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1.
Int J Obes (Lond) ; 37(5): 732-9, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-22751254

RESUMO

OBJECTIVE: Investigation of the association of excess adiposity with three different outcomes: all-cause mortality, coronary heart disease (CHD) mortality and incident CHD. DESIGN: Cross-sectional surveys linked to hospital admissions and death records. SUBJECTS: 19 329 adults (aged 18-86 years) from a representative sample of the Scottish population. MEASUREMENTS: Gender-stratified Cox proportional hazards models were used to estimate hazard ratios (HRs) for all-cause mortality, CHD mortality and incident CHD. Separate models incorporating the anthropometric measurements body mass index (BMI), waist circumference (WC) or waist-hip ratio (WHR) were created adjusted for age, year of survey, smoking status and alcohol consumption. RESULTS: For both genders, BMI-defined obesity (30 kg m(-2)) was not associated with either an increased risk of all-cause mortality or CHD mortality. However, there was an increased risk of incident CHD among the obese men (hazard ratio (HR)=1.78; 95% confidence interval=1.37-2.31) and obese women (HR=1.93; 95% confidence interval=1.44-2.59). There was a similar pattern for WC with regard to the three outcomes; for incident CHD, the HR=1.70 (1.35-2.14) for men and 1.71 (1.28-2.29) for women in the highest WC category (men 102 cm, women 88 cm), synonymous with abdominal obesity. For men, the highest category of WHR (1.0) was associated with an increased risk of all-cause mortality (1.29; 1.04-1.60) and incident CHD (1.55; 1.19-2.01). Among women with a high WHR (0.85) there was an increased risk of all outcomes: all-cause mortality (1.56; 1.26-1.94), CHD mortality (2.49; 1.36-4.56) and incident CHD (1.76; 1.31-2.38). CONCLUSIONS: In this study excess adiposity was associated with an increased risk of incident CHD but not necessarily death. One possibility is that modern medical intervention has contributed to improved survival of first CHD events. The future health burden of increased obesity levels may manifest as an increase in the prevalence of individuals living with CHD and its consequences.


Assuntos
Consumo de Bebidas Alcoólicas/mortalidade , Doença das Coronárias/mortalidade , Obesidade/mortalidade , Fumar/mortalidade , Adiposidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Composição Corporal , Índice de Massa Corporal , Doença das Coronárias/etiologia , Doença das Coronárias/fisiopatologia , Estudos Transversais , Feminino , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Obesidade/fisiopatologia , Modelos de Riscos Proporcionais , Fatores de Risco , Escócia/epidemiologia , Fatores Socioeconômicos , Análise de Sobrevida , Circunferência da Cintura , Relação Cintura-Quadril
2.
Regul Toxicol Pharmacol ; 66(1): 24-9, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23454103

RESUMO

Styrene (S) is lung tumorigenic in mice but not in rats. S and its alkene-oxidized metabolite styrene oxide (SO) were not lung toxic in CYP2F2(-/-) [knockout] mice, indicating S-induced mouse lung tumors are mediated through mouse-specific CYP2F2-generated ring-oxidized metabolite(s) in lung bronchioles. The human relevance of the CYP2F MOA was assessed by insertion of a human CYP2F1, 2A13, 2B6 transgene into CYP2F2(-/-) mice; CYP2F1 expression and activity were confirmed in the transgenic (TG) mice. No evidence of cytotoxicity or increased cell proliferation (BrdU labeling) was seen in TG mice treated with either S or SO (200mg/kg/day ip for 5days). In contrast to S and SO, 4HS (105mg/kg/day ip for 5days) increased BrdU labeling 5-10-fold in WT mice, <3-fold increase in KO mice and 2-4-fold in TG mice. The limited response of 4HS in KO and TG mice may result from intrinsic toxicity or from further metabolism; regardless of the MOA, these findings indicate that the CYP2F-mediated tumorigenic MOA in WT mice is not operative for S, SO, or for 4HS putatively derived from metabolism of S by CYP2F1 in humans, and thus S-induced mouse lung tumors are unlikely to be relevant to human risk.


