Yogi, OT, teacher, researcher: Kinesiology Ph.D. candidate explores yoga for pain management



Stephanie Voss poses outside of Freer Hall.

To doctoral candidate Stephanie Voss, chronic pain treatment and yoga have more in common than we think. 

Voss, now in her third year of a kinesiology Ph.D program at the University of Illinois, first came across the connection while working as an occupational therapist at the Shirley Ryan AbilityLab, a rehabilitation research hospital in Chicago. 

While she consulted patients who were dealing with persistent, chronic pain, Voss was training to become a yoga instructor—an out-of-class hobby that helped her overcome her own studying-induced back pain. 

“I couldn’t get over how similar the treatment approaches are,” Voss said. “Yoga is very much a holistic practice, and we address chronic pain in very much a similar way—it involves working as part of an interdisciplinary team on strength and muscle conditioning and posture and body mechanics. We also work on the psychological components, the emotional components and how we can integrate pain management strategies into daily life.” 

Today, Voss’s research at the College of Applied Health Sciences merges the two: How might yoga be used to manage lasting pain? 

This fall, she was named a recipient of the Paul D. Doolen Graduate Scholarship for the Study of Aging, an annual award given to two University of Illinois graduate students whose scholarly work advances research on the human aging process. 

With the help of the Doolen scholarship, Voss will develop a yoga protocol that specifically targets interoception, or the ability to perceive and interpret the sensations within one’s own body, an ability which may fade as we age. 

The project will explore whether yoga can improve older adults’ abilities detect and interpret feelings of pain and discomfort within their bodies. 

“I found [the scholarship] relevant to my research because most of my patients are older adults,” she said. “Chronic pain is immensely prevalent in older adult populations for various reasons but interestingly older adults tend to not be included in pain trials as often.” 

What the $4,250 scholarship gives her for now is “breathing room,” Voss said. “Being a grad student isn’t always easy from a financial standpoint, so having a little bit of extra support to free up my time and mental space, it’s one less thing to worry about.” 

Voss received her B.S. in Communication Sciences and Disorders from Northwestern University in 2014 and her M.S. in Occupational Therapy from Rush University in 2018.

She began at the University of Illinois in August 2021, working under former Illinois KCH Associate Professor Neha Gothe in Gothe’s Exercise Psychology Lab. Gothe was one of the only academics exploring the connection between yoga and pain management. Voss, then fully working as an occupational therapist, reached out to Gothe over email, expressing her desire to pursue a Ph.D. under her.  

Since then, Voss has worked as a research assistant and teaching assistant, having instructed an introductory-level yoga class while periodically working with patients at the AbilityLab in Chicago. She recently taught the yoga intervention for one of Gothe’s research studies working with older adults. 

“That got to really challenge my clinical and yoga teaching skills to integrate modifying postures for people who live in different bodies than mine,” Voss said. “It’s so immensely important that my research questions are rooted in the clinical needs of the patients. I want to make sure I’m still in touch with that population.”

When Gothe departed Illinois for Northeastern University in Boston, Voss decided to stay and finish the final stages of her Ph.D. program, with KCH Professor Steve Petruzzello stepping up as her on-site doctoral co-advisor. 

“She’s very smart, and very personable,” said Petruzzello, who first met Voss while she made insightful comments in his class, KIN 443: Psychophysiology of Exercise & Sport. “It’s just refreshing for somebody to have such a good perspective on the science of what she does, but to also be very respectful and willing to take criticism for what it’s worth.” 

Both her mentors described Voss as a methodical, talented researcher whose clinical experience has given her unique perspective and a deft ability to communicate scientific concepts to different audiences.  

“She has an eye for translation and application of the research in clinical as well as real-life settings,” Gothe said. “Her years of yoga training and teaching also give her a unique advantage to work and communicate with her patients and research subjects.”

After her graduation, expected in spring 2025, Voss hopes to work in a hybrid clinical-academic position. In the meantime, Voss has seen great recruitment interest in her dissertation research, examining yoga as a strategy for chronic pain management.  

“I do feel like I will be leaving with a degree that gives me a lot of opportunity and flexibility that I can teach in occupational therapy departments. I’ll be fully qualified for that, but I’ll also be fully qualified to teach in more traditional academic university-based settings that are not necessarily a clinical program,” Voss said.  

Editor’s note:

Stephanie Voss completed her Ph.D. at Illinois in May 2025.
 

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AHS researchers: Give ADRD caregivers more information in clinical trials



Mina Raj’s research focuses on the ways family caregivers can be better integrated into healthcare settings and teams (Photo provided)

For clinical trials centered on individuals with Alzheimer’s disease and related dementias, what types of information are family caregivers given during the research process? A research team nested in the College of Applied Health Sciences recently evaluated that question by analyzing ADRD trials from the past 30 years. 

What they found in their report, published in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, was that less than half of the clinical trials the researchers sampled specified the caregivers’ responsibilities. 

Given that caregivers are often surrogate decision-makers for participants and are responsible for multiple tasks throughout a clinical trial, the finding stuck out.

“The people who are finding these trials are often caregivers, they’re probably deciding whether to enroll their relatives and whether they have the bandwidth to support their relative through that intensive process,” said co-author Mina Raj, assistant professor in the Department of Kinesiology and Community Health. “And yet less than half of the time they’re given information about what they’re supposed to do.” 

For this report, funded by the Center for Social and Behavioral Sciences at the University of Illinois, Raj collaborated with Raksha Mudar, professor in the Department of Speech and Hearing Science at Illinois, and Dr. Vania Leung, a primary care physician in UI Health, which is part of the University of Illinois Chicago, and an assistant professor of Clinical Medicine at UIC. 

