Men in the lower third of muscular strength had higher rates of mortality than those in the middle or upper thirds. A study of over 3,000 women with breast cancer found that low muscle mass and quality were associated with higher mortality. Older age is a major risk factor for poor outcomes from influenza, COVID-19, and critical illness due to the impacts of aging on muscle loss and frailty. Fortetropin has been shown to increase muscle mass and strength in humans and prevent disuse muscle atrophy in dogs after surgery.
Bone health of postpartum women: Unexpected high prevalence of a health probl...Premier Publishers
The aim was to see the effect of pregnancy on Bone Mineral Density (BMD) and bone turnover markers (BTMs) in the immediate postpartum period and 12 months thereafter. Eighty women delivered at KAUH (May 2009-Oct 2010) had BMD, bone profile, 25-OH vitamin D and (BTMs). Inclusion criteria: Singleton pregnancy without medical or pregnancy complications. Exclusion criteria: multiple pregnancies, history of diabetes thyroid or bone disease, and use of any medication that affect calcium metabolism. Biochemical tests were repeated for 27 women after one year. Statistical analysis was done using SPSS 16. Eighty women had BMD before discharge. Sixty four women (80%) had low BMD; sixteen of these (25%) had osteoporosis. Although bone profiles were normal, Vitamin D levels were moderately or severely deficient in 35.37% of women. After adjustment for BMI and age there was no correlation between BMD and other variables. Multiple linear regressions showed that BMI was the predictor for BMD (P=0.0014). There was no significant difference between postpartum bone BTMs and bone profiles, and those after twelve months.
Osteoporosis/ osteopenia is a significant health problem in this group of women. Further studies are needed to look into predisposing factors.
Dr. Sehdev explains bone health as it relates to cancer, including bone metastases, treatment options, the impact of cancer treatment on bone health, and what you can do to keep your bones strong.
Vicki Harber
LA GIOVANE ATLETA
Il ciclo mestruale, punto di riferimento per un sviluppo sano della giovane atleta
Nel processo di sviluppo delle giovani atlete è necessario che siano integrati il monitoraggio continuo del menarca e il controllo del loro stato mestruale. Promuovere lo sviluppo di una giovane atleta e supervisionarne l’allenamento è impegnativo e complesso. Se dispongono di una conoscenza maggiore della funzione mestruale le giovani atlete e le loro famiglie hanno strumenti migliori per rispondere alle esigenze dell’allenamento e delle gare. Lo stato mestruale rappresenta un indicatore globale della salute e del benessere che fornisce informazioni che riguardano l’energia, il rischio di lesioni scheletriche e muscolari, l’apporto alimentare, il profilo metabolico e ormonale, il recupero e altri elementi, importanti per la prestazione. Inoltre, con l’uso crescente dei contraccettivi orali da parte delle giovani atlete che non hanno raggiunto la loro maturità scheletrica, allenatori, allenatrici e genitori debbono essere informati dei risultati recenti che riguardano la salute delle ossa.
Bone health of postpartum women: Unexpected high prevalence of a health probl...Premier Publishers
The aim was to see the effect of pregnancy on Bone Mineral Density (BMD) and bone turnover markers (BTMs) in the immediate postpartum period and 12 months thereafter. Eighty women delivered at KAUH (May 2009-Oct 2010) had BMD, bone profile, 25-OH vitamin D and (BTMs). Inclusion criteria: Singleton pregnancy without medical or pregnancy complications. Exclusion criteria: multiple pregnancies, history of diabetes thyroid or bone disease, and use of any medication that affect calcium metabolism. Biochemical tests were repeated for 27 women after one year. Statistical analysis was done using SPSS 16. Eighty women had BMD before discharge. Sixty four women (80%) had low BMD; sixteen of these (25%) had osteoporosis. Although bone profiles were normal, Vitamin D levels were moderately or severely deficient in 35.37% of women. After adjustment for BMI and age there was no correlation between BMD and other variables. Multiple linear regressions showed that BMI was the predictor for BMD (P=0.0014). There was no significant difference between postpartum bone BTMs and bone profiles, and those after twelve months.
Osteoporosis/ osteopenia is a significant health problem in this group of women. Further studies are needed to look into predisposing factors.
