Young Adults Research Articles

Present but Ignored: Physical Condition and Health-Related Quality of Life in College-Aged Females with Generalized Joint Hypermobility

Background: Generalized joint hypermobility (GJH) is prevalent among young adults, necessitating effective monitoring of musculoskeletal health, particularly among college-aged females. This study aimed to identify physical fitness and health-related quality of life (HR-QoL) characteristics associated with GJH. Methods: A total of 67 participants were assessed: 26 with GJH (mean age 20.06, SD 1.2 years), and 41 without (mean age 20.15, SD 2.2 years). Assessments included hypermobility, anthropometric data, foot posture, balance, flexibility, strength, and HR-QoL. We used the Mann–Whitney test for two independent samples, categorical variables were analyzed with Cramer’s V test. The results indicated that participants with GJH exhibited inferior balance and back muscle static strength endurance but greater flexibility compared to those without GJH. Significant differences were observed in foot posture. However, handgrip strength, explosive strength, and abdominal muscle static strength endurance did not differ significantly between groups. No significant differences were observed in HR-QoL components between the two groups. In conclusion, there appears to be a link between GJH and increased flexibility, impaired balance, reduced back muscle static strength endurance, and altered posture of both feet.

What Do Autistic Youth and Young Adults Want at Work? A Qualitative Study of Autistic Individuals’ Views on Key Workplace Supports

What Do Autistic Youth and Young Adults Want at Work? A Qualitative Study of Autistic Individuals’ Views on Key Workplace Supports

#1917 SGLT2-Inhibition in patients with Alport syndrome – an international, retrospective and in parts prospective observational large cohort study

Abstract Background and Aims Large-scale trials showed positive outcomes of SGLT2-inhibitors (SGLT2i) in elderly patients with CKD. Patients with Alport syndrome, a type IV collagen disease, develop CKD early in life. Whether the use of SGLT2i is safe and effective in patients with the type IV collagen disease Alport syndrome (and thus a different pathogenesis) has not yet been investigated specifically besides case reports. Method For the first time, this observational, multicenter, international study (NCT02378805) assessed 112 patients with AS from nine countries and 21 trial sites after start of SGLT2i at early stages of their chronic kidney disease (CKD). The study's primary endpoint was change of albuminuria in albumin/g creatinine after start of therapy with SGLT2i. Results Compared to the large randomized trials investigating the effect of SGLT2i in CKD, the adult patients in this trial were much younger (38 ± 14 years; n = 101), had a better eGFR (63 ± 35 ml/min/1.73m2; n = 98) and had a higher albuminuria (1699 ± 1472 mg/g creatinine; n = 51). At a mean time on SGLT2i-therapy of 6 ± 1 months, albuminuria decreased significantly (1727 ± 1564 vs. 1203 ± 1165 mg/g creatinine; n = 33; p = 0.01). Compared to baseline, at the first three follow-up visits after initiation of SGLT2i-therapy, a significant reduction of albuminuria >30% was observed. Mean loss of eGFR was 9 ± 12 ml/min/1.73 m² almost one year after initiation of SGLT2i-therapy (n = 35). At a mean follow up of 12 ± 2 month after initiation of SGLT2i-therapy, serum-albumin increased significantly from 3.7 ± 0.7 to 4.0 ± 0.4 g/dL (n = 18; p = 0.019). At a total of 68 patient-years at risk, adverse events occurred in 11/85 patients (13%). Two very serious adverse events (acute necrotizing pancreatitis and Fournier's gangrene) occurred. Conclusion This study demonstrated that SGLT2i, when added to RASi, have the potential to reduce the rate of albuminuria in adult patients with Alport Syndrome. The study will be continued to provide valuable data on the long-term course of CKD under SGLT2i-therapy in AS to investigate if the promising reduction of albuminuria results in a clinical relevant delay in renal failure. This observational study successfully formed the scientific basis for the current randomized controlled trial with SGLT2i in children and young adults with AS Double Protect Alport.

