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221 results on '"Tormo, M. J"'

2. Violence Reported by the Immigrant Population Is High as Compared with the Native Population in Southeast Spain

Author

Colorado-Yohar, S., Tormo, M. J., Salmeron, D., Dios, S., Ballesta, M., and Navarro, C.

Abstract

Immigrants constitute a population vulnerable to the problem of violence. This study sought to ascertain the prevalence of violence reported by the immigrant population in the Murcian Region of Spain and characterize the related factors, taking the country population as reference. A cross-sectional study was carried out based on a representative population sample of Latin American (n = 672; 48% women), Moroccan (n = 361; 25% women), and Spanish origin (n = 1,303; 66% women), aged 16 to 64 years. Using a specific questionnaire, the prevalence of violence in the preceding year was assessed. The results were compared with the Spaniards using the 2006 National Health Survey (NHS). Multivariate logistic regression models were used to study the factors associated with violence having been reported in each group, both separately and in immigrants versus Spaniards. Finally, the cause and place of last aggression were studied. The prevalence of violence was 6.5% in Latin Americans, 12.0% in Moroccans, and 2.7% in Spaniards. Discrimination was the principal violence-related factor in all three groups. Among Latin Americans, low educational level was also associated with violence. Among Moroccans, those who had perceived discrimination showed the greatest differences in prevalence of violence compared with natives. Intimate partner violence (IPV) registered a prevalence of below 2%. As a conclusion, in this study, violence was little reported and higher among immigrants. The principal violence-related factor was discrimination. More studies of this type are called for to characterize the problem in other population-representative samples. (Contains 4 tables and 1 figure.)

Published
2012
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4. Relationship of Alcohol Intake and Sex Steroid Concentrations in Blood in Pre- and Post-Menopausal Women: The European Prospective Investigation into Cancer and Nutrition

Author

Rinaldi, S., Peeters, P. H. M., Bezemer, I. D., Dossus, L., Biessy, C., Sacerdote, C., Berrino, F., Panico, S., Palli, D., Tumino, R., Khaw, K. T., Bingham, S., Allen, N. E., Key, T., Jensen, M. K., Overvad, K., Olsen, A., Tjonneland, A., Amiano, P., Ardanaz, E., Agudo, A., Martinez-García, C., Quirós, J. Ramón, Tormo, M. J., Nagel, G., Linseisen, J., Boeing, H., Schulz, M., Grobbee, D. E., Bueno-De-Mesquita, H. B., Koliva, M., Kyriazi, G., Thrichopoulou, A., Boutron-Ruault, M. C., Clavel-Chapelon, F., Ferrari, P., Slimani, N., Saracci, R., Riboli, E., and Kaaks, R.

Published
2006
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6. C-Peptide, IGF-I, Sex-Steroid Hormones and Adiposity: A Cross-Sectional Study in Healthy Women within the European Prospective Investigation into Cancer and Nutrition (EPIC)

Author

Bezemer, Irene D., Rinaldi, Sabina, Dossus, Laure, van Gils, Carla H., Peeters, Petra H. M., van Noord, Paulus A. H., Bueno-de-Mesquita, H. Bas, Johnsen, Soren Paaske, Overvad, Kim, Olsen, Anja, Tjønneland, Anne, Boeing, Heiner, Lahmann, Petra H., Linseisen, Jakob, Nagel, Gabriele, Allen, Naomi, Roddam, Andrew, Bingham, Sheila, Khaw, Kay-Tee, Kesse, Emmanuelle, Téhard, Bertrand, Clavel-Chapelon, Françoise, Agudo, Antonio, Ardanaz, Eva, Quiros, J. R., Amiano, Pilar, Martínez-Garcia, C., Tormo, M. J., Pala, Valeria, Panico, Salvatore, Vineis, Paolo, Palli, Domenico, Tumino, Rosario, Trichopoulou, Antonia, Baibas, N., Zilis, D., Hémon, Bertrand, Norat, Teresa, Riboli, Elio, and Kaaks, Rudolf

Published
2005
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15. Diet, serum insulin-like growth factor-I and IGF-binding protein-3 in European women

Author

Norat, T, Dossus, L, Rinaldi, S, Overvad, K, Grønbæk, H, Tjønneland, A, Olsen, A, Clavel-Chapelon, F, Boutron-Ruault, M C, Boeing, H, Lahmann, P H, Linseisen, J, Nagel, G, Trichopoulou, A, Trichopoulos, D, Kalapothaki, V, Sieri, S, Palli, D, Panico, S, Tumino, R, Sacerdote, C, Bueno-de-Mesquita, H B, Peeters, P H M, van Gils, C H, Agudo, A, Amiano, P, Ardanoz, E, Martinez, C, Quirós, R, Tormo, M J, Bingham, S, Key, T J, Allen, N E, Ferrari, P, Slimani, N, Riboli, E, and Kaaks, R

Published
2007
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16. Diabetes mellitus, insulin treatment, diabetes duration, and risk of biliary tract cancer and hepatocellular carcinoma in a European cohort

Author

Schlesinger, S., Aleksandrova, K., Pischon, T., Jenab, M., Fedirko, V., Trepo, E., Overvad, K., Roswall, N., Tjønneland, A., Boutron-Ruault, M. C., Fagherazzi, G., Racine, A., Kaaks, R., Grote, V. A., Boeing, H., Trichopoulou, A., Pantzalis, M., Kritikou, M., Mattiello, A., Sieri, S., Sacerdote, C., Palli, D., Tumino, R., Peeters, P. H., Bueno-de-Mesquita, H. B., Weiderpass, E., Quirós, J. R., Zamora-Ros, R., Sánchez, M. J., Arriola, L., Ardanaz, E., Tormo, M. J., Nilsson, P., Lindkvist, B., Sund, M., Rolandsson, O., Khaw, K. T., Wareham, N., Travis, R. C., Riboli, E., and Nöthlings, U.

Published
2013
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17. Alcohol consumption and risk of type 2 diabetes in European men and women: influence of beverage type and body sizeThe EPIC–InterAct study

Author

Beulens, J. W. J., van der Schouw, Y. T., Bergmann, M. M., Rohrmann, S., Schulze, M. B., Buijsse, B., Grobbee, D. E., Arriola, L., Cauchi, S., Tormo, M.-J., Allen, N. E., van der A, D. L., Balkau, B., Boeing, H., Clavel-Chapelon, F., de Lauzon-Guillan, B., Franks, P., Froguel, P., Gonzales, C., Halkjær, J., Huerta, J. M., Kaaks, R., Key, T. J., Khaw, K. T., Krogh, V., Molina-Montes, E., Nilsson, P., Overvad, K., Palli, D., Panico, S., Quirós, Ramón J., Ronaldsson, O., Romieu, I., Romaguera, D., Sacerdote, C., Sánchez, M.-J., Spijkerman, A. M. W., Teucher, B., Tjonneland, A., Tumino, R., Sharp, S., Forouhi, N. G., Langenberg, C., Feskens, E. J. M., Riboli, E., and Wareham, N. J.

Published
2012
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19. Dietary intakes of retinol, β-carotene, vitamin D and vitamin E in the European Prospective Investigation into Cancer and Nutrition cohort

Author

Jenab, M, Salvini, S, van Gils, CH, Brustad, M, Shakya-Shrestha, S, Buijsse, B, Verhagen, H, Touvier, M, Biessy, C, Wallström, P, Bouckaert, K, Lund, E, Waaseth, M, Roswall, N, Joensen, A M, Linseisen, J, Boeing, H, Vasilopoulou, E, Dilis, V, Sieri, S, Sacerdote, C, Ferrari, P, Manjer, J, Nilsson, S, Welch, A A, Travis, R, Boutron-Ruault, M C, Niravong, M, Bueno-de-Mesquita, H B, van der Schouw, Y T, Tormo, M J, Barricarte, A, Riboli, E, Bingham, S, and Slimani, N

Published
2009

20. Dietary glycaemic index and glycaemic load in the European Prospective Investigation into Cancer and Nutrition

Author

van Bakel, MME, Kaaks, R, Feskens, EJM, Rohrmann, S, Welch, A A, Pala, V, Avloniti, K, van der Schouw, Y T, van der A, D L, Du, H, Halkjær, J, Tormo, M J, Cust, A E, Brighenti, F, Beulens, J W, Ferrari, P, Biessy, C, Lentjes, M, Spencer, E A, Panico, S, Masala, G, Bueno-de-Mesquita, H B, Peeters, PHM, Trichopoulou, A, Psaltopoulou, T, Clavel-Chapelon, F, Touvier, M, Skeie, G, Rinaldi, S, Sonestedt, E, Johansson, I, Schulze, M, Ardanaz, E, Buckland, G, Tjønneland, A, Overvad, K, Bingham, S, Riboli, E, and Slimani, N

Published
2009

21. Energy intake and sources of energy intake in the European Prospective Investigation into Cancer and Nutrition

Author

Ocké, M C, Larrañaga, N, Grioni, S, van den Berg, S W, Ferrari, P, Salvini, S, Benetou, V, Linseisen, J, Wirfält, E, Rinaldi, S, Jenab, M, Halkjær, J, Jakobsen, M U, Niravong, M, Clavel-Chapelon, F, Kaaks, R, Bergmann, M, Moutsiou, E, Trichopoulou, A, Lauria, C, Sacerdote, C, Bueno-de-Mesquita, H B, Peeters, PHM, Hjartåker, A, Parr, C L, Tormo, M J, Sanchez, M J, Manjer, J, Hellstrom, V, Mulligan, A, Spencer, E A, Riboli, E, Bingham, S, and Slimani, N

Published
2009

23. Blood Pressure and Risk of Renal Cell Carcinoma in the European Prospective Investigation into Cancer and Nutrition

Author

Weikert, Steffen, Boeing, Heiner, Pischon, Tobias, Weikert, Cornelia, Olsen, Anja, Tjonneland, Anne, Overvad, Kim, Becker, Nikolaus, Linseisen, Jakob, Trichopoulou, Antonia, Mountokalakis, Theodore, Trichopoulos, Dimitrios, Sieri, Sabina, Palli, Domenico, Vineis, Paolo, Panico, Salvatore, Peeters, Petra H. M., Bueno-de-Mesquita, H. Bas, Verschuren, W. M. Monique, Ljungberg, Borje, Hallmans, Goran, Berglund, Goran, González, Carlos A., Dorronsoro, Miren, Barricarte, Aurelio, Tormo, M. J., Allen, Naomi, Roddam, Andrew, Bingham, Sheila, Khaw, Kay-Tee, Rinaldi, Sabina, Ferrari, Pietro, Norat, Teresa, and Riboli, Elio

Published
2008

24. Plasma Adiponectin Levels and Endometrial Cancer Risk in Pre- and Postmenopausal Women

Author

Cust, Anne E., Kaaks, Rudolf, Friedenreich, Christine, Bonnet, Fabrice, Laville, Martine, Lukanova, Annekatrin, Rinaldi, Sabina, Dossus, Laure, Slimani, Nadia, Lundin, Eva, Tjønneland, Anne, Olsen, Anja, Overvad, Kim, Clavel-Chapelon, Françoise, Mesrine, Sylvie, Joulin, Virginie, Linseisen, Jakob, Rohrmann, Sabine, Pischon, Tobias, Boeing, Heiner, Trichopoulos, Dimitrios, Trichopoulou, Antonia, Benetou, Vassiliki, Palli, Domenico, Berrino, Franco, Tumino, Rosario, Sacerdote, Carlotta, Mattiello, Amalia, Quirós, J Ramón, Mendez, Michelle A., Sánchez, María-José, Larrañaga, Nerea, Tormo, M J., Ardanaz, Eva, Bueno-de-Mesquita, H Bas, Peeters, Petra H. M., van Gils, Carla H., Khaw, Kay-Tee, Bingham, Sheila, Allen, Naomi, Key, Tim, Jenab, Mazda, and Riboli, Elio

Published
2007

25. Body mass index, waist circumference and waist-hip ratio and serum levels of IGF-I and IGFBP-3 in European women

Author

Gram, I T, Norat, T, Rinaldi, S, Dossus, L, Lukanova, A, Téhard, B, Clavel-Chapelon, F, van Gils, C H, van Noord, P AH, Peeters, P HM, Bueno-de-Mesquita, H B, Nage, G, Linseisen, J, Lahmann, P H, Boeing, H, Palli, D, Sacerdote, C, Panico, S, Tumino, R, Sieri, S, Dorronsoro, M, Quirós, J R, Navarro, C A, Barricarte, A, Tormo, M-J, González, C A, Overvad, K, Johnsen, S Paaske, Olsen, A, Tjønneland, A, Travis, R, Allen, N, Bingham, S, Khaw, K-T, Stattin, P, Trichopoulou, A, Kalapothaki, V, Psaltopoulou, T, Casagrande, C, Riboli, E, and Kaaks, R

