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  1. Article ; Online: Prospective findings from the Dongfeng-Tongji cohort: Exposure to various metals, the expression of microRNA-4286, and the incidence of acute coronary syndrome.

    Shen, Miaoyan / Xu, Xuedan / Li, Wending / Wang, Xi / Peng, Rong / Liu, Xuezhen / Wang, Qiuhong / You, Xiaomin / Long, Pinpin / Wang, Hao / Niu, Rundong / Yin, Yu / Yang, Handong / Zhang, Xiaomin / He, Meian / Wu, Tangchun / Yuan, Yu

    Environmental research

    2024  Volume 250, Page(s) 118322

    Abstract: Mounting evidence suggests that metal/metalloid exposure is related to the adverse health effects. Our prior investigation revealed a positive relation between the plasma level of microRNA-4286 (miR-4286) and an increased risk of developing acute ... ...

    Abstract Mounting evidence suggests that metal/metalloid exposure is related to the adverse health effects. Our prior investigation revealed a positive relation between the plasma level of microRNA-4286 (miR-4286) and an increased risk of developing acute coronary syndrome (ACS). However, it is a lack of studies evaluating the connection between metal/metalloid exposure and miRNA expression on ACS. In the prospective Dongfeng-Tongji cohort, we performed a nested case-control study. A total of 480 ACS and 480 controls were carefully selected based on similar age, sex, and blood collection time. Using inductively coupled plasma mass spectrometry, we assessed the plasma concentrations of 24 different metals. Quantitative real-time polymerase chain reaction was used to analyze the plasma miR-4286. We examined the relations of plasma metals with miR-4286 levels, the incidence of ACS, and the potential interactions. Using the multivariate conditional logistic regression models, we observed that the adjusted odds ratios (95% confidence intervals [CI]) for incident ACS were 1.79 (1.03, 3.12; P-trend = 0.03), 0.60 (0.41, 0.87; P-trend = 0.008), and 0.66 (0.46, 0.93; P-trend = 0.02), when comparing the extreme tertiles of aluminum, rubidium, and selenium, respectively. There was a relation between the concentration of rubidium in plasma and a decrease in the level of plasma miR-4286 (percent difference [95% CI]: -13.36% [-22.74%, -2.83%]; P-trend = 0.01). Both multiplicative (P interaction = 0.009) and additive interactions (relative excess risk due to interaction [95% CI]: 0.82 [0.59, 1.06]) were noted in our observation regarding the relationship between plasma aluminum and miR-4286 in incident ACS. The findings indicated that plasma aluminum was positively while plasma rubidium and selenium were negatively linked to an increased risk of developing ACS. Plasma aluminum exposure and plasma miR-4286 expression might synergistically affect the incident ACS risk. Controlling aluminum exposure was important for ACS prevention, especially for individuals with high expression of plasma miR-4286.
    Language English
    Publishing date 2024-02-13
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 205699-9
    ISSN 1096-0953 ; 0013-9351
    ISSN (online) 1096-0953
    ISSN 0013-9351
    DOI 10.1016/j.envres.2024.118322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Bedtime, sleep duration, and sleep quality and all-cause mortality in middle-aged and older Chinese adults: The Dongfeng-Tongji cohort study.

    Diao, Tingyue / Zhou, Lue / Yang, Liangle / Yuan, Yu / Liu, Kang / Peng, Rong / Wang, Qiuhong / Wang, Hao / Niu, Rundong / Long, Pinpin / Yang, Handong / Guo, Huan / He, Meian / Wu, Tangchun / Zhang, Xiaomin

    Sleep health

    2023  Volume 9, Issue 5, Page(s) 751–757

    Abstract: Objective: This study aims to investigate the associations of bedtime and its combination with sleep duration and sleep quality with all-cause mortality.: Methods: We conducted a prospective cohort study using data collected from 2008 to 2018 in the ... ...

