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- Sjöström, Lars, et al.
(författare)
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Bariatric surgery and long-term cardiovascular events.
- 2012
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Ingår i: JAMA : the journal of the American Medical Association. - : American Medical Association (AMA). - 1538-3598. ; 307:1, s. 56-65
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Tidskriftsartikel (refereegranskat)abstract
- Obesity is a risk factor for cardiovascular events. Weight loss might protect against cardiovascular events, but solid evidence is lacking.
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| 4. |
- Sjöström, Lars, et al.
(författare)
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Effects of bariatric surgery on cancer incidence in obese patients in Sweden (Swedish Obese Subjects Study): a prospective, controlled intervention trial.
- 2009
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Ingår i: The lancet oncology. - 1474-5488. ; 10:7, s. 653-62
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Obesity is a risk factor for cancer. Intentional weight loss in the obese might protect against malignancy, but evidence is limited. To our knowledge, the Swedish Obese Subjects (SOS) study is the first intervention trial in the obese population to provide prospective, controlled cancer-incidence data. METHODS: The SOS study started in 1987 and involved 2010 obese patients (body-mass index [BMI] >or=34 kg/m(2) in men, and >or=38 kg/m(2) in women) who underwent bariatric surgery and 2037 contemporaneously matched obese controls, who received conventional treatment. While the main endpoint of SOS was overall mortality, the main outcome of this exploratory report was cancer incidence until Dec 31, 2005. Cancer follow-up rate was 99.9% and the median follow-up time was 10.9 years (range 0-18.1 years). FINDINGS: Bariatric surgery resulted in a sustained mean weight reduction of 19.9 kg (SD 15.6 kg) over 10 years, whereas the mean weight change in controls was a gain of 1.3 kg (SD 13.7 kg). The number of first-time cancers after inclusion was lower in the surgery group (n=117) than in the control group (n=169; HR 0.67, 95% CI 0.53-0.85, p=0.0009). The sex-treatment interaction p value was 0.054. In women, the number of first-time cancers after inclusion was lower in the surgery group (n=79) than in the control group (n=130; HR 0.58, 0.44-0.77; p=0.0001), whereas there was no effect of surgery in men (38 in the surgery group vs 39 in the control group; HR 0.97, 0.62-1.52; p=0.90). Similar results were obtained after exclusion of all cancer cases during the first 3 years of the intervention. INTERPRETATION: Bariatric surgery was associated with reduced cancer incidence in obese women but not in obese men. FUNDING: Swedish Research Council, Swedish Foundation for Strategic Research, Swedish Federal Government under the LUA/ALF agreement, Hoffmann La Roche, Cederoths, AstraZeneca, Sanofi-Aventis, Ethicon Endosurgery.
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- Sjöström, Lars, et al.
(författare)
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Effects of bariatric surgery on mortality in Swedish obese subjects.
- 2007
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Ingår i: The New England journal of medicine. - 1533-4406. ; 357:8, s. 741-52
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Obesity is associated with increased mortality. Weight loss improves cardiovascular risk factors, but no prospective interventional studies have reported whether weight loss decreases overall mortality. In fact, many observational studies suggest that weight reduction is associated with increased mortality. METHODS: The prospective, controlled Swedish Obese Subjects study involved 4047 obese subjects. Of these subjects, 2010 underwent bariatric surgery (surgery group) and 2037 received conventional treatment (matched control group). We report on overall mortality during an average of 10.9 years of follow-up. At the time of the analysis (November 1, 2005), vital status was known for all but three subjects (follow-up rate, 99.9%). RESULTS: The average weight change in control subjects was less than +/-2% during the period of up to 15 years during which weights were recorded. Maximum weight losses in the surgical subgroups were observed after 1 to 2 years: gastric bypass, 32%; vertical-banded gastroplasty, 25%; and banding, 20%. After 10 years, the weight losses from baseline were stabilized at 25%, 16%, and 14%, respectively. There were 129 deaths in the control group and 101 deaths in the surgery group. The unadjusted overall hazard ratio was 0.76 in the surgery group (P=0.04), as compared with the control group, and the hazard ratio adjusted for sex, age, and risk factors was 0.71 (P=0.01). The most common causes of death were myocardial infarction (control group, 25 subjects; surgery group, 13 subjects) and cancer (control group, 47; surgery group, 29). CONCLUSIONS: Bariatric surgery for severe obesity is associated with long-term weight loss and decreased overall mortality.
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- Delling, Lotta, et al.
(författare)
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Feasibility of bariatric surgery as a strategy for secondary prevention in cardiovascular disease: a report from the Swedish obese subjects trial.