Polygenic Risk Score-Based Association Analysis Identifies Genetic Comorbidities Associated with Age-Related Hearing Difficulty in Two Independent Samples.

Age-related hearing loss is the most common form of permanent hearing loss that is associated with various health traits, including Alzheimer's disease, cognitive decline, and depression. The present study aims to identify genetic comorbidities of age-related hearing loss. Past genome-wide association studies identified multiple genomic loci involved in common adult-onset health traits. Polygenic risk scores (PRS) could summarize the polygenic inheritance and quantify the genetic susceptibility of complex traits independent of trait expression. The present study conducted a PRS-based association analysis of age-related hearing difficulty in the UK Biobank sample (N = 425,240), followed by a replication analysis using hearing thresholds (HTs) and distortion-product otoacoustic emissions (DPOAEs) in 242 young adults with self-reported normal hearing. We hypothesized that young adults with genetic comorbidities associated with age-related hearing difficulty would exhibit subclinical decline in HTs and DPOAEs in both ears. A total of 111,243 participants reported age-related hearing difficulty in the UK Biobank sample (> 40years). The PRS models were derived from the polygenic risk score catalog to obtain 2627 PRS predictors across the health spectrum. HTs (0.25-16kHz) and DPOAEs (1-16kHz, L1/L2 = 65/55dB SPL, F2/F1 = 1.22) were measured on 242 young adults. Saliva-derived DNA samples were subjected to low-pass whole genome sequencing, followed by genome-wide imputation and PRS calculation. The logistic regression analyses were performed to identify PRS predictors of age-related hearing difficulty in the UK Biobank cohort. The linear mixed model analyses were performed to identify PRS predictors of HTs and DPOAEs. The PRS-based association analysis identified 977 PRS predictors across the health spectrum associated with age-related hearing difficulty. Hearing difficulty and hearing aid use PRS predictors revealed the strongest association with the age-related hearing difficulty phenotype. Youth with a higher genetic predisposition to hearing difficulty revealed a subclinical elevation in HTs and a decline in DPOAEs in both ears. PRS predictors associated with age-related hearing difficulty were enriched for mental health, lifestyle, metabolic, sleep, reproductive, digestive, respiratory, hematopoietic, and immune traits. Fifty PRS predictors belonging to various trait categories were replicated for HTs and DPOAEs in both ears. The study identified genetic comorbidities associated with age-related hearing loss across the health spectrum. Youth with a high genetic predisposition to age-related hearing difficulty and other related complex traits could exhibit sub-clinical decline in HTs and DPOAEs decades before clinically meaningful age-related hearing loss is observed. We posit that effective communication of genetic risk, promoting a healthy lifestyle, and reducing exposure to environmental risk factors at younger ages could help prevent or delay the onset of age-related hearing difficulty at older ages.

#2056 Epigenetic profiles differ by level of kidney function in idiopathic nephrotic syndrome

