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1.
  • Kippler, Maria, et al. (författare)
  • Biomonitorering av kadmium i urin hos svenska kvinnor
  • 2024
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • Exponering för låga halter av kadmium via kosten kan ge upphov till benskörhet, ökad risk för frakturer samt hjärtkärlsjukdom. Kvinnor utgör en riskgrupp. Syftet med studien vara var att jämföra halter av kadmium i urin hos svenska icke-rökande kvinnor i åldern 50–59 år boende i olika delar av landet samt att relatera kadmiumhalterna i urin till kända exponeringskällor. Medianhalten av kadmium i urin bland de undersökta kvinnorna (N=130) var 0,21 μg/g kreatinin respektive 0,20 μg/L (justerat för densitet). Åtta procent av kvinnorna hade en kadmiumhalt som överskred 0,5 μg/g kreatinin och 3 % av kvinnorna hade en halt som överskred 1 μg/g kreatinin och som visat skadlig påverkan på skelettet respektive njurarna. Kvinnor bosatta i Västerbotten och Norrbotten hade lägre kadmiumhalter i urin än kvinnor i Skåne, Stockholm och Västra Götaland. Kvinnor som var födda i ett land utanför Europa hade högre kadmiumhalter i urin än kvinnor födda i Europa. Med avseende på olika typer av livsmedel så hade kvinnor som sällan åt kött och bröd högre kadmiumhalter i urin. Likaså hade kvinnor med högre intag av baljväxter högre kadmiumhalter än kvinnor som rapporterade att de aldrig åt baljväxter. Vi fann inga signifikanta samband med andra typer av livsmedel, kosttillskott, eller källor till dricksvatten. Vi fann geografiska, etniska och kost-relaterade skillnader i kadmiumhalter i urin hos icke-rökande medelålders kvinnor i Sverige. Åtta procent av kvinnorna överskred den kadmiumhalt i urin som har kopplats till skador på skelettet. Vid jämförelse med kadmiumhalterna i urin från den föregående undersökningen 2018–2019 bland icke-rökande kvinnor i åldern 50–59 år så fanns det ingen indikation på att exponeringen har minskat över tid. Därför rekommenderas en fortsatt biomonitorering av kadmiumhalterna i känsliga grupper och insatser för att minska kadmiumexponering i befolkningen är nödvändiga.  
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3.
  • Cappellini, Francesca, et al. (författare)
  • Dry Generation of CeO2 Nanoparticles and Deposition onto a Co-Culture of A549 and THP-1 Cells in Air-Liquid Interface-Dosimetry Considerations and Comparison to Submerged Exposure
  • 2020
  • Ingår i: Nanomaterials. - : MDPI AG. - 2079-4991. ; 10:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Relevant in vitro assays that can simulate exposure to nanoparticles (NPs) via inhalation are urgently needed. Presently, the most common method employed is to expose lung cells under submerged conditions, but the cellular responses to NPs under such conditions might differ from those observed at the more physiological air-liquid interface (ALI). The aim of this study was to investigate the cytotoxic and inflammatory potential of CeO2 NPs (NM-212) in a co-culture of A549 lung epithelial cells and differentiated THP-1 cells in both ALI and submerged conditions. Cellular dose was examined quantitatively using inductively coupled plasma mass spectrometry (ICP-MS). The role of serum and LPS-priming for IL-1 beta release was further tested in THP-1 cells in submerged exposure. An aerosol of CeO2 NPs was generated by using the PreciseInhale (R) system, and NPs were deposited on the co-culture using XposeALI (R). No or minor cytotoxicity and no increased release of inflammatory cytokines (IL-1 beta, IL-6, TNF alpha, MCP-1) were observed after exposure of the co-culture in ALI (max 5 mu g/cm(2)) or submerged (max 22 mu g/cm(2)) conditions. In contrast, CeO2 NPs cause clear IL-1 beta release in monocultures of macrophage-like THP-1, independent of the presence of serum and LPS-priming. This study demonstrates a useful approach for comparing effects at various in-vitro conditions.
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4.
