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Association between duration of untreated psychosis and brain morphology in schizophrenia within the Northern Finland 1966 Birth Cohort.

https://arctichealth.org/en/permalink/ahliterature140885
Source
Schizophr Res. 2010 Nov;123(2-3):145-52
Publication Type
Article
Date
Nov-2010
Author
Matti Penttilä
Erika Jääskeläinen
Marianne Haapea
Päivikki Tanskanen
Juha Veijola
Khanum Ridler
Graham K Murray
Anna Barnes
Peter B Jones
Matti Isohanni
Hannu Koponen
Jouko Miettunen
Author Affiliation
University of Oulu, Institute of Clinical Medicine, Department of Psychiatry, P.O. Box 5000, FIN-90014 Oulu, Finland. mattipen@mail.student.oulu.fi
Source
Schizophr Res. 2010 Nov;123(2-3):145-52
Date
Nov-2010
Language
English
Publication Type
Article
Keywords
Adult
Brain - pathology
Diagnostic and Statistical Manual of Mental Disorders
Female
Finland - epidemiology
Follow-Up Studies
Functional Laterality
Hippocampus - pathology
Humans
Limbic System - pathology
Magnetic Resonance Imaging
Male
Medical Records Systems, Computerized
Psychotic Disorders - etiology - pathology
Regression Analysis
Schizophrenia - diagnosis - pathology
Schizophrenic Psychology
Time Factors
Abstract
Duration of untreated psychosis (DUP) has been linked with poor prognosis and changes in the brain structure in schizophrenia at least at the beginning of the disease, but it is still unknown whether DUP relates to brain morphometry in the longer term. Our aim was to analyze the relation between DUP and the brain structure in schizophrenia in the general population, after several years of illness.
Brains of subjects with psychosis from the Northern Finland 1966 Birth Cohort (NFBC 1966) were scanned with MRI during 1999-2001 after an 11-year follow-up. DUP was assessed from medical records and regressed against global and local tissue density measurements. The brain morphometric and the DUP information were available for 46 subjects with DSM-III-R schizophrenia.
The DUP did not correlate with volumes of the total gray or white matter or the cerebrospinal fluid. The length of DUP associated positively with reduced densities of the right limbic area and the right hippocampus.
Long DUP was slightly associated with reductions of gray matter densities in the limbic area and especially the hippocampus after several years follow-up, supporting the hypothesis that, compared to short DUP, long DUP might be a marker of different disease trajectories including subtle morphometric changes.
PubMed ID
20832996 View in PubMed
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Association between salt intake, heart rate and blood pressure.

https://arctichealth.org/en/permalink/ahliterature210196
Source
J Hum Hypertens. 1997 Jan;11(1):57-62
Publication Type
Article
Date
Jan-1997
Author
D. Rastenyte
J. Tuomilehto
V. Moltchanov
J. Lindström
P. Pietinen
A. Nissinen
Author Affiliation
Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland.
Source
J Hum Hypertens. 1997 Jan;11(1):57-62
Date
Jan-1997
Language
English
Publication Type
Article
Keywords
Adult
Blood Pressure - drug effects
Data Interpretation, Statistical
Female
Finland
Heart Rate - drug effects
Humans
Male
Middle Aged
Random Allocation
Regression Analysis
Risk factors
Sodium Chloride, Dietary - adverse effects
Abstract
The present study investigated the association between 24-h urinary sodium excretion and heart rate in the determination of blood pressure (BP) levels in a large random population sample from eastern Finland. Three independent risk factor surveys were performed in 1979, 1982 and 1987 using the same methodology. Data from each survey was pooled for subjects aged 25-64 years who reported a complete 24-h urine collection and were not on the current antihypertensive treatment (1640 men and 1686 women). The effect of urinary sodium excretion and heart rate was examined by regressing BP on urinary sodium excretion and pulse rate, together with age and body mass index (BMI). Analyses stratified by quintiles of heart rate were also performed. There was no association between urinary sodium and BP either in men or in women. There was a significant correlation between heart rate and both systolic and diastolic BP in both men and women. A significant interaction between age and BMI with heart rate was also found in both sexes. Interaction between urinary sodium and heart rate was found neither in men nor in women. Among men, after adjustment for age and BMI, there was a curvilinear relation between 24-h urinary excretion of sodium and diastolic BP (P = 0.054) in the lowest quintile of heart rate (
PubMed ID
9111159 View in PubMed
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Association between the duration of untreated psychosis and short- and long-term outcome in schizophrenia within the Northern Finland 1966 Birth Cohort.