Dr. Sehdev explains bone health as it relates to cancer, including bone metastases, treatment options, the impact of cancer treatment on bone health, and what you can do to keep your bones strong.
Vicki Harber
LA GIOVANE ATLETA
Il ciclo mestruale, punto di riferimento per un sviluppo sano della giovane atleta
Nel processo di sviluppo delle giovani atlete è necessario che siano integrati il monitoraggio continuo del menarca e il controllo del loro stato mestruale. Promuovere lo sviluppo di una giovane atleta e supervisionarne l’allenamento è impegnativo e complesso. Se dispongono di una conoscenza maggiore della funzione mestruale le giovani atlete e le loro famiglie hanno strumenti migliori per rispondere alle esigenze dell’allenamento e delle gare. Lo stato mestruale rappresenta un indicatore globale della salute e del benessere che fornisce informazioni che riguardano l’energia, il rischio di lesioni scheletriche e muscolari, l’apporto alimentare, il profilo metabolico e ormonale, il recupero e altri elementi, importanti per la prestazione. Inoltre, con l’uso crescente dei contraccettivi orali da parte delle giovani atlete che non hanno raggiunto la loro maturità scheletrica, allenatori, allenatrici e genitori debbono essere informati dei risultati recenti che riguardano la salute delle ossa.
Dr Steve Cummings presentation from Osteoporosis 2016: Patients receiving bisphosphonates should not take holidays from treatment.
Find out more at: https://nos.org.uk/conference
Sanni Ali's presentation from Osteoporosis 2016: Antidiabetic medication use and the risk of fracture amongst type 2 diabetic patients: a nested case-control study
Find out more at: https://nos.org.uk/conference
Dr Trevor Cole's presentation from Osteoporosis 2016: From family history to epigenetics of osteoporosis.
Find out more at: https://nos.org.uk/conference
Dr Jennifer Walsh's presentation from Osteoporosis 2016: Management of osteoporosis in the young adult.
Find out more at: https://nos.org.uk/conference
Update on the 18th International Conference on Co-morbidities and Adverse Drug Reactions in HIV
Daniel Lee, M.D.
January 20th, 2017
UCSD HIV & Global Health Rounds
CLINICAL EVALUATION OF THE EFFECT OF OMEGA-3 FATTY ACIDS ON OSTEOPOROTIC FEMA...Mohamed A. Galal
Mohamed A. Galal ; Mushira A. Dahaba, ; Basma M. Zaki
and Hanaa M. Elshenawy. CLINICAL EVALUATION OF THE EFFECT OF OMEGA-3 FATTY ACIDS ON OSTEOPOROTIC FEMALES HAVING CHRONIC PERIODONTITIS. Cairo Dental Journal (30)Number (1), 1:10January, 2014.
Tenslotte zal Prof. Dr. Joop van den Bergh het fractuurrisico bij patiënten met DM type 1 en 2 bespreken: hoe relevant is het verhoogde fractuurrisico bij jonge patiënten met DM type 1? Zijn adipeuze patiënten met DM type 2 beschermd tegen osteoporose? Welke determinanten spelen een rol bij het fractuurrisico bij DM type 2?
Dr Steve Cummings presentation from Osteoporosis 2016: Patients receiving bisphosphonates should not take holidays from treatment.
Find out more at: https://nos.org.uk/conference
Sanni Ali's presentation from Osteoporosis 2016: Antidiabetic medication use and the risk of fracture amongst type 2 diabetic patients: a nested case-control study
Find out more at: https://nos.org.uk/conference
Dr Trevor Cole's presentation from Osteoporosis 2016: From family history to epigenetics of osteoporosis.
Find out more at: https://nos.org.uk/conference
Dr Jennifer Walsh's presentation from Osteoporosis 2016: Management of osteoporosis in the young adult.
Find out more at: https://nos.org.uk/conference
Update on the 18th International Conference on Co-morbidities and Adverse Drug Reactions in HIV
Daniel Lee, M.D.
