Stephen Wee Hun Lim

Global, Regional, and National Consumption of Sugar-Sweetened Beverages, Fruit Juices, and Milk: A Systematic Assessment of Beverage Intake in 187 Countries.

Background Sugar-sweetened beverages (SSBs), fruit juice, and milk are components of diet of major public health interest. To-date, assessment of their global distributions and health impacts has been limited by insufficient comparable and reliable data by country, age, and sex. Objective To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010. Methods We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally- or subnationally-representative diet surveys worldwide, representing over half the world’s population. We also extracted data relevant to milk, fruit juice, and SSB availability for 187 countries from annual food balance information collected by the United Nations Food and Agriculture Organization. We developed a hierarchical Bayesian model to account for measurement incomparability, study representativeness, and sampling and modeling uncertainty, and to combine and harmonize nationally representative dietary survey data and food availability data. Results In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age. Intakes of SSB were highest in the Caribbean (1.9 servings/day; 1.2, 3.0); fruit juice consumption was highest in Australia and New Zealand (0.66; 0.35, 1.13); and milk intake was highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Intakes of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults. Conclusions Our analysis highlights the enormous spectrum of beverage intakes worldwide, by country, age, and sex. These data are valuable for highlighting gaps in dietary surveillance, determining the impacts of these beverages on global health, and targeting dietary policy.

Which interventions offer best value for money in primary prevention of cardiovascular disease

Background Despite many decades of declining mortality rates in the Western world, cardiovascular disease remains the leading cause of death worldwide. In this research we evaluate the optimal mix of lifestyle, pharmaceutical and population-wide interventions for primary prevention of cardiovascular disease. Methods and Findings In a discrete time Markov model we simulate the ischaemic heart disease and stroke outcomes and cost impacts of intervention over the lifetime of all Australian men and women, aged 35 to 84 years, who have never experienced a heart disease or stroke event. Best value for money is achieved by mandating moderate limits on salt in the manufacture of bread, margarine and cereal. A combination of diuretic, calcium channel blocker, ACE inhibitor and low-cost statin, for everyone with at least 5% five-year risk of cardiovascular disease, is also cost-effective, but lifestyle interventions aiming to change risky dietary and exercise behaviours are extremely poor value for money and have little population health benefit. Conclusions There is huge potential for improving efficiency in cardiovascular disease prevention in Australia. A tougher approach from Government to mandating limits on salt in processed foods and reducing excessive statin prices, and a shift away from lifestyle counselling to more efficient absolute risk-based prescription of preventive drugs, could cut health care costs while improving population health.

Media multitasking predicts unitary versus splitting visual focal attention

Research evidence now suggests that the deployment of multiple attentional foci in noncontiguous locations (i.e., splitting visual focal attention) is possible under some circumstances. However, the exact circumstances under which focal attention might ‘split’ have not been well understood. Here, we examined the possibility that ecological differences arising from our increasingly media-saturated environment result in individual differences in the capacity to demonstrate splitting focal attention. The Media Multitasking Index (MMI) was used to assess the extent to which participants engaged in media multitasking—the consumption of more than one stream of media content at the same time. Capacity to split attention was assessed with a paradigm previously employed by McCormick, Klein, and Johnston. The present data suggest a significant relationship between the behavioural preference for consuming multiple media forms simultaneously and the capacity to employ a split mode of attention. Specifically, High-MMI participants (who tend to consume multiple visual media forms simultaneously) adopted a splitting mode of visual attention, whereas Low-MMI participants (who tend to consume fewer visual media forms simultaneously) adopted a unitary mode of attention. These data advanced our understanding of the circumstances under which visual focal attention might split. Implications and future directions are discussed.

Object substitution masking: when does mask preview work?

When a target is enclosed by a 4-dot mask that persists after the target disappears, target identification is worse than it is when the mask terminates with the target. This masking effect is attributed to object substitution masking (OSM). Previewing the mask, however, attenuates OSM. This study investigated specific conditions under which mask preview was, or was not, effective in attenuating masking. In Experiment 1, the interstimulus interval (ISI) between previewed mask offset and target presentation was manipulated. The basic preview effect was replicated; neither ISI nor preview duration influenced target identification performance. In Experiment 2, mask configurations were manipulated. When the mask configuration at preview matched that at target presentation, the preview effect was replicated. New evidence of ineffective mask preview was found: When the two configurations did not match, performance declined. Yet, when the ISI between previewed mask offset and target presentation was removed such that the mask underwent apparent motion, preview was effective despite the configuration mismatch. An interpretation based on object representations provides an excellent account of these data.

