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Sökning: WFRF:(Andreasson Helena)

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3.
  • Alme, Tomas Nordheim, et al. (författare)
  • Chronic fatigue syndromes: real illnesses that people can recover from
  • 2023
  • Ingår i: Scandinavian Journal of Primary Health Care. - : TAYLOR & FRANCIS LTD. - 0281-3432 .- 1502-7724. ; 41:4, s. 372-376
  • Tidskriftsartikel (refereegranskat)abstract
    • The Oslo Chronic Fatigue Consortium consists of researchers and clinicians who question the current narrative that chronic fatigue syndromes, including post-covid conditions, are incurable diseases. Instead, we propose an alternative view, based on research, which offers more hope to patients. Whilst we regard the symptoms of these conditions as real, we propose that they are more likely to reflect the brains response to a range of biological, psychological, and social factors, rather than a specific disease process. Possible causes include persistent activation of the neurobiological stress response, accompanied by associated changes in immunological, hormonal, cognitive and behavioural domains. We further propose that the symptoms are more likely to persist if they are perceived as threatening, and all activities that are perceived to worsen them are avoided. We also question the idea that the best way to cope with the illness is by prolonged rest, social isolation, and sensory deprivation.Instead, we propose that recovery is often possible if patients are helped to adopt a less threatening understanding of their symptoms and are supported in a gradual return to normal activities. Finally, we call for a much more open and constructive dialogue about these conditions. This dialogue should include a wider range of views, including those of patients who have recovered from them.
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4.
  • Andreasson, Anna, et al. (författare)
  • Brief report : Contemplate your symptoms and re-evaluate your health. A study on working adults
  • 2019
  • Ingår i: Journal of Health Psychology. - : SAGE Publications. - 1359-1053 .- 1461-7277. ; 24:11, s. 1562-1567
  • Tidskriftsartikel (refereegranskat)abstract
    • We investigated whether self-ratings of health are affected by a symptom rating. A diary including a one-item self-rating of health ("pre-self-rated health"; 1 = excellent, 7 = very poor), a subsequent 26-item rating of symptoms, and thereafter a second (identical) health rating ("post-self-rated health") was completed by 820 persons 21 times. Self-rated health worsened significantly ( p < .0001) after the symptom rating, from 2.72 pre-self-rated health (95% confidence interval: 2.70-2.74) to 2.77 post-self-rated health (95% confidence interval: 2.75-2.79) and more so in persons who reported more symptoms ( b = .058, p < .05). The results support the notion that subjective health perception is influenced by attending to symptoms, especially so in persons with a high symptom burden.
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  • Andreasson, Anna N., et al. (författare)
  • Contemplate your symptoms and re-evaluate your health
  • 2015
  • Ingår i: Brain, behavior, and immunity. - : Elsevier BV. - 0889-1591 .- 1090-2139. ; 49, s. e38-e39
  • Tidskriftsartikel (refereegranskat)abstract
    • Bodily signals and how these are interpreted affect self-ratings of health. It is thus reasonable that appraisals of health are affected by imminent exposures and disease primes. We aimed to investigate whether self-ratings of health are affected by a symptom rating and if changes are substantiated in persons who report more symptoms. We used data from 813 persons who completed a questionnaire daily for 21 consecutive days. The questionnaire included a one-item self-rating of health (“pre-SRH”; 1 = excellent, 7 = very poor), a subsequent 26-item rating of physical and mental symptoms and thereafter a second (identical) self-rating of health (“post-SRH”). Paired t-tests were used to test for differences between pre-SRH and post-SRH. Mixed effect regression models were used to calculate the interaction effect of pre-SRH and symptom score on post-SRH adjusted for gender, age and if the person had been working that day (13545 observations). SRH worsened significantly (p  <<.0001) after the symptom rating, from 2.72 pre-SRH (95%CI:−2.70–2.74) to 2.77 post-SRH (95%CI:2.75–2.79). There was a significant interaction between pre-SRH and symptoms on post-SRH so that persons who reported more symptoms changed their post-SRH rating to a higher degree than those who reported fewer symptoms, irrespective of their subjective health status. The results support the notion that subjective health perception is affected by focus of attention, and that the effect depends on level of symptoms.