January 20th, 2017
UCSD HIV & Global Health Rounds
CLINICAL EVALUATION OF THE EFFECT OF OMEGA-3 FATTY ACIDS ON OSTEOPOROTIC FEMA...Mohamed A. Galal
Mohamed A. Galal ; Mushira A. Dahaba, ; Basma M. Zaki
and Hanaa M. Elshenawy. CLINICAL EVALUATION OF THE EFFECT OF OMEGA-3 FATTY ACIDS ON OSTEOPOROTIC FEMALES HAVING CHRONIC PERIODONTITIS. Cairo Dental Journal (30)Number (1), 1:10January, 2014.
Tenslotte zal Prof. Dr. Joop van den Bergh het fractuurrisico bij patiënten met DM type 1 en 2 bespreken: hoe relevant is het verhoogde fractuurrisico bij jonge patiënten met DM type 1? Zijn adipeuze patiënten met DM type 2 beschermd tegen osteoporose? Welke determinanten spelen een rol bij het fractuurrisico bij DM type 2?
Skeletal Related Events in Metastasis Breast Cancer: Case Report_Crimson Publ...CrimsonpublishersCancer
Breast cancer is the most common malignancy distressing females in the world. The bone metastases are one of the most common site of disease dissemination. Up to 75% of stage IV Breast cancer patients developing skeletal metastases [1] metastatic bone disease can result in skeletal related events (SREs), including humoral hypercalcaemia of malignancy (HHM), pathological fractures, spinal cord compression, and pain [2]. The median time from bone metastases diagnosis to first SRE can be as short as 1.8 months, with the incidence of SREs growing considerably during the first 12 months following diagnosis [3]. This Bone metastases affect patient survival, movement, and quality of life by negative impact. The molecular mechanisms involved in the metastasis, colonization, and proliferation of breast cancer cells in bone are multifaceted and include crosstalk between breast cancer cells and the bone microenvironment. The capability of metastatic breast cancer cells to capture normal biological processes involved in bone remodeling is a key driver of osteolytic and osteoblastic bone lesions. As such, our understanding of how breast cancer cells manipulate normal bone remodeling pathways is essential for the development of new therapeutic agents to improve patient outcomes.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Firstbeat Technologies
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Analytical Study of Clinicopathological Data of Saudi Patients with Osteoarth...Prof. Hesham N. Mustafa
SUMMARY: Knee osteoarthritis (OA) is a common disabling disease. Epidemiological studies have revealed various risk
factors for OA, including sex, aging, obesity, occupational illnesses, and chronic diseases. Here we evaluate the clinical, pathological,
and radiological findings of knee OA in a subset of Saudi patients who were subjected to total knee replacement (TKA). The study
population included 30 Saudi patients with knee OA who were operated by TKA (from June 2014 to December 2015) in the Department
of Orthopedics, Faculty of Medicine, King Abdulaziz University, Saudi Arabia. Patient’s clinical and radiological data were collected
from the hospital files. Pathological examination of the excised superior articular surface of tibia and femoral condyles were done.
Pearson Chi-squared analysis was used to test for differences between the variables in associated risk factors. There were more women
than men. Sixty per cent of patients were older than 60 years [mean age, 59.2 (females) and 61.7 (men) years-old]. All patients exceeded
obesity class 1, with females being more obese than males. Pathological examination of the superior articular surface of tibia and femoral
condyles showed high score lesions, which was more apparent in females than in males. Radiological findings showed that most lesions
were high grade. The findings of this study will help to understand the pathogenesis of OA and improve treatment decision making
relevant to TKA in knee OA in Saudi Arabia and elsewhere.
KEY WORDS: Osteoarthritis; Knee; Arthroplasty.
This presentation was prepared for few of my colleagues at PSI working with me on a large scale diabetes and hypertension prevention program. The intent was to give them basic understanding of evidences around the impact of few lifestyle modification strategies particularly for caloric restriction and physical activity on health and lifespan.
Morphologomics - Challenges for Surgical Pathology in the Genomic Age by Dr. ...Cirdan
This presentation introduces and discussesthe concept of ‘morphologomics’ that is omics approaches critically reimagined and reappraised from the viewpoint of classic morphology.
It was delivered by Dr. Anthony Gill at the Pathology Horizons 2017 conference in Cairns, Australia.
introduce and discuss the concept of ‘morphologomics’ that is omics approaches critically reimagined and reappraised from the viewpoint of classic morphology.