Media multitasking predicts video-recorded lecture learning performance through mind wandering tendencies

Media multitasking behaviors are on the rise globally. This phenomenon extends to academic settings, and has implications for education that is predicated on computer-assisted technology, which may be a source of distractibility for, especially, heavy media multitaskers. We hypothesized that habitual media multitasking correlates negatively with video-recorded lecture learning performance, with mind wandering mediating this association. Eighty-one participants from the National University of Singapore first completed a media multitasking survey (Loh & Kanai, 2014; Ophir etźal., 2009). They then studied Coursera video-recorded lectures, during which their mind wandering tendencies were assessed using direct probes. Finally, participants attempted a test relating to what they have studied. Four regression models were built to analyse the data, and revealed evidence that supported the present hypothesis, even after we controlled for phenomenological variables relating to learning (i.e., anxiety, mental fatigue, and prior subject knowledge). Implications and future directions are discussed. We examined the relationship between habitual media multitasking (MM), mind wandering (MW), and video lecture learning.We explored associations between the main variables and post-learning phenomenological variables.The relationship between habitual MM and video learning is fully mediated by MW.This pattern of results holds after controlling for anxiety, mental fatigue, and prior subject knowledge.

Articulation effects in melody recognition memory.

Various surface features—timbre, tempo, and pitch—influence melody recognition memory, but articulation format effects, if any, remain unknown. For the first time, these effects were examined. In Experiment 1, melodies that remained in the same, or appeared in a different but similar, articulation format from study to test were recognized better than were melodies that were presented in a distinct format at test. A similar articulation format adequately induced matching processes to enhance recognition. Experiment 2 revealed that melodies rated as perceptually dissimilar on the basis of the location of the articulation mismatch did not impair recognition performance, suggesting an important boundary condition for articulation format effects on memory recognition—the matching of the memory trace and recognition probe may depend more on the overall proportion, rather than the temporal location, of the mismatch. The present findings are discussed in terms of a global matching advantage hypothesis.

Observing the Testing Effect using Coursera Video-Recorded Lectures: A Preliminary Study

We investigated the testing effect in Coursera video-based learning. One hundred and twenty-three participants either (a) studied an instructional video-recorded lecture four times, (b) studied the lecture three times and took one recall test, or (c) studied the lecture once and took three tests. They then took a final recall test, either immediately or a week later, through which their learning was assessed. Whereas repeated studying produced better recall performance than did repeated testing when the final test was administered immediately, testing produced better performance when the final test was delayed until a week after. The testing effect was observed using Coursera lectures. Future directions are documented.

Variability and recognition memory: Are there analogous indexical effects in music and speech?

Indexical effects refer to the influence of surface variability of the to-be-remembered items, such as different voices speaking the same words or different timbres (musical instruments) playing the same melodies, on recognition memory performance. The nature of timbre effects in melody recognition was investigated in two experiments. Experiment 1 showed that melodies that remained in the same timbre from study to test were discriminated better than melodies presented in a previously studied but different, or unstudied timbre at test. Timbre effects are attributed solely to instance-specific matching, rather than timbre-specific familiarity. In Experiment 2, when a previously unstudied timbre was similar to the original timbre and it played the melodies at test, performance was comparable to the condition when the exact same timbre was repeated at test. The use of a similar timbre at test enabled the listener to discriminate old from new melodies reliably. Overall, our data suggest that timbre-specific information is encoded and stored in long-term memory. Analogous indexical effects arising from timbre (nonmusical) and voice (nonlexical) attributes in music and speech processing respectively are implied and discussed.

Global-local processing impacts academic risk taking

Research has shown that academic risk taking—the selection of school tasks with varying difficulty levels—affords important implications for educational outcomes. In two experiments, we explored the role of cognitive processes—specifically, global versus local processing styles—in students’ academic risk-taking tendencies. Participants first read a short passage, which provided the context for their subsequent academic risk-taking decisions. Following which, participants undertook the Navons task and attended to either global letters or local letters only, i.e., were either globally or locally primed. The effects of priming on academic risk taking were then assessed using a perception-based measure (Experiment 1) and a task-based measure (Experiment 2). Experiment 1 provided preliminary evidence, which Experiment 2 confirmed, that globally focused individuals took more academic risk than did locally focused individuals after controlling for participants’ need for cognition (how much they enjoy effortful cognitive activities). Additionally, the inclusion of and comparisons with a control group in Experiment 2 revealed that locally focused participants drove the observed effects. The theory of predictive and reactive control systems (PARCS) provides a cogent account of our findings. Future directions and practical applications in education are discussed.

Mental imagery boosts music compositional creativity

We empirically investigated the effect of mental imagery on young children’s music compositional creativity. Children aged 5 to 8 years participated in two music composition sessions. In the control session, participants based their composition on a motif that they had created using a sequence of letter names. In the mental imagery session, participants were given a picture of an animal and instructed to imagine the animal’s sounds and movements, before incorporating what they had imagined into their composition. Six expert judges independently rated all music compositions on creativity based on subjective criteria (consensual assessment). Reliability analyses indicated that the expert judges demonstrated a high level of agreement in their ratings. The mental imagery compositions received significantly higher creativity ratings by the expert judges than did the control compositions. These results provide evidence for the effectiveness of mental imagery in enhancing young children’s music compositional creativity.