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Cold-related cardiorespiratory symptoms among subjects with and without hypertension: the National FINRISK Study 2002.

https://arctichealth.org/en/permalink/ahliterature301017
Source
European Journal of Public Health. 2014 Apr;24(2):237-43. doi: 10.1093/eurpub/ckt078. Epub 2013 Jun 22.
Publication Type
Article
Date
2014
Author
Ikäheimo TM
Lehtinen T
Antikainen R
Jokelainen J
Näyhä S
Hassi J
Keinänen-Kiukaanniemi S
Laatikainen T
Jousilahti P
Jaakkola JJ
Source
European Journal of Public Health. 2014 Apr;24(2):237-43. doi: 10.1093/eurpub/ckt078. Epub 2013 Jun 22.
Date
2014
Language
English
Geographic Location
Finland
Publication Type
Article
Keywords
Adult
Aged
Cardiovascular diseases
Complications
Epidemiology
Cold Temperature
Female
Finland
Humans
Hypertension
Male
Middle Aged
Prevalence
Risk factors
Surveys and Questionnaires
Abstract
BACKGROUND: Exposure to cold weather increases blood pressure (BP) and may aggravate the symptoms and influence the prognosis of subjects with a diagnosis of hypertension. We tested the hypothesis that subjects with hypertension alone or in combination with another cardiovascular disease (CVD) experience cold-related cardiorespiratory symptoms more commonly than persons without hypertension. This information is relevant for proper treatment and could serve as an indicator for predicting wintertime morbidity and mortality.
METHODS: A self-administered questionnaire inquiring of cold-related symptoms was obtained from 6591 men and women aged 25-74 yrs of the FINRISK Study 2002 population. BP was measured in association with clinical examinations. Symptom prevalence was compared between subjects with diagnosed hypertensive disease with (n = 395) or without (n = 764) another CVD, untreated diagnosed hypertension (n = 1308), measured high BP (n = 1070) and a reference group (n = 2728) with normal BP.
RESULTS: Hypertension in combination with another CVD was associated with increased cold-related dyspnoea (men: adjusted odds ratio 3.94, 95% confidence interval 2.57-6.02)/women: 4.41, 2.84-6.86), cough (2.64, 1.62-4.32/4.26, 2.60-6.99), wheezing (2.51, 1.42-4.43/;3.73, 2.08-6.69), mucus excretion (1.90, 1.24-2.91/2.53, 1.54-4.16), chest pain (22.5, 9.81-51.7/17.7, 8.37-37.5) and arrhythmias (43.4, 8.91-211/8.99, 3.99-20.2), compared with the reference group. Both diagnosed treated hypertension and untreated hypertension and measured high BP resulted in increased cardiorespiratory symptoms during the cold season.
CONCLUSION: Hypertension alone and together with another CVD is strongly associated with cold-related cardiorespiratory symptoms. As these symptoms may predict adverse health events, hypertensive patients need customized care and advice on how to cope with cold weather.
PubMed ID
23794677 View in PubMed
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Occurrence and risk factors of frostbites at the population level with a special emphasis on working life

https://arctichealth.org/en/permalink/ahliterature257700
Source
Page 206 in S. Chatwood, P. Orr and Tiina Ikaheimo, eds. Proceedings of the 14th International Congress on Circumpolar Health, Yellowknife, Canada, July 11-16, 2009. Securing the IPY Legacy: from Research to Action. International Journal of Circumpolar Health 2010; 69 (Suppl 7).
Publication Type
Conference/Meeting Material
Date
2010
  1 document  
Author
Mäkinen TM
Jokelainen J
Näyhä S
Laatikainen T
Jousilahti P
Hassi J
Author Affiliation
Institute of Health Sciences, University of Oulu
Unit of General Practice, Oulu University Hospital, Oulu, Finland
Finnish Institute of Occupational Health, Oulu, Finland
National Institute for Health and Welfare, Helsinki, Finland
Source
Page 206 in S. Chatwood, P. Orr and Tiina Ikaheimo, eds. Proceedings of the 14th International Congress on Circumpolar Health, Yellowknife, Canada, July 11-16, 2009. Securing the IPY Legacy: from Research to Action. International Journal of Circumpolar Health 2010; 69 (Suppl 7).
Date
2010
Language
English
Geographic Location
Finland
Publication Type
Conference/Meeting Material
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Cold
Frostbite
Statistics
Tissue injuries
Work
Notes
Part of Abstracts: Oral Presentations. Chapter 5. Occupational Health in the North.
Documents
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Risk of dementia associated with the ApoE epsilon4 allele and falls causing head injury without explicit traumatic brain injury.

https://arctichealth.org/en/permalink/ahliterature93541
Source
Acta Neurol Scand. 2008 Sep;118(3):153-8
Publication Type
Article
Date
Sep-2008
Author
Luukinen H.
Jokelainen J.
Kervinen K.
Kesäniemi Y A
Winqvist S.
Hillbom M.
Author Affiliation
Department of Public Health Science and General Practice, University of Oulu, Unit of General Practice, Oulu University Hospital, Oulu, Finland. heikki.luukinen@oulu.fi
Source
Acta Neurol Scand. 2008 Sep;118(3):153-8
Date
Sep-2008
Language
English
Publication Type
Article
Keywords
Accidental Falls
Age of Onset
Aged
Alleles
Apolipoprotein E4 - genetics
Brain Injuries - epidemiology
Craniocerebral Trauma - epidemiology - genetics
Dementia - epidemiology - etiology
Female
Humans
Male
Retrospective Studies
Risk factors
Abstract
OBJECTIVES: Severe head injury (HI) and the apolipoprotein E (ApoE) epsilon4 allele are risk factors for dementia. The corresponding effect of falls causing HI without explicit traumatic brain injury (TBI) in association with the ApoE epsilon4 is not known. MATERIALS AND METHODS: Altogether 134 persons aged 70 years or older constituted a retrospective population sample, who scored > or =26 in the MiniMental State Examination (MMSE) test at baseline and were clinically examined for dementia 9 years afterward. Fall-related HI causing superficial laceration or bruises or wounds that require suturing were prospectively recorded during the 9-year follow-up. We used Cox regression with age at the diagnosis of dementia as a dependent variable. RESULTS: Twenty-eight (21%) subjects had falls causing HI without explicit TBI, the ApoE epsilon4 allele was seen in 44 (33%), and clinical dementia was diagnosed in 25 (19%). Adjusted for the baseline MMSE score, sex and educational status, the hazard ratio for subsequent dementia in subjects having falls with HI without explicit TBI and the ApoE epsilon4 allele as compared with those who do not possess these characteristics was 2.70 (95% confidence interval, 1.02-7.16). CONCLUSIONS: According to the results of this small retrospective study, falls with HI without explicit TBI in connection with the ApoE epsilon4 allele is associated with subsequent dementia among older adults.
PubMed ID
18307571 View in PubMed
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