- Cardiovascular and exercise physiology
- Cardiovascular Health and Disease Prevention
- Obesity, Physical Activity, Diet
- Psychosomatic Disorders and Their Treatments
- Cardiovascular Disease and Adiposity
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Blood Pressure and Hypertension Studies
- Heart Rate Variability and Autonomic Control
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Mental Health and Psychiatry
- Cardiovascular Function and Risk Factors
- Musculoskeletal pain and rehabilitation
- Mental Health Treatment and Access
- Sports Performance and Training
- Children's Physical and Motor Development
- Health and Wellbeing Research
- Infant Health and Development
- Body Composition Measurement Techniques
- Early Childhood Education and Development
- Obesity and Health Practices
- Health and Lifestyle Studies
- Heart Failure Treatment and Management
- Child and Adolescent Psychosocial and Emotional Development
- Hemodynamic Monitoring and Therapy
- Physical Activity and Health
King's College London
2019-2021
University of Maryland, College Park
2015
The University of Western Australia
2001-2008
The Kids Research Institute Australia
2004-2008
Royal Perth Hospital
2004-2006
Princess Margaret Hospital for Children
2006
Princess Margaret Hospital
2004
Harry Perkins Institute of Medical Research
2004
Abstract Context: The number of obese children with insulin resistance and type 2 diabetes is increasing, but the best management strategy not clear. Objective: objective this study was to assess effect a structured 8-wk exercise training program on changes in body composition children. Design: 8 wk supervised intervention outcome measures before after period. Subjects: Fourteen (12.70 ± 2.32 yr; eight male, six female) high fasting levels were enrolled into study. Intervention: Intervention...
Approximately 15%-20% of young children can be classified as having a behaviorally inhibited (BI) temperament. Stable BI predicts the development later anxiety disorders (particularly social anxiety), but not all develop anxiety. Parenting characterized by inappropriate warmth/sensitivity and/or intrusive control stability and moderates risk for among high-BI children. For these reasons, we developed examined preliminary efficacy Turtle Program: multimodal early intervention preschool-age...
Aim: It has been shown that compared with healthyweight children, overweight and obese primary school‐aged children have a higher incidence of hyperinsulinism, dyslipidaemia hypertension. is therefore important to investigate clinically relevant markers cardiovascular risk in children. Waist circumference simple, non‐invasive anthropometric measure, but its association profile young Australian not clear. Methods: This study presents cross‐sectional data from the Growth Development Study. The...
Purpose: Obesity is epidemic in Western societies, with rapid rates of increase the young. Various methods exist for assessment body composition, but these have not been compared obese children and adolescents. This study composition young people to determine whether changes various measures as a result exercise training were correlated. Methods: Multiple anthropometric (weight, height, mass index (BMI), skinfolds, waist hip girths) dual-energy x-ray absorptiometry (DEXA) undertaken 38...
Purpose: The primary purpose of this study was to determine the effects resistance exercise training on early diastolic myocardial velocities (E′) in an obese pediatric population. Methods: Twenty-three adolescents were selected participate either a resistance-based program (RT; n = 13, 12.2 ± 0.4 yr, body mass index [BMI] 32.5 1.9 kg·m−2) or nonexercise control intervention (n 10, 13.6 0.7 BMI 30.2 2.6 for 8 wk. All subjects had repeated echocardiographic assessments left ventricular (LV)...
Persistent physical symptoms (PPS), also known as medically unexplained (MUS), affect approximately 50% of patients in secondary care and are often associated with disability, psychological distress increased health costs. Cognitive behavioural therapy (CBT) has demonstrated both short- long-term efficacy small to medium effect sizes for PPS, larger treatment effects specific PPS syndromes, including non-cardiac chest pain, irritable bowel syndrome (IBS) chronic fatigue (CFS). Research...
Abstract Background Medically unexplained symptoms otherwise referred to as persistent physical (PPS) are debilitating patients. As many specific PPS syndromes share common behavioural, cognitive, and affective influences, transdiagnostic treatments might be effective for this patient group. We evaluated the clinical efficacy cost-effectiveness of a therapist-delivered, cognitive behavioural intervention (TDT-CBT) plus (+) standard medical care (SMC) v. SMC alone treatment patients with in...
The aim of the present study was to investigate impact an oral glucose load on circulating insulin and levels arterial function in healthy non-diabetic subjects. Thirty-nine non-obese, subjects (24 female, 15 male), aged 21.0+/-1.8 years age, were randomly assigned undergo either OGTT (oral tolerance test; 75 g glucose) or administration a placebo. Analyses lipids, liver HbA(1c) (glycated haemoglobin) at baseline revealed results which within standard reference range. Insulin as well...
Abstract Background Patients continue to suffer from medically unexplained symptoms otherwise referred as persistent physical (PPS). General practitioners (GPs) play a key role in the management of PPS and require further training. are often frustrated with care they receive. This study aims assess acceptability an ‘integrated GP care’ approach which consists offering self-help materials patients their GPs training on how utilise cognitive behavioural skills within consultations, well...
Left ventricular (LV) diastolic dysfunction is an early indicator of cardiac which predicts mortality in patients with cardiovascular disease and the general population. LV dysfunction, independent hypertrophy or hypertension, has been documented obese adults. However, no studies have determined effect obesity on function children impact different exercise training modalities are unknown. PURPOSE: To examine whether associated resistance circuit improves these subjects. METHODS: 44...
Whether nitric oxide (NO) contributes to vasodilation in active tissue beds is controversial, possibly due the range of methodologies adopted measure flow and impact motion artifact on these. There have been no studies NO release inactive vessel during exercise. PURPOSE: To describe a novel software analysis system which utilises edge-detection wall tracking high resolution (12–15MHz) B-mode arterial ultrasound images, combined with synchronised Doppler waveform envelope analysis, calculate...