High dairy fat intake related to less central obesity: a male cohort study with 12 years' follow-up.

OBJECTIVE: To study associations between dairy fat intake and development of central obesity. DESIGN: A prospective population-based cohort study with two surveys 12 years apart. SETTING: Nine municipalities selected from different parts of Sweden representing the rural areas in the country. SUBJECTS: 1782 men (farmers and non-farmers) aged 40-60 years at baseline participated in a baseline survey (participation rate 76%) and 1589 men participated at the follow-up. 116 men with central obesity at baseline were excluded from the analyses. MAIN OUTCOME MEASURES: Central obesity at follow-up defined as waist hip ratio ≥ 1. RESULTS: 197 men (15%) developed central obesity during follow-up. A low intake of dairy fat at baseline (no butter and low fat milk and seldom/never whipping cream) was associated with a higher risk of developing central obesity (OR 1.53, 95% CI 1.05-2.24) and a high intake of dairy fat (butter as spread and high fat milk and whipping cream) was associated with a lower risk of central obesity (OR 0.52, 95% CI 0.33-0.83) as compared with medium intake (all other combinations of spread, milk, and cream) after adjustment for intake of fruit and vegetables, smoking, alcohol consumption, physical activity, age, education, and profession. The associations between dairy fat intake and central obesity were consistent across body mass index categories at baseline. CONCLUSION: A high intake of dairy fat was associated with a lower risk of central obesity and a low dairy fat intake was associated with a higher risk of central obesity.

Predictors of sick leave owing to neck or low back pain: a 12-year longitudinal cohort study in a rural male population.

Back pain is a common cause of sick leave. We analyzed how individual, work-related and lifestyle factors predicted sick leave owing to neck or low back pain over a 12-year period. In this prospective cohort study, 1,405 rural middle-aged farmers and non-farmers were surveyed in 1990-1991 (participation rate 76%) and followed up 12 years later (participation rate 68%). The 836 men who reported having experienced unspecific neck or low back pain the year prior to survey 1 were followed up for self-reported sick leave owing to neck or low back problems. Individual, occupational and lifestyle factors and data on acquired specific neck or back diagnosis were included in multiple logistic regression models. Seven percent reported neck or low back related sick leave during the 12 year period. Self-employment was associated with a lower risk of sick leave while sedentary leisure time, snuff use and a specific neck or back diagnosis was associated with a higher risk. Age, education, physical workload, marital status, sense of coherence, smoking, and alcohol consumption were not independently associated with sick leave. The low risk of sick leave among the self-employed is notable from a societal and public health perspective.

Mortality and morbidity among farmers, nonfarming rural men, and urban referents: a prospective population-based study.

A cohort of 1,220 farmers, 1,130 nonfarming rural men, and 1,087 urban referents from Sweden were monitored for 12 years. Farmers had lower mortality than urban referents for all causes of death (hazard ratio [HR] = 0.51; 95% confidence interval [CI], 0.37-0.71), cancer (HR = 0.44; 95% CI, 0.24-0.78) and cardiovascular diseases (HR = 0.60; 95% CI, 0.36-0.99). Nonfarming rural men had lower mortality than urban referents for all causes of deaths (HR = 0.81; 95% CI, 0.70-0.94). Farmers and nonfarming rural men had significantly lower morbidity risks of cancer and of psychiatric disorders than urban referents. Farmers had significantly lower risk of endocrine disorders, cardiovascular disorders, and respiratory disorders. In general, morbidity was lower among nonfarming rural men compared with urban referents and was even lower among farmers. Urban referents had, however, significantly less musculoskeletal disorder morbidity. An urban-rural factor and a farming occupational or lifestyle factor results in lower mortality and morbidity rates except concerning musculoskeletal disorders.

Nasal complaints and signs of disease in farmers--a methodological study.

