of twins are registered volunteers.

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Objective: To develop and internally validate risk models and a clinical risk score tool to predict incident radiographic knee osteoarthritis (RKOA) in middle-aged women.

Methods: We analyzed 649 women in the Chingford 1,000 Women study. The outcome was incident RKOA, defined as Kellgren/Lawrence grade 0-1 at baseline and ≥2 at year 5.

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Ocean acidification has the potential to significantly impact both aquaculture and wild-caught mollusk fisheries around the world. In this work, we build upon a previously published integrated assessment model of the US Atlantic Sea Scallop (Placopecten magellanicus) fishery to determine the possible future of the fishery under a suite of climate, economic, biological, and management scenarios. We developed a 4x4x4x4 hypercube scenario framework that resulted in 256 possible combinations of future scenarios.

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Twin researchers face the challenge of accurately determining the zygosity of twins for research. As part of the annual questionnaire between 1999 and 2006, 8,307 twins from the TwinsUK registry were asked to complete five questions (independently from their co-twin) to ascertain their self-perceived zygosity during childhood on up to five separate occasions. This questionnaire is known as the 'peas in the pod' questionnaire (PPQ), but there is little evidence of its validation.

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Article Synopsis
  • Osteoarthritis (OA) is a common and disabling form of arthritis in the elderly, particularly affecting the hands, yet few genetic risk factors have been identified for hand OA.
  • A genome-wide association study involving nearly 13,000 individuals identified two significant genetic loci near the MGP and CCDC91 genes associated with hand OA, particularly a variant near the MGP gene.
  • The MGP variant was linked to lower expression of the MGP gene, suggesting that reduced levels of this protein may lead to increased cartilage calcification and a higher risk of developing hand OA.
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Osteoarthritis is one of the most frequent and disabling diseases of the elderly. Only few genetic variants have been identified for osteoarthritis, which is partly due to large phenotype heterogeneity. To reduce heterogeneity, we here examined cartilage thickness, one of the structural components of joint health.

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Context And Objective: We evaluated the predictive value of serum cartilage oligomeric matrix protein (sCOMP) levels over 20 years on the development of radiographic (RKOA) and painful knee osteoarthritis (KOA) in a longitudinal cohort of middle-aged women.

Materials And Methods: Five hundred and ninety-three women with no baseline KOA underwent 5-year knee radiographs over 20-years and were asked about knee pain a month before each assessment. A repeated measures logistic regression model was used where the outcomes were recorded at 5, 10, 15 and 20-years follow-up.

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