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- Johansson, Cecilia, et al.
(författare)
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Weight, height, weight change, and risk of incident atrial fibrillation in middle-aged men and women
- 2020
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Ingår i: Journal of Arrhythmia. - : John Wiley & Sons. - 1880-4276 .- 1883-2148. ; 36:6, s. 974-981
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Tidskriftsartikel (refereegranskat)abstract
- Background: Anthropometric factors are reported to be risk factors for atrial fibrillation (AF), but it is unclear whether weight change in mid‐life is associated with AF. We aimed to study the possible associations of weight, height, and weight change with the risk of incident AF in men and women.Methods: Our study cohort included 108 417 persons (51% women) who participated in a population‐based health examination in northern Sweden at 30, 40, 50, or 60 years of age. The health examination included weight and height measurement and collection of data regarding cardiovascular risk factors. Within this cohort, 40 275 participants underwent two health examinations with a 10‐year interval. We identified cases with a first‐ever diagnosis of AF through the Swedish National Patient Registry.Results: During a total follow‐up of 1 469 820 person‐years, 5154 participants developed incident AF. The mean age at inclusion was 46.3 years, and mean age at AF diagnosis was 66.6 years. After adjustment for potential confounders, height, weight, body mass index (BMI), and body surface area (BSA) were positively associated with risk of incident AF in both men and women. Among participants who underwent two health examinations 10 years apart, 1142 persons developed AF. The mean weight change from baseline was a gain of 4.8%. Weight gain or weight loss was not significantly associated with risk of incident AF.Conclusions: Height, weight, BMI, and BSA showed positive associations with risk of incident AF in both men and women. Midlife weight change was not significantly associated with AF risk.
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| 2. |
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| 3. |
- Osada, Takuya, et al.
(författare)
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Alterations in the blood velocity profile influence the blood flow response during muscle contractions and relaxations
- 2006
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Ingår i: Journal of Physiological Sciences. - 1880-6546. ; 56:3, s. 195-203
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Tidskriftsartikel (refereegranskat)abstract
- The present study examined the influences of the muscle contraction (MCP) and relaxation (MRP) phases, as well as systole and diastole, on the blood velocity profile and flow in the conduit artery at different dynamic muscle contraction forces. Eight healthy volunteers performed one-legged dynamic knee-extensor exercise at work rates of 5, 10, 20, 30, and 40 W at 60 contractions per minute. The time- and space-averaged, amplitude-weighted, mean (V-mean) and maximum (V-max) blood flow velocities were continuously measured in the common femoral artery during the cardiosystolic (CSP) and cardiodiastolic (CDP) phases during MCP and MRP, respectively. The V-max/V-mean ratio was used as a flow profile index where a ratio of approximately (similar to) 1 indicates a "flat" velocity profile, and a ratio significantly greater than (>>) 1 indicates a "parabolic" velocity profile. At rest, a "steeper' parabolic velocity profile was found during the CDP (ratio: 1.75 +/- 0.06) than during the CSP (ratio: 1.31 +/- 0.02). During the MRP of exercise, the V-max/V-mean ratio shifted to be less steep (p < 0.05) than at rest during the CDP (ratio: 1.41-1.54) at 5, 10, 20, 30, and 40 W; whereas it was slightly higher (p < 0.05) at 30 and 40 W than at rest during the CSP (ratio: 1,43-1.46). During the MCP, the parabolic blood velocity profile was enhanced (p < 0.05) at higher contraction forces, >= 20W during the CDP (ratio: 2.15-2.52) and >= 30W during the CSP (ratio: 1.49-1.77), potentially because of a greater retrograde flow component. A higher blood flow furthermore appeared during the MRP compared to during the MCP, coinciding with a greater uniformity of the red blood cells moving at higher blood velocities during the MRP. Thus part of the difference in the magnitude of blood flow during the MRP vs. MCP may be due to the alterations of the blood velocity flow profile.
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