The effect of an 8 week prescribed exercise and low-carbohydrate diet on cardiorespiratory fitness, body composition and cardiometabolic risk factors in obese individuals: A randomised controlled trial
Description:
Low-carbohydrate (LC) diets are an effective method for treating obesity and reducing cardiometabolic risk. However, exposure to LC diets is associated with reductions in muscle mass and increased osteoporosis risk in obese individuals. The combination of exercise with a LC diet appears to attenuate muscle mass loss induced by LC diets alone, and to further improve cardiometabolic profile. However, evidence to date in obese individuals is limited. We assessed the effect of LC diet in combination with supervised exercise on cardiorespiratory fitness, body composition and cardiometabolic risk factors in obese individuals. Male and female participants in the experimental (EX-LC structured supervised exercise program + low-carbohydrate meals n = 33 35.3 years) and control (EX-CO structured supervised exercise program + standard dietary advice n = 31 34.2 years) conditions underwent measurements of cardiorespiratory fitness ( O peak), body fat, lean muscle mass (LMM), and cardiometabolic biomarkers before and after an 8 week intervention. : Participants in the EX-LC condition demonstrated greater improvements in O peak ( = 0.002) and fat mass index (FMI, = 0.001) compared to the EX-CO condition. Achieving a ketogenic state (β-hydroxybutyrate, βHB ≥0.3 mmol/L) was associated with greater reductions in total body fat ( = 0.011), visceral adipose tissue ( = 0.025), FMI ( = 0.002) and C-reactive protein (CRP, = 0.041) but also with greater reductions in LMM ( = 0.042). : Short-term LC diet combined with prescribed exercise enhanced cardiorespiratory fitness and the cardiometabolic profile of obese individuals but was also associated with greater muscle mass loss compared to similar exercise training and standard dietary advice. The long-term effects of the LC diet should be further explored in future studies.
Description:
Low-carbohydrate (LC) diets are an effective method for treating obesity and reducing cardiometabolic risk. However, exposure to LC diets is associated with reductions in muscle mass and increased osteoporosis risk in obese individuals. The combination of exercise with a LC diet appears to attenuate muscle mass loss induced by LC diets alone, and to further improve cardiometabolic profile. However, evidence to date in obese individuals is limited. We assessed the effect of LC diet in combination with supervised exercise on cardiorespiratory fitness, body composition and cardiometabolic risk factors in obese individuals. Male and female participants in the experimental (EX-LC structured supervised exercise program + low-carbohydrate meals n = 33 35.3 years) and control (EX-CO structured supervised exercise program + standard dietary advice n = 31 34.2 years) conditions underwent measurements of cardiorespiratory fitness ( O peak), body fat, lean muscle mass (LMM), and cardiometabolic biomarkers before and after an 8 week intervention. : Participants in the EX-LC condition demonstrated greater improvements in O peak ( = 0.002) and fat mass index (FMI, = 0.001) compared to the EX-CO condition. Achieving a ketogenic state (β-hydroxybutyrate, βHB ≥0.3 mmol/L) was associated with greater reductions in total body fat ( = 0.011), visceral adipose tissue ( = 0.025), FMI ( = 0.002) and C-reactive protein (CRP, = 0.041) but also with greater reductions in LMM ( = 0.042). : Short-term LC diet combined with prescribed exercise enhanced cardiorespiratory fitness and the cardiometabolic profile of obese individuals but was also associated with greater muscle mass loss compared to similar exercise training and standard dietary advice. The long-term effects of the LC diet should be further explored in future studies.
