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1.
Animal ; 18(6): 101157, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38744228

ABSTRACT

The comb is an ornament involved in signalling condition in domestic fowl. We hypothesised that comb size, comb shape complexity (i.e., rugosity, the comb perimeter jaggedness), and comb laterality of laying hens would be influenced by the degree of environmental enrichment experienced during juvenile development in the form of resource choice. We conducted a 2 × 2 factorial crossover experiment with pullets reared in pens containing four perches of equal length and four litter areas of equal size. Pullets were exposed to a single choice vs multiple choices of perch and litter types (i.e., all the same vs all different) during Weeks 1-4 (Period 1) and/or Weeks 5-15 (Period 2) of rearing (n = 4 pens/treatment combination) prior to transfer to standard adult laying pens for Weeks 16-27 (Period 3). In Week 27, combs were photographed, and comb laterality (hanging on left or right side) was noted. Using a custom-made image analysis programme, we captured comb area (mm2), perimeter length (mm), and rugosity ((perimeter length - horizontal length) / horizontal length) from comb photographs of 6-7 randomly selected hens/pen. We predicted that hens reared in the multi-choice environment during Periods 1 and 2 would have larger, more complex, and left-side-biased combs than those in the other treatment groups, reflecting lower allostatic load. The predicted comb side bias was based on a possible bias in head posture/movements associated with greater right eye/ear use and left-brain hemispheric dominance. Contrary to our predictions, we detected an overall right-side bias in comb laterality, and no associations between resource choice treatment in Period 1 or Period 2 and comb area, perimeter length, rugosity, or laterality of the adult hens. Thus, variation in allostatic load resulting from the rearing treatments was insufficient to modify the trajectory of comb morphological development, possibly due to a ceiling effect when comparing environmental treatments on the positive end of the welfare spectrum. We found that left-lopping combs had shorter perimeters than right-lopping combs. However, among hens with left-lopping combs, those with larger combs were heavier and had less feather damage, while among hens with right-lopping combs, those with longer-perimeter combs were heavier and tended to have less comb damage. In conclusion, comb characteristics were related to physical condition at the individual level but did not serve as sensitive integrated indicators of hen welfare in response to basic vs enhanced resource choice during rearing.


Subject(s)
Chickens , Animals , Chickens/physiology , Chickens/anatomy & histology , Chickens/growth & development , Female , Comb and Wattles/anatomy & histology , Comb and Wattles/physiology , Housing, Animal , Functional Laterality/physiology , Environment , Animal Husbandry/methods , Cross-Over Studies
2.
Eur J Ageing ; 19(2): 189-200, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35663918

ABSTRACT

Hospital discharge of older people in need of both medical and social care following their hospital stay requires extensive coordination. This study aims to examine and compare the views of nurses in three Nordic cities on the influence of sociodemographic factors and having close relatives, for the hospital discharge and post hospital care of older people with complex health and social care needs. Thirty-five semi-structured interviews (Copenhagen n = 11, Tampere n = 8, Stockholm n = 16) with nurses were conducted. The nurses were identified through the researchers' networks, invitation and snowball sampling, and recruited from hospitals, primary care practices, home care units, home nursing units, and geriatric departments. The interviews were transcribed and analysed using thematic analysis. Interpretations were discussed and agreed within the team. Four main themes and 13 sub-themes were identified. Across the cities, informants reported that the patient's health status, rather than their gender or ethnicity, steered the discharge date and further care. Care costs, commonly reported in Tampere but also in Copenhagen and Stockholm including costs for medications and home help, were considered barriers for disadvantaged older people. Home situation, local arrangements and differences in collaboration between healthcare professionals at different sites also influenced the hospital discharge. Generally, the patient's health status steered the hospital discharge and post-hospital care. Close relatives were regarded important and a potential advantage. Some informants tried to compensate for the absence of close relatives, highlighting the importance of care systems that can compensate for this to minimise avoidable inequity. Supplementary Information: The online version contains supplementary material available at 10.1007/s10433-022-00701-6.

3.
Expert Rev Clin Immunol ; 18(1): 31-45, 2022 01.
Article in English | MEDLINE | ID: mdl-34978241

ABSTRACT

INTRODUCTION: There is a wide spectrum of noninfectious gastrointestinal pathology, causing considerable morbidity and mortality in CVID, where both etiology and effective therapy are under debate. AREAS COVERED: This review will focus on the noninfectious inflammation in the GI tract in CVID patients, covering the both the upper and lower GI tract inflammation, including the liver. The controversy of the CVID enteropathy definition and that of gluten-free diet for celiac-like disease in CVID will be discussed. Furthermore, the review will cover the link between GI inflammation and GI cancer. Finally, the role of gut microbiota, IgA, and genetics and its relationship with CVID enteropathy is scrutinized. The authors reviewed literature from PubMed. EXPERT OPINION: The heterogeneity and the unknown mechanism behind CVID enteropathy, and thereby the lack of effective treatment, is one of the key challenges in the field of CVID. Celiac-like disease in CVID is due to immune dysregulation, and a gluten-free diet is therefore not indicated. Gut microbial dysbiosis and mucosal IgA can initiate systemic and local inflammation and is involved in the immune dysregulation in CVID. Considering the heterogeneity of CVID enteropathy, personalized medicine is probably the future for these patients.


