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W D Block

Publications and source records attributed to W D Block.

At least 37 records · Page 2Linked to original sources

Comparative effects of physical training and diet in normalizing serum lipids in men with Type IV hyperlipoproteinemia.

The effect of milk physical training (PT) (group A), Type IV hyperlipoproteinemia (HLP) diet (group B), and PT plus Type IV HLP diet on serum lipids (group C) in 46 men with Type IV HLP was studied. Significant reductions in mean triglyceride (TG) levels from 163, 229, 196, to 136, 145, 116 mg/100 ml serum were found for groups A, B, and C, respectively. Following six weeks of intervention, cholesterol levels also dropped for all groups with the greatest reductions occurring in groups B and C. Minimal weight losses were found for all groups while groups A and C displayed significant reductions in body fatness, but both of these changes appeared independent of lipid reductions. It was concluded that either mild PT or HLP diet or both are effective means of lowering TG levels in Type IV HLP individuals. Furthermore, it appears that patients need to participate regularly in formal programs in order to maintain adherence to these interventions.

Adult

Habitual physical activity and glucose tolerance. Males age 16-64 in a total community.

The data being reported are part of an epidemiologic study of health and disease in an entire community, Tecumseh, Michigan. Approximately 1,300 males age 16-65 were classified into three groups on the basis of their habitual leisure and occupational physical activity. A blood sample was drawn one hour after a glucose challenge and analyzed for glucose concentration. A measure of body fatness (sun of four skinfolds) was also available on the men. Glucose concentration of the three physical activity groups was compared by analyses of variance within narrow age group. There was no significant relationship between glucose tolerance and habitual physical activity. There was a slight, but in some age groups significant, relationship between glucose tolerance and body fatness. The population was then divided within each age group into subgroups (thirds) by sum of skinfolds. The analysis was repeated in each age-fatness group. Glucose tolerance was better in the active men but only among the leanest subgroup of subjects.

Adipose Tissue

alpha1-Antitrypsin deficiency in clinic patients.

Five hundred patients undergoing complete medical examination, and 225 consecutive patients with abnormal pulmonary function tests were studied for alpha1-antitrypsin deficiency. Within the first group, respiratory disease was diagnosed significantly more often in patients with a variant Pi phenotype (MS, MZ, FF) than in the patients with the most common phenotype, MM. Furthermore, the frequency of heterozygosity (MS or MZ) was greater in the patients who had respiratory disease. When the first and second groups were compared, the prevalence of the variant phenotypes was not statistically different.

Female

Nutritional indexes of clients in a maternity and infant care project. I. The target population.

The Detroit Maternity and Infant Care Project (DMICP) is funded under Title V of the Social Security Act. Records of 198 pregnant women and their infants seen by a project nutritionist in fiscal 1971-72 were studied. The women were predominantly young (below twenty years of age), black, and not enrolled in school. Most were pregnant for the first time. About a third were overweight. Mean scores on the APGAR scale for the infants at birth were high (7 to 10). More than half of these young mothers brought their infants to the project center for check-ups six to ten times during the first year.

Adolescent

Nutritional indexes of clients in a maternity and infant care project. II. Dietary, anthropometric, and hematologic indexes of pregnant women and their infants.

Low intakes by 198 pregnant women of milk, fruit, and vegetables are reported: consumption of meat and bread and cereals was satisfactory. However, mean hemoglobin and hematocrit values were within acceptable ranges for these women, indicating that supplementation apparently compensated in part for poor dietary habits. Protein intake of the infants of these mothers was above recommendations, the advisability of which is questioned. Height and weight of the male and female infants at birth were above and below the 10th percentile, respectively. By the age of four months, however, all infants were equal to or above this level. Mean hemoglobin levels were above acceptable levels.

Adolescent

Nutritional indexes of clients in a maternity and infant care project. III. Relationships between developmental, medical, and nutritional variables.