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6.
  • Andreasson, Helena, et al. (författare)
  • Predictors of length of stay in forensic psychiatry: The influence of perceived risk of violence
  • 2014
  • Ingår i: International Journal of Law and Psychiatry. - : Elsevier BV. - 0160-2527. ; 37:6, s. 635-642
  • Tidskriftsartikel (refereegranskat)abstract
    • This study describes the prevalence of adverse events and length of stay in forensic psychiatric patients with and without a restriction order. Detailed clinical and administrative information from medical records and written court decisions was gathered retrospectively from admission until discharge for a Swedish population-based, consecutive cohort of forensic psychiatric patients (n = 125). The median length of stay for the whole cohort was 951 days, but patients with a restriction order stayed in hospital almost five times as long as patients without. Restriction orders were related to convictions for violent crime, but not for any other differences in demographic or clinical variables. The majority of the patients (60%) were involved in adverse events (violence, threats, substance abuse, or absconding) at some time during their treatment. Patients with restriction orders were overrepresented in violent and threat events. Previous contact with child and adolescence psychiatric services, current violent index crime, psychotic disorders, a history of substance, and absconding during treatment predicted longer length of stay. Being a parent, high current Global Assessment of Functioning scores, and mood disorders were all significantly related to earlier discharge. In a stepwise Cox regression analysis current violent index crime and absconding remained risk factors for a longer hospital stay, while a diagnosis of mood disorder was significantly related to a shorter length of stay.
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7.
  • Andréasson, Sara Näslund, et al. (författare)
  • Peritonectomy with high voltage electrocautery generates higher levels of ultrafine smoke particles
  • 2008
  • Ingår i: European Journal of Surgical Oncology. - : Elsevier BV. - 0748-7983 .- 1532-2157. ; 35:7, s. 780-784
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: To adequately perform peritonectomy, the use of an electrocautery device at a high voltage is recommended. The aim of this study was to analyse the amount of airborne and ultrafine particles (UFP) generated during peritonectomy and to compare this with standard colon and rectal cancer surgery (CRC). METHOD: UFP was measured approximately 2-3cm from the breathing area of the surgeon (personal sampling) and 3m from where the electrocautery smoke was generated (stationary sampling) from 14 consecutive peritonectomy procedures and 11 standard CRC resections. The sampling was by P-Trak UFP counter that has the capacity to detect particle size ranging from 0.02 to 1mum. RESULTS: The cumulative level of UFP of personal sampling in the peritonectomy group was higher (9.3x10(6)particle/ml/h (pt/ml/h)) than in the control group (4.8x10(5)pt/ml/h). A higher cumulative level of UFP in stationary sampling was observed in the PC group (2.6x10(6) pt/ml/h) than in the control group (3.9x10(4)pt/ml/h). CONCLUSION: Peritonectomy procedure with high voltage electrocautery generates elevated levels of UFP than standard CRC surgery does. The level of UFP produced by a peritonectomy is comparable to cigarette smoking. More efficient smoke evacuator systems are needed in order to reduce the levels of UFP generated during electrocautery surgery.
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  • Hammarberg, Anders, et al. (författare)
  • Medberoende bör inte bli en diagnos
  • 2018
  • Ingår i: Alkohol & Narkotika. ; 2018-09-29
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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10.
  • Islind, Anna Sigridur, 1985-, et al. (författare)
  • Individualized blended care for patients with colorectal cancer: the patient's view on informational support
  • 2021
  • Ingår i: Supportive Care in Cancer. - : Springer Science and Business Media LLC. - 0941-4355 .- 1433-7339. ; 29:6, s. 3061-3067
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose The number of colorectal cancer patient survivors is increasing. Information and support during and after treatment are requested by patients, but questions remain on what to provide. The aim of this study was to understand what informational needs colorectal cancer patients and survivors have, with a focus on the potential support given by patient peers and the use of blended care. Methods A qualitative study using focus groups was conducted with patients diagnosed at the same hospital at least one year prior to the initiation of the study. The focus group interviews were transcribed verbatim and analyzed using deductive content analysis. Results The need for informational support varied over time and depended on individual patient characteristics. Timing was crucial and patients requested options of blended care and informational support after treatment cessation. The patients felt alone after treatment and requested assistance in communication with their next-of-kin. They also identified the value of peer support, especially to contextualize knowledge provided by healthcare. Conclusion This study showed a need for focus on individualized informational support. Blended care through integrating communication with peers online could be one way to support patients, both to enable shared decision-making as well as to provide person-centered care.