Subject(s)
Common Variable Immunodeficiency , Gastrointestinal Microbiome , Diet, Gluten-Free , Dysbiosis , Humans , Inflammation
4.
Community Dent Health ; 38(4): 241-245, 2021 Nov 29.
Article in English | MEDLINE | ID: mdl-34185443

ABSTRACT

OBJECTIVE: The aim of the study was to investigate the separate and joint effects of household income and dental visits on tooth loss. BASIC RESEARCH DESIGN: Participants from the Social Inequality in Cancer Cohort (SIC) were followed in registers for household income (2000), dental visits (2002-2009) and tooth loss (2010-2016). Logistic regression was used to assess the effect of household income and dental visits on tooth loss, and linear models were applied to assess the separate and joint effects of household income and dental visits. RESULTS: In total, 10.8% of the participants had tooth loss (⟨15 teeth present). Low household income and irregular dental visits showed significantly higher odds ratios for tooth loss. Compared to regular dental visits, irregular dental visits accounted for 923 (95% CI 840 - 1,005) extra cases of tooth loss per 10,000 persons, and compared to high household income, low household income accounted for 1,294 (95% CI 1,124 - 1,464) additional cases of tooth loss per 10,000 persons. Further, due to household income-dental visit interaction, we observed 581 (95% CI 233 - 928) extra cases of tooth loss per 10,000 persons. CONCLUSION: Low household income and irregular dental visits are important in relation to social inequality in tooth loss. Irregular dental visits are associated with higher risk of tooth loss among persons with low household income compared to persons with high household income. Such interaction may be explained by differences in susceptibility to tooth loss across household income groups.


Subject(s)
Tooth Loss , Cohort Studies , Humans , Income , Socioeconomic Factors , Tooth Loss/epidemiology
5.
J Diabetes Complications ; 35(8): 107946, 2021 08.
Article in English | MEDLINE | ID: mdl-34053797

ABSTRACT

BACKGROUND: It has been suggested that long-term glycemic load as reflected in plasma levels of Glycosylated Hemoglobin, Type A1C (HbA1c) is associated with higher risk of depression, however results have been conflicting. We examined the potential association between HbA1c and risk of depression in a large population-based cohort without baseline diabetes (the Glostrup cohort) defined by either self-reported diabetes, registry diagnosis of diabetes or use of antidiabetic medication at baseline and in a national diabetes cohort (the Danish Adult Diabetes Database). METHODS: A total of 16,124 middle-aged individuals from the Glostrup cohort and 93,544 patients registered in the Danish Adult Diabetes Database were followed from the first registered HbA1c measurement (1999-2014) for subsequent diagnosis of depression or use of antidepressant medication in nation-wide Danish registers. The association was analyzed using a Cox proportional hazards regression model with HbA1c on both a continuous scale using restricted cubic splines and categorized based on the groups found in the spline model. We adjusted for relevant sociodemographic and clinical variables including previous depression and tested for interaction of both gender, insulin use and diabetes type. RESULTS: During follow-up, 2694 (17%) in the Glostrup cohort and 29,234 (31%) in the diabetes cohort developed depression. In the Glostrup cohort, we found an indication of a positive linear association between HbA1c and depression in women, while no clear association was found in men. In patients with diabetes, we found a U-shaped association between HbA1c and depression in both men and women with the lowest risk estimates for HbA1c levels of 58 mmol/mol (7.5%) in men and of 60 mmol/mol (7.6%) in women. When HbA1c was categorized, men with the highest HbA1c-levels had significantly elevated risk of depression (HRHbA1c>9.4 1.16 (95%CI 1.10-1.23)) after multifactorial adjustment compared to the reference group with HbA1c of 42.1-56.2 mmol/mol (6.0-7.3%). Women in the lowest and highest category of HbA1c had significantly higher risk of depression HRHbA1c<6.0 1.15 (95% CI 1.09-1.22) and HRHbA1c>9.3 1.10 (95% CI 1.04-1.16), respectively, compared to the reference group with HbA1c 42.1-55.0 mmol/mol (7.2-9.3%). There was a significant interaction with gender, but no interaction for insulin use or diabetes type. CONCLUSIONS: In a population without baseline diabetes, higher HbA1c levels seemed associated with higher depression risk in women, whereas a U-shaped association was found in patients with known diabetes.


