Showing posts with label FACTOR. Show all posts
Showing posts with label FACTOR. Show all posts

Tuesday, 25 April 2017

FACIAL MASCULINITY NOT ALWAYS A TELLING FACTOR IN MATE SELECTION



Women living where rates of infectious disease are high, according to theory, prefer men with faces that shout testosterone when choosing a mate. However, an international study says not so much, says University of Oregon anthropologist Lawrence S. Sugiyama

The new study, on which Sugiyama is one of 22 co-authors, ended with that theory crumbling amid patterns too subtle to detect when tested with 962 adults drawn from 12 populations living in various economic systems in 10 nations.
The study -- coordinated by Ian S. Penton-Voak of the School of Experimental Biology at the University of Bristol in the United Kingdom -- appears online ahead of print this week in the Early Edition of the Proceedings of the National Academy of Sciences.
"It's not the case that women have a universal preference for high testosterone faces, and it's not the case that such a preference is greater in a high-pathogen environment," Sugiyama said. "And the opposite is also the case. Men don't uniformly appear to have a preference for more feminine faces, at least within the ranges of cultures shown in this study. In cultures tied to pastoralism, agriculture, foraging, fishing and horticulture, not so much, the authors concluded.
The closest the theory came to confirmation was in market economies in the study populations in the U.K., Canada and China, perhaps because, as Sugiyama's prior work has shown, preferences shift in response to the local range of variation in traits, and men in market economies have higher testosterone.
Also, Sugiyama said: "In large-scale societies like ours we encounter many unfamiliar people, so using appearance to infer personality traits can help cope with the overwhelming amount of social information. For instance, in all cultures tested, high testosterone faces were judged to be more aggressive, and this is useful information when encountering strangers."
Sugiyama and three other UO co-authors contributed to the study based on their work with the Shuar, a rural population with a long history of warfare in Ecuador and whose mixed economy today is based on horticulture, hunting, foraging and small-scale agro-pastoralism.
The Shuar did not come into contact with the outside world until the 1880s, and only since the 1960s have they organized into communities, Sugiyama said. The UO's research there is looking at the impacts of culture change on Shuar health. Data for the PNAS study were collected during routine sessions with 30 males and 31 females.
Each was shown culturally appropriate facial representations of potential opposite-sex mates and asked which one they'd prefer. Shuar women didn't like the faces of men whose faces suggested high testosterone levels. "Shuar women preferred slightly less testosterone-looking faces," Sugiyama said. The reason why was not clear, but he suggests that maybe Shuar women possibly have grown weary of years of warfare and would prefer mates who would be less likely to participate and encourage their offspring to engage in violent behaviors.
UO co-authors are J. Josh Snodgrass, a professor of biological anthropology, doctoral student Melissa A. Liebert, who has spent seven research seasons with the Shuar, and undergraduate student Ruby Fried, who has since earned a bachelor's degree from the UO and now is a doctoral student in anthropology at Northwestern University in Evanston, Illinois.
As with the UO team, the paper's other researchers contributed with data collected from the populations that they study. The study encompassed students and Cree populations in Canada, students and urban residents in two Chinese cities, the Tuvans in Russia, students in the United Kingdom, the Kadazan-Dusun in Malaysia, villagers in Fiji, the Miskitu in Nicaragua, the Tchimba in Namibia and the Aka in the Central African Republic.
"Performance by the different populations wasn't chance," Sugiyama said. "For each society there was a pattern. There were significant preferences in each culture. Market economies do play a part, but something more was going on.
"I think the real message of this study is that we in this field need to stop and rethink how we have been thinking about these things," he said. "Maybe the idea of infectious disease -- the presence of pathogens -- isn't the main driving factor. The underlying adaptations are likely to track other ecological considerations and local cultural factors that we don't have data on and may eventually be very important in understanding attractiveness."


Sunday, 31 July 2016

Neuropathy A Factor In Long Term HIV


Today's post from aidsmap.com (see link below) looks at the various health problems that may affect long-term and older HIV-patients and these include neuropathy. HIV medication is now so effective, that most people can expect to live a virtually normal life span but that doesn't mean that they are free from HIV-related co-morbidities (either caused by the virus or long-term medication, or normal old age) that can seriously affect their quality of life. The question will always be: are these complications the result of normal ageing, or are they HIV-related? Most experts seem to agree that HIV can definitely be a factor in contracting neuropathy but other diseases may come from other sources. Worth a read.
 