Two Community Health students took a prominent role in the report: Armando Miranda, who graduated with his master’s degree in the spring, and Eve Rubovits, currently a senior in the program. 

Raj’s research focuses on the ways family caregivers can be better integrated into healthcare settings and teams. The report’s topic arose from a separate study Raj conducted a couple of years ago, which centered on Asian American family caregivers, she said. The study combined qualitative interviews and surveys to learn about the caregivers’ challenges navigating the healthcare system. 

What consistently came up, Raj said, were the difficulties of handling the intensity and demands of clinical trials. 

“Dementia is underdiagnosed and underreported due to diagnostics that are not culturally relevant along with stigma within these communities,” she said. “Caregivers in our study experienced a lot of problems getting their relatives enrolled in clinical trials for Alzheimer’s and dementia-related diseases.” 

For example, a lot of trials expect that participants are fluent in English, which would imperil results from screening measures such as word recall tests. Caregivers have additional responsibilities in these situations, including translation, and they are often overwhelmed and underinformed about their responsibilities.

“This led to the question, what are study teams actually telling participants and caregivers about their responsibilities?” 

To expand on that question, the team dug deep into ADRD clinical trials, sampling from more than 250 trials completed between 1990 and 2021. 

The two students, Rubovits and Miranda, spearheaded the data analysis, qualitatively coding information from relevant study information pages on clinicaltrials.gov, a website commonly used to identify clinical trials. The pair also reviewed the trials to evaluate how many trials included information on caregivers’ responsibilities, and what types of responsibilities were reported. 

Rubovits joined Raj’s lab after her freshman year through the Students Pursuing Applications, Research and Knowledge program, also known as SPARK, which connects AHS undergrads to research opportunities. Six months of poring through clinical trial data was the most involved Rubovits felt in any academic study. 

“I definitely learned a lot more technical and hard-research skills,” she said. “Having a mentor like Dr. Raj, and working with grad students like Armando has been so helpful, and has honestly shaped my career goals toward wanting to do research.” 

Their findings that less than half of the analyzed trials contained instructions for caregivers gave way for a proposal: Clinical trials for ADRD should consistently provide caregivers information about their responsibilities.  

“At a baseline, we need to tell our caregivers things like how many times per week they’re going to be transporting their relative back and forth to the study site. We need to tell them the risks and benefits to participating,” Raj said. “Often [instructions] are not clear or accessible, for example through different languages. In other cases, no information is provided at all.” 

Researchers are already approaching new ground based on the study’s finding: The broader goal was to understand how to include racial and ethnic minority adults in clinical trials by engaging their family caregivers, Raj said. She has surveyed more than 100 Asian American, Hispanic and Latino caregivers for what information they’d seek in clinical trials for ADRD patients. 

“We wanted a baseline understanding of how caregivers are involved right now—this was the first step,” Raj said. “We haven’t really asked caregivers what types of information they want to see in those information pages to prepare them for caregiving responsibilities, and that’s what we’re doing right now.” 

Editor’s note:

To reach Ethan Simmons, email ecsimmon@illinois.edu.
 

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Ian Rice gets NIDILRR funding for Power of Play project



Ian Rice

Ian Rice, a KCH teaching associate professor, received a grant of approximately $4.5 million from the National Institute on Disability, Independent Living, and Rehabilitation Research for his called “Power of Play.”

Rice is the principal investigator and project director for Power of Play, which serves to expand access to and promote use of regular, consistent physical activity, sports participation and active recreation for persons with disabilities through research and development of novel technologies, advanced training and educational techniques, and dissemination strategies.

The mechanism is a  Rehabilitation Engineering Research Centers (RERC) Program, Rice said. The long-term strategy of this project is to remove barriers to participation in recreational, exercise, and adaptive sports often encountered by persons with disabilities, with particular emphasis on equity of access among underserved communities.

Objectives target the domains of community living and participation and health and function of persons with disabilities through research and development of novel recreational technologies, health related products and equipment, and advanced training and educational techniques.

According to Rice, Power of Play will specifically address inclusivity, incorporating proven and emerging technologies and strategies, and making adaptive sports and recreation equipment safe, available, affordable, and reliable to children, adolescents and underserved people.

Rice said the project will involve multidisciplinary collaborations among researchers at University of Pittsburgh and University of Illinois Urbana-Champaign as well as health system and community partners serving people with disabilities. 

Among the research projects Rice and the group plan to accomplish are examining the impact and usability of an air-powered wheelchair (called PneuChair) capable of navigating outdoor environments previously hazardous and/or inaccessible to power mobility users. They also plan to develop and examine safe limits of use for off-road wheelchairs and hand cycles through using safe clinical limits of use tools (CLOUT) methodology and examine functionality usability and enjoyment of an inclusive, home-based smart connected arm cycle for improved overall function and quality of life in wheelchair users.  

The funding spans five years, Rice said.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Laura Rice gets grant to extend TechSAge work



Laura Rice

A “smart” bathroom optimized for safety and mobility disabilities. A tai chi telewellness program. Fall detection devices for wheelchair users. 

All are projects associated with the Rehabilitation Engineering Research Center on Technologies to Support Aging Among People with Long-Term Disabilities, also known as “TechSAge.”

The research of TechSAge is pressing forward after Kinesiology and Community Health Associate Professor Laura Rice received a $4.6 million grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) to support another five years of work. 

“We want to make sure people with disabilities are able to live life to their fullest,” Rice said. “We want to make sure as people with disabilities get older, they continue to enjoy the things that they like to do.”

The goal of TechSAge is to meet the needs of people aging with long-term disabilities where they live, work, and play by conducting advanced engineering research and developing innovative technologies.

Recent surveys suggest the needs are pressing: According to current estimates, about 42.5 million Americans report living with a disability, making up roughly 13 percent of the population. That percentage jumps among older adults ages 75 or older, of whom 46 percent report having a disability. 