    Abstract Objective: This study aims to investigate the associations of bedtime and its combination with sleep duration and sleep quality with all-cause mortality.
    Methods: We conducted a prospective cohort study using data collected from 2008 to 2018 in the Dongfeng-Tongji cohort. Among 40,097 participants aged 62.1 on average at baseline, we applied Cox regression models to assess hazard ratios and 95% confidence intervals for mortality risk.
    Results: During a mean follow-up of 8.2years, 4345 deaths were documented. U-shaped associations of bedtime and sleep duration with all-cause mortality were observed. Compared with bedtime between 10:01 PM and 11:00 PM, the hazard ratio (95% confidence interval) for all-cause mortality was 1.34 (1.20-1.49) for ≤9:00 PM, 1.18 (1.09-1.27) for 9:01-10:00 PM, and 1.50 (1.13-2.00) for >12:00 AM, respectively. Participants with sleep duration of <6, 6-<7, 8-<9, and ≥9 h/night had a respective 39%, 21%, 11%, and 25% higher all-cause mortality risk than those sleeping 7-<8 h/night. Additionally, participants with a healthy sleep score of 3, characterized as proper bedtime (10:01 PM-12:00 AM), moderate sleep duration (7-<8h/night), and good/fair sleep quality, had a significantly 36% (hazard ratio, 0.64; 95% confidence interval, 0.56-0.74) lower all-cause mortality risk than those with a score of 0.
    Conclusions: Individuals with early or late bedtimes and short or long sleep duration were at higher all-cause mortality risks. Having healthy sleep habits may significantly reduce death risk.
    Language English
    Publishing date 2023-08-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2813299-3
    ISSN 2352-7226 ; 2352-7218
    ISSN (online) 2352-7226
    ISSN 2352-7218
    DOI 10.1016/j.sleh.2023.07.004
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  3. Article ; Online: Nontargeted Metabolomics Revealed Novel Association Between Serum Metabolites and Incident Acute Coronary Syndrome: A Mendelian Randomization Study.

    Qiu, Gaokun / Lin, Yuhui / Ouyang, Yang / You, Mingrong / Zhao, Xinjie / Wang, Hao / Niu, Rundong / Li, Wending / Xu, Xuedan / Yan, Qi / Liu, Yurong / Li, Yingmei / Yang, Handong / Li, Xiulou / He, Meian / Zhang, Xiaomin / Shu, Xiao-Ou / Xu, Guowang / Wu, Tangchun

    Journal of the American Heart Association

    2023  Volume 12, Issue 13, Page(s) e028540

    Abstract: Background This study was performed to identify metabolites associated with incident acute coronary syndrome (ACS) and explore causality of the associations. Methods and Results We performed nontargeted metabolomics in a nested case-control study in the ... ...

    Abstract Background This study was performed to identify metabolites associated with incident acute coronary syndrome (ACS) and explore causality of the associations. Methods and Results We performed nontargeted metabolomics in a nested case-control study in the Dongfeng-Tongji cohort, including 500 incident ACS cases and 500 age- and sex-matched controls. Three metabolites, including a novel one (aspartylphenylalanine), and 1,5-anhydro-d-glucitol (1,5-AG) and tetracosanoic acid, were identified as associated with ACS risk, among which aspartylphenylalanine is a degradation product of the gut-brain peptide cholecystokinin-8 rather than angiotensin by the angiotensin-converting enzyme (odds ratio [OR] per SD increase [95% CI], 1.29 [1.13-1.48]; false discovery rate-adjusted
    MeSH term(s) Humans ; Acute Coronary Syndrome/diagnosis ; Acute Coronary Syndrome/epidemiology ; Mendelian Randomization Analysis ; Case-Control Studies ; Hypertension ; Metabolomics ; Glucose ; Angiotensins ; Risk Factors
    Chemical Substances Glucose (IY9XDZ35W2) ; Angiotensins
    Language English
    Publishing date 2023-06-29
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.122.028540
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Genetic susceptibility, homocysteine levels, and risk of all-cause and cause-specific mortality: A prospective cohort study.

