Sex-Dependent Effects of Cardiometabolic Health and APOE4 on Brain Age: A Longitudinal Cohort Study.

The aging population is growing faster than all other demographic strata. With older age comes a greater risk of health conditions such as obesity and high blood pressure (BP). These cardiometabolic risk factors (CMRs) exhibit prominent sex differences in midlife and aging, yet their influence on brain health in females vs males is largely unexplored. In this study, we investigated sex differences in relationships between BP, body mass index (BMI), and brain age over time and tested for interactions with APOE ε4 genotype (APOE4), a known genetic risk factor of Alzheimer disease. The sample included participants from 2 United Kingdom-based longitudinal birth cohorts, the Lothian Birth Cohort (1936) and Insight 46 (1946). Participants with MRI data from at least 1 time point were included to evaluate sex differences in associations between CMRs and brain age. The open-access software package brainageR 2.1 was used to estimate brain age for each participant. Linear mixed-effects models were used to assess the relationships between brain age, BMI, BP, and APOE4 status (i.e., carrier vs noncarrier) in males and females over time. The combined sample comprised 1,120 participants (48% female) with a mean age (SD) of 73 (0.72) years in the Lothian Birth Cohort and 71 (0.68) years in Insight 46 at the time point 1 assessment. Approximately 30% of participants were APOE4 carriers. Higher systolic and diastolic BP was significantly associated with older brain age in females only (β = 0.43-0.56, p < 0.05). Among males, higher BMI was associated with older brain age across time points and APOE4 groups (β = 0.72-0.77, p < 0.05). In females, higher BMI was linked to older brain age among APOE4 noncarriers (β = 0.68-0.99, p < 0.05), whereas higher BMI was linked to younger brain age among carriers, particularly at the last time point (β = -1.75, p < 0.05). This study indicates sex-dependent and time-dependent relationships between CMRs, APOE4 status, and brain age. Our findings highlight the necessity of sex-stratified analyses to elucidate the role of CMRs in individual aging trajectories, providing a basis for developing personalized preventive interventions

The backward-bending commute times of married women with household responsibility

The purpose of this paper is to examine theoretically and empirically whether the commute times of married women follow a backward-bending pattern with respect to wage rates. The existing literature has shown that married women tend to choose short commutes because of their relatively low wages combined with comparatively heavy household responsibilities. However, a workleisure model, which includes the simultaneous decision wives take regarding commute times and wage rates, suggests that married women employed in highly paid positions also undertake short commutes, while married women with wage rates in the middle range choose long commutes. These results suggest that the commute times of married women display a backward-bending pattern. Applying an instrumental variable strategy that accounts for the endogeneity of wage rates, the empirical results for employed married women in Japan appear to support this nding. Moreover, one of our results suggests that highly paid married women can still secure greater leisure time with short commutes, despite retaining a heavy load of domestic responsibilities.Working Paper, No.234, 2008.9.1版http://hdl.handle.net/10110/254

Patients’ perspectives on systemic sclerosis-related Raynaud's phenomenon in the feet: A qualitative study from the OMERACT Foot and Ankle Working Group

Objective To explore, from patients’ perspectives, the symptoms and impact of Raynaud's phenomenon (RP) on the feet of patients with systemic sclerosis (SSc-RP), and to identify which foot-related domains are important to patients. Methods Forty participants (34 women) with SSc-RP took part in one of six focus groups held in the United Kingdom or United States. Participants were purposively sampled to ensure diversity in disease type, duration, and ethnicity. The topic guide included questions on RP impact, self-management, and treatment expectations. Qualitative content analysis was employed to identify key concepts in the data relating to foot-specific symptoms and their impact. Themes were organized by corresponding domains of potential importance. Results Twenty-eight participants (70 %) reported experiencing RP in their feet. Five themes were identified corresponding to domains of potential importance: temperature changes, pain, cramping and stiffness, numbness, and color changes. These issues negatively affected participants’ lives, impairing walking, driving, and socializing, and causing issues with footwear and hosiery. Conclusions This large qualitative study exploring the experiences of patients with SSc-RP in the feet identified several key domains of high importance to patients. SSc-RP is common in the feet, presents in several patterns, and impacts multiple aspects of patients’ lives. These findings indicate where future foot-specific interventions for RP could be targeted. Findings from this study improve understanding of what domains are important to patients with SSc-RP affecting the feet and will contribute to the development of a core outcome set for foot and ankle disorders in rheumatic and musculoskeletal diseases

Rail passengers' time use and utility assessment

This paper uses data from Great Britain's National Passenger Survey 2010 to examine the travel time use of rail passengers and their indicative assessment of the utility of that time use. The paper explores the impacts of individuals' sociodemographic characteristics, the activities undertaken, and the perceived difficulties that may be faced by the travelers on their assessment of travel time use utility. The study showed that only 13% of travelers considered their travel time to be wasted time. However, this result varied by journey purpose, traveling class (first or standard class), gender, and journey length. The study showed that the positive or negative appreciation by passengers of their journey time was a result not only of various combinations of onboard activity engagements, but also of the smoothness of the overall journey experience. The ability to work or study on the train most significantly increased individual appreciation of time use. However, a delay on an individual's train journey also had a major influence on the reduction of his or her perceived value of the travel time spent. Information and communication technology devices that enable travelers to watch film or video, play games, or check e-mails were more appreciated than those devices that provide access to music, podcasts, or social networking sites. The paper joins others in questioning the assumptions made in economic appraisals that travel time is unproductive. The paper concludes with a call for more substantive and targeted data collection efforts within travel behavior research devoted to further unraveling the phenomenon of the positive utility of travel

Ghost Poles in the Nucleon Propagator: Vertex Corrections and Form Factors

Vertex corrections are taken into account in the Schwinger-Dyson equation for the nucleon propagator in a relativistic field theory of fermions and mesons. The usual Hartree-Fock approximation for the nucleon propagator is known to produce the appearance of complex (ghost) poles which violate basic theorems of quantum field theory. In a theory with vector mesons there are vertex corrections that produce a strongly damped vertex function in the ultraviolet. One set of such corrections is known as the Sudakov form factor in quantum electrodynamics. When the Sudakov form factor generated by massive neutral vector mesons is included in the Hartree-Fock approximation to the Schwinger-Dyson equation for the nucleon propagator, the ghost poles disappear and consistency with basic requirements of quantum field theory is recovered.Comment: 18 page