Scholars@Duke
Miriam C. Morey

Miriam C. Morey

Professor Emeritus of Medicine
Medicine, Geriatrics and Palliative Care
miriam.morey@duke.edu
N3007 GRECC Bldg VAMC, Box 182, Durham, NC 27705

Selected Publications

Longitudinal analysis of physical function in older adults: The effects of physical inactivity and exercise training.

Journal Article Aging Cell · January 2024 Lack of exercise contributes to systemic inflammation and is a major cause of chronic disease. The long-term impact of initiating and sustaining exercise in late life, as opposed to sustaining a sedentary lifestyle, on whole-body health measures such as ph ... Full text Link to item Cite

Ageing and physical resilience after health stressors.

Journal Article Stress Health · September 2023 The objectives of this article are to introduce a conceptual framework for physical resilience in the context of ageing and to discuss key elements and challenges in the design of studies of physical resilience after health stressors. Advancing age is asso ... Full text Link to item Cite

Physical Function Effects of Live Video Group Exercise Interventions for Older Adults: A Systematic Review and Veteran's Gerofit Group Case Study.

Journal Article Telemed J E Health · June 2023 Background: Literature on telehealth interventions for older adults has been primarily on asynchronous interventions. During the COVID-19 pandemic, older adult exercise programs transitioned to an online format. This systematic review and case study examin ... Full text Link to item Cite

VA's enduring commitment to veterans.

Journal Article J Am Geriatr Soc · November 2022 Full text Link to item Cite

Geriatric Assessment Reveals Actionable Impairments in Hematopoietic Stem Cell Transplantation Candidates Age 18 to 80 Years.

Journal Article Transplant Cell Ther · August 2022 Allogeneic hematopoietic stem cell transplantation (HCT) is a potentially curative treatment for both malignant and nonmalignant hematologic diseases; however, reported rates of treatment-related mortality approach 30%. Outcomes are worse in patients who b ... Full text Link to item Cite

Cost and Quality of Life Outcomes of the STepped Exercise Program for Patients With Knee OsteoArthritis Trial.

Journal Article Value Health · April 2022 OBJECTIVES: This study aimed to evaluate the cost-effectiveness of the randomized clinical trial STEP-KOA (STepped Exercise Program for patients with Knee OsteoArthritis). METHODS: The trial included 230 intervention and 115 control participants from 2 Vet ... Full text Link to item Cite

The Sickle Cell Disease Functional Assessment (SCD-FA) tool: a feasibility pilot study.

Journal Article Pilot and feasibility studies · March 2022 BackgroundThe life expectancy for individuals with sickle cell disease (SCD) has greatly increased over the last 50 years. Adults with SCD experience multiple complications such as cardiopulmonary disease, strokes, and avascular necrosis that lead ... Full text Open Access Cite

Diet quality and exercise in older veterans with PTSD: a pilot study.

Journal Article Transl Behav Med · December 14, 2021 Older veterans with posttraumatic stress disorder (PTSD) are at increased risk of obesity and cardiometabolic disease. Physical activity and healthy eating are two behaviors that impact health, functional independence, and disease risk in later life, yet f ... Full text Open Access Link to item Cite

Reliability of Virtual Physical Performance Assessments in Veterans During the COVID-19 Pandemic.

Journal Article Arch Rehabil Res Clin Transl · September 2021 OBJECTIVE: To determine the reliability of 3 physical performance tests performed via a telehealth visit (30-s arm curls test, 30-s chair stand test, 2-min step test) among community-dwelling older veterans. DESIGN: Cross sectional study. SETTING: Virtual. ... Full text Link to item Cite

Towards "mobility is medicine": Socioecological factors and hospital mobility in older adults.

Journal Article J Am Geriatr Soc · July 2021 BACKGROUND: Understanding the factors that influence hospital mobility, especially in the context of a heightened focus on falls prevention, is needed to improve care. OBJECTIVE: This qualitative study uses a socioecological framework to explore factors th ... Full text Link to item Cite

PTSD Improvement Associated with Social Connectedness in Gerofit Veterans Exercise Program.

Journal Article J Am Geriatr Soc · April 2021 OBJECTIVE: Post-traumatic stress disorder (PTSD) is common in Veterans. Symptoms can perpetuate into late life, negatively impacting physical and mental health. Exercise and social support are beneficial in treating anxiety disorders such as PTSD in the ge ... Full text Link to item Cite

Stepped Exercise Program for Patients With Knee Osteoarthritis : A Randomized Controlled Trial.

Journal Article Ann Intern Med · March 2021 BACKGROUND: Evidence-based models are needed to deliver exercise-related services for knee osteoarthritis efficiently and according to patient needs. OBJECTIVE: To examine a stepped exercise program for patients with knee osteoarthritis (STEP-KOA). DESIGN: ... Full text Link to item Cite

Assessing Moderate to Vigorous Physical Activity in Older Adults: Validity of a Commercial Activity Tracker.

Journal Article Front Sports Act Living · 2021 Purpose: Despite the potential for commercial activity devices to promote moderate to vigorous physical activity (MVPA), limited information is available in older adults, a high-priority target population with unique gait dynamics and energy expenditure. T ... Full text Link to item Cite

Warrior Wellness: A Randomized Controlled Pilot Trial of the Effects of Exercise on Physical Function and Clinical Health Risk Factors in Older Military Veterans With PTSD.

Journal Article J Gerontol A Biol Sci Med Sci · October 15, 2020 BACKGROUND: Military veterans living with post-traumatic stress disorder (PTSD) face significant physical and functional health disparities, which are often aggravated over time and in the context aging. Evidence has shown that physical activity can positi ... Full text Open Access Link to item Cite

Developing Predictors of Long-Term Adherence to Exercise Among Older Veterans and Spouses.

Journal Article J Appl Gerontol · October 2020 Behavior change theory was used to explore predictors of long-term adherence (≥2 years) to exercise. A retrospective analysis of data from participants (N = 97) who reached a 6-month follow-up, which served as the baseline, was evaluated for completion of ... Full text Open Access Link to item Cite

Pilot randomized controlled trial of exercise training for older veterans with PTSD.

Journal Article J Behav Med · August 2020 Exercise training positively impacts mental health, yet remains untested in older adults with posttraumatic stress disorder (PTSD). We conducted a randomized controlled pilot trial to test the feasibility and acceptability of exercise training in older vet ... Full text Open Access Link to item Cite

Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis.

