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  1. Artikel: Handgrip Strength and Anthropometry in Parkinson's Disease at Diagnosis.

    Håglin, Lena / Törnkvist, Birgitta / Edström, Mona / Håglin, Sofia / Bäckman, Lennart

    Parkinson's disease

    2022  Band 2022, Seite(n) 1516807

    Abstract: Objectives: To investigate how age, malnutrition, and the level of plasma cortisol and phosphate in patients with Parkinson's disease (PD) at time of diagnosis are associated with body composition and handgrip strength in males and females compared to ... ...

    Abstract Objectives: To investigate how age, malnutrition, and the level of plasma cortisol and phosphate in patients with Parkinson's disease (PD) at time of diagnosis are associated with body composition and handgrip strength in males and females compared to controls.
    Results: Low fat-free mass index (FFMI), MNA score, and a high Unified Parkinson's Disease Rating Scale (UPDRS-total and UPDRS-III) were associated with high daytime levels of P-cortisol in total PD population but not in controls. Partial correlations reveal that high fat mass percent (FM (%)) and low FFMI were associated with older age in males with PD but not females with PD. Risk of malnutrition was associated with P-cortisol in males but not in females with PD (
    Conclusions: Age- and disease-associated risk factors that decrease muscle mass and HGS and increase FM (%) in patients with PD differ between males and females by an association with levels of cortisol and phosphate.
    Sprache Englisch
    Erscheinungsdatum 2022-07-02
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2573854-9
    ISSN 2042-0080 ; 2090-8083
    ISSN (online) 2042-0080
    ISSN 2090-8083
    DOI 10.1155/2022/1516807
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention.

    Håglin, Lena / Törnkvist, Birgitta / Bäckman, Lennart

    PloS one

    2020  Band 15, Heft 1, Seite(n) e0227692

    Abstract: Background: Life-style interventions, including smoking cessation and weight control are of importance for managing future escalating prevalence of obesity. Smoking habits and obesity have jointly great impact on mortality, however mechanisms behind the ...

    Abstract Background: Life-style interventions, including smoking cessation and weight control are of importance for managing future escalating prevalence of obesity. Smoking habits and obesity have jointly great impact on mortality, however mechanisms behind the effect and variables involved in the obesity paradox is still unknown.
    Objectives: This study examines risk factors for all-cause, cardiovascular, and cancer mortality in males and females with high cardiovascular risk, mediated by smoking habits, body mass index (BMI, kg/m2), and serum phosphate (S-P) levels.
    Methods: Patients were admitted to the Vindeln Patient Education Center in groups of 30 for a four-week residential comprehensive program (114 hours) focusing on smoking cessation, stress reduction, food preferences and selections, and physical exercise. The follow-up, in years from 1984 to 2014 corresponds to 30 years. This study included 2,504 patients (1,408 females and 1,096 males). Cox regression analysis was used to assess mortality risk associated with smoking habits, low and high BMI, and low and high S-P levels.
    Results: High BMI (>34,2 kg/m2), current smoking, type 2 diabetes mellitus (T2DM), high serum calcium (S-Ca), mmol/L and high systolic blood pressure (SBP, mmHg) were associated with all-cause mortality irrespective of sex. Former and current smoking females had a high all-cause mortality (adjusted hazard ratio [HR] 1.581; 95% CI 1.108-2.256, adjusted hazard ratio [HR] 1.935; 95% CI 1.461-2.562, respectively) while current smoking and high BMI increased risk for cardiovascular mortality (adjusted hazard ratio [HR] 3.505; 95% CI 2.140-5.740 and [HR] 1.536; 95% CI 1.058-2.231, respectively). Neither low nor high levels of S-P predicted all-cause, cardiovascular disease (CVD) and cancer mortality in males or females while low levels of S-P predicted all-cause mortality in smokers (adjusted hazard ratio [HR] 1.713; 95% CI 1.211-2.424). In non-smokers, low BMI (<27.6 kg/m2) was protecting and high BMI a risk for all-cause mortality. In males, ischemic heart disease (IHD), and low serum albumin (S-Alb) were associated with all-cause mortality. In females, an interaction between high BMI and smoking (HbmiSM) decreased the cardiovascular mortality (adjusted hazard ratio [HR] 0.410; 95% CI 0.179-0.937, respectively).
    Conclusions: High BMI and current smoking were associated with all-cause mortality in both males and females in the present high cardiovascular-risk cohort. In current smokers and non-smokers, T2DM and high S-Ca were associated with an increase in all-cause mortality, while low S-P was associated with all-cause mortality in smokers. Interaction between high BMI and smoking contribute to the obesity paradox by being protective for cardiovascular mortality in females.
    Mesh-Begriff(e) Adult ; Body Mass Index ; Cohort Studies ; Female ; Health Promotion/methods ; Healthy Lifestyle ; Humans ; Male ; Middle Aged ; Obesity/blood ; Obesity/mortality ; Obesity/therapy ; Phosphates/blood ; Risk Factors ; Smoking/blood ; Smoking/mortality ; Smoking/therapy ; Smoking Cessation ; Sweden/epidemiology ; Weight Reduction Programs
    Chemische Substanzen Phosphates
    Sprache Englisch
    Erscheinungsdatum 2020-01-16
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0227692
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  3. Artikel ; Online: Covariation between plasma phosphate and daytime cortisol in early Parkinson's disease.