Published
2006

26. Repositioning of the global epicentre of non-optimal cholesterol

Author

Taddei, C. (Cristina), Zhou, B. (Bin), Bixby, H. (Honor), Carrillo-Larco, R. M. (Rodrigo M.), Danaei, G. (Goodarz), Jackson, R. T. (Rod T.), Farzadfar, F. (Farshad), Sophiea, M. K. (Marisa K.), Di Cesare, M. (Mariachiara), Iurilli, M. L. (Maria Laura Caminia), Martinez, A. R. (Andrea Rodriguez), Asghari, G. (Golaleh), Dhana, K. (Klodian), Gulayin, P. (Pablo), Kakarmath, S. (Sujay), Santero, M. (Marilina), Voortman, T. (Trudy), Riley, L. M. (Leanne M.), Cowan, M. J. (Melanie J.), Savin, S. (Stefan), Bennett, J. E. (James E.), Stevens, G. A. (Gretchen A.), Paciorek, C. J. (Christopher J.), Aekplakorn, W. (Wichai), Cifkova, R. (Renata), Giampaoli, S. (Simona), Kengne, A. P. (Andre Pascal), Khang, Y.-H. (Young-Ho), Kuulasmaa, K. (Kari), Laxmaiah, A. (Avula), Margozzini, P. (Paula), Mathur, P. (Prashant), Nordestgaard, B. G. (Borge G.), Zhao, D. (Dong), Aadahl, M. (Mette), Abarca-Gomez, L. (Leandra), Rahim, H. A. (Hanan Abdul), Abu-Rmeileh, N. M. (Niveen M.), Acosta-Cazares, B. (Benjamin), Adams, R. J. (Robert J.), Agdeppa, I. A. (Imelda A.), Aghazadeh-Attari, J. (Javad), Aguilar-Salinas, C. A. (Carlos A.), Agyemang, C. (Charles), Ahluwalia, T. S. (Tarunveer S.), Ahmad, N. A. (Noor Ani), Ahmadi, A. (Ali), Ahmadi, N. (Naser), Ahmed, S. H. (Soheir H.), Ahrens, W. (Wolfgang), Ajlouni, K. (Kamel), Alarouj, M. (Monira), AlBuhairan, F. (Fadia), AlDhukair, S. (Shahla), Ali, M. M. (Mohamed M.), Alkandari, A. (Abdullah), Alkerwi, A. (Ala'a), Aly, E. (Eman), Amarapurkar, D. N. (Deepak N.), Amouyel, P. (Philippe), Andersen, L. B. (Lars Bo), Anderssen, S. A. (Sigmund A.), Anjana, R. M. (Ranjit Mohan), Ansari-Moghaddam, A. (Alireza), Aounallah-Skhiri, H. (Hajer), Araujo, J. (Joana), Ariansen, I. (Inger), Aris, T. (Tahir), Arku, R. E. (Raphael E.), Arlappa, N. (Nimmathota), Aryal, K. K. (Krishna K.), Aspelund, T. (Thor), Assuncao, M. C. (Maria Cecilia F.), Auvinen, J. (Juha), Avdicova, M. (Maria), Azevedo, A. (Ana), Azizi, F. (Fereidoun), Azmin, M. (Mehrdad), Balakrishna, N. (Nagalla), Bamoshmoosh, M. (Mohamed), Banach, M. (Maciej), Bandosz, P. (Piotr), Banegas, J. R. (Jose R.), Barbagallo, C. M. (Carlo M.), Barcelo, A. (Alberto), Barkat, A. (Amina), Bata, I. (Iqbal), Batieha, A. M. (Anwar M.), Batyrbek, A. (Assembekov), Baur, L. A. (Louise A.), Beaglehole, R. (Robert), Belavendra, A. (Antonisamy), Ben Romdhane, H. (Habiba), Benet, M. (Mikhail), Benn, M. (Marianne), Berkinbayev, S. (Salim), Bernabe-Ortiz, A. (Antonio), Bernotiene, G. (Gailute), Bettiol, H. (Heloisa), Bhargava, S. K. (Santosh K.), Bi, Y. (Yufang), Bienek, A. (Asako), Bikbov, M. (Mukharram), Bista, B. (Bihungum), Bjerregaard, P. (Peter), Bjertness, E. (Espen), Bjertness, M. B. (Marius B.), Bjorkelund, C. (Cecilia), Bloch, K. V. (Katia, V), Blokstra, A. (Anneke), Bo, S. (Simona), Boehm, B. O. (Bernhard O.), Boggia, J. G. (Jose G.), Boissonnet, C. P. (Carlos P.), Bonaccio, M. (Marialaura), Bongard, V. (Vanina), Borchini, R. (Rossana), Borghs, H. (Herman), Bovet, P. (Pascal), Brajkovich, I. (Imperia), Breckenkamp, J. (Juergen), Brenner, H. (Hermann), Brewster, L. M. (Lizzy M.), Bruno, G. (Graziella), Bugge, A. (Anna), Busch, M. A. (Markus A.), de Leon, A. C. (Antonio Cabrera), Cacciottolo, J. (Joseph), Can, G. (Gunay), Candido, A. P. (Ana Paula C.), Capanzana, M. V. (Mario, V), Capuano, E. (Eduardo), Capuano, V. (Vincenzo), Cardoso, V. C. (Viviane C.), Carvalho, J. (Joana), Casanueva, F. F. (Felipe F.), Censi, L. (Laura), Chadjigeorgiou, C. A. (Charalambos A.), Chamukuttan, S. (Snehalatha), Chaturvedi, N. (Nish), Chen, C.-J. (Chien-Jen), Chen, F. (Fangfang), Chen, S. (Shuohua), Cheng, C.-Y. (Ching-Yu), Cheraghian, B. (Bahman), Chetrit, A. (Angela), Chiou, S.-T. (Shu-Ti), Chirlaque, M.-D. (Maria-Dolores), Cho, B. (Belong), Cho, Y. (Yumi), Chudek, J. (Jerzy), Claessens, F. (Frank), Clarke, J. (Janine), Clays, E. (Els), Concin, H. (Hans), Confortin, S. C. (Susana C.), Cooper, C. (Cyrus), Costanzo, S. (Simona), Cottel, D. (Dominique), Cowell, C. (Chris), Crujeiras, A. B. (Ana B.), Csilla, S. (Semanova), Cui, L. (Liufu), Cureau, F. V. (Felipe, V), D'Arrigo, G. (Graziella), d'Orsi, E. (Eleonora), Dallongeville, J. (Jean), Damasceno, A. (Albertino), Dankner, R. (Rachel), Dantoft, T. M. (Thomas M.), Dauchet, L. (Luc), Davletov, K. (Kairat), De Backer, G. (Guy), De Bacquer, D. (Dirk), de Gaetano, G. (Giovanni), De Henauw, S. (Stefaan), de Oliveira, P. D. (Paula Duarte), De Ridder, D. (David), De Smedt, D. (Delphine), Deepa, M. (Mohan), Deev, A. D. (Alexander D.), Dehghan, A. (Abbas), Delisle, H. (Helene), Dennison, E. (Elaine), Deschamps, V. (Valerie), Dhimal, M. (Meghnath), Di Castelnuovo, A. F. (Augusto F.), Dika, Z. (Zivka), Djalalinia, S. (Shirin), Dobson, A. J. (Annette J.), Donfrancesco, C. (Chiara), Donoso, S. P. (Silvana P.), Doring, A. (Angela), Dorobantu, M. (Maria), Dragano, N. (Nico), Drygas, W. (Wojciech), Du, Y. (Yong), Duante, C. A. (Charmaine A.), Duda, R. B. (Rosemary B.), Dzerve, V. (Vilnis), Dziankowska-Zaborszczyk, E. (Elzbieta), Eddie, R. (Ricky), Eftekhar, E. (Ebrahim), Eggertsen, R. (Robert), Eghtesad, S. (Sareh), Eiben, G. (Gabriele), Ekelund, U. (Ulf), El Ati, J. (Jalila), Eldemire-Shearer, D. (Denise), Eliasen, M. (Marie), Elosua, R. (Roberto), Erasmus, R. T. (Rajiv T.), Erbel, R. (Raimund), Erem, C. (Cihangir), Eriksen, L. (Louise), Eriksson, J. G. (Johan G.), Escobedo-de la Pena, J. (Jorge), Eslami, S. (Saeid), Esmaeili, A. (Ali), Evans, A. (Alun), Faeh, D. (David), Fall, C. H. (Caroline H.), Faramarzi, E. (Elnaz), Farjam, M. (Mojtaba), Fattahi, M. R. (Mohammad Reza), Felix-Redondo, F. J. (Francisco J.), Ferguson, T. S. (Trevor S.), Fernandez-Berges, D. (Daniel), Ferrante, D. (Daniel), Ferrari, M. (Marika), Ferreccio, C. (Catterina), Ferrieres, J. (Jean), Foger, B. (Bernhard), Foo, L. H. (Leng Huat), Forslund, A.-S. (Ann-Sofie), Forsner, M. (Maria), Fouad, H. M. (Heba M.), Francis, D. K. (Damian K.), Franco, M. d. (Maria do Carmo), Franco, O. H. (Oscar H.), Frontera, G. (Guillermo), Fujita, Y. (Yuki), Fumihiko, M. (Matsuda), Furusawa, T. (Takuro), Gaciong, Z. (Zbigniew), Galvano, F. (Fabio), Gao, J. (Jingli), Garcia-de-la-Hera, M. (Manoli), Garnett, S. P. (Sarah P.), Gaspoz, J.-M. (Jean-Michel), Gasull, M. (Magda), Gazzinelli, A. (Andrea), Geleijnse, J. M. (Johanna M.), Ghanbari, A. (Ali), Ghasemi, E. (Erfan), Gheorghe-Fronea, O.-F. (Oana-Florentina), Ghimire, A. (Anup), Gianfagna, F. (Francesco), Gill, T. K. (Tiffany K.), Giovannelli, J. (Jonathan), Gironella, G. (Glen), Giwercman, A. (Aleksander), Goltzman, D. (David), Goncalves, H. (Helen), Gonzalez-Chica, D. A. (David A.), Gonzalez-Gross, M. (Marcela), Gonzalez-Rivas, J. P. (Juan P.), Gonzalez-Villalpando, C. (Clicerio), Gonzalez-Villalpando, M.-E. (Maria-Elena), Gonzalez, A. R. (Angel R.), Gottrand, F. (Frederic), Graff-Iversen, S. (Sidsel), Gregor, R. D. (Ronald D.), Grodzicki, T. (Tomasz), Grontved, A. (Anders), Grosso, G. (Giuseppe), Gruden, G. (Gabriella), Gu, D. (Dongfeng), Guallar-Castillon, P. (Pilar), Guan, O. P. (Ong Peng), Gudmundsson, E. F. (Elias F.), Gudnason, V. (Vilmundur), Guerrero, R. (Ramiro), Guessous, I. (Idris), Gunnlaugsdottir, J. (Johanna), Gupta, R. (Rajeev), Gutierrez, L. (Laura), Gutzwiller, F. (Felix), Ha, S. (Seongjun), Hadaegh, F. (Farzad), Haghshenas, R. (Rosa), Hakimi, H. (Hamid), Hambleton, I. R. (Ian R.), Hamzeh, B. (Behrooz), Hantunen, S. (Sari), Kumar, R. H. (Rachakulla Hari), Hashemi-Shahri, S. M. (Seyed Mohammad), Hata, J. (Jun), Haugsgjerd, T. (Teresa), Hayes, A. J. (Alison J.), He, J. (Jiang), He, Y. (Yuna), Hendriks, M. E. (Marleen Elisabeth), Henriques, A. (Ana), Herrala, S. (Sauli), Heshmat, R. (Ramin), Hill, A. G. (Allan G.), Ho, S. Y. (Sai Yin), Ho, S. C. (Suzanne C.), Hobbs, M. (Michael), Hofman, A. (Albert), Homayounfar, R. (Reza), Hopman, W. M. (Wilma M.), Horimoto, A. R. (Andrea R. V. R.), Hormiga, C. M. (Claudia M.), Horta, B. L. (Bernardo L.), Houti, L. (Leila), Howitt, C. (Christina), Htay, T. T. (Thein Thein), Htet, A. S. (Aung Soe), Htike, M. M. (Maung Maung Than), Huerta, J. M. (Jose Maria), Huhtaniemi, I. T. (Ilpo Tapani), Huisman, M. (Martijn), Hunsberger, M. L. (Monica L.), Husseini, A. S. (Abdullatif S.), Huybrechts, I. (Inge), Hwalla, N. (Nahla), Iacoviello, L. (Licia), Iannone, A. G. (Anna G.), Ibrahim, M. M. (Mohsen M.), Wong, N. I. (Norazizah Ibrahim), Iglesia, I. (Iris), Ikeda, N. (Nayu), Ikram, M. A. (M. Arfan), Iotova, V. (Violeta), Irazola, V. E. (Vilma E.), Ishida, T. (Takafumi), Islam, M. (Muhammad), Ismail, A. A. (Aziz Al-Safi), Iwasaki, M. (Masanori), Jacobs, J. M. (Jeremy M.), Jaddou, H. Y. (Hashem Y.), Jafar, T. (Tazeen), James, K. (Kenneth), Jamrozik, K. (Konrad), Janszky, I. (Imre), Janus, E. (Edward), Järvelin, M.-R. (Marjo-Riitta), Jasienska, G. (Grazyna), Jelakovic, A. (Ana), Jelakovic, B. (Bojan), Jennings, G. (Garry), Jensen, G. B. (Gorm B.), Jeong, S.-l. (Seung-lyeal), Jha, A. K. (Anjani Kumar), Jiang, C. Q. (Chao Qiang), Jimenez, R. O. (Ramon O.), Jockel, K.-H. (Karl-Heinz), Joffres, M. (Michel), Jokelainen, J. J. (Jari J.), Jonas, J. B. (Jost B.), Jorgensen, T. (Torben), Joshi, P. (Pradeep), Joukar, F. (Farahnaz), Jozwiak, J. (Jacek), Juolevi, A. (Anne), Kafatos, A. (Anthony), Kajantie, E. O. (Eero O.), Kalter-Leibovici, O. (Ofra), Kamaruddin, N. A. (Nor Azmi), Kamstrup, P. R. (Pia R.), Karki, K. B. (Khem B.), Katz, J. (Joanne), Kauhanen, J. (Jussi), Kaur, P. (Prabhdeep), Kavousi, M. (Maryam), Kazakbaeva, G. (Gyulli), Keil, U. (Ulrich), Keinanen-Kiukaanniemi, S. (Sirkka), Kelishadi, R. (Roya), Keramati, M. (Maryam), Kerimkulova, A. (Alina), Kersting, M. (Mathilde), Khader, Y. S. (Yousef Saleh), Khalili, D. (Davood), Khateeb, M. (Mohammad), Kheradmand, M. (Motahareh), Khosravi, A. (Alireza), Kiechl-Kohlendorfer, U. (Ursula), Kiechl, S. (Stefan), Killewo, J. (Japhet), Kim, H. C. (Hyeon Chang), Kim, J. (Jeongseon), Kim, Y.-Y. (Yeon-Yong), Klumbiene, J. (Jurate), Knoflach, M. (Michael), Ko, S. (Stephanie), Kohler, H.-P. (Hans-Peter), Kohler, I. V. (Iliana, V), Kolle, E. (Elin), Kolsteren, P. (Patrick), Konig, J. (Jurgen), Korpelainen, R. (Raija), . (), Kos, J. (Jelena), Koskinen, S. (Seppo), Kouda, K. (Katsuyasu), Kowlessur, S. (Sudhir), Kratzer, W. (Wolfgang), Kriemler, S. (Susi), Kristensen, P. L. (Peter Lund), Krokstad, S. (Steiner), Kromhout, D. (Daan), Kujala, U. M. (Urho M.), Kurjata, P. (Pawel), Kyobutungi, C. (Catherine), Laamiri, F. Z. (Fatima Zahra), Laatikainen, T. (Tiina), Lachat, C. (Carl), Laid, Y. (Youcef), Lam, T. H. (Tai Hing), Lambrinou, C.-P. (Christina-Paulina), Lanska, V. (Vera), Lappas, G. (Georg), Larijani, B. (Bagher), Latt, T. S. (Tint Swe), Laugsand, L. E. (Lars E.), Lazo-Porras, M. (Maria), Lee, J. (Jeannette), Lee, J. (Jeonghee), Lehmann, N. (Nils), Lehtimaki, T. (Terho), Levitt, N. S. (Naomi S.), Li, Y. (Yanping), Lilly, C. L. (Christa L.), Lim, W.-Y. (Wei-Yen), Lima-Costa, M. F. (M. Fernanda), Lin, H.-H. (Hsien-Ho), Lin, X. (Xu), Lin, Y.-T. (Yi-Ting), Lind, L. (Lars), Linneberg, A. (Allan), Lissner, L. (Lauren), Liu, J. (Jing), Loit, H.-M. (Helle-Mai), Lopez-Garcia, E. (Esther), Lopez, T. (Tania), Lotufo, P. A. (Paulo A.), Lozano, J. E. (Jose Eugenio), Luksiene, D. (Dalia), Lundqvist, A. (Annamari), Lundqvist, R. (Robert), Lunet, N. (Nuno), Ma, G. (Guansheng), Machado-Coelho, G. L. (George L. L.), Machado-Rodrigues, A. M. (Aristides M.), Machi, S. (Suka), Madar, A. A. (Ahmed A.), Maggi, S. (Stefania), Magliano, D. J. (Dianna J.), Magriplis, E. (Emmanuella), Mahasampath, G. (Gowri), Maire, B. (Bernard), Makdisse, M. (Marcia), Malekzadeh, F. (Fatemeh), Rao, K. M. (Kodavanti Mallikharjuna), Manios, Y. (Yannis), Mann, J. I. (Jim, I), Mansour-Ghanaei, F. (Fariborz), Manzato, E. (Enzo), Marques-Vidal, P. (Pedro), Martorell, R. (Reynaldo), Mascarenhas, L. P. (Luis P.), Mathiesen, E. B. (Ellisiv B.), Matsha, T. E. (Tandi E.), Mavrogianni, C. (Christina), McFarlane, S. R. (Shelly R.), McGarvey, S. T. (Stephen T.), McLachlan, S. (Stela), McLean, R. M. (Rachael M.), McLean, S. B. (Scott B.), McNulty, B. A. (Breige A.), Mediene-Benchekor, S. (Sounnia), Mehdipour, P. (Parinaz), Mehlig, K. (Kirsten), Mehrparvar, A. (AmirHoushang), Meirhaeghe, A. (Aline), Meisinger, C. (Christa), Menezes, A. M. (Ana Maria B.), Menon, G. R. (Geetha R.), Merat, S. (Shahin), Mereke, A. (Alibek), Meshram, I. I. (Indrapal I.), Metcalf, P. (Patricia), Meyer, H. E. (Haakon E.), Mi, J. (Jie), Michels, N. (Nathalie), Miller, J. C. (Jody C.), Minderico, C. S. (Claudia S.), Mini, G. K. (G. K.), Miquel, J. F. (Juan Francisco), Miranda, J. J. (J. Jaime), Mirjalili, M. R. (Mohammad Reza), Mirrakhimov, E. (Erkin), Modesti, P. A. (Pietro A.), Moghaddam, S. S. (Sahar Saeedi), Mohajer, B. (Bahram), Mohamed, M. (MostafaK), Mohammad, K. (Kazem), Mohammadi, Z. (Zahra), Mohammadifard, N. (Noushin), Mohammadpourhodki, R. (Reza), Mohan, V. (Viswanathan), Mohanna, S. (Salim), MohdYusoff, M. F. (Muhammad Fadhli), Mohebbi, I. (Iraj), Mohebi, F. (Farnam), Moitry, M. (Marie), Mollehave, L. T. (Line T.), Mller, N. C. (Niels C.), Molnar, D. (Denes), Momenan, A. (Amirabbas), Mondo, C. K. (Charles K.), Monterrubio-Flores, E. (Eric), Moosazadeh, M. (Mahmood), Morejon, A. (Alain), Moreno, L. A. (Luis A.), Morgan, K. (Karen), Morin, S. N. (Suzanne N.), Moschonis, G. (George), Mossakowska, M. (Malgorzata), Mostafa, A. (Aya), Mota, J. (Jorge), Motlagh, M. E. (Mohammad Esmaeel), Motta, J. (Jorge), Msyamboza, K. P. (Kelias P.), Muiesan, M. L. (Maria L.), Muller-Nurasyid, M. (Martina), Mursu, J. (Jaakko), Mustafa, N. (Norlaila), Nabipour, I. (Iraj), Naderimagham, S. (Shohreh), Nagel, G. (Gabriele), Naidu, B. M. (Balkish M.), Najafi, F. (Farid), Nakamura, H. (Harunobu), Nang, E. E. (Ei Ei K.), Nangia, V. B. (Vinay B.), Nauck, M. (Matthias), Neal, W. A. (William A.), Nejatizadeh, A. (Azim), Nenko, I. (Ilona), Nervi, F. (Flavio), Nguyen, N. D. (Nguyen D.), Nieto-Martinez, R. E. (Ramfis E.), Nihal, T. (Thomas), Niiranen, T. J. (Teemu J.), Ning, G. (Guang), Ninomiya, T. (Toshiharu), Noale, M. (Marianna), Noboa, O. A. (Oscar A.), Noto, D. (Davide), Al Nsour, M. (Mohannad), Nuhoglu, I. (Irfan), O'Neill, T. W. (Terence W.), O'Reilly, D. (Dermot), Ochoa-Aviles, A. M. (Angelica M.), Oh, K. (Kyungwon), Ohtsuka, R. (Ryutaro), Olafsson, O. (Orn), Olie, V. (Valerie), Oliveira, I. O. (Isabel O.), Omar, M. A. (Mohd Azahadi), Onat, A. (Altan), Ong, S. (SokKing), Ordunez, P. (Pedro), Ornelas, R. (Rui), Ortiz, P. J. (Pedro J.), Osmond, C. (Clive), Ostojic, S. M. (Sergej M.), Ostovar, A. (Afshin), Otero, J. A. (Johanna A.), Owusu-Dabo, E. (Ellis), Paccaud, F. M. (Fred Michel), Pahomova, E. (Elena), Pajak, A. (Andrzej), Palmieri, L. (Luigi), Pan, W.