TechSAge started at Georgia Tech 11 years ago, with then-GT faculty Jon Sanford directing the project with co-directors Wendy Rogers and Tracy Mitzner. Rogers, now a professor in KCH and director of the McKechnie Family LIFE Home research center, moved to the University of Illinois in 2017, and the project’s presence has continued to grow on the Urbana-Champaign campus while the cross-country partnership continued. 

Rogers, Sanford—who is now at Georgia State University—and Mitzner, who is now at Person in Design, will continue as key members of the Leadership Team, along with longtime Project Coordinator, Elena Remillard, now site PI at Georgia Tech. The TechSAge team will continue to engage their vast network of industry partners and community-based stakeholders.  The projects also engage students at all levels, including undergraduates, graduates, and postdocs.

In TechSAge’s third iteration, Rice is the principal investigator, with Rogers continuing as a co-investigator. The Illinois interdisciplinary collaborators include Harshal Mahajan, assistant director of research at the McKechnie Family LIFE Home; Ian Rice, a teaching associate professor in KCH; Katie Driggs-Campbell, an assistant professor in the Department of Electrical and Computer Engineering in the Grainger College of Engineering; Girish Krishnan, an associate professor in Industrial & Enterprise Systems Engineering in the Grainger College of Engineering; and Deana McDonagh, a professor of Graphic Design in the School of Art + Design.  

“I definitely appreciate that they see something in me, and that I can be a part of leading the next several years of this center,” Rice said. “We have a very collaborative process.” 

Rice arrived in year six of the project, after her colleagues spent five years “laying the foundation” of the Center.  One of the initial projects, led by Illinois Professor Wendy Rogers, involves performing a needs assessment to understand the needs of adults aging with long-term disabilities.  These findings have helped to provide design guidance for the rest of the projects associated with the Center. 

In the last five years, the team has focused on ramping up their interventions and technology solutions to assist the aging of people with long-term disabilities. Jon Sanford and Georgia Tech researcher Brian Jones have spearheaded the “SmartBathroom” at the university’s Aware Home to meet the needs of people with mobility disabilities, for example. 

Much of the lab-based research at Illinois has taken place at the McKechnie Family LIFE Home, the research center dedicated to technological innovations in the home environment. One on-site project led by Katie Driggs-Campbell is focused on developing an assistive robot to help older adults who are blind or low-vision navigate through their space.  Another robotics project co-led by Girish Krishnan and Ian Rice will develop a robot shower to enable safe and independent bathing for older wheelchair users. The LIFE Home will be used for preliminary testing in both robot projects.

“Research can be a hard process, we do have to go slow—especially with technology, we need to make sure that we’re developing things properly so that it will be useful and usable to individuals who are beneficiaries of it,” Rice said. Projects emphasize user-centered design and the inclusion of people aging with disabilities in all stages of the R&D process.

That said, some projects are nearing their release to the public, Rice said. TechSAge researchers at Person in Design and Georgia Tech, Tracy Mitzner and Elena Remillard, have adapted a tai chi intervention to support the needs of adults aging with long-term disabilities, using a telewellness protocol to deliver a physical activity and social engagement opportunity in a safe and supportive manner. 

“In these next five years, we have the ability to take these projects to the next level,” Rice said. 

Editor’s note:

To reach Ethan Simmons, email ecsimmon@illinois.edu.
 

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Student Spotlight: Anjali Patel forging her path



Like the millions of other high school seniors who applied for college during the COVID-19 pandemic, Anjali Patel made her choice of campus sight unseen.

Hailing from Memphis, Tenn., she hadn’t set foot near the University of Illinois Urbana-Champaign when she was accepted to the College of Applied Health Sciences in spring 2020.

“I guess I got here by luck,” said Patel, now a rising senior in Interdisciplinary Health Sciences. “I didn’t have a particular reason other than I just loved what this major was.”

Patel often credits good fortune for guiding her college experience, from deciding to go to Illinois to landing in the research lab of Kinesiology and Community Health Associate Professor Sandraluz Lara-Cinisomo.

But chance alone can’t explain the continued academic rise of this first-generation AHS student, who’s heading for a prestigious research opportunity this summer.

As she progresses toward her goal of medical school, Patel is satisfied with her choice of major.

“You do learn the science as part of your prerequisites for whatever path you want to follow,” she said. “But then also you get to learn about health disparities and organizations of health care—there’s just so much more that you learn with this major that makes it different from all the others.”

Patel’s next stop is a 2023 Summer Undergraduate Psychology Experience in Research fellowship. Patel and a cohort of 24 other American and Canadian undergrads from underrepresented backgrounds were selected from a competitive field of applicants to spend nine weeks in laboratory settings for psychological science.

Patel will continue a critical study documenting the experiences of women living with postpartum pain and depression, work she began in Lara-Cinisomo’s Laboratory for Emotion and Stress Assessment.

The I-Health major found the lab in the second semester of her freshman year. “She hit the ground running,” Lara-Cinisomo said, adding that Patel helped grad students in the lab prepare materials for new studies.

“It was evident that Anjali was eager to learn more about research,” Lara-Cinisomo said.

Patel has already conducted participant interviews with intense research studies, such as a broad look at how COVID-19 affected Latina and Mexican American mothers in the U.S. With the subjects at hand, many interviews become emotionally difficult.

“There’s a learning curve in trying to understand how to respond to someone who’s sensitive to what they’re talking about while trying to complete your job,” Patel said.

But her role is also an exercise in empathy, discussing issues such as pregnancy and medical complications in an academic setting.

“It was just very eye-opening to listen to all those experiences, and even now with my current interviews, it’s interesting to learn so much about mothers’ experiences,” she said.