    Håglin, Lena / Bäckman, Lennart

    Brain and behavior

    2016  Band 6, Heft 12, Seite(n) e00556

    Abstract: Background: Disturbed phosphate homeostasis in early Parkinson's disease (PD) may originate from a stress-related condition and nutritional status among other risk factors, age, and gender.: Methods: Risk of malnutrition using Mini-nutritional ... ...

    Abstract Background: Disturbed phosphate homeostasis in early Parkinson's disease (PD) may originate from a stress-related condition and nutritional status among other risk factors, age, and gender.
    Methods: Risk of malnutrition using Mini-nutritional assessment (MNA score) and plasma levels of protein markers and daytime cortisol at the time of diagnosis in PD (
    Results: The patients with PD had significantly lower MNA score than controls which correlated with plasma phosphate levels. The logistic regression revealed that increasing MNA protected from low plasma phosphate, final score (OR = 0.399; 95% CI = 0.196-0.816;
    Conclusion: This study highlights the importance of phosphate for optimal nutritional status by association with MNA score and albumin in plasma. An inverse relationship between phosphate and cortisol indicate, in addition, that low phosphate levels may affect cognition and motor function in PD.
    Mesh-Begriff(e) Aged ; Aged, 80 and over ; Antiparkinson Agents/therapeutic use ; Case-Control Studies ; Circadian Rhythm ; Cognition/physiology ; Female ; Humans ; Hydrocortisone/blood ; Levodopa/therapeutic use ; Logistic Models ; Male ; Malnutrition/blood ; Middle Aged ; Nutrition Assessment ; Parkinson Disease/blood ; Parkinson Disease/drug therapy ; Parkinson Disease/psychology ; Phosphates/blood ; Serum Albumin/metabolism ; Transferrin/metabolism
    Chemische Substanzen Antiparkinson Agents ; Phosphates ; Serum Albumin ; Transferrin ; Levodopa (46627O600J) ; Hydrocortisone (WI4X0X7BPJ)
    Sprache Englisch
    Erscheinungsdatum 2016-10-03
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2623587-0
    ISSN 2162-3279 ; 2162-3279
    ISSN (online) 2162-3279
    ISSN 2162-3279
    DOI 10.1002/brb3.556
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  4. Artikel: High serum phosphate and triglyceride levels in smoking women and men with CVD risk and type 2 diabetes.

    Håglin, Lena M / Törnkvist, Birgitta / Bäckman, Lennart O

    Diabetology & metabolic syndrome

    2014  Band 6, Heft 1, Seite(n) 39

    Abstract: Background: Both low and high serum phosphate levels may be associated with morbidity and mortality from cardiovascular disease. As smoking increases risk for type 2 diabetes (as shown by dyslipidemia and hyperglycemia), we wanted to study whether ... ...

