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Biomedical subjects

G D Miller

Publications and source records attributed to G D Miller.

At least 19 recordsLinked to original sources

Major scientific advances with dairy foods in nutrition and health.

A large body of scientific evidence collected in recent decades demonstrates that an adequate intake of calcium and other nutrients from dairy foods reduces the risk of osteoporosis by increasing bone acquisition during growth, slowing age-related bone loss, and reducing osteoporotic fractures. These results have culminated in the new (2005) Dietary Guidelines for Americans that now recommend 3 servings of milk products per day to reduce the risk of low bone mass and contribute important amounts of many nutrients that may have additional health attributes beyond bone health. A number of animal, observational, and clinical studies have shown that dairy food consumption can help reduce the risk of hypertension. Clinical trials indicate that the consumption of recommended levels of dairy products, as part of a healthy diet, can contribute to lower blood pressure in individuals with normal and elevated blood pressure. Emerging data also indicate that specific peptides associated with casein and whey proteins can significantly lower blood pressure. In addition, a growing body of evidence has provided support for a beneficial effect of dairy foods on body weight and fat loss. Clinical studies have demonstrated that during caloric restriction, body weight and body fat loss occurs when adequate calcium is provided by supplements and that this effect is further augmented by an equivalent amount of calcium supplied from dairy foods. Several studies support a role for calcium, vitamin D, and dairy foods against colon cancer. Additionally, conjugated linoleic acid, a fatty acid found naturally in dairy fat, confers a wide range of anticarcinogenic benefits in experimental animal models and is especially consistent for protection against breast cancer.

Adolescent↗

Vapor-transport equilibrated near-stoichiometric lithium tantalate for frequency-conversion applications.

Near-stoichiometric lithium tantalate (SLT) crystals were produced from congruent lithium tantalate by a vapor-transport equilibration process. Because of the resultant increase in photoconductivity and reduction in photogalvanism, the crystals showed no observable photorefractive damage at 514.5 nm up to the highest intensity used, 2 MW/cm2. The crystals also exhibited low green-induced infrared absorption, a Curie temperature of 693 degrees C, and a coercive field of 80 V/mm. The SLT samples were periodically poled with an 8-microm-period grating, permitting first-order quasi-phase-matched second-harmonic generation of 532-nm radiation at 43 degrees C. A 17-mm-long sample generated 1.6 W of continuous-wave output power at 532 nm for 50 h. With 150-ns pulses at a 100-kHz repetition rate in the same sample, 5-W average-power, 532-nm radiation was generated for 1000 h. No damage to the crystal and no aging effects were observed during these experiments.

Journal Article↗

Is serum leptin related to physical function and is it modifiable through weight loss and exercise in older adults with knee osteoarthritis?

OBJECTIVE: To determine the effect of weight loss and exercise interventions on serum leptin and to investigate the relationship of physical function and osteoarthritis (OA) severity with serum leptin in older overweight and obese adults with knee OA. In addition, the study examined if serum leptin predicts weight loss. DESIGN: Longitudinal, controlled clinical trial of weight loss and exercise interventions. SUBJECTS: Community dwelling, older, overweight and obese adults (n=316; >60 years of age; body mass index >/=28.0 kg m(-2)) with symptomatic knee OA and self-reported difficulty in performing selected physical activities were recruited. INTERVENTIONS: Participants were randomized into one of four groups for the 18-month study duration: Healthy Lifestyle Controls, Dietary Weight Loss (Diet), Exercise Training (Exercise), and a combination of Dietary Weight Loss and Exercise Training (Diet+Exercise). The weight loss goal for the two Diet groups was 5% from baseline at 18 months. Participants in the Exercise groups were trained for 3 days week(-1), 60 min day(-1). MEASUREMENTS: Body weight, body mass index, serum leptin, physical function, and OA severity were measured at baseline, 6 months, and 18 months. RESULTS: Diet and Diet+Exercise groups lost 5.3 and 6.1% of their weight, respectively, at 18 months with the Exercise group losing 2.9%. There was a significant main effect of weight loss on serum leptin with a decrease in serum leptin averaged across the 6- and 18-month time points for the Diet and Diet+Exercise groups compared to the other two groups (beta=0.245; P<0.01). No main effect for exercise training was observed. Serum leptin was related to self-reported physical function. In all participants, a mixed model analysis demonstrated that lower levels of baseline serum leptin predict larger weight loss (beta=-2.779; P=0.048). CONCLUSION: Decreases in serum leptin may be one mechanism by which weight loss improves physical function and symptoms in OA patients.

