Association between handgrip strength,walking, age-related illnesses and cognitive status in a sample of Portuguese centenarians

Background

Centenarians are a growing population in Europe and present significant variability in motor and cognitive functions. The aim of our study was to characterize health status, as well as cognitive and motor functions in a group of Portuguese centenarians. In addition, our study also aimed at analyzing the relationship between cognitive functions and the burden of diseases affecting the elderly.

Methods

Fifty-two centenarians were evaluated using the Mini-Mental State Examination, short version. Walking-related parameters (velocity and time spent in the 3 m walk test), grip strength and number of age-related illnesses were also measured. The relationship between cognitive scores and time spent in the three metre walk test, velocity, grip strength and number of diseases was analysed.

Results

Cognitive scores showed a positive correlation with both handgrip strength and time spent in the three metre walk. In contrast, no association was found between cognitive scores and the presence/absence of disease, walking velocity or number of diseases present.

Conclusions

These results suggest that in centenarians, cognitive functions may be related with motor functions.

     

Influence of a home-based exercise program on the urine pH in elderly female subjects: a secondary analysis of a randomized controlled trial

Background

A low urine pH is a characteristic metabolic feature of metabolic syndrome and type 2 diabetes. The purpose of the current study was to investigate the effects of a 12-week home-based bench step exercise on the urine pH status of elderly female subjects.

Methods

The current study is a secondary analysis of a randomized controlled trial (RCT) in which 59 postmenopausal female subjects were randomized to either the exercise group (n?=?29) or the control group (n?=?30). The subjects in the exercise group were instructed to perform home-based exercises using a bench step at the anaerobic threshold (AT), with a goal of performing ≥140 min/week at home for 12 weeks. The subjects in the control group were instructed to not change their normal lifestyle. Urine was collected after overnight fasting, and the urine pH was measured using a urinary test strip. The inter-group-differences at baseline and the pre-post changes within groups were assessed using the Mann-Whitney U test and Wilcoxon’s signed-rank test, respectively. Additionally, the difference in the post-intervention urine pH levels of the two groups, adjusted for the pre-intervention values (the estimated effect size) and the precision (95% confidence intervals) were investigated using an analysis of covariance.

Results

The pre-post comparison of the urine pH data using Wilcoxon’s signed-rank test showed a significant increase in the urine pH levels of the exercise group (p?<?0.05); there was no significant change in the urine pH levels of the control group. However, the estimated effect size (0.15) was small and the confidence interval straddled 0 (?0.25–0.55).

Conclusions

Based on the results of the current secondary analysis of an RCT, we could not clearly conclude that exercise has a beneficial effect on the urine pH. Further well-designed RCTs should be conducted to determine whether aerobic exercise is truly able to ameliorate urine acidification.

Trial registration

The study was retrospectively registered in the University Hospital Medical Information Network (UMIN) as “Effect of step exercise on aerobic fitness and progression of atherosclerosis in the elderly” under the registration number UMIN 000026743 (the date of registration: March 28, 2017).

     

A new Bayesian wavelet thresholding estimator of nonparametric regression

The methods of estimation of nonparametric regression function are quite common in statistical application. In this paper, the new Bayesian wavelet thresholding estimation is considered. The new mixture prior distributions for the estimation of nonparametric regression function by applying wavelet transformation are investigated. The reversible jump algorithm to obtain the appropriate prior distributions and value of thresholding is used. The performance of the proposed estimator is assessed with simulated data from well-known test functions by comparing the convergence rate of the proposed estimator with respect to another by evaluating the average mean square error and standard deviations. Finally by applying the developed method, density function of galaxy data is estimated.     

Marginal models for the association structure of hierarchical binary responses

Clustered binary responses are often found in ecological studies. Data analysis may include modeling the marginal probability response. However, when the association is the main scientific focus, modeling the correlation structure between pairs of responses is the key part of the analysis. Second-order generalized estimating equations (GEE) are established in the literature. Some of them are more efficient in computational terms, especially facing large clusters. Alternating logistic regression (ALR) and orthogonalized residual (ORTH) GEE methods are presented and compared in this paper. Simulation results show a slightly superiority of ALR over ORTH. Marginal probabilities and odds ratios are also estimated and compared in a real ecological study involving a three-level hierarchical clustering. ALR and ORTH models are useful for modeling complex association structure with large cluster sizes.     