Journal Article J Aging Phys Act · April 24, 2020 This study describes the availability of physical activity information in the electronic health record, explores how electronic health record documentation correlates with accelerometer-derived physical activity data, and examines whether measured physical ... Full text Link to item Cite

Accelerometer-Measured Hospital Physical Activity and Hospital-Acquired Disability in Older Adults.

Journal Article J Am Geriatr Soc · February 2020 BACKGROUND: Hospital-acquired disability (HAD) is common and often related to low physical activity while in the hospital. OBJECTIVE: To examine whether wearable hospital activity trackers can be used to predict HAD. DESIGN: A prospective observational stu ... Full text Link to item Cite

An innovative educational clinical experience promoting geriatric exercise.

Journal Article Gerontology & geriatrics education · January 2020 Formal educational training in physical activity promotion is relatively sparse throughout the medical education system. The authors describe an innovative clinical experience in physical activity directed at medical clinicians on a geriatrics rotation. Th ... Full text Cite

Geriatric assessment for older adults with sickle cell disease: protocol for a prospective cohort pilot study.

Journal Article Pilot and feasibility studies · January 2020 BackgroundThe life expectancy for people with sickle cell disease (SCD) has improved tremendously over the last 50 years. This population experiences hemolysis and vaso-occlusion in multiple organs that lead to complications such as cardiopulmonar ... Full text Cite

Impact of Supervised Exercise on One-Year Medication Use in Older Veterans with Multiple Morbidities.

Journal Article Gerontol Geriatr Med · 2020 Exercise is touted as the ideal prescription to treat and prevent many chronic diseases. We examined changes in utilization and cost of medication classes commonly prescribed in the management of chronic conditions following participation in 12-months of s ... Full text Link to item Cite

Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19.

Journal Article Gerontol Geriatr Med · 2020 Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. Th ... Full text Open Access Link to item Cite

Mobility Improvements are Found in Older Veterans After 6-Months of Gerofit Regardless of BMI Classification.

Journal Article J Aging Phys Act · December 1, 2019 Veterans represent a unique population of older adults as they are more likely to self-report disability and be overweight or obese compared to the general population. We sought to compare changes in mobility function across the obesity spectrum in older V ... Full text Link to item Cite

Effects of cancer history on functional age and mortality.

Journal Article Cancer · December 1, 2019 BACKGROUND: Cancer, its treatment, and associated adverse effects may accelerate the functional aging of cancer survivors. In the current study, the authors used geriatric assessment (GA) to compare the functional age of long-term cancer survivors with tha ... Full text Link to item Cite

Prevalence of Activity Limitations and Association with Multimorbidity Among US Adults 50 to 64 Years Old.

Journal Article J Gen Intern Med · November 2019 BACKGROUND: Functional limitations may be more common in middle-aged adults than previously recognized. However, there are few published data on the prevalence of activity limitations, and their association with multimorbidity, among adults 50 to 64 years ... Full text Link to item Cite

Association of Neurocognitive and Physical Function With Gait Speed in Midlife.

Journal Article JAMA Netw Open · October 2, 2019 IMPORTANCE: Gait speed is a well-known indicator of risk of functional decline and mortality in older adults, but little is known about the factors associated with gait speed earlier in life. OBJECTIVES: To test the hypothesis that slow gait speed reflects ... Full text Link to item Cite

STepped exercise program for patients with knee OsteoArthritis (STEP-KOA): protocol for a randomized controlled trial.

Journal Article BMC Musculoskelet Disord · May 28, 2019 BACKGROUND: Physical therapy (PT) and other exercise-based interventions are core components of care for knee osteoarthritis (OA), but both are underutilized, and some patients have limited access to PT services. This clinical trial is examining a STepped ... Full text Open Access Link to item Cite

Physical Function Does Not Predict Care Assessment Need Score in Older Veterans.

Journal Article J Appl Gerontol · March 2019 Objective: The Veterans Health Administration's Care Assessment Need (CAN) score is a statistical model, aimed to predict high-risk patients. We were interested in determining if a relationship existed between physical function and CAN scores. Method: Seve ... Full text Link to item Cite

Age-Related Adverse Inflammatory and Metabolic Changes Begin Early in Adulthood.

Journal Article J Gerontol A Biol Sci Med Sci · February 15, 2019 Aging is characterized by deleterious immune and metabolic changes, but the onset of these changes is unknown. We measured immune and metabolic biomarkers in adults beginning at age 30. To our knowledge, this is the first study to evaluate these biomarkers ... Full text Open Access Link to item Cite

Low Levels of Physical Activity Among Older Persons Living with HIV/AIDS Are Associated with Poor Physical Function.

Journal Article AIDS Res Hum Retroviruses · November 2018 Antiretroviral therapy (ART) has prolonged lives of persons living with HIV/AIDS (PLWHA), resulting in greater incidence of aging-related diseases and disability. Physical activity (PA) is recommended for healthy aging, but little is known about PA in olde ... Full text Link to item Cite

Providing Rural Veterans With Access to Exercise Through Gerofit.

Journal Article Fed Pract · November 2018 Clinical video telehealth can be used to deliver functional circuit exercise training to older veterans in remote locations. ... Link to item Cite

Combined Inflammation and Metabolism Biomarker Indices of Robust and Impaired Physical Function in Older Adults.

Journal Article J Am Geriatr Soc · July 2018 OBJECTIVES: To determine whether combinations of inflammatory markers are related to physical function. DESIGN AND SUBJECTS: secondary analysis of baseline of three observational studies of community-dwelling older adults MEASUREMENTS: The baseline data fr ... Full text Open Access Link to item Cite

Automated versus Manual Data Extraction of the Padua Prediction Score for Venous Thromboembolism Risk in Hospitalized Older Adults.

Journal Article Appl Clin Inform · July 2018 OBJECTIVE: Venous thromboembolism (VTE) prophylaxis is an important consideration for hospitalized older adults, and the Padua Prediction Score (PPS) is a risk prediction tool used to prioritize patient selection. We developed an automated PPS (APPS) algor ... Full text Link to item Cite

Should Structured Exercise Be Promoted As a Model of Care? Dissemination of the Department of Veterans Affairs Gerofit Program.

