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- Duong, M., et al.
(författare)
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Global differences in lung function by region (PURE): An international, community-based prospective study
- 2013
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Ingår i: The Lancet Respiratory Medicine. - 2213-2600. ; 1:8, s. 599-609
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the rising burden of chronic respiratory diseases, global data for lung function are not available. We investigated global variation in lung function in healthy populations by region to establish whether regional factors contribute to lung function. Methods: In an international, community-based prospective study, we enrolled individuals from communities in 17 countries between Jan 1, 2005, and Dec 31, 2009 (except for in Karnataka, India, where enrolment began on Jan 1, 2003). Trained local staff obtained data from participants with interview-based questionnaires, measured weight and height, and recorded forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC). We analysed data from participants 130-190 cm tall and aged 34-80 years who had a 5 pack-year smoking history or less, who were not affected by specified disorders and were not pregnant, and for whom we had at least two FEV1 and FVC measurements that did not vary by more than 200 mL. We divided the countries into seven socioeconomic and geographical regions: south Asia (India, Bangladesh, and Pakistan), east Asia (China), southeast Asia (Malaysia), sub-Saharan Africa (South Africa and Zimbabwe), South America (Argentina, Brazil, Colombia, and Chile), the Middle East (Iran, United Arab Emirates, and Turkey), and North America or Europe (Canada, Sweden, and Poland). Data were analysed with non-linear regression to model height, age, sex, and region. Findings: 153 996 individuals were enrolled from 628 communities. Data from 38 517 asymptomatic, healthy non-smokers (25 614 women; 12 903 men) were analysed. For all regions, lung function increased with height non-linearly, decreased with age, and was proportionately higher in men than women. The quantitative effect of height, age, and sex on lung function differed by region. Compared with North America or Europe, FEV1 adjusted for height, age, and sex was 31·3% (95% CI 30·8-31·8%) lower in south Asia, 24·2% (23·5-24·9%) lower in southeast Asia, 12·8% (12·4-13·4%) lower in east Asia, 20·9% (19·9-22·0%) lower in sub-Saharan Africa, 5·7% (5·1-6·4%) lower in South America, and 11·2% (10·6-11·8%) lower in the Middle East. We recorded similar but larger differences in FVC. The differences were not accounted for by variation in weight, urban versus rural location, and education level between regions. Interpretation: Lung function differs substantially between regions of the world. These large differences are not explained by factors investigated in this study; the contribution of socioeconomic, genetic, and environmental factors and their interactions with lung function and lung health need further clarification. Funding: Full funding sources listed at end of the paper (see Acknowledgments). © 2013 Elsevier Ltd.
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| 4. |
- Thulin, Mats, et al.
(författare)
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Phylogeny of the Turneraceae clade (Passifloraceae s.l.) : Trans-Atlantic disjunctions and two new genera in Africa
- 2012
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Ingår i: Taxon. - : Wiley. - 0040-0262 .- 1996-8175. ; 61:2, s. 308-323
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Tidskriftsartikel (refereegranskat)abstract
- Turneraceae, with just over 200 species in 10 genera, is today often included in a widely circumscribed Passifloraceae. The vast majority of the species are found in the New World, whereas generic diversity is largest in the Old World. According to current circumscriptions, three of the genera show trans-Atlantic disjunctions: Turnera with over 135 species in America and two species in Africa (one in the south-western and one in the north-eastern part), Piriqueta with 44 species in America and one in southern Africa, and Erblichia with one species in Central America and four in Madagascar. The phylogeny of Turneraceae is reconstructed based on DNA sequences from plastid trnL-F and nuclear ITS and sampling for all genera, including both New and Old World species for the trans-Atlantic groups to test their monophyly. The genera of Turneraceae form a strongly supported monophyletic group, the Turneraceae clade, within Passifloraceae s.l. The phylogeny is geographically structured, with one clade comprising American species only, except for the two African species of Turnera, and another clade with all other African species plus the Central American Erblichia odorata. Turnera is retrieved as monophyletic with the two African species appearing as close relatives of T. ulmifolia, the type of Turnera. The existence of a trans-Atlantic disjunction in Turnera is therefore supported. It is most likely caused by long-distance dispersal and estimated to be not older than late Miocene. In Piriqueta only the American species are supported as a monophyletic group, whereas the single African species is resolved as a member of the African clade. The trans-Atlantic disjunction in Piriqueta is therefore not supported and the African species is proposed to be placed in a genus of its own, Afroqueta gen. nov., as Afroqueta capensis comb. nov. Erblichia on Madagascar is supported as sister to Mathurina, a genus endemic to Rodrigues Island in the Mascarenes, and does not group with E. odorata in Central America, the type of Erblichia. The trans-Atlantic disjunction in Erblichia is therefore not supported either and the genus Arboa gen. nov. is proposed to accommodate the four Malagasy species, Arboa integrifolia comb. nov., Arboa berneriana comb. nov., Arboa madagascariensis comb. nov., and Arboa antsingyae comb. nov.
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