  • Kippler, Maria, et al. (författare)
  • Biomonitorering av kadmium i urin hos svenska och utländska kvinnor
  • 2020
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • Exponering för låga halter av kadmium (Cd) via kosten kan ge upphov till benskörhet samt hjärtkärlsjukdom. Kvinnor utgör en riskgrupp. På uppdrag av Naturvårdsverket har vi genomfört en studie med syfte att kartlägga Cd-nivåer i urin hos medelålders kvinnor i Sverige. Vi rekryterade svenska medelålders (50–59 år) kvinnor boende i olika delar av Sverige samt utlandsfödda kvinnor (50–59 år), ffa från Östafrika och från Mellanöstern och boende i södra Sverige. Ingen kvinna hade rökt >10 cigaretter/år de senaste 25 åren. Kvinnorna lämnade biologiska prover och besvarade en enkät med frågor om kost, sjukdom och livsstil. Medianhalten av Cd i urin (U-Cd) bland svenska kvinnor (n=192; medelålder 55 år) var 0,24 μg/g kreatinin (spridning 0,05–7,4), vilket är jämförbart med tidigare mätningar i samma åldersgrupp i Sverige. Medianhalten av U-Cd bland utlandsfödda kvinnor (n=43, medelålder 56 år) var 0,41 μg/g kreatinin (0,15–2,7). Tre svenska kvinnor (1,6%) hade U-Cd >1 μg/g kreatinin, där negativa effekter på njure och skelett påvisats i gruppundersökningar. Motsvarande hos utlandsfödda kvinnor var 7%. Vi fann enbart samband mellan kost och U-Cd hos svenska kvinnor: källa till dricksvatten hade störst betydelse följt av köttkonsumtion. Resultaten tyder på att vissa grupper av utlandsfödda kvinnor har högre U-Cd än svenska kvinnor i samma åldersgrupp och därmed en högre risk för Cd-relaterad sjukdom. Denna grupp av kvinnor bör ingå i den hälsorelaterade miljöövervakningen för Cd och följas upp över tid.
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5.
  • Scaramboni, Caroline, et al. (författare)
  • Characterization of cross-continental PM2.5: Insights into emissions and chemical composition
  • 2024
  • Ingår i: Atmospheric research. - 0169-8095 .- 1873-2895. ; , s. 107423-107423
  • Tidskriftsartikel (refereegranskat)abstract
    • Atmospheric fine particulate matter (PM2.5) is a critical indicator of air quality, with substantial implications for human health. Understanding the emission sources and chemical composition of PM2.5 is crucial for mitigating possible adverse health effects. This study spans five diverse cities on three continents from north and south hemisphere: Stockholm (Sweden), Kyoto (Japan), Limeira, Ribeirão Preto, and Cáceres (Brazil). Our objective was to assess PM2.5 chemical composition and regional and long-range transport influences to identify the main sources of particulate air pollution at these cities during the winter/dry seasons. All studied cities but Kyoto exhibited PM2.5 levels above World Health Organization (WHO) guidelines, with the Brazilian cities experiencing the highest fine particle pollution levels, implying increased adverse health risks. We observed significant variations in concentrations of polycyclic aromatic compounds (PACs), monosaccharide anhydrides (MAs), and inorganic elements. Limeira exhibited the highest levels of total PACs (median level of 12.4 ng m−3), while Cáceres displayed high variability of PACs, most likely due to episodic regional wildfire events. MA concentrations were significantly higher in Limeira and Ribeirão Preto and together with elevated levels of retene and potassium (K) they suggested a substantial influence of biomass burning. Backward air mass trajectory analysis suggested widespread Amazon and Savanna wildfires along with local fires as main contributors for these sites. All source identification approaches highlighted differences among the cities, with Stockholm and Kyoto showing influence of sources related to traffic emissions, waste burning, and long-range transport, and Brazilian cities traffic, industrial, biogenic, and more evident biomass burning. This cross-continental study provides valuable insights into PM2.5 composition and emission sources, emphasizing the impact of different emissions on air quality. Our findings underscore the importance of local strategies to mitigate air pollution and protect public health, especially in regions where PM2.5 levels consistently exceed recommended guidelines.
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6.
  • Akesson, Agneta, et al. (författare)
  • Dietary exposure to polychlorinated biphenyls and risk of heart failure - A population-based prospective cohort study
  • 2019
  • Ingår i: Environment International. - : PERGAMON-ELSEVIER SCIENCE LTD. - 0160-4120 .- 1873-6750. ; 126, s. 1-6
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Beneficial effects of fish consumption on heart failure (HF) may be modified by contaminants in fish. Polychlorinated biphenyls (PCBs) are of particular concern as they have been associated with well-established risk factors of HF, but current data are limited. Objectives: We aimed to assess the association between dietary PCB exposure and risk of HF, accounting for dietary intake of long-chain omega-3 fish fatty acids. Design: We used the prospective population-based research structure SIMPLER (previously the Swedish Mammography Cohort and Cohort of Swedish Men) comprising 32,952 women and 36,546 men, free from cancer, cardiovascular disease and diabetes at baseline in 1997. Validated estimates of dietary PCBs and long-chain omega-3 fish fatty acids [eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA)] were obtained via a food frequency questionnaire at baseline. Incident cases of HF were ascertained through register linkage. Results: During an average of 12 years of follow-up, we ascertained 2736 and 3128 incident cases of HF in women and men, respectively. In multivariable-adjusted models, mutually adjusted for PCBs and EPA-DHA, the relative risk (RR) for dietary PCB exposure was 1.48 (95% CI 1.12-1.96) in women and 1.42 (95% CI 1.08-1.86) in men, comparing extreme quintiles. Corresponding RRs for EPA-DHA intake were 0.71 (95% CI 0.54-0.93) and 0.82 (95% CI 0.63-1.07), respectively. Conclusions: Dietary exposure to PCBs was associated with an increased risk of HF in both women and men. EPA-DHA intake was associated with a lower risk of HF in women, with a similar tendency in men.
