- Health disparities and outcomes
- Physical Activity and Health
- Dementia and Cognitive Impairment Research
- Balance, Gait, and Falls Prevention
- Nutrition and Health in Aging
- Cerebral Palsy and Movement Disorders
- Health and Wellbeing Research
- Obesity, Physical Activity, Diet
- Food Security and Health in Diverse Populations
- Stroke Rehabilitation and Recovery
- Religion, Spirituality, and Psychology
- Heart Rate Variability and Autonomic Control
- Migration, Aging, and Tourism Studies
- Frailty in Older Adults
- Urban Transport and Accessibility
- Cardiovascular and exercise physiology
- Musculoskeletal pain and rehabilitation
- Organ Donation and Transplantation
- Cardiovascular Health and Risk Factors
- Migration, Health and Trauma
- Obesity and Health Practices
- Employment and Welfare Studies
- Muscle activation and electromyography studies
- Retirement, Disability, and Employment
- Geriatric Care and Nursing Homes
Rush University Medical Center
2016-2025
Rush University
2021-2024
Center for Health and Gender Equity
2020
University of Pittsburgh
2014-2017
California Pacific Medical Center
2015
University of Southern Denmark
2015
American College of Surgeons
2015
University of Florida
2015
Tufts University
2015
Wake Forest University
2015
Abstract INTRODUCTION There is limited evidence about factors related to the timeliness of dementia diagnosis in healthcare settings. METHODS In five prospective cohorts at Rush Alzheimer's Disease Center, we identified participants with incident based on annual assessments and examined timing diagnoses Medicare claims. We assessed sociodemographic, health, psychosocial correlates timely diagnosis. RESULTS Of 710 participants, 385 (or 54%) received a claims within 3 years prior or 1 year...
Abstract INTRODUCTION We aimed to identify profiles of modifiable, late‐life lifestyle health behaviors related subsequent maintenance cognition and explore sociodemographics characteristics as effect modifiers. METHODS Analyses used data from 715 older adults without baseline dementia the Rush Memory Aging Project with (physical activity, cognitive healthy diet, social activity) at ≥ 2 annual assessments cognition. latent profile analysis group participants based on behavior patterns...
ABSTRACT Background Ambulatory care is critical in delivering interventions for dementia and mild cognitive impairment (MCI), from basic services to novel therapeutics. Yet, little known regarding how community‐dwelling persons with dementia/MCI interact clinicians outpatient ambulatory settings. We assessed associations of evaluation management (E&M) visits. Methods included 2116 participants Rush Alzheimer's Disease Center cohorts, linked fee‐for‐service Medicare claims. Annually 2011...
Purpose The study aims were 1) to develop transparent algorithms that use short segments of training data for predicting activity types and 2) compare the prediction performance proposed using single accelerometers multiple accelerometers. Methods Sixteen participants (age, 80.6 yr (4.8 yr); body mass index, 26.1 kg·m−2 (2.5 kg·m−2)) performed 15 lifestyle activities in laboratory, each wearing three at right hip left wrists. Triaxial accelerometry collected 80 Hz ActiGraph GT3X+. Prediction...
Substantial disparities in life expectancy exist between Chicago's 77 defined community areas, ranging from approximately 69 to 85 years. Prior work New York City and Boston has shown that community-level racial economic segregation as measured by the Index of Concentration at Extremes (ICE) is strongly related premature mortality. This novel metric allows for joint assessment area-based income polarisation. study aimed assess relationships hardship with mortality Chicago.Annual age-adjusted...
Background We previously outlined the importance of considering acculturation within context older Latino adults' lived experience (ie, in context) to better capture contributors cognitive aging. now examine this conceptual framework as related level and change cardiovascular health, whether health modifies documented associations with cognition. Methods Results Acculturation data from 192 participants without dementia at baseline (age ~70 years) were compiled into 3 separate composite...