Assuntos
Sistema Enzimático do Citocromo P-450/metabolismo , Compostos de Epóxi/toxicidade , Fenóis/toxicidade , Estireno/toxicidade , Animais , Hidrocarboneto de Aril Hidroxilases/genética , Proliferação de Células/efeitos dos fármacos , Citocromo P-450 CYP2B6 , Sistema Enzimático do Citocromo P-450/genética , Família 2 do Citocromo P450 , Feminino , Humanos , Neoplasias Pulmonares/induzido quimicamente , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Oxirredutases N-Desmetilantes/genética , Especificidade da Espécie
3.
Regul Toxicol Pharmacol ; 62(1): 214-20, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22041433

RESUMO

Styrene induces lung tumors in mice but not in rats. Although metabolism of styrene to 7,8-styrene oxide (SO) by CYP2E1 has been suggested as a mediator of styrene toxicity, lung toxicity is not attenuated in CYP2E1 knockout mice. However, styrene and/or SO metabolism by mouse lung Clara cell-localized CYP2F2 to ring-oxidized cytotoxic metabolite(s) has been postulated as a key metabolic gateway responsible for both lung toxicity and possible tumorigenicity. To test this hypothesis, the lung toxicity of styrene and SO was evaluated in C57BL/6 (WT) and CYP2F2⁻/⁻ knockout mice treated with styrene (400 mg/kg/day, gavage, or 200 or 400 mg/kg/day, ip) or S- or R-SO (200 mg/kg/day, ip) for 5 days. Styrene treated WT mice displayed significant necrosis and exfoliation of Clara cells, and cumulative BrdU-labeling index of S-phase cells was markedly increased in terminal bronchioles of WT mice exposed to styrene or S- or RSO. In contrast, Clara and terminal bronchiole cell toxicity was not observed in CYP2F2⁻/⁻ mice exposed to either styrene or SO. This study clearly demonstrates that the mouse lung toxicity of both styrene and SO is critically dependent on metabolism by CYP2F2. Importantly, the human isoform of CYP2F, CYP2F1, is expressed at much lower levels and likely does not catalyze significant styrene metabolism, supporting the hypothesis that styrene-induced mouse lung tumors may not quantitatively, or possibly qualitatively, predict lung tumor potential in humans.


Assuntos
Carcinógenos/toxicidade , Sistema Enzimático do Citocromo P-450/metabolismo , Compostos de Epóxi/toxicidade , Neoplasias Pulmonares/induzido quimicamente , Estireno/toxicidade , Animais , Sistema Enzimático do Citocromo P-450/deficiência , Sistema Enzimático do Citocromo P-450/genética , Feminino , Neoplasias Pulmonares/metabolismo , Neoplasias Pulmonares/patologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout
4.
Int J Obes (Lond) ; 35(6): 838-51, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20921963

RESUMO

OBJECTIVE: To investigate the relationship between body mass index (BMI), waist circumference (WC) or waist-hip ratio (WHR) and all-cause mortality or cause-specific mortality. DESIGN: Cross-sectional surveys linked to hospital admissions and death records. SUBJECTS: In total, 20,117 adults (aged 18-86 years) from a nationally representative sample of the Scottish population. MEASUREMENTS: Cox proportional hazards models were used to estimate hazard ratios (HRs) for all-cause, or cause-specific, mortality. The three anthropometric measurements BMI, WC and WHR were the main variables of interest. The following were adjustment variables: age, gender, smoking status, alcohol consumption, survey year, social class and area of deprivation. RESULTS: BMI-defined obesity (≥ 30 kg m(-2)) was not associated with increased risk of mortality (HR = 0.93; 95% confidence interval = 0.80-1.08), whereas the overweight category (25-<30 kg m(-2)) was associated with a decreased risk (0.80; 0.70-0.91). In contrast, the HR for a high WC (men ≥ 102 cm, women ≥ 88 cm) was 1.17 (1.02-1.34) and a high WHR (men ≥ 1, women ≥ 0.85) was 1.34 (1.16-1.55). There was an increased risk of cardiovascular disease (CVD) mortality associated with BMI-defined obesity, a high WC and a high WHR categories; the HR estimates for these were 1.36 (1.05-1.77), 1.41 (1.11-1.79) and 1.44 (1.12-1.85), respectively. A low BMI (<18.5 kg m(-2)) was associated with elevated HR for all-cause mortality (2.66; 1.97-3.60), for chronic respiratory disease mortality (3.17; 1.39-7.21) and for acute respiratory disease mortality (11.68; 5.01-27.21). This pattern was repeated for WC but not for WHR. CONCLUSIONS: It might be prudent not to use BMI as the sole measure to summarize body size. The alternatives WC and WHR may more clearly define the health risks associated with excess body fat accumulation. The lack of association between elevated BMI and mortality may reflect the secular decline in CVD mortality.


