Alan M Batterham

Alan M Batterham
Teesside University

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248
Publications
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Introduction

Publications

Publications (248)
Article
INTRODUCTION: More than one in three older adults (≥65 years) fall within a two-year period. Over one third of cancer diagnoses are among people aged ≥75 years. Falls research in the UK cancer population is limited and contradictory. The aim of this study was to explore the association between a cancer diagnosis and incidence of falls in older adul...
Article
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Introduction: Over the last decade, research into the impact of school-based high-intensity interval training (HIIT) on young people's health has markedly increased. Despite this, most authors have focused on the outcomes of their intervention, rather than the process of how the study was conducted. The aim of our study, therefore, was to conduct a...
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Type 2 diabetes can be treated, and sometimes reversed, with dietary interventions; however, strategies to implement these interventions while addressing medication changes are lacking. We conducted a 12-week pragmatic, community-based parallel-group randomized controlled trial (ClinicalTrials.gov: NCT03181165) evaluating the effect of a low-carboh...
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Objectives The aim of this study was to compare the efficacy in reducing pain intensity in adult subjects suffering from chronic back and leg pain of burst (BST) and tonic sub‐threshold stimulation at 500 Hz (T500) vs. sham stimulation delivered by a spinal cord stimulation (SCS) device capable of automated postural adjustment of current intensity....
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Background: Technological progress has enabled the provision of personalised feedback across multiple dimensions of physical activity that are important for health. Whether this multidimensional approach supports physical activity behaviour change has not yet been examined. Our objective was to examine the effectiveness of a novel digital system a...
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Background: The current treatment paradigm for type 2 diabetes mellitus (T2D) typically involves use of multiple medications to lower glucose levels in hope of reducing long-term complications. However, such treatment does not necessarily address the underlying pathophysiology of the disease and very few patients achieve partial, complete, or prol...
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Classroom-based physical activity (PA) interventions offer the opportunity to increase PA without disrupting the curriculum. We aimed to explore the feasibility and potential effectiveness of a classroom-based intervention on moderate to vigorous PA (MVPA) and total PA. The secondary aim was to assess the acceptability and sustainability of the int...
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Background: Scalable weight loss maintenance (WLM) interventions for adults with obesity are lacking but vital for the health and economic benefits of weight loss to be fully realised. We examined the effectiveness and cost-effectiveness of a low-intensity technology-mediated behavioural intervention to support WLM in adults with obesity after cli...
Article
New findings: What is the topic for this review? The dichotomisation of continuous-level physiological measurements into "responders" and "non-responders", when interventions/treatments are examined in robust parallel-group studies What advances does it highlight? Sample responder counts are biased by pre-to-post within-subjects variability. Sampl...
Article
To evaluate the magnitude of the difference in VO2peak between patients with Chronic Fatigue Syndrome/ Myalgic Encephalomyelitis (CFS/ME) and apparently healthy controls, 7 databases (Cochrane, PubMed, PsycINFO, Web of Knowledge, Embase, Scopus, Medline) were searched for articles published up to March 2018. Search terms included “chronic fatigue s...
Article
Previous reports of substantial inter‐individual differences in weight change following an exercise intervention are often based solely on the observed responses in the intervention group. Therefore, we aimed to quantify the magnitude of inter‐individual differences in exercise‐mediated weight change. We synthesized randomized controlled trials (RC...
Article
Left ventricular ejection fraction (EF) is a ratio that is deemed to accurately normalize stroke volume (SV) to end-diastolic volume (EDV). Ratios are now well-recognized for not normalizing the numerator, in this case SV, consistently for the denominator, EDV. We aimed to provide the first allometric-based scrutiny of the conventional assumptions...
Article
McLay et al. (Clin Physiol Funct Imaging (2017); DOI: 10.1111/cpf.12465) recently examined whether the allometric scaling of flow-mediated dilation influenced the mean difference between samples of young and older adults compared with the traditional percentage change approach. They also explored whether a new scaling calculation improved the abili...
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Background: This study assessed the feasibility of a preoperative high-intensity interval training (HIT) programme in patients awaiting elective abdominal aortic aneurysm repair. Methods: In this feasibility trial, participants were allocated by minimization to preoperative HIT or usual care. Patients in the HIT group were offered three exercise...
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Obese adults and children can be referred to lifestyle weight management services (LWMS) in which physical activity and/or dietary advice are delivered. Service providers quantify the ‘weight’ change between an initial measurement and follow-up measurement(s), which could be 12–24 months later. A control group is usually absent. The aim of this art...
Article
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It has recently been reported how to quantify inter-individual differences in the response to an exercise intervention using the standard deviation of the change scores, as well as how to appraise these differences for clinical relevance. In a parallel-group randomised controlled trial, the key trigger for further investigation into inter-individua...