-H. (Wen-Harn), Panda-Jonas, S. (Songhomitra), Panza, F. (Francesco), Parnell, W. R. (Winsome R.), Patel, N. D. (Nikhil D.), Peer, N. (Nasheeta), Peixoto, S. V. (Sergio Viana), Peltonen, M. (Markku), Pereira, A. C. (Alexandre C.), Peters, A. (Annette), Petersmann, A. (Astrid), Petkeviciene, J. (Janina), Peykari, N. (Niloofar), Pichardo, R. N. (Rafael N.), Pigeot, I. (Iris), Pilav, A. (Aida), Pilotto, L. (Lorenza), Piwonska, A. (Aleksandra), Pizarro, A. N. (Andreia N.), Plans-Rubio, P. (Pedro), Plata, S. (Silvia), Pohlabeln, H. (Hermann), Porta, M. (Miquel), Portegies, M. L. (Marileen L. P.), Poudyal, A. (Anil), Pourfarzi, F. (Farhad), Poustchi, H. (Hossein), Pradeepa, R. (Rajendra), Price, J. F. (Jacqueline F.), Providencia, R. (Rui), Puder, J. J. (Jardena J.), Puhakka, S. E. (Soile E.), Punab, M. (Margus), Qorbani, M. (Mostafa), Radisauskas, R. (Ricardas), Rahimikazerooni, S. (Salar), Raitakari, O. (Olli), Rao, S. R. (Sudha Ramachandra), Ramachandran, A. (Ambady), Ramos, E. (Elisabete), Ramos, R. (Rafel), Rampal, L. (Lekhraj), Rampal, S. (Sanjay), Redon, J. (Josep), Reganit, P. F. (Paul Ferdinand M.), Revilla, L. (Luis), Rezaianzadeh, A. (Abbas), Ribeiro, R. (Robespierre), Richter, A. (Adrian), Rigo, F. (Fernando), de Wit, T. F. (Tobias F. Rinke), Rodriguez-Artalejo, F. (Fernando), Rodriguez-Perez, M. d. (Maria del Cristo), Rodriguez-Villamizar, L. A. (Laura A.), Roggenbuck, U. (Ulla), Rojas-Martinez, R. (Rosalba), Romaguera, D. (Dora), Romeo, E. L. (Elisabetta L.), Rosengren, A. (Annika), Roy, J. G. (Joel G. R.), Rubinstein, A. (Adolfo), Ruidavets, J.-B. (Jean-Bernard), Ruiz-Betancourt, B. S. (Blanca Sandra), Russo, P. (Paola), Rust, P. (Petra), Rutkowski, M. (Marcin), Sabanayagam, C. (Charumathi), Sachdev, H. S. (Harshpal S.), Sadjadi, A. (Alireza), Safarpour, A. R. (Ali Reza), Safiri, S. (Saeid), Saidi, O. (Olfa), Saki, N. (Nader), Salanave, B. (Benoit), Salmeron, D. (Diego), Salomaa, V. (Veikko), Salonen, J. T. (Jukka T.), Salvetti, M. (Massimo), Sanchez-Abanto, J. (Jose), Sans, S. (Susana), Santaliestra-Pasias, A. M. (Alba M.), Santos, D. A. (Diana A.), Santos, M. (MariaPaula), Santos, R. (Rute), Saramies, J. L. (Jouko L.), Sardinha, L. B. (Luis B.), Sarrafzadegan, N. (Nizal), Saum, K.-U. (Kai-Uwe), Savva, S. C. (Savvas C.), Sawada, N. (Norie), Sbaraini, M. (Mariana), Scazufca, M. (Marcia), Schaan, B. D. (Beatriz D.), Schargrodsky, H. (Herman), Scheidt-Nave, C. (Christa), Schienkiewitz, A. (Anja), Schipf, S. (Sabine), Schmidt, C. O. (Carsten O.), Schottker, B. (Ben), Schramm, S. (Sara), Sebert, S. (Sylvain), Sein, A. A. (Aye Aye), Sen, A. (Abhijit), Sepanlou, S. G. (Sadaf G.), Servais, J. (Jennifer), Shakeri, R. (Ramin), Shalnova, S. A. (Svetlana A.), Shamah-Levy, T. (Teresa), Sharafkhah, M. (Maryam), Sharma, S. K. (Sanjib K.), Shaw, J. E. (Jonathan E.), Shayanrad, A. (Amaneh), Shi, Z. (Zumin), Shibuya, K. (Kenji), Shimizu-Furusawa, H. (Hana), Shin, D. W. (Dong Wook), Shin, Y. (Youchan), Shirani, M. (Majid), Shiri, R. (Rahman), Shrestha, N. (Namuna), Si-Ramlee, K. (Khairil), Siani, A. (Alfonso), Siantar, R. (Rosalynn), Sibai, A. M. (Abla M.), Santos Silva, D. A. (Diego Augusto), Simon, M. (Mary), Simons, J. (Judith), Simons, L. A. (Leon A.), Sjostrom, M. (Michael), Skaaby, T. (Tea), Slowikowska-Hilczer, J. (Jolanta), Slusarczyk, P. (Przemyslaw), Smeeth, L. (Liam), Snijder, M. B. (Marieke B.), Soderberg, S. (Stefan), Soemantri, A. (Agustinus), Sofat, R. (Reecha), Solfrizzi, V. (Vincenzo), Somi, M. H. (Mohammad Hossein), Sonestedt, E. (Emily), Sorensen, T. I. (Thorkild I. A.), Jerome, C. S. (Charles Sossa), Soumare, A. (Aicha), Sozmen, K. (Kaan), Sparrenberger, K. (Karen), Staessen, J. A. (Jan A.), Stathopoulou, M. G. (Maria G.), Stavreski, B. (Bill), Steene-Johannessen, J. (Jostein), Stehle, P. (Peter), Stein, A. D. (Aryeh D.), Stessman, J. (Jochanan), Stevanovic, R. (Ranko), Stieber, J. (Jutta), Stockl, D. (Doris), Stokwiszewski, J. (Jakub), Stronks, K. (Karien), Strufaldi, M. W. (Maria Wany), Suarez-Medina, R. (Ramon), Sun, C.-A. (Chien-An), Sundstrom, J. (Johan), Suriyawongpaisal, P. (Paibul), Sy, R. G. (Rody G.), Sylva, R. C. (Rene Charles), Szklo, M. (Moyses), Tai, E. S. (E. Shyong), Tamosiunas, A. (Abdonas), Tan, E. (EngJoo), Tarawneh, M. R. (Mohammed Rasoul), Tarqui-Mamani, C. B. (Carolina B.), Taylor, A. (Anne), Taylor, J. (Julie), Tell, G. S. (Grethe S.), Tello, T. (Tania), Thankappan, K. R. (K. R.), Thijs, L. (Lutgarde), Thuesen, B. H. (Betina H.), Toft, U. (Ulla), Tolonen, H. K. (Hanna K.), Tolstrup, J. S. (Janne S.), Topbas, M. (Murat), Topor-Madry, R. (Roman), Tormo, M. J. (Maria Jose), Tornaritis, M. J. (Michael J.), Torrent, M. (Maties), Torres-Collado, L. (Laura), Traissac, P. (Pierre), Trinh, O. T. (Oanh T. H.), Truthmann, J. (Julia), Tsugane, S. (Shoichiro), Tulloch-Reid, M. K. (Marshall K.), Tuomainen, T.-P. (Tomi-Pekka), Tuomilehto, J. (Jaakko), Tybjaerg-Hansen, A. (Anne), Tzourio, C. (Christophe), Ueda, P. (Peter), Ugel, E. (Eunice), Ulmer, H. (Hanno), Unal, B. (Belgin), Uusitalo, H. M. (Hannu M. T.), Valdivia, G. (Gonzalo), Valvi, D. (Damaskini), van Dam, R. (RobM), van der Schouw, Y. T. (Yvonne T.), Van Herck, K. (Koen), Rossem, L. (Lenievan), Van Schoor, N. M. (Natasja M.), van Valkengoed, I. G. (Irene G. M.), Vanderschueren, D. (Dirk), Vanuzzo, D. (Diego), Varbo, A. (Anette), Varona-Perez, P. (Patricia), Vasan, S. K. (Senthil K.), Vatten, L. (Lars), Vega, T. (Tomas), Veidebaum, T. (Toomas), Velasquez-Melendez, G. (Gustavo), Venero-Fernandez, S. J. (Silvia J.), Veronesi, G. (Giovanni), MoniqueVerschuren, W. M. (W. M.), Victora, C. G. (Cesar G.), Vidiawati, D. (Dhanasari), Viet, L. (Lucie), Villalpando, S. (Salvador), Vioque, J. (Jesus), Virtanen, J. K. (Jyrki K.), Visvikis-Siest, S. (Sophie), Viswanathan, B. (Bharathi), Vlasoff, T. (Tiina), Vollenweider, P. (Peter), Voutilainen, A. (Ari), Wade, A. N. (Alisha N.), Wagner, A. (Aline), Walton, J. (Janette), Bebakar, W. M. (Wan Mohamad Wan), WanMohamud, W. N. (Wan Nazaimoon), Wang, M.-D. (Ming-Dong), Wang, N. (Ningli), Wang, Q. (Qian), Wang, Y. X. (Ya Xing), Wang, Y.-W. (Ying-Wei), Wannamethee, S. G. (S. Goya), Wedderkopp, N. (Niels), Wei, W. (Wenbin), Whincup, P. H. (Peter H.), Widhalm, K. (Kurt), Widyahening, I. S. (Indah S.), Wiecek, A. (Andrzej), Wijga, A. H. (Alet H.), Wilks, R. J. (Rainford J.), Willeit, J. (Johann), Willeit, P. (Peter), Wilsgaard, T. (Tom), Wojtyniak, B. (Bogdan), Wong-McClure, R. A. (Roy A.), Wong, A. (Andrew), Wong, T. Y. (Tien Yin), Woo, J. (Jean), Woodward, M. (Mark), Wu, F. C. (Frederick C.), Wu, S. (Shouling), Xu, H. (Haiquan), Xu, L. (Liang), Yan, W. (Weili), Yang, X. (Xiaoguang), Yasuharu, T. (Tabara), Ye, X. (Xingwang), Yeow, T. P. (Toh Peng), Yiallouros, P. K. (Panayiotis K.), Yoosefi, M. (Moein), Yoshihara, A. (Akihiro), You, S.-L. (San-Lin), Younger-Coleman, N. O. (Novie O.), Yusoff, A. F. (Ahmad Faudzi), Zainuddin, A. A. (Ahmad A.), Zakavi, S. R. (Seyed Rasoul), Zali, M. R. (Mohammad Reza), Zamani, F. (Farhad), Zambon, S. (Sabina), Zampelas, A. (Antonis), KoZaw, K. (Ko), Zdrojewski, T. (Tomasz), Vrkic, T. Z. (Tajana Zeljkovic), Zhang, Z.-Y. (Zhen-Yu), Zhao, W. (Wenhua), Zhen, S. (Shiqi), Zheng, Y. (Yingfeng), Zholdin, B. (Bekbolat), Zhussupov, B. (Baurzhan), Zoghlami, N. (Nada), Cisneros, J. Z. (Julio Zuniga), Gregg, E. W. (Edward W.), Ezzati, M. (Majid), Taddei, C. (Cristina), Zhou, B. (Bin), Bixby, H. (Honor), Carrillo-Larco, R. M. (Rodrigo M.), Danaei, G. (Goodarz), Jackson, R. T. (Rod T.), Farzadfar, F. (Farshad), Sophiea, M. K. (Marisa K.), Di Cesare, M. (Mariachiara), Iurilli, M. L. (Maria Laura Caminia), Martinez, A. R. (Andrea Rodriguez), Asghari, G. (Golaleh), Dhana, K. (Klodian), Gulayin, P. (Pablo), Kakarmath, S. (Sujay), Santero, M. (Marilina), Voortman, T. (Trudy), Riley, L. M. (Leanne M.), Cowan, M. J. (Melanie J.), Savin, S. (Stefan), Bennett, J. E. (James E.), Stevens, G. A. (Gretchen A.), Paciorek, C. J. (Christopher J.), Aekplakorn, W. (Wichai), Cifkova, R. (Renata), Giampaoli, S. (Simona), Kengne, A. P. (Andre Pascal), Khang, Y.-H. (Young-Ho), Kuulasmaa, K. (Kari), Laxmaiah, A. (Avula), Margozzini, P. (Paula), Mathur, P. (Prashant), Nordestgaard, B. G. (Borge G.), Zhao, D. (Dong), Aadahl, M. (Mette), Abarca-Gomez, L. (Leandra), Rahim, H. A. (Hanan Abdul), Abu-Rmeileh, N. M. (Niveen M.), Acosta-Cazares, B. (Benjamin), Adams, R. J. (Robert J.), Agdeppa, I. A. (Imelda A.), Aghazadeh-Attari, J. (Javad), Aguilar-Salinas, C. A. (Carlos A.), Agyemang, C. (Charles), Ahluwalia, T. S. (Tarunveer S.), Ahmad, N. A. (Noor Ani), Ahmadi, A. (Ali), Ahmadi, N. (Naser), Ahmed, S. H. (Soheir H.), Ahrens, W. (Wolfgang), Ajlouni, K. (Kamel), Alarouj, M. (Monira), AlBuhairan, F. (Fadia), AlDhukair, S. (Shahla), Ali, M. M. (Mohamed M.), Alkandari, A. (Abdullah), Alkerwi, A. (Ala'a), Aly, E. (Eman), Amarapurkar, D. N. (Deepak N.), Amouyel, P. (Philippe), Andersen, L. B. (Lars Bo), Anderssen, S. A. (Sigmund A.), Anjana, R. M. (Ranjit Mohan), Ansari-Moghaddam, A. (Alireza), Aounallah-Skhiri, H. (Hajer), Araujo, J. (Joana), Ariansen, I. (Inger), Aris, T. (Tahir), Arku, R. E. (Raphael E.), Arlappa, N. (Nimmathota), Aryal, K. K. (Krishna K.), Aspelund, T. (Thor), Assuncao, M. C. (Maria Cecilia F.), Auvinen, J. (Juha), Avdicova, M. (Maria), Azevedo, A. (Ana), Azizi, F. (Fereidoun), Azmin, M. (Mehrdad), Balakrishna, N. (Nagalla), Bamoshmoosh, M. (Mohamed), Banach, M. (Maciej), Bandosz, P. (Piotr), Banegas, J. R. (Jose R.), Barbagallo, C. M. (Carlo M.), Barcelo, A. (Alberto), Barkat, A. (Amina), Bata, I. (Iqbal), Batieha, A. M. (Anwar M.), Batyrbek, A. (Assembekov), Baur, L. A. (Louise A.), Beaglehole, R. (Robert), Belavendra, A. (Antonisamy), Ben Romdhane, H. (Habiba), Benet, M. (Mikhail), Benn, M. (Marianne), Berkinbayev, S. (Salim), Bernabe-Ortiz, A. (Antonio), Bernotiene, G. (Gailute), Bettiol, H. (Heloisa), Bhargava, S. K. (Santosh K.), Bi, Y. (Yufang), Bienek, A. (Asako), Bikbov, M. (Mukharram), Bista, B. (Bihungum), Bjerregaard, P. (Peter), Bjertness, E. (Espen), Bjertness, M. B. (Marius B.), Bjorkelund, C. (Cecilia), Bloch, K. V. (Katia, V), Blokstra, A. (Anneke), Bo, S. (Simona), Boehm, B. O. (Bernhard O.), Boggia, J. G. (Jose G.), Boissonnet, C. P. (Carlos P.), Bonaccio, M. (Marialaura), Bongard, V. (Vanina), Borchini, R. (Rossana), Borghs, H. (Herman), Bovet, P. (Pascal), Brajkovich, I. (Imperia), Breckenkamp, J. (Juergen), Brenner, H. (Hermann), Brewster, L. M. (Lizzy M.), Bruno, G. (Graziella), Bugge, A. (Anna), Busch, M. A. (Markus A.), de Leon, A. C. (Antonio Cabrera), Cacciottolo, J. (Joseph), Can, G. (Gunay), Candido, A. P. (Ana Paula C.), Capanzana, M. V. (Mario, V), Capuano, E. (Eduardo), Capuano, V. (Vincenzo), Cardoso, V. C. (Viviane C.), Carvalho, J. (Joana), Casanueva, F. F. (Felipe F.), Censi, L. (Laura), Chadjigeorgiou, C. A. (Charalambos A.), Chamukuttan, S. (Snehalatha), Chaturvedi, N. (Nish), Chen, C.-J. (Chien-Jen), Chen, F. (Fangfang), Chen, S. (Shuohua), Cheng, C.-Y. (Ching-Yu), Cheraghian, B. (Bahman), Chetrit, A. (Angela), Chiou, S.-T. (Shu-Ti), Chirlaque, M.-D. (Maria-Dolores), Cho, B. (Belong), Cho, Y. (Yumi), Chudek, J. (Jerzy), Claessens, F. (Frank), Clarke, J. (Janine), Clays, E. (Els), Concin, H. (Hans), Confortin, S. C. (Susana C.), Cooper, C. (Cyrus), Costanzo, S. (Simona), Cottel, D. (Dominique), Cowell, C. (Chris), Crujeiras, A. B. (Ana B.), Csilla, S. (Semanova), Cui, L. (Liufu), Cureau, F. V. (Felipe, V), D'Arrigo, G. (Graziella), d'Orsi, E. (Eleonora), Dallongeville, J. (Jean), Damasceno, A. (Albertino), Dankner, R. (Rachel), Dantoft, T. M. (Thomas M.), Dauchet, L. (Luc), Davletov, K. (Kairat), De Backer, G. (Guy), De Bacquer, D. (Dirk), de Gaetano, G. (Giovanni), De Henauw, S. (Stefaan), de Oliveira, P. D. (Paula Duarte), De Ridder, D. (David), De Smedt, D. (Delphine), Deepa, M. (Mohan), Deev, A. D. (Alexander D.), Dehghan, A. (Abbas), Delisle, H. (Helene), Dennison, E. (Elaine), Deschamps, V. (Valerie), Dhimal, M. (Meghnath), Di Castelnuovo, A. F. (Augusto F.), Dika, Z. (Zivka), Djalalinia, S. (Shirin), Dobson, A. J. (Annette J.), Donfrancesco, C. (Chiara), Donoso, S. P. (Silvana P.), Doring, A. (Angela), Dorobantu, M. (Maria), Dragano, N. (Nico), Drygas, W. (Wojciech), Du, Y. (Yong), Duante, C. A. (Charmaine A.), Duda, R. B. (Rosemary B.), Dzerve, V. (Vilnis), Dziankowska-Zaborszczyk, E. (Elzbieta), Eddie, R. (Ricky), Eftekhar, E. (Ebrahim), Eggertsen, R. (Robert), Eghtesad, S. (Sareh), Eiben, G. (Gabriele), Ekelund, U. (Ulf), El Ati, J. (Jalila), Eldemire-Shearer, D. (Denise), Eliasen, M. (Marie), Elosua, R. (Roberto), Erasmus, R. T. (Rajiv T.), Erbel, R. (Raimund), Erem, C. (Cihangir), Eriksen, L. (Louise), Eriksson, J. G. (Johan G.), Escobedo-de la Pena, J. (Jorge), Eslami, S. (Saeid), Esmaeili, A. (Ali), Evans, A. (Alun), Faeh, D. (David), Fall, C. H. (Caroline H.), Faramarzi, E. (Elnaz), Farjam, M. (Mojtaba), Fattahi, M. R. (Mohammad Reza), Felix-Redondo, F. J. (Francisco J.), Ferguson, T. S. (Trevor S.), Fernandez-Berges, D. (Daniel), Ferrante, D. (Daniel), Ferrari, M. (Marika), Ferreccio, C. (Catterina), Ferrieres, J. (Jean), Foger, B. (Bernhard), Foo, L. H. (Leng Huat), Forslund, A.-S. (Ann-Sofie), Forsner, M. (Maria), Fouad, H. M. (Heba M.), Francis, D. K. (Damian K.), Franco, M. d. (Maria do Carmo), Franco, O. H. (Oscar H.), Frontera, G. (Guillermo), Fujita, Y. (Yuki), Fumihiko, M. (Matsuda), Furusawa, T. (Takuro), Gaciong, Z. (Zbigniew), Galvano, F. (Fabio), Gao, J. (Jingli), Garcia-de-la-Hera, M. (Manoli), Garnett, S. P. (Sarah P.), Gaspoz, J.-M. (Jean-Michel), Gasull, M. (Magda), Gazzinelli, A. (Andrea), Geleijnse, J. M. (Johanna M.), Ghanbari, A. (Ali), Ghasemi, E. (Erfan), Gheorghe-Fronea, O.-F. (Oana-Florentina), Ghimire, A. (Anup), Gianfagna, F. (Francesco), Gill, T. K. (Tiffany K.), Giovannelli, J. (Jonathan), Gironella, G. (Glen), Giwercman, A. (Aleksander), Goltzman, D. (David), Goncalves, H. (Helen), Gonzalez-Chica, D. A. (David A.), Gonzalez-Gross, M. (Marcela), Gonzalez-Rivas, J. P. (Juan P.), Gonzalez-Villalpando, C. (Clicerio), Gonzalez-Villalpando, M.