Assuntos
Doenças Cardiovasculares/mortalidade , Obesidade/mortalidade , Relação Cintura-Quadril/mortalidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Tamanho Corporal , Doenças Cardiovasculares/etiologia , Causas de Morte , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Modelos de Riscos Proporcionais , Fatores de Risco , Escócia/epidemiologia , Circunferência da Cintura , Adulto Jovem
5.
Microvasc Res ; 77(1): 8-12, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18929580

RESUMO

An increasing body of evidence suggests that the deleterious effects of Acute Kidney Injury (AKI) on remote organ function could, at least in part, be due to loss of the normal balance of immune, inflammatory, and soluble mediator metabolism that attends injury of the tubular epithelium. Such dysregulation, acting at least in part on endothelium, leads to compromise of remote organ function. Kidney-lung interaction in the setting of AKI therefore constitutes not only a pressing clinical problem, but also an illuminating framework in which to consider possible mechanisms by which renal diseases exert such deleterious effects on patient outcomes, even when dialysis is provided.


Assuntos
Injúria Renal Aguda/complicações , Injúria Renal Aguda/fisiopatologia , Lesão Pulmonar Aguda/etiologia , Lesão Pulmonar Aguda/fisiopatologia , Pulmão/fisiopatologia , Injúria Renal Aguda/metabolismo , Lesão Pulmonar Aguda/metabolismo , Animais , Encéfalo/metabolismo , Encéfalo/fisiopatologia , Permeabilidade Capilar/fisiologia , Coração/fisiopatologia , Humanos , Rim/imunologia , Rim/metabolismo , Rim/fisiopatologia , Pulmão/metabolismo , Ativação de Neutrófilo/fisiologia
6.
J Food Prot ; 71(10): 2042-7, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18939750

RESUMO

Polyethylene films were surface modified, to incorporate amine and amide functionalities, and subsequently were evaluated for their ability to recharge the antimicrobial N-halamine structures after contact with sodium hypochlorite, a common food-approved sanitizer. Surfaces were tested for chlorine retention and release, as well as antimicrobial activity against microorganisms relevant to food quality and food safety, including Escherichia coli K-12, Pseudomonas fluorescens, Bacillus cereus, and Listeria monocytogenes. N-Halamine functionalized polyethylene exhibited chlorine rechargeability, maintaining 5 to 7 nmol/cm2 N-halamine structures for six successive charges. The N-halamine functionalized films achieved a 4-log reduction for all organisms tested and maintained a greater than 3-log reduction for four successive uses, suggesting that the modified polyethylene films are capable of providing rechargeable antimicrobial activity. The modified films exhibited antimicrobial activity in aqueous suspensions (P < 0.05) and reduced microbial growth in diluted broth (P < 0.05), suggesting the potential for biocidal action even in the presence of organic matter. Such a rechargeable antimicrobial surface could supplement existing cleaning and sanitation programs in food processing environments to reduce the adhesion, growth, and subsequent cross-contamination of food pathogens, as well as food spoilage organisms.


Assuntos
Biofilmes/crescimento & desenvolvimento , Desinfetantes/química , Contaminação de Alimentos/prevenção & controle , Polietileno/química , Hipoclorito de Sódio/química , Bacillus cereus/efeitos dos fármacos , Bacillus cereus/crescimento & desenvolvimento , Contagem de Colônia Microbiana , Qualidade de Produtos para o Consumidor , Desinfetantes/farmacologia , Escherichia coli K12/efeitos dos fármacos , Escherichia coli K12/crescimento & desenvolvimento , Microbiologia de Alimentos , Humanos , Listeria monocytogenes/efeitos dos fármacos , Listeria monocytogenes/crescimento & desenvolvimento , Pseudomonas fluorescens/efeitos dos fármacos , Pseudomonas fluorescens/crescimento & desenvolvimento
7.
Equine Vet J ; 39(4): 294-300, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17722719

RESUMO

REASONS FOR PERFORMING STUDY: Information is scarce as to how horses are kept and managed in the general horse population of Great Britain. OBJECTIVES: To characterise the demographics of horses in Great Britain and assess their care (with particular reference to the respiratory system). METHODS: Horse owners were surveyed using a self-administered postal questionnaire. These owners were selected randomly, following geographical stratification, using 2-stage cluster sampling of veterinary practices and their clients. RESULTS: The overall response proportion to the survey was 68.2%. An investigation of nonresponse bias detected minimal differences between responders and nonresponders. A summary of the demographic characteristics, feeding and management of horses in a sample of the general population of Great Britain is presented. CONCLUSIONS AND POTENTIAL RELEVANCE: Horses are kept under a great variety of conditions with some potentially exposed to high concentrations of organic dusts associated with stabling. This information is relevant to their health and welfare.


