Publications by authors named "Karin F Hoth"

Background: Women often report disruptions in cognitive performance during pregnancy. Though substantiated by objective assessments, findings have been inconsistent and potential contributing factors are not well understood.

Aim: The objective of this study was to examine the cross-sectional associations between maternal mood, stress, pregnancy-related symptoms and device measured 24-hour activity behaviors with cognitive performance in the first trimester of pregnancy.

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In studies of individuals of primarily European genetic ancestry, common and low- frequency variants and rare coding variants have been found to be associated with the risk of bipolar disorder (BD) and schizophrenia (SZ). However, less is known for individuals of other genetic ancestries or the role of rare non-coding variants in BD and SZ risk. We performed whole genome sequencing (∼27X) of African American individuals: 1,598 with BD, 3,295 with SZ, and 2,651 unaffected controls (InPSYght study).

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Objective: Examine clinical and demographic variables associated with new onset depression and anxiety symptoms and assess moderation by sex in COPDGene, a cohort study of current and former smokers at risk for or with chronic obstructive pulmonary disease (COPD).

Methods: In the COPDGene study, 2653 adults had the hospital anxiety (HADS-A) and depression (HADS-D) scales available at phase 2 and 3, as well as clinical and demographic variables available at 2 and non-elevated HADS at phase 2. We defined new onset depression symptoms as HADS-D elevated at phase 3 (HADS-D ≥ 8) versus no new onset as HADS-D not elevated at either phase (HADS-D < 8).

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Frailty is associated with respiratory exacerbations and mortality in individuals with Chronic Obstructive Pulmonary Disease (COPD). Among those with a smoking history and normal spirometry, frailty's association with respiratory outcomes is less defined. COPDGene is a cohort study of individuals aged 45-80 with a minimum 10 pack-year smoking history.

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Purpose: Auditory lifestyle, which refers to the variety, range, and types of auditory environments individuals encounter in their daily lives, can affect individuals' daily communication functions and moderate the outcomes of hearing interventions. This study aimed to determine the factors associated with adult cochlear implant (CI) users' auditory lifestyle.

Method: This observational study included 209 adult CI users.

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Prior cross-sectional studies revealed that multiple chronic conditions (MCC) and polypharmacy are associated with cognitive impairment. The purpose of this study was to determine whether the number of chronic conditions and the number of medications are associated with longitudinal changes in cognition (memory, attention/working memory, semantic ability/language, processing speed, executive function). We analyzed data from 5671 individuals (age 71.

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Background: Subjective cognitive decline (SCD), an early indicator of cognitive impairment, may affect COPD care and outcomes, yet its sociodemographic associations in Chronic Obstructive Pulmonary Disease (COPD) remain poorly understood.

Objective: To investigate the prevalence of SCD among people with COPD across different age groups and identify associations between demographics, risk behaviors, comorbidities, and self-reported SCD.

Design: Pooled 2019 BRFSS data from 24 states using the Cognitive Decline module were analyzed.

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In studies of individuals of primarily European genetic ancestry, common and low-frequency variants and rare coding variants have been found to be associated with the risk of bipolar disorder (BD) and schizophrenia (SZ). However, less is known for individuals of other genetic ancestries or the role of rare non-coding variants in BD and SZ risk. We performed whole genome sequencing of African American individuals: 1,598 with BD, 3,295 with SZ, and 2,651 unaffected controls (InPSYght study).

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Article Synopsis
  • The study aimed to determine if additional doses of the COVID-19 vaccine correlate with fewer COVID-19-like symptoms six weeks after infection among health care workers.
  • A total of 2478 participants were enrolled, with 57% confirmed cases of COVID-19; symptoms like fatigue and sleep difficulties were common, especially in those infected.
  • Results indicated that those who received extra vaccine doses after their primary series experienced significantly lower odds of symptoms at six weeks post-infection compared to those who did not get boosted.
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Chronic kidney disease (CKD) increases the risk of cardiovascular disease and cognitive impairment. Curcumin is a polyphenol that improves vascular and cognitive function in older adults; however, its effects on vascular and cognitive function in patients with CKD are unknown. We hypothesized that curcumin supplementation would improve vascular and cognitive function in patients with CKD.

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Depression is heritable, differs by sex, and has environmental risk factors such as cigarette smoking. However, the effect of single nucleotide polymorphisms (SNPs) on depression through cigarette smoking and the role of sex is unclear. In order to examine the association of SNPs with depression and smoking in the UK Biobank with replication in the COPDGene study, we used counterfactual-based mediation analysis to test the indirect or mediated effect of SNPs on broad depression through the log of pack-years of cigarette smoking, adjusting for age, sex, current smoking status, and genetic ancestry (via principal components).

