HAPIEE project
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PURPOSE: to analyze population values of blood lipid parameters in general populations of Russia, Poland and Czech Republic. MATERIALS AND METHODS: In the frame of international project HAPIEE representative samples of general population were examined in Novosibirsk (Russia), Krakow (Poland) and six centers in the Czech Republic. The analysis included data of 25,469 men and women aged 45-69 years old. RESULTS: The average levels of total cholesterol (TC), non-high density lipoprotein cholesterol (non-HDL-C) and low density lipoprotein cholesterol (LDL-C) were found relatively high in all centers, though average levels of blood triglycerides (TG) and high-density lipoprotein (HDL) were within "normal" range. In Novosibirsk mean levels of blood TC and LDL-C in persons of both sexes were obtained the highest among the study participants: 6.3 mmol/ and 4.1 mmol/l, respectively (p < 0.001). But the level of blood triglycerides (1.5 mmol/l) in Novosibirsk was the lowest, and HDL-C (1.5 mmol/l) was the highest among three centres. There were clear trend of increasing concentration of blood TC, non-HDL-C,LDL-C and blood atherogenic indexes with increasing age in both sexes of all participating countries. In Czech Republic levels of blood TC, LDL-C, HDL-C in both sexes were relatively low: 5.7 mmol/l, 3.5 mmol/l, 1.4 mmol/l, respectively, but the level of blood TG were higher, than in other centers (1.9 mmol/l). Women of all centers had more demonstrative age changes of the blood lipid profile, than men. CONCLUSIONS: The average levels of blood TC, non-HDL-C and LDL-C in men and women aged 45-69 years old in Russia (Novosibirsk) were higher and level of blood TG was lower than in Poland and the Czech Republic.
- MeSH
- dyslipidemie krev epidemiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- lipidy krev MeSH
- morbidita trendy MeSH
- následné studie MeSH
- retrospektivní studie MeSH
- senioři MeSH
- surveillance populace * MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Česká republika MeSH
- Polsko MeSH
- Rusko MeSH
We aimed to investigate the relationship between the indicators of cognitive functions (CF) and modifiable risk factors for chronic non-communicable diseases (NCD) in a cross-sectional analysis in the urban Russian population sample aged 55-84 years. The study investigated a random sample of 3 153 people (men and women 55-84 years old) from a general population cohort of Novosibirsk residents; a sample was examined within the international project HAPIEE. The study protocol included standardized neuropsychological tests (quantitative assessment of memory, semantic verbal fluency, attention and processing speed) and standardized assessment of risk factors, history and treatment of cardiovascular disease and NCD. In cross-sectional analysis we observed a positive relationship of CF indices with level of education and an inverse relationship with metabolic risk factors and smoking in both sexes. The level of total cholesterol and moderate alcohol consumption had positive relationship with CF indices in women. These associations were independent from age and other factors.
We used quantitative real-time PCR method to analyse mtDNA copy number in a random subsample (n=996; 358 men aged 66,31±7,24 years; 468 women aged 67,62±7,1 years) selected from a population cohort (n=9 630) examined at baseline in international project HAPIEE in Novosibirsk, Russia, in 2003-2005. The participants were re-examined after 12 years in 2015-2017. The average relative number of mtDNA copies in peripheral blood leukocytes was greater in women than in men, independently of age and smoking (p=0,001). mtDNA copy number was inversely correlated with age both in men (p=0,005) and women (p<0,001). In age adjusted analysis, mtDNA copy number was inversely associated with waist, hip and heart rate in both sexes. In addition, mtDNA copy number in women was inversely associated with triglycerides and glucose, aterogenity index and positively with HDL cholesterol. In men, mtDNA copy number was positively associated with physical activity. The age-adjusted mean of mtDNA copy number among male never-smokers was greater than in smokers (p=0,003), and the mean mtDNA copy number was lower in women with diabetes than in women without diabetes (p=0,005). In both sexes, subjects with baseline history of hypertension had lower mtDNA copy number after 12-year follow-up than those without hypertension (p=0,05). This broadly supports the hypothesis that mtDNA copy number may act as biomarker of ageing.