Abstract Background and Aims DNA methylation (DNAm) is an epigenetic mechanism which can therefore induce changes in gene expression without any change to the underlying DNA sequence. Although generally quite stable, DNAm patterns in whole blood do vary across individuals, with DNAm levels associating with age and responding to environmental factors. We aimed to investigate whether peripheral blood cell DNAm associates with level of kidney function in patients with Idiopathic Nephrotic Syndrome (INS). Method Peripheral blood cell DNAm values were generated using the Illumina MethylationEPIC Beadchip (>850,000 CpG sites) for 293 INS patients recruited to the National Unified Renal Translational Research Enterprise–National Study of INS (NURTuRE- INS and NephroS). All patients were younger than 30 years old at INS diagnosis. An Epigenome Wide Association Study (EWAS) was performed using generalised linear models to evaluate associations between DNAm sites and estimated glomerular filtration rate (eGFR). Regions of differentially methylated sites were identified using the ‘dmrff’ R package. Sex chromosomes were excluded from the analyses and all analyses were adjusted for estimated cell type proportions, age, sex and technical variation. A Bonferroni adjusted p value of 5.88 × 10−8 was used as a significance threshold to adjust for multiple tests. Results Of the selected 293 INS patients, 173 (59%) were male, 213 (73%) were white and the median age at INS diagnosis was 4 years old (IQR 2-10). One hundred and forty-three (48%) patients were steroid responsive at diagnosis and the remainder were steroid resistant. Sixty-eight of the steroid resistant patients had pathogenic NS variants. We identified 6 CpG sites associated with eGFR (p < 5.88 × 10−8) in this cohort of INS patients, one replicating a previously reported association. We identified 3 differentially methylated regions, one coinciding with the transcriptional start site of an RNA binding protein which regulates alternative splicing, and another located in the body of a transcription factor regulator containing genetic variants associated with chronic kidney disease. Conclusion We have demonstrated variation in peripheral blood DNAm by level of kidney function in children and young adults with INS. Associations between DNAm and eGFR have previously been demonstrated in diabetic kidney disease and heterogenous chronic kidney disease cohorts, including one of the sites which we have identified in our study. Further work is underway to determine if these differences in DNAm are likely to be a cause or consequence of reduced kidney function, which will help to determine their potential clinical utility.

Assessment of pesticide knowledge, Safety Practices and postharvest handling among cocoa farmers in South Western Nigeria

Cocoa beans are susceptible to fungal contamination during processing and storage. The knowledge of the use of pesticides and post-harvest handling of cocoa beans among farmers is of great importance for safe consumption. The study evaluated common cocoa production and post-harvest practices of farmers in selected study locations in South Western Nigeria. Primary data were collected through the administration of structured questionnaires, and interviews. The collected data were analyzed using inferential descriptive statistics. The results of 394 farmers showed that 52.9 % in Osun and 47.3 % in Oyo were primarily farmers by occupation, the rest had other ventures. The majority of cocoa farmers were men:83.6 % in Oyo State, 88.2 % in Osun state and 87.9 % in Ondo state. 28.6 % and 32.7 % of farmers were aged 51–60 in the Ondo and Oyo communities, respectively. Osun farming communities are dominated by young adults (51 %) of 31–50 years, followed by Ondo 40 % and36 % of farmers in Oyo State. Most cocoa farmers were married with 4–6 children as the most common household size in Osun (51 %), Ondo (60.4 %) and 49.1 % in Oyo State. The literacy level of farmers in cocoa communities was the highest in Oyo state where 47.3 % had tertiary education. Farmers in Oyo State had better knowledge of the dangers of pesticides than Ondo and Osun. However, ignorance of dangers in agrochemicals was higher among Osun farmers than in Ondo State. The highest (18 %) pesticide use during storage was recorded among Oyo farmers, while the least (11.0 %) was recorded among farmers in Ondo State. Pesticide usage was more abundant in Osun (50 %) during cocoa production than in the other study areas. The majority of farmers were positively disposed to make use of nose masks during agrochemical application, meanwhile, 69 %, 62 %, and 61 % of farmers used them already in Oyo, Ondo, and Osun states, respectively. Educational qualification (χ2 = 9.176, p = 0.027) of cocoa farmers was significantly related to knowledge of best practices. Farmers with higher education have a greater ability to receive and process information relating to global best practices in production, postharvest, and pesticide handling in cocoa. In conclusion, cocoa farmers’ knowledge of processing, use of pesticides, and storage practices differed from one location to another. Intensive orientation and more enlightenment by extension workers against indiscriminate use of pesticides in cocoa plantations and stores must be consistently and continuously done.

The impact of the 2014 Medicaid expansion on the health, health care access, and financial well-being of low-income young adults.