Aged↗

Mass spectrometry-compatible ICH (International Conference on Harmonization) impurity analysis with a high-pH mobile phase advantages and pitfalls.

Recent advances in bonding chemistry and novel silica synthesis have significantly extended the pH range of silica-based HPLC columns. This extended range now enables the analysis of water-soluble basic drugs at high pH without ion-pairing reagents, thus offering an alternative approach to assay or impurity analyses. This paper describes the many advantages and potential pitfalls of using high-pH mobile phases in the development of MS-friendly LC gradient impurity analytical methods for water-soluble basic drugs under International Conference on Harmonization (ICH) guidelines. Operating at high-pH provides excellent peak shapes and retention, and accentuates selectivity differences of structurally similar impurities and degradants. However, several problems unique to the use of high-pH mobile phases, such as column lifetime, robustness of pH adjustments, peak fronting, and on-column dimerization, were encountered. Each of these problems is discussed with its respective remedy.

Hydrogen-Ion Concentration↗

Relation of plasma leptin concentrations to sex, body fat, dietary intake, and peak oxygen uptake in young adult women and men.

The purpose of this study was to examine the relation of leptin to metabolic and dietary factors in college-age adults. Young adult women and men (n = 32) were recruited and underwent testing for measurement of body mass index, body composition, peak oxygen consumption (VO2peak), dietary intake, and plasma levels of leptin and insulin. Ln leptin was significantly greater for women than for men (2.1 versus 1.2 ng/mL, respectively). This difference remained significant even after adjusting ln leptin for fat mass and fat-free mass as covariates in separate analyses. VO2peak was higher for men than for women and this remained significant after adjustment for differences in fat-free mass and total body mass. Significant correlations were found between ln leptin and indicators of fat mass in women and men, with higher correlations for similar variables observed in men (r = 0.548, 0.674, and 0.732 for body mass index, percentage of body fat, and fat mass [kg] for women, respectively, and r = 0.740, 0.888, 0.858 for body mass index, percentage of body fat, and fat mass [kg] for men, respectively). Ln leptin showed a significant inverse relationship with VO2peak (r = -0.751) in men only. After adjusting ln leptin for body fat mass using partial correlations, ln leptin was not significantly associated with any of the measured variables. Alternatively, after normalization of ln leptin using fat mass as the divisor, a less adequate statistical analysis method, men showed statistical significant correlations between ln leptin and dietary intake and VO2peak. Although plasma leptin values were higher in women, stronger associations were evident for men than for women between leptin and metabolic and dietary factors.

Adipose Tissue↗

Differential effects of maximal- and moderate-intensity runs on plasma leptin in healthy trained subjects.

This study investigated the effect of different exercise bouts on plasma leptin response. Trained men (n = 9) performed a short duration, maximal intensity (MAX) bout and a 60-min endurance run at approximately 70% of maximal oxygen consumption (END). Blood was collected before, immediately after, 24 h after (24 h Post), and 48 h after exercise (48 h Post) for measurement of plasma leptin, insulin, and glucose. VO(2)max and percent body fat were 57.8 +/- 2.1 mL x kg(-1) x min(-1) and 10.8 +/- 1.5% (mean +/- SEM), respectively. Energy expenditure was 197.5 +/- 11.8 and 882.7 +/- 14.4 kcal for MAX and END, respectively. Plasma leptin levels did not differ between time points for the MAX run. Leptin was significantly lower 48 h Post (2.2 +/- 0.3 ng/mL) versus before, immediately after, and 24 h Post exercise (3.1 +/- 0.3, 3.0 +/- 0.3, and 2.5 +/- 0.4 ng/mL, respectively) for END. Leptin tended to be lower at 24 h Post than before or immediately after exercise (P = 0.10). Plasma insulin was lower 24 h Post- versus preexercise for the END, but was not correlated to changes in leptin levels. Plasma glucose levels did not change significantly during the endurance test. We found a delayed decrease in leptin at 48 h after an extended exercise session (900 kcal). Furthermore, this effect did not appear to be related to changes in insulin or glucose levels. Findings from this study address the effects of exercise on leptin, aiding in the evaluation of the impact of exercise and energy expenditure on plasma leptin concentrations in the prevention and treatment of obesity.

