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
• Virtual reality cognitive-motor training to enhance balance and reduce fall risk in older Veterans
• Recovery of aged muscle after disuse atrophy: Exercise and monitoring with post-hospitalization muscle atrophy to sustain intrinsic capacity and strength
• 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
• 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
• Lumbosacral spinal stenosis- non-invasive postural therapy for older adults
• Glucose variability and cognition in prediabetes
• Whole Health(y) aging with Gerofit
• Relationship of exercise frequency, intensity, and fitness to improve cognition and biomarkers in Gerofit participants
• Improving dietary quality and social engagement through a virtual nutrition and teaching kitchen intervention among older Veterans with impaired mobility
• A feasibility and pilot study of combined treatment protocol using aerobic exercise and duloxetine in older adults with symptomatic knee osteoarthritis and comorbid depression
• Home-based exercise to improve functional outcomes in Veterans with recently healed diabetic foot ulcer
• Promotion of successful weight management in overweight and obese Veterans
• Home-based exercise tele-rehabilitation in high-risk Veterans: Impact of COVID-19 exposures and socioeconomic factors
• Modifying Adiposity Through Behavioral Strategies to Improve COVID-19 Rehabilitation (MARVEL)
• Effects of exercise training on blood microclots, tissue oxygenation, and mitochondrial health in Veterans with post-Covid conditions
• Developing an algorithm to help health care providers select optimum prophylactic anti-coagulation in hospitalized patients.
• Effect of an aerobic and balance intervention on cognitive function, mobility function and cerebral perfusion in patients with moderate grade asymptomatic carotid stenosis.

• 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

• Gerofit to Home virtual group exercise classes for Veterans
• Balance and Mobility Clinic – interdisciplinary gait and balance assessment for high fall risk Veterans
• 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)
• Geri Qwik: Geri Qwik is a self-administered geriatric assessment tool to screen for geriatric healthcare conditions.
• Quercetin Supplementation to Slow Progression to Alzheimer’s Disease
• Personalized Pain Action Plans for Older Veterans with Back Pain guides Veterans to self-manage low back pain through an App focused on six categories of Whole Health practices
• Telehealth Preventing Loss of Independence through Exercise (Tele PLIÉ)

• 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/
• 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/
• Longitudinal analysis of physical function in older adults: The effects of physical inactivity and exercise training  https://pubmed.ncbi.nlm.nih.gov/37681737/ 

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