Lara-Cinisomo will continue to be Patel’s mentor through the summer fellowship.

“She takes every role seriously and is diligent,” Lara-Cinisomo said. “The summer research experience will build on Anjali’s passion for research. I am confident Anjali will excel.”

In addition to her studies on the pre-med track, Patel will serve as president of the student organization Mentors in Medicine next year, which pairs upperclassmen and underclassmen interested in healthcare careers.

“As a freshman, I didn’t know what I needed to do. Now, I feel like as a junior I have so much to tell people to help them,” Patel said.

Editor’s note:

To reach Ethan Simmons, email ecsimmon@illinois.edu.
 

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CHAD symposium returns with thanks for pilot grants



KCH Associate Professor Naiman Khan’s presentation was titled “Role of Omega-3 Lipid Metabolites in Obesity and Cognitive Function” (Photo by Lisa Bralts)

The first Center for Health, Aging, and Disability (CHAD) symposium since 2017 was a celebration of the research accomplished with the help of the Pilot Grant Program.

Three researchers from the College of Applied Health Sciences—Naiman Khan, an associate professor in Kinesiology and Community Health; Brian Monson, an assistant professor in Speech and Hearing Science, and Sharon Zou, an assistant professor in Recreation, Sport and Tourism, made a point of thanking CHAD’s grants for helping launch their studies.

Khan, whose presentation was titled “Role of Omega-3 Lipid Metabolites in Obesity and Cognitive Function,” said CHAD’s funding was vital to his work.

“CHAD was really helpful in us starting a new line of engagement of research,” he said. 

CHAD director Jeff Woods, AHS’ associate dean for research, said to date, 38 pilot grants have been awarded since CHAD was launched in 2010, with $860,000 awarded to AHS researchers for pilot research. Woods described CHAD’s role as “work at the bookends of medicine … with the goal of improving people’s lives.”

“CHAD pilot grants are really important for junior faculty,” Zou said.

And the payoff has been well worth it, Woods said, citing the return on investment as approximately $16 in external funding to $1 in CHAD funding. 

Zou’s presentation was titled “Exploring an Efficient and Equitable Entrance Fee for Public Lands: A Community-based investigation in the Indiana Dunes National Park.”

“I study how people have fun,” Zou said, explaining that it was vital for public parks and other tourism industries to build a sustainable revenue model and not to rely on decreasing funding from state and federal sources. 

The primary purpose of Zou’s study was to “understand visitors’ and surrounding community residents’ perceptions of Indiana Dunes National Park user fees to inform a fee structure that balances revenue generation and equitable access.”

During and after the COVID-19 pandemic, Zou said, “parks saw explosions of people visiting.” While that was great for parks in terms of revenue, it also led to increasing operation costs at a time when government funding for these sites is being reduced.

“The specific goal is to find out how visitors see the park fees, and are they fair?,” Zou said.

The RST researcher said her preliminary findings indicate there was no consensus from study participants on what “fair” means, and that tension between fairness principles partly explains the longstanding controversy and debate on public land user fees.

Khan’s presentation focused on how poor lifestyle choices can predict an early onset of dementia, noting that obesity worldwide has increased threefold since the 1980s. The KCH researcher said his research, in conjunction with Aditi Das of Georgia Tech, suggested that the a deficiencyin the hormone dehydroepiandrosterone (DHEA)—which has been reported to have beneficial effects on obesity, diabetes mellitus, and serum lipids in animals—was associated with individuals with a body-mass index (BMI) of 25 or higher, which is classified as obese.

“BMI is inversely connected to cognitive function,” Khan said. “Only in obese individuals do we see DHEA increase in circulation.” Khan said his preliminary results found:

  • Circulating Omega-3 metabolites were higher among persons with higher weight status and the levels were associated with degree of fat mass
  • Circulating metabolites inversely associated with cognitive function
  • Only observed among persons with overweight and obesity
  • Selectively associated with hippocampal function
  • Implications for memory function

Khan said his overarching goal was to “develop effective lifestyle approaches to improve cognitive function.”

SHS’ Monson discussed his study called “Capturing Prenatal Auditory Experience.”

“If there was a pregnant woman in this audience, that baby would be hearing my voice, and perhaps making judgments,” he said, drawing laughter from the gathering. “How do we know? Because full-term newborns come to the world with memories of what they’ve heard, including the mother’s voice.”

In utero, Monson explained, was a unique acoustic environment. When preterm infants are delivered, they are placed into incubators, which rapidly changed the sound profile, he said. The consequences of those changes include increased risk for sensorineural hearing loss, auditory neuropathy, language and speech developmental delays, auditory attention deficits and auditory processing disorder.

Monson’s study involved a group of pregnant women wearing a LENA listening device twice a week during the third trimester, while the device was placed into cribs of very preterm infants at Carle Foundation Hospital three times a week through their stay in a neonatal intensive care unit (NICU).

“Fetuses are getting 2.5 hours a day of speech exposure vs. 32 minutes a day for very preterm infants,” he said. “It’s an alarming difference to me.”
NICU infants may incur a deficit of about 150 hours of speech exposure over the course of the preterm period, he explained.

One of the possible mitigation strategies for very preterm infants could be to provide meaningful targets (about three hours a day of speech exposure) to optimize auditory exposures in NICU settings.

“The maternal heartbeat is never turned off in utero,” he said. “The maternal heartbeat is never turned on in NICU.”

Following the CHAD Pilot Grant success stories, Wendy Rogers, the Shahid and Ann Carlson Khan Professor of Applied Health Sciences, talked about the work of Collaborations in Health, Aging, Research, & Technology (CHART).