Assuntos
Criação de Animais Domésticos/métodos , Cavalos , Medicina Veterinária/métodos , Ração Animal , Criação de Animais Domésticos/normas , Animais , Análise por Conglomerados , Coleta de Dados , Demografia , Feminino , Cavalos/fisiologia , Abrigo para Animais/normas , Masculino , Propriedade/estatística & dados numéricos , Estações do Ano , Inquéritos e Questionários , Reino Unido , Medicina Veterinária/normas
8.
Equine Vet J ; 39(4): 301-8, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17722720

RESUMO

REASONS FOR PERFORMING STUDY: Recurrent airway obstruction (RAO) is a commonly encountered respiratory condition of horses. Despite this, the epidemiology of this predominately manageable and reversible disease in Great Britain has been largely ignored. OBJECTIVES: To estimate the prevalence of RAO in the general horse population of Great Britain and to investigate possible risk factors for RAO associated with management or early life. METHODS: Horse owners were surveyed using a self-administered postal questionnaire that contained a risk-screening questionnaire (RSQ) designed to identify horses with RAO. These owners were randomly selected, following geographical stratification, using 2-stage cluster sampling of veterinary practices and their clients. Multilevel, multivariable logistic regression models were used to investigate risk factors for RAO in the selected horse population. RESULTS: The estimated true prevalence of RAO in the selected horse population was 14.0% (95%CI 10.7-17.4%). Risk factors for RAO identified in a general horse management logistic regression model included increasing age and exposure to an urbanised environment. Recurrent airway obstruction has long been associated with mature horses while the association with an urbanised environment could be related to different management practices in these areas or possibly air pollution could be involved. The second model associated exposure to hay and respiratory infection in early life with a horse having RAO in later life. Challenges to the respiratory system in early life may be involved in the development of this disease. CONCLUSIONS AND POTENTIAL RELEVANCE: Recurrent airway obstruction is a significant health problem in the horse population of Great Britain. This form of epidemiological investigation highlights potential risk factors for the disease.


Assuntos
Criação de Animais Domésticos/métodos , Doenças dos Cavalos/epidemiologia , Pneumopatias Obstrutivas/veterinária , Infecções Respiratórias/veterinária , Fatores Etários , Poluentes Atmosféricos/efeitos adversos , Animais , Análise por Conglomerados , Feminino , Cavalos , Modelos Logísticos , Pneumopatias Obstrutivas/epidemiologia , Masculino , Análise Multivariada , Prevalência , Recidiva , Infecções Respiratórias/complicações , Infecções Respiratórias/epidemiologia , Fatores de Risco , Estações do Ano , Inquéritos e Questionários , Reino Unido/epidemiologia
9.
J Food Prot ; 69(1): 12-6, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16416894

RESUMO

Dense-phase carbon dioxide (CO2) treatments in a continuous flow through system were applied to apple cider to inactivate Escherichia coli (ATCC 4157). A response surface design with factors of the CO2/product ratio (0, 70, and 140 g/kg), temperature (25, 35, and 45 degrees C), and pressure (6.9, 27.6, and 48.3 MPa) were used. E. coli was very sensitive to dense CO2 treatment, with a more than 6-log reduction in treatments containing 70 and 140 g/kg CO2, irrespective of temperature and pressure. The CO2/product ratio was the most important factor affecting inactivation rate of E. coli. No effect of temperature and pressure was detected because of high sensitivity of the cells to dense CO2. Dense CO2 could be an alternative pasteurization treatment for apple cider. Further studies dealing with the organoleptic quality of the product are needed.