-E. (Maria-Elena), Gonzalez, A. R. (Angel R.), Gottrand, F. (Frederic), Graff-Iversen, S. (Sidsel), Gregor, R. D. (Ronald D.), Grodzicki, T. (Tomasz), Grontved, A. (Anders), Grosso, G. (Giuseppe), Gruden, G. (Gabriella), Gu, D. (Dongfeng), Guallar-Castillon, P. (Pilar), Guan, O. P. (Ong Peng), Gudmundsson, E. F. (Elias F.), Gudnason, V. (Vilmundur), Guerrero, R. (Ramiro), Guessous, I. (Idris), Gunnlaugsdottir, J. (Johanna), Gupta, R. (Rajeev), Gutierrez, L. (Laura), Gutzwiller, F. (Felix), Ha, S. (Seongjun), Hadaegh, F. (Farzad), Haghshenas, R. (Rosa), Hakimi, H. (Hamid), Hambleton, I. R. (Ian R.), Hamzeh, B. (Behrooz), Hantunen, S. (Sari), Kumar, R. H. (Rachakulla Hari), Hashemi-Shahri, S. M. (Seyed Mohammad), Hata, J. (Jun), Haugsgjerd, T. (Teresa), Hayes, A. J. (Alison J.), He, J. (Jiang), He, Y. (Yuna), Hendriks, M. E. (Marleen Elisabeth), Henriques, A. (Ana), Herrala, S. (Sauli), Heshmat, R. (Ramin), Hill, A. G. (Allan G.), Ho, S. Y. (Sai Yin), Ho, S. C. (Suzanne C.), Hobbs, M. (Michael), Hofman, A. (Albert), Homayounfar, R. (Reza), Hopman, W. M. (Wilma M.), Horimoto, A. R. (Andrea R. V. R.), Hormiga, C. M. (Claudia M.), Horta, B. L. (Bernardo L.), Houti, L. (Leila), Howitt, C. (Christina), Htay, T. T. (Thein Thein), Htet, A. S. (Aung Soe), Htike, M. M. (Maung Maung Than), Huerta, J. M. (Jose Maria), Huhtaniemi, I. T. (Ilpo Tapani), Huisman, M. (Martijn), Hunsberger, M. L. (Monica L.), Husseini, A. S. (Abdullatif S.), Huybrechts, I. (Inge), Hwalla, N. (Nahla), Iacoviello, L. (Licia), Iannone, A. G. (Anna G.), Ibrahim, M. M. (Mohsen M.), Wong, N. I. (Norazizah Ibrahim), Iglesia, I. (Iris), Ikeda, N. (Nayu), Ikram, M. A. (M. Arfan), Iotova, V. (Violeta), Irazola, V. E. (Vilma E.), Ishida, T. (Takafumi), Islam, M. (Muhammad), Ismail, A. A. (Aziz Al-Safi), Iwasaki, M. (Masanori), Jacobs, J. M. (Jeremy M.), Jaddou, H. Y. (Hashem Y.), Jafar, T. (Tazeen), James, K. (Kenneth), Jamrozik, K. (Konrad), Janszky, I. (Imre), Janus, E. (Edward), Järvelin, M.-R. (Marjo-Riitta), Jasienska, G. (Grazyna), Jelakovic, A. (Ana), Jelakovic, B. (Bojan), Jennings, G. (Garry), Jensen, G. B. (Gorm B.), Jeong, S.-l. (Seung-lyeal), Jha, A. K. (Anjani Kumar), Jiang, C. Q. (Chao Qiang), Jimenez, R. O. (Ramon O.), Jockel, K.-H. (Karl-Heinz), Joffres, M. (Michel), Jokelainen, J. J. (Jari J.), Jonas, J. B. (Jost B.), Jorgensen, T. (Torben), Joshi, P. (Pradeep), Joukar, F. (Farahnaz), Jozwiak, J. (Jacek), Juolevi, A. (Anne), Kafatos, A. (Anthony), Kajantie, E. O. (Eero O.), Kalter-Leibovici, O. (Ofra), Kamaruddin, N. A. (Nor Azmi), Kamstrup, P. R. (Pia R.), Karki, K. B. (Khem B.), Katz, J. (Joanne), Kauhanen, J. (Jussi), Kaur, P. (Prabhdeep), Kavousi, M. (Maryam), Kazakbaeva, G. (Gyulli), Keil, U. (Ulrich), Keinanen-Kiukaanniemi, S. (Sirkka), Kelishadi, R. (Roya), Keramati, M. (Maryam), Kerimkulova, A. (Alina), Kersting, M. (Mathilde), Khader, Y. S. (Yousef Saleh), Khalili, D. (Davood), Khateeb, M. (Mohammad), Kheradmand, M. (Motahareh), Khosravi, A. (Alireza), Kiechl-Kohlendorfer, U. (Ursula), Kiechl, S. (Stefan), Killewo, J. (Japhet), Kim, H. C. (Hyeon Chang), Kim, J. (Jeongseon), Kim, Y.-Y. (Yeon-Yong), Klumbiene, J. (Jurate), Knoflach, M. (Michael), Ko, S. (Stephanie), Kohler, H.-P. (Hans-Peter), Kohler, I. V. (Iliana, V), Kolle, E. (Elin), Kolsteren, P. (Patrick), Konig, J. (Jurgen), Korpelainen, R. (Raija), . (), Kos, J. (Jelena), Koskinen, S. (Seppo), Kouda, K. (Katsuyasu), Kowlessur, S. (Sudhir), Kratzer, W. (Wolfgang), Kriemler, S. (Susi), Kristensen, P. L. (Peter Lund), Krokstad, S. (Steiner), Kromhout, D. (Daan), Kujala, U. M. (Urho M.), Kurjata, P. (Pawel), Kyobutungi, C. (Catherine), Laamiri, F. Z. (Fatima Zahra), Laatikainen, T. (Tiina), Lachat, C. (Carl), Laid, Y. (Youcef), Lam, T. H. (Tai Hing), Lambrinou, C.-P. (Christina-Paulina), Lanska, V. (Vera), Lappas, G. (Georg), Larijani, B. (Bagher), Latt, T. S. (Tint Swe), Laugsand, L. E. (Lars E.), Lazo-Porras, M. (Maria), Lee, J. (Jeannette), Lee, J. (Jeonghee), Lehmann, N. (Nils), Lehtimaki, T. (Terho), Levitt, N. S. (Naomi S.), Li, Y. (Yanping), Lilly, C. L. (Christa L.), Lim, W.-Y. (Wei-Yen), Lima-Costa, M. F. (M. Fernanda), Lin, H.-H. (Hsien-Ho), Lin, X. (Xu), Lin, Y.-T. (Yi-Ting), Lind, L. (Lars), Linneberg, A. (Allan), Lissner, L. (Lauren), Liu, J. (Jing), Loit, H.-M. (Helle-Mai), Lopez-Garcia, E. (Esther), Lopez, T. (Tania), Lotufo, P. A. (Paulo A.), Lozano, J. E. (Jose Eugenio), Luksiene, D. (Dalia), Lundqvist, A. (Annamari), Lundqvist, R. (Robert), Lunet, N. (Nuno), Ma, G. (Guansheng), Machado-Coelho, G. L. (George L. L.), Machado-Rodrigues, A. M. (Aristides M.), Machi, S. (Suka), Madar, A. A. (Ahmed A.), Maggi, S. (Stefania), Magliano, D. J. (Dianna J.), Magriplis, E. (Emmanuella), Mahasampath, G. (Gowri), Maire, B. (Bernard), Makdisse, M. (Marcia), Malekzadeh, F. (Fatemeh), Rao, K. M. (Kodavanti Mallikharjuna), Manios, Y. (Yannis), Mann, J. I. (Jim, I), Mansour-Ghanaei, F. (Fariborz), Manzato, E. (Enzo), Marques-Vidal, P. (Pedro), Martorell, R. (Reynaldo), Mascarenhas, L. P. (Luis P.), Mathiesen, E. B. (Ellisiv B.), Matsha, T. E. (Tandi E.), Mavrogianni, C. (Christina), McFarlane, S. R. (Shelly R.), McGarvey, S. T. (Stephen T.), McLachlan, S. (Stela), McLean, R. M. (Rachael M.), McLean, S. B. (Scott B.), McNulty, B. A. (Breige A.), Mediene-Benchekor, S. (Sounnia), Mehdipour, P. (Parinaz), Mehlig, K. (Kirsten), Mehrparvar, A. (AmirHoushang), Meirhaeghe, A. (Aline), Meisinger, C. (Christa), Menezes, A. M. (Ana Maria B.), Menon, G. R. (Geetha R.), Merat, S. (Shahin), Mereke, A. (Alibek), Meshram, I. I. (Indrapal I.), Metcalf, P. (Patricia), Meyer, H. E. (Haakon E.), Mi, J. (Jie), Michels, N. (Nathalie), Miller, J. C. (Jody C.), Minderico, C. S. (Claudia S.), Mini, G. K. (G. K.), Miquel, J. F. (Juan Francisco), Miranda, J. J. (J. Jaime), Mirjalili, M. R. (Mohammad Reza), Mirrakhimov, E. (Erkin), Modesti, P. A. (Pietro A.), Moghaddam, S. S. (Sahar Saeedi), Mohajer, B. (Bahram), Mohamed, M. (MostafaK), Mohammad, K. (Kazem), Mohammadi, Z. (Zahra), Mohammadifard, N. (Noushin), Mohammadpourhodki, R. (Reza), Mohan, V. (Viswanathan), Mohanna, S. (Salim), MohdYusoff, M. F. (Muhammad Fadhli), Mohebbi, I. (Iraj), Mohebi, F. (Farnam), Moitry, M. (Marie), Mollehave, L. T. (Line T.), Mller, N. C. (Niels C.), Molnar, D. (Denes), Momenan, A. (Amirabbas), Mondo, C. K. (Charles K.), Monterrubio-Flores, E. (Eric), Moosazadeh, M. (Mahmood), Morejon, A. (Alain), Moreno, L. A. (Luis A.), Morgan, K. (Karen), Morin, S. N. (Suzanne N.), Moschonis, G. (George), Mossakowska, M. (Malgorzata), Mostafa, A. (Aya), Mota, J. (Jorge), Motlagh, M. E. (Mohammad Esmaeel), Motta, J. (Jorge), Msyamboza, K. P. (Kelias P.), Muiesan, M. L. (Maria L.), Muller-Nurasyid, M. (Martina), Mursu, J. (Jaakko), Mustafa, N. (Norlaila), Nabipour, I. (Iraj), Naderimagham, S. (Shohreh), Nagel, G. (Gabriele), Naidu, B. M. (Balkish M.), Najafi, F. (Farid), Nakamura, H. (Harunobu), Nang, E. E. (Ei Ei K.), Nangia, V. B. (Vinay B.), Nauck, M. (Matthias), Neal, W. A. (William A.), Nejatizadeh, A. (Azim), Nenko, I. (Ilona), Nervi, F. (Flavio), Nguyen, N. D. (Nguyen D.), Nieto-Martinez, R. E. (Ramfis E.), Nihal, T. (Thomas), Niiranen, T. J. (Teemu J.), Ning, G. (Guang), Ninomiya, T. (Toshiharu), Noale, M. (Marianna), Noboa, O. A. (Oscar A.), Noto, D. (Davide), Al Nsour, M. (Mohannad), Nuhoglu, I. (Irfan), O'Neill, T. W. (Terence W.), O'Reilly, D. (Dermot), Ochoa-Aviles, A. M. (Angelica M.), Oh, K. (Kyungwon), Ohtsuka, R. (Ryutaro), Olafsson, O. (Orn), Olie, V. (Valerie), Oliveira, I. O. (Isabel O.), Omar, M. A. (Mohd Azahadi), Onat, A. (Altan), Ong, S. (SokKing), Ordunez, P. (Pedro), Ornelas, R. (Rui), Ortiz, P. J. (Pedro J.), Osmond, C. (Clive), Ostojic, S. M. (Sergej M.), Ostovar, A. (Afshin), Otero, J. A. (Johanna A.), Owusu-Dabo, E. (Ellis), Paccaud, F. M. (Fred Michel), Pahomova, E. (Elena), Pajak, A. (Andrzej), Palmieri, L. (Luigi), Pan, W.-H. (Wen-Harn), Panda-Jonas, S. (Songhomitra), Panza, F. (Francesco), Parnell, W. R. (Winsome R.), Patel, N. D. (Nikhil D.), Peer, N. (Nasheeta), Peixoto, S. V. (Sergio Viana), Peltonen, M. (Markku), Pereira, A. C. (Alexandre C.), Peters, A. (Annette), Petersmann, A. (Astrid), Petkeviciene, J. (Janina), Peykari, N. (Niloofar), Pichardo, R. N. (Rafael N.), Pigeot, I. (Iris), Pilav, A. (Aida), Pilotto, L. (Lorenza), Piwonska, A. (Aleksandra), Pizarro, A. N. (Andreia N.), Plans-Rubio, P. (Pedro), Plata, S. (Silvia), Pohlabeln, H. (Hermann), Porta, M. (Miquel), Portegies, M. L. (Marileen L. P.), Poudyal, A. (Anil), Pourfarzi, F. (Farhad), Poustchi, H. (Hossein), Pradeepa, R. (Rajendra), Price, J. F. (Jacqueline F.), Providencia, R. (Rui), Puder, J. J. (Jardena J.), Puhakka, S. E. (Soile E.), Punab, M. (Margus), Qorbani, M. (Mostafa), Radisauskas, R. (Ricardas), Rahimikazerooni, S. (Salar), Raitakari, O. (Olli), Rao, S. R. (Sudha Ramachandra), Ramachandran, A. (Ambady), Ramos, E. (Elisabete), Ramos, R. (Rafel), Rampal, L. (Lekhraj), Rampal, S. (Sanjay), Redon, J. (Josep), Reganit, P. F. (Paul Ferdinand M.), Revilla, L. (Luis), Rezaianzadeh, A. (Abbas), Ribeiro, R. (Robespierre), Richter, A. (Adrian), Rigo, F. (Fernando), de Wit, T. F. (Tobias F. Rinke), Rodriguez-Artalejo, F. (Fernando), Rodriguez-Perez, M. d. (Maria del Cristo), Rodriguez-Villamizar, L. A. (Laura A.), Roggenbuck, U. (Ulla), Rojas-Martinez, R. (Rosalba), Romaguera, D. (Dora), Romeo, E. L. (Elisabetta L.), Rosengren, A. (Annika), Roy, J. G. (Joel G. R.), Rubinstein, A. (Adolfo), Ruidavets, J.-B. (Jean-Bernard), Ruiz-Betancourt, B. S. (Blanca Sandra), Russo, P. (Paola), Rust, P. (Petra), Rutkowski, M. (Marcin), Sabanayagam, C. (Charumathi), Sachdev, H. S. (Harshpal S.), Sadjadi, A. (Alireza), Safarpour, A. R. (Ali Reza), Safiri, S. (Saeid), Saidi, O. (Olfa), Saki, N. (Nader), Salanave, B. (Benoit), Salmeron, D. (Diego), Salomaa, V. (Veikko), Salonen, J. T. (Jukka T.), Salvetti, M. (Massimo), Sanchez-Abanto, J. (Jose), Sans, S. (Susana), Santaliestra-Pasias, A. M. (Alba M.), Santos, D. A. (Diana A.), Santos, M. (MariaPaula), Santos, R. (Rute), Saramies, J. L. (Jouko L.), Sardinha, L. B. (Luis B.), Sarrafzadegan, N. (Nizal), Saum, K.-U. (Kai-Uwe), Savva, S. C. (Savvas C.), Sawada, N. (Norie), Sbaraini, M. (Mariana), Scazufca, M. (Marcia), Schaan, B. D. (Beatriz D.), Schargrodsky, H. (Herman), Scheidt-Nave, C. (Christa), Schienkiewitz, A. (Anja), Schipf, S. (Sabine), Schmidt, C. O. (Carsten O.), Schottker, B. (Ben), Schramm, S. (Sara), Sebert, S. (Sylvain), Sein, A. A. (Aye Aye), Sen, A. (Abhijit), Sepanlou, S. G. (Sadaf G.), Servais, J. (Jennifer), Shakeri, R. (Ramin), Shalnova, S. A. (Svetlana A.), Shamah-Levy, T. (Teresa), Sharafkhah, M. (Maryam), Sharma, S. K. (Sanjib K.), Shaw, J. E. (Jonathan E.), Shayanrad, A. (Amaneh), Shi, Z. (Zumin), Shibuya, K. (Kenji), Shimizu-Furusawa, H. (Hana), Shin, D. W. (Dong Wook), Shin, Y. (Youchan), Shirani, M. (Majid), Shiri, R. (Rahman), Shrestha, N. (Namuna), Si-Ramlee, K. (Khairil), Siani, A. (Alfonso), Siantar, R. (Rosalynn), Sibai, A. M. (Abla M.), Santos Silva, D. A. (Diego Augusto), Simon, M. (Mary), Simons, J. (Judith), Simons, L. A. (Leon A.), Sjostrom, M. (Michael), Skaaby, T. (Tea), Slowikowska-Hilczer, J. (Jolanta), Slusarczyk, P. (Przemyslaw), Smeeth, L. (Liam), Snijder, M. B. (Marieke B.), Soderberg, S. (Stefan), Soemantri, A. (Agustinus), Sofat, R. (Reecha), Solfrizzi, V. (Vincenzo), Somi, M. H. (Mohammad Hossein), Sonestedt, E. (Emily), Sorensen, T. I. (Thorkild I. A.), Jerome, C. S. (Charles Sossa), Soumare, A. (Aicha), Sozmen, K. (Kaan), Sparrenberger, K. (Karen), Staessen, J. A. (Jan A.), Stathopoulou, M. G. (Maria G.), Stavreski, B. (Bill), Steene-Johannessen, J. (Jostein), Stehle, P. (Peter), Stein, A. D. (Aryeh D.), Stessman, J. (Jochanan), Stevanovic, R. (Ranko), Stieber, J. (Jutta), Stockl, D. (Doris), Stokwiszewski, J. (Jakub), Stronks, K. (Karien), Strufaldi, M. W. (Maria Wany), Suarez-Medina, R. (Ramon), Sun, C.-A. (Chien-An), Sundstrom, J. (Johan), Suriyawongpaisal, P. (Paibul), Sy, R. G. (Rody G.), Sylva, R. C. (Rene Charles), Szklo, M. (Moyses), Tai, E. S. (E. Shyong), Tamosiunas, A. (Abdonas), Tan, E. (EngJoo), Tarawneh, M. R. (Mohammed Rasoul), Tarqui-Mamani, C. B. (Carolina B.), Taylor, A. (Anne), Taylor, J. (Julie), Tell, G. S. (Grethe S.), Tello, T. (Tania), Thankappan, K. R. (K. R.), Thijs, L. (Lutgarde), Thuesen, B. H. (Betina H.), Toft, U. (Ulla), Tolonen, H. K. (Hanna K.), Tolstrup, J. S. (Janne S.), Topbas, M. (Murat), Topor-Madry, R. (Roman), Tormo, M. J. (Maria Jose), Tornaritis, M. J. (Michael J.), Torrent, M. (Maties), Torres-Collado, L. (Laura), Traissac, P. (Pierre), Trinh, O. T. (Oanh T. H.), Truthmann, J. (Julia), Tsugane, S. (Shoichiro), Tulloch-Reid, M. K. (Marshall K.), Tuomainen, T.-P. (Tomi-Pekka), Tuomilehto, J. (Jaakko), Tybjaerg-Hansen, A. (Anne), Tzourio, C. (Christophe), Ueda, P. (Peter), Ugel, E. (Eunice), Ulmer, H. (Hanno), Unal, B. (Belgin), Uusitalo, H. M. (Hannu M. T.), Valdivia, G. (Gonzalo), Valvi, D. (Damaskini), van Dam, R. (RobM), van der Schouw, Y. T. (Yvonne T.), Van Herck, K. (Koen), Rossem, L. (Lenievan), Van Schoor, N. M. (Natasja M.), van Valkengoed, I. G. (Irene G. M.), Vanderschueren, D. (Dirk), Vanuzzo, D. (Diego), Varbo, A. (Anette), Varona-Perez, P. (Patricia), Vasan, S. K. (Senthil K.), Vatten, L. (Lars), Vega, T. (Tomas), Veidebaum, T. (Toomas), Velasquez-Melendez, G. (Gustavo), Venero-Fernandez, S. J. (Silvia J.), Veronesi, G. (Giovanni), MoniqueVerschuren, W. M. (W. M.), Victora, C. G. (Cesar G.), Vidiawati, D. (Dhanasari), Viet, L. (Lucie), Villalpando, S. (Salvador), Vioque, J. (Jesus), Virtanen, J. K. (Jyrki K.), Visvikis-Siest, S. (Sophie), Viswanathan, B. (Bharathi), Vlasoff, T. (Tiina), Vollenweider, P. (Peter), Voutilainen, A. (Ari), Wade, A. N. (Alisha N.), Wagner, A. (Aline), Walton, J. (Janette), Bebakar, W. M. (Wan Mohamad Wan), WanMohamud, W. N. (Wan Nazaimoon), Wang, M.-D. (Ming-Dong), Wang, N. (Ningli), Wang, Q. (Qian), Wang, Y. X. (Ya Xing), Wang, Y.-W. (Ying-Wei), Wannamethee, S. G. (S. Goya), Wedderkopp, N. (Niels), Wei, W. (Wenbin), Whincup, P. H. (Peter H.), Widhalm, K. (Kurt), Widyahening, I. S. (Indah S.), Wiecek, A. (Andrzej), Wijga, A. H. (Alet H.), Wilks, R. J. (Rainford J.), Willeit, J. (Johann), Willeit, P. (Peter), Wilsgaard, T. (Tom), Wojtyniak, B. (Bogdan), Wong-McClure, R. A. (Roy A.), Wong, A. (Andrew), Wong, T. Y. (Tien Yin), Woo, J. (Jean), Woodward, M. (Mark), Wu, F. C. (Frederick C.), Wu, S. (Shouling), Xu, H. (Haiquan), Xu, L. (Liang), Yan, W. (Weili), Yang, X. (Xiaoguang), Yasuharu, T. (Tabara), Ye, X. (Xingwang), Yeow, T. P. (Toh Peng), Yiallouros, P. K. (Panayiotis K.), Yoosefi, M. (Moein), Yoshihara, A. (Akihiro), You, S.-L. (San-Lin), Younger-Coleman, N. O. (Novie O.), Yusoff, A. F. (Ahmad Faudzi), Zainuddin, A. A. (Ahmad A.), Zakavi, S. R. (Seyed Rasoul), Zali, M. R. (Mohammad Reza), Zamani, F. (Farhad), Zambon, S. (Sabina), Zampelas, A. (Antonis), KoZaw, K. (Ko), Zdrojewski, T. (Tomasz), Vrkic, T. Z. (Tajana Zeljkovic), Zhang, Z.-Y. (Zhen-Yu), Zhao, W. (Wenhua), Zhen, S. (Shiqi), Zheng, Y. (Yingfeng), Zholdin, B. (Bekbolat), Zhussupov, B. (Baurzhan), Zoghlami, N. (Nada), Cisneros, J. Z. (Julio Zuniga), Gregg, E. W. (Edward W.), and Ezzati, M. (Majid)