CHART’s mission is to enable successful aging through:

  • Fundamental research
  • Advanced technology development
  • Education of researchers, developers, healthcare professionals, older adults
  • Guidance for policy decision-making
  • Translation of these efforts to positively affect the lives of older adults

CHART was the first research theme of the College of Applied Health Sciences and boasts the development of the McKechnie Family LIFE Home, an interdisciplinary research facility and simulated home environment that helps promote community engagement, industry partnerships, healthcare collaborations and faculty innovation.

Also part of the symposium was the introduction of a new AHS research theme called CARD (Collaborations in the Advancement of Research on Disability), led by KCH Associate Professor Laura Rice and KCH Professor John Kosciulek. CARD is focused on enhancing the health and quality of life of people with disabilities—through research that addresses critical gaps in disability-related knowledge and outreach that engages individuals with disabilities. 

CARD’s short-term goals include:

  • Develop a collaborative working group
  • Develop communication strategies
  • Establish a steering committee of stakeholders
  • Develop and implement outreach and engagement events

Longer-term goals include:

  • Host a bi-annual research symposium
  • Develop a “toolkit” for UIUC faculty to support the performance of disability-related research in the Champaign-Urbana area
  • Respond to disability-related funding opportunities
  • Establish a competitive program to provide supplemental funding to support ongoing disability research among junior faculty
  • Host a seminar series with external experts
  • Establish a research training program for students registered with DRES interested in doing research
  • Support the development of new research registries and/or expansion of current registries

The first CARD meeting is set for March 22.

In kicking off the symposium, AHS Dean Cheryl Hanley-Maxwell said CHAD was “one of the biggest attractions” of her decision to come to Illinois and lead the college.

“When I thought about CHAD, I thought it’d be interesting to lead a college that has this kind of momentum to it, and I’ve been proven correct, year after year,” she said. “CHAD provides students with real-world engagement, and plays an absolutely critical role in their professional development.”

Woods agreed.

“We’re helping put the next generation of scientists into the field.”

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Geiger to assess effects of some chemicals on children’s sleep



PFAS are found in many common household items and found in our blood.

Multiple studies have shown that children who regularly get an adequate amount of sleep have improved attention, behavior, learning, memory, and overall mental and physical health. Not getting enough sleep can lead to high blood pressure, obesity and depression. An Illinois researcher wants to help mitigate those sleep issues. 

Kinesiology and Community Health assistant professor Sarah Geiger is planning to assess how the exposure to certain chemicals while in the womb affects child sleep later in life and can lead to poorer health outcomes. Geiger’s study is funded by an R03 grant from the National Institute of Environmental Health Sciences (NIEHS), the National Institutes of Health (NIH) component dedicated to environmental health research. In the grant application, Geiger writes that “the potential for prenatal exposures to endocrine disrupting chemicals (EDCs) to adversely impact children’s health is a growing public health issue.” As Geiger explains, perfluoroalkyl and polyfluoroalkyl substances (PFAS) are EDCs found in many common household items and found in our blood.

“They’re so pervasive in terms of products,” said Geiger, who investigates environmental pollutants and chronic disease risk factors, including sleep problems, among children. “Studies have shown them to be found in foods (and) they’re notorious for these non-stick surfaces, but that’s really just one of so many types of things they’re in. Plastic water bottles, plastic fast food containers. They’re even in biomedical devices and things like IV bags and makeup, all sorts of cosmetics, nail polish.”

Geiger said her study is looking at the pregnant mom’s concentrations of those chemicals in her blood, and then looking at outcomes in children.

“We’re measuring her levels as a proxy of what they’re being exposed to,” Geiger said. “The idea is that developmental exposure in the womb to those chemicals that their mother has been exposed to is somehow altering their development and manifesting later as sleep problems. What we’re really interested in is looking at the association between the two. Are moms with higher levels of these chemicals in their blood more likely to have children who have poorer sleep quality? And if so, then we can think about maybe what is the mechanism that is causing that to happen?”

Geiger added that the study is not only looking at how chemical exposure in the womb affects child sleep later on, but also how stress and depression and other factors during pregnancy can affect child’s sleep later on. The study is important, Geiger said, because sleep, or the lack of it, is a predictor for health. Lack of sleep for a child can lead them to be unfocused and unproductive. And a lack of sleep in childhood is predictive of sleep issues in adulthood, she said, adding that sleep problems in adulthood cost the U.S. billions of in health care.

Another reason this research is important is how long certain PFAS can stay in a person’s body.

“They are sometimes called forever chemicals; they have an extremely long half-life compared to other types of endocrine-disrupting chemicals,” Geiger said. “The half-life might be like five years. Let’s say you have a certain level of this one chemical in your blood, after five years, half of it would have been metabolized or excreted from your body. To give you a comparison, like BPA (bisphenol A), another common endocrine-disrupting chemical, the half life is more like five hours.”

As important as the research is, Geiger is realistic that studies like hers and others are not likely to force companies to limit their use of PFAS.

“These are extremely powerful market forces … I would like to think that all of the research combined on sleep and other things may apply some pressure, but—and I do think that the end goal is to try to remove or limit these types of chemicals if they are harmful—but that’s much easier said than done. It’s a pretty difficult task. 

Editor’s note:

To reach Sarah Geiger, email smurphy7@illinois.edu.
 

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Stretching their Reach: Robotic support for older individuals



University of Illinois researcher Dr. Wendy Rogers is stretching her work with Stretch the Robot.

The Kinesiology and Community Health professor has received a Phase II Small Business Innovation Research grant from the National Institute on Aging (National Institutes of Health), for approximately $2.5 million.

