Publications by authors named "Ilene Siegler"

Objective: Low neuroticism, high extraversion, and high conscientiousness are related to physical activity (PA). We tested whether the small size and heterogeneity of these relationships result because personality traits influence one another as well as because some narrow facets rather than the broad domains contain more specific variance relevant to PA.

Method: Participants were men and women enrolled in the University of North Carolina Alumni Heart Study who completed the Revised NEO Personality Inventory (NEO-PI-R) and reported their past month's average activity on an 8-point scale.

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  • Many people struggle to maintain exercise habits despite knowing the benefits, leading to a dropout from exercise interventions.
  • The study aimed to find genetic variants linked to dropout rates in the STRRIDE trials, using a genome-wide association approach on 603 participants.
  • The analysis identified a specific genetic variant (rs722069) associated with dropout, suggesting that genetic factors influence exercise participation and may help develop personalized strategies for encouraging regular exercise.
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  • A study compared the effects of a remotely supervised weight loss and exercise program (SWET) with lifestyle counseling (CHAT) on older patients with rheumatoid arthritis (RA) and obesity over 16 weeks.
  • Both groups showed improvements in metabolic syndrome scores, but the SWET group had greater benefits in weight loss, fat mass, disease activity, and various patient-reported health outcomes.
  • The findings suggest that structured weight loss and exercise are more effective than general lifestyle counseling in enhancing overall health and managing RA symptoms in older adults.
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Purpose: To identify baseline demographic, clinical, and psychosocial predictors of exercise intervention adherence in the Studies of a Targeted Risk Reduction Intervention through Defined Exercise (STRRIDE) trials.

Methods: A total of 947 adults with dyslipidemia or prediabetes were enrolled into an inactive control group or one of ten exercise interventions with doses of 10-23 kcal/kg/week, intensities of 40-80% of peak oxygen consumption, and training for 6-8-months. Two groups included resistance training.

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Purpose: To determine if race and sex differences exist in determinants and timing of dropout among individuals enrolled in an exercise and/or caloric restriction intervention.

Methods: A total of 947 adults with dyslipidemia (STRRIDE I, STRRIDE AT/RT) or prediabetes (STRRIDE-PD) were randomized to either inactive control or to 1 of 10 exercise interventions, ranging from doses of 8-23 kcal/kg/week, intensities of 50%-75% peak, and durations of 6-8 months. Two groups included resistance training, and one included a dietary intervention (7% weight loss goal).

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Patients with rheumatoid arthritis (RA) remain at an increased risk for cardiovascular disease (CVD) and mortality. RA CVD results from a combination of traditional risk factors and RA-related systemic inflammation. One hypothetical means of improving overall RA CVD risk is through reduction of excess body weight and increased physical activity.

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Purpose: This study aimed to characterize the timing and self-reported determinants of exercise dropout among sedentary adults with overweight or obesity. We also sought to explore variations in adherence among individuals who completed a 6- to 8-month structured exercise intervention.

Methods: A total of 947 adults with dyslipidemia [STRRIDE I, STRRIDE AT/RT] or prediabetes [STRRIDE-PD] were enrolled to either control or to one of 10 exercise interventions, ranging from doses of 8-23 kcal/kg/week; intensities of 50%-75% V̇O2 peak; and durations of 6-8 months.

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Introduction: To determine the relative contributions of various amounts and intensities of exercise alone to a combined lifestyle intervention on health-related quality of life (HrQoL) measures.

Research Design And Methods: Participants (n=162) were sedentary, overweight/obese, with pre-diabetes, and randomized to one of four 6-month interventions: (1) high amount/moderate intensity exercise-energy expenditure of 16 kcal/kg of body weight/week (KKW) at 50% oxygen consumption (V̇O) reserve; (2) high/vigorous-16 KKW at 75% V̇O reserve; (3) low/moderate-10 KKW at 50% V̇O reserve; (4) low/moderate plus diet-10 KKW at 50% V̇O reserve plus a calorically restricted diet. The 36-Item Short-Form Survey (SF-36) and Satisfaction with Physical Function and Appearance (SPF/SPA) survey were assessed at baseline and post-intervention.

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  • Researchers studied the cerebrospinal fluid (CSF) of 129 healthy people, looking for differences based on sex and race.
  • They found that men and women had different levels of some chemicals in their CSF, and that African American and white participants also showed differences in certain metabolites.
  • The study suggests that these metabolites might be linked to mental health issues, which is important for understanding brain health in different groups.
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In prior work, we identified a novel gene-by-stress association of EBF1's common variation (SNP rs4704963) with obesity (i.e., hip, waist) in Whites, which was further strengthened through multiple replications using our synthetic stress measure.