https://arctichealth.org/en/permalink/ahliterature118694
Source
Schizophr Res. 2013 Jan;143(1):3-10
Publication Type
Article
Date
Jan-2013
Author
Matti Penttilä
Jouko Miettunen
Hannu Koponen
Merja Kyllönen
Juha Veijola
Matti Isohanni
Erika Jääskeläinen
Author Affiliation
University of Oulu, Institute of Clinical Medicine, Department of Psychiatry, Oulu, Finland. mattipen@paju.oulu.fi
Source
Schizophr Res. 2013 Jan;143(1):3-10
Date
Jan-2013
Language
English
Publication Type
Article
Keywords
Association
Cohort Studies
Community Health Planning
Female
Finland - epidemiology
Hospitalization - statistics & numerical data
Humans
Longitudinal Studies
Male
Middle Aged
Psychotic Disorders - epidemiology - therapy
Regression Analysis
Schizophrenia - epidemiology - therapy
Sex Factors
Time Factors
Abstract
Long duration of untreated psychosis (DUP) may relate to poor outcome in schizophrenia. However, the associations between DUP and outcomes, particularly in later course of illness, remain unclear. Our aim was to explore the associations between DUP and short- and long-term outcomes in schizophrenia.
Data was collected for subjects with schizophrenia (n=89) in the population-based Northern Finland 1966 Birth Cohort. DUP was obtained from medical records, and its associations with short- (under 2years) and long-term clinical and social outcomes were assessed extending to 20years after the onset of the illness.
Longer DUP predicted longer length of first hospitalisation and increased the risk of rehospitalisation during the first two years. Longer DUP associated with decreased probability of disability pension, smaller amount of time spent in hospital, and higher proportion of time at work during the first 10years of the follow-up.
Regarding early outcome, long DUP may be a modest marker and proxy measure of a more severe clinical phenotype. The divergent results of earlier studies and the association between long DUP and better long-term outcome in our study, indicate that the length of DUP does not necessarily predict poor outcome in long-term follow-up. This may also be due to methodical difficulties, e.g. insufficient power and residual confounding linked to long follow-up studies.
PubMed ID
23178106 View in PubMed
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Brain structure in different psychosis risk groups in the Northern Finland 1986 birth cohort.

https://arctichealth.org/en/permalink/ahliterature262202
Source
Schizophr Res. 2014 Mar;153(1-3):143-9
Publication Type
Article
Date
Mar-2014
Author
Andres Roman-Urrestarazu
Graham K Murray
Anna Barnes
Jouko Miettunen
Erika Jääskeläinen
Pirjo Mäki
Juha Nikkinen
Jukka Remes
Sari Mukkala
Jenni Koivukangas
Markus Heinimaa
Irma Moilanen
John Suckling
Vesa Kiviniemi
Peter B Jones
Juha Veijola
Source
Schizophr Res. 2014 Mar;153(1-3):143-9
Date
Mar-2014
Language
English
Publication Type
Article
Keywords
Adult
Brain - pathology
Cohort Studies
Female
Finland
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Male
Prodromal Symptoms
Psychiatric Status Rating Scales
Psychomotor Performance
Psychotic Disorders - classification - pathology
Questionnaires
Regression Analysis
Risk factors
Abstract
We tested the hypothesis that family risk for psychosis (FR) and clinical risk for psychosis (CR) are associated with structural brain abnormalities, with increased deficits in those at both family risk and clinical risk for psychosis (FRCR). The study setting was the Oulu Brain and Mind Study, with subjects drawn from the Northern Finland 1986 Birth Cohort (n=9479) using register and questionnaire based screening, and interviews using the Structured Interview for Prodromal Symptoms. After this procedure, 172 subjects were included in the study, classified as controls (n=73) and three risk groups: FR excluding CR (FR, n=60), CR without FR (CR, n=26), and individuals at both FR and CR (FRCR, n=13). T1-weighted brain scans were acquired and processed in a voxel-based analysis using permutation-based statistics. In the comparison between FRCR versus controls, we found lower grey matter volume (GMV) in a cluster (1689 voxels at -4.00, -72.00, -18.00mm) covering both cerebellar hemispheres and the vermis. This cluster was subsequently used as a mask to extract mean GMV in all four groups: FR had a volume intermediate between controls and FRCR. Within FRCR there was an association between cerebellar cluster brain volume and motor function. These findings are consistent with an evolving pattern of cerebellar deficits in psychosis risk with the most pronounced deficits in those at highest risk of psychosis.
PubMed ID
24462264 View in PubMed
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Changes in alcohol use in relation to sociodemographic factors in early midlife.