- MeSH
- biologické markery * analýza MeSH
- diagnóza * MeSH
- leukocyty * metabolismus MeSH
- lidé středního věku MeSH
- lidé MeSH
- mitochondriální DNA * MeSH
- rizikové faktory MeSH
- senioři MeSH
- sexuální faktory MeSH
- stárnutí * genetika MeSH
- variabilita počtu kopií segmentů DNA * MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Rusko MeSH
Závěrečná zpráva o řešení grantu Agentury pro zdravotnický výzkum MZ ČR
nestr.
Onemocnění mozku, jako jsou kognitivní poruchy a deprese, jsou nejvýznamnější příčinou zdravotního postižení a pracovní neschopnosti u starších dospělých. Naším cílem je studovat úlohu biologického stárnutí ve zranitelnosti vůči kognitivním a afektivním poruchám z hlediska celoživotní perspektivy. V pracovním balíčku 1 budeme analyzovat longitudinální údaje o kognitivních schopnostech a depresivních příznacích v české části studie HAPIEE (n = 8 856 jedinců ve věku 58 let na začátku studie v roce 2002, 53 % žen). Vzhledem k tomu, že nedávné studie odhalily u lidí mladších 30 let změny na mozku, dříve očekávány pouze ve starším věku, v pracovním balíčku 2 pozveme členy prenatální kohorty z Evropské longitudinální studie těhotenství a dětství (ELSPAC), kteří se v roce 2015 zúčastnili neurozobrazovacího vyšetření (n = 131; věk 23-24 let; 53% žen) na druhé převyšetření (věk 28-29 let). Dále budeme hodnotit jejich DNA epigenetický věk, biologický věk, kardiovaskulární rizikové faktory, kognici, náladu a úzkost.; Brain disorders, such as cognitive impairment and depression, are strongest contributors to disability in older adults. We aim to take a life-course perspective and study the role of biological aging on vulnerability to cognitive and affective disorders. In work package 1, we will analyze longitudinal data on cognitive performance and depression from the Czech arm of the study Health, Alcohol and Psychosocial factors In Eastern Europe (HAPIEE; n=8 856 individuals, aged 58 years at baseline in 2002, 53% women). Since recent studies suggest that alterations in the brain, previously believed to occur only in later life, are present already in young adults before they reach their 30th birthday, work package 2 of the current project will invite members of the prenatal birth cohort from European Longitudinal Study of Pregnancy and Childhood (ELSPAC) who took part in its neuroimaging follow-up in 2015 (n=131; age 23-24; 53% women) to a second neuroimaging follow-up (age 28-29) and assess their DNA epigenetic age, biological age, cardiovascular risk factors, cognition, mood and anxiety.
- Klíčová slova
- biomarkery, biomarkers, duševní zdraví, Mental health, stárnutí, aging, mozek, brain,
- NLK Publikační typ
- závěrečné zprávy o řešení grantu AZV MZ ČR
We investigated the relationship between 'epigenetic age' (EA) derived from DNA methylation (DNAm) and myocardial infarction (MI)/acute coronary syndrome (ACS). A random population sample was examined in 2003/2005 (n = 9360, 45-69, the HAPIEE project) and followed up for 15 years. From this cohort, incident MI/ACS (cases, n = 129) and age- and sex-stratified controls (n = 177) were selected for a nested case-control study. Baseline EA (Horvath's, Hannum's, PhenoAge, Skin and Blood) and the differences between EA and chronological age (CA) were calculated (ΔAHr, ΔAHn, ΔAPh, ΔASB). EAs by Horvath's, Hannum's and Skin and Blood were close to CA (median absolute difference, MAD, of 1.08, -1.91 and -2.03 years); PhenoAge had MAD of -9.29 years vs. CA. The adjusted odds ratios (ORs) of MI/ACS per 1-year increments of ΔAHr, ΔAHn, ΔASB and ΔAPh were 1.01 (95% CI 0.95-1.07), 1.01 (95% CI 0.95-1.08), 1.02 (95% CI 0.97-1.06) and 1.01 (0.93-1.09), respectively. When classified into tertiles, only the highest tertile of ΔAPh showed a suggestion of increased risk of MI/ACS with OR 2.09 (1.11-3.94) independent of age and 1.84 (0.99-3.52) in the age- and sex-adjusted model. Metabolic modulation may be the likely mechanism of this association. In conclusion, this case-control study nested in a prospective population-based cohort did not find strong associations between accelerated epigenetic age markers and risk of MI/ACS. Larger cohort studies are needed to re-examine this important research question.