Journal Article J Am Geriatr Soc · May 2018 Exercise provides a wide range of health-promoting benefits, but support is limited for clinical programs that use exercise as a means of health promotion. This stands in contrast to restorative or rehabilitative exercise, which is considered an essential ... Full text Link to item Cite

Is objective mobility data associated with pharmacologic venous thromboembolism (VTE) prophylaxis use among hospitalized older adults?

Conference Journal of Hospital Medicine · April 10, 2018 Background: Clinical practice guidelines state that mobility is supposed to play an important role in determining use and duration of pharmacologic VTE prophylaxis. This study examines whether measured mobility levels relate to pharmacologic VTE prophylaxi ... Open Access Link to item Cite

Effects of Structured Exercise Interventions for Older Adults Hospitalized With Acute Medical Illness: A Systematic Review.

Journal Article J Aging Phys Act · April 1, 2018 This review examined effects of structured exercise (aerobic walking, with or without complementary modes of exercise) on cardiorespiratory measures, mobility, functional status, healthcare utilization, and quality of life in older adults (≥60 years) hospi ... Full text Link to item Cite

The Warrior Wellness Study: A Randomized Controlled Exercise Trial for Older Veterans with PTSD.

Journal Article Transl J Am Coll Sports Med · March 15, 2018 Posttraumatic stress disorder (PTSD) affects up to 30% of military veterans. Older veterans, many of whom have lived with PTSD symptoms for several decades, report a number of negative health outcomes. Despite the demonstrated benefits of regular exercise ... Full text Open Access Link to item Cite

The Impact of Multiple Dimensions of Socioeconomic Status on Physical Functioning Across the Life Course.

Journal Article Gerontol Geriatr Med · 2018 Objective: We used the Physical Performance Across the LifeSpan Study to investigate the relationships of multiple indicators of socioeconomic status (SES), both in early life and late life, with physical function. Method: We examined associations between ... Full text Open Access Link to item Cite

Physical Activity Trackers: Promising Tools to Promote Resilience in Older Surgical Patients.

Journal Article J Surg (Lisle) · 2018 OBJECTIVES: Impending surgery presents a high risk for older adults given their vulnerability to adverse outcomes. New approaches to peri-operative care bring together surgeons, geriatricians, and other Multidisciplinary specialties to co-manage the geriat ... Full text Link to item Cite

Physical Performance Across the Adult Life Span: Correlates With Age and Physical Activity.

Journal Article J Gerontol A Biol Sci Med Sci · April 1, 2017 BACKGROUND: A number of large-scale population studies have provided valuable information about physical performance in aged individuals; however, there is little information about trajectories of function and associations with age across the adult life sp ... Full text Link to item Cite

Economic Analysis of Primary Care-Based Physical Activity Counseling in Older Men: The VA-LIFE Trial.

Journal Article J Am Geriatr Soc · March 2017 OBJECTIVES: To perform an economic evaluation of a primary care-based physical activity counseling intervention that improved physical activity levels and rapid gait speed in older veterans. DESIGN: Secondary objective of randomized trial that assessed the ... Full text Open Access Link to item Cite

Diminished physical function in older HIV-infected adults in the Southeastern U.S. despite successful antiretroviral therapy.

Journal Article PLoS One · 2017 BACKGROUND: As antiretroviral therapy efficacy improves, HIV is gradually being recognized more as a chronic disease within the aging HIV-infected population. While these individuals are surviving into old age, they may, however, be experiencing "accelerat ... Full text Link to item Cite

Association of Plasma Small-Molecule Intermediate Metabolites With Age and Body Mass Index Across Six Diverse Study Populations.

Journal Article J Gerontol A Biol Sci Med Sci · November 2016 BACKGROUND: Older age and obesity are associated with metabolic dysregulation; the mechanism by which these factors impact metabolism across the lifespan is important, but relatively unknown. We evaluated a panel of amino acids (AAs) and acylcarnitines (AC ... Full text Link to item Cite

Physical resilience of older cancer survivors: An emerging concept.

Journal Article J Geriatr Oncol · November 2016 OBJECTIVES: To characterize factors contributing to physical resilience in older cancer survivors, as demonstrated by resistance to decline or recovery (resilience). MATERIALS AND METHODS: We conducted a secondary analysis of data from a randomized control ... Full text Link to item Cite

Physical Activity Counseling Promotes Physical and Psychological Resilience in Older Veterans with Posttraumatic Stress Disorder.

Journal Article Ment Health Phys Act · October 2016 UNLABELLED: Individuals with posttraumatic stress disorder (PTSD) have elevated rates of morbidity, and a sedentary lifestyle can cause and aggravate the physical health needs of adults with PTSD. The primary aim of this paper was to explore the impact of ... Full text Open Access Link to item Cite

A New Method of Identifying Characteristics of Needing Help to Take Medications in an Older Representative Community-Dwelling Population: The Older Adults Medication Assist Scale.

Journal Article J Am Geriatr Soc · June 2016 OBJECTIVES: To determine the sociodemographic characteristics, health conditions, and cognitive and functional status associated with baseline prevalence and new need for help taking medication 3 years later and to construct a brief scale indicative of nee ... Full text Link to item Cite

Automated versus manual data extraction of venous thromboembolism risk among hospitalized older adults

Conference Journal of the American Geriatrics Society, Special Issue 2016: Annual Scientific Meeting Abstract Book · April 22, 2016 Full text Link to item Cite

Physical Resilience in Older Adults: Systematic Review and Development of an Emerging Construct.

Journal Article J Gerontol A Biol Sci Med Sci · April 2016 BACKGROUND: Resilience has been described in the psychosocial literature as the capacity to maintain or regain well-being during or after adversity. Physical resilience is a newer concept that is highly relevant to successful aging. Our objective was to ch ... Full text Link to item Cite

Endothelial Progenitor Cell Levels Predict Future Physical Function: An Exploratory Analysis From the VA Enhanced Fitness Study.

Journal Article J Gerontol A Biol Sci Med Sci · March 2016 BACKGROUND: Levels of circulating progenitor cells (CPCs) are depleted with aging and chronic injury and are associated with level of physical functioning; however, little is known about the correlation of CPCs with longer-term measures of physical capabil ... Full text Link to item Cite

A Novel Analytic Technique to Measure Associations Between Circulating Biomarkers and Physical Performance Across the Adult Life Span.