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Background: Maximal oxygen uptake ([Formula: see text] 2max) is conventionally normalized to body size as a simple ratio or using an allometric exponent < 1. Nevertheless, the most appropriate body size variable to use for scaling and the value of the exponent are still enigmatic. Studies tend to be based on small samples and can, therefore, lack...
Article
Muscular power is important for maintaining physical functioning with aging. Proper quantification of the reliability of muscular power tests is crucial to inform monitoring of individuals and sample size planning for interventional studies. This study evaluated short- and long-term reliability of leg extensor power measurement in 72 adults (age 62...
Article
It has been widely reported that men have a lower ratio of the 2nd and 4th human finger lengths (2D : 4D). Size-scaling ratios, however, have the seldom-appreciated potential for providing biased estimates. Using an information-theoretic approach, we compared 12 candidate models, with different assumptions and error structures, for scaling untransf...
Article
Objective: To examine the joint association of birth weight and physical activity/sedentary time with childhood obesity in 12 countries. Methods: A cross-sectional study of 5,088 children aged 9 to 11 years was conducted. Birth weight was recalled by parents or guardians. Moderate-to-vigorous physical activity (MVPA) and sedentary behavior were...
Data
Prediction of whole body fat percentage from anthropometric measures. AIC—Akaike’s Information Criterion; BMI—Body mass index; WC—waist circumference; WHR—waist-to-hip ratio; WHtR—waist-to-height ratio; WHT.5R –WC/height0.5 *The 95% confidence interval for the standard error of the estimate is ×/÷ a factor of 1.25 at these degrees of freedom. (DOCX...
Data
Prediction of VAT mass (Log) from anthropometric measures. AIC—Akaike’s Information Criterion; BMI—Body mass index; WC—waist circumference; WHR—waist-to-hip ratio; WHtR—waist-to-height ratio; WHT.5R - WC/height0.5 *8 females excluded due to undetectable levels of VAT mass leading to badly behaved residuals. (DOCX)
Data
Swainson et al—PloSOne final data set. (SAV)
Data
Sample characteristics. Data presented as Mean (SD) BMI—Body mass index; WC—waist circumference; WHR—waist-to-hip ratio; WHtR—waist-to-height ratio; WHT.5R –WC/height0.5; fat mass (FM); visceral adipose tissue (VAT). For VAT mass, which was log-transformed prior to analysis, the geometric mean is shown, with the dispersion given as a ×/÷ factor sta...
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Background The conventional measurement of obesity utilises the body mass index (BMI) criterion. Although there are benefits to this method, there is concern that not all individuals at risk of obesity-associated medical conditions are being identified. Whole-body fat percentage (%FM), and specifically visceral adipose tissue (VAT) mass, are correl...
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It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence l...
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Introduction: Chronic neuropathic pain is difficult to treat and is often refractory to most modalities of treatment. Ziconotide is a novel, potent, non-opioid, calcium channel blocking agent which has been shown in clinical trials to be effective in treating chronic neuropathic pain. Methods: EMBASE, MEDLINE, CINAHL Plus and Web of Science elec...
Article
Objectives Physical activity is an effective intervention for the prevention and management of chronic musculoskeletal pain (CMP). However, there is a lack of research to inform the intensity of physical activity that should be recommended. The aim of this study was to investigate the association between substituting 10 minutes of sedentary time wi...
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Purpose: Intervention fidelity refers to the extent an experimental manipulation has been implemented as intended. Our aim was to evaluate the fidelity of high-intensity interval training (HIT) in patients awaiting repair of large abdominal aortic aneurysms. Methods: Following a baseline cardiopulmonary exercise test, 27 participants performed a ho...
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Full-text available
After weight loss, most individuals regain lost weight. Interventions to support the transition from successful loss to weight loss maintenance (WLM), regardless of the method of prior weight loss, are needed. The aims of this study were to (1) develop a face-to-face behavioural intervention session to support overweight and obese individuals who h...
Article
Full-text available
After weight loss, most individuals regain lost weight. Interventions to support the transition from successful loss to weight loss maintenance (WLM), regardless of the method of prior weight loss, are needed. The aims of this study were to (1) develop a face-to-face behavioural intervention session to support overweight and obese individuals who h...
Article
We aimed to provide the first quantitative synthesis of derived static allometric coefficients (b) used for scaling maximal oxygen uptake (VO2max) to whole-body mass and fat-free mass in human samples. Eight electronic databases were searched for relevant peer-reviewed articles. Inclusion criteria comprised human cardiorespiratory fitness data; cro...
Conference Paper
Low cardiorespiratory fitness (VO2max) is an important risk factor for diabetes, cardiovascular disease and some cancers, making lifestyle interventions especially relevant. There is purported to be substantial inter-individual differences in how VO2max responds to lifestyle/exercise interventions. Recently, we described the appropriate approach fo...