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After the publication of the original article, the Editor was notified by Duke University that they have determined the authorship to be incomplete. Consequently, Dr Edward Suarez has been added as a co-author to represent his contribution to the conception and design of the work and acquisition of the data.

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Objective: In order to better understand factors motivating eating disorder (ED) behaviors and better identify persons at-risk for these behaviors, we sought to identify which personality domains and facets were associated with behaviors for weight control.

Methods: ED behavior information was gathered from the University of North Carolina Alumni Heart Study using the question, "have you ever used any of the following to lose weight?" Respondents endorsed any combination of the following: "Vomiting," "Fasting," "Laxatives," "Excessive physical exercise." Personality was measured using the Revised NEO Personality Inventory (NEO-PI-R).

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The present study used harmonized data from eight studies (N = 28,891) to examine the association between socioeconomic status (SES) and resting systolic blood pressure (SBP). The study replicates and extends our prior work on this topic by examining potential moderation of this association by race and gender. We also examined the extent to which body mass index (BMI), waist circumference (WC), and smoking might explain the association between SES and SBP.

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Background DNA methylation is implicated in many chronic diseases and may contribute to mortality. Therefore, we conducted an epigenome-wide association study (EWAS) for all-cause mortality with whole-transcriptome data in a cardiovascular cohort (CATHGEN [Catheterization Genetics]). Methods and Results Cases were participants with mortality≥7 days postcatheterization whereas controls were alive with≥2 years of follow-up.

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Background/objectives: Although childhood attention deficit hyperactivity disorder (ADHD) has been previously associated with concurrent and later obesity in adulthood, the etiology of this association remains unclear. The objective of this study is to determine the shared genetic effects of ADHD symptoms and BMI in a large sample of sibling pairs, consider how these shared effects may vary over time, and examine potential sex differences.

Subject/methods: Sibling pair data were obtained from the National Longitudinal Study of Adolescent to Adult Health (Add Health); childhood ADHD symptoms were reported retrospectively during young adulthood, while three prospective measurements of BMI were available from young adulthood to later adulthood.

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Article Synopsis
  • The serotonin receptor gene 5-HTR2C is linked to various brain functions and has been studied for its association with depression and obesity, particularly the Cys23Ser variant.
  • Researchers conducted a large meta-analysis using data from 10 studies to clarify the inconsistencies in previous findings, focusing on individuals of African ancestry, who were often underrepresented in past research.
  • The analysis revealed that while psychosocial stress impacted levels of depression and body mass index (BMI), the Cys23Ser variant itself did not show a direct association with either condition.
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Objective: Central nervous system (CNS) serotonin (5-HT) exerts both excitatory and inhibitory effects on the sympathetic nervous system (SNS) in animals. In this study, we examine the effects of tryptophan enhancement and depletion on plasma catecholamine levels in humans.

Methods: The total sample consisted of 164 healthy men and women who were tested for 2 days.

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Objectives: Among many challenges in cardiovascular disease (CVD) risk prediction are interactions of genes with stress, race, and/or sex and developing robust estimates of these interactions. Improved power with larger sample size contributed by the accumulation of epidemiological data could be helpful, but integration of these datasets is difficult due the absence of standardized phenotypic measures. In this paper, we describe the details of our undertaking to harmonize a dozen datasets and provide a detailed account of a number of decisions made in the process.

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  • Genetic variation, specifically in the acid ceramidase gene, influences how well individuals adhere to exercise training and their physiological responses.
  • In two large exercise interventions, specific SNPs (rs2898458, rs7508, rs3810) were linked to lower completion rates of the training programs as well as poorer improvements in cardiorespiratory fitness.
  • These findings suggest that adherence to exercise may be affected by genetic factors that regulate metabolic pathways and skeletal muscle adaptation.
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Background: The rs6265 (Val66Met) single-nucleotide polymorphism in the BDNF gene has been related to a number of endophenotypes that have in turn been shown to confer risk for atherosclerotic cardiovascular disease (CVD). To date, however, very few studies have examined the association of the Val66Met single-nucleotide polymorphism with CVD clinical outcomes.

Methods: In a cohort of 5,510 Caucasian patients enrolled in the CATHeterization GENetics (CATHGEN) study at Duke University Hospital between 2001 and 2011, we determined the severity of coronary artery disease (CAD) and CVD event incidence through up to 11.

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