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This paper first reviews the evidence that the pathogenesis of many diseases which present in adult life begin in childhood, and that intervention in childhood may delay their onset. The diseases discussed include ischaemic heart disease, malignancy, cerebrovascular accidents, hypertension and obesity. The factors determining food habits are described and(More)
Salt taste detection thresholds have been measured by a forced-choice, up-down sip method in 146 healthy subjects aged 10-95 years, and in 43 ill elderly patients. Thresholds are shown to increase log linearly with age after the age of 20 years. Thresholds are higher in smokers than non-smokers and the lower thresholds of women are accounted for by their(More)
  • John Kemm
  • Journal of evaluation in clinical practice
  • 2006
This paper examines how the concept of the 'evidence-based' approach has transferred from clinical medicine to public health and has been applied to health promotion and policy making. In policy making evidence has always been interpreted broadly to cover all types of reasoned enquiry and after some debate the same is now true for health promotion. Taking(More)
  • J R Kemm
  • Journal of public health medicine
  • 2001
BACKGROUND The aim of the study was to determine for Great Britain the percentage of current smokers and ever smokers by age in successive birth cohorts and the percentage of ever smokers who continue, by analysis of data from serial cross-sectional surveys of smoking status (General Household Survey). METHOD A series of 5 year birth cohorts were followed(More)
Many studies have shown the indigenous elderly population and Asian immigrants to be groups at particular risk of vitamin D deficiency and osteomalacia, but there are no data on the risks in elderly Asians. In this community-based study a group of elderly Asians was compared with control groups of elderly and young whites and young Asians. Levels of(More)
1. Rats were fed either a high or a low calcium diet for 6 weeks. Thereafter all were given the low calcium diet, and the time during which differences persisted between the two groups in apparent absorption of calcium and urinary excretion of calcium has been studied. The apparent absorption of calcium is the same in the two groups after 15 days but the(More)
An ascorbic acid tolerance test is described for assessing vitamin C status. The test is simple to administer and suitable for elderly patients. It involves giving an oral load of 1 g ascorbic acid in water and then measuring urinary excretion of vitamin C over the next 6 h. The excretion pattern at dosing has been studied in ten young subjects. The result(More)
Forty one elderly patients admitted to hospital for acute illnesses were also found to have subclinical osteomalacia. Immediately before discharge, therefore, all were randomised to receive either vitamin D2 25 micrograms daily, alfacalcidol 0.5 micrograms daily, or placebo. Treatment was given for at least three months, those allocated to placebo then(More)
Although osteomalacia is known to be common in some sections of the elderly population, the disease is often subclinical and there is uncertainty about the point at which treatment is necessary. Identification and treatment of osteomalacia are inseparably bound; the response of varying degrees of subclinical disease to treatment with vitamin D or(More)