Subject(s)
Depression , Diabetes Mellitus, Type 2 , Glycated Hemoglobin , Adult , Blood Glucose , Denmark , Depression/complications , Depression/epidemiology , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/epidemiology , Female , Glycated Hemoglobin/analysis , Humans , Insulins/therapeutic use , Male , Middle Aged , Risk Factors
6.
J Intern Med ; 290(3): 693-703, 2021 09.
Article in English | MEDLINE | ID: mdl-33978283

ABSTRACT

OBJECTIVES: (i) To estimate the prevalence and severity of coronary artery disease and (ii) to assess the risk of cardiovascular events and mortality, in patients with psoriasis and psoriatic arthritis (PsA) in a large-scale cohort of patients referred to coronary computed tomography angiography (CTA). METHODS: This was a cross-sectional study with follow-up of 46,022 patients based on data from a Danish national CTA registry. Exposure was defined as psoriasis or PsA. A group of patients without psoriasis, PsA or any other inflammatory disease was used as reference. Cross-sectional primary outcomes were a coronary artery calcium score (CACS) >0 and CACS ≥400, and secondary outcome was obstructive CAD. At follow-up, the primary outcome was a composite endpoint of cardiovascular events and all-cause mortality. All outcomes were adjusted for traditional cardiovascular risk factors. RESULTS: We identified 1356 psoriasis and 370 PsA patients. The adjusted odds ratio (OR) for psoriasis patients for CACS >0, CACS ≥400 and obstructive CAD was 1.26 (1.10-1.46), 1.25 (1.04-1.50) and 1.14 (0.98-1.33), respectively. For PsA patients, OR for CACS >0 was 1.28 (1.00-1.64). We found a crude hazard ratio (HR) of 1.49 (1.21-1.85) and adjusted HR of 1.14 (0.92-1.41) for the primary outcome in psoriasis patients. CONCLUSIONS: In this population, both psoriasis and PsA were associated with an increased prevalence of coronary calcification. Psoriasis patients also showed an increased prevalence of severe calcification. Psoriasis patients were at increased risk for cardiovascular events and death, however not after adjusting for the effect of other predictors.


Subject(s)
Arthritis, Psoriatic , Calcinosis , Coronary Artery Disease , Psoriasis , Arthritis, Psoriatic/complications , Arthritis, Psoriatic/epidemiology , Cohort Studies , Coronary Angiography , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/epidemiology , Cross-Sectional Studies , Disease Progression , Humans , Predictive Value of Tests , Prevalence , Prognosis , Psoriasis/complications , Psoriasis/epidemiology , Risk Assessment , Risk Factors
7.
Psychol Med ; : 1-6, 2021 Mar 16.
Article in English | MEDLINE | ID: mdl-33722322

ABSTRACT

BACKGROUND: Males have a lower prevalence of depression than females and testosterone may be a contributing factor. A comparison of opposite-sex and same-sex twins can be used indirectly to establish the role of prenatal testosterone exposure and the risk of depression. We therefore aimed to explore differences in depression risk using opposite-sex and same-sex twins. METHODS: We included 126 087 opposite-sex and same-sex twins from the Danish Twin Registry followed in nationwide Danish registers. We compared sex-specific incidences of depression diagnosis and prescriptions of antidepressants between opposite-sex and same-sex twins using Cox proportional hazard regression. RESULTS: During follow-up, 2664 (2.1%) twins were diagnosed with depression and 19 514 (15.5%) twins had purchased at least one prescription of antidepressants. First, in male twins, we found that the opposite-sex male twins had the same risk of depression compared to the same-sex male twins {hazard ratio (HR) = 1.01 [95% confidence interval (CI) 0.88-1.17)]}. Revealing the risk of use of antidepressants, the opposite-sex male twins had a slightly higher risk of 4% (HR = 1.04 (95% CI 1.00-1.11)) compared with the same-sex male twins. Second, in the female opposite-sex twins, we revealed a slightly higher, however, not statistically significant risk of depression (HR = 1.08 (95% CI 0.97-1.29)) or purchase of antidepressants (HR = 1.01 (95% CI 0.96-1.05)) when compared to the same-sex female twins. CONCLUSIONS: We found limited support for the hypothesis that prenatal exposure to testosterone was associated with the risk of depression later in life.