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11.
  • Krona, Hedvig, et al. (författare)
  • Mentally disordered offenders in Sweden : differentiating recidivists fromnon-recidivists in a 10-year follow-up study
  • 2017
  • Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 71:2, s. 102-109
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Forensic psychiatric patients present a challenge as they manifest severe mental disorders together with criminal behaviour. There are well-known risk factors for criminal behaviour in the general population, yet knowledge of what predicts reconviction in the Swedish forensic population in the long-term perspective is still insufficient. Aims: The study aims to (1) describe background and clinical characteristics of forensic psychiatric patients in a 10-year follow-up, (2) analyse risk factors associated with recidivism, and (3) test the predictive validity of risk factors for general and violent criminality. Methods: Detailed information on all offenders from the Malmö University Hospital catchment area sentenced to forensic psychiatric in-patient treatment from 1999–2005 (n = 125) was collected. Court decisions were collected up until the end of 2008 (median follow-up time = 6.2 years, range = 0.6–9.7 years). Results: Relapse in general crime (n = 30) was predicted by low educational attainment, mental disorder in a first degree relative, and low age at first sentenced crime. Relapse in violent crime (n = 16) was predicted by low educational attainment and low GAF scores. Patients with a restriction order were less likely to relapse in both crime categories. Conclusions: Signs of childhood adversities together with early debut in criminality appeared as important risk factors for general and violent recidivism. Forensic psychiatric treatment combined with a restriction order was demonstrated as a protective factor against recidivism, suggesting that the risk of recidivism is strongly related to the level of supervision. Although the low number of recidivism cases is highly desirable, it unfortunately reduces the power of the analyses in this paper.
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12.
  • Lankinen, Åsa, et al. (författare)
  • Fokusprojekt Lågriskmedel i växtskyddet
  • 2019
  • Rapport (populärvet., debatt m.m.)abstract
    • Fokusgruppens syfte har varit att definiera kunskapsluckor avseende den praktiska användningen och implementeringen av alternativa medel med låg risk för bekämpning av skadegörare och sjukdomar inom jordbruk, trädgårdsodling och skogsbruk. Vi har utgått från en bred definition av medel med låg risk, som har omfattat både allmänkemikalier och växtskyddsmedel med låg risk (enligt gällande EU-lagstiftning). Trots att det idag finns ett ökat behov av alternativa verktyg inom växtskyddet och politiska mål om minimerad användning av kemiska medel, så är användningen av alternativa bekämpningsmedel i fältodlade grödor mycket begränsad. • En viktig faktor som styr och begränsar tillgängligheten av alternativa medel är EU-lagstiftningen för godkännande av dessa medel. För att kunna registrera ett medel behövs en investering från det företag som ansöker om godkännande, vilket kan vara en anledning till att medel inte blir tillgängliga på marknaden. En annan lagteknisk begränsning är ogynnsamma skatteregler för dessa medel. • Från ett användarperspektiv är bristande kunskap om hur effektiva dessa medel är, hur man bäst applicerar dem samt hur de kan integreras i befintliga växtskyddsstrategier en bidragande orsak till att de inte används fullt ut. • Rådgivningen pekar också på en otydlighet om vilka medel som får användas speciellt i ekologisk produktion och att användningen missgynnas av höga priser i kombination med en osäkerhet om hur effektiva dessa medel är. • I Jordbruksverkets rapport ”Hinder för ökad användning av alternativa bekämpningsmedel” (SJV, Rapport 2019:3), som medlemmar av fokusgruppen har varit med att skriva, är ett av förslagen en utökad rådgivningsverksamhet. Detta eftersom informationsinsatser och aktiv rådgivning kan påverka hur snabbt odlare accepterar och börjar använda ett växtskyddsmedel, speciellt om det har nya egenskaper (och en ny verkningsmekanism). Forskning visar att en ny åtgärd/metod inte bara ska Sammanfattning och slutsatser 5 passa in i befintliga verksamheter utan också passa med attityd och värderingar hos användaren. • Från ett forskningsperspektiv kan vi se ett klart behov av tillämpningsnära forskning framför allt för att få en ökad kunskap om hur alternativa bekämpningsmedel kan integreras i befintliga växtskyddsstrategier. En utmaning är den begränsade mängd forskningsmedel som finns att söka för denna typ av forskning. • Forskningen är ofta väldigt uppdelad mellan agrikultur, hortikultur och skogsbruk. Här skulle man kunna dra nytta av kunskap inom respektive system eftersom vissa aspekter är generella mellan olika system, åtminstone för vissa grödor/träd. • Från ett internationellt perspektiv kan vi se vinster med ett bättre samarbete med närliggande länder, tex Plant Biologicals Network (PBN) som koordineras från Danmark, men även engagemang inom det vidare EUperspektivet (bla lagar). • Ytterligare en slutsats från fokusgruppens arbete är att växtskyddsforskningen på SLU behöver samordnas bättre, tex genom att knyta samman de kompetenscentrum som finns idag – CBC och CKB – med nya strukturer som skulle kunna fokusera på i) analys av växtskadegörare och ii) lågrisk-metoder och hur dessa kan spela en roll i integrerat växtskydd (IPM). • ygarbeta tillsammans för att få till en bra samverkan och kunskapsutbyte.
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13.
  • Nilsagård, Ylva, 1964-, et al. (författare)
  • Examining the validity and sensitivity to change of the 5 and 10 sit-to-stand tests in people with multiple sclerosis
  • 2017
  • Ingår i: Physiotherapy Research International. - : John Wiley & Sons. - 1358-2267 .- 1471-2865. ; 22:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Background and Purpose: Sit-to-stand transfers are frequently performed, and transfers have been associated with fall risk among people with multiple sclerosis (PwMS). There is limited research regarding the validity of sit-to-stand tests (STSs) in PwMS. The purpose of this study was to investigate the concurrent, divergent, and discriminant validity and sensitivity to change of the 5 and 10 STSs.Methods: A repeated-measurement design was used, with data collected before and directly after a 7-week intervention, as well as prospectively reported near-fall incidents and falls during a 14-week period. One hundred two PwMS with a limited (≤200 m) but retained (≥20 m) walking ability were identified by physiotherapists at outpatient rehabilitation centres in 5 Swedish County Council areas and invited to participate in an intervention study. Of the 52 participants agreeing to participate and fulfilling the inclusion criteria, 47 managed the tests at baseline, and 39 of these returned complete fall diaries. The main outcomes were the Berg Balance Scale (BBS), Timed Up and Go test (TUG), 10-m walk test, 2-min walk test, Fatigue Scale for Motor and Cognitive Function, falls, near-fall incidents, and use of walking aids.Results: Correlations in the total sample were above .60 between the STSs and BBS, TUG, 10-m walk test, and 2-min walk test and above .50 between the STSs and total number of falls. Both tests discriminated between those who did and did not use walking aids for the TUG, but not between fallers and nonfallers. There were no significant correlations between the STSs and number of falls or near-fall incidents. The STSs did not differentiate between participants with changed and unchanged results on the BBS.Discussion: The 5 and 10 STSs are valid in PwMS with an Expanded Disability Status Scale score ≤6.0 but do not identify fallers and have limited ability to detect change.
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14.
  • Näslund Andréasson, Sara, et al. (författare)
  • Is Platinum Present in Blood and Urine from Treatment Givers during Hyperthermic Intraperitoneal Chemotherapy?
