• Age and gender differences in children's health perceptions and health behaviours

      Chater, Angel M.; Voegele, Claus; Worrell, Marcia; University of Bedfordshire; Roehampton University (Wiley, 2008-08-31)
      International journal of psychology Volume43, Issue3-4 Special Issue: Abstracts of the XXIX INTERNATIONAL CONGRESS OF PSYCHOLOGY June-August 2008 Pages 1-167
    • Bioavailability and metabolism of phenolic compounds from wholegrain wheat and aleurone-rich wheat bread

      Bresciani, Letizia; Scazzina, Francesca; Leonardi, Roberto; Dall'Aglio, Elisabetta; Newell, Michael; Dall'Asta, Margherita; Melegari, Camilla; Ray, Sumantra; Brighenti, Furio; Del Rio, Daniele; et al. (Wiley, 2016-07-12)
      Scope: This work aimed at investigating absorption, metabolism, and bioavailability of phenolic compounds after consumption of wholegrain bread or bread enriched with an aleurone fraction. Methods and results: Two commercially available breads were consumed by 15 participants on three occasions and matched for either the amount of ferulic acid in the bread or the amount of bread consumed. Urine was collected for 48 h from all the volunteers for phenolic metabolite quantification. Blood samples were collected for 24 h following bread consumption in five participants. A total of 12 and 4 phenolic metabolites were quantified in urine and plasma samples, respectively. Metabolites were sulfate and glucuronic acid conjugates of phenolic acids, and high concentrations of ferulic acid-4’-O-sulfate, dihydroferulic acid-4’-O-sulfate, and dihydroferulic acid-O-glucuronide were observed. The bioavailability of ferulic acid was significantly higher from the aleurone-enriched bread when all ferulic acid metabolites were accounted for. Conclusions: The study shows that low amounts of aleurone-enriched bread resulted in equivalent plasma levels of ferulic acid as wholegrain bread. This could suggest that, if the absorbed phenolic metabolites after wholegrain product intake exert health benefits, equal levels could be reached through the consumption of lower doses of refined products enriched in aleurone fraction.
    • Factors influencing the prescribing behaviour of independent prescriber optometrists: a qualitative study using the Theoretical Domains Framework

      Spillane, Daniel; Courtenay, Molly; Chater, Angel M.; Family, Hannah; Whitaker, Angela; Acton, Jennifer H. (Wiley, 2021-02-20)
      Purpose: Whilst the number of independent prescriber optometrists in the United Kingdom is increasing, there is limited evidence describing the experiences of these individuals. The Theoretical Domains Framework (TDF) provides an evidence-based approach to understand determinants of behaviour. This conceptual framework can enable mapping to the COM-B behaviour change model and the wider Behaviour Change Wheel to develop interventions to optimise behaviourchange and healthcare processes more systematically. The study aimed to use the TDF to identify the factors that influence independent prescribing behaviour, and to map these findings to the COM-B system to elucidate the relevant intervention functions, in order to identify the support required by optometrist prescribers. Methods: Using a qualitative design, semi-structured interviews based on the TDF were undertaken with independent prescriber optometrists. Thematic analysis was used to identify themes inductively, which were then deductively mapped to the TDF and then linked to the COM-B. Results: Sixteen participants (9 male; median age 45 years, range 28–65 years), based in community (n = 10) and hospital (n = 6) settings, were interviewed. Eleven of the TDF domains were found to influence prescribing behaviour. Findings highlighted the need for good communication with patients (TDF domain: Skills, COM-B: Capability); confidence (TDF domain: Beliefs about capabilities, COM-B: Motivation); good networks and relationships with other healthcare professionals, e.g., general practitioners (TDF domain: Social influences, COM-B: Opportunity; TDF domain: Social/professional role and identity, COM-B: Motivation); the need for appropriate structure for remuneration (TDF domain: Reinforcement, COM-B: Motivation; TDF domain: Social/professional role and identity, COM-B: Motivation); and the provision of professional guidelines (TDF domain: Knowledge, COM-B: Capability; TDF domain: Environmental context and resources, COM-B Opportunity). Conclusions: Having identified theory-derived influencers on prescribing decisions by optometrists, the findings can be used to develop a structured intervention, such as a support package to help optimise prescribing by optometrists, with the ultimate goal of eye care quality improvement.
    • Global and regional left ventricular circumferential strain during incremental cycling and isometric knee extension exercise