8.
JDR Clin Trans Res ; 6(4): 448-457, 2021 10.
Article in English | MEDLINE | ID: mdl-32816616

ABSTRACT

INTRODUCTION: Social and family conditions are likely of great importance to dental health; however, limited evidence of familial aggregation of caries among adolescent siblings exists. Moreover, social and family-level factors have never been evaluated as isolated caries predictors at the individual level. OBJECTIVES: The objectives were to evaluate socioeconomic patterning of caries among siblings, assess sibling-specific aggregation of caries within families, and examine if such aggregation differed by parental socioeconomic position (SEP). We also evaluated the discriminant ability of sibling caries, SEP, and other social and familial factors in predicting caries in cosiblings. METHODS: This nationwide register-based study included all 15-y-olds in Denmark in 2003 (index siblings) and their biological siblings born within ±3 y (cosiblings). Clinical and sociodemographic data for each subject were compiled from Danish national dental, social, and population registers. Caries was measured by the decayed, missing, and filled tooth surfaces (DMFS) index. Predictors included SEP (parental education, income, and occupational social class), gender, birth order, immigration status, and household type. Adjusted SEP-caries associations were estimated using negative binomial regression. Familial aggregation was evaluated using adjusted pairwise odds ratios from alternating logistic regressions. Caries prediction was based on classification and regression tree (CART) analyses. RESULTS: The study included 23,847 sibling pairs (n = 47,694). Socioeconomic patterning of caries was similar among the index and cosiblings with significant graded SEP-caries associations. Significant sibling-specific aggregation of caries was observed; cosiblings of caries-affected index siblings had odds of having caries 3.9 times (95% confidence interval: 3.65-4.18) as high as that of cosiblings with caries-free index siblings. This sibling similarity was stronger in socioeconomically disadvantaged families (adjusted pairwise odds ratios: 3.08-5.47). CART revealed index sibling caries as the single most important caries predictor, with caries predicted in ≥84% of cosiblings of adolescents with ≥3 carious tooth surfaces. CONCLUSIONS: Caries in a sibling should prompt preventive family-based approaches targeting cosiblings. KNOWLEDGE TRANSFER STATEMENT: This study revealed significant socioeconomic patterning of caries in adolescent siblings. Prediction modeling indicated that the single most important caries predictor among cosiblings was index sibling caries. Information on sibling caries level should be routinely combined with clinical evaluation to identify children at risk. Moreover, information on social and family conditions should be used to target prevention and health promotion at the school or municipal level. These approaches could possibly contribute to reducing the existing caries inequalities.


Subject(s)
Dental Caries , Siblings , Adolescent , Child , DMF Index , Dental Caries/epidemiology , Dental Caries Susceptibility , Humans , Social Class
9.
Acta Psychiatr Scand ; 142(6): 446-455, 2020 12.
Article in English | MEDLINE | ID: mdl-33010028

ABSTRACT

OBJECTIVE: Familial and genetic factors seem to contribute to the development of depression but whether this varies with age at diagnosis remains unclear. We examined the influence of familial factors on the risk of depression by age at first diagnosis. METHODS: We included 23 498 monozygotic and 39 540 same-sex dizygotic twins from the population-based Danish Twin Registry, followed from 1977 through 2011 in nationwide registers. We used time-to-event analyses accounting for censoring and competing risk of death to estimate cumulative incidence, casewise concordance, relative recurrence risk, and heritability of first depression by age using monozygotic and same-sex dizygotic twin pairs. RESULTS: During follow-up, a total of 1545 twins were diagnosed with depression. For twins at age 35 or younger at first depression, heritability was estimated to be 24.8% (95% confidence interval [CI], 4.6-43.1%), whereas at age 90 it was 14.7% (95% CI, 3.1-26.3%). The relative recurrence risk was higher at younger ages: At age 35, the risk was 27.7-fold (95% CI, 20.0-35.5) and 6.9-fold (95% CI, 3.9-9.8) higher than the population risk for monozygotic and same-sex dizygotic twins, respectively, while the corresponding numbers were 3.0 (95% CI, 2.3-3.6) and 1.8 (95% CI, 1.3-2.2) at age 90. Heritability seemed similar for male and female twins. CONCLUSION: Familial risk of depression, caused either by genes or shared environment, seemed to slightly decrease with age at diagnosis and an elevated concordance risk for monozygotic over same-sex dizygotic pairs suggested a genetic contribution to the development of depression.