    Mo, Tingting / Long, Pinpin / Wang, Yufei / Peng, Rong / Niu, Rundong / Wang, Qiuhong / Jiang, Jing / Shi, Limei / Yang, Handong / Xu, Chengwei / Zhang, Xiaomin / He, Meian / Guo, Huan / Wu, Tangchun

    Clinica chimica acta; international journal of clinical chemistry

    2022  Volume 538, Page(s) 1–8

    Abstract: Background: The associations of homocysteine (Hcy) and gene-Hcy interactions with the risk of all-cause and cause-specific mortality remain unclear.: Methods: A total of 19,826 middle-aged and elderly Chinese adults were included from the Dongfeng- ... ...

    Abstract Background: The associations of homocysteine (Hcy) and gene-Hcy interactions with the risk of all-cause and cause-specific mortality remain unclear.
    Methods: A total of 19,826 middle-aged and elderly Chinese adults were included from the Dongfeng-Tongji cohort in 2013-2014 and were followed-up to 31 December 2018. Cox regression was used to examine the association between Hcy and mortality. We selected 18 well-established Hcy-associated genetic variants to constructed the weighted genetic risk score (GRS) among 15,434 participants with genetic data, and interactions between genetic susceptibility and Hcy on mortality were assessed.
    Results: After multivariate adjustment, elevated serum Hcy levels were associated with higher risk of mortality from all-cause, CVD, coronary heart disease (CHD), stroke, and cancer. We also observed a significant interaction between GRS and Hcy on CHD mortality. Moreover, the rs7130284 and rs957140 on NOX4 modified the association between Hcy and mortality from CVD and CHD, and rs154657 on DPEP1 modified the association between Hcy and CHD mortality.
    Conclusions: Elevated Hcy levels were associated with increased risk of all-cause and cause-specific mortality among middle-aged and elderly Chinese. Hcy-related genetic variants on NOX4 and DPEP1 might modify the associations of Hcy with CVD mortality or CHD mortality.
    Language English
    Publishing date 2022-11-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 80228-1
    ISSN 1873-3492 ; 0009-8981
    ISSN (online) 1873-3492
    ISSN 0009-8981
    DOI 10.1016/j.cca.2022.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Leisure-time physical activity and risk of incident cardiovascular disease in Chinese retired adults.

    Mu, Xuanwen / Yu, Kuai / Long, Pinpin / Niu, Rundong / Li, Wending / Chen, Huiting / Gao, Hui / Li, Xingxing / Yuan, Yu / Yang, Handong / Zhang, Xiaomin / He, Mei-An / Liu, Gang / Guo, Huan / Wu, Tangchun

    Scientific reports

    2021  Volume 11, Issue 1, Page(s) 24202

    Abstract: The optimum amounts and types of leisure-time physical activity (LTPA) for cardiovascular disease (CVD) prevention among Chinese retired adults are unclear. The prospective study enrolled 26,584 participants (mean age [SD]: 63.3 [8.4]) without baseline ... ...

    Abstract The optimum amounts and types of leisure-time physical activity (LTPA) for cardiovascular disease (CVD) prevention among Chinese retired adults are unclear. The prospective study enrolled 26,584 participants (mean age [SD]: 63.3 [8.4]) without baseline disease from the Dongfeng-Tongji cohort in 2013. Cox-proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). During a mean 5.0 (1.5) years of follow-up, 5704 incident CVD cases were documented. Compared with less than 7.5 metabolic equivalent of task-hours per week (MET-hours/week) of LTPA, participating LTPA for 22.5-37.5 MET-hours/week, which was equivalent to 3 to 5 times the world health organization (WHO) recommended minimum, was associated with a 18% (95% CI 9 to 25%) lower CVD risk; however, no significant additional benefit was gained when exceeding 37.5 MET-hours/week. Each log10 increment of MET-hours/week in square dancing and cycling was associated with 11% (95% CI 2 to 20%) and 32% (95% CI 21 to 41%), respectively, lower risk of incident CVD. In Chinese retired adults, higher LTPA levels were associated with lower CVD risk, with a benefit threshold at 3 to 5 times the recommended physical activity minimum. Encouraging participation in square dancing and cycling might gain favourable cardiovascular benefits.
    MeSH term(s) Aged ; Asian People ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/metabolism ; Cardiovascular Diseases/prevention & control ; China ; Cohort Studies ; Exercise/statistics & numerical data ; Female ; Humans ; Leisure Activities ; Male ; Metabolic Equivalent ; Middle Aged ; Proportional Hazards Models ; Prospective Studies ; Retirement ; Risk Factors
    Language English
    Publishing date 2021-12-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-021-03475-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Associations of coagulation factor X and XI with incident acute coronary syndrome and stroke: A nested case-control study.