Prior to the 2014 Affordable Care Act (ACA) expansion, 37% of young adults ages 19-25 in the United States were low-income and a third lacked health insurance coverage-both the highest rates for any age group in the population. The ACA's Medicaid eligibility expansion, therefore, would have been significantly beneficial to low-income young adults. This study evaluates the effect of the ACA Medicaid expansion on the health, health care access and utilization, and financial well-being of low-income young adults ages 19-25. Using 2010-2017 National Health Interview Survey data, I estimate policy effects by applying a difference-in-differences design leveraging the variation in state implementation of the expansion policy. I show that Medicaid expansion improved health insurance coverage, health care access, and financial well-being for low-income young adults in expansion states, but had no effect on their health status and health care utilization. I also find that the policy was associated with larger gains in health coverage for racial minorities relative to their Non-Hispanic White counterparts. With the continued health policy reform debates at the state and federal levels, the empirical evidence from this study can help inform policy decisions that aim to improve health care access and utilization among disadvantaged groups.

Giant Ganglioneuroma of the Lumbar Spine: A Rare Cause of Radiculopathy

Background. Ganglioneuroma (GN) is a rare, benign tumor that originates from neural crest cells and can potentially affect any anatomical site within the sympathetic nervous system. Typically, GNs are more frequently reported in children and young adults, with a slightly higher prevalence in females. We are reporting a rare case of a giant lumbar spine ganglioneuroma by outlining the clinical presentation, radiological finding, management, and outcome. Case Description. A 37-year-old female presented with low back pain radiating to the right lower limb for few years. Neurological examination revealed bilateral lower limb hyperreflexia (+3). Lumbar spine CT and MRI revealed a right paravertebral soft tissue lesion with heterogeneous signal intensity and enhancement at L1 to L3. The patient underwent complete resection of the lesion via a retroperitoneal approach. The surgery was uneventful. The histopathological sections were suggestive of mature ganglioneuroma. She was discharged in stable condition with follow-up at neurosurgery clinic. Conclusion. Giant ganglioneuromas are rare, benign tumors of sympathetic neurons. Complete surgical resection is the most effective therapeutic option for ganglioneuroma to avoid recurrence. Given the benign nature of ganglioneuroma, chemotherapy and radiotherapy tend to have a limited role following surgical resection.

Corticostriatal Responses to Social Reward are Linked to Trait Reward Sensitivity and Subclinical Substance Use in Young Adults.

Aberrant levels of reward sensitivity have been linked to substance use disorder and are characterized by alterations in reward processing in the ventral striatum (VS). Less is known about how reward sensitivity and subclinical substance use relate to striatal function during social rewards (e.g., positive peer feedback). Testing this relation is critical for predicting risk for development of substance use disorder. In this pre-registered study, participants (N=44) underwent fMRI while completing well-matched tasks that assess neural response to reward in social and monetary domains. Contrary to our hypotheses, aberrant reward sensitivity blunted the relationship between substance use and striatal activation during receipt of rewards, regardless of domain. Moreover, exploratory whole-brain analyses showed unique relations between substance use and social rewards in temporoparietal junction. Psychophysiological interactions demonstrated that aberrant reward sensitivity is associated with increased connectivity between the VS and ventromedial prefrontal cortex during social rewards. Finally, we found that substance use was associated with decreased connectivity between the VS and dorsomedial prefrontal cortex for social rewards, independent of reward sensitivity. These findings demonstrate nuanced relations between reward sensitivity and substance use, even among those without substance use disorder, and suggest altered reward-related engagement of cortico-VS responses as potential predictors of developing disordered behavior.

