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  • 1.
    Bygren, Lars Olov
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Weissglass, Gösta
    Umeå University, Faculty of Social Sciences, Department of Social and Economic Geography.
    Wikström, Britt-Maj
    Department of Psychosocial Medicine, Karolinska Institute, Stockholm, Sweden.
    Benson Konlaan, Boinkum
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Grjibovski, Andrej
    Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
    Karlsson, Ann-Brith
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Andersson, Sven-Olof
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Sjöström, Michael
    Department of Bioscience and Nutrition, Karolinska Institute, Stockholm, Sweden.
    Cultural participation and health: a randomized controlled trial among medical care staff.2009In: Psychosomatic Medicine, ISSN 0033-3174, E-ISSN 1534-7796, Vol. 71, no May, p. 469-473Article in journal (Refereed)
  • 2. McCaffery, Jeanne M.
    et al.
    Jablonski, Kathleen A.
    Franks, Paul W.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine. Department of Clinical Sciences, Lund University, Malmö, Sweden; Department of Nutrition, Harvard School of Public Health, Boston, MA.
    Delahanty, Linda M.
    Aroda, Vanita
    Marrero, David
    Hamman, Richard F.
    Horton, Edward S.
    Dagogo-Jack, Samuel
    Wylie-Rosett, Judith
    Barrett-Connor, Elizabeth
    Kitabchi, Abbas
    Knowler, William C.
    Wing, Rena R.
    Florez, Jose C.
    Replication of the Association of BDNF and MC4R Variants With Dietary Intake in the Diabetes Prevention Program2017In: Psychosomatic Medicine, ISSN 0033-3174, E-ISSN 1534-7796, Vol. 79, no 2, p. 224-233Article in journal (Refereed)
    Abstract [en]

    Objective: Genomewide association studies (GWAS) have identified consistent associations with obesity, with a number of studies implicating eating behavior as a primary mechanism. Few studies have replicated genetic associations with dietary intake. This study evaluates the association between obesity susceptibility loci and dietary intake. Methods: Data were obtained as part of the Diabetes Prevention Program (DPP), a clinical trial of diabetes prevention in persons at high risk of diabetes. The association of 31 genomewide association studies identified obesity risk alleles with dietary intake, measured through a food frequency questionnaire, was investigated in 3,180 participants from DPP at baseline. Results: The minor allele at BDNF, identified as protective against obesity, was associated with lower total caloric intake (beta = -106.06, SE = 33.13; p = .0014) at experimentwide statistical significance (p = .0016), whereas association of MC4R rs571312 with higher caloric intake reached nominal significance (beta = 61.32, SE = 26.24; p = .0194). Among non-Hispanic white participants, the association of BDNF rs2030323 with total caloric intake was stronger (beta = -151.99, SE = 30.09; p < .0001), and association of FTO rs1421085 with higher caloric intake (beta = 56.72, SE = 20.69; p = .0061) and percentage fat intake (beta = 0.37, SE = 0.08; p =. 0418) was also observed. Conclusions: These results demonstrate with the strength of independent replication that BDNF rs2030323 is associated with 100 to 150 greater total caloric intake per allele, with additional contributions of MC4R and, in non-Hispanic white individuals, FTO. As it has been argued that an additional 100 kcal/d could account for the trends in weight gain, prevention focusing on genetic profiles with high dietary intake may help to quell adverse obesity trends.

  • 3. Trudel-Fitzgerald, Claudia
    et al.
    Poole, Elizabeth M.
    Idahl, Annika
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
    Lundin, Eva
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Pathology.
    Sood, Anil K.
    Kawachi, Ichiro
    Kubzansky, Laura D.
    Tworoger, Shelley S.
    The Association of Work Characteristics With Ovarian Cancer Risk and Mortality2017In: Psychosomatic Medicine, ISSN 0033-3174, E-ISSN 1534-7796, Vol. 79, no 9, p. 1059-1067Article in journal (Refereed)
    Abstract [en]

    Objective: Ovarian cancer (OvCA) is a leading cause of cancer death for women. Depression and social isolation have been associated with a higher OvCA risk and poorer survival, but other forms of chronic psychosocial stress, including work-related characteristics, remain understudied. Methods: Women from three prospective cohorts (Nurses' Health Study: n = 31,754; Nurses' Health Study II: n = 74,260; Northern Sweden Health and Disease Study: n(nested case-control study) = 196) completed a job questionnaire, assessing demand and control at work, social support provided by coworkers and supervisor, and job security. Multivariate Cox and conditional logistic regression models estimated hazard ratios (Nurses' Health Study/Nurses' Health Study II) and odd ratios (Northern Sweden Health and Disease Study) of OvCA risk and mortality among cases. Random coefficient models were used for meta-analyses. Results: There were 396 OvCA cases and 186 deaths during follow-up. Overall, job strain, strain chronicity, social support, and job security were not significantly associated with OvCA risk (e.g., pooled relative risk [RR](high demand/low control) = 1.06, confidence interval [CI] = 0.72-1.55) or mortality (e.g., pooled RRhigh demand/low control = 1.08, CI = 0.64-1.82). When considered individually, compared with low levels, only moderate levels of demand were associated with a reduced OvCA risk (pooled RR = 0.66, CI = 0.49-0.90). Social support provided by the coworker or the supervisor did not moderate the association of job strain with either OvCA risk or overall mortality. Conclusions: We did not observe clear associations between work characteristics and OvCA incidence or mortality, but further research with diverse populations is warranted.

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