The research will be conducted between December 2022 and November 2024 and builds on a Phase I grant that Rogers and Dr. Aaron Edsinger, CEO of Hello Robot, received last year. Other Illinois collaborators on the new grant include Speech and Hearing Science Associate Professor Raksha Mudar and Harshal Mahajan, Assistant Director of Research for the McKechnie Family LIFE Home. Also part of the new team are ClarkLindsey, an independent, senior living community in Urbana, Ill.; Dr. Vy Nguyen, an occupational therapist at Hello Robot; and Dr. Charlie Kemp, director of the Healthcare Robotics Lab at Georgia Tech and CTO of Hello Robot.

Phase I explored the use of Stretch, a research robot designed by Kemp & Edsinger, to support everyday activities through use of a lightweight telescoping arm mounted on a mobile base. That research identified home tasks for which support is needed; developed tools to enable Stretch to effectively perform these tasks; and designed an easy-to-use interface that older adults can use to control Stretch to carry out their desired tasks.

The Phase II grant will advance the capabilities of Stretch, in partnership with ClarkLindsey, focusing on physical and cognitive tasks. The aim is to determine how assistive robots can support the needs of older adults with cognitive impairment in addition to those with mobility impairment. The researchers plan to refine the remote control interface to be used by caregivers, develop autonomous activities for Stretch, and explore Stretch’s utility in a variety of home environments, including common rooms with multiple people. 

The goal is to create a scalable, affordable, flexible Stretch Cognitive and Physical Assistant that can improve the quality of life for older adults with a range of cognitive and physical impairments, the researchers say.

In addition to ClarkLindsey, research and testing for this grant will be conducted at the McKechnie Family LIFE Home on the University of Illinois campus.
 

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Boppart research to boost astronaut fitness on NASA’s mission to Mars



From left, chemical and biomolecular engineering professor Hyun Joon Kong, kinesiology and community health professors Nicholas Burd and Marni Boppart, psychology professor Justin Rhodes, and chemistry professor Jonathan Sweedler are gathered at Freer Hall.

Exercise looks a little different en route to the Red Planet, so Professor Marni Boppart got creative.

Boppart and her colleagues at the Beckman Institute for Advanced Science and Technology received $1 million from the Translational Research Institute for Space Health, a NASA-funded institute, to explore the regenerative power of cells in space. Their research will help protect human health aboard Orion, the spacecraft destined to ferry astronauts from the Earth to the moon and Mars.

Because of the Earth’s mass, our daily movement is generally sufficient to keep our muscles in fine working order. Astronauts soaring through space are not afforded the luxury of gravitational pull.

“Astronauts can lose up to 20% of muscle mass after just two weeks, and 1-2% of bone mineral density every month. The longer the space travel, the greater the deterioration of tissues and physiological systems in the human body,” said Boppart, a professor of kinesiology and community health studying the science of exercise at the University of Illinois Urbana-Champaign.

Before joining the university, Boppart specialized in high-altitude health hazards as an officer and aerospace physiologist in the U.S. Air Force. Her current research in the College of Applied Health Sciences focuses on the molecular underpinning of muscle loss and gain. She hopes to develop cell-inspired strategies for recovering strength in circumstances — like spaceflight — when movement and mobility are limited.

When TRISH invited researchers to explore new ways to protect astronaut health and performance by enhancing the human body’s own maintenance and cellular repair abilities, Boppart seized the opportunity. Her project reimagines interstellar fitness with a cellular flair. The institute was scouting for strategies to protect astronaut health during long-duration space exploration missions, including NASA’s ongoing Artemis program, which will set up a sustainable presence on the Moon and prepare for future missions to Mars.

The Artemis program’s chosen vessel is the spacecraft Orion, which launched unmanned from the Kennedy Space Center in November. At the top of the vessel’s formidable to-do list is ferrying the first woman and first person of color from the Earth to the moon, followed closely by establishing humanity’s first long-term lunar presence and eventually trekking to the Red Planet.

Square footage is limited on Orion, which assumes the trifold identities of dormitory, dining hall, and control room all in one. The spacecraft is understandably bereft of the specialized resistance and endurance equipment that astronauts have access to on the International Space Station.

“But even the most intense [exercise] protocols performed in space are not sufficient to overcome the negative impacts of microgravity,” said Boppart. “Alternatives to traditional exercise, ideally based on exercise principles, are required.”

With an approach fit for space travel, Boppart’s proposal turns our traditional understanding of exercise on its head — or rather, inside out. Instead of defining exercise by heavy footfalls or flailing limbs, she’s focusing squarely on the cellular relay underway within our muscles.

Honed by relentless evolution, our cells have yet to catch on to the concept of exercising for fun. When we lift heavy weights or engage in rigorous activities, our cells react with a well-intentioned stress response, deploying a battalion of chemicals into the bloodstream to boost our body’s ability to survive future threats. If a weight that once seemed too heavy becomes manageable with time and training, you have your overprotective, stressed-out cells to thank.

These chemical payloads don’t navigate the bloodstream’s harsh terrain on their own. Some are wrapped in a protective lipid layer called an extracellular vesicle, named for its pickup and delivery routes that transfer restorative chemicals from cell to cell.

Boppart believes that the extracellular vesicles our bodies generate after exercising, and the chemicals they contain, can trigger the restorative effects of exercise — even when no exercise has taken place.

“When we exercise, it’s not only our muscles that benefit, but all tissues, including the brain and skin. Our TRISH-sponsored work will directly test the ability of extracellular vesicles released after exercise to protect human health in space,” Boppart said.

The broad aim of Boppart’s study is to use extracellular vesicles generated naturally by volunteers on Earth, or even artificially, to replicate the restorative effect of exercise in astronauts, essentially enabling their muscles to engage in post-exercise recovery without ever having to lift a space-suited finger.

“Astronauts are the target population for this funded study, but the result could potentially be used to prevent, maintain, or treat a variety of conditions associated with inactivity and disuse, including aging, disability, or even disease, which would be exceptionally fulfilling,” Boppart said.