Description:
Objective: To model the population level impact of tai-chi on future rates of falls and fall-related injury in older people as a tool for policy development. Design: An epidemiological and economic model for estimating population-level effectiveness of tai-chi. Setting: Australia, 2009. Patients or subjects: Australian community-dwelling population aged 70+ years, ambulatory and without debilitating conditions or profound visual defects. Intervention: Group-based tai-chi, for 1 h twice weekly for 26 weeks, assuming no sustained effect beyond the intervention period. Main outcome measure: Total falls and fall-related hospitalisation prevented in 2009. Results: Population-wide tai-chi delivery would prevent an estimated 5440 falls and 109 fall-related hospitalisations, resulting in a 0.18% reduction in the fall related hospital admission rate for community-dwelling older people. The gross costs per fall and per fall-related hospital admission prevented were $ A4414 ((sic)3013) and $A220 712 ((sic)150 684), respectively. A total investment of $A24.01 million ((sic)16.39 million), equivalent to 4.2% of the cost of fall-related episodes of hospital care in 2003/4, would be required to provide tai-chi for 31 998 people and achieve this effect. Conclusions: Substantial investment in, and high population uptake of, tai-chi would be required to have a large effect on falls and fall-related hospitalisation rates. Although not accounted for in this study, investment in tai-chi is likely to be associated with additional significant health benefits beyond falls prevention. This approach could be applied to other interventions to assist selection of the most cost effective falls-prevention portfolio for Australia and other countries.
Description:
The purpose of this paper is to propose a modified version of Failure Mode and Effects Analysis (FMEA) to alleviate its drawbacks. FMEA is an important tool in risk evaluation and finding the priority of potential failure modes for corrective actions. In the proposed method, the Universal Generating Function (UGF) approach has been used to improve the assessment capability of the conventional Risk Priority Number (RPN) in ranking. The new method is named as URPN. It generates the most number of unique values in comparison with the previous methods and considers relative importance for the parameters while it is easy to compute. More unique numbers help to avoid from having the same priority level for different failure modes which represent various risk levels. A case study has been employed to demonstrate that the URPN not only can improve the shortcomings but also is able to provide accurate values for risk assessment. Copyright (c) 2015 John Wiley & Sons, Ltd.
A quantitative risk assessment model involving frequency and threat degree under line-of-business services for infrastructure of emerging sensor networks
Description:
Safety culture has risen to prominence over the past two decades as a means by which organisations may enhance their safety performance. Safety culture may be conceptualised as an interpretive device that mediates between organisational safety rhetoric and safety programs on the one hand, and local workplace cultures on the other. More recently, risk-awareness has emerged as a cultural approach to safety. Front line workers are encouraged to become risk-aware through programs designed to prompt them to undertake mental or informal risk assessments before commencing work. The problem is that risk-awareness programs have not been the subject of systematic research and the impact of these programs on the culture of safety and the resultant level of risk is unknown. Therefore, this ethnographic study of two sites within a large contract maintenance organisation in Australia explored what impact risk-awareness programs have upon the culture of safety and the resultant level of risk. The researcher spent two months in the field and data was collected through participant observation, semistructured interviews and through a review of organisational documents. This study found that managers focused upon collecting the paperwork associated with the program as proof that workers had a safer workplace, whereas workers preferred to rely upon their common sense rather than the paperwork to keep them safe. As a consequence, the riskawareness program resulted in a culture of paperwork and varying levels of risk reduction because the paperwork associated with the program created an illusion of safety for managers as much as common sense did for workers. The results of this study have implications for safety culture, risk-awareness programs and for organisational learning. They also have implications for organisations wishing to improve their safety culture by encouraging risk-awareness in front-line workers.
Description:
Safety culture has risen to prominence over the past two decades as a means by which organisations may enhance their safety performance. Safety culture may be conceptualised as an interpretive device that mediates between organisational safety rhetoric and safety programs on the one hand, and local workplace cultures on the other. More recently, risk-awareness has emerged as a cultural approach to safety. Front line workers are encouraged to become risk-aware through programs designed to prompt them to undertake mental or informal risk assessments before commencing work. The problem is that risk-awareness programs have not been the subject of systematic research and the impact of these programs on the culture of safety and the resultant level of risk is unknown. Therefore, this ethnographic study of two sites within a large contract maintenance organisation in Australia explored what impact risk-awareness programs have upon the culture of safety and the resultant level of risk. The researcher spent two months in the field and data was collected through participant observation, semistructured interviews and through a review of organisational documents. This study found that managers focused upon collecting the paperwork associated with the program as proof that workers had a safer workplace, whereas workers preferred to rely upon their common sense rather than the paperwork to keep them safe. As a consequence, the riskawareness program resulted in a culture of paperwork and varying levels of risk reduction because the paperwork associated with the program created an illusion of safety for managers as much as common sense did for workers. The results of this study have implications for safety culture, risk-awareness programs and for organisational learning. They also have implications for organisations wishing to improve their safety culture by encouraging risk-awareness in front-line workers.