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7.
  • Akhtar, Evana, et al. (författare)
  • A longitudinal study of rural Bangladeshi children with long-term arsenic and cadmium exposures and biomarkers of cardiometabolic diseases
  • 2021
  • Ingår i: Environmental Pollution. - : Elsevier. - 0269-7491 .- 1873-6424. ; 271
  • Tidskriftsartikel (refereegranskat)abstract
    • There is growing interest in understanding the contribution of environmental toxicant exposure in early life to development of cardiometabolic diseases (CMD) in adulthood. We aimed to assess associations of early life exposure to arsenic and cadmium with biomarkers of CMD in children in rural Bangladesh. From a longitudinal mother-child cohort in Matlab, Bangladesh, we followed up 540 pairs. Exposure to arsenic (U–As) and cadmium (U–Cd) was assessed by concentrations in urine from mothers at gestational week 8 (GW8) and children at ages 4.5 and 9 years. Blood pressure and anthropometric indices were measured at 4.5 and 9 years. Metabolic markers (lipids, glucose, hemoglobin A1c, adipokines, estimated glomerular filtration rate (eGFR) were determined in plasma/blood of 9 years old children. In linear regression models, adjusted for child sex, age, height-for-age z score (HAZ), BMI-for-age z score (BAZ), socioeconomic status (SES) and maternal education, each doubling of maternal and early childhood U–Cd was associated with 0.73 and 0.82 mmHg increase in systolic blood pressure (SBP) respectively. Both early and concurrent childhood U–Cd was associated with diastolic (D)BP (β = 0.80 at 4.5 years; β = 0.75 at 9 years). Each doubling of U–Cd at 9 years was associated with decrements of 4.98 mg/dL of total cholesterol (TC), 1.75 mg/dL high-density lipoprotein (HDL), 3.85 mg/dL low-density lipoprotein (LDL), 0.43 mg/dL glucose and 4.29 units eGFR. Each doubling of maternal U–Cd was associated with a decrement of 1.23 mg/dL HDL. Both maternal and childhood U–As were associated with decrement in TC and HDL. Multiple comparisons were checked with family-wise error rate Bonferroni-type-approach. The negative associations of arsenic and cadmium with biomarkers of CMD in preadolescent children indicated influence of both metal(loid)s on fat and carbohydrate metabolism, while cadmium additionally influenced kidney function and BP. Thus, fewer outcomes were associated with U–As compared to U–Cd at preadolescence.
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8.
  • Barman, Malin, 1983, et al. (författare)
  • Nutritional impact on Immunological maturation during Childhood in relation to the Environment (NICE): a prospective birth cohort in northern Sweden
  • 2018
  • Ingår i: BMJ Open. - : BMJ. - 2044-6055 .- 2044-6055. ; 8:10
  • Tidskriftsartikel (refereegranskat)abstract
    • © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. INTRODUCTION: Prenatal and neonatal environmental factors, such as nutrition, microbes and toxicants, may affect health throughout life. Many diseases, such as allergy and impaired child development, may be programmed already in utero or during early infancy. Birth cohorts are important tools to study associations between early life exposure and disease risk. Here, we describe the study protocol of the prospective birth cohort, 'Nutritional impact on Immunological maturation during Childhood in relation to the Environment' (NICE). The primary aim of the NICE cohort is to clarify the effect of key environmental exposures-diet, microbes and environmental toxicants-during pregnancy and early childhood, on the maturation of the infant's immune system, including initiation of sensitisation and allergy as well as some secondary outcomes: infant growth, obesity, neurological development and oral health.METHODS AND ANALYSIS: The NICE cohort will recruit about 650 families during mid-pregnancy. The principal inclusion criterion will be planned birth at the Sunderby Hospital in the north of Sweden, during 2015-2018. Questionnaires data and biological samples will be collected at 10 time-points, from pregnancy until the children reach 4 years of age. Samples will be collected primarily from mothers and children, and from fathers. Biological samples include blood, urine, placenta, breast milk, meconium, faeces, saliva and hair. Information regarding allergic heredity, diet, socioeconomic status, lifestyle including smoking, siblings, pet ownership, etc will be collected using questionnaires. Sensitisation to common allergens will be assessed by skin prick testing and allergic disease will be diagnosed by a paediatrician at 1 and 4 years of age. At 4 years of age, the children will also be examined regarding growth, neurobehavioural and neurophysiological status and oral health.ETHICS AND DISSEMINATION: The NICE cohort has been approved by the Regional Ethical Review Board in Umeå, Sweden (2013/18-31M). Results will be disseminated through peer-reviewed journals and communicated on scientific conferences.