https://arctichealth.org/en/permalink/ahliterature275744
Source
Scand J Public Health. 2016 May;44(3):249-57
Publication Type
Article
Date
May-2016
Author
Daniel Vladimirov
Solja Niemelä
Juha Auvinen
Markku Timonen
Sirkka Keinänen-Kiukaanniemi
Leena Ala-Mursula
Jaana Laitinen
Jouko Miettunen
Source
Scand J Public Health. 2016 May;44(3):249-57
Date
May-2016
Language
English
Publication Type
Article
Keywords
Adult
Alcohol drinking - epidemiology
Educational Status
Employment - statistics & numerical data
Female
Finland - epidemiology
Humans
Male
Marital Status - statistics & numerical data
Middle Aged
Prospective Studies
Regression Analysis
Risk factors
Sex Distribution
Abstract
To describe changes in alcohol use in relation to employment, education and relationship statuses in a general population sample in early midlife using prospective birth cohort data.
In the Northern Finland Birth Cohort 1966 (N=5621) alcohol use was studied in participants at two time points: ages 31 and 46. The total mean consumption was calculated and participants were classified into steady drinkers, increasers and reducers based on the change in consumption between the ages of 31 and 46. Multinomial regression analysis was conducted with changes in employment and relationship statuses.
Daily alcohol consumption rose by 30% for men and 40% for women. Persons who were unemployed, single or had a low level of education consumed most. Of the alcohol users, 70% were classified as steady drinkers, 10% as reducers and 20% as increasers. For men, leaving a relationship (odds ratio, OR 1.5; 95% confidence interval, CI: 1.0-2.1) predicted increased alcohol use. The predictors of reducing consumption were entering a relationship for men (OR 1.9; 95% CI: 1.2-2.9) and women (OR 1.9; 95% CI: 1.1-3.1), and leaving a relationship (OR 2.6; 95% CI: 1.6-4.3) for women.
Alcohol consumption among Finns of northern origin does not seem to decline with age. Alcohol usage is fairly stable in the majority of middle-aged people. A substantial proportion of alcohol users engage in either binge or heavy drinking. Gender differences in predictors exist-- changes in relationship status predict a reduction in alcohol usage in women, whereas in men, divorce predicts an increase in usage.
PubMed ID
26685194 View in PubMed
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Diabetes mellitus, impaired glucose tolerance and mortality among elderly men: the Finnish cohorts of the Seven Countries Study.

https://arctichealth.org/en/permalink/ahliterature223332
Source
Diabetologia. 1992 Aug;35(8):760-5
Publication Type
Article
Date
Aug-1992
Author
J H Stengård
J. Tuomilehto
J. Pekkanen
P. Kivinen
E. Kaarsalo
A. Nissinen
M J Karvonen
Author Affiliation
National Public Health Institute, Department of Epidemiology, Helsinki, Finland.
Source
Diabetologia. 1992 Aug;35(8):760-5
Date
Aug-1992
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Blood pressure
Body mass index
Cholesterol - blood
Cohort Studies
Diabetes Mellitus - epidemiology - mortality - physiopathology
Finland - epidemiology
Follow-Up Studies
Humans
Hyperglycemia - epidemiology - mortality - physiopathology
Male
Mortality
Multivariate Analysis
Obesity - epidemiology - mortality - physiopathology
Regression Analysis
Risk factors
Smoking - epidemiology - mortality
Abstract
We studied the association of glucose intolerance with total and cause-specific mortality during a 5-year follow-up of 637 elderly Finnish men aged 65 to 84 years. Total mortality was 276 per 1000 for men aged 65 to 74 years and 537 per 1000 for men aged 75 to 84 years. Five-year total mortality adjusted for age was 364 per 1000 in diabetic men, 234 per 1000 in men with impaired glucose tolerance and 209 per 1000 in men with normal glucose tolerance. The relative risk of death among diabetic men was 2.10 (95% confidence interval 1.26 to 3.49) and among men with impaired glucose tolerance 1.17 (95% confidence interval 0.71 to 1.94) times higher compared with men with normal glucose tolerance. Cardiovascular disease was the most common cause of death in every glucose tolerance group. The multivariate adjusted relative risk of cardiovascular death was increased (1.55) in diabetic patients, albeit non-significantly (95% confidence interval 0.84 to 2.85). Diabetes resulted in an increased risk of cardiovascular mortality among men aged 65-74 years but not among the 75- 84-year-old men. Relative risk of death from non-cardiovascular causes was slightly increased among diabetic subjects. In conclusion, diabetes mellitus is a significant determinant of mortality among elderly Finnish men.
PubMed ID
1511803 View in PubMed
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Dietary factors determining diabetes and impaired glucose tolerance. A 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study.