Her interdisciplinary collaborators at the Beckman Institute include: Justin Rhodes, a professor of psychology; Taher Saif, a professor of mechanical science and engineering; Jonathan Sweedler, a professor of chemistry; and Hyun Joon Kong, a professor of chemical and biomolecular engineering. UIUC professor of kinesiology and community health Nicholas Burd is also a co-investigator.

Research for the project titled “Design of an extracellular vesicle approach to protect human health in space” is expected to begin in October 2023. The $1 million award will be dispersed over two years. This study is funded by the Translational Research Institute for Space Health at Baylor College of Medicine. TRISH is funded by the NASA Human Research Program. The award was administered through the TRISH Biomedical Research Advances for Space Health solicitation.

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A Few Minutes With … Jacob Allen



Transcript

VINCE LARA: Hi, and welcome to another edition of A Few Minutes With, the podcast that showcases Illinois College of Applied Health Sciences. I’m Vince Lara, and today, I’m speaking with KCH Assistant Professor Jacob Allen about his research on how exercise, stress, and diet influence gut microbial communities.

So I’m talking with Jacob Allen, who is a new addition to the Department of Kinesiology and Community Health. And, Jacob, I notice from your CV that you had done your undergrad and master’s at the University of North Carolina at Chapel Hill. And yet you left Chapel Hill, which is a lovely place in which I lived for a while, for Chambana, which we’re covered in snow this morning. Tell me, what made you do that? What prompted your move here?

JACOB ALLEN: That’s a good question. Well, so I did my bachelor’s in exercise science with a minor in biology. And coming out of undergrad, I didn’t really know what I wanted to do– surprise, surprise, a little bit young. But I was interested in exercise physiology, and so I decided to stay on and do a master’s program in the Exercise Physiology group at UNC-Chapel Hill.

And I did my masters in working with breast cancer survivors, where we looked at how exercise affected inflammatory markers in these patients that were coming off of breast cancer treatments to see if exercise could reduce some of the systemic inflammation they experienced. So that was my foray into exercise. And then because I was looking at inflammatory markers, these proteins called cytokines in the blood, I started getting interested in immunology.

And at the time, and still is, Jeff Woods, Dr. Woods here at University of Illinois, was prominent and one of the few exercise immunologists in the field. So I figured if I was going to study exercise and study the immune system, I should probably go get a PhD with somebody that knows what they’re doing. And so I looked up Jeff’s name and gave him a call.

And that’s what started my process of moving to Champaign to do my PhD in 2013 to look at exercise and the immune system. And so I came to Illinois, and I took off from there, where we started to look at both the immune system, but also the microbes in the gut and how the microbes affect the immune system. So I guess it was more of a career path that took me from Chapel Hill, where it’s a little bit warmer, to Champaign, Illinois.

VINCE LARA: Right, yeah, absolutely. And then the opportunity to work with Jeff obviously is a big part of it.

JACOB ALLEN: Right, yup, it was, definitely.

VINCE LARA: Yeah. So you talked about how your research focuses on exercise and diet and how they influence gut microbiota. What led you to study that? Usually there’s some sort of inspiration to what a researcher decides to study. Was there something in your early life that led you to look into that?

JACOB ALLEN: You know what? I wish I could say there was some beautiful epiphany I had or something like that. But I can’t really tag it to anything specific. I’d say I’m interested in questions that we don’t understand, and that’s probably why I did biology.

And when I started in Jeff’s lab, there was this emerging topic of the microbiome and these trillions of microbes that live in our gut that we still don’t know exactly what they do. And so it kind of just spiraled into studying it. Again, like I said, I was an exercise scientist looking at how exercise affects breast cancer survivors.

And it got me interested in the immune system. And then being interested in the immune system led me to study the microbiome. And what we know now is that the microbes in our gut are really important for training the immune system and establishing the immune system, and then in many inflammatory diseases, affecting the immune system. And so the study of the microbes tied in directly with my interest in immunology. And so that’s how I got to studying the gut microbiota.

VINCE LARA: How granular can we get in terms of, if you change one food, if you stop eating one food, can you determine how that affects the gut and how it affects disease?

JACOB ALLEN: That’s a great question. Number one, I’ll say, it depends– depends on the food. We know a lot about– relatively a lot– about certain types of food with regards to the microbiota. One of them is dietary fiber and something that our lab is interested in.

So fiber comes in different forms, but in one of the forms, it’s a soluble, fermentable fiber. And what that means is that it can reach the colon, where most of the microbes are. And the microbes use that fiber as food, as a sugar source.

And so what we know is that by feeding the microbes with this fiber– and again, there’s various types of it– we can change the microbiota quite extensively. What’s still not understood is how different types of fiber feed the microbiota differentially. And does that matter for our health?

And what’s important is that once the microbes get a hold of these– this food type, this fiber– they can degrade it into these bioactive molecules that then affect our immune system. So we’re still trying to understand that process of how the microbes feed off of these– off of our diet. What type of metabolites do they produce? How does that change the microbial communities? And then how does that all affect our immune system and our health is our interest in our lab.

VINCE LARA: What you’ve said is that you wanted to provide a new perspective on environmental conditions and microbiota. Is that tying into what you’re looking into?

JACOB ALLEN: Exactly. You know, our lab is named Integrative Microbiota Lab. And the reason for that is that I think that in science, we’re really good at isolating things and tying down to what we call a mechanism, which is really important. And that’s part of our lab, too.

But in especially humans, as we walk through our daily life, we’re doing all sorts of things. We have different exercise patterns. We have different levels of psychological stress. And that’s another component of my lab, is looking at how stress affects the microbes as well.