    Abstract Background: Both low and high serum phosphate levels may be associated with morbidity and mortality from cardiovascular disease. As smoking increases risk for type 2 diabetes (as shown by dyslipidemia and hyperglycemia), we wanted to study whether smoking and type 2 diabetes were associated with serum phosphate and triglyceride levels independently from other CVD risk factors.
    Methods: Upon admittance to the Vindeln Health Education Centre (VHE-centre) for a four-week comprehensive lifestyle intervention, the participants (1408 women and 1096 men) completed a questionnaire that included their smoking habits - current smoker or non-smoker. We used multiple linear regression analyses to investigate the association between smoking and other CVD risk factors with S-P and S-TG levels.
    Results: In the non-type 2 diabetes populations, the smokers, compared to the non-smokers, had higher S-P and higher serum triglycerides (S-TG). In women, serum-TG in smokers with type 2 diabetes was higher than in smokers with non-type 2 diabetes. Non-type 2 diabetes patients exhibited an inverse relation between S-Glucose (S-Glu) and S-P and a positive association with S-TG. For men only, an association was seen between age (-) and S-Crea (-) and S-P. For women only, an association was seen between BMI (-) and S-Cholesterol (+) (S-Chol) and S-P.
    Conclusions: Compared to non-smokers, smoking women with non-type 2 diabetes and smoking men with type 2 diabetes had a higher level of S-P and S-TG. The association between smoking and S-P and S-TG levels still existed after adjusting for age and CVD risk factors in the multiple linear regression analyses.
    Trial registration: The study has been registered as a sub-study to the Lifestyle Intervention Trial no. ISRCTN79355192.
    Sprache Englisch
    Erscheinungsdatum 2014-03-17
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2518786-7
    ISSN 1758-5996
    ISSN 1758-5996
    DOI 10.1186/1758-5996-6-39
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  5. Artikel ; Online: A structural equation model for assessment of links between changes in serum triglycerides, -urate, and -glucose and changes in serum Calcium, -magnesium and -phosphate in Type 2 diabetes and non-diabetes metabolism

    Håglin Lena / Bäckman Lennart / Törnkvist Birgitta

    Cardiovascular Diabetology, Vol 10, Iss 1, p

    2011  Band 116

    Abstract: Abstract Background This study investigates the associations between changes in serum Triglycerides (S-TG), -Urate (S-Urate), and -Glucose (S-Glu) and changes in serum Calcium (S-Ca), -Magnesium (S-Mg), and -Phosphate (S-P) in patients with type 2 ... ...

    Abstract Abstract Background This study investigates the associations between changes in serum Triglycerides (S-TG), -Urate (S-Urate), and -Glucose (S-Glu) and changes in serum Calcium (S-Ca), -Magnesium (S-Mg), and -Phosphate (S-P) in patients with type 2 diabetes compared with non-diabetic patients. Methods The analysis is based on data collected from a secondary prevention population of women and men (W/M) at risk for cardiovascular disease (type 2 diabetes, 212/200; non-diabetes 968/703). The whole population (n = 2083) had a mean age of 51.0 (9.7) years and was stratified for sex and according to type 2 diabetes or non-diabetes. The patients were followed for, either half a year or one year and changes in risk factors were calculated from follow-up to baseline, the time when patients were admitted to the health center. The pattern of relationships was evaluated using a structural equation model. Results Higher S-TG and S-Glu but lower S-Urate was revealed at baseline in type 2 diabetes women and men as compared to their counterparts, non-diabetes patients. Women with type 2 diabetes had higher S-Ca and lower S-Mg than non-diabetes women. Changes in S-Glu were associated with changes in S-Ca (+), baseline S-Ca (+), and S-Urate (-) in type 2 diabetes men. Changes in S-Urate were associated with changes in S-Mg (+) in type 2 diabetes women and non-diabetes men. In men with non-diabetes, changes in S-Glu were associated with changes in S-Mg (-). In women with non-diabetes, changes in S-Glu were associated with changes in S-P (-) and changes in S-Urate with changes in S-Ca (+). Conclusion With respect to metabolic disturbances in non-diabetes and the awareness of risk for type 2 diabetes, changes in S-Glu and changes in S-Ca, S-Mg, and S-P should be considered as risk factors for cardiovascular disease. Increased early detection and corrections of high S-Ca, low S-Mg, and S-P in obese patients may improve their metabolism and reduce the risk of CVD in patients with type 2 diabetes. Trial registration number ISRCTN: ISRCTN79355192
    Schlagwörter Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Thema/Rubrik (Code) 571
    Sprache Englisch
    Erscheinungsdatum 2011-12-01T00:00:00Z
    Verlag BioMed Central
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  6. Artikel ; Online: A structural equation model for assessment of links between changes in serum triglycerides, -urate, and -glucose and changes in serum calcium, -magnesium and -phosphate in type 2 diabetes and non-diabetes metabolism.