    Chen, Huiting / Shen, Miaoyan / Niu, Rundong / Mu, Xuanwen / Jiang, Qin / Peng, Rong / Yuan, Yu / Wang, Hao / Wang, Qiuhong / Yang, Handong / Guo, Huan / He, Meian / Zhang, Xiaomin / Wu, Tangchun

    Journal of thrombosis and haemostasis : JTH

    2021  Volume 19, Issue 11, Page(s) 2781–2790

    Abstract: Background: Coagulation cascade contributes to thrombotic and hemorrhagic diseases, but it remains unclear whether coagulation factors X (FX) and XI (FXI) levels are associated with cardiovascular diseases.: Objective: To evaluate prospective ... ...

    Abstract Background: Coagulation cascade contributes to thrombotic and hemorrhagic diseases, but it remains unclear whether coagulation factors X (FX) and XI (FXI) levels are associated with cardiovascular diseases.
    Objective: To evaluate prospective associations of FX and FXI levels with incident acute coronary syndrome (ACS), stroke, and their subtypes (acute myocardial infarction, unstable angina, ischemic stroke, and hemorrhagic stroke).
    Methods: We performed a nested case-control study (n = 1846) within the Dongfeng-Tongji cohort from 2013 to 2016 matched on age (within 1 year), sex, and sampling date (within 1 month) by incidence density sampling, and measured plasma FX and FXI levels by enzyme-linked immunosorbent assay. FX and FXI levels were categorized into three groups (low, <25th; middle, 25th to <75th; and high ≥75th percentiles) according to distributions, and conditional logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs).
    Results: After adjustment for traditional cardiovascular risk factors, compared with middle groups, the OR (95% CI) in high levels of FX and FXI were 1.11 (0.79-1.56) and 0.96 (0.68-1.36) for incident ACS, and 1.01 (0.63-1.62) and 1.72 (1.14-2.60) for incident stroke, respectively. As for subtypes of ACS and stroke, only high FXI levels were significantly associated with incident ischemic stroke (OR 1.66, 95% CI 1.05-2.65). Moreover, all associations remained steady after additional adjustment for platelet and leukocyte.
    Conclusion: FXI levels were associated with a greater risk of incident ischemic stroke but not hemorrhagic stroke or ACS. FX levels were not associated with incident ACS or stroke.
    MeSH term(s) Acute Coronary Syndrome/diagnosis ; Acute Coronary Syndrome/epidemiology ; Case-Control Studies ; Factor X ; Factor XI ; Humans ; Stroke/diagnosis ; Stroke/epidemiology
    Chemical Substances Factor X (9001-29-0) ; Factor XI (9013-55-2)
    Language English
    Publishing date 2021-08-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2112661-6
    ISSN 1538-7836 ; 1538-7933
    ISSN (online) 1538-7836
    ISSN 1538-7933
    DOI 10.1111/jth.15486
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  7. Article ; Online: Blood urea nitrogen, blood urea nitrogen to creatinine ratio and incident stroke: The Dongfeng-Tongji cohort.

