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Author Gudmundsdottir, S.L.; Flanders, W.D.; Augestad, L.B. url  doi
  Title Physical activity and cardiovascular risk factors at menopause: the Nord-Trondelag health study Type Journal Article
  Year 2013 Publication Climacteric : the Journal of the International Menopause Society Abbreviated Journal Climacteric  
  Volume 16 Issue 4 Pages 438-446  
  Keywords Adult; Blood Glucose/analysis; Blood Pressure; Body Mass Index; Body Weight; Cardiovascular Diseases/*epidemiology; Cholesterol, HDL/blood; *Exercise; Female; Follow-Up Studies; Health Surveys; Humans; *Menopause; Metabolic Diseases/epidemiology; Middle Aged; Norway/epidemiology; Premenopause/physiology; Questionnaires; Risk Factors; Triglycerides/blood; Waist-Hip Ratio  
  Abstract BACKGROUND: Lowered physical activity levels may partially explain changes in metabolic risk factors in women after menopause. OBJECTIVES: To evaluate the association between physical activity and metabolic risk factors at baseline and after 11 years, as well as the change in that association over time in women who were premenopausal and >/= 40 years at baseline. METHODS: Subjects in a Norwegian population-based health survey answered questionnaires and had body and serum measurements during 1995-1997 (HUNT 2) and in a follow-up study during 2006-2008 (HUNT 3). Repeated-measures analyses were used to estimate the association between physical activity and metabolic factors, adjusting for age, smoking status, education, alcohol intake, and parity. Adjustment for hormonal treatment and medication was made, as appropriate. RESULTS: In women remaining premenopausal, a higher physical activity score in HUNT 3 was associated with lower weight (p < 0.01) and waist-hip ratio (p < 0.01) and higher high density lipoprotein (HDL) cholesterol in HUNT 3 (p < 0.01). In women that were postmenopausal by the time of follow-up, a higher physical activity score in HUNT 3 was associated with lower weight (p < 0.01), waist-hip ratio (p < 0.01), triglycerides (p < 0.01), and higher total cholesterol (p < 0.05), HDL cholesterol (p < 0.01), and diastolic blood pressure (p < 0.05) in HUNT 3. The association of total physical activity score with weight and waist-hip ratio was stronger in HUNT 3 than in HUNT 2 (p < 0.01). CONCLUSION: Increased physical activity may reduce the risk of adverse outcomes and use of pharmacological management in women of menopausal age.  
  Address Department of Human Movement Science, Norwegian University of Science and Technology, Trondheim, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1369-7137 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:23347190 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1450  
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Author Kvaloy, K.; Holmen, J.; Hveem, K.; Holmen, T.L. url  doi
  Title Genetic Effects on Longitudinal Changes from Healthy to Adverse Weight and Metabolic Status – The HUNT Study Type Journal Article
  Year 2015 Publication PLoS One Abbreviated Journal PloS one  
  Volume 10 Issue 10 Pages e0139632  
  Keywords HUNT2; HUNT3; Adolescent; Adult; Apolipoproteins A/genetics; Blood Glucose/analysis; Blood Pressure; Body Mass Index; Cholesterol, HDL/blood; Cross-Sectional Studies; Female; Humans; Longitudinal Studies; Male; Metabolic Syndrome X/blood/*etiology/genetics; Middle Aged; Overweight/blood/*complications/*genetics; *Polymorphism, Single Nucleotide; Proteins/genetics; Receptors, Dopamine D2/genetics; Triglycerides/blood; Weight Gain; Young Adult  
  Abstract INTRODUCTION: The complexity of obesity and onset and susceptibility of cardio-metabolic disorders are still poorly understood and is addressed here through studies of genetic influence on weight gain and increased metabolic risk longitudinally. SUBJECTS/METHODS: Twenty seven previously identified obesity, eating disorder or metabolic risk susceptibility SNPs were tested for association with weight or metabolically related traits longitudinally in 3999 adults participating both in the HUNT2 (1995-97) and HUNT3 (2006-08) surveys. Regression analyses were performed with changes from normal weight to overweight/obesity or from metabolically healthy to adverse developments with regards to blood pressure, glucose, HDL cholesterol, triglycerides or metabolic syndrome as outcomes. Additionally, a sub-sample of 1380 adolescents was included for testing association of nine SNPs with longitudinal weight gain into young adulthood. RESULTS: The most substantial effect on BMI-based weight gain from normal to overweight/obesity in adults was observed for the DRD2 variant (rs6277)(OR: 0.79, 95% CI: 0.69-0.90, P = 3.9x10-4, adj. P = 0.015). DRD2 was not associated with BMI on a cross-sectional level. In the adolescent sample, FTO (rs1121980) was associated with change to overweight at adulthood in the combined male-female sample (OR: 1.27, 95% CI: 1.09-1.49, P = 3.0x10-3, adj. P = 0.019) and in females (OR: 1.53, 95% CI: 1.23-1.91, P = 1.8x10-4, adj. P = 0.003). When testing for association to longitudinal adverse developments with regard to blood pressure, blood lipids and glucose, only rs964184 (ZNF259/APOA5) was significantly associated to unfavourable triglyceride changes (OR: 1.66, 95% CI: 1.36-2.03, P = 5.7x10-7, adj. P = 0.001). Pleiotropic effects on metabolic traits, however, were observed for several genetic loci cross-sectionally, ZNF259/APOA5, LPL and GRB14 being the most important. CONCLUSIONS: DRD2 exhibits effects on weight gain from normal weight to overweight/obesity in adults, while, FTO is associated to weight gain from adolescence to young adulthood. Unhealthy longitudinal triglyceride development is strongly affected by ZNF259/APOA. Our main finding, linking the DRD2 variant directly to the longitudinal weight gain observed, has not previously been identified. It suggests a genetic pre-disposition involving the dopaminergic signalling pathways known to play a role in food reward and satiety linked mechanisms.  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication HUNT Research Center, Department of Public Health and General Practice, Faculty of Medicine, Norwegi Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes Kvaloy, KirstiHolmen, JosteinHveem, KristianHolmen, Turid Lingaaseng2015/10/09 06:00PLoS One. 2015 Oct 7;10(10):e0139632. doi: 10.1371/journal.pone.0139632. eCollection 2015. Approved no  
  Call Number HUNT @ maria.stuifbergen @ Kvaloy2015 Serial 1833  
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