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Article Synopsis
  • The study assessed the impact of COVID-19 on healthcare personnel's mental health and explored available support programs in academic emergency departments across the U.S.
  • A cross-sectional survey was conducted with 1,541 ED staff, revealing that while support programs were widely available (>95%), their actual usage varied, with clinical work support programs being utilized more than individual support programs.
  • A significant portion of respondents (57%) reported heightened stress and anxiety due to the pandemic, and 12% were at an increased risk of PTSD, indicating a need for better engagement with the available support resources.
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Background: Cognitive impairment is a common multiple sclerosis (MS)-related symptom that impacts quality of life (QOL). Diet interventions are shown to be beneficial in managing QOL, and the intake of essential fatty acids is linked with improved cognitive function. However, the effect of diets on serum fatty acid profiles and cognitive function is unknown.

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Background: Interventions involving diet, physical activity, and breathing exercises are shown to be beneficial in managing both fatigue and quality of life (QoL) related to MS; however, the impact of such interventions among people newly diagnosed with clinically isolated syndrome (CIS) or relapsing-remitting multiple sclerosis (RRMS) who decline disease-modifying therapies (DMTs) is unknown.

Methods: A 12-month prospective quasi-experimental non-inferiority trial recruited people newly diagnosed with CIS or RRMS who voluntarily declined DMTs (health behavior group; HB, n = 29) or followed standard of care (SOC, n = 15). Participants in the HB group were remotely coached on the study diet, moderate-intensity walking, and breathing exercises.

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Article Synopsis
  • COVID-19 vaccinations are effective at reducing complications, but many people, especially health care personnel (HCP), are hesitant to get the bivalent booster.
  • A study of 1,656 HCP showed that concerns about contracting the virus, spreading it to family, and infecting colleagues significantly influenced their decision to get boosted.
  • Those who did receive the booster were more likely to report relying on scientific literature and employer recommendations in their decision-making process.
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Hippocampal atrophy is a prominent neurodegenerative feature of Alzheimer's disease and related dementias. Alterations in circadian rhythms can exacerbate cognitive aging and neurodegeneration. This study aimed to examine how dim light melatonin onset and melatonin levels are associated with hippocampal volume in cognitively healthy individuals.

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Background: People with multiple sclerosis (MS) often report dietary modifications; however, evidence on functional outcomes remains sparse.

Objective: Evaluate the impact of the low-saturated fat (Swank) and modified Paleolithic elimination (Wahls) diets on functional disability among people with relapsing-remitting MS.

Methods: Baseline-referenced MS functional composite (MSFC) scores were calculated from nine-hole peg-test (NHPT), timed 25-foot walk, and oral symbol digit modalities test (SDMT-O) collected at four study visits: (a) run-in, (b) baseline, (c) 12 weeks, and (d) 24 weeks.

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Background: Depression and anxiety are common psychiatric comorbidities among people with multiple sclerosis (MS). Emerging data suggest abnormal serum homocysteine, vitamin B, and folate levels in people with MS, which are related to a range of neurological disorders, including mood and mental illnesses. Evidence suggests that dietary interventions could affect mood disorders via several pathways.

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Article Synopsis
  • The study reveals that African-Americans (AA) are less frequently diagnosed with COPD using the fixed-ratio spirometry criterion (FEV/FVC < 0.7), with 70% of AA participants classified as non-COPD compared to 49% of non-Hispanic whites (NHW).
  • Younger AA smokers exhibited higher current smoking rates, fewer smoking years, but similar 12-year mortality rates when compared to NHW smokers.
  • The analysis showed that AA with undiagnosed COPD (GOLD 0) experienced greater respiratory symptoms and worse health scores, suggesting that fixed-ratio criteria may underdiagnose COPD in this population.
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Article Synopsis
  • - Depression is the most common mental illness in the U.S., affecting nearly 40 million adults, with a higher prevalence in women compared to men.
  • - The relationship between genetics and depression is complex, particularly regarding how sex influences genetic factors linked to the condition.
  • - Understanding these sex-specific genetic differences could enhance our knowledge of depression's causes and help develop better treatments.
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  • COVID-19 vaccines provide protection against infection and severe disease, but their effect on prolonged symptoms post-infection among healthcare personnel is not well understood.
  • A study analyzed 681 healthcare workers who had COVID-19 to compare symptoms and return-to-work times between those who were vaccinated and those who weren't.
  • Results showed that vaccinated healthcare workers experienced fewer COVID-like symptoms (60.6% vs 79.1%) and returned to work 2 days earlier than unvaccinated workers.
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  • Recent studies indicate a significant number of people have undiagnosed chronic obstructive pulmonary disease (COPD), which could lead to complications and missed treatment opportunities.
  • The research analyzed data from smokers with at least 10 pack-years of history, excluding those already diagnosed with COPD or related conditions, and identified various risk factors related to abnormal spirometry results.
  • The findings revealed that 21% of participants had undiagnosed airflow obstruction, with factors like age, smoking history, and certain health conditions being key indicators, highlighting the need for early diagnosis and treatment.
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