Journal Article J Gerontol A Biol Sci Med Sci · February 2016 Understanding associations between circulating biomarkers and physical performance across the adult life span could aid in better describing mechanistic pathways leading to disability. We hypothesized that high concentrations of circulating biomarkers woul ... Full text Link to item Cite

Group trajectory analysis helps to identify older cancer survivors who benefit from distance-based lifestyle interventions.

Journal Article Cancer · December 15, 2015 BACKGROUND: The number of older cancer survivors is increasing as more adults survive to older ages. The objectives of this study were to examine trajectories of physical activity (PA) and physical function (PF) over a 2-year lifestyle counseling study and ... Full text Link to item Cite

Symptoms, weight loss, and physical function in a lifestyle intervention study of older cancer survivors.

Journal Article J Geriatr Oncol · November 2015 OBJECTIVES: Many older cancer survivors are overweight or obese, with additional illness burden increasing functional decline, which may affect their ability to engage in lifestyle interventions. This study examined how overweight long-term survivors' symp ... Full text Link to item Cite

A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care.

Journal Article J Telemed Telecare · April 2015 We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans ... Full text Link to item Cite

Symptoms, weight loss and physical function in a lifestyle intervention study of older cancer survivors.

Journal Article Cancer Epidemiol Biomarkers Prev · April 2015 Cancer is most often a disease of aging, and frequently, a disease for which obesity serves as a risk factor. Thus, many cancer survivors are older, overweight or obese, with higher illness burden, symptoms, and comorbidities. Against this backdrop, surviv ... Full text Link to item Cite

Integration of the FallProof Balance Program into the Gerofit Veterans Fitness Program

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2015 Link to item Cite

Differences between completely physically inactive and low active older men and their response to an exercise intervention: the Veterans LIFE study.

Journal Article Healthy Aging Res · 2015 BACKGROUND: Physical activity interventions typically do not report behavioral changes in activity sub-groups. The aim of this study was to compare baseline differences and changes in physical activity between truly physically inactive men and low active m ... Full text Open Access Link to item Cite

Activity-related energy expenditure in older adults: a call for more research.

Journal Article Med Sci Sports Exerc · December 2014 The purposes of this article were to 1) provide an overview of the science of physical activity-related energy expenditure in older adults (≥65 yr), 2) offer suggestions for future research and guidelines for how scientists should be reporting their result ... Full text Link to item Cite

Assisted early mobility for hospitalized older veterans: preliminary data from the STRIDE program.

Journal Article J Am Geriatr Soc · November 2014 An important contributor to hospital-associated disability is immobility during hospitalization. Preliminary results from STRIDE, a clinical demonstration program of supervised walking for older adults admitted to the hospital with medical illness, are rep ... Full text Link to item Cite

Diet and exercise intervention adherence and health-related outcomes among older long-term breast, prostate, and colorectal cancer survivors.

Journal Article Ann Behav Med · October 2014 BACKGROUND: Diet and exercise interventions for cancer survivors result in health benefits; however, few studies have examined health outcomes in relation to adherence. PURPOSE: We examined associations between adherence to components of a diet-exercise in ... Full text Link to item Cite

Light-intensity activity attenuates functional decline in older cancer survivors.

Journal Article Med Sci Sports Exerc · July 2014 UNLABELLED: While moderate- to vigorous-intensity physical activities (MVPA) confer the greatest health benefits, evidence suggests that light-intensity activities are also beneficial, particularly for older adults and individuals with moderate to severe c ... Full text Link to item Cite

PHYSICAL ACTIVITY COUNSELING IMPROVES HEALTH IN OLDER VETERANS WITH PTSD

Journal Article ANNALS OF BEHAVIORAL MEDICINE · April 1, 2014 Link to item Cite

The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction.

Journal Article Telemed J E Health · February 2014 BACKGROUND: Hypertension, hyperlipidemia, and diabetes are significant, but often preventable, contributors to cardiovascular disease (CVD) risk. Medication and behavioral nonadherence are significant barriers to successful hypertension, hyperlidemia, and ... Full text Link to item Cite

A pilot study of partial unweighted treadmill training in mobility-impaired older adults.

Journal Article Biomed Res Int · 2014 BACKGROUND: Partial unweighted treadmill training is a potentially effective modality for improving fitness and function in frail elders. We tested the feasibility of partial unweighted treadmill training in older, mobility-impaired veterans. METHODS: Eigh ... Full text Link to item Cite

PTSD is negatively associated with physical performance and physical function in older overweight military Veterans.

Journal Article J Rehabil Res Dev · 2014 This study examines the effect of posttraumatic stress disorder (PTSD) on function and physical performance in older overweight military Veterans with comorbid conditions. This is a secondary data analysis of older Veterans (mean age = 62.9 yr) participati ... Full text Open Access Link to item Cite

A home-based telerehabilitation randomized trial for stroke care: Effects on falls self-efficacy and satisfaction with care

Journal Article 2014 International Conference on Collaboration Technologies and Systems, CTS 2014 · January 1, 2014 We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care in stroke patients. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans ... Full text Cite

Lower levels of circulating progenitor cells are associated with low physical function and performance in elderly men with impaired glucose tolerance: a pilot substudy from the VA Enhanced Fitness trial.

Journal Article J Gerontol A Biol Sci Med Sci · December 2013 BACKGROUND: Aging is marked by a decline in physical function. Although the biological underpinnings for this remain unclear, loss of regenerative capacity has been proposed as one cause of the loss of physical function that occurs over time. The quantity ... Full text Link to item Cite

Telemedicine cardiovascular risk reduction in veterans.

Journal Article Am Heart J · April 2013 BACKGROUND: Patients with co-occurrence of hypertension, hyperlipidemia, and diabetes have an increased risk of cardiovascular disease (CVD) events. Comprehensive programs addressing both tailored patient self-management and pharmacotherapy are needed to a ... Full text Open Access Link to item Cite

METs and accelerometry of walking in older adults: standard versus measured energy cost.

Journal Article Med Sci Sports Exerc · March 2013 PURPOSE: This study aimed to measure the metabolic cost (METs) of walking activities in older adults, to examine the relationship between accelerometer output and METs across walking activities, and to compare measured MET values in older adults with the M ... Full text Link to item Cite

Depletion of circulating progenitor cells precedes overt diabetes: a substudy from the VA enhanced fitness trial.