Overview of the Health Benefits of Vitamin C by Prof Margreet VissersKiwifruit Symposium
Prof Margreet Vissers, Research Professor at University of Otago, New Zealand: http://www.kiwifruitsymposium.org/presentations/overview-of-the-many-health-benefits-of-vitamin-c/
Presented at 1st International Symposium on Kiwifruit and Health.
Vitamin C is essential for life, and humans obtain this nutrient exclusively through the diet. It functions inside the cells in our bodies, where it plays an important role in supporting many essential processes. One kiwifruit a day gives the daily requirement of vitamin C.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Genetic Edge Compounds ADVANCED NUTRITION FOR MUSCLE HEALTH.pptx
1. ADVANCED NUTRITION FOR MUSCLE HEALTH
Neerav D. Padliya, Ph.D.
Vice President, Research & Development
MYOS RENS Technology, Cedar Knolls, NJ
March 31, 2020 Genetic Edge Compounds
2. WHY DOES MUSCLE HEALTH MATTER?
Longevity
Karolinska Institute Study: Muscle Mass and Mortality [1].
Harvard Study: Muscle Mass and Breast Cancer Survival [2].
Quality of Life
Golfing, Tennis, Dancing or Biking.
Bone Health
Muscle-Bone Biochemical Crosstalk [3].
Muscle-Bone Biomechanical Interactions [4].
Energy Metabolism
Reduced Muscle Mass and Type 2 Diabetes Risk [5].
Avoiding Injury
Muscle Loss, Compromised Balance and Falls [6].
4. Qin, Y. X., et al. Journal of musculoskeletal & neuronal interactions 10.1 (2010): 12.
5. Landi, F., et al. Journal of the American Medical Directors Association 14.8 (2013): 540-541.
6. Landi, F., et al. Clinical nutrition 31.5 (2012): 652-658.
1. Ruiz, J. R., et al. Bmj 337 (2008): a439.
2. Caan, Bette J., et al. JAMA oncology 4.6 (2018): 798-804.
3. Hamrick, M. W. BoneKEy reports 1 (2012).
Genetic Edge Compounds
3. MUSCLE MASS & LONGEVITY
Karolinska Institute Study – Muscular Strength & Mortality in Men:
• Examine Association Between Muscular Strength and Mortality From All Causes,
Cardiovascular Disease and Cancer in Men.
• Prospective Cohort Study (8762 men, aged 20-80).
• Aerobics Center Longitudinal Study (Cooper Clinic, Dallas, TX).
• Average Follow-up Period: 18.9 years.
• Outcome Measures
• All Cause Mortality Up To Dec. 31, 2003.
• Muscular Strength (One Repetition Maximal Measures for Leg and Bench Presses).
Ruiz, Jonatan R., et al. "Association between muscular strength and mortality in men: prospective cohort study." Bmj 337 (2008): a439.
Genetic Edge Compounds
4. MUSCLE MASS & LONGEVITY
Karolinska Institute Study – Muscular Strength & Mortality in Men:
Ruiz, Jonatan R., et al. "Association between muscular strength and mortality in men: prospective cohort study." Bmj 337 (2008): a439.
Men in the lower third of
muscular strength had
increased rates of mortality
from all causes, cardiovascular
disease and cancer compared
to men in the middle and
upper thirds of muscular
strength.
Genetic Edge Compounds
5. COVID-19: OLDER ADULTS ARE MOST IMPACTED
Riou J, Hauser A, Counotte MJ, Althaus CL. Adjusted age-specific case fatality ratio during the COVID-19 epidemic in Hubei, China, January and February 2020. medRxiv. 2020 Jan 1.
Covid-19 Deaths in Italy
Genetic Edge Compounds
6. INFLUENZA: OLDER ADULTS ARE MOST IMPACTED
Riou J, Hauser A, Counotte MJ, Althaus CL. Adjusted age-specific case fatality ratio during the COVID-19 epidemic in Hubei, China, January and February 2020. medRxiv. 2020 Jan 1.