Nutritional and medical records of the infants of 198 women of a low socioeconomic group were correlated with results of the Denver Developmental Screening Test. At one year, the infants' developmental age was above the norm. In addition, selected medical, nutritional, and developmental variables, as indicated by charts of the Detroit Maternity and Infant Care Project, were statistically analyzed for interrelationships. No correlation was found between hemoglobin levels, even though they were low for some infants, and developmental indexes. Prenatal weight gain of the mothers was statistically significant in relation to their infants' birth weight, height, and head circumference. Thus periodic monitoring of weight throughout pregnancy is recommended.

Child Development

Metabolic adaptation with physical training: 14C-acetate incorporation into tissue lipids.

Forty-eight rats were fed ad libitum, fasted 24 hr, rested 48 hr,and injected i.p. with 40 muCi of 14C-acetate/100 g body weight. Twenty-four rats had followed a progressive physical training program for 12 wk and 24 rats acted as their controls. Following this injection, the rats were sequentially sacrificed at 5-, 10-, 15-, and 20-min intervals and total cholesterol (TC), free cholesterol (FC), and triglyceride (TG) specific activity and concentrations were measured from serum, liver, triceps, and heart tissue. Curves relating specific activity to the time point data were fitted by the method of least squares. Comparison of these curves revealed that serum, liver, and triceps TC and FC specific activity were significantly higher in the trained rats. In contrast, corresponding TC and FC concentrations for these three tissues varied. Liver TC level was significantly less for the trained group, probably due to a reduction in the esterified moiety, since liver FC measures were unchanged. Training resulted in significantly lower TC concentrations in the selected tissues studied even though specific activity curves appeared similar for both groups. Our conclusions are that lipid metabolic adaptation; studied in vivo, occurs in tissues with training, but that these adaptations are not uniform across tissues, lipid moieties, or measurement parameters.

Acetates

Diabetes among men in a general population. Prevalence and associated physiological findings.

A random sample of 281 men, aged 30 through 69, resident in the community of Tecumseh, Mich, was studied with the use of standard glucose tolerance tests, including serum insulin assays and fasting serum lipid concentrations. Diagnoses of diabetes and probable diabetes were made according to a modification of the criteria of Fajans and Conn. Prevalence of diabetes and probable diabetes was considerably higher among men aged 40 through 49 than among those aged 30 through 39, but it increased little in the 50-through-59 and 60-through-69 age groups. Lean nondiabetics and probable diabetics had similar mean systolic blood pressures and similar mean levels of serum cholesterol, serum triglycerides, and serum insulin, but fat probable diabetics had much higher mean serum lipid and serum insulin concentrations that fat nondiabetics. Adiposity grouping discriminated by variable levels less well between diabetics and nondiabetics.

Adult

Analysis of genetic and environmental sources of variation in serum cholesterol in Tecumseh, Michigan. I. Analysis of the frequency distribution for evidence of a genetic polymorphism.

Analyses of serum cholesterol measurements on 4,619 males and 4,730 females residing in the community of Tecumseh, Michigan, were conducted to estimate the contribution of sex, age, temporal variation, and bimodality to determining the normal variation among individuals sampled without regard to their health status. Female values had a higher mean (2.8 mg/100 ml greater) but smaller variance than males when adjusted by polynomial regression to a common age. Positive skew in the frequency distribution for both sexes was removed by natural logarithm (ln) transformation. Age variation accounted for 28.5% and 29.4% of the variance in a ln cholesterol measurement of males and females, respectively. Between 7% and 10% of the variance in a ln cholesterol value was estimated to be attributable to differences between age-adjusted replicate measurements of the same individual. The reduction in individual variability by adjustment for these contributions to variance will allow a more precise evaluation of the relative contribution of alternate genetic hypotheses as explanations for normal variation in cholesterol. Assuming bimodality, approximately one in 1,000 males and one in 1,000 females belong to a second mode of hypercholesterolemic individuals. The locus determining familial hypercholesterolemia is not a major source of normal phenotypic variation in the Tecumseh population.

Adolescent

The Tecumseh study.

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Cardiovascular Diseases