Adult↗

The importance of meeting calcium needs with foods.

Calcium can be obtained from foods naturally rich in calcium such as dairy foods, from calcium-fortified foods and beverages, from supplements or from a combination of these. Recognition of calcium's many health benefits, along with Americans' low calcium intake, has led to interest in how best to meet calcium needs. Foods are the preferred source of calcium. Milk and other dairy foods are the major source of calcium in the U.S. In addition, these foods provide substantial amounts of other essential nutrients. Consequently, intake of dairy foods improves the overall nutritional quality of the diet. Other foods such as some green leafy vegetables, legumes and cereals provide calcium, but generally in lower amounts per serving than do dairy foods. Also, some components such as phytates in cereals and oxalates in spinach reduce the bioavailability of calcium. Calcium-fortified foods and calcium supplements are an option for individuals who cannot meet their calcium needs from foods naturally containing this mineral. However, their intake cannot correct poor dietary patterns of food selection which underlie Americans' low calcium intake. Considering the adverse health and economic effects of low calcium intakes, strategies are needed to optimize calcium intake. A first step is to recognize factors influencing dietary calcium consumption. Substituting soft drinks for milk and eating away from home are among the barriers to adequate calcium intake. The American public needs to understand why consuming foods containing calcium is the best way to meet calcium needs and learn how to accomplish this objective.

Adolescent↗

Natural bioactive substances in milk and colostrum: effects on the arterial blood pressure system.

High blood pressure is a significant public health problem worldwide which is associated with increased risk of cardiovascular disease, stroke, and renal disease. The development of this disease is influenced by genetic and environmental factors. The results of many studies have linked increased consumption of milk and milk products with lower blood pressure and reduced risk of hypertension. The intake of several minerals found in milk has been demonstrated to have an inverse relationship with blood pressure. Peptides formed during the digestion of milk proteins have also been demonstrated to have a blood pressure lowering effect. Other components in milk that have been examined for their effects on blood pressure have been less promising. More recent data indicate that a dietary pattern that is low in fat, with fruits, vegetables, and low fat dairy products can significantly reduce blood pressure and lower risk of developing high blood pressure.

Animals↗

The effect of repeated episodes of dietary restriction and refeeding on systolic blood pressure and food intake in exercise-trained normotensive rats.

OBJECTIVE: To explore the effects of weight cycling and exercise on blood pressure and macronutrient intake in Sprague-Dawley rats. RESEARCH METHODS AND PROCEDURES: Female Sprague-Dawley rats (n = 62; 5 months old) were assigned to an ad libitum (Con) or weight-cycled (Cyc) group. They were either sedentary (Con-Sed and Cyc-Sed) or exercise-trained (Con-Ex and Cyc-Ex) on a motorized treadmill (20 m/minute; 60 minutes/day; 6 days/week). The Cyc groups underwent 2 cycles of 3 weeks of 60% food restriction followed by 5 weeks of ad libitum refeeding using a macronutrient self-selection diet. Body mass and food intake were analyzed weekly. Systolic blood pressure (SBP) was measured at baseline and during the first and fifth weeks of each refeeding. RESULTS: For both cycling periods, SBP was elevated in Cyc vs. Con groups at Week 1 of refeeding, but was similar among groups by Week 5 of refeeding. Both Con groups had greater total energy intake than the Cyc groups for both cycling periods (Cycle 1: 2882.2 +/- 75.1, Con-Sed; 2916.1 +/- 67.1, Con-Ex; 2692.2 +/- 58.7, Cyc-Sed; and 2780.5 +/- 52.4 kcal, Cyc-Ex) (Cycle 2: 2815.8 +/- 75.1, Con-Sed; 2938.8 +/- 49.4, Con-Ex; 2577.1 +/- 60.5, Cyc-Sed; and 2643.5 +/- 65.9 kcal, Cyc-Ex). Relative fat intake (percentage of total kcal/week) was significantly less for Con-Ex and Cyc-Ex than Con-Sed and Cyc-Sed throughout both refeeding periods. DISCUSSION: Weight cycling failed to produce significant sustained effects on SBP, body mass, or food intake. Exercise training, irrespective of diet, lowered dietary fat intake.