Subject(s)
Depression/genetics , Genetic Predisposition to Disease/epidemiology , Genetic Predisposition to Disease/genetics , Registries/statistics & numerical data , Twins, Dizygotic/genetics , Adult , Age Factors , Cohort Studies , Denmark/epidemiology , Depression/diagnosis , Female , Humans , Male , Middle Aged , Population Surveillance , Risk Factors , Twins, Dizygotic/statistics & numerical data
11.
Acta Psychiatr Scand ; 140(6): 522-531, 2019 12.
Article in English | MEDLINE | ID: mdl-31487044

ABSTRACT

OBJECTIVE: To examine the incidence of suicidal and violent behaviour following initiation of antidepressant medication. METHOD: Cohorts of 997 911 conscripts and 95 794 patients with a first-time affective disorder were followed for purchase of antidepressant medication, suicide, suicide attempts and conviction for violent crime in Danish registries between 1997 through 2015. Incidence of outcomes was estimated for the first 28 days, 28-365 days or later after initiation of antidepressants or study entry. RESULTS: Of 16.5% of conscripts and 73.7% of patients with affective disorders initiated antidepressant medication. Incidence of suicide was 3-4 times higher during the first 28 days after initiation compared to the rates in the following year in both cohorts. A similar trend was seen among the untreated patients with affective disorders, whereas suicide incidence was stable at a low level among conscripts not treated with antidepressants. Incidence of attempted suicide was highest during the 28 days before and after initiation of antidepressants, while rates of violent crime were similar before and after initiation. These trends in incidence were independent of class of antidepressant. CONCLUSION: Higher rates of suicidal behaviour in the weeks following initiation of antidepressant medication probably reflect disease severity and a delay in mood response.


Subject(s)
Aggression , Antidepressive Agents/therapeutic use , Mood Disorders/drug therapy , Physical Abuse/statistics & numerical data , Registries , Suicide, Attempted/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Child , Cohort Studies , Denmark/epidemiology , Female , Humans , Male , Middle Aged , Young Adult
12.
Epidemiol Psychiatr Sci ; 29: e43, 2019 Aug 28.
Article in English | MEDLINE | ID: mdl-31455437

ABSTRACT

AIMS: To determine the risk of dementia in patients with type 1 or type 2 diabetes and in individuals with glycosylated haemoglobin, type A1C (HbA1c) of ⩾48 mmol/mol, which is the diagnostic limit for diabetes. METHODS: We included the following cohorts: all incident diabetes cases aged 15 or above registered in the National Diabetes Registry (NDR) from January 2000 through December 2012 (n = 148 036) and a reference population, adult participants from the Glostrup cohort (n = 16 801), the ADDITION Study (n = 26 586) and Copenhagen Aging and Midlife Biobank (CAMB) (n = 5408). Using these cohorts, we analysed if a diagnosis of type 1 or type 2 diabetes in the NDR or HbA1c level of ⩾ 6.5% (48 mmol/mol) in the cohorts increased risk of dementia in the Danish National Patient Registry or cognitive performance assessed by the Intelligenz-Struktur-Test 2000R (IST2000R). RESULTS: A diagnosis of type 1 or type 2 diabetes in the NDR was associated with increased risk of dementia diagnosed both before or after age 65 as well as across different subtypes of dementia. Self-reported diabetes or high HbA1c levels were associated with lower cognitive performance (p = 0.004), while high HbA1c was associated with increased risk of dementia (HR 1.94 (1.10-3.44) in the Glostrup cohort but not in the ADDITION Study (HR 0.96 (0.57-1.61)). CONCLUSIONS: Both type 1 and type 2 diabetes are associated with an increased risk of dementia, while the importance of screening-detected elevated HbA1c remains less clear.


Subject(s)
Cognitive Dysfunction/epidemiology , Dementia/epidemiology , Diabetes Mellitus, Type 1/epidemiology , Diabetes Mellitus, Type 2/epidemiology , Hyperglycemia/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Denmark/epidemiology , Diabetes Mellitus, Type 1/metabolism , Diabetes Mellitus, Type 2/metabolism , Female , Glycated Hemoglobin/metabolism , Humans , Male , Middle Aged , Risk Factors , Young Adult
13.
Acta Psychiatr Scand ; 140(3): 265-274, 2019 09.
Article in English | MEDLINE | ID: mdl-31306494

ABSTRACT

OBJECTIVE: Individuals with mood disorders have increased risk of cardiovascular disease. The aims of this study were to evaluate if the risk of cardiovascular disease in individuals with mood disorder could be explained by shared genetic and early environmental factors. METHODS: We included 6714 Danish middle and old aged twins from two large population-based studies. Cox proportional hazards regression was used to perform individual-level and intra-pair analyses of the association between self-reported depression symptomatology scores and register-based diagnoses of ischemic heart disease. RESULTS: Higher depression symptomatology scores (both total, affective, and somatic) were associated with higher incidence of ischemic heart disease after multivariable adjustment in individual-level analyses. In intra-pair analyses, this association was similar but with slightly larger confidence intervals. There was no interaction with gender and no major differences between mono- or dizygotic twins. Within twin pairs, the twin scoring highest on depressive symptoms developed ischemic heart disease more often or earlier than the lower scoring twin. A sensitivity analysis including a 2-year time lag of depression symptomatology to limit the risk of reverse causality showed similar results. CONCLUSION: Genetic factors and early life environment do not seem to explain the association between depressive mood and ischemic heart disease.