Burden tolerance: Developing a validated measurement instrument across seven countries

AbstractThe emergence of the administrative burden literature has generated new theoretical, conceptual, and empirical knowledge. However, the accumulation of comparable knowledge is limited by the lack of validated measurement of core concepts. This article validates a four‐item scale of burden tolerance, that is, people's acceptance of state actions that impose administrative burdens on citizens and residents interacting with government, using data from seven countries and 12 surveys. We illustrate the usefulness of the scale by examining its correlates. Burden tolerance varies substantially across the countries examined, but is generally higher for males, young adults, less well educated, those with good health, those who trust state actors more, and ideological conservatives. We demonstrate how the scale can be adapted to specific policy areas and that our generic scale correlates highly with the tolerance for burdens in such diverse domains as income supports, health insurance, passport renewals, and small business licensing.

Prevalence of Stroke - Behavioral Risk Factor Surveillance System, United States, 2011-2022.

Stroke was the fifth leading cause of death in the United States in 2021, and cost U.S. residents approximately $56.2 billion during 2019-2020. During 2006-2010, self-reported stroke prevalence among noninstitutionalized adults had a relative decrease of 3.7%. Data from the Behavioral Risk Factor Surveillance System were used to analyze age-standardized stroke prevalence during 2011-2022 among adults aged ≥18 years. From 2011-2013 to 2020-2022, overall self-reported stroke prevalence increased by 7.8% nationwide. Increases occurred among adults aged 18-64 years; females and males; non-Hispanic Black or African American (Black), non-Hispanic White (White), and Hispanic or Latino (Hispanic) persons; and adults with less than a college degree. Stroke prevalence was higher among adults aged ≥65 years than among younger adults; among non-Hispanic American Indian or Alaska Native, non-Hispanic Native Hawaiian or Pacific Islander, and Black adults than among White adults; and among adults with less than a high school education than among those with higher levels of education. Stroke prevalence decreased in the District of Columbia and increased in 10 states. Initiatives to promote knowledge of the signs and symptoms of stroke, and the identification of disparities in stroke prevalence, might help to focus clinical and programmatic interventions, such as the Million Hearts 2027 initiative or the Paul Coverdell National Acute Stroke Program, to improve prevention and treatment of stroke.

#2493 Podocyturia: a novel biomarker of ageing

Abstract Background and Aims Urinary podocyte shedding (podocyturia) is a biomarker of glomerular injury in young and old individuals. Podocyturia is associated with diabetes and hypertension, and it is an early indicator of systemic cardiovascular disease. Importantly, podocyturia has also been noted in healthy adults and may indicate physiologic podocyte turnover. Whether age is a predictor of podocyte loss, independently of diabetes and hypertension, is still unclear. The aim of this study was to examine the association between age and urinary podocin levels. Method This was a secondary analysis of data from 5 studies, including 868 individuals, 18-90 years of age. Data on urinary podocin mRNA levels was present on all subjects, as measured by CFX96 Touch™ RT-PCR detection system (Biorad, USA). Descriptive statistics, Chi-square test, ANOVA, and post hoc analysis were performed. Linear regression was conducted with gender, diabetes status, and hypertension status as covariates. Significance was set at p < 0.05. Results The mean age of the total sample was 55.10 ± 14.84 years; 46% were female, 26.4% had diabetes, and 37.9% had hypertension. There were significant differences in mean podocin levels by age group (F = 25.27, p ≤ 0.001) as follows. Podocin levels were significantly lower in Group 1 (age 18-35 years; 0.79 ± 0.67 million copies), compared to Group 2 (36-55 years; 2.21 ± 2.15 million copies) and Group 3 (over 56 years; 2.86 ± 3.18 million copies). Moreover, mean podocin levels differed significantly between Group 2 and Group 3 (p = 0.003). Age was a predictor of podocyturia, independently of diabetes and hypertension (p < 0.001). Conclusion Podocyturia was present in younger adults. There was a significant rise in podocyturia in middle-aged adults (36-55 years), denoting a transitional phase. There were higher podocyturia levels in older adults compared to the youngest and middle-aged adults. These differences in podocin by age were observed while accounting for diabetes and hypertension.