Description:
"In this work, a quantitative risk assessment procedure for laboratory fume cupboards has been developed using estimates of frequency (probabilty x exposure) and severity."
Description:
Masters Degree in Applied Science, Occupational Health and Safety
Description:
"In this work, a quantitative risk assessment procedure for laboratory fume cupboards has been developed using estimates of frequency (probabilty x exposure) and severity."
Description:
Masters Degree in Applied Science, Occupational Health and Safety
Description:
This research explores the question: 'How do social workers and multidisciplinary mental health professionals perceive and understand risk and how does this inform decision-making and service provision?' In-depth face-to-face interviews were conducted with health and mental health workers employed at a major health service based in Melbourne, Australia. Participants were employed in hospitals, community health centres, and residential care facilities including specialist mental health services. Theoretic thematic analysis was used to identify seven dominant themes reported by study participants. These were: (1) establishing risk ownership (2) a hierarchy of fears (3) self-doubt and self-blame (4) organisational incident reviews (5) blame from client, family and society (6) the protective shield and (7) evaluating safety and meaning. The study findings have implications for further research and social work education on risk assessment, decision-making and appropriate social work responses. [Author abstract]
Description:
This research explores the question: 'How do social workers and multidisciplinary mental health professionals perceive and understand risk and how does this inform decision-making and service provision?' In-depth face-to-face interviews were conducted with health and mental health workers employed at a major health service based in Melbourne, Australia. Participants were employed in hospitals, community health centres, and residential care facilities including specialist mental health services. Theoretic thematic analysis was used to identify seven dominant themes reported by study participants. These were: (1) establishing risk ownership (2) a hierarchy of fears (3) self-doubt and self-blame (4) organisational incident reviews (5) blame from client, family and society (6) the protective shield and (7) evaluating safety and meaning. The study findings have implications for further research and social work education on risk assessment, decision-making and appropriate social work responses. [Author abstract]
Description:
For risk analysis of reclaimed water, current animal and toxicity testing may not detect subtle effects such as interactions that could contribute to complex diseases such as cancers that develop over a long period of time. There is a need for assays that can be validated against known human physiological processes. We have previously validated sensitive human cell culture assays for their responsiveness to agents that induce carcinogenesis in vivo. In this initial study we analysed the effects of three batches of reclaimed water on human colonic cells. At concentrations of up to 10-fold, they had no significant effect on the cellular markers, indicating an overall lack of biological activity. The assay has potential but needs to be refined to maximise its sensitivity.
Description:
•Improved sharing of CBPP risk information increases CBPP vaccine up-take.•Demand increases by 1.5 and 2.3 per cent for improved access and information.•WTP for a 1 h reduction in travel duration is KES 54 (USD 0.52) per vaccine.•WTP for receipt of CBPP risk information is KES 52 (USD 0.67) per vaccine.•Controlling for attribute non-attendance improves model fit and estimates. The study estimates cattle owners' willingness-to-pay (WTP) for Contagious Bovine Pleuropneumonia (CBPP) vaccine in Samburu county, Kenya. Of particular policy relevance, the study presents findings on WTP for i) improved access to vaccines and ii) timely access to disease-risk information. The mean price for a CBPP vaccine was estimated at KES 66 (USD 0.64). This price relates to a CBPP vaccine that requires a 1.8 h commute, cattle owners' receipt of timely information that the CBPP disease risk is low-moderate and the vaccine lowers the risk of either tail-drop or post-vaccine abortion. The conditional WTP for mean travel duration and high-risk information are similar at KES 53.9 and KES 51.5. The marginal effect on demand for a 1 h additional travel duration and provision of CBPP disease risk information was estimated as a 1.5 per cent reduction and 2.3 increase. The results of this study indicate that cattle owners value greater levels of knowledge concerning the changing risk profile of CBPP in their community and improved access to CBPP vaccination services. Enhanced engagement with cattle owners concerning CBPP would likely result in a greater utilisation of available CBPP vaccines, conditional on the perceived CBPP disease risk.