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9.
  • Donat-Vargas, Carolina, et al. (författare)
  • Dietary exposure to polychlorinated biphenyls and risk of breast, endometrial and ovarian cancer in a prospective cohort
  • 2016
  • Ingår i: British Journal of Cancer. - : NATURE PUBLISHING GROUP. - 0007-0920 .- 1532-1827. ; 115:9, s. 1113-1121
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Observational studies on polychlorinated biphenyl (PCB) exposure and hormone-related cancer risk are either inconsistent or lacking. We aimed to assess associations of dietary PCB exposure with breast, endometrial and ovarian cancer risk in middle-aged and elderly women. Methods: We included 36 777 cancer-free women at baseline in 1997 from the prospective population-based Swedish Mammography Cohort. Validated estimates of dietary PCB exposure were obtained via a food frequency questionnaire. Incident cancer cases were ascertained through register linkage. Results: During 14 years of follow-up, we ascertained 1593, 437 and 195 incident cases of breast, endometrial and ovarian cancer. We found no overall association between dietary PCB exposure and any of these cancer forms. The multivariable-adjusted relative risks comparing women in the highest and lowest tertile of PCB exposure were 0.96 (95% confidence interval (CI): 0.75, 1.24), 1.21 (95% CI: 0.73, 2.01) and 0.90 (95% CI: 0.45, 1.79) for breast, endometrial and ovarian cancer. In analyses stratified by factors influencing oestrogen exposure, possibly masking associations with PCBs, indications of higher risks were observed for endometrial cancer. Conclusions: This study suggests that dietary exposure to PCBs play no critical role in the development of breast, endometrial or ovarian cancer during middle-age and old ages.
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10.
  • Donat-Vargas, Carolina, et al. (författare)
  • Urinary phosphate is associated with cardiovascular disease incidence.
  • 2023
  • Ingår i: Journal of Internal Medicine. - 0954-6820 .- 1365-2796. ; 294:3, s. 358-369
  • Tidskriftsartikel (refereegranskat)abstract
    • INTRODUCTION: Elevated phosphate (P) in urine may reflect a high intake of inorganic P salts from food additives. Elevated P in plasma is linked to vascular dysfunction and calcification.OBJECTIVE: To explore associations between P in urine as well as in plasma and questionnaire-estimated P intake, and incidence of cardiovascular disease (CVD).METHODS: We used the Swedish Mammography Cohort-Clinical, a population-based cohort study. At baseline (2004-2009), P was measured in urine and plasma in 1625 women. Dietary P was estimated via a food-frequency questionnaire. Incident CVD was ascertained via register-linkage. Associations were assessed using Cox proportional hazards regression.RESULTS: After a median follow-up of 9.4 years, 164 composite CVD cases occurred (63 myocardial infarctions [MIs] and 101 strokes). Median P (percentiles 5-95) in urine and plasma were 2.4 (1.40-3.79) mmol/mmol creatinine and 1.13 (0.92-1.36) mmol/L, respectively, whereas dietary P intake was 1510 (1148-1918) mg/day. No correlations were observed between urinary and plasma P (r = -0.07) or dietary P (r = 0.10). Urinary P was associated with composite CVD and MI. The hazard ratio of CVD comparing extreme tertiles was 1.57 (95% confidence interval 1.05, 2.35; P trend 0.037)-independently of sodium excretion, the estimated glomerular filtration rate, both P and calcium in plasma, and diuretic use. Association with CVD for plasma P was 1.41 (0.96, 2.07; P trend 0.077).CONCLUSION: Higher level of urinary P, likely reflecting a high consumption of highly processed foods, was linked to CVD. Further investigation is needed to evaluate the potential cardiovascular toxicity associated with excessive intake of P beyond nutritional requirements.
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