Symptomatic Illnesses Medical Visits Hospitalizations Deaths
Age group Estimate 95% UI Estimate 95% UI Estimate 95% UI Estimate 95%UI
0-4 yrs 3,633,104
(2,506,551,
7,199,330)
2,434,180
(1,667,892,
4,820,252)
25,328
(17,475,
50,191)
266 (85, 713)
5-17 yrs 7,663,310
(6,027,982,
10,438,419)
3,984,921
(3,067,414,
5,415,715)
21,012
(16,528,
28,621)
211 (38, 640)
18-49 yrs 11,913,203
(10,077,523,
16,032,899)
4,407,885
(3,498,694,
6,064,550)
66,869
(56,565,
89,993)
2,450 (1,402, 5,813)
50-64 yrs 9,238,038
(6,582,690,
15,759,286)
3,972,356
(2,712,868,
6,886,487)
97,967
(69,808,
167,123)
5,676 (3,547, 13,486)
65+ yrs 3,073,227
(2,008,898,
6,030,701)
1,721,007
(1,097,482,
3,394,980)
279,384
(182,627,
548,246)
25,555
(17,874,
41,363)
All ages 35,520,883
(31,323,881,
44,995,691)
16,520,350
(14,322,767,
21,203,231)
490,561
(387,283,
766,472)
34,157
(26,339,
52,664)
Genetic Edge Compounds
7. AGING IMPACTS INFLUENZA-RELATED MUSCLE LOSS
On influenza-induced muscle inflammation,
atrophy and functional impairment:
“We have demonstrated that key inflammatory
signals, and key ubiquitin proteasome
components, both atrogin1 and MuRF1, as
well as ubiquitin B and ubiquitin C, are
upregulated. As it is known that muscle repair
is diminished with aging, it is likely these
muscle losses are not easily recoverable.”
Bartley JM, Pan SJ, Keilich SR, Hopkins JW, Al-Naggar IM, Kuchel GA, Haynes L. Aging augments the impact of influenza respiratory tract infection on mobility impairments, muscle-
localized inflammation, and muscle atrophy. Aging (Albany NY). 2016 Apr;8(4):620.
Genetic Edge Compounds
8. SARCOPENIA & ICU SURVIVAL: VENTILATOR WEANING
Likou Chang Gung Memorial Hospital, Taiwan:
• Sarcopenia may impair the respiratory musculature, which can subsequently influence the
outcome of ventilator weaning.
• 96 patients undergoing mechanical ventilation in the surgical intensive care unit (ICU) were
enrolled.
• Demographic data and weaning parameters were recorded from the prospectively collected
database, and the total psoas muscle area (TPA) was determined at the level of the 3rd lumbar
vertebra by Computed Tomography (CT).
• Receiver operating characteristic (ROC) curve analysis was conducted to investigate the
predictive capability of TPA and weaning parameters for predicting weaning outcomes.
Kou HW, Yeh CH, Tsai HI, Hsu CC, Hsieh YC, Chen WT, Cheng HT, Yu MC, Lee CW. Sarcopenia is an effective predictor of difficult-to-wean and mortality among critically ill surgical patients. PloS one.
2019;14(8).
Genetic Edge Compounds
9. SARCOPENIA & SURVIVAL: CRITICALLY ILL SURGICAL PATIENTS
Likou Chang Gung Memorial Hospital, Taiwan:
Kou HW, Yeh CH, Tsai HI, Hsu CC, Hsieh YC, Chen WT, Cheng HT, Yu MC, Lee CW. Sarcopenia is an effective predictor of difficult-to-wean and mortality among critically ill surgical patients. PloS one.
2019;14(8).
Sarcopenia (p = 0.038) and APACHE II score
(p<0.001) were found to be independent predictors for
DtW, whereas RR<30 breaths/min (p = 0.044), RSBI
<105 (p = 0.045), and Vt >5 ml/kg (p = 0.004) were
shown to significantly decrease the odds of DtW. On
the other hand, sarcopenia (p = 0.042), emergent
operation (p = 0.033), and SOFA score (p = 0.004)
were independent risk factors for ICU mortality.
Genetic Edge Compounds
10. MUSCLE MASS & BREAST CANCER SURVIVAL
Harvard / Brigham & Women’s Hospital Study – Non-Metastatic Breast Cancer:
• Are sarcopenia, poor muscle quality, and excess adiposity at diagnosis associated with overall
mortality in patients with nonmetastatic breast cancer?
• Observational Study of 3241 women with non-metastatic breast cancer (Jan. 2000 – Dec. 2013).
• Computed tomography (CT) performed at time of diagnosis.
Sarcopenia (Low Muscle Mass), Poor Muscle Quality (Low Muscle Radiodensity) or Excess
Adiposity.
• Main Outcome Measures
Overall Survival Time and All Cause Mortality.
Caan, Bette J., et al. "Association of muscle and adiposity measured by computed tomography with survival in patients with nonmetastatic breast cancer." JAMA oncology 4.6 (2018): 798-804.
Genetic Edge Compounds
11. MUSCLE MASS & BREAST CANCER SURVIVAL
Harvard / Brigham & Women’s Hospital Study – Non-Metastatic Breast Cancer:
Caan, Bette J., et al. "Association of muscle and adiposity measured by computed tomography with survival in patients with nonmetastatic breast cancer." JAMA oncology 4.6 (2018): 798-804.
Genetic Edge Compounds
12. WHAT IS FRAILTY?
Clinical Definition of Frailty:
Presence of three or more of the following
components:
1. Shrinking
2. Weakness
3. Poor endurance and energy
4. Slowness
5. Low physical activity level
Fried, Linda P., et al. "Frailty in older adults: evidence for a phenotype." The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 56.3 (2001): M146-M157.
Genetic Edge Compounds
13. FRAILTY & SARCOPENIA
“This editorial has suggested that sarcopenia
is the major cause of frailty. Frailty can be
screened for by general practitioners as
demonstrated by the Gerontopole Frailty
Screening Tool 54, 55. A simple screening tool,
the FRAIL, takes less than 15 s to do and does
not require a physician to administer it.
Treatments for frailty clearly exist. For these
reasons we suggest that it is time to couple
sarcopenia and frailty and increase its
community awareness.”
Morley, John E., et al. "From sarcopenia to frailty: a road less traveled." Journal of cachexia, sarcopenia and muscle 5.1 (2014): 5-8.
Genetic Edge Compounds
14. FORTETROPIN®
• Natural bioactive composition made from fertilized chicken egg yolks.
• Patented low-temperature manufacturing process developed by German Institute of Food Technology/DIL to
retain activity of biomolecules.
• Increases muscle mass and strength [1], prevents atrophy [2], and improves recovery [2].
• Manufactured in modern, state-of-the-art GMP facilities.
• Issued United States patents:
⚬ 8,815,320
⚬ 10,165,785
1. Sharp, Matthew H., et al. Journal of the American College of Nutrition 35.8 (2016): 679-691.
2. White, Dana A., et al. "Fortetropin inhibits disuse muscle atrophy in dogs after tibial plateau
leveling osteotomy." Plos one 15.4 (2020): e0231306.
Genetic Edge Compounds
15. EGG INTAKE, CVD RISK & MORTALITY
Dehghan M, Mente A, Rangarajan S, Mohan V, Lear S, Swaminathan S, Wielgosz A, Seron P, Avezum A, Lopez-Jaramillo P, Turbide G. Association of egg intake with blood lipids,
cardiovascular disease, and mortality in 177,000 people in 50 countries. The American Journal of Clinical Nutrition. 2020 Jan 21.
“In 3 large international prospective studies
including ∼177,000 individuals, 12,701
deaths, and 13,658 CVD events from 50
countries in 6 continents, we did not find
significant associations between egg intake
and blood lipids, mortality, or major CVD
events. The ONTARGET and TRANSCEND
trials were registered at clinicaltrials.gov as
NCT00153101. The PURE trial was registered
at clinicaltrials.gov as NCT03225586.”
Genetic Edge Compounds
17. IMPACT OF FORTETROPIN® ON OLDER ADULTS
Impact of Fortetropin® on the rate of muscle
protein synthesis after 21 days of
intervention was studied in clinical trial [1].
20 subjects (10 men and 10 women).
Ages (60 – 75 years old).
Randomized, Double-Blind, Placebo
Controlled Study Design:
o 10 subjects received Fortetropin®.
o 10 subjects received placebo (cheese
powder).