CONCLUSION: The methods used in this study are suitable for field studies that involve examinations of groups of workers. For individual examinations, there is no gold standard method that can discriminate work-related discomfort from other causes of rhinitis. OBJECTIVES: Studies of the effects of occupation on farmers' health have mainly focused on lower airways; few studies have examined effects on upper airways. This study investigated nasal functions in three groups of farmers (swine, milk and grain producers) and a control group using different methods, suitable for field studies. SUBJECTS AND METHODS: Health-related complaints were examined and several functional tests, such as expirogram, olfactory threshold test, acoustic rhinometry, nasal lavage with biomarkers of inflammation (eosinophilic cationic proteins (ECP), myeloperoxidase (MPO), tryptase, albumin) and allergy tests were performed. The different tests were correlated to nasal complaints and to each other. RESULTS: Nasal blockage complaints were more common among farmers; overall, nasal polyps were more frequent in grain producers. Objective parameters showed more pronounced mucosal swelling in farmers and higher concentrations of ECP in nasal lavage compared with controls. Lung function, olfactory threshold, atopy frequency and allergen-specific IgE to the storage mite Lepidoglyphus destructor did not differ between farmers and controls. Mucosal swelling measured with acoustic rhinometry was more pronounced in subjects with nasal complaints, hypersensitivity, nasal polyps and symptoms from lower airways. There was a correlation between biomarkers in nasal lavage (MPO, albumin and ECP).

Hip osteoarthritis in a rural male population: A prospective population-based register study.

OBJECTIVES: A cohort of rural men with urban referents was followed over 13 years to study the risk of developing osteoarthritis of the hip joint. METHODS: A group of 1,220 farmers, 1,130 matched rural non-farming men, and 1,087 urban men were identified in 1989 and followed over time. Information on hospital care and surgery was obtained from the national Swedish register of hospital care and surgery. RESULTS: More farmers than referents had been hospitalized for osteoarthritis and had undergone surgery for osteoarthritis of the hip joint. Hazard ratio for osteoarthritis of the hip joint was 3.0 (95% CI: 1.7-5.3) for farmers versus urban controls. Non-farming rural men had no increased risk as compared with urban referents. CONCLUSION: Farmers but not non-farming rural men had a significantly increased risk of developing osteoarthritis of the hip joint as compared with urban referents.

Primary care consultation, hospital admission, sick leave and disability pension owing to neck and low back pain: a 12-year prospective cohort study in a rural population.

BACKGROUND: Neck and low back pain are common musculoskeletal complaints generating large societal costs in Western populations. In this study we evaluate the magnitude of long-term health outcomes for neck and low back pain, taking possible confounders into account. METHOD: A cohort of 2,351 Swedish male farmers and rural non-farmers (40-60 years old) was established in 1989. In the first survey, conducted in 1990-91, 1,782 men participated. A 12-year follow-up survey was made in 2002-03 and 1,405 men participated at both times. After exclusion of 58 individuals reporting a specific back diagnosis in 1990-91, the study cohort encompassed 1,347 men. The health outcomes primary care consultation, hospital admission, sick leave and disability pension were assessed in structured interviews in 2002-03 (survey 2). Symptoms and potential confounders were assessed at survey 1, with the exception of rating of depression and anxiety, which was assessed at survey 2. Multiple logistic regression generating odds ratios (OR) with 95% confidence intervals (95% CI) was performed to adjust the associations between reported symptoms and health outcomes for potential confounders (age, farming, workload, education, demand and control at work, body mass index, smoking, snuff use, alcohol consumption, psychiatric symptoms and specific back diagnoses during follow up). RESULTS: Of the 836 men reporting current neck and/or low back pain at survey 1, 21% had had at least one primary care consultation for neck or low back problems, 7% had been on sick leave and 4% had disability pension owing to the condition during the 12 year follow up. Current neck and/or low back pain at survey 1 predicted primary care consultations (OR = 4.10, 95% CI 2.24-7.49) and sick leave (OR = 3.22, 95% CI 1.13-9.22) after potential confounders were considered. Lower education and more psychiatric symptoms were independently related to sick leave. Lower education and snuff use independently predicted disability pension. CONCLUSION: Few individuals with neck or low back pain were on sick leave or were granted a disability pension owing to neck or low back problems during 12 years of follow up. Symptoms at baseline independently predicted health outcomes. Educational level and symptoms of depression/anxiety were important modifiers.