https://arctichealth.org/en/permalink/ahliterature214653
Source
Diabetes Care. 1995 Aug;18(8):1104-12
Publication Type
Article
Date
Aug-1995
Author
E J Feskens
S M Virtanen
L. Räsänen
J. Tuomilehto
J. Stengård
J. Pekkanen
A. Nissinen
D. Kromhout
Author Affiliation
Department of Chronic Diseases and Environmental Epidemiology, National Institute of Public Health and Environmental Protection, Bilthoven, The Netherlands.
Source
Diabetes Care. 1995 Aug;18(8):1104-12
Date
Aug-1995
Language
English
Publication Type
Article
Keywords
Cohort Studies
Diabetes Mellitus - blood - epidemiology
Diet
Finland
Follow-Up Studies
Food Habits
Glucose Intolerance - blood - epidemiology
Glucose Tolerance Test
Humans
Male
Middle Aged
Netherlands
Predictive value of tests
Reference Values
Regression Analysis
Risk factors
Time Factors
Abstract
To investigate the role of diet as a predictor of glucose intolerance and non-insulin-dependent diabetes mellitus (NIDDM).
At the 30-year follow-up survey of the Dutch and Finnish cohorts of the Seven Countries Study, in 1989/1990, men were examined according to a standardized protocol including a 2-h oral glucose tolerance test. Information on habitual food consumption was obtained using the cross-check dietary history method. Those 338 men in whom information on habitual diet was also available 20 years earlier were included in this study. Subjects known as having diabetes in 1989/1990 were excluded from the analyses.
Adjusting for age and cohort, the intake of total, saturated, and monounsaturated fatty acids and dietary cholesterol 20 years before diagnosis was higher in men with newly diagnosed diabetes in the survey than in men with normal or impaired glucose tolerance. After adjustment for cohort, age, past body mass index, and past energy intake, the past intake of total fat was positively associated with 2-h postload glucose level (P
PubMed ID
7587845 View in PubMed
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Early-life origins of schizotypal traits in adulthood.

https://arctichealth.org/en/permalink/ahliterature149354
Source
Br J Psychiatry. 2009 Aug;195(2):132-7
Publication Type
Article
Date
Aug-2009
Author
Jari Lahti
Katri Raïkkönen
Ulla Sovio
Jouko Miettunen
Anna-Liisa Hartikainen
Anneli Pouta
Anja Taanila
Matti Joukamaa
Marjo-Riitta Järvelin
Juha Veijola
Author Affiliation
Department of Psychology, University of Helsinki, FI 00014 University of Helsinki, Finland. jari.lahti@helsinki.fi
Source
Br J Psychiatry. 2009 Aug;195(2):132-7
Date
Aug-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Birth Order
Birth weight
Body Size
Cephalometry - statistics & numerical data
Cohort Studies
Disease Susceptibility
Female
Finland
Humans
Infant
Infant, Newborn
Male
Organ Size
Placenta - anatomy & histology
Pregnancy - psychology
Prenatal Exposure Delayed Effects - epidemiology
Questionnaires
Regression Analysis
Risk factors
Schizotypal Personality Disorder - etiology
Seasons
Sex Factors
Smoking - epidemiology
Abstract
Although schizotypal traits, such as anhedonia and aberrant perceptions, may increase the risk for schizophrenia-spectrum disorders, little is known about early-life characteristics that predict more pronounced schizotypal traits.
To examine whether birth size or several other early-life factors that have been previously linked with schizophrenia predict schizotypal traits in adulthood.
Participants of the Northern Finland 1966 Birth Cohort Study (n = 4976) completed a questionnaire on positive and negative schizotypal traits at the age of 31 years.
Lower placental weight, lower birth weight and smaller head circumference at 12 months predicted elevated positive schizotypal traits in women after adjusting for several confounders (P
PubMed ID
19648543 View in PubMed
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Marriage and divorce among childhood cancer survivors.

https://arctichealth.org/en/permalink/ahliterature131063
Source
J Pediatr Hematol Oncol. 2011 Oct;33(7):500-5
Publication Type
Article
Date
Oct-2011
Author
Susanne Vinkel Koch
Anne Mette Tranberg Kejs
Gerda Engholm
Henrik Møller
Christoffer Johansen
Kjeld Schmiegelow
Author Affiliation
Section of Pediatric Hematology and Oncology, Pediatric Clinic II, Juliane Marie Center, University Hospital, Rigshospitalet and Institute of Gynecology, Obstetrics and Pediatrics, Medical Faculty, University of Copenhagen, Copenhagen, Denmark. susannevinkelkoch@hotmail.com
Source
J Pediatr Hematol Oncol. 2011 Oct;33(7):500-5
Date
Oct-2011
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Central Nervous System Neoplasms - complications - epidemiology - psychology
Child
Child, Preschool
Cognition Disorders - complications - epidemiology - psychology
Cohort Studies
Denmark - epidemiology
Divorce - psychology - statistics & numerical data
Female
Humans
Infant
Infant, Newborn
Male
Marriage - psychology - statistics & numerical data
Neoplasms - complications - epidemiology - psychology
Regression Analysis
Survivors - psychology - statistics & numerical data
Young Adult
Abstract
Many childhood cancer survivors have psychosocial late effects. We studied the risks for cohabitation and subsequent separation. Through the Danish Cancer Register, we identified a nationwide, population-based cohort of all 1877 childhood cancer survivors born from 1965 to 1980, and in whom cancer was diagnosed between 1965 and 1996 before they were 20 years of age. A sex-matched and age-matched population-based control cohort was used for comparison (n=45,449). Demographic and socioeconomic data were obtained from national registers and explored by discrete-time Cox regression analyses. Childhood cancer survivors had a reduced rate of cohabitation [rate ratio (RR) 0.78; 95% confidence interval (CI): 0.73-0.83], owing to lower rates among survivors of both noncentral nervous system (CNS) tumors (RR 0.88; 95% CI: 0.83-0.95) and CNS tumors (RR 0.52; 95% CI: 0.45-0.59). Male CNS tumor survivors had a nonsignificantly lower rate (RR 0.47; 95% CI: 0.38-0.58) than females (RR 0.56; 95% CI: 0.47-0.68). The rates of separation were almost identical to those of controls. In conclusion, the rate of cohabitation was lower for all childhood cancer survivors than for the population-based controls, with the most pronounced reduction among survivors of CNS tumors. Mental deficits after cranial irradiation are likely to be the major risk factor.
PubMed ID
21941142 View in PubMed
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Mobile phones and multiple sclerosis--a nationwide cohort study in Denmark.

https://arctichealth.org/en/permalink/ahliterature124685
Source
PLoS One. 2012;7(4):e34453
Publication Type
Article
Date
2012
Author
Aslak Harbo Poulsen
Egon Stenager
Christoffer Johansen
Joan Bentzen
Søren Friis
Joachim Schüz
Author Affiliation
Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark. Aslak@Cancer.DK
Source
PLoS One. 2012;7(4):e34453
Date
2012
Language
English
Publication Type
Article
Keywords
Cellular Phone
Denmark - epidemiology
Female
Humans
Incidence
Male
Multiple Sclerosis - epidemiology - etiology - mortality
Regression Analysis
Risk factors
Abstract
We investigated the risk of, prognosis of and symptoms of multiple sclerosis (MS) among all Danish residents who owned a mobile phone subscription before 1996. Using the Danish Multiple Sclerosis Registry and Civil Registration System, study subjects were followed up for MS through 2004. Poisson models were used to calculate incidence rate ratios (IRR, age range: 18-64 years) and mortality rate ratios (MRR, age range: 18+) and to compare presenting symptoms among subscribers and all non-subscribers. A total of 405 971 subscription holders accrued four million years of follow up, with men accounting for 86% of the observation time. Among subscription holding men, the IRR of MS was close to unity, overall as well as 13+ years after first subscription (IRR 1.02, 95% CI: 0.48-2.16). Among women, the IRR was 3.43 (95% CI: 0.86-13.72) 13+ years after first subscription, however, based on only two cases. Presenting symptoms of MS differed between subscribers and non-subscribers (p = 0.03), with slightly increased risk of diplopia in both genders (IRR: 1.38, 95% CI: 1.02-1.86), an increased risk of fatigue among women (IRR: 3.02, 95% CI: 1.45-6.28), and of optic neuritis among men (IRR: 1.38, 95% CI: 1.03-1.86). Overall the MRR was close to one (MRR: 0.91, 95%CI 0.70-1.19) among MS-patients with a subscription and although we observed some increased MRR estimates among women, these were based on small numbers. In conclusion, we found little evidence for a pronounced association between mobile phone use and risk of MS or mortality rate among MS patients. Symptoms of MS differed between subscribers and nonsubscribers for symptoms previously suggested to be associated with mobile phone use. This deserves further attention, as does the increased long-term risk of MS among female subscribers, although small numbers and lack of consistency between genders prevent causal interpretation.
Notes
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PubMed ID
22558088 View in PubMed
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23 records – page 1 of 3.