Abstract

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world³ and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions t

Published
2020

27. Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants

Author

Zhou, Bin, Bentham, James, Cesare, Mariachiara Di, Bixby, Honor, Danaei, Goodarz, Cowan, Melanie J., Paciorek, Christopher J., Singh, G., Hajifathalian, Kaveh, Bennett, James E., Taddei, C., Bilano, Ver, Carrillo-Larco, Rodrigo M., Djalalinia, Shirin, Khatibzadeh, Shahab, Lugero, Charles, Peykari, Niloofar, Zhang, W. Z., Lu, Yuan, Stevens, Gretchen A., Riley, Leanne M., Bovet, Pascal, Elliott, Paul, Gu, Dongfeng, Ikeda, Nayu, Jackson, Rod T., Joffres, Michel, Kengne, Andre Pascal, Laatikainen, Tiina, Lam, Tai Hing, Laxmaiah, Avula, Liu, Jing, Miranda, J. Jaime, Mondo, Charles K., Neuhauser, Hannelore K., Sundstroem, Johan, Smeeth, Liam, Soric, Maroje, Woodward, Mark, Ezzati, Majid, Abarca-Gomez, Leandra, Abdeen, Ziad A., Rahim, H. A., Abu-Rmeileh, Niveen M., Acosta-Cazares, Benjamin, Adams, Robert, Aekplakorn, Wichai, Afsana, Kaosar, Aguilar-Salinas, Carlos A., Agyemang, Charles, Ahrens, Wolfgang, Raddadi, Rajaa Al, Woyatan, Rihab Al, Ali, Farhan, Alkerwi, Ala'a, Aly, Eman, Amouyel, Philippe, Amuzu, Antoinette, Andersen, Lars Bo, Anderssen, Sigmund A., Angquist, Lars, Anjana, Ranjit Mohan, Ansong, Daniel, Aounallah-Skhiri, Hajer, Araujo, Joana, Ariansen, Inger, Aris, Tahir, Arlappa, Nimmathota, Aryal, Krishna, Arveiler, Dominique, Assah, Felix K., Assuncao, Maria Cecilia F., Avdicova, Maria, Azevedo, Ana, Azizi, Fereidoun, Babu, Bontha V., Bahijri, Suhad, Balakrishna, Nagalla, Bandosz, Piotr, Banegas, Jose R., Barbagallo, Carlo M., Barcelo, Alberto, Barkat, Amina, Barros, Aluisio J. D., Barros, Mauro V., Bata, Iqbal, Batieha, Anwar M., Baur, Louise A., Beaglehole, Robert, Romdhane, H. B., Benet, Mikhail, Benson, Lowell S., Bernabe-Ortiz, Antonio, Bernotine, Gailute, Bettiol, Heloisa, Bhagyalaxmi, Aroor, Bharadwaj, Sumit, Bhargava, Santosh K., Bi, Yufang, Bikbov, Mukharram, Bjerregaard, Peter, Bjertness, Espen, Bjorkelund, Cecilia, Blokstra, Anneke, Bo, Simona, Bobak, Martin, Boeing, Heiner, Boggia, Jose G., Boissonnet, Carlos P., Bongard, Vanina, Bradbury, Mark, Brajkovich, Imperia, Branca, Francesco, Breckenkamp, Juergen, Brenner, Hermann, Brewster, Lizzy M., Bruno, Graziella, Bueno-de-Mesquita, H. B., Bugge, Anna, Burns, C., Bursztyn, Michael, Leon, Antonio Cabrera de, Cacciottolo, Joseph, Cameron, Christine, Can, Gunay, Candido, Ana Paula C., Capuano, Vincenzo, Cardoso, Viviane C., Carlsson, Axel C., Carvalho, Maria J., Casanueva, Felipe F., Casas, Juan-Pablo, Caserta, Carmelo A., Chamukuttan, Snehalatha, Chan, Angelique W., Chan, Queenie, Chaturvedi, Himanshu K., Chaturvedi, Nishi, Chen, Chien-Jen, Chen, Fangfang, Chen, Shuohua, Chen, Y. Z., Cheng, Ching-Yu, Dekkaki, Imane Cherkaoui, Chetrit, Angela, Chiolero, Arnaud, Chiou, Shu-Ti, Chirita-Emandi, Adela, Cho, Belong, Cho, Yumi, Chudek, Jerzy, Cifkova, Renata, Claessens, Frank, Clays, Els, Concin, Hans, Cooper, Cyrus, Cooper, Rachel, Coppinger, Tara C., Costanzo, Simona, Cottel, Dominique, Cowell, Chris, Craig, Cora L., Crujeiras, Ana B., Cruz, Juan J., D'Arrigo, Graziella, d'Orsi, Eleonora, Dallongeville, Jean, Damasceno, Albertino, Dankner, Rachel, Dantoft, Thomas M., Dauchet, Luc, Backer, Guy De, Bacquer, Dirk De, Gaetano, Giovanni de, Hanauw, Stefaan De, Smedt, Delphine De, Deepa, Mohan, Dehghan, Abbas, Delisle, Helene, Deschamps, Valerie, Dhana, Klodian, Castelnuovo, Augusto F. Di, Dias-da-Costa, Juvenal Soares, Diaz, Alejandro, Dickerson, T. T., Do, Ha T. P., Dobson, Annette J., Donfrancesco, Chiara, Donoso, Silvana P., Döring, A., Doua, Kouamelan, Drygas, Wojciech, Dulskiene, Virginija, Dzakula, Aleksandar, Dzerve, Vilnis, Dziankowska-Zaborszczyk, Elzbieta, Eggertsen, Robert, Ekelund, Ulf, Ati, Jalila El, Ellert, Ute, Elosua, Roberto, Erasmus, Rajiv T., Erem, Cihangir, Eriksen, Louise, Pena, Jorge Escobedo-de la, Evans, Alun, Faeh, David, Fall, Caroline H., Farzadfar, Farshad, Felix-Redondo, Francisco J., Ferguson, Trevor S., Fernandez-Berges, Daniel, Ferrante, Daniel, Ferrari, Marika, Ferreccio, Catterina, Ferrieres, Jean, Finn, Joseph D., Fischer, Krista, Foeger, Bernhard, Foo, Leng Huat, Forslund, Ann-Sofie, Forsner, Maria, Fortmann, Stephen P., Fouad, Heba M., Francis, Damian K., Franco, M. Do Carmo, Franco, Oscar H., Frontera, Guillermo, Fuchs, Flavio D., Fuchs, Sandra C., Fujita, Yuki, Furusawa, Takuro, Gaciong, Zbigniew, Gareta, Dickman, Garnett, Sarah P., Gaspoz, Jean-Michel, Gasull, Magda, Gates, Louise, Gavrila, Diana, Geleijnse, Johanna M., Ghasemian, Anoosheh, Ghimire, Anup, Giampaoli, Simona, Gianfagna, Francesco, Giovannelli, Jonathan, Goldsmith, Rebecca A., Goncalves, Helen, Gross, M. G., Rivas, Juan P. Gonzalez, Gottrand, Frederic, Graff-Iversen, Sidsel, Grafnetter, Dusan, Grajda, Aneta, Gregor, Ronald D., Grodzicki, Tomasz, Grontved, Anders, Gruden, Grabriella, Grujic, Vera, Guan, Ong Peng, Gudnason, Vilmundur, Guerrero, Ramiro, Guessous, Idris, Guimaraes, Andre L., Gulliford, Martin C., Gunnlaugsdottir, Johanna, Gunter, Marc, Gupta, Prakash C., Gureje, Oye, Gurzkowska, Beata, Gutierrez, Laura, Gutzwiller, Felix, Hadaegh, Farzad, Halkjaer, Jytte, Hambleton, Ian R., Hardy, Rebecca, Harikumar, Rachakulla, Hata, Jun, Hayes, Alison J., He, Jiang, Hendriks, Marleen Elisabeth, Henriques, Ana, Cadena, L. H., Herqutanto, Herrala, Sauli, Heshmat, Ramin, Hihtaniemi, Ilpo Tapani, Ho, Sai Yin, Ho, Suzanne C., Hobbs, Michael, Hofman, Albert, Dinc, Gonul Horasan, Hormiga, Claudia M., Horta, Bernardo L., Houti, Leila, Howitt, Christina, Htay, Thein Thein, Htet, Aung Soe, Hu, Yonghua, Huerta, J. M., Hussieni, Abdullatif S., Huybrechts, Inge, Hwalla, Nahla, Iacoviello, Licia, Iannone, Anna G., Ibrahim, Mohsen M., Ikram, M. Arfan, Irazola, Vilma E., Islam, Muhammad, Ivkovic, Vanja, Iwasaki, Masanori, Jacobs, Jeremy M., Jafar, Tazeen, Jamrozik, Konrad, Janszky, Imre, Jasienska, Grazyna, Jelakovic, Bojan, Jiang, Chao Qiang, Johansson, Mattias, Jonas, Jost B., Jorgensen, Torben, Joshi, Pradeep, Juolevi, Anne, Jurak, Gregor, Juresa, Vesna, Kaaks, Rudolf, Kafatos, Anthony, Kalter-Leibovici, Ofra, Kamaruddin, Nor Azmi, Kasaeian, Amir, Katz, Joanne, Kauhanen, Jussi, Kaur, Prabhdeep, Kavousi, Maryam, Kazakbaeva, Gyulli, Keil, Ulrich, Boker, Lital Keinan, Keinanen-Kiukaanniemi, Sirkka, Kelishadi, Roya, Kemper, Han C. G., Kersting, Mathilde, Key, Timothy, Khader, Yousef Saleh, Khalili, Davood, Khang, Young-Ho, Khaw, Kay-Tee H., Kiechl, Stefan, Killewo, Japhet, Kim, Jeongseon, Klumbiene, Jurate, Kolle, Elin, Kolsteren, Patrick, Korrovits, Paul, Koskinen, Seppo, Kouda, Katsuyasu, Koziel, Slawomir, Kristensen, Peter Lund, Krokstad, Steinar, Kromhout, Daan, Kruger, Herculina S., Kubinova, Ruzena, Kuciene, Renata, Kuh, Diana, Kujala, Urho M., Kula, Krzysztof, Kulaga, Zbigniew, Kumar, R. Krishna, Kurjata, Pawel, Kusuma, Yadlapalli S., Kuulasmaa, Kari, Kyobutungi, Catherine, Lachat, Carl, Landrove, Orlando, Lanska, Vera, Lappas, Georg, Larijani, Bagher, Laugsand, Lars E., Bao, K. Le Nguyen, Le, Tuyen D., Leclercq, Catherine, Lee, Jeannette, Lehtimaki, Terho, Lekhraj, Rampal, Leon-Munoz, Luz M., Levitt, Naomi S., Li, Yanping, Lilly, Christa L., Lim, Wei-Yen, Lima-Costa, M. F., Lin, Hsien-Ho, Lin, Xu, Linneberg, Allan, Lissner, Lauren, Litwin, Mieczyslaw, Lorbeer, Roberto, Lotufo, Paulo A., Lozano, J. E., Luksiene, Dalia, Lundqvist, Annamari, Lunet, Nuno, Lytsy, Per, Ma, Guansheng, Ma, Jun, Machado-Coelho, George L. L., Machi, Suka, Maggi, Stefania, Magliano, Dianna J., Majer, Marjeta, Makdisse, Marcia, Malekzadeh, Reza, Malhotra, Rahul, Rao, Kodavanti Mallikharjuna, Malyutina, Sofia, Manios, Yannis, Mann, Jim I., Manzato, Enzo, Margozzini, Paula, Marques-Vidal, Pedro, Marrugat, Jaume, Martorell, Reynaldo, Mathiesen, Ellisiv B., Matijasevich, Alicia, Matsha, Tandi E., Mbanya, Jean Claude N., Posso, A. J. McDonald, McFarlane, Shelly R., McGarvey, Stephen T., McLachlan, Stela, McLean, Rachael M., McNulty, Breige A., MdKhir, A. S., Mediene-Benchekor, Sounnia, Medzioniene, Jurate, Meirhaeghe, Aline, Meisinger, Christa, Menezes, Ana Maria B., Menon, Geetha R., Meshram, Indrapal I., Metspalu, Andres, Mi, Jie, Mikkel, Kairit, Miller, Jody C., Miquel, J. F., Misigoj-Durakovic, Marjeta, Mohamed, Mostafa K., Mohammad, Kazem, Mohammadifard, Noushin, Mohan, Viswanathan, Yusoff, M. F. Mohd, Moller, Niels C., Molnar, Denes, Momenan, Amirabbas, Monyeki, Kotsedi Daniel K., Moreira, Leila B., Morejon, Alain, Moreno, Luis A., Morgan, Karen, Moschonis, George, Mossakowska, Malgorzata, Mostafa, Aya, Mota, Jorge, Motlagh, Mohammad Esmaeel, Motta, Jorge, Muiesan, Maria Lorenza, Mueller-Nurasyid, Martina, Murphy, Neil, Mursu, Jaakko, Musil, Vera, Nagel, Gabriele, Naidu, B. M., Nakamura, Harunobu, Namesna, Jana, Nang, E. E. K., Nangia, Vinay B., Narake, Sameer, Navarrete-Muñoz, E. M., Ndiaye, N. C., Neal, William A., Nenko, Ilona, Nervi, Flavio, Nguyen, Nguyen D., Nieto-Martinez, Ramfis E., Niiranen, T. J., Ning, Guang, Ninomiya, Toshiharu, Nishtar, Sania, Noale, Marianna, Noboa, O. A., Noorbala, A. A., Norat, Teresa, Noto, Davide, Nsour, Mohannad Al, O'Reilly, Dermot, Oh, Kyungwon, Olinto, M. T. A., Oliveira, I. O., Omar, Mohd A., Onat, Altan, Ordunez, Pedro, Osmond, Clive, Ostojic, Sergej M., Otero, Johanna A., Overvad, Kim, Owusu-Dabo, Ellis, Paccaud, Fred Michel, Padez, Cristina, Pahomova, Elena, Pajak, Andrzej, Palli, Domenico, Palmieri, Luigi, Panda-Jonas, Songhomitra, Panza, Francesco, Papandreou, D., Parnell, Winsome R., Parsaeian, Mahboubeh, Pecin, Ivan, Pednekar, Mangesh S., Peer, N., Peeters, Petra H., Peixoto, Sergio Viana, Pelletier, C., Peltonen, Markku, Pereira, Alexandre C., Perez, Raquel, Peters, Annette, Petkeviciene, Janina, Pham, S. T., Pigeot, Iris, Pikhart, Hynek, Pilav, Aida, Pilotto, Lorenza, Pitakaka, Freda, Plans-Rubio, Pedro, Polakowska, M., Polašek, O., Porta, Miquel, Portegies, Marileen L. P., Pourshams, A., Pradeepa, Rajendra, Prashant, Mathur, Price, Jacqueline F., Puiu, Maria, Punab, Margus, Qasrawi, Radwan F., Qorbani, Mostafa, Radic, Ivana, Radisauskas, Ricardas, Rahman, Mahmudur, Raitakari, Olli, Raj, Manu, Rao, Sudha Ramachandra, Ramachandran, Ambady, Ramos, E., Rampal, Sanjay, Reina, D. A. Rangel, Rasmussen, Finn, Redon, Josep, Reganit, Paul Ferdinand M., Ribeiro, Robespierre, Riboli, Elio, Rigo, Fernando, Wit, T. F. Rinke de, Ritti-Dias, Raphael M., Robinson, Sian M., Robitaille, Cynthia, Rodriguez-Artalejo, Fernando, Rodriguez-Perez, Maria del Cristo, Rodriguez-Villamizar, Laura A., Rojas-Martinez, Rosalba, Rosengren, Annika, Rubinstein, Adolfo, Rui, Ornelas, Ruiz-Betancourt, B. S., Horimoto, A. R. V. Russo, Rutkowski, Marcin, Sabanayagam, Charumathi, Sachdev, Harshpal S., Saidi, Olfa, Sakarya, S., Salanave, Benoit, Martinez, E. S., Salmerón, D., Salomaa, Veikko, Salonen, Jukka T., Salvetti, Massimo, Sanchez-Abanto, Jose, Sans, Susana, Santos, Diana A., Santos, I. S., Santos, Renata Nunes dos, Santos, Rute, Saramies, Jouko L., Sardinha, Luis B., Margolis, Giselle Sarganas, Sarrafzadegan, Nizal, Saum, Kai-Uwe, Savva, Savvas C., Scazufca, Marcia, Schargrodsky, Herman, Schneider, Ione J., Schultsz, Constance, Schutte, Aletta E., Sen, Abhijit, Senbanjo, Idowu O., Sepanlou, Sadaf G., Sharma, Sanjib K., Shaw, Jonathan E., Shibuya, Kenji, Shin, Dong Wook, Shin, Youchan, Siantar, Rosalynn, Sibai, Abla M., Silva, Diego Augusto Santos, Simon, Mary, Simons, Judith, Simons, Leon A., Sjostrom, Michael, Skovbjerg, S., Slowikowska-Hilczer, Jolanta, Slusarczyk, Przemyslaw, Smith, Margaret C., Snijder, Marieke B., So, Hung-Kwan, Sobngwi, Eugene, Soderberg, Stefan, Solfrizzi, Vincenzo, Sonestedt, Emily, Song, Yi, Sorensen, Thorkild I. A., Jerome, Charles Sossa, Soumare, Aicha, Staessen, Jan A., Starc, Gregor, Stathopoulou, Maria G., Stavreski, Bill, Steene-Johannessen, Jostein, Stehle, Peter, Stein, Aryeh D., Stergiou, George S., Stessman, Jochanan, Stieber, Jutta, Stöckl, D., Stocks, Tanja, Stokwiszewski, Jakub, Stronks, Karien, Strufaldi, Maria Wany, Sun, C. A., Sung, Y. T., Suriyawongpaisal, Paibul, Sy, Rody G., Tai, E. Shyong, Tammesoo, Mari-Liis, Tamosiunas, Abdonas, Tang, Line, Tang, Xun, Tanser, Frank, Tao, Yong, Tarawneh, Mohammed Rasoul, Tarqui-Mamani, Carolina B., Taylor, Anne, Theobald, Holger, Thijs, Lutgarde, Thuesen, Betina H., Tjonneland, Anne, Tolonen, Hanna K., Tolstrup, Janne S., Topbas, Murat, Topor-Madry, Roman, Tormo, M. J., Torrent, Maties, Traissac, Pierre, Trichopoulos, Dimitrios, Trichopoulou, Antonia, Trinh, Oanh T. H., Trivedi, Atul, Tshepo, Lechaba, Tulloch-Reid, Marshall K., Tuomainen, Tomi-Pekka, Tuomilehto, Jaakko, Turley, Maria L., Tynelius, Per, Tzourio, Christophe, Ueda, Peter, Ugel, E., Ulmer, Hanno, Uusitalo, Hannu M. T., Valdivia, Gonzalo, Valvi, Damaskini, Schouw, Yvonne T. van der, Herck, Koen Van, Rossem, Lenie van, Valkengoed, Irene G. M. van, Vanderschueren, Dirk, Vanuzzo, Diego, Vatten, Lars, Vega, Tomas, Velasquez-Melendez, Gustavo, Veronesi, Giovanni, Verschuren, W. M. Monique, Verstraeten, Roosmarijn, Victora, Cesar G., Viet, Lucie, Viikari-Juntura, Eira, Vineis, Paolo, Vioque, Jesus, Virtanen, Jyrki K., Visvikis-Siest, Sophie, Viswanathan, Bharathi, Vollenweider, Peter, Voutilainen, Sari, Vrdoljak, Ana, Vrijheid, Martine, Wade, Alisha N., Wagner, A. Fink, Walton, Janette, Mohamud, W. N. Wan, Wang, Ming-Dong, Wang, Qian, Wang, Ya Xing, Wannamethee, S. Goya, Wareham, Nicholas, Wederkopp, N., Weerasekera, Deepa, Whincup, Peter H., Widhalm, Kurt, Widyahening, Indah S., Wiecek, Andrzej, Wijga, Alet H., Wilks, Rainford J., Willeit, Johann, Willeit, P., Williams, E. A., Wilsgaard, Tom, Wojtyniak, Bogdan, Wong, Tien Yin, Wong-McClure, R. A., Woo, Jean, Wu, A. G., Wu, Frederick C., Wu, Shou Ling, Xu, Haiquan, Yan, Weili, Yang, Xiaoguang, Ye, Xingwang, Yiallouros, Panayiotis K., Yoshihara, Akihiro, Younger-Coleman, Novie O., Yusoff, Ahmad F., Yusoff, Muhammad Fadhli Mohd, Zambon, Sabina, Zdrojewski, Tomasz, Zeng, Yi, Zhao, Dong, Zhao, Wenhua, Zheng, Yingfeng, Zhu, Dan, Zimmermann, Esther, Cisneros, Julio Zuniga, NCD Risk Factor Collaboration (NCD-RisC), Interactions Gène-Environnement en Physiopathologie Cardio-Vasculaire (IGE-PCV), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), and Yiallouros, Panayiotis K. [0000-0002-8339-9285]

Subjects
Worldwide trends, Faculdade de Ciências Sociais, Medicine (all), [SDV]Life Sciences [q-bio], Blood pressure, ComputingMilieux_MISCELLANEOUS
Abstract

Background Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, and the prevalence of, and number of people with, raised blood pressure, defined as systolic blood pressure of 140 mm Hg or higher or diastolic blood pressure of 90 mm Hg or higher. Methods For this analysis, we pooled national, subnational, or community population-based studies that had measured blood pressure in adults aged 18 years and older. We used a Bayesian hierarchical model to estimate trends from 1975 to 2015 in mean systolic and mean diastolic blood pressure, and the prevalence of raised blood pressure for 200 countries. We calculated the contributions of changes in prevalence versus population growth and ageing to the increase in the number of adults with raised blood pressure. Findings We pooled 1479 studies that had measured the blood pressures of 19·1 million adults. Global age-standardised mean systolic blood pressure in 2015 was 127·0 mm Hg (95% credible interval 125·7–128·3) in men and 122·3 mm Hg (121·0–123·6) in women; age-standardised mean diastolic blood pressure was 78·7 mm Hg (77·9–79·5) for men and 76·7 mm Hg (75·9–77·6) for women. Global age-standardised prevalence of raised blood pressure was 24·1% (21·4–27·1) in men and 20·1% (17·8–22·5) in women in 2015. Mean systolic and mean diastolic blood pressure decreased substantially from 1975 to 2015 in high-income western and Asia Pacific countries, moving these countries from having some of the highest worldwide blood pressure in 1975 to the lowest in 2015. Mean blood pressure also decreased in women in central and eastern Europe, Latin America and the Caribbean, and, more recently, central Asia, Middle East, and north Africa, but the estimated trends in these super-regions had larger uncertainty than in high-income super-regions. By contrast, mean blood pressure might have increased in east and southeast Asia, south Asia, Oceania, and sub-Saharan Africa. In 2015, central and eastern Europe, sub-Saharan Africa, and south Asia had the highest blood pressure levels. Prevalence of raised blood pressure decreased in high-income and some middle-income countries; it remained unchanged elsewhere. The number of adults with raised blood pressure increased from 594 million in 1975 to 1·13 billion in 2015, with the increase largely in low-income and middle-income countries. The global increase in the number of adults with raised blood pressure is a net effect of increase due to population growth and ageing, and decrease due to declining age-specific prevalence. Interpretation During the past four decades, the highest worldwide blood pressure levels have shifted from high-income countries to low-income countries in south Asia and sub-Saharan Africa due to opposite trends, while blood pressure has been persistently high in central and eastern Europe. Funding Wellcome Trust. © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license 389 10064 37 55

Published
2017
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28. Alcohol intake and the risk of coronary heart disease in the Spanish EPIC

Author

Arriola, L, Martinez-Camblor, P, Larrañaga, N, Basterretxea, M, Amiano, P, Moreno-Iribas, C, Carracedo, R, Agudo, A, Ardanaz, E, Barricarte, A, Buckland, G, Cirera, L, Chirlaque, M D, Martínez, C, Molina, E, Navarro, C, Quirós, J R, Rodríguez, L, Sánchez, M J, Tormo, M J, González, C A, Dorronsoro, M, [Arriola, L, Martinez-Camblor, P, Larranaga, N, Basterretxea, M, Amiano, P, Carracedo, R, Dorronsoro, M.] Basque Govt, Publ Hlth Dept Gipuzkoa, San Sebastian, Spain. [Arriola, L, Moreno-Iribas, C, Ardanaz, E, Barricarte, A, Cirera, L, Chirlaque, MD, Martinez, C, Molina, E, Navarro, C, Sanchez, M. J, Tormo, M. J, Dorronsoro, M.] CIBERESP, Barcelona, Spain. [Agudo, A, Buckland, G, Gonzalez, C. A.] Catalan Inst Oncol ICO, Canc Epidemiol Res Programme, Unit Nutr Environm & Canc, Barcelona, Spain. [Moreno-Iribas, C, Barricarte, A.] Publ Hlth Inst Navarra, Pamplona, Spain. [Cirera, L, Chirlaque, M. D, Tormo, M. J.] Murcia Hlth Council, Dept Epidemiol, Murcia, Spain. [Martinez, C, Sanchez, M. J.] Andalusian Sch Publ Hlth, Granada, Spain. [Quiros, J. R, Rodriguez, L.] Publ Hlth & Hlth Planning Directorate, Asturias, Spain. [Moreno-Iribas, C] UAB, Dept Paediat Obstet & Gynaecol & Prevent Med, Doctoral Degree Programme, Barcelona, Spain., and This work was supported by grants from the Spanish Ministry of Health (FIS PI04/0104, PI04/1644, PI04/1822, PI04/2342, PI04/2188 and PI06/0365) and CIBERESP. The EPIC study received financial support from the European Commission (agreement SO 97 200302 05F02), the participating Regional Governments, the Red Temática de Investigación Cooperativa de Centros de Cáncer (RTICCC, C03/10) and the International Agency for Research on Cancer (agreement AEP/93/02).