Journal Article J Diabetes Complications · 2013 BACKGROUND: One theory of aging and disease development is that chronic injury (pathology) results in activation of regenerative processes and initial repair, with overt disease arising only after exhaustion of reparative capability leads to inadequate rep ... Full text Link to item Cite

Enhanced fitness: a randomized controlled trial of the effects of home-based physical activity counseling on glycemic control in older adults with prediabetes mellitus.

Journal Article J Am Geriatr Soc · September 2012 OBJECTIVES: To determine whether a home-based multicomponent physical activity counseling (PAC) intervention is effective in reducing glycemic measures in older outpatients with prediabetes mellitus. DESIGN: Controlled clinical trial. SETTING: Primary care ... Full text Open Access Link to item Cite

Effects of telerehabilitation on physical function and disability for stroke patients: a randomized, controlled trial.

Journal Article Stroke · August 2012 BACKGROUND AND PURPOSE: To determine the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on physical function, and secondarily on disability, in veterans poststroke. METHODS: We conducted a prospective, randomized, multisite, singl ... Full text Link to item Cite

Reach out to enhance wellness home-based diet-exercise intervention promotes reproducible and sustainable long-term improvements in health behaviors, body weight, and physical functioning in older, overweight/obese cancer survivors.

Journal Article J Clin Oncol · July 1, 2012 PURPOSE: Diet and exercise interventions have been tested in cancer survivors as a means to reduce late effects and comorbidity, but few have assessed adherence and health outcomes long term. METHODS: Between July 2005 and May 2007, the Reach Out to Enhanc ... Full text Link to item Cite

Dietary patterns differ between urban and rural older, long-term survivors of breast, prostate, and colorectal cancer and are associated with body mass index.

Journal Article J Acad Nutr Diet · June 2012 BACKGROUND: Older adult cancer survivors are at greater risk of cancer recurrence and other comorbidities that can be prevented through improved diet and weight management. The tertiary prevention needs of rural-dwelling survivors can be even greater, yet ... Full text Link to item Cite

Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation.

Journal Article Crit Care Med · April 2012 BACKGROUND: Millions of patients who survive medical and surgical general intensive care unit care every year experience newly acquired long-term cognitive impairment and profound physical and functional disabilities. To overcome the current reality in whi ... Full text Link to item Cite

Lessons learned when innovations go awry: a baseline description of a behavioral trial-the Enhancing Fitness in Older Overweight Veterans with Impaired Fasting Glucose study.

Journal Article Transl Behav Med · November 2011 Individuals diagnosed with impaired glucose tolerance (i.e., prediabetes) are at increased risk for developing diabetes. We proposed a clinical trial with a novel adaptive randomization designed to examine the impact of a home-based physical activity (PA) ... Full text Open Access Link to item Cite

Postpartum physical activity in overweight and obese women.

Journal Article J Phys Act Health · September 2011 BACKGROUND: Low physical activity (PA) during the postpartum period is associated with weight retention. While patterns of PA have been examined in normal weight women during this period, little is known about PA among overweight and obese women. The aim o ... Full text Link to item Cite

Plasma acylcarnitines are associated with physical performance in elderly men.

Journal Article J Gerontol A Biol Sci Med Sci · May 2011 BACKGROUND: Metabolic profiling might provide insight into the biologic underpinnings of disability in older adults. METHODS: A targeted mass spectrometry-based platform was used to identify and quantify 45 plasma acylcarnitines in 77 older men with a mean ... Full text Link to item Cite

Long-term changes in physical activity following a one-year home-based physical activity counseling program in older adults with multiple morbidities.

Journal Article J Aging Res · December 26, 2010 This study assessed the sustained effect of a physical activity (PA) counseling intervention on PA one year after intervention, predictors of sustained PA participation, and three classes of post-intervention PA trajectories (improvers, maintainers, and de ... Full text Open Access Link to item Cite

Physical activity and adherence

Journal Article · December 1, 2010 There is abundant evidence supporting the health benefits of physical activity, including reduced risk for cardiovascular disease, stroke, some cancers, type 2 diabetes, osteoporosis, hypertension, high cholesterol, obesity, osteoarthritis, and all-cause m ... Full text Cite

Individual progress toward self-selected goals among older adults enrolled in a physical activity counseling intervention.

Journal Article J Aging Phys Act · October 2010 The purpose of this study was to examine what happens to goals over the course of a physical activity counseling trial in older veterans. At baseline, participants (N = 313) identified 1 health-related goal and 1 walking goal for their participation in the ... Full text Link to item Cite

Walking in old age and development of metabolic syndrome: the health, aging, and body composition study.

Journal Article Metab Syndr Relat Disord · August 2010 BACKGROUND: The specific health benefits of meeting physical activity guidelines are unclear in older adults. We examined the association between meeting, not meeting, or change in status of meeting physical activity guidelines through walking and the 5-ye ... Full text Open Access Link to item Cite

Study protocol: home-based telehealth stroke care: a randomized trial for veterans.

Journal Article Trials · June 30, 2010 BACKGROUND: Stroke is one of the most disabling and costly impairments of adulthood in the United States. Stroke patients clearly benefit from intensive inpatient care, but due to the high cost, there is considerable interest in implementing interventions ... Full text Open Access Link to item Cite

Change in goal ratings as a mediating variable between self-efficacy and physical activity in older men.

Journal Article Ann Behav Med · June 2010 BACKGROUND: Few studies have examined the associations between exercise self-efficacy, goals, and physical activity over time. PURPOSE: This study examines whether self-selected goals mediate the changes in exercise self-efficacy on physical activity over ... Full text Open Access Link to item Cite

The impact of self-reported arthritis and diabetes on response to a home-based physical activity counselling intervention.

Journal Article Scand J Rheumatol · May 2010 OBJECTIVES: Physical activity (PA) has the potential to improve outcomes in both arthritis and diabetes, but these conditions are rarely examined together. Our objective was to explore whether persons with arthritis alone or those with both arthritis and d ... Full text Link to item Cite

Is diabetes associated with poorer self-efficacy and motivation for physical activity in older adults with arthritis?

Journal Article Scand J Rheumatol · 2010 OBJECTIVES: The primary aim was to explore whether arthritis is associated with poorer self-efficacy and motivation for, and participation in, two specific types of physical activity (PA): endurance training (ET) and strength training (ST). A further objec ... Full text Link to item Cite

Promoting healthy lifestyles in older cancer survivors to improve health and preserve function.

