Geriatric Research Education and Clinical Center (GRECC)

Baltimore GRECC

• Exercise and nutrition interventions for functional performance: body composition and cardiovascular health in multimorbidity and aging
• Aging brain and nervous system: dementia; movement and balance; sensory, cognitive, and motor integration
• Pain and whole health: patient-reported and functional outcomes in aging and chronic illness
• Large data in aging science: omics, continuous monitoring, cancer, and genetics of complex diseases
• Future direction: Geroscience

• Reducing fall risk with the use of neuromuscular electrical stimulation to maximize the hip abductor muscles in older Veterans
• The development and implementation of a peer-led diet and exercise intervention in older urban dwelling Veterans with dysmobility
• Increasing muscle capillarization to enhance responses to strength training in sarcopenia
• A balanced reach training platform to address balance disorders in older and neurologically disabled Veterans
• Balance reach training to address balance disorders in older people with stroke
• Virtual reality cognitive-motor training to enhance balance and reduce fall risk in older Veterans
• Hip muscle power, lateral balance function, and falls in aging
• Evidence-based multidimensional pain self-management planning: personalized by and for Veterans via web-based application
• Cooperative study project #2009: Sequential and comparative evaluation of pain treatment effectiveness response
• Glucose variability and cognition in prediabetes
• Whole Health(y) aging with Gerofit
• Activity to improve outcomes in peripheral arterial disease
• A feasibility and pilot study of combined treatment protocol using aerobic exercise and duloxetine in older adults with symptomatic knee osteoarthritis and comorbid depression
• Preventing diabetic foot ulcers through manipulating the skin microbiome
• Cooperative studies program #2028: Epidemiology, immunology and clinical characteristics of COVID-19 (EPIC3)
• Resistive training combined with nutritional therapy after stroke
• Promotion of successful weight management in overweight and obese Veterans
• Effects of 12-weeks of high-intensity resistance aerobic circuit exercise training on epigenetic aging and inflammation in older HIV-infected Veterans
• Geriatric and functional assessments in non-AIDS defining cancers
• Home-based exercise tele-rehabilitation in high-risk Veterans: Impact of COVID-19 exposures and socioeconomic factors

• Integrative medicine rotation for family medicine residents
• Pain in Aging Education Assessment of Needs group (PAEAN)
• Office of Rural Health National Geriatric Scholars modules in pain and substance use, in collaboration with Pittsburgh and Tennessee Valley GRECCs
• In collaboration with VAMHCS GEC and ambulatory care VA Office of Academic Affiliations, nurse practitioner residencies in primary care and geriatrics
• Geriatric Medicine Fellowship
• Advanced Fellowship in Gerontology
• University of Maryland Summer Program in Obesity, Diabetes and Nutrition Research Training Program (SPORT) for medical students
• ORD-Summer Research Program to support increased Diversity, Equity and Inclusion (DEI) in VA workforce through research education

• Gerofit to Home virtual group exercise classes for Veterans
• Vets Foster Pets matching Veterans with companion foster dogs for physical and mental health
• Balance and Mobility Clinic – interdisciplinary gait and balance assessment for high fall risk Veterans
• Home Exercise Program for homebound older Veterans (HEX) – multi-component home exercise program for Veterans enrolled in Home Based Primary Care to improve functional outcomes and quality of life
• Tele-Prehab – virtual pre-habilitation program (education and exercise) to improve functional mobility, quality of life, and decreased length of stay post elective total joint replacement
• Vets & Veggies – improving dietary quality in older Veterans with dysmobility through multifocal and immersive programming (Virtual Healthy Teaching Kitchen, Weekly Farmer’s Market, nutritional education seminars)

• Effect of Long-term Exercise Training on Physical Performance and Cardiorespiratory Function in Adults With CKD: A Randomized Controlled Trial Am J Kidney Dis https://pubmed.ncbi.nlm.nih.gov/35944747/
• Randomization to Treadmill Training Improves Physical and Metabolic Health in Association With Declines in Oxidative Stress in Stroke Arch Phys Med Rehabil https://pubmed.ncbi.nlm.nih.gov/35839921/
• Partial COVID-19 vaccination associated with reduction in postoperative mortality and SARS-CoV-2 infection Am J Surg https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8993410/
• Revascularization for asymptomatic carotid artery stenosis improves balance and mobility J Vasc Surg https://pubmed.ncbi.nlm.nih.gov/34019991/
• Rehabilitation Outcomes among Frail Older Adults in the United States Int J Environ Res Public Health https://pubmed.ncbi.nlm.nih.gov/36078737/

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