And then obviously, we all have different dietary patterns. And so trying to tease out those factors and how they regulate the microbiome in a daily life is the purpose. And my long-term goal of my lab is to look at these individual environmental factors in isolation. And then long-term, how are they all together affecting the microbes in the gut?

VINCE LARA: Can you tease out things like physical stress versus mental stress? Or is that something that you even can separate?

JACOB ALLEN: Another great question. There’s debate among this in the field of how to define stress in humans. And obviously, it’s all based off of the experience of the person.

But we can measure certain biomarkers that correlate heavily with stress. So we know some classical pathways that are activated by psychological stress– the hypothalamic pituitary axis, which ultimately results in the release of a glucocorticoid called cortisol, which I’m sure many are familiar with. And so we can look at levels of cortisol in the blood, but also, more long-term, elevations of cortisol in things like hair roots and stuff like that to see if these individuals are experiencing acute levels of stress, which we all experience, or if they’re experiencing stress on a chronic level on a daily basis, where we see this long-term elevation of hormones associated with stress.

So the short answer is it’s complicated. But we can at least get somewhat of a diagnostic of how stressed people are or individuals are based off of some of the hormonal responses we see in the blood and other tissues.

VINCE LARA: Interesting. You know, you recently received a grant along with Jeff Woods to study age-related dysbiosis and physical resilience. What can you tell me about that project? I mean, first of all, what’s age-related dysbiosis?

JACOB ALLEN: Yeah, so first, the word “dysbiosis,” for those that don’t know, is essentially a broad term to suggest a disrupted microbial community in the gut. And so there’s various forms of, quote, “dysbiosis.” But what we know is that if the community of microbes in your gut is healthy, it usually is fairly stable and goes through similar– has similar patterns amongst individuals that stays fairly stable over time.

What we see with, quote, “dysbiosis” is that those communities become less stable and less even. So you sometimes get what we call pathobiont species that expand in the gut. And these are potentially bacteria that might induce some negative consequence on our immune system or other components of physiology. And so that’s what we term– what we call dysbiosis. And what the age part is that there’s accumulating evidence that aging, getting older, might contribute to some form of dysbiosis.

And what we’re studying with this grant– so it’s a one-year grant funded by the NIH that will hopefully extend into a longer grant– is to see how antibiotic exposure affects the microbiome in aged populations. And there’s a couple of reasons for this. One of them is that aged individuals tend to consume antibiotics more extensively because they’re experiencing more sickness as they get older. And so we want to study it on that level.

And number two, obviously, these antibiotics affect the microbiome. And so we want to see if a, quote, “aged microbiome” responds differentially to antibiotics versus a young, healthy microbiome. And so to test this, we’re using first, a preclinical model, which is a mouse model, to test these hypotheses.

And tying it in, we think that those microbes, if we disrupt them in old animals, there’s going to be consequences both within the gut, but we also think that is affecting their physical resilience– so how well they perform on particular tasks such as exercise tasks. And so that’s our hypothesis going in. And of course, we don’t know the answers yet, and that’s why we’re running the studies.

But we think that the aged animals will respond differentially to the antibiotics and maybe not recover as well. And that might lead to some potential issues with how they move and how they respond to challenges. So that’s the purpose of the grant, if that makes any sense.

VINCE LARA: Yeah, absolutely. How symbiotic is the relationship between exercise and gut health? Does one influence the other more?

JACOB ALLEN: Yeah, that’s a great question. So some of my PhD work showed that exercise changes the microbiome. And it increases some beneficial metabolites that we think are health-promoting.

And one of them is called a short-chain fatty acid that initiates some overall anti-inflammatory and beneficial effects on our tissue. Now, whether it’s, quote, “good” or “bad,” I think we still need to figure out. There’s definitely changes with exercise and the microbiome. But again, trying to delineate the long-term effects and whether it’s good or bad is still up for debate and up for what we need to investigate with our science.

Your other question– does gut health affect exercise? And I think that that’s another open question in the field. Is there some gut-brain signaling that affects motivational behavior to exercise? And that really has not been investigated at all to my knowledge. So I think you bring up a good point. And it’s something we don’t know quite yet.

VINCE LARA: Yeah. You mentioned that you’re hoping that this grant with Jeff is going to be a long-term grant– multiyear. But researchers always have to look to the next thing, right? And so I’m curious what you’re working on or what your next big project might be.

JACOB ALLEN: Yeah. There’s a couple. Currently, I did some work that was independently funded at the end of my postdoc that I was able to take with me to start my lab here in Illinois, focused on some of the stress effects on the microbiome. And so we’re currently, in the lab, really interested in how the microbes interact with the cells that line the gut, called epithelial cells.

And what we found is this really intricate interaction between the gut microbes and these epithelial cells. You think of it as like a tit for tat. As the epithelial cells, which are our cells that line the gut, produce some molecules, they change the microbes. The microbes then feed back and change those epithelial cells.

And what we found is that stress, for some unknown reason, really changes the profile of these epithelial cells. And we’re not sure why yet. But what the evidence is pointing towards is that those changes in epithelial cells with stress is really driving the microbial changes that we see in the gut, and potentially in negative ways.

And so we’re trying to understand that process in a little more detail in our lab currently. So that’s the next frontier where we’re focused. And then we have some other focuses, too, particularly with exercise.

And going back to the integrative portion of it, we’re interested in how exercise and dietary fiber interact to modify the microbiome. We know that both in isolation change the microbiome. But really, not a lot of work has been done with a focus on how the interaction of diet and exercise might change the microbes and what that might mean for our health. So that’s another focus of the lab currently as well.

VINCE LARA: My thanks to Jacob Allen. For more podcasts on Illinois’s College of Applied Health Sciences, search A Few Minutes With on iTunes, Spotify, iHeart Radio, Radio.com, and other places you get your podcast fix. Thanks for listening, and see you next time.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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