Low back pain comorbidity among male farmers and rural referents: a population-based study.

Farmers report more low back pain (LBP) than rural referents. We have previously demonstrated that the difference in reporting rate cannot be fully explained by known risk factors such as physical work exposures, psychosocial factors and lifestyle. Other etiological factors must be involved. In this cross-sectional population-based study, we investigate LBP comorbidity in terms of coexistent symptoms. A total of 1,013 male farmers, 40-60 years old, and 769 matched rural referents participated in an extensive health survey. Information on causes of primary health care and hospital admissions, symptoms, lifestyle factors, physical work exposures and psychosocial factors were gathered through standardized interviews and questionnaires. In the combined farmer-referent group, the prevalence of LBP was associated with musculoskeletal symptoms other than LBP, chest discomfort, dyspepsia, symptoms from eyes, nose and throat mucous membranes, skin problems, work-related fever attacks, and primary care appointments due to digestive disorders. The associations were independent of age, educational level, smoking habits, body mass index, physical work exposures and psychosocial factors. Presence of both respiratory and digestive disorders doubled the LBP prevalence. Significant associations between LBP and digestive and respiratory disorders were revealed, indicating that LBP and these disease entities may have etiological factors in common.

Is there an increased risk of knee osteoarthritis among farmers? A population-based case-control study.

OBJECTIVES: Occupational workload is generally considered a to be contributing cause in the development of knee osteoarthritis, in addition to well-known risk factors such as age, female gender, excess weight and previous knee injuries. Farmers have an increased risk of developing hip osteoarthritis, but it is uncertain if farming is influencing the occurrence of knee osteoarthritis. The aim of this population-based case-control study was to investigate the risk of radiographically verified femorotibial osteoarthritis among farmers and those in some other physically demanding occupations. METHODS: A mailed questionnaire inquiring about previous occupations was answered by 778 subjects having X-ray verified osteoarthritis in the femorotibial joint and 695 matched controls. The reply frequency was 89%. Mean age of the participants was 63 years, 43% were male and 57% female. The relationship between knee osteoarthritis and occupation was analysed by multiple logistic regression, with adjustment for a number of variables. RESULTS: Men who had worked for 11-30 years in the building and construction industry had a 3.7-times (95% CI 1.2-11.3) increased risk of knee osteoarthritis. Farm work was not related to an increased risk for men. However, women who had worked for 11-30 years in farming tended to have an increased risk (OR 2.1, 95% CI 1.0-4.5). Forestry, letter-carrying (postal), cleaning and healthcare work was not related to knee osteoarthritis. Excess weight, heredity and previous knee injuries were strong risk factors, whereas smoking showed a negative relationship to knee osteoarthritis. CONCLUSION: Work in building and construction occupations, but not in farming, was associated with an increased risk of knee osteoarthritis.

A comparison of oligonucleotide and cDNA-based microarray systems.

Large-scale public data mining will become more common as public release of microarray data sets becomes a corequisite for publication. Therefore, there is an urgent need to clarify whether data from different microarray platforms are comparable. To assess the compatibility of microarray data, results were compared from the two main types of high-throughput microarray expression technologies, namely, an oligonucleotide-based and a cDNA-based platform, using RNA obtained from complex tissue (human colonic mucosa) of five individuals. From 715 sequence-verified genes represented on both platforms, 64% of the genes matched in "present" or "absent" calls made by both platforms. Calls were influenced by spurious signals caused by Alu repeats in cDNA clones, clone annotation errors, or matched probes that were designed to different regions of the gene; however, these factors could not completely account for the level of call discordance observed. Expression levels in sequence-verified, platform-overlapping genes were not related, as demonstrated by weakly positive rank order correlation. This study demonstrates that there is only moderate overlap in the results from the two array systems. This fact should be carefully considered when performing large-scale analyses on data originating from different microarray platforms.