Assuntos
Bebidas/microbiologia , Dióxido de Carbono/farmacologia , Qualidade de Produtos para o Consumidor , Escherichia coli/efeitos dos fármacos , Conservação de Alimentos/métodos , Contagem de Colônia Microbiana , Relação Dose-Resposta a Droga , Escherichia coli/crescimento & desenvolvimento , Humanos , Malus/microbiologia , Pressão , Controle de Qualidade , Paladar , Temperatura
10.
J Dairy Sci ; 89(3): 872-81, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16507680

RESUMO

The effect of pressurized (<50 MPa) CO2 as a nonthermal process for bacterial reduction in raw skim milk was examined using a unique pressurized continuous flow system. The lethal effects of subcritical and super-critical CO2 applied at different temperatures and pressures toward total native psychrotrophic microbial populations, total inoculated Pseudomonas fluorescens, and total inoculated spore populations were studied and compared. Pressures between 10.3 and 48.3 MPa; temperatures of 15, 30, 35, and 40 degrees C; and CO2 concentrations of 0, 3, 66, and 132 g/kg of milk were studied. For both native populations and inoculated P. fluorescens, greater total microbial lethality was observed under supercritical CO2 conditions than under subcritical CO2 conditions. At 30 degrees C, there was no effect on total microbial lethality of increasing pressure up to 20.7 MPa with either 66 or 132 g/kg of CO2; at 35 degrees C, there was a positive relationship between pressure and lethality at CO2 levels of 132 g/kg, but no relationship at 66 g/kg of CO2. For total microbial populations and P. fluorescens, CO2 applied at 132 g/kg at 30 degrees C and pressures of 10.3 to 20.7 MPa resulted in an average standard plate count reduction of 3.81 and 2.93 log, respectively; at 35 degrees C and 20.7 MPa, maximum reductions achieved were 5.36 and 5.02 log, respectively. For both total microbial populations and inoculated P. fluorescens, CO2 exhibited a greater overall lethal effect at 132 g/kg than at 66 g/kg and a greater effect at 35 degrees C than at 30 degrees C. At 24.1 and 48.3 MPa and 40 degrees C, microbial lethality in raw aged milk treated with 3 g/kg of CO2 was not significantly different than that observed for uncarbonated milk; lethality achieved in milk treated with 132 g/kg of CO2 was significantly higher than that achieved in these 2 low-level CO2 treatments. No treatment studied had any significant impact on spore populations. Our work shows that, using the studied system, pressurized CO2 results in greater microbial lethality in milk above critical temperatures than below and suggests that a critical concentration threshold level of CO2 is required for lethal effects. Our work also suggests that supercritical CO2 processing in a continuous flow system can achieve reductions in some microbial populations equal to or better than that typically achieved during high-temperature, short-time pasteurization.


Assuntos
Dióxido de Carbono , Manipulação de Alimentos/métodos , Leite/microbiologia , Esporos Bacterianos , Animais , Bacillus/fisiologia , Dióxido de Carbono/administração & dosagem , Contagem de Colônia Microbiana , Pressão , Pseudomonas fluorescens/fisiologia , Temperatura
11.
Cancer Res ; 51(15): 3925-9, 1991 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-1855209

RESUMO

Nitrate balance and N-nitrosodimethylamine (NDMA) excretion were studied in woodchucks chronically infected with woodchuck hepatitis virus (WHV). Twenty-four-h urinary recovery of a bolus dose of [15N]nitrate was 54 +/- 12% in woodchucks. WHV-infected animals formed 3-fold more nitrate endogenously than did control animals (P less than 0.01). Treatment of WHV-infected animals with Escherichia coli lipopolysaccharide increased nitrate excretion 15-fold, while uninfected animals increased nitrate excretion 4-fold. The endogenous formation of NDMA was higher in WHV-infected woodchucks than in uninfected controls. After administration of L-[15N2]arginine, [15N]nitrate, and [15N]NDMA were detected in urine indicating that arginine is a precursor of biosynthesized nitrate and the hepatocarcinogen NDMA. NDMA probably results from the formation of nitrosating agents during the oxidation of arginine to oxides of nitrogen and citrulline. Woodchucks chronically infected with WHV develop hepatocellular carcinomas with high frequency. Our observations suggest an additional mechanism that may be involved in the pathogenesis of hepatocellular carcinoma associated with chronic WHV infection.