  • 2010
  • Ingår i: Journal of oncology. - : Hindawi Limited. - 1687-8469 .- 1687-8450. ; 2010, s. 649719-
  • Tidskriftsartikel (refereegranskat)abstract
    • Background. In selected patients with peritoneal carcinomatosis (PC) originating from colorectal cancer (CRC) the high dosage of oxaliplatin (460 mg/m(2)) is recommended for hyperthermic intraperitoneal chemotherapy (HIPEC), which may be a health risk to those administering the drug. The aim of this study was to determine the risk of platinum (Pt) exposure for the two main people handling and administering the cytotoxic agent during HIPEC. Methods. Samples of blood and urine were collected from one male surgeon and one female perfusionist during oxaliplatin-based HIPEC treatment with open abdomen coliseum technique on six consecutive patients with PC from CRC. Results. All blood samples analysed were below the detection limit of <0.05 nmol/L Pt, and the urine samples were all below the detection limit of <0.03 nmol/L Pt. Conclusions. There appears to be little or no risk of Pt exposure during HIPEC when the recommended protective garment is used and the safety considerations are followed.
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  • Näslund Andréasson, Sara, 1971- (författare)
  • Work Environment in the Operating Room during Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy : Factors Influencing Choice of Protective Equipment
  • 2011
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Peritoneal carcinomatosis (PC) is a common metastatic manifestation of both gastrointestinal and gynecological malignancies. Curative modes of treatment are cytoreductive surgery (CRS) combined with intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC). Surgeons and operating room (OR) staff attending these procedures are exposed to chemotherapy and electrocautery smoke. Heated chemotherapy (HIPEC) may vaporize and become inhaled by those administering it and, moreover, large quantities of electrocautery smoke may also be inhaled by surgeons and OR staff, with unknown adverse health effects. The general aim of this thesis was to investigate the work environment during major abdominal surgery and HIPEC, and to map the factors influencing the behavior of OR nurses and surgeons when choosing protective equipment against electrocautery smoke. To determine the presence of platinum, a total of 36 blood and 36 urine samples were collected from one surgeon and one perfusionist during six oxaliplatin-based HIPEC treatments (Paper I). Regarding electrocautery smoke, amounts of ultrafine particles (UFPs) in the smoke from 14 CRS procedures and 11 colorectal cancer (CRC) procedures were collected and compared (Paper II). Additionally, polycyclic aromatic hydrocarbons (PAHs) were identified and quantified in electrocautery smoke during 40 CRS procedures (Paper III). Lastly, seven OR nurses and seven surgeons were interviewed individually to explore what factors influenced their behavior when choosing protective equipment against electrocautery smoke. The transcribed texts were analyzed with qualitative content analysis (Paper IV). All blood and urine samples were below the detection limit (Paper I). The amount of UFPs produced during CRS procedures was significantly higher than from CRC procedures (Paper II), and PAHs never exceeded Swedish occupational exposure limits (OELs) (Paper III). OR nurses and surgeons had a knowledge of electrocautery smoke and were aware of risks. However, external factors governed the use of protective equipment against electrocautery smoke (Paper IV). HIPEC with oxaliplatin seems to present no risk for treatment givers. However, the possible risks from exposure of cumulative amounts of UFPs and PAHs are still unknown. OR nurses’ and surgeons’ knowledge about the possible risks of electrocautery smoke, and the use of protective equipment, are therefore important.
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17.
  • Persson, Helena, et al. (författare)
  • Delineating diversity and specificity of an IgE-encoding transcriptome
  • 2008
  • Konferensbidrag (refereegranskat)abstract
    • IgE is a minor component of the humoral immune response but one that is of extensive medical importance as it is a major mediator of type 1 hypersensitivity or allergy. Allergy affects up to 30% of the population in the industrialized countries, consequently affecting the quality of life of millions of people. In this study we sought to investigate the IgE repertoire and its evolution as it occurs in grass pollen allergic subjects. For this purpose, a human IgE library was constructed by combining the IgE heavy chain genes with kappa and lambda light chain genes, which were isolated from peripheral blood B-cells of an individual with timothy allergy. The library was screened, using phage display, against a panel of six different timothy allergens. This procedure allowed us to delineate the specificity of more than 25% of the IgE-producing transcripts in this allergic individual. Apart from providing valuable insights into the diversity and specificity of allergy-inducing repertoires, we have established a range of antibodies that can aid us in the quest to define ways how human IgE antibodies recognize grass pollen allergens, which in turn can provide important clues in the design of new allergy vaccines.
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18.