Journal Article J Am Geriatr Soc · November 2009 Currently, there are about 7 million cancer survivors in this country aged 65 and older, and this number is expected to increase rapidly, given trends toward aging and improvements in early detection and treatment. Unfortunately, cancer survivors are at ri ... Full text Link to item Cite

Active Mothers Postpartum: a randomized controlled weight-loss intervention trial.

Journal Article Am J Prev Med · September 2009 BACKGROUND: Pregnancy may contribute to overweight and obesity. PURPOSE: The primary objective of Active Mothers Postpartum was to promote a reduction in BMI through 24-months postpartum via sustainable lifestyle changes. DESIGN: Behavioral intervention RC ... Full text Link to item Cite

Associations between lifestyle factors and quality of life among older long-term breast, prostate, and colorectal cancer survivors.

Journal Article Cancer · September 1, 2009 BACKGROUND: Older cancer survivors are at increased risk for secondary cancers, cardiovascular disease, obesity, and functional decline and, thus, may benefit from health-related interventions. However, to the authors' knowledge, little is known regarding ... Full text Link to item Cite

The Veterans Learning to Improve Fitness and Function in Elders Study: a randomized trial of primary care-based physical activity counseling for older men.

Journal Article J Am Geriatr Soc · July 2009 OBJECTIVES: To determine the effects of primary care-based, multicomponent physical activity counseling (PAC) promoting physical activity (PA) guidelines on gait speed and related measures of PA and function in older veterans. DESIGN: Randomized controlled ... Full text Link to item Cite

Prospective study of associations among positive emotion and functional status in older patients with coronary artery disease.

Journal Article J Gerontol B Psychol Sci Soc Sci · June 2009 We examined associations between positive emotion (PE) and functional status (Duke Activity Status Inventory) in 948 coronary artery disease (CAD) patients (35.1% women; age M = 70.1 years, SD = 6.3). Emotion and function measures were gathered during hosp ... Full text Link to item Cite

Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors: RENEW: a randomized controlled trial.

Journal Article JAMA · May 13, 2009 CONTEXT: Five-year survival rates for early stage colorectal, breast, and prostate cancer currently exceed 90% and are increasing. Cancer survivors are at greater risk for second malignancies, other comorbidities, and accelerated functional decline. Lifest ... Full text Link to item Cite

Effects of an oral growth hormone secretagogue in older adults.

Journal Article J Clin Endocrinol Metab · April 2009 CONTEXT: GH secretion declines with age, possibly contributing to reduced muscle mass, strength, and function. GH secretagogues (GHS) may increase muscle mass and physical performance. OBJECTIVES/DESIGN: We conducted a randomized, double-masked, placebo-co ... Full text Link to item Cite

Reach out to ENhancE Wellness in Older Cancer Survivors (RENEW): design, methods and recruitment challenges of a home-based exercise and diet intervention to improve physical function among long-term survivors of breast, prostate, and colorectal cancer.

Journal Article Psychooncology · April 2009 OBJECTIVE: Cure rates for cancer are increasing, especially for breast, prostate, and colorectal cancer. Despite positive trends in survivorship, a cancer diagnosis can trigger accelerated functional decline that can threaten independence, reduce quality-o ... Full text Link to item Cite

Correlation between symptoms and function in older adults with comorbidity.

Journal Article J Am Geriatr Soc · April 2009 OBJECTIVES: To describe the relationship between symptom scores and mobility function measures, assess whether symptom scores and disease scores are similarly associated with mobility function, and identify clusters of symptoms that are most strongly assoc ... Full text Link to item Cite

Physical activity as a preventative factor for frailty: the health, aging, and body composition study.

Journal Article J Gerontol A Biol Sci Med Sci · January 2009 BACKGROUND: It is unclear if physical activity (PA) can prevent or reverse frailty. We examined different doses and types of PA and their association with the onset and severity of frailty. METHODS: Health, Aging and Body Composition (Health ABC) study par ... Full text Link to item Cite

Active Mothers Postpartum (AMP): rationale, design, and baseline characteristics.

Journal Article J Womens Health (Larchmt) · December 2008 BACKGROUND: Pregnancy and the postpartum period have been suggested as important contributors to overweight and obesity among women. This paper presents the design, rationale, and baseline participant characteristics of a randomized controlled intervention ... Full text Link to item Cite

Effect of physical activity guidelines on physical function in older adults.

Journal Article J Am Geriatr Soc · October 2008 OBJECTIVES: To determine whether elderly people who meet national guidelines have higher physical function (PF) scores than those who do not and the effect on functional trajectory when physical activity (PA) levels change from above to below this threshol ... Full text Link to item Cite

Dietary supplement use among elderly, long-term cancer survivors.

Journal Article J Cancer Surviv · September 2008 INTRODUCTION: The purpose of the present study was to assess dietary supplement use and its association with micronutrient intakes and diet quality among older (>or=65 years), long-term survivors (>or=5 years post-diagnosis) of female breast, prostate, and ... Full text Link to item Cite

Counseling for home-based walking and strength exercise in older primary care patients.

Journal Article Arch Intern Med · May 12, 2008 BACKGROUND: We evaluated the effects of counseling linked with primary care visits on walking and "strength exercise" (the combination of strength-building and flexibility exercise) in aging veterans. METHODS: Male veterans aged 60 to 85 years (N = 224) wi ... Full text Link to item Cite

Project LIFE--Learning to Improve Fitness and Function in Elders: methods, design, and baseline characteristics of randomized trial.

Journal Article J Rehabil Res Dev · 2008 Insufficient levels of physical activity have significant clinical consequences. Primary care settings typically do not emphasize physical activity counseling. We describe the design, methods, and baseline characteristics of "Learning to Improve Fitness an ... Full text Link to item Cite

Effect of telephone exercise counseling on frailty in older veterans: project LIFE.

Journal Article Am J Mens Health · December 2007 This study sought to determine if telephone exercise counseling attenuates frailty in older, male veterans through increased levels of physical activity. Eighty-one elderly, male veterans (age = 78.4 +/- 4.9 years) randomized to intervention (n = 39) or co ... Full text Link to item Cite

The Diet Quality Index-Revised: a tool to promote and evaluate dietary change among older cancer survivors enrolled in a home-based intervention trial.