    Peng, Rong / Liu, Kang / Li, Wending / Yuan, Yu / Niu, Rundong / Zhou, Lue / Xiao, Yang / Gao, Hui / Yang, Handong / Zhang, Chun / Zhang, Xiaomin / He, Meian / Wu, Tangchun

    Atherosclerosis

    2021  Volume 333, Page(s) 1–8

    Abstract: Background and aims: It remains unclear whether extreme levels of blood urea nitrogen (BUN) and BUN to creatinine ratio (BUN/Cr) can increase future risk of stroke. We conducted this study to investigate the associations of BUN and BUN/Cr with incident ... ...

    Abstract Background and aims: It remains unclear whether extreme levels of blood urea nitrogen (BUN) and BUN to creatinine ratio (BUN/Cr) can increase future risk of stroke. We conducted this study to investigate the associations of BUN and BUN/Cr with incident stroke and its subtypes.
    Methods: A total of 26,835 and 26,379 participants with a mean follow-up of 7.9 years were included to investigate the associations of BUN and BUN/Cr with incident stroke, respectively. Cox proportional hazard models were used to evaluate hazard ratios (HRs) and 95% confidence intervals (CIs) for incident stroke and its subtypes.
    Results: Compared with participants in the third quintile of BUN, the adjusted HRs (95% CIs) for participants in the lowest quintile were 1.21 (1.04-1.40), 1.41 (1.18-1.68) and 1.36 (0.97-1.91) for total, ischemic and hemorrhagic stroke, respectively; while for those in the highest quintile, the corresponding HRs (95% CIs) were 1.16 (1.01-1.32), 1.30 (1.11-1.53), and 1.24 (0.90-1.71). The associations remained robust when restricting the analyses to participants within clinically normal range of BUN. For BUN/Cr, compared with participants in the third quintile, participants in the lowest quintile had significant higher risks of stroke (HRs [95% CIs] were 1.19 [1.04-1.37], 1.26 [1.07-1.48], and 1.22 [0.90-1.67] for total, ischemic and hemorrhagic stroke).
    Conclusions: Both high and low levels of BUN were associated with higher risks of total and ischemic stroke. Low level of BUN/Cr was associated with excess risks of total and ischemic stroke.
    MeSH term(s) Blood Urea Nitrogen ; Creatinine ; Humans ; Nitrogen ; Stroke/diagnosis ; Stroke/epidemiology ; Urea
    Chemical Substances Urea (8W8T17847W) ; Creatinine (AYI8EX34EU) ; Nitrogen (N762921K75)
    Language English
    Publishing date 2021-08-06
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80061-2
    ISSN 1879-1484 ; 0021-9150
    ISSN (online) 1879-1484
    ISSN 0021-9150
    DOI 10.1016/j.atherosclerosis.2021.08.011
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  8. Article ; Online: A Lipid Signature with Perturbed Triacylglycerol Co-Regulation, Identified from Targeted Lipidomics, Predicts Risk for Type 2 Diabetes and Mediates the Risk from Adiposity in Two Prospective Cohorts of Chinese Adults.

    Qiu, Gaokun / Wang, Hao / Yan, Qi / Ma, Hongxia / Niu, Rundong / Lei, Yanshou / Xiao, Yang / Zhou, Lue / Yang, Handong / Xu, Chengwei / Zhang, Xiaomin / He, Meian / Tang, Huiru / Hu, Zhibin / Pan, An / Shen, Hongbing / Wu, Tangchun

    Clinical chemistry

    2022  Volume 68, Issue 8, Page(s) 1094–1107

    Abstract: Background: The roles of individual and co-regulated lipid molecular species in the development of type 2 diabetes (T2D) and mediation from metabolic risk factors remain unknown.: Methods: We conducted profiling of 166 plasma lipid species in 2 ... ...