Animals↗

Benefits of dairy product consumption on blood pressure in humans: a summary of the biomedical literature.

The inverse relationship between intake of dairy products and blood pressure levels was first suggested by several epidemiologic surveys in the early 1980's that revealed low calcium intake in populations with increased prevalence of hypertension. Subsequent laboratory and clinical investigations provided further evidence of the association between calcium and blood pressure, but the results of these studies were often inconsistent due to variations in study design and methods, study participants and calcium sources. The recently published results of the large and carefully executed Dietary Approaches to Stop Hypertension Study, "DASH," which demonstrated a dramatic blood-pressure lowering effect of diets rich in dairy products, fruits and vegetables, addressed many of the issues contributing to the inconsistencies in the blood pressure-calcium data. In the following review, we discuss the evolution of the scientific evidence of the association between dietary calcium intake and blood pressure, the findings and significance of the DASH trial and the consensus that now exists among health professionals regarding the importance of adequate dairy product intake for optimal blood pressure regulation.

Blood Pressure↗

Enhancing the nutrition of America's youth.

Today, we know more about what foods children should eat for optimal growth and development, as well as future health, than ever before. Yet, many of our nation's youth are not meeting their nutritional needs and are following a sedentary lifestyle. Overweight among American children has increased dramatically during the past decade. Also, children's low calcium intake can compromise their bone health and increase their future risk of osteoporosis. Health professionals, parents, educators and others responsible for children can play a key role in enhancing the nutrition of America's youth. However, they first need to be aware of the important issues regarding children's nutrition and how best to positively impact children's nutrition. A recent briefing by experts in child nutrition and a roundtable discussion was held in Washington, DC, to address these topics. This review summarizes the information presented. Focusing on dietary restrictions, such as a low fat diet, was identified as an obstacle to positively impacting children's nutrition. To improve children's dietary intake and their ability to learn in school, efforts are being made to increase the availability of and participation in the School Breakfast Program. Parents and other child care providers can serve as role models and positively influence what foods children like and will actually eat. Children are not little adults and, as such, dietary guidelines based on adult data should not be extrapolated to children. Support for the development of separate dietary guidelines for children is growing. These guidelines should be based on sound scientific evidence of efficacy and safety. Enhancing the nutrition of America's youth is emerging as a priority, both locally (i.e., community school feeding programs) and nationally (i.e., dietary guidelines).

Child↗

Allaying fears and fallacies about lactose intolerance.

Public awareness and misunderstandings of lactose intolerance are at an all-time high. Many people erroneously believe they are lactose intolerant or develop gastrointestinal symptoms after intake of lactose. Consequently, lactose-containing foods such as milk and other dairy foods may be eliminated unnecessarily from the diet. Because these foods are a major source of calcium, low intake of them can compromise calcium nutriture. This, in turn, can increase the risk of major chronic diseases such as osteoporosis (porous bones) and hypertension. This review is intended to help dietetics professionals alleviate clients' fears about lactose intolerance and recommend dietary strategies to improve tolerance to lactose. Scientific findings indicate that the prevalence of lactose intolerance is grossly overestimated. Other physiologic and psychologic factors can contribute to gastrointestinal symptoms that mimic lactose intolerance. Scientific findings also indicate that people with laboratory-confirmed low levels of the enzyme lactase can consume 1 serving of milk with a meal or 2 servings of milk per day in divided doses at breakfast and dinner without experiencing symptoms. Several dietary strategies are available to help lactose maldigesters include milk and other dairy foods in their diet without experiencing symptoms.

Anxiety↗