Aging Impairs Unimanual and Bimanual Hand-Grip Force Control Capabilities

This study examined age-related changes in unimanual and bimanual hand-grip force control capabilities by focusing on absolute and relative outcome measures. Thirty-two older adults and thirty-two younger adults performed isometric hand-grip force control tasks across three hand conditions (unimanual dominant, unimanual non-dominant, and bimanual) and two submaximal targeted levels (10% and 40% of maximal voluntary contraction). Force control performances were evaluated by calculating absolute and relative variables on force accuracy and variability. Furthermore, to determine which force control variables and experimental conditions effectively indicate age-related sensorimotor control deficits, we conducted receiver operating characteristic curve analyses. Older adults demonstrated impaired force control capabilities at 10% of maximal voluntary contraction collapse across the three hand conditions compared with younger adults, and these deficits were identified by both relative force accuracy and relative force variability. Moreover, relative force accuracy showed a good diagnostic quality at 10% of maximal voluntary contraction. These findings suggested that aging may induce unimanual and bimanual hand-grip force control deficits at a lower targeted level, and these motor impairments were sensitively estimated by quantifying relative force control outcome measures that may reflect age-related muscle weakness as compared with absolute measurements.

Are social interactions perceived as more meaningful in older adulthood?

Social relationships accompany us throughout adulthood and are among the most important sources of meaning in a person's life. However, little is known about age differences in meaningfulness of social interactions across adulthood. According to socioemotional selectivity theory, as people age, they develop relatively stronger preferences for social relationships that are emotionally meaningful. Consequently, older adults may perceive social interactions in everyday life as more meaningful than younger adults. To test this hypothesis, the present study examined age-related differences in the perceived meaningfulness of daily social interactions using experience sampling data. Three-hundred six participants (56.9% women, 18-88 years) completed a total of 6,407 entries over 3 days. Results of the multilevel analyses showed that age was positively associated with perceived meaningfulness of daily social interactions, controlling for relationship closeness and situation valence. In addition, the perceived meaningfulness of daily social interactions was positively related to subjective well-being both between and within all participants, indicating that meaningful social interactions are beneficial for well-being regardless of age. Thus, perceiving social interactions as meaningful could be one way that older people maintain a high level of well-being in their daily lives. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Association between Low Calorie Sweetener Consumption Pattern, Anthropometric Indices, and Nutritional Status among Adults’ Males and Females in Calabar Municipality, Nigeria

Aim: This study aimed to investigate the association between low-calorie sweetener (LCS) consumption patterns, anthropometric indices, and nutritional status among adults and women in Calabar Municipality, Nigeria. Study Design; A cross-sectional Analytical design was conducted among 335 participants, selected by multistage sampling technique. Methodology: Dietary assessment using 24hrs recall, anthropometrics measures and socio-demographic characteristics data were collected using pretested questionnaire. The collected data were entered in to Microsoft Excel and exported to SPSS for further statistical analysis. Chi-square test at 95% confidence interval (CI) was used to quantify independent variables of nutritional indices. Using WHO-reference-2010, height, weight and BMI were measured Results: Over 40 products containing LCS were classified into five groups. Carbonated beverages were most consumed, while energy drinks were least consumed. Aspartame was the most commonly used LCS. Young single adults aged 20-35, mostly students, consumed LCS-containing products more frequently than other adults. The overall prevalence of LCS consumption was 58.1%, (moderate), with participants consuming an LCS containing beverage, at least three times a week at an estimated quantity of 1 liter. There was statistical significance (P=.05) differences in weight, waist circumference and hip circumference between men and women. The BMI for men and women were of 22.6 ± 0.9 and 21.0 ± 1.0 kg/m2, respectively. The BMI categories of the study participants were as follows; underweight (3.9%), normal weight (65.7) overweight (28.1) and obese (2.3%). The prevalence of abnormal waist-to-hip ratio was reported, with a significant (P=.05) association between LCS consumption and BMI. Bivariate analysis of LCS consumption and socio-demographic variables found significant association between variables such as gender, age, monthly income and educational level at P=.05. Multivariate logistic regression analysis identified age, income, and BMI as predictors of LCS intake. Conclusion: The study showed that the consumption pattern exists among the adults in terms of age category and gender. Consumption of LCS beverages was mostly moderate, on average around thrice per week and was influenced by demographic factors such as gender, age, and socioeconomic status.