Subjects
Estudio multicéntrico, Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Prospective Studies [Medical Subject Headings], Geographicals::Geographic Locations::Europe::Spain [Medical Subject Headings], Publication Characteristics::Study Characteristics::Multicenter Study [Medical Subject Headings], Enfermedad coronaria, España, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Drinking Behavior::Alcohol Drinking [Medical Subject Headings], Health Care::Environment and Public Health::Public Health::Epidemiologic Factors::Causality::Risk Factors [Medical Subject Headings], Consumo de Bebidas alcohólicas, Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Coronary Disease [Medical Subject Headings], Factores de riesgo
Abstract

Background: The association between alcohol consumption and coronary heart disease (CHD) has been widely studied. Most of these studies have concluded that moderate alcohol intake reduces the risk of CHD. There are numerous discussions regarding whether this association is causal or biased. The objective of this paper is to analyse the association between alcohol intake and CHD risk in the Spanish cohort of the European Prospective Investigation into Cancer (EPIC). Methods: Participants from the EPIC Spanish cohort were included (15 630 men and 25 808 women). The median follow-up period was 10 years. Ethanol intake was calculated using a validated dietary history questionnaire. Participants with a definite CHD event were considered cases. A Cox regression model adjusted for relevant co-variables and stratified by age was produced. Separate models were carried out for men and women. Results: The crude CHD incidence rate was 300.6/100 000 person-years for men and 47.9/100 000 person-years for women. Moderate, high and very high consumption was associated with a reduced risk of CHD in men: hazard ratio 0.90 (95% CI 0.56 to 1.44) for former drinkers, 0.65 (95% CI 0.41 to 1.04) for low, 0.49 (95% CI 0.32 to 0.76) for moderate, 0.46 (95% CI 0.30 to 0.71) for high and 0.50 (95% CI 0.29 to 0.85) for very high consumers. A negative association was found in women, with p values above 0.05 in all categories. Conclusions: Alcohol intake in men aged 29–69 years was associated with a more than 30% lower CHD incidence. This study is based on a large prospective cohort study and is free of the abstainer error. Yes

Published
2010

29. Smoking as a major risk factor for cervical cancer and pre-cancer: results from the EPIC cohort

Author

Roura, E, Castellsagué, X, Pawlita, M, Travier, N, Waterboer, T, Margall, N, Bosch, FX, De Sanjosé, S, Dillner, J, Gram, IT, Tjønneland, A, Munk, C, Pala, V, Palli, D, Khaw, K-T, Barnabas, RV, Overvad, K, Clavel-Chapelon, F, Boutron-Ruault, M-C, Fagherazzi, G, Kaaks, R, Lukanova, A, Steffen, A, Trichopoulou, A, Trichopoulos, D, Klinaki, E, Tumino, R, Sacerdote, C, Panico, S, Bueno-De-Mesquita, HB, Peeters, PH, Lund, E, Weiderpass, E, Redondo, ML, Sánchez, M-J, Tormo, M-J, Barricarte, A, Larrañaga, N, Ekström, J, Hortlund, M, Lindquist, D, Wareham, N, Travis, RC, Rinaldi, S, Tommasino, M, Franceschi, S, Riboli, E, Roura, E, Castellsagu?, X, Pawlita, M, Travier, N, Waterboer, T, Margall, N, Bosch, Fx, de Sanjos?, S, Dillner, J, Gram, It, Tj?nneland, A, Munk, C, Pala, V, Palli, D, Khaw, Kt, Barnabas, Rv, Overvad, K, Clavel Chapelon, F, Boutron Ruault, Mc, Fagherazzi, G, Kaaks, R, Lukanova, A, Steffen, A, Trichopoulou, A, Trichopoulos, D, Klinaki, E, Tumino, R, Sacerdote, C, Panico, Salvatore, Bueno de Mesquita, Hb, Peeters, Ph, Lund, E, Weiderpass, E, Redondo, Ml, S?nchez, Mj, Tormo, Mj, Barricarte, A, Larra?aga, N, Ekstr?m, J, Hortlund, M, Lindquist, D, Wareham, N, Travis, Rc, Rinaldi, S, Tommasino, M, Franceschi, S, and Riboli, E.

Subjects
Adult, Cohort Studies, Risk Factors, Case-Control Studies, Surveys and Questionnaires, Smoking, Humans, Uterine Cervical Neoplasms, Female, Middle Aged, Uterine Cervical Dysplasia, female genital diseases and pregnancy complications, Aged
Abstract

A total of 308,036 women were selected from the European Prospective Investigation into Cancer and Nutrition (EPIC) study to evaluate the association between tobacco smoking and the risk of cervical intraepithelial neoplasia of grade 3 (CIN3)/carcinoma in situ (CIS) and invasive cervical cancer (ICC). At baseline, participants completed a questionnaire and provided blood samples. During a mean follow-up time of 9 years, 261 ICC cases and 804 CIN3/CIS cases were reported. In a nested case-control study, the baseline sera from 609 cases and 1,218 matched controls were tested for L1 antibodies against HPV types 11, 16, 18, 31, 33, 35, 45, 52, 58, and antibodies against Chlamydia trachomatis (CT), and Human Herpes Virus 2 (HHV-2). Cervical samples were not available for HPV-DNA analysis in this study. Multivariate analyses were used to estimate associations between smoking and risk of CIN3/CIS and ICC in the cohort and the case-control studies. In the cohort analyses smoking status, duration and intensity showed a two-fold increased risk of CIN3/CIS and ICC, while time since quitting was associated with a two-fold reduced risk. In the nested case-control study, consistent associations were observed after adjustment for HPV, CT and HHV-2 serostatus, in both HPV seronegative and seropositive women. Results from this large prospective study confirm the role of tobacco smoking as an important risk factor for both CIN3/CIS and ICC, even after taking into account HPV exposure as determined by HPV serology. The strong beneficial effect of quitting smoking is an important finding that will further support public health policies for smoking cessation. What's new? Tobacco smoking is a cited cause of cervical cancer, but whether it causes cervical malignancy independent of human papillomavirus (HPV) infection is unclear. Here, strong associations were found between most measures of tobacco smoking and the risk of cervical intraepithelial neoplasia of grade 3/carcinoma in situ and invasive cervical cancer, after taking into account past exposure to HPV infection. Quitting smoking was associated with a 2-fold risk reduction. The findings confirm the role of tobacco smoking in cervical carcinogenesis and show that quitting the habit has important benefits for cancer protection. © 2013 UICC.

Published
2014
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30. Diabetes mellitus, insulin treatment, diabetes duration, and risk of biliary tract cancer and hepatocellular carcinoma in a European cohort

Author

Schlesinger, S. Aleksandrova, K. Pischon, T. Jenab, M. and Fedirko, V. Trepo, E. Overvad, K. Roswall, N. and Tjonneland, A. Boutron-Ruault, M. C. Fagherazzi, G. Racine, A. Kaaks, R. Grote, V. A. Boeing, H. Trichopoulou, A. and Pantzalis, M. Kritikou, M. Mattiello, A. Sieri, S. and Sacerdote, C. Palli, D. Tumino, R. Peeters, P. H. and Bueno-de-Mesquita, H. B. Weiderpass, E. Quiros, J. R. and Zamora-Ros, R. Sanchez, M. J. Arriola, L. Ardanaz, E. and Tormo, M. J. Nilsson, P. Lindkvist, B. Sund, M. and Rolandsson, O. Khaw, K. T. Wareham, N. Travis, R. C. and Riboli, E. Noethlings, U.

Subjects
digestive system diseases
Abstract

Evidence on associations between self-reported diabetes mellitus, diabetes duration, age at diabetes diagnosis, insulin treatment, and risk of biliary tract cancer (BTC) and hepatocellular carcinoma (HCC), independent of general and abdominal obesity is scarce. We conducted a prospective analysis in the EPIC-cohort study among 363 426 participants with self-reported diabetes data. Multivariable adjusted relative risks and 95% confidence intervals were estimated from Cox regression models. In a nested case-control subset, analyses were carried out in HCV/HBV-negative individuals. During 8.5 years of follow-up, 204 BTC cases [including 75 gallbladder cancer (GBC) cases], and 176 HCC cases were identified. Independent of body mass index and waist-to-height ratio diabetes status was associated with higher risk of BTC and HCC [1.77 (1.00-3.13) and 2.17 (1.36-3.47)]. For BTC, the risk seemed to be higher in participants with shorter diabetes duration and those not treated with insulin. Regarding cancer subsites, diabetes was only associated with GBC [2.72 (1.17-6.31)]. The risk for HCC was particularly higher in participants treated with insulin. The results were not appreciably different in HCV/HBV-negative individuals. This study supports the hypothesis that diabetes is a risk factor for BTC (particularly GBC) and HCC. Further research is required to establish whether diabetes treatment or duration is associated with these cancers.

Published
2013

31. Consumption of meat and dairy and lymphoma risk in the European Prospective Investigation into Cancer and Nutrition

Author

Rohrmann, S. Linseisen, J. Jakobsen, M.U. Overvad, K. Raaschou-Nielsen, O. Tjonneland, A. Boutron-Ruault, M.C. Kaaks, R. Becker, N. Bergmann, M. Boeing, H. Khaw, K.-T. Wareham, N.J. Key, T.J. Travis, R. Benetou, V. Naska, A. Trichopoulou, A. Pala, V. Tumino, R. Masala, G. Mattiello, A. Brustad, M. Lund, E. Skeie, G. Bueno-De-Mesquita, H.B. Peeters, P.H.M. Vermeulen, R.C.H. Jakszyn, P. Dorronsoro, M. Barricarte, A. Tormo, M.-J. Molina, E. Argüelles, M. Melin, B. Ericson, U. Manjer, J. Rinaldi, S. Slimani, N. Boffetta, P. Vergnaud, A.-C. Khan, A. Norat, T. Vineis, P.

Subjects
immune system diseases, hemic and lymphatic diseases
Abstract

The consumption of meat and other foods of animal origin is a risk factor for several types of cancer, but the results for lymphomas are inconclusive. Therefore, we examined these associations among 411,097 participants of the European Prospective Investigation into Cancer and Nutrition. During a median follow-up of 8.5 years, 1,334 lymphomas (1,267 non-Hodgkin lymphoma (NHL) and 67 Hodgkin lymphomas) were identified. Consumption of red and processed meat, poultry, milk and dairy products was assessed by dietary questionnaires. Cox proportional hazard regression was used to evaluate the association of the consumption of these food groups with lymphoma risk. Overall, the consumption of foods of animal origin was not associated with an increased risk of NHLS or HL, but the associations with specific subgroups of NHL entities were noted. A high intake of processed meat was associated with an increased risk of B-cell chronic lymphocytic leukemia (BCLL) [relative risk (RR) per 50 g intake = 1.31, 95% confidence interval (CI) 1.06-1.63], but a decreased risk of follicular lymphomas (FL) (RR = 0.58; CI 0.38-0.89). A high intake of poultry was related to an increased risk of B-cell lymphomas (RR = 1.22; CI 1.05-1.42 per 10 g intake), FL (RR = 1.65; CI 1.18-2.32) and BCLL (RR = 1.54; CI 1.18-2.01) in the continuous models. In conclusion, no consistent associations between red and processed meat consumption and lymphoma risk were observed, but we found that the consumption of poultry was related to an increased risk of B-cell lymphomas. Chance is a plausible explanation of the observed associations, which need to be confirmed in further studies. Copyright © 2010 UICC.

Published
2011

32. Design and cohort description of the InterAct Project: an examination of the interaction of genetic and lifestyle factors on the incidence of type 2 diabetes in the EPIC Study

Author

Langenberg, C., Sharp, S., Forouhi, N. G., Franks, P. W., Schulze, M. B., Kerrison, N., Ekelund, U., Barroso, I., Panico, S., Tormo, M. J., Spranger, J., Griffin, S., van der Schouw, Y. T., Amiano, P., Ardanaz, E., Arriola, L., Balkau, B., Barricarte, A., Beulens, J. W.J., Boeing, H., Bueno-de-Mesquita, H. B., Buijsse, B., Lopez, Chirlaque, Clavel-Chapelon, F., Crowe, F. L., de Lauzon-Guillan, B., Deloukas, P., Dorronsoro, M., Drogan, D., Froguel, P., Gonzalez, C., Grioni, S., Groop, L., Groves, C., Hainaut, P., Halkjaer, J., Hallmans, G., Hansen, T., Huerta Castaño, J. M., Kaaks, R., Key, T. J., Khaw, K. T., Koulman, A., Mattiello, A., Navarro, C., Nilsson, P., Norat, T., Overvad, K., Palla, L., Palli, D., Pedersen, O., Peeters, P. H., Quirós, J. R., Ramachandran, A., Rodriguez-Suarez, L., Rolandsson, O., Romaguera, D., Romieu, I., Sacerdote, C., Sánchez, M. J., Sandbaek, A., Slimani, N., Sluijs, I., Spijkerman, A. M.W., Teucher, B., Tjonneland, A., Tumino, R., van der A, D. L., Verschuren, W. M.M., Tuomilehto, J., Feskens, E., McCarthy, M., Riboli, E., Wareham, N. J., Epidemiology and Data Science, ACS - Diabetes & metabolism, ACS - Heart failure & arrhythmias, and APH - Health Behaviors & Chronic Diseases

Subjects
Nutrition and Disease, Endocrinology, Diabetes and Metabolism, prevalence, 030209 endocrinology & metabolism, Type 2 diabetes, 03 medical and health sciences, 0302 clinical medicine, Voeding en Ziekte, Internal Medicine, spain, Medicine, cancer, 030212 general & internal medicine, Prospective cohort study, physical-activity, risk-factors, VLAG, business.industry, Incidence (epidemiology), Retrospective cohort study, medicine.disease, 3. Good health, European Prospective Investigation into Cancer and Nutrition, nutrition, Genetic epidemiology, population-based incidence, Cohort, loci, genome-wide association, business, coronary-heart-disease, Cohort study, Demography
Abstract

Aims/hypothesis Studying gene-lifestyle interaction may help to identify lifestyle factors that modify genetic susceptibility and uncover genetic loci exerting important subgroup effects. Adequately powered studies with prospective, unbiased, standardised assessment of key behavioural factors for gene-lifestyle studies are lacking. This case-cohort study aims to investigate how genetic and potentially modifiable lifestyle and behavioural factors, particularly diet and physical activity, interact in their influence on the risk of developing type 2 diabetes. Methods Incident cases of type 2 diabetes occurring in European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts between 1991 and 2007 from eight of the ten EPIC countries were ascertained and verified. Prentice-weighted Cox regression and random-effects meta-analyses were used to investigate differences in diabetes incidence by age and sex. Results A total of 12,403 verified incident cases of type 2 diabetes occurred during 3.99 million person-years of follow-up of 340,234 EPIC participants eligible for Inter-Act. We defined a centre-stratified subcohort of 16,154 individuals for comparative analyses. Individuals with incident diabetes who were randomly selected into the subcohort (n=778) were included as cases in the analyses. All prevalent diabetes cases were excluded from the study. InterAct cases were followed-up for an average of 6.9 years; 49.7% were men. Mean baseline age and age at diagnosis were 55.6 and 62.5 years, mean BMI and waist circumference values were 29.4 kg/m2 and 102.7 cm in men, and 30.1 kg/m2 and 92.8 cm in women, respectively. Risk of type 2 diabetes increased linearly with age, with an overall HR of 1.56 (95% CI 1.48-1.64) for a 10 year age difference, adjusted for sex. A male excess in the risk of incident diabetes was consistently observed across all countries, with a pooled HR of 1.51 (95% CI 1.39-1.64), adjusted for age. Conclusions/ interpretation InterAct is a large, well-powered, prospective study that will inform our understanding of the interplay between genes and lifestyle factors on the risk of type 2 diabetes development.

Published
2011
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33. Incidence of acute myocardial infarction in the Spanish epic cohort

Author

Larrañaga, N., Moreno, C., Basterretxea, M., Marín, P., Chirlaque, M. D., Amiano, P., Castilla, J., Dorronsoro, M., Quirós, J. R., Sánchez, M. J., Ardanaz, E., Barricarte, A., Navarro, C., Tormo, M. J., Martínez, C., Berenguer, T., Agudo, A., and González, C. A.

Subjects
Myocardial infarction, Ischemic heart disease, Enfermedad cardiaca isquémica, Tasa de incidencia, Infarto de miocardio, EPIC, Incidence rate
Abstract

Background. There is some evidence that Mediterranean diet reduces risk of ischemic heart disease, and this is to be investigated in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC). In this paper we present the incidence of acute myocardial infarction (AMI) in four EPIC Spanish cohorts. Method. Incidence cases were ascertained in EPIC cohort during the follow up period (from recruitment to the end of 2004), by means of self-report questionnaires, hospital morbidity and mortality registries, and population AMI registries. Analysis was restricted to aged 45 to 74. The present study included data from 13,704 women and 19,410 men, after excluding a priori participants with prevalent AMI. Age standardized incidence rate for each cohort was estimated and compared with the available population rates. Results. The Median duration of follow-up was 9.3 years, yielding a total of 297,704 person-years. 391 men and 99 women presented AMI in the four cohorts studied. Age standardized AMI rates in men of the EPIC cohorts go from the lowest 302 (CI: 268-335) per 100.000 person-year of Gipuzkoa to the highest 330 (CI: 293-367) of Navarra. Women in Navarra presented the lowest AMI incidence with 60 (CI: 43-77) per 100,000 and the highest was observed in Murcia (114, CI: 91-137). The AMI incidence in all EPIC centres are close to the population incidence rates and in any case these are within the EPIC 95% CI. Conclusions. The comparison of incidence in EPIC with population rates shows very good agreement for acute myocardial infarction. Antedecentes. Existen evidencias que sugieren que la dieta mediterránea reduce el riesgo de enfermedad cardiaca isquémica y esta asociación va a ser investigada en la cohorte española del "Estudio europeo sobre cáncer y nutrición" (EPIC). En este artículo se presenta la incidencia de infarto agudo de miocardio (IAM) en 4 de las cohortes españolas. Método. Los casos incidentes de IAM fueron identificados en la cohorte EPIC durante el periodo de seguimiento (del reclutamiento a finales de 2004), mediante un cuestionario autorreportado, el registro de altas hospitalarias y de mortalidad y registros poblacionales de IAM. El análisis se centró en el grupo de 45 a 74 años de edad. El estudio incluyó cuatro cohortes compuestas de 13.704 mujeres and 19.410 hombres, tras la exclusión a priori de participantes con IAM prevalentes. Se estimó la tasa de incidencia ajustada por edad para cada cohorte, y se comparó con las tasas poblacionales disponibles. Resultados. La duración mediana del seguimiento fue de 9,3 años, que aportó un total de 297.704 personas-año. 391 hombres and 99 mujeres presentaron IAM en las 4 cohortes estudiadas. Las tasas ajustadas por edad de IAM, en hombres, en las cohortes EPIC se movieron entre los 302 (CI: 268-335) casos por 100.000 personas-año de Gipuzkoa, la menor tasa observada, hasta los 330 (CI: 293-367) de Navarra. Las mujeres navarras presentaron las tasas más bajas de IAM con unas cifras de 60 (CI: 43-77) casos por 100.000, mientras que las mujeres murcianas presentaron las tasas más altas (114, CI: 91-137). La incidencia de IAM en todas las regiones EPIC fué similar a la incidencia poblacional conocida de dichas regiones, o bien se mantienen dentro del intervalo de confianza la 95%. Conclusiones. La incidencia de la cohorte EPIC muestra gran concordancia con las tasas poblaciones disponibles para el IAM.

Published
2009

34. Dietary glycaemic index and glycaemic load in the European Prospective Investigation into Cancer and Nutrition

Author

van Bakel, M. M. E. Kaaks, R. Feskens, E. J. M. Rohrmann, S. and Welch, A. A. Pala, V. Avloniti, K. van der Schouw, Y. T. and van der A, D. L. Du, H. Halkjaer, J. Tormo, M. J. and Cust, A. E. Brighenti, F. Beulens, J. W. Ferrari, P. and Biessy, C. Lentjes, M. Spencer, E. A. Panico, S. Masala, G. Bueno-de-Mesquita, H. B. Peeters, P. H. M. Trichopoulou, A. Psaltopoulou, T. Clavel-Chapelon, F. Touvier, M. and Skeie, G. Rinaldi, S. Sonestedt, E. Johansson, I. and Schulze, M. Ardanaz, E. Buckland, G. Tjonneland, A. and Overvad, K. Bingham, S. Riboli, E. Slimani, N.