Comparison of methods for analyzing binary repeated measures data: A simulation-based study (comparison of methods for binary repeated measures)

In this study, some methods suggested for binary repeated measures, namely, Weighted Least Squares (WLS), Generalized Estimating Equations (GEE), and Generalized Linear Mixed Models (GLMM) are compared with respect to power, type 1 error, and properties of estimates. The results indicate that with adequate sample size, no missing data, the only covariate being time effect, and a relatively limited number of time points, the WLS method performs well. The GEE approach performs well only for large sample sizes. The GLMM method is satisfactory with respect to type I error, but its estimates have poorer properties than the other methods.     

A direct procedure for monitoring the coefficient of variation using a variable sample size scheme

A variable sample size (VSS) scheme directly monitoring the coefficient of variation (CV), instead of monitoring the transformed statistics, is proposed. Optimal chart parameters are computed based on two criteria: (i) minimizing the out-of-control ARL (ARL₁) and (ii) minimizing the out-of-control ASS (ASS₁). Then the performances are compared between these two criteria. The advantages of the proposed chart over the VSS chart based on the transformed statistics in the existing literature are: the former (i) provides an easier alternative as no transformation is involved and (ii) requires less number of observations to detect a shift when ASS₁ is minimized.     

Effects of some design factors on the distribution of similarity indices in cluster analysis

This article investigates the effects of number of clusters, cluster size, and correction for chance agreement on the distribution of two similarity indices, namely, Jaccard and Rand indices. Skewness and kurtosis are calculated for the two indices and their corrected forms then compared with those of the normal distribution. Three clustering algorithms are implemented: complete linkage, Ward, and K-means. Data were randomly generated from bivariate normal distributions with specified means and variance covariance matrices. Three-way ANOVA is performed to assess the significance of the design factors using skewness and kurtosis of the indices as responses. Test statistics for testing skewness and kurtosis and observed power are calculated. Simulation results showed that independent of the clustering algorithms or the similarity indices used, the interaction effect cluster size x number of clusters and the main effects of cluster size and number of clusters were found always significant for skewness and kurtosis. The three way interaction of cluster size x correction x number of clusters was significant for skewness of Rand and Jaccard indices using all clustering algorithms, but was not significant using Ward's method for both Rand and Jaccard indices, while significant for Jaccard only using complete linkage and K-means algorithms. The correction for chance agreement was significant for skewness and kurtosis using Rand and Jaccard indices when complete linkage method is used. Hence, such design factors must be taken into consideration when studying distribution of such indices.     

Exponentially weighted moving average charts for correlated multivariate Poisson processes

In this article, we study exponentially weighted moving average (EWMA) control schemes to monitor the multivariate Poisson distribution with a general covariance structure, so that the practitioner can simultaneously monitor multiple correlated attribute processes more effectively. The statistical performance of the charts is assessed in terms of the run length properties and compared against other mainstream attribute control schemes. The application of the proposed methods to real-life and simulated datasets is demonstrated.     

Public Sociology on Twitter: a Space for Public Pedagogy?

Research has examined various elements of Twitter; however, no scholarship has explored how sociologists currently use the platform. This empirically driven paper explores how individuals that self-identify as sociologists on Twitter use the popular micro-blogging social media site. A total of 152,977 tweets from Twitter profiles of 130 sociologists were collected and examined using qualitative media analysis. The potential use of Twitter allows the sociologist to become both the generator and interlocutor of dialogue with publics. We frame our data analysis and discussion around the core theme of expertise - namely, the role that expertise plays in the use of Twitter by sociologists. Our findings indicate that when sociologists used Twitter as sociologists (i.e., drawing upon their stated research expertise) little direct engagement with publics occurred. Thus, while sociologists appear to be using Twitter as a space for public sociology, the use of this interactive platform is mostly limited to the generation of content, a finding consistent with Burawoy’s traditional form of public sociology. Suggestions for future research are noted.     

Standard Bearers: Qualitative Sociologists’ Experiences with IRB Regulation

In response to the system for regulating research with human subjects, researchers have raised two apparently contradictory concerns: that IRBs are excessively inconsistent (often raised by biomedical researchers), and that they are excessively standardizing (often raised by qualitative interview researchers). Why does standardization appear as the dominant theme in qualitative researchers’ experiences with their IRBs? And how do qualitative researchers experience standardization in their IRB encounters? We focus on IRBs role as regulatory bureaucracies, which typically rely heavily on standardized communication and decisions to process information and make large numbers of decisions in a timely manner. We explore the role of standardization in IRB regulation of qualitative research in an analysis of semi-structured interviews with 26 qualitative sociologists from six research universities and three liberal arts colleges in the Northeastern United States. In a regulatory regime oriented toward the norms of experimental research, these frictions resulted partly from a lack of appropriate standardized language and decision-templates, but also from the inherent difficulties of applying standardized decisions to work that is unpredictable, unique, and difficult to routinize.