- Nutrition and Health in Aging
- Bone health and osteoporosis research
- Nutritional Studies and Diet
- Hip and Femur Fractures
- Frailty in Older Adults
- Body Composition Measurement Techniques
- Nutrition, Genetics, and Disease
- Clinical Nutrition and Gastroenterology
- Obesity, Physical Activity, Diet
- Vitamin D Research Studies
- Muscle metabolism and nutrition
- Stroke Rehabilitation and Recovery
- Diet and metabolism studies
- Child Nutrition and Feeding Issues
- Bone Metabolism and Diseases
- Delphi Technique in Research
- Bone fractures and treatments
- Bone and Joint Diseases
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Cerebral Palsy and Movement Disorders
- Bone health and treatments
- Cardiovascular and exercise physiology
- Sports Performance and Training
- Spaceflight effects on biology
- Therapeutic Uses of Natural Elements
The University of Melbourne
2014-2024
Austin Health
2014-2024
Western Health
2020-2023
Australian Institute for Musculoskeletal Science
2020-2023
Heidelberg Repatriation Hospital
2013-2023
Sunshine Hospital
2023
University of Naples Federico II
2007
University of Saskatchewan
1998
Victoria University
1998
ABSTRACT Most fragility fractures arise among the many women with osteopenia, not smaller number osteoporosis at high risk for fracture. Thus, most fracture assessed only by measuring areal bone mineral density (aBMD) will remain untreated. We measured cortical porosity and trabecular volume/total volume (BV/TV) of ultradistal radius (UDR) using high-resolution peripheral quantitative computed tomography, aBMD densitometry, 10-year probability country-specific assessment tool (FRAX) in 68...
To assess the antifracture efficacy and safety of a nutritional intervention in institutionalised older adults replete vitamin D but with mean intakes 600 mg/day calcium <1 g/kg body weight protein/day.Two year cluster randomised controlled trial.60 accredited residential aged care facilities Australia housing predominantly ambulant residents.7195 permanent residents (4920 (68%) female; age 86.0 (SD 8.2) years).Facilities were stratified by location organisation, 30 to provide additional...
We investigated change in health-related quality of life due to fracture Australian adults aged over 50 years. Fractures reduce with the loss sustained at least 12 months. At a population level, was equivalent 65 days full health per fracture. aimed quantify (HRQoL) that occurred as consequence using EQ-5D-3 L questionnaire. Adults ≥50 years low moderate energy were recruited from eight study centres across Australia. This prospective included an 18-month follow-up participants within 2...
ABSTRACT Fragility fractures commonly involve metaphyses. The distal radius is assembled with a thin cortex formed by fusion (corticalization) of trabeculae arising from the periphery growth plate. Centrally positioned reinforce and transfer loads joint to proximal thicker cortical bone. We hypothesized that growth- age-related deficits in trabecular bone disrupt this frugally microarchitecture, producing fragility. microarchitecture was measured using high-resolution peripheral quantitative...
Dairy products are included in dietary guidelines worldwide, as milk, yoghurt, and cheese good sources of calcium protein, vital nutrients for bones muscle mass maintenance. Bone growth mineralization occur during infancy childhood, peak bone being attained after early adulthood. A low has consequences later life, including increased risk osteoporosis fractures. Currently, more than 200 million people worldwide suffer from osteoporosis, with approximately 9 fractures yearly. This poses a...
[corrected] Institutionalized elderly are at high risk of malnutrition, including those residing in low-level aged-care and able to self-feed. We used comprehensive dietary intake assessments determine the nutritional adequacy food served residents if waste contributed insufficient nutrient intakes.
[corrected] Low-level aged-care residents are at risk of malnutrition. Oral supplements and fortified foods used to treat malnutrition in the elderly require special preparation administration by staff. Therefore we aimed determine if increasing dairy food intake two serves per day would improve energy nutrient intakes prevent residents.
Abstract Malnutrition in institutionalised elderly increases morbidity and care costs. Meat dairy foods are high-quality protein sources so adequate intakes may reduce malnutrition risk. We aimed to determine whether inadequate of meat contribute elderly. This cross-sectional study involved 215 residents (70·2 % females, mean age 85·8 years) from twenty-one aged-care facilities Melbourne, Australia. Dietary intake was assessed using observed plate waste. Food groups serving sizes were based...
Thirty-two elite junior athletes in two age categories, older than or equal to IS years old (O15) (8 females and 9 males) less 15 (U15) 7 males), performed a laboratory-based duathlon (run-ride-run). At the completion of event, significant body mass losses were recorded for all groups. Compared with other three groups, O15 males lost at greater absolute rate (1.26 ±0.06 kg ⋅ hr −1 vs. mean 0.62 ±0.11 groups) relative (1.95 ± 0.10% BM 1.23 0.19 %BM ( p < .05). No differences observed...
Abstract Objectives To develop guidelines, informed by health‐care consumer values and preferences, for sarcopenia prevention, assessment management use clinicians researchers in Australia New Zealand. Methods A three‐phase Consumer Expert Delphi process was undertaken between July 2020 August 2021. experts included adults with lived experience of or utilisation. Phase 1 involved a structured meeting the Australian Zealand Society Sarcopenia Frailty Research (ANZSSFR) Diagnosis Management...
Malnutrition, particularly protein insufficiency, is common in institutionalised older adults and increases morbidity, mortality, costs. We aimed to determine whether 12 months supplementation using high-protein foods (milk, cheese, yoghurt) prevents malnutrition adults. Cluster randomised control study. Sixty Australian aged care facilities. Older living homes (n=654, mean age 86.7±7.2 years, 72% females). Facilities randomly allocated a (n=30 intervention) or regular controls) menu....
Background Immobility and neural damage likely contribute to accelerated bone loss after stroke, subsequent heightened fracture risk in humans. Objective To investigate the skeletal effect of middle cerebral artery occlusion (MCAo) stroke rats examine its utility as a model human post-stroke loss. Methods Twenty 15-week old spontaneously hypertensive male were randomized MCAo or sham surgery controls. Primary outcome: group differences trabecular volume fraction (BV/TV) measured by Micro-CT...
Abstract CVD is common in older adults. Consumption of ‘meat’ (beef, pork, lamb, game, poultry, seafood, eggs) and dairy foods (milk, cheese, yoghurt) encouraged adults as these provide protein nutrients such essential fatty acids, Ca, Fe, Zn vitamins A, D B 12 required for healthy ageing. However, also contain saturated fats considered detrimental to cardiovascular health. To determine the effect their consumption on risk we assessed associations between fat intake from serum cholesterol...
Abstract The consumption of high-Ca, high-protein dairy foods (i.e. milk, cheese, yogurt) is advocated for bone health across the lifespan to reduce risk low-trauma fractures. However, date, anti-fracture efficacy food has not been demonstrated in randomised controlled trials but inferred from cross-sectional and prospective studies. plausible, testing this requires a robust study design ensure outcomes are suitably answering important public question. evidence skeletal benefits equivocal,...
Abstract Background older adults in aged care account for 30% of the population burden hip fractures. Nutritional interventions to correct under nutrition reduce these debilitating fractures, perhaps partly by reducing falls and slowing deterioration bone morphology. Objective determine whether a nutritional approach fracture risk reduction homes is cost-effective. Design cost-effectiveness was estimated based on results from prospective 2-year cluster-randomised controlled trial secondary...