- Publikační typ
- časopisecké články MeSH
Aim To analyze frequency and profile of the lipid-lowering therapy (LLT) in patients with dyslipidemia (DLP) and cardiometabolic diseases (CMD) in a population sample aged 55-84 years at the current time (2015-2017).Material and methods Despite guidelines on DLP treatment and the availability of effective and safe lipid-lowering drugs, control of DPL in primary and secondary prevention of cardiovascular diseases (CVD) is insufficient. Knowledge of the level of pharmaceutical correction of DLP in the Russian population is limited; it requires an LLT assessment in various regions and in a wide age range, and a regular monitoring taking into account changing approaches to the correction of DLP. A random population of men and women aged 55-84 years (n=3 896) was evaluated in Novosibirsk in 2015-2017 (project HAPIEE). A joint DLP category was established as low-density lipoprotein cholesterol (LDL-C) ≥3.0 mmol/l, or total cholesterol (TC) ≥5.0 mmol/l, or triglycerides (TG) ≥1.7 mmol/l, or LLT. The combined group of DLP and CMD included ischemic heart disease (IHD), type 2 diabetes mellitus (DM2), and DLP. Regular LLD treatment for the recent 12 months, excluding the dosage of medicines, was assessed using the Anatomic Therapeutic Chemical (ATC) classification. The conditional control of serum lipids was taken as the achievement of LDL-C <3.0 mmol/l, TC <5.0 mmol/l, and TG <1.7 mmol/l.Results In the study sample, the total prevalence of DLP and CMD was 88 % (82.8 % for men and 91.3 % for women, p<0.001). 48.3% of patients in the IHD group, 35.0% in the DM2 group, 29.4% in the DLP group, and 32.8% in the CMD group took LLT. Control of serum lipids was achieved in 18.3% (37.9 % of patients on LLT) of patients with IHD; 9 % (25.6 % of patients on LLT) of patients with DM2; 7.3 % (24.8 % of patients on LLT) of patients with DLP; and 9.0 % (27.6 % of patients on LLTсреди) in the DLP and CMD group. Women with DM2 and DLP more frequently achieved lipid control than men (p<0.001). 98.7 % of study participants took statins as LLT.Conclusion In the sample of urban population aged 55-84 years in 2015-2017, 90 % of patients had DLP or CMD, and at least 3⁄4 of them required blood lipid control. The lipid control was achieved in every fifth IHD patient and in approximately 40% of those who took LLT. For DM2 or DLP patients, the lipid control was achieved in every tenth patient and in approximately 25% of those receiving LLT. Frequency of lipid control in IHD patients was comparable for men and women; in DM2 and DLP, men less frequently achieved the lipid control than women. About 70% of patients in the combined DLP and CMD group and more than 50% of IHD patients did not take LLT, which considerably contributed to the insufficient lipid control in primary and secondary prevention of atherosclerotic CVDs in this population.
... Tauferová E Smutný V 39 -- Post-Marketing Studies: -- Pohl M 40 -- The Effort-Reward Imbalance: the HAPIEE ... ... Health Record: -- Veselý A ZvárováJ., Peleška J., В uditela D., Anger Z 53 -- EHR Standards and Projects ... ... Research: -- Marik V 147 -- Evaluation of Teleconsultation Activities: -- KernJ 148 -- Infrastructure Projects ... ... Stoicu-Tivadar V 152 -- Establishing and Developing of the Medical Informatics Resource Center (MIRC) -- Project ... ... - Medication Information Registry in the Netherlands: de Jong T 172 -- The GP to GP Communication Project ...
184 s. ; 22 cm
- MeSH
- lékařská informatika MeSH
- lékařství MeSH
- výpočetní biologie MeSH
- Publikační typ
- abstrakt z konference MeSH
- sborníky MeSH
- Konspekt
- Lékařské vědy. Lékařství
- NLK Obory
- lékařská informatika