Conference Paper
Full-text available
We recently reported how to quantify the inter-individual differences in response to an intervention. We now aim to scrutinise the research on the individual responses to training of maximal oxygen uptake (VO2max). The key trigger for further investigation into individual responses is when the standard deviation of change (SDchange) in the interven...
Article
Both obesity and a low level of cardiorespiratory fitness (VO2max) are strong predictors of morbidity and mortality. Therefore, in any lifestyle intervention study, it is important to ascertain if any changes in VO2max are clinically important, while considering any parallel changes in body mass and/or composition. Most researchers adopt a simple r...
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Full-text available
Background Statistical methods for inferring the true magnitude of an effect from a sample should have acceptable error rates when the true effect is trivial (type I rates) or substantial (type II rates). Objective The objective of this study was to quantify the error rates, rates of decisive (publishable) outcomes and publication bias of five infe...
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Objective Intrathecal drug delivery (ITDD) is commonly used for intractable pain management. A paucity of good-quality studies in chronic noncancer patients and concerns over increased dosages have focused interest on different modes of administration. The aim of this international multicenter randomized double-blind crossover trial was to compare...
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Background: Low-volume high-intensity interval training holds promise for cardiometabolic health promotion in adolescents, but sustainable interventions must be practical and engaging. We examined the effect of a school-based multi-activity low-volume high-intensity interval training intervention on adolescents' cardiometabolic health. Methods:...
Data
Baseline comparisons of retained participants (complete cases), and those lost to follow-up (incomplete cases). (DOCX)
Data
Populated TIDiER checklist. (DOCX)
Data
Populated TREND statement checklist. (PDF)
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Full-text available
Wearable devices to self-monitor physical activity have become popular with individuals and healthcare practitioners as a route to the prevention of chronic disease. It is not currently possible to reconcile feedback from these devices with activity recommendations because the guidelines refer to the amount of activity required on top of normal lif...
Article
Recognising frailty during pre-operative assessment is important. Frail patients experience higher mortality rates and are less likely to return to baseline functional status following the physiological insult of surgery. We evaluated the association between an initial clinical impression of frailty and all-cause mortality in 392 patients attending...
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Background/objective: There are reports that childhood obesity tracks into later life. Nevertheless, some tracking statistics such as correlations do not quantify individual agreement, whereas others such as diagnostic test statistics can be difficult to translate into practice. We aimed to employ a novel analytic approach, based on ordinal logist...
Article
Background: Rotator cuff-related disorders represent the largest subgroup of shoulder complaints. Despite the availability of various conservative and surgical treatment options, the precise indications for these options remain unclear. Purpose: The purpose of this systematic review was to synthesize the available research on prognostic models f...
Article
Objectives: The effect of maturity on Functional Movement Screen (FMS) scores in elite, adolescent soccer players was examined. Design: A cross-sectional observational study was completed. Methods: Participants were 1163 male English Football League soccer players (age 8-18 years). Players were mid-foundation phase (MF) (U9); late foundation p...
Article
Background: The percentage flow-mediated dilation (FMD%) of the brachial artery is purported to be an early indicator of atherosclerosis and has been reported to be reduced in people with obstructive sleep apnoea. Nevertheless, FMD% scales poorly for, and is concomitantly dependent on, initial artery diameter, which may, itself, be higher in obstr...
Article
Purpose: Isotemporal substitution analysis offers new insights for public health, but has only recently been applied to sedentary behavior research. We aimed to quantify associations between the substitution of 10 minutes of sedentary behavior with 10 minutes of light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) and the...
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Full-text available
Background: Currently, there is no standardised tool used to capture morbidity following abdominal aortic aneurysm (AAA) repair. The aim of this prospective observational study was to validate the Postoperative Morbidity Survey (POMS) according to its two guiding principles: to only capture morbidity substantial enough to delay discharge from hosp...
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Full-text available
Background Effective weight loss interventions are widely available but, after weight loss, most individuals regain weight. This article describes the protocol for the NULevel trial evaluating the effectiveness and cost-effectiveness of a systematically developed, inexpensive, scalable, technology-assisted, behavioural intervention for weight loss...
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Full-text available
Low physical activity is a major public health problem. New cost-effective approaches that stimulate meaningful long-term changes in physical activity are required, especially within primary care settings. It is becoming clear that there are various dimensions to physical activity with independent health benefits. Advances in technology mean that i...
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Full-text available
Background: The efficacy of high-intensity interval training for a broad spectrum of cardio-metabolic health outcomes is not in question. Rather, the effectiveness of this form of exercise is at stake. In this paper we debate the issues concerning the likely success or failure of high-intensity interval training interventions for population-level...
Article
Sleep-disordered breathing is an important comorbidity for several diseases, including stroke. Initial screening tools comprise simple yes/no questions about known risk factors for sleep-disordered breathing, e. g., obesity, sex. But walking speed has not been investigated in this context. We examined the cross-sectional association between walking...