Abstract

Objectives: To describe dietary glycaemic index (GI) and glycaemic load (GL) values in the population participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study according to food groups, nutrients and lifestyle characteristics. Methods: Single 24-h dietary recalls (24-HDRs) from 33 566 subjects were used to calculate dietary GI and GL, and an ad hoc database was created as the main reference source. Mean GI and GL intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall. Results: GI was the lowest in Spain and Germany, and highest in the Netherlands, United Kingdom and Denmark for both genders. In men, GL was the lowest in Spain and Germany and highest in Italy, whereas in women, it was the lowest in Spain and Greece and highest in the UK health-conscious cohort. Bread was the largest contributor to GL in all centres (15-45%), but it also showed the largest inter-individual variation. GL, but not GI, tended to be lower in the highest body mass index category in both genders. GI was positively correlated with starch and intakes of bread and potatoes, whereas it was correlated negatively with intakes of sugar, fruit and dairy products. GL was positively correlated with all carbohydrate components and intakes of cereals, whereas it was negatively correlated with fat and alcohol and with intakes of wine, with large variations across countries. Conclusions: GI means varied modestly across countries and genders, whereas GL means varied more, but it may possibly act as a surrogate of carbohydrate intake. European Journal of Clinical Nutrition (2009) 63, S188-S205; doi: 10.1038/ejcn.2009.81

Published
2009

35. Energy intake and sources of energy intake in the European Prospective Investigation into Cancer and Nutrition

Author

Ocke, M. C. Larranaga, N. Grioni, S. van den Berg, S. W. and Ferrari, P. Salvini, S. Benetou, V. Linseisen, J. and Wirfalt, E. Rinaldi, S. Jenab, M. Halkjaer, J. Jakobsen, M. U. Niravong, M. Clavel-Chapelon, F. Kaaks, R. and Bergmann, M. Moutsiou, E. Trichopoulou, A. Lauria, C. and Sacerdote, C. Bueno-de-Mesquita, H. B. Peeters, P. H. M. and Hjartaker, A. Parr, C. L. Tormo, M. J. Sanchez, M. J. and Manjer, J. Hellstrom, V. Mulligan, A. Spencer, E. A. and Riboli, E. Bingham, S. Slimani, N.

Abstract

Objectives: To describe energy intake and its macronutrient and food sources among 27 regions in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods: Between 1995 and 2000, 36 034 subjects aged 35-74 years were administered a standardized 24-h dietary recall. Intakes of macronutrients (g/day) and energy (kcal/day) were estimated using standardized national nutrient databases. Mean intakes were weighted by season and day of the week and were adjusted for age, height and weight, after stratification by gender. Extreme low- and high-energy reporters were identified using Goldberg’s cutoff points (ratio of energy intake and estimated basal metabolic rate 2.72), and their effects on macronutrient and energy intakes were studied. Results: Low-energy reporting was more prevalent in women than in men. The exclusion of extreme-energy reporters substantially lowered the EPIC-wide range in mean energy intake from 2196-2877 to 2309-2866 kcal among men. For women, these ranges were 1659-2070 and 1873-2108 kcal. There was no north-south gradient in energy intake or in the prevalence of low-energy reporting. In most centres, cereals and cereal products were the largest contributors to energy intake. The food groups meat, dairy products and fats and oils were also important energy sources. In many centres, the highest mean energy intakes were observed on Saturdays. Conclusions: These data highlight and quantify the variations and similarities in energy intake and sources of energy intake among 10 European countries. The prevalence of low-energy reporting indicates that the study of energy intake is hampered by the problem of underreporting. European Journal of Clinical Nutrition (2009) 63, S3-S15; doi: 10.1038/ejcn.2009.72

Published
2009

36. Ethanol intake and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition (EPIC)

Author

Rohrmann, S. Linseisen, J. Vrieling, A. Boffetta, P. Stolzenberg-Solomon, R.Z. Lowenfels, A.B. Jensen, M.K. Overvad, K. Olsen, A. Tjonneland, A. Boutron-Ruault, M.-C. Clavel-Chapelon, F. Fagherazzi, G. Misirli, G. Lagiou, P. Trichopoulou, A. Kaaks, R. Bergmann, M.M. Boeing, H. Bingham, S. Khaw, K.-T. Allen, N. Roddam, A. Palli, D. Pala, V. Panico, S. Tumino, R. Vineis, P. Peeters, P.H.M. Hjartåker, A. Lund, E. Cornejo, M.L.R. Agudo, A. Arriola, L. Sánchez, M.-J. Tormo, M.-J. Barricarte Gurrea, A. Lindkvist, B. Manjer, J. Johansson, I. Ye, W. Slimani, N. Duell, E.J. Jenab, M. Michaud, D.S. Mouw, T. Riboli, E. Bueno-De-Mesquita, H.B.

Abstract

Objective: To examine the association of baseline and lifetime ethanol intake with cancer of the pancreas in the European Prospective Investigation into Cancer and Nutrition (EPIC). Methods: Included in this analysis were 478,400 subjects, of whom detailed information on the intake of alcoholic beverages at baseline and over lifetime was collected between 1992 and 2000. During a median follow-up time of 8.9 years, 555 non-endocrine pancreatic cancer cases were observed. Multivariate Cox proportional hazard models were used to examine the association of ethanol intake at recruitment and average lifetime ethanol intake and pancreatic cancer adjusting for smoking, height, weight, and history of diabetes. Results: Overall, neither ethanol intake at recruitment (relative risk (RR) = 0.94, 95% confidence interval (CI) 0.69-1.27 comparing 30+ g/d vs. 0.1-4.9 g/d) nor average lifetime ethanol intake (RR = 0.95, 95% CI 0.65-1.39) was associated with pancreatic cancer risk. High lifetime ethanol intake from spirits/liquor at recruitment tended to be associated with a higher risk (RR = 1.40, 95% CI 0.93-2.10 comparing 10+ g/d vs. 0.1-4.9 g/d), but no associations were observed for wine and beer consumption. Conclusion: These results suggest no association of alcohol consumption with the risk of pancreatic cancer. © 2009 Springer Science+Business Media B.V.

Published
2009

37. Endogenous sex hormones and endometrial cancer risk in women in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Author

Allen, N.E. Key, T.J. Dossus, L. Rinaldi, S. Cust, A. Lukanova, A. Peeters, P.H. Onland-Moret, N.C. Lahmann, P.H. Berrino, F. Panico, S. Larrahaga, N. Pera, G. Tormo, M.-J. Sánchez, M.-J. Quirós, J.R. Ardanaz, E. Tjønneland, A. Olsen, A. Chang-Claude, J. Linseisen, J. Schulz, M. Boeing, H. Lundin, E. Palli, D. Overvad, K. Clavel-Chapelon, F. Boutron-Ruault, M.-C. Bingham, S. Khaw, K.-T. Bueno-De-Mesquita, H.B. Trichopoulou, A. Trichopoulos, D. Naska, A. Tumino, R. Riboli, B. Kaaks, R.

Abstract

Epidemiological data show that reproductive and hormonal factors are involved in the etiology of endometrial cancer, but there is little data on the association with endogenous sex hormone levels. We analyzed the association between prediagnostic serum concentrations of sex steroids and endometrial cancer risk in the European Prospective Investigation into Cancer and Nutrition using a nested case-control design of 247 incident endometrial cancer cases and 481 controls, matched on center, menopausal status, age, variables relating to blood collection, and, for premenopausal women, phase of menstrual cycle. Using conditional regression analysis, endometrial cancer risk among postmenopausal women was positively associated with increasing levels of total testosterone, free testosterone, estrone, total estradiol, and free estradiol. The odds ratios (ORs) for the highest versus lowest fertile were 2.66 (95% confidence interval (CI) 1.50-4.72; P=0.002 for a continuous linear trend) for estrone, 2.07 (95% CI 1.20-3.60; P = 0.001) for estradiol, and 1.66 (95% CI 0.98-2.82; P = 0.001) for free estradiol. For total and free testosterone, ORs for the highest versus lowest fertile were 1.44 (95% CI 0.88-2.36; P = 0.05) and 2.05 (95% CI 1.23-3.42; P = 0.005) respectively. Androstenedione and dehydroepiandrosterone sulfate were not associated with risk. Sex hormone-binding globulin was significantly inversely associated with risk (OR for the highest versus lowest fertile was 0.57, 95% CI 0.34-0.95; P = 0.004). In premenopausal women, serum sex hormone concentrations were not clearly associated with endometrial cancer risk, but numbers were too small to draw firm conclusions. In conclusion, relatively high blood concentrations of estrogens and free testosterone are associated with an increased endometrial cancer risk in postmenopausal women. © 2008 Society for Endocrinology.

Published
2008

38. Blood pressure and risk of renal cell carcinoma in the european prospective investigation into cancer and nutrition

Author

Weikert, Steffen Boeing, Heiner Pischon, Tobias Weikert, Cornelia Olsen, Anja Tjonneland, Anne Overvad, Kim and Becker, Nikolaus Linseisen, Jakob Trichopoulou, Antonia and Mountokalakis, Theodore Trichopoulos, Dimitrios Sieri, Sabina and Palli, Domenico Vineis, Paolo Panico, Salvatore Peeters, Petra H. M. Bueno-De-Mesquita, H. Bas Verschuren, W. M. Monique and Ljungberg, Borje Hallmans, Goran Berglund, Goran and Gonzalez, Carlos A. Dorronsoro, Miren Barricarte, Aurelio and Tormo, M. J. Allen, Naomi Roddam, Andrew Bingham, Sheila and Khaw, Kay-Tee Rinaldi, Sabina Ferrari, Pietro Norat, Teresa and Riboli, Elio

Abstract

Elevated blood pressure has been implicated as a risk factor for renal cell carcinoma (RCC), but prospective studies were confined to men and did not consider the effect of antihypertensive medication. The authors examined the relation among blood pressure, antihypertensive medication, and RCC in the European Prospective Investigation into Cancer and Nutrition (EPIC). Blood pressure was measured in 296,638 women and men, recruited in eight European countries during 1992-1998, 254,935 of whom provided information on antihypertensive medication. During a mean follow-up of 6.2 years, 250 cases of RCC were identified. Blood pressure was independently associated with risk of RCC. The relative risks for the highest versus the lowest category of systolic (>= 160 mmHg vs. < 120 mmHg) and diastolic (>= 100 mmHg vs. < 80 mmHg) blood pressures were 2.48 (95% confidence interval: 1.53, 4.02) and 2.34 (95% confidence interval: 1.54, 3.55). Risk estimates did not significantly differ according to sex or use of antihypertensive medication. Individuals taking antihypertensive drugs were not at a significantly increased risk unless blood pressure was poorly controlled. These results support the hypothesis that hypertension, rather than its medications, increases the risk of RCC in both sexes, while effective blood pressure control may lower the risk.

Published
2008

39. Animal foods, protein, calcium and prostate cancer risk: the European Prospective Investigation into Cancer and Nutrition

Author

Allen, N. E. Key, T. J. Appleby, P. N. Travis, R. C. and Roddam, A. W. Tjonneland, A. Johnsen, N. F. Overvad, K. and Linseisen, J. Rohrmann, S. Boeing, H. Pischon, T. and Bueno-de-Mesquita, H. B. Kiemeney, L. Tagliabue, G. Palli, D. Vineis, P. Tumino, R. Trichopoulou, A. Kassapa, C. and Trichopoulos, D. Ardanaz, E. Larranaga, N. Tormo, M-J and Gonzalez, C. A. Quiros, J. R. Sanchez, M-J Bingham, S. and Khaw, K-T Manjer, J. Berglund, G. Stattin, P. and Hallmans, G. Slimani, N. Ferrari, P. Rinaldi, S. Riboli, E.

Abstract

We examined consumption of animal foods, protein and calcium in relation to risk of prostate cancer among 142 251 men in the European Prospective Investigation into Cancer and Nutrition. Associations were examined using Cox regression, stratified by recruitment centre and adjusted for height, weight, education, marital status and energy intake. After an average of 8.7 years of follow-up, there were 2727 incident cases of prostate cancer, of which 1131 were known to be localised and 541 advanced-stage disease. A high intake of dairy protein was associated with an increased risk, with a hazard ratio for the top versus the bottom fifth of intake of 1.22 (95% confidence interval (CI): 1.07-1.41, P(trend) = 0.02). After calibration to allow for measurement error, we estimated that a 35-g day(-1) increase in consumption of dairy protein was associated with an increase in the risk of prostate cancer of 32% (95% CI: 1-72%, P(trend) = 0.04). Calcium from dairy products was also positively associated with risk, but not calcium from other foods. The results support the hypothesis that a high intake of protein or calcium from dairy products may increase the risk for prostate cancer.

Published
2008

40. Multi-factor dimensionality reduction applied to a large prospective investigation on gene-gene and gene-environment interactions

Author

Manuguerra, M. Matullo, G. Veglia, F. Autrup, H. and Dunning, A. M. Garte, S. Gormally, E. Malaveille, C. and Guarrera, S. Polidoro, S. Saletta, F. Peluso, M. and Airoldi, L. Overvad, K. Raaschou-Nielsen, O. and Clavel-Chapelon, F. Linseisen, J. Boeing, H. Trichopoulos, D. Kalandidi, A. Palli, D. Krogh, V. Tumino, R. and Panico, S. Bueno-De-Mesquita, H. B. Peeters, P. H. Lund, E. and Pera, G. Martinez, C. Amiano, P. Barricarte, A. and Tormo, M. J. Quiros, J. R. Berglund, G. Janzon, L. and Jarvholm, B. Day, N. E. Allen, N. E. Saracci, R. Kaaks, R. Ferrari, P. Riboli, E. Vineis, P.

Abstract

It is becoming increasingly evident that single-locus effects cannot explain complex multifactorial human diseases like cancer. We applied the multi-factor dimensionality reduction (MDR) method to a large cohort study on gene-environment and gene-gene interactions. The study (case-control nested in the EPIC cohort) was established to investigate molecular changes and genetic susceptibility in relation to air pollution and environmental tobacco smoke (ETS) in non-smokers. We have analyzed 757 controls and 409 cases with bladder cancer (n = 124), lung cancer (n = 116) and myeloid leukemia (n = 169). Thirty-six gene variants (DNA repair and metabolic genes) and three environmental exposure variables (measures of air pollution and ETS at home and at work) were analyzed. Interactions were assessed by prediction error percentage and cross-validation consistency (CVC) frequency. For lung cancer, the best model was given by a significant gene-environment association between the base excision repair (BER) XRCC1-Arg399Gln polymorphism, the double-strand break repair (DSBR) BRCA2-Asn372His polymorphism and the exposure variable ‘distance from heavy traffic road’, an indirect and robust indicator of air pollution (mean prediction error of 26%, P < 0.001, mean CVC of 6.60, P = 0.02). For bladder cancer, we found a significant 4-loci association between the BER APE1-Asp148Glu polymorphism, the DSBR RAD52-3’-untranslated region (3’-UTR) polymorphism and the metabolic gene polymorphisms COMT-Val158Met and MTHFR-677C > T (mean prediction error of 22%, P < 0.001, mean CVC consistency of 7.40, P < 0.037). For leukemia, a 3-loci model including RAD52-2259C > T, MnSOD-Ala9Val and CYP1A1-Ile462Val had a minimum prediction error of 31% (P < 0.001) and a maximum CVC of 4.40 (P = 0.086). The MDR method seems promising, because it provides a limited number of statistically stable interactions; however, the biological interpretation remains to be understood.

Published
2007

41. Haplotype-based analysis of common variation in the acetyl-CoA carboxylase α gene and breast cancer risk: A case-control study nested within the European Prospective Investigation into Cancer and Nutrition

Author

Sinilnikova, O.M. McKay, J.D. Tavtigian, S.V. Canzian, F. DeSilva, D. Biessy, C. Monnier, S. Dossus, L. Boillot, C. Gioia, L. Hughes, D.J. Jensen, M.K. Overvad, K. Tjonneland, A. Olsen, A. Clavel-Chapelon, F. Chajès, V. Joulin, V. Linseisen, J. Chang-Claude, J. Boeing, H. Dahm, S. Trichopoulou, A. Trichopoulos, D. Koliva, M. Khaw, K.-T. Bingham, S. Allen, N.E. Key, T. Palli, D. Panico, S. Berrino, F. Tumino, R. Vineis, P. Bueno-de-Mesquita, H.B. Peeters, P.H. Van Gils, C.H. Lund, E. Pera, G. Quirós, J.R. Dorronsoro, M. García, C.M. Tormo, M.-J. Ardanaz, E. Hallmans, G. Lenner, P. Berglund, G. Manjer, J. Riboli, E. Lenoir, G.M. Kaaks, R.

Abstract

A key fatty acid synthesis enzyme, acetyl-CoA carboxylase α. (ACC-α), has been shown to be highly expressed in human breast cancer and other tumor types and also to specifically interact with the protein coded by one of two major breast cancer susceptibility genes BRCA1. We used a comprehensive haplotype analysis to examine the contribution of the ACC-α common genetic variation (allele frequency >5%) to breast cancer in a case-control study (1,588 cases/2,600 controls) nested within the European Prospective Investigation into Cancer and Nutrition. We identified 21 haplotype-tagging polymorphisms efficiently capturing common variation within 325 kb of ACC-α and surrounding sequences using genotype data from the HapMap project and our resequencing data. We found an effect on overall risk of breast cancer in homozygous carriers of one common haplotype [odds ratio (OR), 1.74; 95% confidence interval (95% CI), 1.03-2.94]. When the data were subdivided by menopausal status, we found statistical evidence of heterogeneity for two other common haplotypes (P value for heterogeneity = 0.016 and 0.045). In premenopausal women, the carriers of these haplotypes, compared with noncarriers, had an altered risk of breast cancer (OR, 0.70; 95% CI, 0.53-0.92 and OR, 1.35; 95% CI, 1.04-1.76). These findings were not significant after adjustment for multiple testing and therefore should be considered as preliminary and evaluated in larger independent studies. However, they suggest a possible role of the ACC-α common sequence variants in susceptibility to breast cancer and encourage studies of other genes involved in fatty acid synthesis. Copyright © 2007 American Association for Cancer Research.

Published
2007

42. Plasma adiponectin levels and endometrial cancer risk in pre- and postmenopausal women

Author

Cust, Anne E. Kaaks, Rudolf Friedenreich, Christine Bonnet, Fabrice Laville, Martine Lukanova, Annekatrin Rinaldi, Sabina Dossus, Laure Slimani, Nadia Lundin, Eva and Tjonneland, Anne Olsen, Anja Overvad, Kim Clavel-Chapelon, Francoise Mesrine, Sylvie Joulin, Virginie Linseisen, Jakob and Rohrmann, Sabine Pischon, Tobias Boeing, Heiner and Trichopoulos, Dimitrios Trichopoulou, Antonia Benetou, Vassiliki and Palli, Domenico Berrino, Franco Tumino, Rosario and Sacerdote, Carlotta Mattiello, Amalia Quiros, J. Ramon and Mendez, Michelle A. Sanchez, Maria-Jose Larranaga, Nerea and Tormo, M. J. Ardanaz, Eva Bueno-de-Mesquita, H. Bas Peeters, Petra H. M. van Gils, Carla H. Khaw, Kay-Tee Bingham, Sheila and Allen, Naomi Key, Tim Jenab, Mazda Riboli, Elio

Abstract

Background: Adiponectin, an adipocytokine secreted by adipose tissue, is decreased in obesity, insulin resistance, type 2 diabetes, and polycystic ovary syndrome, all of which are well-established risk factors for endometrial cancer. Methods: We conducted a case-control study nested within the European Prospective Investigation into Cancer and Nutrition to examine the relation between prediagnostic plasma adiponectin levels and endometrial cancer risk. Among pre- and postmenopausal women who were not currently using exogenous hormones, 284 women developed incident endometrial cancer during an average of 5.1 yr of follow-up. Using risk set sampling, 548 control subjects were selected, matched on center, age, menopausal status, phase of menstrual cycle, time of blood draw, and fasting status. Conditional logistic regression models were used to estimate relative risks and 95% confidence intervals. Results: Adiponectin levels were inversely associated with endometrial cancer risk [body mass index-adjusted relative risk for the top vs. bottom quartile = 0.56 (95% confidence interval 0.36-0.86), P-trend = 0.006]. There was evidence of a stronger inverse association among obese women than among nonobese women (P-heterogeneity = 0.03). The inverse association also appeared stronger for women who were postmenopausal or perimenopausal than premenopausal at baseline, but this was not statistically significantly heterogeneous (P-heterogeneity = 0.51). The association remained statistically significant after separate adjustment for other obesity-related physiological risk factors such as C-peptide, IGF binding protein-1, IGF binding protein-2, SHBG, estrone, or free testosterone but only marginally statistically significant after simultaneous adjustment for these factors. Conclusions: High circulating adiponectin levels are associated with reduced endometrial cancer risk, largely independent of other obesity-related risk factors.