Description:
The Corangamite region covers an area of approximately 13,340 km2 and is located in south western Victoria, Australia. The population of approximately 400,000 persons is growing at 5.2% per year, and is served by nine municipalities within the region. The region's diverse range of landscapes and climatic conditions, result in a variety of geological hazards including landslides, soil erosion of all forms, coastal erosion, dryland salinity, potential acid sulphate soils, reactive soils and ground subsidence. These geohazards are increasingly recognised as a constraint on future urban development and a threat to the economic, social and environmental health of the region. Evaluation of the impacts of geological hazards by State government authorities, research institutions and consultants has been inconsistent, both in hazard identification and risk assessment methods. As a result, municipal planning authorities have lacked a consistent framework with which to assess the potential impacts from these hazards and those associated with new developments which may interact with the hazards. The use of risk assessment techniques for the management of landslides in Australia advanced significantly after the publication of the Australian Geomechanics Society's landslide risk management concepts and guidelines in 2000. These guidelines in turn were based on the Australian/New Zealand Standard on Risk Management. Similar risk management techniques have now been developed by the authors for the assessment of soil erosion and salinity for particular use by municipalities within the Corangamite region. A brief review of the nature and extent of landslides, salinity and erosion in the Corangamite region is detailed. The adopted methods of the risk management for each geohazard are described including a comparison of their applicability and an assessment of limitations with each method.
Description:
Introduction: Certain ground conditions, including hardness, have been associated with an increased injury risk. Many sporting grounds have been deemed unplayable based on hardness measures and subsequently closed. However, most research linking injury to ground conditions has been based on subjective observations or focussed at high performance venues. The aim of this study was to identify the relationship between ground hardness and injury incidence in community level Australian football. Methodology: Measurements of ground hardness, using the Clegg hammer, were recorded on eight community level football grounds between 4 and 8 times during the 2007 season. Injury data was collected by trained data collectors over the season. The 1st Clegg hammer drop was used as the hardness measure, and injuries were ranked as ‘likely’, ‘possibly’, and ‘unlikely’ to be related to grounds by three independent assessors. Results: 130 injuries were recorded at the grounds tested. The Clegg hammer measures ranged from 55 to 134 gravities (g), with four injuries sustained at readings over 120 × g. Of the 130 injuries, 12 were classified as ‘likely’ to be related to ground conditions, 29 ‘possibly’ related, 75 ‘unlikely’ and 14 unknown due to incomplete details. None of the ‘likely’ injuries were sustained on readings over 120 × g. No significant relationships were found between ground hardness and any injury profiles (0.02 < r < 0.14, p < 0.01). Conclusions: Presently, sporting grounds are being closed with hardness readings exceeding 120 × g. The results of this study provide some evidence to challenge this, however, due to low injury rates further research with a larger cohort is necessary.
Description:
There is increasing concern in Australia about safety in the thoroughbred racing industry, but there has been no reported analysis of injury data. This review analyses injury and workers' compensation data recorded in Victoria. On the basis of the results, it is recommended that the injury and incident data collection systems are improved such that they are not only more complete but also accumulate more detailed information about the location of an incident or injury event, the activity at the time of the incident or injury event, and factors that may have influenced the occurrence.
Description:
There is increasing concern in Australia about safety in the thoroughbred racing industry, but there has been no reported analysis of injury data. This review analyses injury and workers' compensation data recorded in Victoria. On the basis of the results, it is recommended that the injury and incident data collection systems are improved such that they are not only more complete but also accumulate more detailed information about the location of an incident or injury event, the activity at the time of the incident or injury event, and factors that may have influenced the occurrence.