    Abstract Background: The roles of individual and co-regulated lipid molecular species in the development of type 2 diabetes (T2D) and mediation from metabolic risk factors remain unknown.
    Methods: We conducted profiling of 166 plasma lipid species in 2 nested case-control studies within 2 independent cohorts of Chinese adults, the Dongfeng-Tongji and the Jiangsu non-communicable disease cohorts. After 4.61 (0.15) and 7.57 (1.13) years' follow-up, 1039 and 520 eligible participants developed T2D in these 2 cohorts, respectively, and controls were 1:1 matched to cases by age and sex.
    Results: We found 27 lipid species, including 10 novel ones, consistently associated with T2D risk in the 2 cohorts. Differential correlation network analysis revealed significant correlations of triacylglycerol (TAG) 50:3, containing at least one oleyl chain, with 6 TAGs, at least 3 of which contain the palmitoyl chain, all downregulated within cases relative to controls among the 27 lipids in both cohorts, while the networks also both identified the oleyl chain-containing TAG 50:3 as the central hub. We further found that 13 of the 27 lipids consistently mediated the association between adiposity indicators (body mass index, waist circumference, and waist-to-height ratio) and diabetes risk in both cohorts (all P < 0.05; proportion mediated: 20.00%, 17.70%, and 17.71%, and 32.50%, 28.73%, and 33.86%, respectively).
    Conclusions: Our findings suggested notable perturbed co-regulation, inferred from differential correlation networks, between oleyl chain- and palmitoyl chain-containing TAGs before diabetes onset, with the oleyl chain-containing TAG 50:3 at the center, and provided novel etiological insight regarding lipid dysregulation in the progression from adiposity to overt T2D.
    MeSH term(s) Adiposity ; Adult ; China ; Diabetes Mellitus, Type 2 ; Humans ; Lipidomics ; Obesity ; Prospective Studies ; Risk Factors ; Triglycerides
    Chemical Substances Triglycerides
    Language English
    Publishing date 2022-06-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1093/clinchem/hvac090
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  9. Article ; Online: Elevated Levels of Serum Alkaline Phosphatase are Associated with Increased Risk of Cardiovascular Disease: A Prospective Cohort Study.

    Liu, Kang / Yu, Yanqiu / Yuan, Yu / Xu, Xuedan / Lei, Wenhui / Niu, Rundong / Shen, Miaoyan / Zhou, Lue / Peng, Rong / Wang, Qiuhong / Yang, Handong / Guo, Huan / Ge, Yang / Liu, Gang / He, Meian / Wu, Tangchun / Zhang, Xiaomin

    Journal of atherosclerosis and thrombosis

    2022  Volume 30, Issue 7, Page(s) 795–819

    Abstract: Aim: We aimed to investigate the associations of serum alkaline phosphatase (ALP) levels with incident cardiovascular disease (CVD), coronary heart disease (CHD), and stroke, as well as their subtypes, among men and women in a prospective cohort study.!# ...