Summary We introduce statistical methods for predicting the types of human activity at sub-second resolution using triaxial accelerometry data. The major innovation is that we use labeled data from some subjects to predict labels other subjects. To achieve this, normalize across by matching standing up and lying down portions This necessary account differences between variability in position device relative gravity, which are induced body shape size as well ambiguous definition placement....
Objectives To examine the prospective relationship between self‐reported physical activity and aerobic fitness in Health, Aging, Body Composition Study (Health ABC ) using Long Distance Corridor Walk ( LDCW ). Design Cohort study with 7 years of follow‐up. Setting Two U.S. clinical sites. Participants Community‐dwelling older adults enrolled Health (N = 3,075, aged 70–79, 52% female, 42% black) no difficulty walking one‐quarter a mile or climbing 10 steps. Measurements were classified based...
Studying interhospital transfer of critically ill patients with coronavirus disease 2019 pneumonia in the spring 2020 surge may help inform future pandemic management.To compare outcomes for mechanically ventilated transferred to a tertiary referral center increased capacity admitted from emergency department.Observational cohort study single urban academic medical ICUs. All and discharged who received invasive ventilation between March 17, 2020, October 14, 2020.Demographic clinical...
Chronic kidney disease (CKD) is associated with poor mobility. Peripheral nerve function alterations play a significant role in low We tested the hypothesis that early CKD altered sensory, motor and autonomic function.Participants Health, Aging Body Composition cohort who had measures Year 3 (1999-2000) measurements at 4 (2000-01) were analyzed (n = 2290). Sensory (vibration threshold, monofilament insensitivity to light standard touch), [compound action potentials (CMAPs), conduction...
Despite known health disparities in cognitive aging, a comprehensive rationale for the increased burden older minoritized populations including non-Latino Black and Latino adults has yet to be elucidated. While most work focused on person-specific risk, studies are increasingly assessing neighborhood-level risk. We evaluated multiple aspects of environmental milieu that may critical when considering vulnerability adverse outcomes.We investigated associations between Census-tract derived...
Chronic medical conditions (CMCs) often emerge and accumulate during the transition from mid- to late-life, resulting multimorbidity can greatly impact physical function. We assessed association of CMC presence incidence on trajectories function early late-life in Study Women's Health Across Nation.Physical was at eight clinic visits (average 14 years follow-up) using subscale Short Form-36. CMCs included osteoarthritis, diabetes, stroke, hypertension, heart disease, cancer, osteoporosis,...
Abstract Background Everyday discrimination—experiences of being treated unfairly based on background characteristics like race—is linked to poor physical and mental health throughout the lifespan. Whether more experiences discrimination are associated with higher odds hospitalized in older African Americans has not been explored. Methods Community-dwelling participants from 3 longitudinal cohort studies (N = 446, age 65+ years) scores ≥12 months Medicare claims were included....
Chronic conditions are associated with worse physical function and commonly develop during midlife. We tested whether the presence of 8 chronic conditions, or development these is declines in among midlife women as they transition into early late life. Participants (N = 2283) were from Study Women's Health Across Nation. Physical was assessed at visits starting study's fourth clinic visit 2000/2001 through follow-up 15 (2015/2017) using Short Form-36 Function subscale. included diabetes,...
Introduction Sensory and motor nerve deficits are prevalent in older adults associated with loss of functional independence. We hypothesize that chronic kidney disease predisposes to worsening sensorimotor function over time. Materials methods Participants were from the Health, Aging Body Composition Study (N = 1121) longitudinal data between 2000–01 (initial visit) 2007–08 (follow-up visit). Only participants non-impaired at initial visit included. The predictor was presence CKD (estimated...
The Illinois Transplant Fund, established in 2015, provides private health insurance premium support for noncitizen patients with kidney failure and thus allows them to qualify transplants. Our objective was describe trends transplant volumes over time inform the development of a hypothesis regarding impact Fund on adult Hispanic Illinois, especially patients.