  • Rolandsson, Olov, et al. (författare)
  • Acute Hyperglycemia Induced by Hyperglycemic Clamp Affects Plasma Amyloid-β in Type 2 Diabetes.
  • 2024
  • Ingår i: Journal of Alzheimer's disease : JAD. - 1875-8908.
  • Tidskriftsartikel (refereegranskat)abstract
    • Individuals with type 2 diabetes (T2D) have an increased risk of cognitive symptoms and Alzheimer's disease (AD). Mis-metabolism with aggregation of amyloid-β peptides (Aβ) play a key role in AD pathophysiology. Therefore, human studies on Aβ metabolism and T2D are warranted.The objective of this study was to examine whether acute hyperglycemia affects plasma Aβ 1-40 and Aβ 1-42 concentrations in individuals with T2D and matched controls.Ten participants with T2D and 11 controls (median age, 69 years; range, 66-72 years) underwent hyperglycemic clamp and placebo clamp (saline infusion) in a randomized order, each lasting 4 hours. Aβ 1-40, Aβ 1-42, and insulin-degrading enzyme (IDE) plasma concentrations were measured in blood samples taken at 0 and 4hours of each clamp. Linear mixed-effect regression models were used to evaluate the 4-hour changes in Aβ 1-40 and Aβ 1-42 concentrations, adjusting for body mass index, estimated glomerular filtration rate, and 4-hour change in insulin concentration.At baseline, Aβ 1-40 and Aβ 1-42 concentrations did not differ between the two groups. During the hyperglycemic clamp, Aβ decreased in the control group, compared to the placebo clamp (Aβ 1-40: p=0.034, Aβ 1-42: p=0.020), IDE increased (p=0.016) during the hyperglycemic clamp, whereas no significant changes in either Aβ or IDE was noted in the T2D group.Clamp-induced hyperglycemia was associated with increased IDE levels and enhanced Aβ 40 and Aβ 42 clearance in controls, but not in individuals with T2D. We hypothesize that insulin-degrading enzyme was inhibited during hyperglycemic conditions in people with T2D.
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19.
  • Rolandsson, Olov, et al. (författare)
  • Acute hyperglycemia induced by hyperglycemic clamp affects plasma Amyloid-β in type 2 diabetes
  • 2024
  • Ingår i: Journal of Alzheimer's Disease. - : IOS Press. - 1387-2877 .- 1875-8908. ; 99:3, s. 1033-1046
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Individuals with type 2 diabetes (T2D) have an increased risk of cognitive symptoms and Alzheimer's disease (AD). Mis-metabolism with aggregation of amyloid-β peptides (Aβ) play a key role in AD pathophysiology. Therefore, human studies on Aβ metabolism and T2D are warranted.Objective: The objective of this study was to examine whether acute hyperglycemia affects plasma Aβ1-40 and Aβ1-42 concentrations in individuals with T2D and matched controls.Methods: Ten participants with T2D and 11 controls (median age, 69 years; range, 66-72 years) underwent hyperglycemic clamp and placebo clamp (saline infusion) in a randomized order, each lasting 4 hours. Aβ1-40, Aβ1-42, and insulin-degrading enzyme (IDE) plasma concentrations were measured in blood samples taken at 0 and 4 hours of each clamp. Linear mixed-effect regression models were used to evaluate the 4-hour changes in Aβ1-40 and Aβ1-42 concentrations, adjusting for body mass index, estimated glomerular filtration rate, and 4-hour change in insulin concentration.Results: At baseline, Aβ1-40 and Aβ1-42 concentrations did not differ between the two groups. During the hyperglycemic clamp, Aβ decreased in the control group, compared to the placebo clamp (Aβ1-40: p = 0.034, Aβ1-42: p = 0.020), IDE increased (p = 0.016) during the hyperglycemic clamp, whereas no significant changes in either Aβ or IDE was noted in the T2D group.Conclusions: Clamp-induced hyperglycemia was associated with increased IDE levels and enhanced Aβ40 and Aβ42 clearance in controls, but not in individuals with T2D. We hypothesize that insulin-degrading enzyme was inhibited during hyperglycemic conditions in people with T2D.
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