Evans, William J., Presentation at International Conference on Frailty & Sarcopenia Research, Toulouse, France, March 11, 2020.
18. Mitochondrial Biogenesis, Cellular
Respiration, Oxidative Stress
• Calorie Restriction
• Exercise
• Anabolic Treatment
Nuclear Proteins (Histones)
• Muscle Regeneration and Repair
• Anabolic Treatment
Cytosolic Proteins
• Glycolysis / Gluconeogenesis
• TCA Cycle
• Cell Energetics
• Cytoplasmic Vesicles
• Ion Transport
• Intracellular Signaling
• Stress Response
Extracellular Matrix Proteins
• Muscle Damage
• Regeneration and Repair
Myofibril, Z-band, Contractile Proteins
• Muscle Damage and Atrophy
• Muscle Regeneration and Repair
• Exercise
• Anabolic Treatment
Sarcoplasmic
Reticulum
Proteins
Anabolic treatment
Exercise
Muscle Damage
Repair
Muscular Dystrophy
• Dystrophin
• Collagen VI, Laminin
• Signaling Proteins
PROTEOME DYNAMICS IN SKELETAL MUSCLE
Evans, William J.,
Presentation at
International
Conference on Frailty
& Sarcopenia
Research, Toulouse,
France, March 11,
2020.
Genetic Edge Compounds
19. FRACTIONAL SYNTHESIS OF 38 MYOFIBRIL PROTEINS
Evans, William J.,
Presentation at
International
Conference on Frailty &
Sarcopenia Research,
Toulouse, France,
March 11, 2020.
IN CONTROL AND FORTETROPIN® GROUPS
Overall magnitude
of increase was
~15% in
Fortetropin-
supplemented
group.
20. IMPACT OF FORTETROPIN® ON MUSCLE GAIN
55.
56.
57.
58.
59.
60.
61.
Placebo 6.6 g 19.8 g
Pre Post
Lean Body Mass (kg)
4.5
4.73
4.95
5.18
5.4
5.63
Placebo 6.6 g 19.8 g
Pre Post
Muscle Thickness (cm)
*
*
*
*
* p < 0.05
• Double blind, placebo controlled, randomized, 12 week study
of Fortetropin® in males (18-21 yrs).
• Monitored and supervised resistance training 2x per week;
dietician-recommended and monitored diet.
• 45 males randomized in 3 arms; age range of 19.7 + 1.5 years; weight
range of 70.6 + 10.4 kg.
• Primary Endpoints: skeletal muscle hypertrophy and lean body mass.
1. Sharp, Matthew H., et al. "The
Effects of Fortetropin
Supplementation on Body
Composition, Strength, and Power
in Humans and Mechanism of
Action in a Rodent Model." Journal
of the American College of
Nutrition 35.8 (2016): 679-691.
Genetic Edge Compounds
21. PRECLINICAL STUDY: TPLO SURGERY RECOVERY
• TPLO surgery is performed to repair tears of CCL.
• Operated limb must be immobilized for several weeks after surgery resulting in significant muscle
loss.
• Following TPLO surgery [1]:
o 50 dogs received Fortetropin® on a daily basis.
o 50 dogs received a macronutrient-matched placebo (cheese powder).
• Evaluations at t = 0, 8 and 12 weeks
o Thigh Circumference, Muscle Thickness, Stance Analysis, Blood Chemistry.
• Key Conclusions:
o Fortetropin® prevented muscle loss in affected and unaffected limbs.
o Fortetropin®-supplemented dogs had greater improvement in weight bearing capacity on
operated limb.
o Fortetropin® supplementation prevented a rise in levels of myostatin.
1. White, Dana., et al. PLOS One (2020), Revised manuscript submitted.
22. RECOVERY FROM TPLO SURGERY: RESULTS
Time, t
(weeks)
Fortetropin®
Supplemented
Affected
Limb
Fortetropin®
Supplemented
Unaffected
Limb
Placebo
Supplemented
Affected
Limb
Placebo
Supplemented
Unaffected
Limb
Fortetropin®
Supplemented
Affected
Limb
Placebo
Supplemented
Affected
Limb
t = 0 34.24 36.51 33.74 36.30 8.00% 9.63%
t = 8 33.70 35.80 32.53 34.26 13.74% 12.88%
Thigh Circumference (cm) Weight Bearing Capacity (%)
White, Dana A., et al. "Fortetropin inhibits disuse muscle atrophy in dogs after tibial plateau leveling osteotomy." Plos one 15.4 (2020): e0231306.