Journal Article J Am Diet Assoc · September 2007 OBJECTIVE: To utilize the Diet Quality Index-Revised (DQI-R) as a framework for delivering and evaluating an intervention to improve overall diet quality among older cancer survivors. DESIGN: As part of a randomized controlled trial to improve lifestyle be ... Full text Link to item Cite

Using step activity monitoring to characterize ambulatory activity in community-dwelling older adults.

Journal Article J Am Geriatr Soc · January 2007 OBJECTIVES: To explore the potential of using step activity monitoring to detect differences in ambulatory activity associated with advancing age and declining function in community-dwelling seniors. DESIGN: Cross-sectional pilot study. SETTING: General co ... Full text Link to item Cite

Lifestyle intervention development study to improve physical function in older adults with cancer: outcomes from Project LEAD.

Journal Article J Clin Oncol · July 20, 2006 PURPOSE: Declines in physical functioning (PF) among elderly cancer patients threaten quality of life and the ability to maintain independence. Adherence to healthy lifestyle behaviors may prevent functional decline. PATIENTS AND METHODS: Project Leading t ... Full text Link to item Cite

Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses.

Journal Article J Aging Phys Act · July 2006 The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years a ... Full text Link to item Cite

Role of weight history on functional limitations and disability in late adulthood: the ARIC study.

Journal Article Obes Res · October 2005 OBJECTIVE: To examine associations of weight history with functional limitations and disability in white and African-American men and women. RESEARCH METHODS AND PROCEDURES: Data were from the Atherosclerosis Risk in Communities study (n = 11,177). Associa ... Full text Link to item Cite

Results of Project LEAD (Leading the Way in Exercise and Diet) - A trial testing an intervention of telephone-counseling and mailed materials in improving physical functioning among older breast and prostate cancer survivors.

Journal Article J Clin Oncol · June 2005 8138 Background: Declines in physical function occur with cancer, and threaten ability to maintain independence. Functional decline is a serious problem among older cancer survivors, since functional status already may be compromised. Adherence to healthy ... Link to item Cite

Walking speed predicts health status and hospital costs for frail elderly male veterans.

Journal Article J Rehabil Res Dev · 2005 This study evaluated the use of walking speed as an indicator of function and health status in acutely ill, hospitalized, older male veterans. Hospital inpatients in a Department of Veterans Affairs (VA) study of Geriatric Evaluation and Management (GEM) ( ... Full text Link to item Cite

Physical function and associations with diet and exercise: Results of a cross-sectional survey among elders with breast or prostate cancer.

Journal Article Int J Behav Nutr Phys Act · October 29, 2004 BACKGROUND: Functional decline threatens independent living and is common among individuals diagnosed with cancer, especially those who are elderly. The purpose of this study was to explore whether dietary and exercise practices are associated with physica ... Full text Open Access Link to item Cite

Physical function in sedentary and exercising older veterans as compared to national norms.

Journal Article J Rehabil Res Dev · September 2004 We examined the associations between sedentary older veterans, those regularly involved in an outpatient exercise program and physical function. Sedentary and currently exercising older veterans performed a 30 s chair-stand test and 6 min walk test as part ... Full text Link to item Cite

Trajectories of leg strength and gait speed among sedentary older adults: longitudinal pattern of dose response.

Journal Article J Gerontol A Biol Sci Med Sci · December 2003 BACKGROUND: Current theory about how an older adult's leg strength influences walking speed is based primarily on nonlinear patterns of association observed in cross-sectional data. Compared with adults with normal or high levels of leg muscle strength, we ... Full text Link to item Cite

Medical assessment for health advocacy and practical strategies for exercise initiation.

Journal Article Am J Prev Med · October 2003 The universal caution to consult your family doctor before beginning an exercise program creates an image of exercise as potentially harmful. Moreover, insistence on extensive screening prior to exercise is both unrealistic and often inappropriate for the ... Full text Link to item Cite

Improved fitness narrows the symptom-reporting gap between older men and women.

Journal Article J Womens Health (Larchmt) · May 2003 PURPOSE: Functional differences between the sexes are well documented. The causes of functional decline are complex, but in general, women report more functional decline and have a greater prevalence of disabling chronic conditions than do men. The role of ... Full text Link to item Cite

Interest in healthy diet and physical activity interventions peripartum among female partners of active duty military.

Journal Article Mil Med · April 2003 Overweight and obesity among soldiers and their dependents have increased over the last decade, mirroring rates in the general population. In general, few programs that result in sustained weight loss have been evaluated, although effective interventions c ... Link to item Cite

Leading the Way in Exercise and Diet (Project LEAD): intervening to improve function among older breast and prostate cancer survivors.

Journal Article Control Clin Trials · April 2003 The U.S. population is aging, bringing with it an increased prevalence of chronic disease and concomitant declines in physical function. The risk of developing cancer increases significantly with age, and functional decline is much more likely once a cance ... Full text Link to item Cite

Accuracy of VO2(max) prediction equations in older adults.

Journal Article Med Sci Sports Exerc · January 2003 PURPOSE: We explored the accuracy and bias of prediction equations (ACSM and Foster) in older, deconditioned men and women. We also examined the predictors of VO2(max) to further understand which variables affect respiratory fitness in the elderly. METHODS ... Full text Link to item Cite

From supervised to unsupervised exercise: Factors associated with exercise adherence

Journal Article Journal of Aging and Physical Activity · January 1, 2003 Getting older adults to initiate and maintain long-term exercise is an important public health mandate. This study is an analysis of a clinical trial of 112 sedentary adults, age 65-90 years, randomly assigned to 1 of 2 exercise interventions. We examined ... Full text Cite

Exercise adherence and 10-year mortality in chronically ill older adults.

Journal Article J Am Geriatr Soc · December 2002 OBJECTIVES: To compare mortality of adherents and nonadherents of an exercise program. DESIGN: Prospective intervention study. SETTING: Supervised geriatric fitness program called Gerofit. PARTICIPANTS: One hundred thirty-five adults aged 65 and older who ... Full text Link to item Cite

Spinal flexibility and balance control among community-dwelling adults with and without Parkinson's disease.