Geriatric conditions common in middle-aged and older HIV-positive men
Michael Carter Published: 17 June 2015

Geriatric conditions were common in middle-aged and older HIV-positive adults in a San Francisco clinic, investigators report in the June 1st edition of the Journal of Acquired Immune Deficiency Syndromes. Common conditions included pre-frailty, difficulties with activities of daily living and cognitive impairment. A quarter of patients reported falls or urinary incontinence. The authors were concerned that these conditions of older age were occurring earlier in their HIV-positive patients – who had a median age of just 57 years - compared to individuals in the general population.

“Our findings suggest that even in middle-aged HIV-infected adults with controlled HIV, the burden of geriatric syndromes is important and will need to be addressed clinically to minimize age-related complications in this population,” comment the investigators.

Improvements in treatment and care mean that many HIV-positive patients now have an excellent life expectancy and are living well into old age. But there’s now a considerable corpus of research showing that HIV-infection is associated with a number of co-morbidities - such as cardiovascular disease and reduced bone mineral density – normally associated with older age.

Geriatric syndromes such as frailty, falls and functional impairment are multifactorial conditions used to identify vulnerable older adults. Little is known about the prevalence and risk factors for these syndromes in patients with HIV. Investigators from the University of California San Francisco therefore designed a cross-sectional study to determine how common these factors are in older (aged 50 plus) HIV-positive individuals and to see if any HIV- and non-HIV-related factors increased the risk of these syndromes.

Their study population comprised 155 patients enrolled in the SCOPE study (an ongoing study of HIV infection in adults). All were taking antiretroviral therapy with viral suppression for a median of three years; median CD4 count was over 500 cells/mm3.

Using questionnaires and physical examinations, the patients were assessed for geriatric syndromes including falls, urinary incontinence, functional and mobility impairment, impaired hearing and vision, depression, cognitive impairment and frailty. Data were also gathered on co-morbid conditions and use of medication to treat these ailments.

Participants had been living with HIV for a median of 21 years. Almost all (94%) were men. Co-morbid conditions were highly prevalent, with a median of four per patient, and individuals were taking a median of nine non-antiretroviral medications to control these conditions. The most common co-morbidities were elevated lipids (63%), hypertension (50%) and peripheral neuropathy (40%).

The majority of patients (54%) had two or more geriatric syndromes. The most common conditions were pre-frailty (56%), difficulty with one or more functional tasks (47%) and cognitive impairment (47%). At least one fall was reported by a quarter of patients and a similar proportion reported urinary incontinence. Mild depression was reported by a fifth of patients with 18% meeting the criteria for the diagnosis of moderate-to-severe depression.

A lower nadir CD4 count (IRR = 1.16; 95% CI, 1.06-1.26) and increasing number of co-morbidities (IRR = 1.09; 95% CI, 1.03-1.15) were associated with an increased risk of geriatric syndromes.

The authors were concerned that the prevalence of problems such as frailty, falls and incontinence observed in their patients was similar to or higher than that recorded in HIV-negative men living in a community for individuals aged 65 years or older. Geriatric conditions therefore seemed to be occurring earlier in patients with HIV.

‘The association with lower CD4 nadir suggests that earlier antiretroviral treatment initiation may help to prevent aging-related complications, and the association with increasing number of co-morbidities suggests that treatment and prevention of other co-morbid conditions are equally important to the management of HIV in the aging HIV population,” conclude the authors. “Consideration of how to incorporate assessment of geriatric syndromes into HIV care and development of targeted interventions for risk factors of geriatric syndromes is needed as the HIV-infected population continues to age.”

Reference

Greene M et al. Geriatric syndromes in older HIV-infected adults. J Acquir Immune Defic Syndr 69: 161-67, 2015.

http://www.aidsmap.com/Geriatric-conditions-common-in-middle-aged-and-older-HIV-positive-men/page/2977201/