Treatment of anterior knee pain due to chondromalacia patellae with platelet-rich plasma and hyaluronic acid in young and middle-aged adults, a cohort study.

Anterior knee pain commonly affects young women resulting in the declination of the quality of life. One of the possible pathologies causing this symptom is chondromalacia patellae (CMP). Although CMP is used to describe the softening of patellar articular cartilage, it remains a general descriptive term as it cannot be associated with a specific pathophysiologic mechanism. The objective of this study is to investigate the effect of injectable PRP on patients with anterior knee pain in absence of altered patellofemoral joint anatomy. For this purpose, 43 patients of the affected population were recruited to participate in this non-randomized controlled trial, 28 patients in the injection group and 15 in the only-physiotherapy group. While patients in the experimental group received three PRP injections and one injection of hyaluronic acid (HA), comparators received the standard physical therapy regimen. The treatment choice was based on patients own decree. Patients between the ages of 18 to 50 years with anterior knee pain and positive Clarke´s sign were eligible for inclusion. Patients with evident anatomical abnormalities, chronic conditions affecting the knee and severe symptoms such as blocking, were excluded from the study. Patient related measures (PROMS) in the form of the VAS and the Kujala scores were the main outcome of interest. All outcomes were measured at baseline, and after 3 and 6 months after the treatment. Although an improvement was seen in both groups, a statistically significant difference favoring the injection of PRP over the physiotherapy-only group was observed (p < 0.001). The superiority of the therapeutic modality under investigation was observed at 3 and 6 months after the initial diagnosis was made. Furthermore, the results of this study revealed a significant improvement at 3 and 6 months when compared to baseline measures. The analysis of the patients age showed a negative correlation when baseline values were compared to measures at 3 and 6 months, meaning younger patients had more benefit from the treatment. The main results of this study affirm the positive effects of PRP and HA for the treatment of anterior knee pain described by previous research and the subsequent improvement of the quality of life. Relatively little information was found in the literature search regarding the therapeutic effects of PRP on anterior knee pain and chondropathies. While a previous radiologic study found no evidence regarding the effect of PRP, this study found a benefit when comparing PROMs between patient groups.

Evaluation of the Margin of Stability during Gait Initiation in Young Healthy Adults, Elderly Healthy Adults and Patients with Parkinson’s Disease: A Comparison of Force Plate and Markerless Motion Capture Systems

Gait initiation (GI) is a functional task classically used in the literature to evaluate the capacity of individuals to maintain postural stability. Postural stability during GI can be evaluated through the “margin of stability” (MoS), a variable that is often computed from force plate recordings. The markerless motion capture system (MLS) is a recent innovative technology based on deep learning that has the potential to compute the MoS. This study tested the agreement between a force plate measurement system (FPS, gold standard) and an MLS to compute the MoS during GI. Healthy adults (young [YH] and elderly [EH]) and Parkinson’s disease patients (PD) performed GI series at spontaneous (SVC) and maximum velocity (MVC) on an FPS while being filmed by a MLS. Descriptive statistics revealed a significant effect of the group (YH vs. EH vs. PD) and velocity condition (SVC vs. MVC) on the MoS but failed to reveal any significant effect of the system (MLS vs. PFS) or interaction between factors. Bland–Altman plot analysis further showed that mean MoS biases were zero in all groups and velocity conditions, while the Bayes factor 01 indicated “moderate evidence” that both systems provided equivalent MoS. Trial-by-trial analysis of Bland–Altman plots, however, revealed that differences of &gt;20% between the two systems did occur. Globally taken, these findings suggest that the two systems are similarly effective in detecting an effect of the group and velocity on the MoS. These findings may have important implications in both clinical and laboratory settings due to the ease of use of the MLS compared to the FPS.