    Håglin, Lena / Bäckman, Lennart / Törnkvist, Birgitta

    Cardiovascular diabetology

    2011  Band 10, Seite(n) 116

    Abstract: Background: This study investigates the associations between changes in serum triglycerides (S-TG), -urate (S-Urate), and -glucose (S-Glu) and changes in serum calcium (S-Ca), -magnesium (S-Mg), and -phosphate (S-P) in patients with type 2 diabetes ... ...

    Abstract Background: This study investigates the associations between changes in serum triglycerides (S-TG), -urate (S-Urate), and -glucose (S-Glu) and changes in serum calcium (S-Ca), -magnesium (S-Mg), and -phosphate (S-P) in patients with type 2 diabetes compared with non-diabetic patients.
    Methods: The analysis is based on data collected from a secondary prevention population of women and men (W/M) at risk for cardiovascular disease (type 2 diabetes, 212/200; non-diabetes 968/703). The whole population (n = 2083) had a mean age of 51.0 (9.7) years and was stratified for sex and according to type 2 diabetes or non-diabetes. The patients were followed for, either half a year or one year and changes in risk factors were calculated from follow-up to baseline, the time when patients were admitted to the health center. The pattern of relationships was evaluated using a structural equation model.
    Results: Higher S-TG and S-Glu but lower S-Urate was revealed at baseline in type 2 diabetes women and men as compared to their counterparts, non-diabetes patients. Women with type 2 diabetes had higher S-Ca and lower S-Mg than non-diabetes women. Changes in S-Glu were associated with changes in S-Ca (+), baseline S-Ca (+), and S-Urate (-) in type 2 diabetes men. Changes in S-Urate were associated with changes in S-Mg (+) in type 2 diabetes women and non-diabetes men. In men with non-diabetes, changes in S-Glu were associated with changes in S-Mg (-). In women with non-diabetes, changes in S-Glu were associated with changes in S-P (-) and changes in S-Urate with changes in S-Ca (+).
    Conclusion: With respect to metabolic disturbances in non-diabetes and the awareness of risk for type 2 diabetes, changes in S-Glu and changes in S-Ca, S-Mg, and S-P should be considered as risk factors for cardiovascular disease. Increased early detection and corrections of high S-Ca, low S-Mg, and S-P in obese patients may improve their metabolism and reduce the risk of CVD in patients with type 2 diabetes.
    Trial registration number: ISRCTN: ISRCTN79355192.
    Mesh-Begriff(e) Adult ; Biomarkers/blood ; Blood Glucose/metabolism ; Calcium/blood ; Cardiovascular Diseases/blood ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/prevention & control ; Case-Control Studies ; Chi-Square Distribution ; Diabetes Complications/blood ; Diabetes Complications/etiology ; Diabetes Complications/prevention & control ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/therapy ; Female ; Humans ; Least-Squares Analysis ; Magnesium/blood ; Male ; Middle Aged ; Models, Biological ; Phosphates/blood ; Regression Analysis ; Risk Assessment ; Risk Factors ; Risk Reduction Behavior ; Sweden ; Time Factors ; Treatment Outcome ; Triglycerides/blood ; Uric Acid/blood
    Chemische Substanzen Biomarkers ; Blood Glucose ; Phosphates ; Triglycerides ; Uric Acid (268B43MJ25) ; Magnesium (I38ZP9992A) ; Calcium (SY7Q814VUP)
    Sprache Englisch
    Erscheinungsdatum 2011-12-22
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1475-2840
    ISSN (online) 1475-2840
    DOI 10.1186/1475-2840-10-116
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  7. Artikel: Inherited corneal opacifications with an unusual distribution.

    Fagerholm, Per / Dellby, Anette / Bäckman, Lennart

    Acta ophthalmologica Scandinavica

    2007  Band 85, Heft 1, Seite(n) 103–105

    Abstract: Purpose: To describe corneal opacities of a new type and distribution in a small family.: Methods: Family members were interviewed and examined to establish a pedigree and to detect any corneal abnormalities.: Results: Two family members presented ...