Subject(s)
Depression , Mood Disorders , Myocardial Ischemia , Aged , Aged, 80 and over , Cohort Studies , Comorbidity , Denmark/epidemiology , Depression/epidemiology , Depression/etiology , Depression/genetics , Female , Humans , Male , Middle Aged , Mood Disorders/epidemiology , Mood Disorders/etiology , Mood Disorders/genetics , Myocardial Ischemia/epidemiology , Myocardial Ischemia/etiology , Myocardial Ischemia/genetics
14.
Acta Anaesthesiol Scand ; 62(3): 357-366, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29282713

ABSTRACT

BACKGROUND: Follow-up of intensive care unit (ICU) patients often includes health-related quality of life (HRQoL) surveying, but non-responders hamper the interpretation. Our aim was to assess factors for non-response to HRQoL survey in ICU patients with septic shock at follow-up in a clinical trial. METHODS: In a post hoc follow-up registry study, we assessed all the Danish survivors in the Transfusion-Requirements in Septic Shock trial patients, who were mailed the Short Form 36-item Survey (SF-36) 1-year after randomization. We used covariates from the trial database merged with covariates from nation-wide registries using the unique national identification number to explore possible factors for not responding. Five covariates were pre-specified to be included in the primary multivariate analysis: age, number of days in hospital from randomization to follow-up, level of education, cohabitation and employment status at follow-up. We compared the mortality from 1-year survival (2012-2014) till end of final follow-up (January 2016) between non-responders and responders. RESULTS: We assessed 308 survivors of whom 108 (35%) were non-responders. In the primary analysis lower age (odds ratio 1.03, 95% CI [1.01-1.05]), more admission days in hospital (1.006 [1.001-1.011]) and living alone (4.33 [2.46-7.63]) were associated with non-responding, whereas the level of education and employment status were not. Non-responders had a hazard ratio of 1.63 [0.97-2.72] for mortality from 1-year follow-up to final follow-up as compared to the responders. CONCLUSION: Being younger, spending more days in hospital and living alone were all associated with non-response at 1-year HRQoL follow-up among ICU patients with septic shock.


Subject(s)
Quality of Life , Shock, Septic/psychology , Aged , Educational Status , Employment , Erythrocyte Transfusion , Female , Follow-Up Studies , Humans , Male , Middle Aged , Shock, Septic/mortality , Shock, Septic/therapy , Survivors
15.
Eur J Clin Nutr ; 71(5): 652-658, 2017 05.
Article in English | MEDLINE | ID: mdl-28247857

ABSTRACT

BACKGROUND/OBJECTIVES: For decades, the Mediterranean diet has been in focus regarding healthy eating as it has been associated with reduced risk of non-communicable diseases. Less interest has been given to health benefits of other regional diets. The aim of the present study was to assess whether adherence to a healthy Nordic food index was associated with lower risk of myocardial infarction (MI) among middle-aged Danes. SUBJECTS/METHODS: Data were obtained from the Danish Diet, Cancer and Health cohort study of 57 053 men and women aged 50-64 years recruited between 1993 and 1997. The healthy Nordic food index comprised healthy Nordic food items selected a priori (fish, cabbage, rye bread, oatmeal, apple and pears and root vegetables). Information on incident MI was ascertained through linkage with national registries. Hazard ratios (HR) with 95% confidence intervals (CI) were estimated from sex-specific Cox proportional hazard models. RESULTS: In total, 1669 men and 653 women developed MI during follow-up (13.6 median years). In adjusted models, those with an index score of 5-6 points (highest scores) had significantly lower MI risk (men: HR=0.77, 95% CI=0.62, 0.97; women: HR=0.55, 95% CI=0.37, 0.82) relative to those scoring 0 points in the index (lowest score). A significantly lower MI risk was found per 1-point increment in the index in both men (HR=0.95, 95% CI=0.92, 0.99) and women (HR=0.93, 95% CI=0.88, 0.98). CONCLUSIONS: A healthy Nordic diet is associated with lower MI risk among middle-aged Danes, suggesting that Nordic diets should be considered in recommendations for dietary changes in the promotion of coronary health.


Subject(s)
Diet, Healthy , Diet, Mediterranean , Myocardial Infarction/epidemiology , Neoplasms/epidemiology , Cohort Studies , Denmark , Female , Follow-Up Studies , Health Behavior , Humans , Male , Middle Aged , Myocardial Infarction/prevention & control , Neoplasms/prevention & control , Patient Compliance , Proportional Hazards Models , Prospective Studies , Risk Factors , White People
16.
Scand J Med Sci Sports ; 27(5): 474-481, 2017 May.
Article in English | MEDLINE | ID: mdl-28207959

ABSTRACT

Exercise lowers plasma triglyceride levels, but the physiological mechanisms remain not fully elucidated. Lipoprotein lipase (LPL) is a key enzyme in facilitating fatty acid uptake from lipoproteins. As exercise increases the efficiency of very low-density lipoprotein-triglyceride (VLDL-TG) oxidation, we hypothesized that muscle LPL activity would be a rate-limiting step and predict VLDL-TG Fatty acids oxidation during exercise. Sixteen healthy, lean subjects (eight men and eight women) were examined before and during an acute exercise bout (90 minutes at 50% of VO2-max). Heparin-releasable LPL activity was measured in muscle and adipose tissue biopsies. Breath 14 CO2 was measured after a primed-constant infusion of ex vivo labeled [14 C]-triolein VLDL-TG. Fractional VLDL-TG storage was measured in adipose tissue biopsies. Exercise did not affect muscle LPL activity (P=.30). No association was observed between muscle LPL activity and VLDL-TG oxidation, neither in the basal state (P=.17) nor during exercise (P=.83). Exercise did not affect upper body or lower body adipose tissue LPL activity (both P=.92). The basal adipose tissue fractional VLDL-TG storage (abdominal.13%±9%; femoral 17%±10% (P=.18)) was not associated with upper body (P=.56) or lower body (P=.44) subcutaneous adipose tissue LPL activity. Muscle LPL activity does not predict VLDL-TG oxidation during rest or exercise. In addition, adipose tissue LPL activity was not associated with VLDL-TG storage during rest. This suggests that LPL activity is present in excess of what is required to facilitate lipid uptake for oxidation during both rest and exercise.


Subject(s)
Adipose Tissue/metabolism , Lipoprotein Lipase/metabolism , Lipoproteins, VLDL/metabolism , Muscle, Skeletal/metabolism , Triglycerides/metabolism , Adult , Exercise/physiology , Female , Humans , Male , Oxidation-Reduction
17.
J Anim Sci ; 95(11): 4708-4717, 2017 Nov.
Article in English | MEDLINE | ID: mdl-29293724

ABSTRACT

The primary objective of this survey was to investigate the relationship between qualitative maternal behavioral scores (nest building activities, sow communication, and sow carefulness), piglet mortality, and the number of weaned piglets on commercial farms with loose-housed lactating (Norsvin Landrace × Yorkshire) sows. Second, the impact of these scores on productivity compared with the physical condition of sows (movement disorders, body condition, and shoulder lesions) was assessed. Data on maternal care behaviors and physical condition were collected on 895 sows from 45 commercial farms. Farmers scored sows on their physical condition (movement disorders [MD], BCS, and shoulder lesions [SL]) and qualitative maternal care behaviors (nest building activities [NEST] prior to farrowing and sow communication [COM] and sow carefulness [CARE] after farrowing, while sows were standing and moving and just before lying down). There was a low positive correlation between NEST and COM ( = 0.10, = 0.026) and between NEST and CARE ( = 0.15, = 0.010) but a high positive correlation between COM and CARE ( = 0.57, < 0.001). Higher COM and CARE were associated with lower piglet mortality ( ˂ 0.001 and = 0.013, respectively), and a greater number of weaned piglets was associated with higher scores for NEST ( = 0.009), COM ( < 0.001), and CARE ( = 0.009). Maternal care behavior had a greater impact on piglet mortality and the number of weaned piglets than sow physical condition (MD, BCS, and SL). We tested 7 different models (combinations of behavioral scores) and compared their relative predictive accuracies using Akaike information criteria. The model including COM and CARE had the best predictive accuracy for piglet mortality/weaned piglets. There was between-sow variation in maternal care behaviors (COM and CARE), and both were unaffected by litter size. Because these behaviors were also easy to score for the farmers, combining COM and CARE has the greatest potential to be tested in nucleus herds for calculation of genetic variation and heritability and should be taken into account in future breeding programs for sows.