Journal Article J Gerontol A Biol Sci Med Sci · August 2000 BACKGROUND: One area of research that requires further elaboration is the relationship between impairments and functional limitations. By identifying specific contributors to functional limitations, it may be possible to establish intervention strategies, ... Full text Link to item Cite

Aerobic exercise training can reverse age-related peripheral circulatory changes in healthy older men.

Journal Article Circulation · September 7, 1999 BACKGROUND: The age-related decline in maximal oxygen consumption is attenuated by habitual aerobic exercise. However, the relative effects of training on central and peripheral responses to exercise in older subjects are not known. The present study asses ... Full text Link to item Cite

Spinal-flexibility-plus-aerobic versus aerobic-only training: effect of a randomized clinical trial on function in at-risk older adults.

Journal Article J Gerontol A Biol Sci Med Sci · July 1999 BACKGROUND: As exercise is associated with favorable health outcomes, impaired older adults may benefit from specialized exercise interventions to achieve gains in function. The purpose of this study was to determine the added benefit of a spinal flexibili ... Full text Link to item Cite

Reliability of physical performance tests in four different randomized clinical trials.

Journal Article Arch Phys Med Rehabil · May 1999 OBJECTIVES: (1) To assess the test-retest reliability of physical performance tests in subject groups with different levels of impairment and disability, and (2) to assess the stability of these tests over different time intervals. DESIGN: Test-retest, rep ... Full text Link to item Cite

Is there a threshold between peak oxygen uptake and self-reported physical functioning in older adults?

Journal Article Med Sci Sports Exerc · August 1998 PURPOSE: Few studies have examined the relationship between directly measured oxygen uptake (VO2) and self-reported physical function (PF). The purpose of this study was: 1) to examine the relationship between peak V02 and PF and 2) to determine whether a ... Full text Link to item Cite

Physical fitness and functional limitations in community-dwelling older adults.

Journal Article Med Sci Sports Exerc · May 1998 BACKGROUND: Conceptual models of disability have focused on disease-specific factors as the primary cause of disability. Functional limitations in the performance of basic tasks are considered primary mediators on the causal pathway from disease to disabil ... Full text Link to item Cite

Five-year performance trends for older exercisers: a hierarchical model of endurance, strength, and flexibility.

Journal Article J Am Geriatr Soc · October 1996 OBJECTIVE: To examine 5-year trends in measures of physical performance, and the impact of disease upon performance, in three domains: cardiovascular fitness, musculo-skeletal strength, and flexibility among older adults participating in a medically superv ... Full text Link to item Cite

The Gerofit Program: a VA innovation.

Journal Article South Med J · May 1994 In 1986 Gerofit, an exercise and health promotion program for older veterans, was established. This paper describes the program in detail by summarizing the patient assessment protocol, the exercise program, and program evaluation, as well as observational ... Link to item Cite

Aerobic fitness, acute exercise and sleep in older men.

Journal Article Sleep · June 1993 In the current study 12 aerobically fit and 12 sedentary older men underwent two nocturnal polysomnographic (PSG) studies. A control PSG was conducted following a day without aerobic activity, whereas a postexercise PSG study was conducted following an aft ... Full text Link to item Cite

The impact of supervised exercise on the psychological well-being and health status of older veterans.

Journal Article J Appl Gerontol · December 1991 This study examined the impact of supervised exercise on the health status (measured by the Sickness Impact Profile [SIP]) and well-being (measured by the Psychological General Well-Being Index [PGWB]) of a sample of 43 elderly veterans. The intervention c ... Full text Link to item Cite

Two-year trends in physical performance following supervised exercise among community-dwelling older veterans.

Journal Article J Am Geriatr Soc · October 1991 The extent to which exercise can delay the normal decline in physical performance associated with aging is unknown. We examined the impact of 2 years of supervised exercise on cardiovascular fitness, flexibility, and strength in a group of elderly (age 65- ... Full text Link to item Cite

Two-year trends in physical performance following supervised exercise among community-dwelling older veterans.

Journal Article J Am Geriatr Soc · June 1991 The extent to which exercise can delay the normal decline in physical performance associated with aging is unknown. We examined the impact of 2 years of supervised exercise on cardiovascular fitness, flexibility, and strength in a group of elderly (age 65- ... Full text Link to item Cite

Evaluation of a supervised exercise program in a geriatric population.

Journal Article J Am Geriatr Soc · April 1989 Most studies that assess the effects of exercise in the elderly involve subjects who are in good health. The objective of this prospective longitudinal study was to examine the impact of exercise on cardiovascular fitness, flexibility, and strength in an e ... Full text Link to item Cite

1,2,4-Trioxanes as potential antimalarial agents.

Journal Article J Med Chem · April 1988 A number of 1,2,4-trioxanes were prepared and tested for antimalarial activity in search of a simplified analogue of the naturally occurring antimalarial qinghaosu. The compounds were assayed in an in vitro system for antimalarial activity against chloroqu ... Full text Link to item Cite

EFFECTS OF A 16 WEEK EXERCISE PROGRAM ON VETERANS AGED 65 TO 90

Journal Article JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1, 1987 Link to item Cite

Effect of exercise on cation transport in human red cells.

Journal Article Hypertension · 1985 To test the hypothesis that environmental as well as genetic factors are important determinants of monovalent cation transport systems in humans, and to explore potential basic mechanisms of the alleged antihypertensive effects of habitual exercise, we stu ... Full text Link to item Cite

Effects of endurance training on cholinergic and adrenergic receptors of rat heart.

Journal Article J Mol Cell Cardiol · May 1984 To test the hypothesis that alterations in adrenergic or cholinergic receptors occur in response to physical training, and that changes in receptor properties could be mechanistically important in producting the altered cardiovascular physiology of the tra ... Full text Link to item Cite

LITHIUM-SODIUM COUNTERTRANSPORT IS DECREASED BY PHYSICAL-TRAINING

Journal Article CLINICAL RESEARCH · January 1, 1984 Link to item Cite

Duke University's Preventive Approach to Cardiology - DUPAC

Journal Article Journal of Cardiac Rehabilitation · 1982 Cite

Medical aspects of competitive distance running: guidelines for community physicians.

Journal Article Postgrad Med · July 1981 While the incidence of major medical emergencies during competitive distance running is low, the large and growing number of persons involved, including the elderly, mandates serious attention by the medical community to provision of adequate prevention an ... Full text Link to item Cite