      Beaumont, Alexander; Sculthorpe, Nicholas; Hough, John; Unnithan, Viswanath; Richards, Joanna C. (Wiley, 2018-04-16)
      Background: The objective of this study was to investigate left ventricular (LV) circumferential strain responses to incremental cycling and isometric knee extension exercises. Methods: Twenty-six healthy male participants (age = 30 ± 6 years) were used to study LV global (GCS) and regional circumferential strain at the apex (ACS) and base (BCS) during incremental cycling at 30% and 60% work rate maximum (Wmax) and short-duration (15 seconds contractions) isometric knee extensions at 40% and 75% maximum voluntary contraction (MVC) using two-dimensional speckle tracking echocardiography. Results: During cycling (n = 22), GCS increased progressively from rest to 60% Wmax (−22.85 ± 3.26% to −29.87 ± 2.59%, P < .01). ACS increased from rest to 30% Wmax (−26.29 ± 4.84% to −36.84 ± 6.94%, P < .01) and then remained unchanged to 60% Wmax (−40.72 ± 4.06%, P = .068). BCS decreased from rest to 30% Wmax (−19.41 ± 2.79 to −17.51 ± 4.66%, P = .05) and then remained unchanged to 60% Wmax. During isometric knee extension (n = 23), GCS decreased from rest to 40% MVC (−22.63 ± 3.46 to −20.10 ± 2.78%, P < .05) and then remained unchanged to 75% MVC. Similarly, BCS decreased from rest to 40% MVC (−19.21 ± 2.58% to −13.55 ± 3.45%, P < .01) and then remained unchanged, whereas ACS did not change with exercise intensity (rest, −26.05 ± 5.34%; 40% MVC, −26.64 ± 4.53% and 75% MVC −27.22 ± 5.34%, all P > .05). Conclusion: Global circumferential strain increased stepwise during incremental cycling, mediated by the apex with trivial changes at the base. In contrast, GCS decreased during the isometric knee extension to 40% MVC and then plateaued, due to decreased BCS as ACS was maintained. A novel finding is that the GCS response appears to be exercise modality dependant and is the consequence of region-specific changes.
    • Prolonged cycling exercise alters neural control strategy, irrespective of carbohydrate dose ingested

      Newell, Michael; Macgregor, Lewis J.; Galloway, Stuart D.R.; Hunter, Angus M. (Wiley, 2020-08-26)
      The interactions between CHO dosage and neuromuscular regulation following fatiguing endurance exercise are not well understood. Fifteen well‐trained male cyclists completed 4 experimental trials of 120‐min submaximal cycling (95% lactate threshold) during which water (0 g CHO·h−1) or CHO beverages (20, 39, or 64 g CHO·h−1) were consumed every 15 minutes, at a rate of 1 L·h−1, followed by a work‐matched time trial ~30 minutes. Maximal voluntary contraction (MVC), M‐wave twitch potentiation and torque, motor unit recruitment and firing rate were recorded pre‐ and post‐cycling. Time trial performance improved following 39 and 64 versus 0 and 20 g CHO·h−1, with no effect of CHO dose on any pre‐ to post‐neuromuscular function measures. Pre‐ to post‐cycling exercise: (1) MVC, and M‐wave amplitude and duration declined by −21.5 Nm, and −4.9 mV and −7.1 ms, respectively; (2) peak evoked torque remained unchanged; (3) Firing rate of early‐ and mid‐recruited motor units increased by 0.93 pps and 0.74 pps, respectively, with no change in later‐recruited motor units. Thus, central drive to early‐ and mid‐recruited motor units increases as a result of endurance cycling, due to a likely fatigue compensatory mechanism. However, CHO availability does not appear to influence increased neuromuscular drive.
    • Vertical stiffness asymmetries during drop jumping are related to ankle stiffness asymmetries

      Maloney, Sean J.; Richards, Joanna C.; Nixon, Daniel G.D.; Harvey, Lewis J.; Fletcher, Iain M. (Wiley, 2016-03-31)
      Asymmetry in vertical stiffness has been associated with increased injury incidence and impaired performance. The determinants of vertical stiffness asymmetry have not been previously investigated. Eighteen healthy males performed three unilateral drop jumps during which vertical stiffness and joint stiffness of the ankle and knee were calculated. Reactive strength index was also determined during the jumps using the ratio of flight time to ground contact time. ‘Moderate’ differences in vertical stiffness (t17 = 5.49; P < 0.001), ‘small’ differences in centre of mass displacement (t17 = -2.19; P = 0.043) and ‘trivial’ differences in ankle stiffness (t17 = 2.68; P = 0.016) were observed between stiff and compliant limbs. A model including ankle stiffness and reactive strength index symmetry angles explained 79% of the variance in vertical stiffness asymmetry (R2 = 0.79; P < 0.001). None of the symmetry angles were correlated to jump height or reactive strength index. Results suggest that asymmetries in ankle stiffness may play an important role in modulating vertical stiffness asymmetry in recreationally trained males.