Published
2007

43. Anthropometric factors and risk of endometrial cancer: The European prospective investigation into cancer and nutrition

Author

Friedenreich, C. Cust, A. Lahmann, P.H. Steindorf, K. Boutron-Ruault, M.-C. Clavel-Chapelon, F. Mesrine, S. Linseisen, J. Rohrmann, S. Boeing, H. Pischon, T. Tjønneland, A. Halkjær, J. Overvad, K. Mendez, M. Redondo, M.L. Garcia, C.M. Larrañaga, N. Tormo, M.-J. Gurrea, A.B. Bingham, S. Khaw, K.-T. Allen, N. Key, T. Trichopoulou, A. Vasilopoulou, E. Trichopoulos, D. Pala, V. Palli, D. Tumino, R. Mattiello, A. Vineis, P. Bueno-de-Mesquita, H.B. Peeters, P.H.M. Berglund, G. Manjer, J. Lundin, E. Lukanova, A. Slimani, N. Jenab, M. Kaaks, R. Riboli, E.

Abstract

Objective: To examine the association between anthropometry and endometrial cancer, particularly by menopausal status and exogenous hormone use subgroups. Methods: Among 223,008 women in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, there were 567 incident endometrial cancer cases during 6.4 years of follow-up. The analysis was performed with Cox proportional hazards modeling. Results: Weight, body mass index (BMI), waist and hip circumferences and waist-hip ratio (WHR) were strongly associated with increased risk of endometrial cancer. The relative risk (RR) for obese (BMI 30- < 40 kg/m2) compared to normal weight (BMI < 25) women was 1.78, 95% CI = 1.41-2.26, and for morbidly obese women (BMI ≥ 40) was 3.02, 95% CI = 1.66-5.52. The RR for women with a waist circumference of ≥88 cm vs.

Published
2007

44. Body mass index, waist circumference and waist-hip ratio and serum levels of IGF-I and IGFBP-3 in European women

Author

Gram, I. T. Norat, T. Rinaldi, S. Dossus, L. Lukanova, A. Tehard, B. Clavel-Chapelon, F. van Gils, C. H. van Noord, P. A. H. Peeters, P. H. M. Bueno-de-Mesquita, H. B. and Nagel, G. Linseisen, J. Lahmann, P. H. Boeing, H. Palli, D. Sacerdote, C. Panico, S. Tumino, R. Sieri, S. and Dorronsoro, M. Quiros, J. R. Navarro, C. A. Barricarte, A. and Tormo, M-J Gonzalez, C. A. Overvad, K. Johnsen, S. Paaske Olsen, A. Tjonneland, A. Travis, R. Allen, N. and Bingham, S. Khaw, K-T Stattin, P. Trichopoulou, A. and Kalapothaki, V. Psaltopoulou, T. Casagrande, C. Riboli, E. and Kaaks, R.

Subjects
nutritional and metabolic diseases
Abstract

Objective: To examine the relationship between body mass index (BMI) and waist-hip ratio (WHR) with serum levels of insulin-like growth factor-I (IGF-I), and its binding protein (IGFBP)-3. Design: Cross-sectional study on 2139 women participating in a case-control study on breast cancer and endogenous hormones. Data on lifestyle and reproductive factors were collected by means of questionnaires. Body height, weight, waist and hip circumferences were measured. Serum levels of IGF-I and insulin-like binding protein (IGFBP)-3 were measured by enzyme-linked immunosorbent assays. Adjusted mean levels of IGF-I and IGFBP-3 across quintiles of BMI, waist circumference, and WHR were calculated by linear regression. Results were adjusted for potential confounders associated with IGF-I and IGFBP-3. Results: Adjusted mean serum IGF-I values were lower in women with BMI < 22.5 kg/m(2) or BMI > 29.2 kg/m(2) compared to women with BMI within this range (P-heterogeneity < 0.0001, P-trend = 0.35). Insulin-like growth factor-I was not related to WHR after adjustment for BMI. IGF-binding protein-3 was linearly positively related to waist and WHR after mutual adjustment. The molar ratio IGF-I/IGFBP-3 had a non-linear relation with BMI and a linear inverse relationship with WHR (P-trend = 0.005). Conclusions: Our data confirm the nonlinear relationship of circulating IGF-I to total adiposity in women. Serum IGFBP-3 was positively related to central adiposity. These suggest that bioavailable IGF-I levels could be lower in obese compared to non-obese women and inversely related to central adiposity.

Published
2006

45. Erratum: Amount of DNA in plasma and cancer risk: A prospective study (International Journal of Cancer (2004) 111 (746-749))

Author

Gormally, E., Hainaut, P., Caboux, E., Airoldi, L., Autrup, H., Malaveille, C., Dunning, A., Garte, S., Matullo, G., Overvad, K., Tjonneland, A., Clavel-Chapelon, F., Boffetta, P., Boeing, H., Trichopoulou, A., Palli, D., Krogh, V., Tumino, R., Panico, S., Bueno-De-Mesquita, H. B., Peeters, P. H., Lund, E., Gonzalez, C. A., Martinez, C., Dorronsoro, M., Barricarte, A., Tormo, M. J., Quiros, J. R., Berglund, G., Hallmans, G., Day, N. E., Key, T. J., Veglia, F., Peluso, M., Norat, T., Saracci, R., Kaaks, R., Riboli, E., Vineis, P., Gormally, E., Hainaut, P., Caboux, E., Airoldi, L., Autrup, H., Malaveille, C., Dunning, A., Garte, S., Matullo, G., Overvad, K., Tjonneland, A., Clavel-Chapelon, F., Boffetta, P., Boeing, H., Trichopoulou, A., Palli, D., Krogh, V., Tumino, R., Panico, S., Bueno-De-Mesquita, H.B., Peeters, P.H., Lund, E., Gonzalez, C.A., Martinez, C., Dorronsoro, M., Barricarte, A., Tormo, M.J., Quiros, J.R., Berglund, G., Hallmans, G., Day, N.E., Key, T.J., Veglia, F., Peluso, M., Norat, T., Saracci, R., Kaaks, R., Riboli, E., and Vineis, P.

Subjects
Amount of DNA in plasma and cancer risk
Abstract

No abstract

Published
2006

46. Body size and breast cancer risk: findings from the European Prospective Investigation into Cancer And Nutrition (EPIC)

Author

Lahmann, P. H., Hoffmann, K., Allen, N., Gils, C. H., Khaw, K. T., Tehard, B., Berrino, F., Tjønneland, A., Bigaard, J., Anja Viendahl Olsen, Kim Overvad, Clavel-Chapelon, F., Nagel, G., Boeing, H., Trichopoulos, D., Economou, G., Bellos, G., Palli, D., Tumino, R., Panico, S., Sacerdote, C., Krogh, V., Peeters, P. H., Bueno-De-Mesquita, H. B., Lund, E., Ardanaz, E., Amiano, P., Pera, G., Quiros, J. R., Martinez, C., Tormo, M. J., Wirfalt, E., Berglund, G., Hallmans, G., Key, T. J., Reeves, G., Bingham, S., Norat, T., Biessy, C., Kaaks, R., Riboli, E., Lahmann, Ph, Hoffmann, K, Allen, N, VAN GILS, Ch, Khaw, Kt, Tehard, B, Berrino, F, Tjonneland, A, Bigaard, J, Olsen, A, Overvad, K, CLAVEL CHAPELON, F, Nagel, G, Boeing, H, Trichopoulos, D, Economou, G, Bellos, G, Palli, D, Tumino, R, Panico, Salvatore, Sacerdote, C, Krogh, V, Peeters, Ph, BUENO DE MESQUITA, Hb, Lund, E, Ardanaz, E, Amiano, P, Pera, G, Quiros, Jr, Martinez, C, Tormo, Mj, Wirfalt, E, Berglund, G, Hallmans, G, Key, Tj, Reeves, G, Bingham, S, Norat, T, Biessy, C, Kaaks, R, and Riboli, E.

Subjects
Adult, Hormone Replacement Therapy, Incidence, Body Weight, Nutritional Status, Breast Neoplasms, Middle Aged, Body Height, Body Mass Index, Cohort Studies, Europe, Postmenopause, Adipose Tissue, Premenopause, Risk Factors, Abdomen, Body Composition, Humans, Female, Obesity, Prospective Studies, Aged
Abstract

The evidence for anthropometric factors influencing breast cancer risk is accumulating, but uncertainties remain concerning the role of fat distribution and potential effect modifiers. We used data from 73,542 premenopausal and 103,344 postmenopausal women from 9 European countries, taking part in the EPIC study. RRs from Cox regression models were calculated, using measured height, weight, BMI and waist and hip circumferences; categorized by cohort-wide quintiles; and expressed as continuous variables, adjusted for study center, age and other risk factors. During 4.7 years of follow-up, 1,879 incident invasive breast cancers were identified. In postmenopausal women, current HRT modified the body size-breast cancer association. Among nonusers, weight, BMI and hip circumference were positively associated with breast cancer risk (all ptrend < or = 0.002); obese women (BMI > 30) had a 31% excess risk compared to women with BMI < 25. Among HRT users, body measures were inversely but nonsignificantly associated with breast cancer. Excess breast cancer risk with HRT was particularly evident among lean women. Pooled RRs per height increment of 5 cm were 1.05 (95% CI 1.00-1.16) in premenopausal and 1.10 (95% CI 1.05-1.16) in postmenopausal women. Among premenopausal women, hip circumference was the only other measure significantly related to breast cancer (ptrend = 0.03), after accounting for BMI. In postmenopausal women not taking exogenous hormones, general obesity is a significant predictor of breast cancer, while abdominal fat assessed as waist-hip ratio or waist circumference was not related to excess risk when adjusted for BMI. Among premenopausal women, weight and BMI showed nonsignificant inverse associations with breast cancer.

Published
2004

47. Smoking and the risk of gastric cancer in the European Prospective Investigation into Cancer and Nutrition

Author

Gonzalez, C. A., Pera, G., Agudo, A., Palli, D., Krogh, V., Vineis, P., Tumino, R., Panico, S., Berglund, G., Siman, H., Nyren, O., Agren, A., Martinez, C., Dorronsoro, M., Barricarte, A., Tormo, M. J., Quiros, J. R., Allen, N., Bingham, S., Day, N., Miller, A., Nagel, G., Boeing, H., Kim Overvad, Tjønneland, A., Bueno-De-Mesquita, H. B., Boshuizen, H. C., Peeters, P., Numans, M., Clavel-Chapelon, F., Helen, I., Agapitos, E., Lund, E., Fahey, M., Saracci, R., Kaaks, R., and Riboli, E.

Published
2003

48. Consumption of sweet beverages and type 2 diabetes incidence in European adults : results from EPIC-InterAct

Author

Romaguera, D., Norat, T., Wark, P. A., Vergnaud, A. C., Schulze, M. B., van Woudenbergh, G. J., Drogan, D., Amiano, P., Molina-Montes, E., Sanchez, M. J., Balkau, B., Barricarte, A., Beulens, J. W. J., Clavel-Chapelon, F., Crispim, S. P., Fagherazzi, G., Franks, P. W., Grote, V. A., Huybrechts, I., Kaaks, R., Key, T. J., Khaw, K. T., Nilsson, P., Overvad, K., Palli, D., Panico, S., Quiros, J. R., Rolandsson, Olov, Sacerdote, C., Sieri, S., Slimani, N., Spijkerman, A. M. W., Tjonneland, A., Tormo, M. J., Tumino, R., van den Berg, S. W., Wermeling, P. R., Zamora-Ros, R., Feskens, E. J. M., Langenberg, C., Sharp, S. J., Forouhi, N. G., Riboli, E., Wareham, N. J., Romaguera, D., Norat, T., Wark, P. A., Vergnaud, A. C., Schulze, M. B., van Woudenbergh, G. J., Drogan, D., Amiano, P., Molina-Montes, E., Sanchez, M. J., Balkau, B., Barricarte, A., Beulens, J. W. J., Clavel-Chapelon, F., Crispim, S. P., Fagherazzi, G., Franks, P. W., Grote, V. A., Huybrechts, I., Kaaks, R., Key, T. J., Khaw, K. T., Nilsson, P., Overvad, K., Palli, D., Panico, S., Quiros, J. R., Rolandsson, Olov, Sacerdote, C., Sieri, S., Slimani, N., Spijkerman, A. M. W., Tjonneland, A., Tormo, M. J., Tumino, R., van den Berg, S. W., Wermeling, P. R., Zamora-Ros, R., Feskens, E. J. M., Langenberg, C., Sharp, S. J., Forouhi, N. G., Riboli, E., and Wareham, N. J.

Abstract

Consumption of sugar-sweetened beverages has been shown, largely in American populations, to increase type 2 diabetes incidence. We aimed to evaluate the association of consumption of sweet beverages (juices and nectars, sugar-sweetened soft drinks and artificially sweetened soft drinks) with type 2 diabetes incidence in European adults. We established a case-cohort study including 12,403 incident type 2 diabetes cases and a stratified subcohort of 16,154 participants selected from eight European cohorts participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. After exclusions, the final sample size included 11,684 incident cases and a subcohort of 15,374 participants. Cox proportional hazards regression models (modified for the case-cohort design) and random-effects meta-analyses were used to estimate the association between sweet beverage consumption (obtained from validated dietary questionnaires) and type 2 diabetes incidence. In adjusted models, one 336 g (12 oz) daily increment in sugar-sweetened and artificially sweetened soft drink consumption was associated with HRs for type 2 diabetes of 1.22 (95% CI 1.09, 1.38) and 1.52 (95% CI 1.26, 1.83), respectively. After further adjustment for energy intake and BMI, the association of sugar-sweetened soft drinks with type 2 diabetes persisted (HR 1.18, 95% CI 1.06, 1.32), but the association of artificially sweetened soft drinks became statistically not significant (HR 1.11, 95% CI 0.95, 1.31). Juice and nectar consumption was not associated with type 2 diabetes incidence. This study corroborates the association between increased incidence of type 2 diabetes and high consumption of sugar-sweetened soft drinks in European adults.

Published
2013
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49. Diabetes mellitus, insulin treatment, diabetes duration, and risk of biliary tract cancer and hepatocellular carcinoma in a European cohort

Author

Schlesinger, S, Aleksandrova, K, Pischon, T, Jenab, M, Fedirko, V, Trepo, E, Overvad, K, Roswall, N, Tjønneland, A, Boutron-Ruault, M C, Fagherazzi, G, Racine, A, Kaaks, R, Grote, V A, Boeing, H, Trichopoulou, A, Pantzalis, M, Kritikou, M, Mattiello, A, Sieri, S, Sacerdote, C, Palli, D, Tumino, R, Peeters, P H, Bueno-de-Mesquita, H B, Weiderpass, E, Quirós, J R, Zamora-Ros, R, Sánchez, M J, Arriola, L, Ardanaz, E, Tormo, M J, Nilsson, P, Lindkvist, B, Sund, Malin, Rolandsson, Olov, Khaw, K T, Wareham, N, Travis, R C, Riboli, E, Nöthlings, U, Schlesinger, S, Aleksandrova, K, Pischon, T, Jenab, M, Fedirko, V, Trepo, E, Overvad, K, Roswall, N, Tjønneland, A, Boutron-Ruault, M C, Fagherazzi, G, Racine, A, Kaaks, R, Grote, V A, Boeing, H, Trichopoulou, A, Pantzalis, M, Kritikou, M, Mattiello, A, Sieri, S, Sacerdote, C, Palli, D, Tumino, R, Peeters, P H, Bueno-de-Mesquita, H B, Weiderpass, E, Quirós, J R, Zamora-Ros, R, Sánchez, M J, Arriola, L, Ardanaz, E, Tormo, M J, Nilsson, P, Lindkvist, B, Sund, Malin, Rolandsson, Olov, Khaw, K T, Wareham, N, Travis, R C, Riboli, E, and Nöthlings, U

Abstract

BACKGROUND: Evidence on associations between self-reported diabetes mellitus, diabetes duration, age at diabetes diagnosis, insulin treatment, and risk of biliary tract cancer (BTC) and hepatocellular carcinoma (HCC), independent of general and abdominal obesity is scarce. PATIENTS AND METHODS: We conducted a prospective analysis in the EPIC-cohort study among 363 426 participants with self-reported diabetes data. Multivariable adjusted relative risks and 95% confidence intervals were estimated from Cox regression models. In a nested case-control subset, analyses were carried out in HCV/HBV-negative individuals. RESULTS: During 8.5 years of follow-up, 204 BTC cases [including 75 gallbladder cancer (GBC) cases], and 176 HCC cases were identified. Independent of body mass index and waist-to-height ratio diabetes status was associated with higher risk of BTC and HCC [1.77 (1.00-3.13) and 2.17 (1.36-3.47)]. For BTC, the risk seemed to be higher in participants with shorter diabetes duration and those not treated with insulin. Regarding cancer subsites, diabetes was only associated with GBC [2.72 (1.17-6.31)]. The risk for HCC was particularly higher in participants treated with insulin. The results were not appreciably different in HCV/HBV-negative individuals. CONCLUSION(S): This study supports the hypothesis that diabetes is a risk factor for BTC (particularly GBC) and HCC. Further research is required to establish whether diabetes treatment or duration is associated with these cancers.

Published
2013
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50. Alcohol consumption and risk of type 2 diabetes in European men and women : influence of beverage type and body size The EPIC-InterAct study

Author

Beulens, J. W. J., van der Schouw, Y. T., Bergmann, M. M., Rohrmann, S., Schulze, M. B., Buijsse, B., Grobbee, D. E., Arriola, L., Cauchi, S., Tormo, M-J, Allen, N. E., van der A, D. L., Balkau, B., Boeing, H., Clavel-Chapelon, F., de Lauzon-Guillan, B., Franks, P., Froguel, P., Gonzales, C., Halkjaer, J., Huerta, J. M., Kaaks, R., Key, T. J., Khaw, K. T., Krogh, V., Molina-Montes, E., Nilsson, P., Overvad, K., Palli, D., Panico, S., Ramón Quirós, J., Rolandsson, Olov, Romieu, I., Romaguera, D., Sacerdote, C., Sánchez, M-J, Spijkerman, A. M. W., Teucher, B., Tjonneland, A., Tumino, R., Sharp, S., Forouhi, N. G., Langenberg, C., Feskens, E. J. M., Riboli, E., Wareham, N. J., Beulens, J. W. J., van der Schouw, Y. T., Bergmann, M. M., Rohrmann, S., Schulze, M. B., Buijsse, B., Grobbee, D. E., Arriola, L., Cauchi, S., Tormo, M-J, Allen, N. E., van der A, D. L., Balkau, B., Boeing, H., Clavel-Chapelon, F., de Lauzon-Guillan, B., Franks, P., Froguel, P., Gonzales, C., Halkjaer, J., Huerta, J. M., Kaaks, R., Key, T. J., Khaw, K. T., Krogh, V., Molina-Montes, E., Nilsson, P., Overvad, K., Palli, D., Panico, S., Ramón Quirós, J., Rolandsson, Olov, Romieu, I., Romaguera, D., Sacerdote, C., Sánchez, M-J, Spijkerman, A. M. W., Teucher, B., Tjonneland, A., Tumino, R., Sharp, S., Forouhi, N. G., Langenberg, C., Feskens, E. J. M., Riboli, E., and Wareham, N. J.

Abstract

Objective: To investigate the association between alcohol consumption and type 2 diabetes, and determine whether this is modified by sex, body mass index (BMI) and beverage type. Design: Multicentre prospective casecohort study. Setting: Eight countries from the European Prospective Investigation into Cancer and Nutrition cohort. Subjects: A representative baseline sample of 16 154 participants and 12 403 incident cases of type 2 diabetes. Interventions: Alcohol consumption assessed using validated dietary questionnaires. Main outcome measures: Occurrence of type 2 diabetes based on multiple sources (mainly self-reports), verified against medical information. Results: Amongst men, moderate alcohol consumption was nonsignificantly associated with a lower incidence of diabetes with a hazard ratio (HR) of 0.90 (95% CI: 0.781.05) for 6.112.0 versus 0.16.0 g day-1, adjusted for dietary and diabetes risk factors. However, the lowest risk was observed at higher intakes of 24.196.0 g day-1 with an HR of 0.86 (95% CI: 0.750.98). Amongst women, moderate alcohol consumption was associated with a lower incidence of diabetes with a hazard ratio of 0.82 (95% CI: 0.720.92) for 6.112.0 g day-1 (P interaction gender <0.01). The inverse association between alcohol consumption and diabetes was more pronounced amongst overweight (BMI = 25 kg m-2) than normal-weight men and women (P interaction < 0.05). Adjusting for waist and hip circumference did not alter the results for men, but attenuated the association for women (HR=0.90, 95% CI: 0.791.03 for 6.112.0 g day-1). Wine consumption for men and fortified wine consumption for women were most strongly associated with a reduced risk of diabetes. Conclusions: The results of this study show that moderate alcohol consumption is associated with a lower risk of type 2 diabetes amongst women only. However, this risk reduction is in part explained by fat distribution. The relation between alcohol consumption and type 2 diabetes was strong, Group Author: InterAct Consortium

Published
2012
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