- 2010
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Ingår i: Journal of obesity (Online). - : Hindawi Limited. - 2090-0716 .- 2090-0708. ; 2010
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Forskningsöversikt (refereegranskat)abstract
- Aims. Evaluation of bariatric surgery as secondary prevention in obese patients with ischemic heart disease (IHD). Methods. Analysis of data from 4047 subjects in the Swedish Obese Subjects (SOSs) study. Thirty-five patients with IHD are treated with bariatric surgery (n = 21) or conventional treatment (n = 14). Mean follow-up is 10.8 years. Results. Bariatric surgery resulted in sustained weight loss during the study period. After 2 years, the surgery group displayed significant reductions in cardiovascular risk factors, relief from cardiorespiratory symptoms, increments in physical activity, and improved quality of life. After 10 years, recovery from hypertension, diabetes, physical inactivity, and depression was still more common in the surgery group. There were no signs of increased cardiovascular morbidity or mortality in the surgery group. Conclusion. Bariatric surgery appears to be a safe and feasible treatment to achieve long-term weight loss and improvement in cardiovascular risk factors, symptoms, and quality of life in obese subjects with IHD.
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- Ahlin, Sofie, 1985, et al.
(författare)
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Macrophage Gene Expression in Adipose Tissue is Associated with Insulin Sensitivity and Serum Lipid Levels Independent of Obesity.
- 2013
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Ingår i: Obesity (Silver Spring, Md.). - : Wiley. - 1930-739X .- 1930-7381. ; 21:12
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Obesity is linked to both increased metabolic disturbances and increased adipose tissue macrophage infiltration. However, whether macrophage infiltration directly influences human metabolism is unclear. The aim of this study was to investigate if there are obesity-independent links between adipose tissue macrophages and metabolic disturbances. Design and Methods: Expression of macrophage markers in adipose tissue was analyzed by DNA microarrays in the SOS Sib Pair study and in patients with type 2 diabetes and a BMI-matched healthy control group. Results: The expression of macrophage markers in adipose tissue was increased in obesity and associated with several metabolic and anthropometric measurements. After adjustment for BMI, the expression remained associated with insulin sensitivity, serum levels of insulin, C-peptide, high density lipoprotein cholesterol (HDL-cholesterol) and triglycerides. In addition, the expression of most macrophage markers was significantly increased in patients with type 2 diabetes compared to the control group. Conclusion: Our study shows that infiltration of macrophages in human adipose tissue, estimated by the expression of macrophage markers, is increased in subjects with obesity and diabetes and associated with insulin sensitivity and serum lipid levels independent of BMI. This indicates that adipose tissue macrophages may contribute to the development of insulin resistance and dyslipidemia.
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- Azremi, A.A.H., et al.
(författare)
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On diversity performance of two-element coupling element based antenna structure for mobile terminal
- 2010
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Ingår i: EuCAP 2010 Fourth European Conference on Antennas and Propagation, Barcelona, 12-16 April 2010.
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Konferensbidrag (refereegranskat)abstract
- In wireless communication systems, multipath interference has a significant impact on system design and performance. Fast fading is caused by the coherent summation of one or more echoes from many reflection points reaching the receive antenna. Antenna diversity can be used to mitigate multipath fading. The main challenge of antenna diversity in practical application is the integration of multiple antennas on a small ground plane. Two-element antenna structure based on coupling element antenna concept for diversity application has been studied in previous work and it has shown to be feasible for low frequency diversity application with stable and low envelope correlation across wide frequency range. The studied structure has been tuned to be operating at 1600 MHz for measurement evaluation purpose. This paper presents an analysis of diversity performance of the structure in terms of efficiencies, envelope correlation, and apparent and effective diversity gains in isotropic (i.e. statistically uniform) propagation channel, using spherical near-field technique in an ideal line-of-sight environment (anechoic chamber) and inside reverberation chamber. The envelope correlation is less than 0.1 and the diversity gain is equal to 10.2 dB at 99% reliability level using selection combining technique across simulation and both measurement methods. The measurement techniques are compared to show how accurately the diversity performance of a mobile terminal antenna can be estimated.
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- Bentham, James, et al.
(författare)
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A century of trends in adult human height
- 2016
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Ingår i: eLIFE. - : eLife Sciences Publications Ltd. - 2050-084X. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5–22.7) and 16.5 cm (13.3– 19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8– 144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.
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| 24. |
- Burza, Maria Antonella, 1980, et al.
(författare)
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PNPLA3 I148M (rs738409) genetic variant is associated with hepatocellular carcinoma in obese individuals
- 2012
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Ingår i: Digestive and Liver Disease. - : Elsevier BV. - 1590-8658. ; 44:12, s. 1037-1041
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Tidskriftsartikel (refereegranskat)abstract
- Background: Obesity is a risk factor for cancer, including hepatocellular carcinoma. Patatin-like phospholipase domain-containing 3 (PNPLA3) I148M (rs738409) genetic variant has been associated with hepatocellular carcinoma (HCC) in individuals with chronic alcohol abuse or hepatic viral infection. In the present study we examined the association between the PNPLA3I148M genetic variant and hepatocellular carcinoma in obese individuals from the Swedish Obese Subjects cohort (n=4047). Methods: We performed a matched, prospective, controlled, interventional trial, investigating the effect of bariatric surgery (surgery group) compared to conventional treatment (control group) for obesity. Results: A total of 9 events were observed in the 15-year median follow up (5 in the control group and 4 in the surgery group). A significantly higher incidence of hepatocellular carcinoma in PNPLA3 148M allele carriers was found in obese individuals in the control group (log-rank P-value=0.001), but not in the surgery group (log-rank P-value=0.783). Consistently, an increased risk (for each PNPLA3 148M allele, hazard ratio: 5.9; 95% confidence interval 1.5-23.8; P-value=0.013) of developing hepatocellular carcinoma was observed only in the control group. Conclusion: The current study is the first prospective report showing the association of the PNPLA3I148M genetic variant and hepatocellular carcinoma in severely obese individuals.