Capture of emotional responses under a simulated earthquake experience using near-infrared spectroscopy and virtual reality.

In a previous study, we reported that watching two-dimensional videos of earthquakes significantly reduced sympathetic nerve activity in healthy young adults. In the present study, we aimed to investigate the emotional responses to earthquakes using immersive virtual reality (VR), which can provide a more realistic experience. In total, 24 healthy young adults (12 males, 21.4 ± 0.2 years old) participated. Participants were required to watch earthquake and neutral videos while wearing a head-mounted display and near-infrared spectroscopy (NIRS), during which physiological signals, including pulse rate and cerebral blood flow (CBF) in the dorsolateral prefrontal cortex, were measured. We also analyzed changes in sympathetic and parasympathetic indices and obtained seven emotion ratings: valence, arousal, dominance, fear, astonishment, anxiety, and panic. The VR earthquake videos evoked negative subjective emotions, and the pulse rate significantly decreased. Sympathetic nerve activity tended to decrease, whereas CBF in the left prefrontal cortex showed a slight increase, although this was not significant. This study showed that measurements combined with NIRS and immersive VR have the potential to capture emotional responses to different stimuli.

Exploring how arm movement moderates the effect of lower limb muscle fatigue on dynamic balance in healthy youth

BackgroundIn young adults, there is evidence that free arm movements do not help to compensate muscle fatigue-induced deteriorations in dynamic balance performance. However, the postural control system in youth is immature, and as a result, the use of arm movements may provide a compensatory “upper body strategy” to correct fatigue-related balance impairments. Thus, the purpose of the present study was to compare the effects of free vs. restricted arm movement on dynamic balance performance prior and following exercise-induced muscle fatigue.MethodsForty-three healthy youth (19 females; mean age: 12.8 ± 1.9 years) performed the Y Balance Test–Lower Quarter before and immediately after a fatiguing exercise (i.e., repetitive vertical bipedal box jumps until failure) using two different arm positions: free (move the arms freely) and restricted (keep the arms akimbo) arm movement.ResultsMuscle fatigue (p ≤ 0.033; 0.10 ≤ ηp2 ≤ 0.33) and restriction of arm movement (p ≤ 0.005; 0.17 ≤ ηp2 ≤ 0.46) resulted in significantly deteriorated dynamic balance performance. However, the interactions between the two did not reach the level of significance (p ≥ 0.091; 0.01 ≤ ηp2 ≤ 0.07).ConclusionOur findings indicate that the use of an “upper body strategy” (i.e., free arm position) has no compensatory effect on muscle fatigue-induced dynamic balance deteriorations in healthy youth.

Bilingualism and flexibility in task switching

Abstract This study aimed to closely replicate Wiseheart et al. (Bilingualism: Language and Cognition, 19(1), 141–146, 2016) by investigating the transferability of language-switching skills to nonlinguistic task switching. Current evidence is mixed and there is a need to conduct robust replications in this area. Bilingual (n = 31) and monolingual (n = 47) young adults characterized stimuli by either colour or shape based on a given cue. Modifications include online data collection (as opposed to in-person) and adapting the nonverbal intelligence test used. All other aspects of the study mirror those by Wiseheart et al. Results indicate that the bilinguals exhibited better cognitive flexibility in task switching, as evidenced by a reduced global switch cost compared with monolinguals. In contrast, mixed evidence was found for local switch costs. Findings mirror those reported by Wiseheart et al. and suggest that by employing comparable task-switch paradigms and recruiting samples matched on several key variables, including age, gender, variety of languages spoken, and use of English, bilingualism does seem to confer broader executive function advantages. Findings are discussed in relation to theoretical implications to inform future replication studies and advance the bilingual advantage in the switching debate.