    Abstract Purpose: To describe corneal opacities of a new type and distribution in a small family.
    Methods: Family members were interviewed and examined to establish a pedigree and to detect any corneal abnormalities.
    Results: Two family members presented with corneal opacities. Both had, in the very peripheral cornea, flat, greyish, rounded opacities, 20-200 microm in diameter, on the Descemet's membrane. In addition, the mother had the same type of opacities over the central cornea just inside the Bowman's layer. The remaining parts of the corneas were clear. Vision was unaffected and the opacities caused no discomfort. There was no other corneal pathology. The subjects' general health was good.
    Conclusions: To our knowledge, these types and distribution of corneal opacities have not been described previously. Although the mode of inheritance at this point is uncertain, we believe the changes are of a dystrophic nature.
    Mesh-Begriff(e) Adult ; Corneal Opacity/diagnosis ; Corneal Opacity/genetics ; Descemet Membrane/pathology ; Female ; Humans ; Male ; Middle Aged ; Pedigree
    Sprache Englisch
    Erscheinungsdatum 2007-02
    Erscheinungsland Denmark
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 1230907-2
    ISSN 1600-0420 ; 1395-3907
    ISSN (online) 1600-0420
    ISSN 1395-3907
    DOI 10.1111/j.1600-0420.2006.00756.x
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  8. Artikel ; Online: All-cause mortality of patients with dyslipidemia up to 19 years after a multidisciplinary lifestyle modification programme: a randomized trial.

    Håglin, Lena / Lundström, Sara / Kaati, Gunnar / Bäckman, Lennart / Bygren, Lars Olov

    European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology

    2011  Band 18, Heft 1, Seite(n) 79–85

    Abstract: Background: Many studies have shown that individual lifestyle factors are associated with cardiovascular mortality and all-cause mortality. Observational studies of comprehensive programmes have reported risk reductions. The objectives were to assess ... ...

    Abstract Background: Many studies have shown that individual lifestyle factors are associated with cardiovascular mortality and all-cause mortality. Observational studies of comprehensive programmes have reported risk reductions. The objectives were to assess the long-term all-cause mortality by diagnosis in patients referred to a lifestyle modification programme, aimed at combating coronary heart disease and stroke.
    Methods: A randomized trial with 325 patients referred to the centre between 1988 and 1989 for dyslipidemia, hypertension, type 2 diabetes and coronary heart disease; 239 patients were randomized to the programme, 86 randomized to usual care. Cases were admitted to the centre in groups of 30 for a 4-week residential comprehensive activity, in total 114 full-time hours, focusing on food preferences and selections, and physical exercise. The activities were repeated during a 4-day revisit to the centre 1 year and 5 years after the 4-week intervention. Controls were referred back to their doctors, mainly in primary care, for usual care. Main outcome measure was all-cause mortality during 11–12 and 18–19 years after intervention.
    Results: At follow-up 11–12 years after referral, the relative risk reduction (RRR) was 76% with the intention-to-treat analysis among cases admitted for dyslipidemia (hazards ratio 0.24, confidence interval 0.06–0.89, P = 0.033). After 18–19 years, the RRR was 66% (hazards ratio 0.34, confidence interval 0.13–0.88, P = 0.026). No RRR was found for the other three diagnoses.
    Conclusion: Patients admitted for dyslipidemia reached a real long-term RRR of all-cause mortality. They had by definition a need for this programme.
    Mesh-Begriff(e) Aged ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/mortality ; Cardiovascular Diseases/prevention & control ; Cause of Death ; Chi-Square Distribution ; Diet/adverse effects ; Dyslipidemias/complications ; Dyslipidemias/mortality ; Dyslipidemias/therapy ; Exercise ; Female ; Humans ; Male ; Middle Aged ; Preventive Health Services ; Proportional Hazards Models ; Risk Assessment ; Risk Factors ; Risk Reduction Behavior ; Sweden/epidemiology ; Time Factors ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2011-02
    Erscheinungsland England
    Dokumenttyp Journal Article ; Randomized Controlled Trial
    ZDB-ID 2124191-0
    ISSN 1741-8275 ; 1741-8267
    ISSN (online) 1741-8275
    ISSN 1741-8267
    DOI 10.1097/HJR.0b013e32833a65cc
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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