Subject(s)
Maternal Behavior , Swine/physiology , Animals , Animals, Newborn , Female , Housing, Animal , Lactation , Litter Size , Phenotype , Pregnancy , Weaning
18.
J Anim Sci ; 94(8): 3550-3560, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27695774

ABSTRACT

The aim of this project was to study the consequences of litter investment on physical characteristics in primiparous and multiparous sows in 3 Norwegian breeds (Norsvin Duroc [ = 12], Norsvin Landrace [ = 12], and crossbreeds [Norsvin Landrace and Swedish Yorkshire { = 15}]). We predicted that the maternal sow line (Norsvin Landrace) would invest more in their litter in term of higher weight at birth, resulting in a higher litter weight of weaned piglets but with the consequence of greater loss in body condition and a higher prevalence of shoulder lesions. It was predicted that this should be more pronounced in primiparous sows than in multiparous sows. As predicted, the maternal pure line (Norsvin Landrace) had higher litter investment in terms of litter weight at birth ( = 0.003) and litter weight at weaning ( = 0.050) as well as higher total litter investment (litter weight at weaning plus weight of dead piglets [stillborn and mummified piglets and weight of piglets that died after farrowing but before weaning]; = 0.050) and suffered larger losses of body condition ( = 0.016) and had a higher prevalence of shoulder lesions ( = 0.008) during lactation than other breeds. Moreover, only in Norsvin Landrace was development of shoulder lesions related to inadequate feed consumption ( = 0.006). This has become a major welfare concern of modern pig breeding. Although primiparous and multiparous sows had similar litter sizes, primiparous sows had lower litter investment in terms of litter weight at birth ( = 0.032) and litter weight at weaning ( = 0.007) as well as total litter investment ( = 0.008). Primiparous sows suffered greater losses in body condition ( = 0.012) and developed more shoulder lesions ( = 0.026) due to lower total feed consumption ( < 0.001) during lactation than multiparous sows. Especially in the highly productive maternal line (Norsvin Landrace), development of shoulder lesions during the lactation period was more pronounced in primiparous sows than in multiparous sows ( < 0.001). The selection program has shifted the balance to greater investments in earlier life, when sows still need resources for their own growth and development. This has resulted in a larger number of weaned piglets but at a higher sow welfare cost in terms of higher losses in body condition and a higher prevalence of shoulder lesions. Our results pinpoint the importance of improving the balance between economic traits and traits that improve welfare and longevity of the sows.


Subject(s)
Litter Size/physiology , Swine/physiology , Animals , Body Weight , Breeding , Female , Lactation , Parity
19.
J Anim Sci ; 94(2): 780-8, 2016 Feb.
Article in English | MEDLINE | ID: mdl-27065148

ABSTRACT

Possible side effects of the current sow selection criteria on udder characteristics and their influence on teat use and functionality have not yet been investigated. The first aim of the present study was to investigate differences in udder morphology characteristics (distance between teats in a pair, teat length, and teat diameter) in 2 different pure breeds (Norsvin Duroc [ND; = 12] and Norsvin Landrace [NL; = 12]) and 1 crossbreed (Norsvin Landrace × Yorkshire [NL×Y; = 14]) at 3 different time periods (Days 1, 21, and 35) during lactation. Second, we also investigated the association between udder morphology and teat use on d 1 and if some of these characteristics influence whether teats become nonfunctional (from d 1 to 35) during lactation. During lactation, udder morphology (teat pair distance, teat length, and diameter of functional teats) and teat use (from 6 consecutive nursings: functional teats being used/not being used and which teat row [left or right] was uppermost) were documented. The NL had shorter distance between teat pairs than ND ( = 0.030). Teat pair distance increased with sows' parity ( = 0.010) and was affected by teat position ( < 0.001). The ND had shorter teats than NL and NL×Y ( < 0.001). Teat length and diameter increased with parity ( = 0.027 and = 0.043, respectively) and were affected by teat position ( < 0.001 and < 0.001, respectively). Functional teats were less used on d 1 postpartum (21.4%) than at 2 later time periods (10.4% on Day 21 and 4.7% on Day 35; < 0.001) during lactation. On d 1, the greater the distance between teat pairs in the middle and posterior position, the higher was the proportion of not-used functional teats ( = 0.003), with a larger decline in the lower teat row ( < 0.001), where approximately half of middle and posterior teats were not used. Proportion of not-used functional teats in the lower middle position increased when the teat pair distance exceeded 16 cm, whereas in the lower posterior position, this limit was 14 cm. Furthermore, the proportion of not-used teats on d 1 influenced teats becoming nonfunctional during lactation ( < 0.001). The greater the distance between pairs, the more teats became nonfunctional irrespective of teat position ( < 0.001). The present results suggest that teat pair distance is of importance for teat use in all breeds and should be included in the breeding program to ensure colostrum intake and maintain teat functionality during lactation.


Subject(s)
Breeding , Lactation/physiology , Mammary Glands, Animal/anatomy & histology , Swine/anatomy & histology , Animals , Colostrum , Female , Hybridization, Genetic , Parity , Postpartum Period , Pregnancy , Swine/genetics , Swine/physiology
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