23. IMPACT OF FORTETROPIN® ON MUSCLE DISUSE ATROPHY
• Unilateral leg immobilization
model – wearing a cast/knee
brace on single leg for 2 weeks
induces muscle disuse atrophy.
• Does Fortetropin® reduce muscle
disuse atrophy relative to
placebo?
• Randomized, double-blind,
placebo-controlled human clinical
study.
• Two parallel groups: Placebo
(n=12) and Fortetropin® (n=12).
• Young male subjects.
Principal Investigator: Stuart Phillips, PhD.
Current Status: Patient recruitment
underway (January 2020).
Genetic Edge Compounds
24. PATIENT DEMOGRAPHICS
Patient Population Clinical Evidence
Sports Nutrition Sharp, M.H., Lowery, R.P., Mobley, C.B., Fox, C.D., de Souza, E.O., Shields,
K.A., Healy, J.C., Arick, N.Q., Thompson, R.M., Roberts, M.D. and Wilson,
J.M., 2016. The effects of Fortetropin® supplementation on body
composition, strength, and power in humans and mechanism of action in
a rodent model. Journal of the American College of Nutrition, 35(8),
pp.679-691.
Healthy Aging Evans, W. J., Shankaran, M., Nyangau, E., Field, T., Mohammed, H., Wolfe,
R., Schutzler, S., Hellerstein, M. Effects of Fortetropin® on the rate of
muscle protein synthesis in older men and women: a randomized,
double-blinded control study. Oral presentation at International
Conference on Frailty & Sarcopenia Research, Toulouse, France, March
11, 2020.
Recovery and
Rehabilitation
White, Dana A., et al. "Fortetropin inhibits disuse muscle atrophy in dogs
after tibial plateau leveling osteotomy." Plos one 15.4 (2020): e0231306.
Phillips, S.M. et al. The impact of Fortetropin on muscle atrophy in
young men during periods of muscle disuse. *Human Clinical Trial
Underway.
Genetic Edge Compounds
25. TESTIMONIALS
“Fortetropin® clearly has a robust effect on the rate of muscle protein synthesis in older adults. It is rare for a nutrition product to show such a
consistent and positive effect.” --- William J. Evans, Ph.D., Adjunct Professor of Nutrition, University of California, Berkeley
“Very few nutrition products have been studied to this degree.” --- Stuart Phillips, Ph.D., Professor of Kinesiology & Tier 1 Canada Research
Chair, McMaster University, Canada
“I took Fortetropin® while doing the same workouts that I was doing before. It helped me gain about 15 pounds of muscle in a year and a
half.” --- Karl Nelson, Former NFL Offensive Tackle, New York Giants, Super Bowl Champ and Cancer Survivor.
“This will make your protein supplements better and your 8-pack harder! It tastes great, like the malted part of a milkshake – it’s
delicious, we love it!” --- Joe Thomas, Former NFL Offensive Tackle, Cleveland Browns.
“This is a special product that can help any athlete reach new heights. I am impressed by the depth of clinical research behind the product
and it’s potential to unlock new levels of performance for all athletes.” --- Aaron Gordon, NBA Superstar, Orlando Magic.
“I’m proud to represent a brand that is committed to delivering cutting edge products made with safe, all-natural ingredients that help
improve strength, speed and recovery.” --- Carli Lloyd, FIFA World Champion and Olympic Gold Medalist.
Genetic Edge Compounds
26. REVOLUTIONARY, ADVANCED
• Fortetropin® is an all natural, highly safe
nutrition product that can enable patients to
gain muscle mass.
• In human clinical trials, Fortetropin® has been
shown to increase the rate of muscle protein
synthesis and increase lean muscle mass.
• Gaining muscle mass will enable patients to
enjoy an active and healthy lifestyle.
NUTRITON FOR MUSCLE HEALTH
Extensive clinical research has shown the
relationship between muscle health and longevity.
Genetic Edge Compounds