Assuntos
Dimetilnitrosamina/metabolismo , Hepadnaviridae , Hepatite Crônica/metabolismo , Hepatite Viral Animal/metabolismo , Marmota/metabolismo , Nitratos/metabolismo , Animais , Arginina/metabolismo , Dimetilnitrosamina/urina , Hepatite Crônica/urina , Hepatite Viral Animal/urina , Masculino , Isótopos de Nitrogênio
12.
Cancer Res ; 52(15): 4139-43, 1992 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-1638528

RESUMO

Hepatocytes isolated from woodchucks (Marmota monax) were shown to produce nitrite in vitro from L-arginine after stimulation with lipopolysaccharide (LPS). Hepatocytes isolated from woodchucks that were chronic carriers of woodchuck hepatitis virus formed twice as much nitrite as hepatocytes from noninfected animals. Nitrite synthesis by hepatocytes was directly related to L-arginine and LPS concentrations in the tissue culture medium and reached a plateau at 0.5 mM L-arginine and 1.0 micrograms/ml LPS. LPS-stimulated hepatocytes nitrosated morpholine to form N-nitrosomorpholine in the presence of L-arginine at a physiological pH of 7.4. There was a 10-fold increase in N-nitrosomorpholine production when hepatocytes were stimulated with LPS compared to unstimulated hepatocytes under similar conditions when both nitrite and morpholine were directly added to the medium. NG-monomethyl-L-arginine, a selective inhibitor of nitric oxide synthase, inhibited formation of both nitrite and N-nitrosomorpholine. These results demonstrate that nitrosating agents are formed in hepatocytes via the L-arginine-nitric oxide pathway. This suggests that endogenous formation of carcinogenic N-nitroso compounds could influence the process of hepatocarcinogenesis in woodchucks with chronic woodchuck hepatitis virus infection.


Assuntos
Arginina/metabolismo , Carcinógenos/metabolismo , Hepadnaviridae/fisiologia , Hepatite Viral Animal/metabolismo , Fígado/metabolismo , Marmota/microbiologia , Nitritos/metabolismo , Nitrosaminas/metabolismo , Animais , Arginina/análogos & derivados , Arginina/farmacologia , Células Cultivadas , Feminino , Indometacina/farmacologia , Cinética , Lipopolissacarídeos/toxicidade , Fígado/efeitos dos fármacos , Masculino , Ratos , ômega-N-Metilarginina
13.
Int J Cardiol ; 207: 286-91, 2016 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-26812643

RESUMO

BACKGROUND: Coronary heart disease (CHD) death rates have fallen across most of Europe in recent decades. However, substantial risk factor reductions have not been achieved across all Europe. Our aim was to quantify the potential impact of future policy scenarios on diet and lifestyle on CHD mortality in 9 European countries. METHODS: We updated the previously validated IMPACT CHD models in 9 European countries and extended them to 2010-11 (the baseline year) to predict reductions in CHD mortality to 2020(ages 25-74years). We compared three scenarios: conservative, intermediate and optimistic on smoking prevalence (absolute decreases of 5%, 10% and 15%); saturated fat intake (1%, 2% and 3% absolute decreases in % energy intake, replaced by unsaturated fats); salt (relative decreases of 10%, 20% and 30%), and physical inactivity (absolute decreases of 5%, 10% and 15%). Probabilistic sensitivity analyses were conducted. RESULTS: Under the conservative, intermediate and optimistic scenarios, we estimated 10.8% (95% CI: 7.3-14.0), 20.7% (95% CI: 15.6-25.2) and 29.1% (95% CI: 22.6-35.0) fewer CHD deaths in 2020. For the optimistic scenario, 15% absolute reductions in smoking could decrease CHD deaths by 8.9%-11.6%, Salt intake relative reductions of 30% by approximately 5.9-8.9%; 3% reductions in saturated fat intake by 6.3-7.5%, and 15% absolute increases in physical activity by 3.7-5.3%. CONCLUSIONS: Modest and feasible policy-based reductions in cardiovascular risk factors (already been achieved in some other countries) could translate into substantial reductions in future CHD deaths across Europe. However, this would require the European Union to more effectively implement powerful evidence-based prevention policies.


Assuntos
Doenças Cardiovasculares/mortalidade , Gorduras na Dieta , Estilo de Vida , Modelos Teóricos , Fumar/mortalidade , Cloreto de Sódio na Dieta , Adulto , Idoso , Doenças Cardiovasculares/dietoterapia , Doenças Cardiovasculares/prevenção & controle , Gorduras na Dieta/efeitos adversos , