Publications by authors named "Michael Wirth"

Background: According to clinical practice guidelines for polycystic ovary syndrome, first-line treatment includes performing 150 min of moderate-to-vigorous physical activity on most days of the week plus at least 2 days of resistance training. However, <40% of women with polycystic ovary syndrome engage in regular physical activity, and about 60% are sedentary. Research evidence supports theory-informed physical activity interventions to improve motivation for physical activity.

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Background: The association between diet and hypertensive disorders of pregnancy (HDP) is inconclusive due incomplete assessment of dietary measures and HDP subtypes.

Objective: We determined the association between the energy-adjusted Dietary Inflammatory Index (E-DII) and the risk of HDP subtypes in a large, diverse cohort of pregnant individuals.

Methods: We completed a secondary analysis of data from the nuMoM2b study.

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Nurses experience some barriers to healthy eating and weight loss that are different than the general population. This study examined diet timing and quality, and interest in time-restricted feeding (TRF), and compared diet quality between day and shift-working nurses. The cross-sectional SHift-working Investigation of Fasting Time and Diet Study was conducted among nurses ( = 123) in the United States.

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Background And Aims: Unhealthy diets have pro-inflammatory properties that have been shown to contribute to coronary artery disease (CAD). The dietary inflammatory index (DII®) and the dietary antioxidant quality score (DAQS) quantify the anti-/pro-inflammatory and antioxidant potential of a diet. This study aims to investigate the association between the energy-adjusted DII (E-DIITM), DAQS, oxidant/anti-oxidant biomarkers, and CAD risk and severity.

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Background: Nursing shortages have been an issue in the United States since the 1930s.

Purpose: The purpose of this study was to use the percentage of registered nurse (RN) vacancies to identify associations with RN shortages, at the hospital- and county-level.

Methods: This cross-sectional study uses the 2019 American Hospital Association annual survey and the Social Determinants of Health 2019 database.

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Background: This protocol describes a study to test a commercial blood warming device in warming blood transfusions to prevent hypothermia associated with packed red blood cell (PRBC) transfusions in very preterm infants.

Objectives: Very preterm infants receiving blood transfusions warmed by a commercial blood warmer will have less central body hypothermia post transfusion (abdominal temperatures <36.5°C) and/or a higher mean abdominal temperature for the hour after the transfusion is complete compared to those receiving blood transfusions by standard of care.

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Scaphoid reconstruction after an established non- or malunion is challenging and recent developments have shown the feasibility to reconstruct it with 3D-planned and -printed patient-specific instrumentation. Our study compared the clinical outcome of computer assisted 3D-reconstructions of the scaphoid using patient-specific guides for primary and revision reconstructions of scaphoid nonunion regarding clinical outcome. Therefore, 39 patients with primary scaphoid nonunion or malunion and 15 patients with nonunion or malunion after a previous operative treatment were treated with patient-specific guides and followed up for a mean of 10.

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Background/objectives: Colorectal cancer (CRC) is a leading cause of cancer-related morbidity and mortality worldwide. Sleep duration, diet, and obesity have each been identified as modifiable risk factors linked to CRC. However, their joint effect on CRC incidence is underexplored.

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To assess the associations between serum and dietary polyunsaturated fatty acids (PUFAs), as well as the inflammatory potential of diet measured by the Children's Dietary Inflammatory Index (C-DII), and recurrent respiratory infections (RRIs) in children. We enrolled 44 children aged 3-16 years with RRIs and 44 healthy controls. Dietary intake was assessed using a 7-day food record from which PUFA intake and C-DII were calculated.

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Article Synopsis
  • A study examined how inflammatory diets impact cardiovascular health, particularly in relation to adverse pregnancy outcomes (APOs) like preterm birth and gestational diabetes.
  • Data from over 3,200 pregnant individuals showed that higher inflammatory diet scores correlated with increased body mass index, waist circumference, blood pressure, triglycerides, and insulin levels, along with lower good cholesterol levels.
  • The study found that the negative impact of inflammatory diets on cardiometabolic health was more pronounced in individuals who experienced APOs during pregnancy.
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Physician assistants (PAs) are subject to high levels of burnout, depressive symptoms, and anxiety, which can negatively impact quality of care and patient outcomes. Learning how to handle stress in the classroom may increase success and engagement in PA programs. The goal of this study was to characterize burnout, depressive symptoms, and anxiety in current PA students and examine the relationship between these factors and work engagement.

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Background: Diet quality is a moderator of cardiometabolic markers. The timing of dietary intake may be an important determinant; however, previous results have been mixed. Complex mechanisms may result in an interaction between diet timing and quality.

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Purpose: To examine factors associated with weight status underestimation and the relationship between weight status underestimation and weight loss as a weight management goal among adults living in the rural South.

Methods: An anonymous survey was distributed at six primary care clinics and two churches in rural, South Carolina counties. Weight status underestimation was determined based on the difference between perceived weight status using standard body mass index (BMI) categories (underweight, normal weight, overweight, and obese) and BMI category from self-reported height and weight.

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Article Synopsis
  • The study examines whether diet quality and inflammatory potential affect the risk of prostate cancer grade reclassification in men under active surveillance, revealing that diet's influence remains uncertain.
  • A cohort of 886 men diagnosed with low-grade prostate cancer completed dietary assessments to evaluate their adherence to dietary guidelines and inflammatory potential.
  • Results showed that after about 6.5 years, about 21% of participants experienced grade reclassification, indicating an ongoing need for research on dietary impacts on prostate cancer outcomes.
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The goal of this study was to examine the relationship between diet quality, nutrients, and health outcomes among participants in the Dietary Guidelines: 3 Diets study (3-group randomized 12-week intervention; African American; Southeastern virtual teaching kitchen). Participants (n = 63; ages 18-65 y, BMI 25-49.9 kg/m) were randomized to the Healthy U.

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Objective: To explore the perceptions of sleep quality, levels of fatigue, and cognitive executive function in women shift workers.

Design: Qualitative, descriptive study of a sample of participants who participated in a cross-sectional, mixed-methods study.

Setting: Online focus groups.

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Article Synopsis
  • The study aimed to investigate how the inflammatory potential of diet affects sleep quality among Lebanese university students.
  • The researchers surveyed 270 randomly selected students using questionnaires, measuring sleep quality and dietary habits.
  • Results indicated that students with more proinflammatory diets had a higher risk of poor sleep quality and efficiency, while those in a middle dietary inflammatory quartile reported less daytime dysfunction.
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This study analyzed the overall quality of the diet using predefined indices, including the Healthy Eating Index-2015 (HEI-2015), the Alternative Healthy Eating Index-2010 (AHEI-2010), the alternate Mediterranean Diet (aMED) score, the Dietary Approaches to Stop Hypertension (DASH) score, and the Dietary Inflammatory Index (DII), to explore their association with the risk of bladder cancer in the Multiethnic Cohort Study. Data were taken from 186,979 African American, Japanese American, Latino, Native Hawaiian, and non-Hispanic White participants aged 45-75 years, with 1152 incident cases of invasive bladder cancer during a mean follow-up period of 19.2 ± 6.

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Sleep has strong inflammatory underpinnings and diet is one of the primary determinants of systemic inflammation. A systematic literature review was conducted to synthesize current research associating dietary inflammatory potential, as measured by the dietary inflammatory index (DII®) or the energy-adjusted DII (E-DII™) and sleep quality and duration. The National Library of Medicine (Medline), Web of Science, and PsycInfo databases were searched through March 2023.

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Background & Aims: We examined the dietary inflammatory potential in patients who underwent liver transplantation (LTx), associated factors and its relationship with clinical outcomes ten years after the initial evaluation.

Methods: Dietary Inflammatory Index (DII®) scores were generated from data derived from the 24-h recall in 108 patients.

Results: Patients with higher DII scores (highest tertile), indicating a pro-inflammatory diet, had significantly higher serum LDL cholesterol (108.

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Article Synopsis
  • Research explores the connection between an Energy-adjusted Diet-Inflammatory Index (E-DII) and 30 health biomarkers, focusing on healthy individuals, which is under-researched compared to chronic disease populations.
  • The study analyzed data from 66,978 UK Biobank participants and categorized E-DII scores into anti-inflammatory, neutral, and pro-inflammatory diets, revealing that a pro-inflammatory diet correlated with higher levels of several unhealthy biomarkers.
  • Findings suggest that a pro-inflammatory diet negatively impacts cardiometabolic, endocrine, liver, and renal health, indicating a need for dietary awareness to promote better health outcomes.
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Introduction: Childhood obesity has been associated with numerous poor health conditions, with geographic disparities demonstrated. Limited research has examined the association between rurality and food security, physical activity, and overweight or obesity among children. We examined rates of food security, physical inactivity, and overweight or obesity among rural and urban children and adolescents, and associations between rurality and these 3 outcomes.

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The incidence of colorectal cancer (CRC) among young people has been on the rise for the past four decades and its underlying causes are only just starting to be uncovered. Recent studies suggest that consuming ultra-processed foods and pro-inflammatory diets may be contributing factors. The increase in the use of synthetic food colors in such foods over the past 40 years, including the common synthetic food dye Allura Red AC (Red 40), coincides with the rise of early-onset colorectal cancer (EOCRC).

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Physical inactivity is a modifiable behavioral risk factor for breast cancer. Chinese American women have an increased breast cancer incidence and a low prevalence of meeting physical activity (PA) recommendations, yet little is known about their knowledge and experience regarding PA and breast cancer prevention. Given the significant cultural differences between Eastern and Western societies, effective interventions to promote PA among Chinese American women require understanding their knowledge levels regarding PA in breast cancer prevention and their PA experiences through a cultural lens.

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Synopsis of recent research by authors named "Michael Wirth"

  • - Recent research by Michael Wirth emphasizes the significant role of dietary factors, particularly diet quality and inflammatory potential, in influencing various health outcomes, including cardiometabolic health and cancer risk.
  • - His work investigates the interplay between meal timing, dietary inflammatory potential, and their associations with health markers over time, as well as perceptions of weight status and dietary patterns in specific populations.
  • - Additionally, Wirth's studies reflect a broader focus on the impact of diet on sleep quality and cognitive function, highlighting the importance of dietary choices in promoting overall well-being across diverse demographic groups.