    Abstract Aim: We aimed to investigate the associations of serum alkaline phosphatase (ALP) levels with incident cardiovascular disease (CVD), coronary heart disease (CHD), and stroke, as well as their subtypes, among men and women in a prospective cohort study.
    Methods: A total of 11,408 men and 14,981 women were included to evaluate the associations between ALP levels and incident CVD. Participants were divided into four groups according to the quartiles of serum ALP levels in men and women separately. Cox proportional hazard models were used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs).
    Results: During an average follow-up of 7.3 years, 7,015 incident CVDs (5,561 CHDs and 1,454 strokes) were documented. After adjustments for age, body mass index, smoking status, drinking status, diabetes, hyperlipidemia, hypertension, physical activity, aspirin usage, anticoagulants usage, menopausal status (women only), family history of CVD, estimated glomerular filtration rate, white blood cell counts, and admission batch and comparing the lowest quartile of ALP, the adjusted HRs (95% CIs) of participants in the highest quartile were 1.22 (1.11-1.34) for CVD, 1.14 (1.02-1.28) for CHD, 1.43 (1.18-1.73) for stroke, 1.31 (1.09-1.57) for acute coronary syndrome (ACS), 1.37 (1.11-1.70) for ischemic stroke, and 1.75 (1.10-2.79) for hemorrhagic stroke in men and 1.12 (1.01-1.23) for CVD, 1.10 (0.99-1.23) for CHD, 1.18 (0.92-1.51) for stroke, 1.23 (1.03-1.47) for ACS, 1.10 (0.83-1.45) for ischemic stroke, and 1.54 (0.90-2.65) for hemorrhagic stroke in women. The ALP-CVD associations remained significant even within the normal ranges of ALP levels (40-150 U/L). Moreover, linear dose-response relationships were found between ALP levels and incident CVD.
    Conclusions: Higher ALP levels, even within the normal range, were significantly associated with increased risks of CVD, in a dose-dependent manner. These findings suggested that regular monitoring of ALP levels may help in improving the early identification of the population at higher CVD risk.
    MeSH term(s) Male ; Humans ; Female ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Alkaline Phosphatase ; Prospective Studies ; Hemorrhagic Stroke ; Stroke/epidemiology ; Stroke/etiology ; Coronary Disease ; Ischemic Stroke ; Risk Factors
    Chemical Substances Alkaline Phosphatase (EC 3.1.3.1)
    Language English
    Publishing date 2022-10-19
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2011474-6
    ISSN 1880-3873 ; 1340-3478
    ISSN (online) 1880-3873
    ISSN 1340-3478
    DOI 10.5551/jat.63646
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Past Shift Work and Incident Coronary Heart Disease in Retired Workers: A Prospective Cohort Study.

    Li, Wending / Yu, Kuai / Jia, Ningning / Xu, Xuedan / Yuan, Yu / Peng, Rong / Niu, Rundong / You, Xiaomin / Yang, Handong / Qiu, Gaokun / Guo, Huan / He, Meian / Zhang, Xiaomin / Pan, An / Tse, Lap Ah / Wu, Tangchun

    American journal of epidemiology

    2021  Volume 190, Issue 9, Page(s) 1821–1829

    Abstract: Present shift work has been associated with coronary heart disease (CHD) among employed workers, but it remains unclear whether shift work performed in the past is still associated with CHD in retired workers. We recruited 21,802 retired workers in ... ...

    Abstract Present shift work has been associated with coronary heart disease (CHD) among employed workers, but it remains unclear whether shift work performed in the past is still associated with CHD in retired workers. We recruited 21,802 retired workers in Shiyan, China, in 2008-2010 and 2013 and followed them for CHD events occurring up to December 31, 2018. Retired workers with longer durations of past shift work (rounded to 0.25 years) had higher CHD risks (for those with ≤5.00, 5.25-10.00, 10.50-20.00, and >20.00 years of past shift work, hazard ratios were 1.05 (95% confidence interval (CI): 0.94, 1.16), 1.08 (95% CI: 0.94, 1.25), 1.23 (95% CI: 1.07, 1.42), and 1.28 (95% CI: 1.08, 1.51), respectively). The association was substantially higher among service or sales workers than among manufacturing or manual-labor workers (for every 5-year increase in past shift work, hazard ratio = 1.11 (95% CI: 1.05, 1.16) vs. hazard ratio = 1.02 (95% CI: 0.98, 1.06)). Moreover, the risk was lower among those who were physically active than among their inactive counterparts (P for interaction = 0.019). Longer duration of past shift work was associated with higher risk of incident CHD among these retired workers, especially those from the service or sales sectors. Physical exercise might be beneficial in reducing the excess risk.
    MeSH term(s) China/epidemiology ; Coronary Disease/epidemiology ; Coronary Disease/etiology ; Exercise ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Prospective Studies ; Retirement/statistics & numerical data ; Risk Factors ; Shift Work Schedule/adverse effects ; Shift Work Schedule/statistics & numerical data
    Language English
    Publishing date 2021-03-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2937-3
    ISSN 1476-6256 ; 0002-9262
    ISSN (online) 1476-6256
    ISSN 0002-9262
    DOI 10.1093/aje/kwab074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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