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| 33. |
- Carlberg, Ulf, 1978, et al.
(författare)
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Numerical study of position stirring and frequency stirring in loaded reverberation chamber
- 2009
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Ingår i: IEEE Transactions on Electromagnetic Compatibility. - 0018-9375 .- 1558-187X. ; 51:1, s. pp. 12-17
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Tidskriftsartikel (refereegranskat)abstract
- A numerical model of a loaded reverberation chamber is used to study the effectiveness of 3-D position stirring and frequency stirring. The numerical model is based on thin wires, the moment method, and a cavity Green's function. The average power transfer level between two dipole antennas is compared to the average power transfer level between a dipole antenna and a loop antenna. The two transmission levels should ideally be the same, as both the dipole and the loop are treated as being lossless and impedance matched. The standard deviation of the level differences is a measure of the accuracy of the chamber, and this is used to estimate the stirring effectiveness. It is shown that frequency stirring must be done over a larger bandwidth than the average mode bandwidth to be effective. The 3-D position stirring is also shown to be much more efficient than expected.
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| 35. |
- Carlberg, Ulf, 1978, et al.
(författare)
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Ray based multipath simulation tool for studying convergence and estimating ergodic capacity and diversity gain for antennas with given far-field functions
- 2010
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Ingår i: 20th International Conference on Applied Electromagnetics and Communications, Dubrovnik, Croatia, September 2010. - 9789536037582
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Konferensbidrag (refereegranskat)abstract
- We propose that the rich isotropic multipath environment should be a reference environment for OTA (over-the-air) characterization of wireless stations for use in multipath, in the same way as the anechoic environment is a reference environment for antennas mounted on masts and rooftops. The rich isotropic multipath environment is emulated by a well designed reverberation chamber, but also by a spherical array of probes in an anechoic chamber. The present paper describes a ray-based simulation tool, ViRM-Lab, which enables users to study the performance of arbitrary user-defined multiport antenna located in user-specified multipath environment. The antennas are defined by their far-field functions of the embedded element (with the other ports matched-load terminated). The environment can be determined by its Angle-of-Arrival (AoA) distribution, richness, and polarization balance. The code is made in such a way that the convergence of the cumulative distribution function (CDF) received on all ports can be studied, as well as the convergence of the statistical expectations when estimating the ergodic Shannon capacity and diversity gain.
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| 41. |
- Carlsson, Gunilla, 1962-, et al.
(författare)
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Polymer film formation studied with fluorescence microscopy
- 2009
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Konferensbidrag (refereegranskat)abstract
- One problem with water-based film-forming systems is the high heat of evaporation, yielding long drying times. Short drying times are commonly important, and solvents with high vapour pressures must be used. This fluorescence microscopy method has successfully been used for studies of low and high volume latex fractions, even for particles with a diameter as small as 100 nm. It is possible to perform statistical analyses from single particles traces, yielding information on interactions with other compounds, as well as changes in the environment of the particle. For fast-drying systems, film formation often occurs under non-equilibrium conditions. The microstructure, frequently due to uncompleted phase separation, is decisive for the film properties. Such microstructures have been found in polymer thin films for optoelectronic devices. Of special interest is the recognition of arrested states and so-called Levy walk diffusion at elevated concentrations, the concentration gradient being a consequence of the drying process
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- Carlsson, Jan, 1962, et al.
(författare)
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About measurements in reverberation chamber and isotropic reference environment
- 2010
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Ingår i: 20th International Conference on Applied Electromagnetics and Communications, Dubrovnik, Croatia, September 2010. - : ICECom 2010. - 9789536037582
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Konferensbidrag (refereegranskat)abstract
- The paper discusses the need for a reference environment for the characterization of small antennas intended to be used in multipath. The conclusion is that a good choice is the rich isotropic multipath environment as emulated by a well designed reverberation chamber, or possibly by a spherical array of antennas in an anechoic chamber. This is the only environment that enables a unique, objective and repeatable antenna characterization. This cannot be achieved in other environments. A few examples are given showing that the performances of different incremental antennas are very different and depend strongly on their orientations when they are located in a 2D horizontal multipath environment, with incident waves only in the horizontal plane, whereas their performances are equal and invariant to orientation when they are located in the rich isotropic multipath environment.
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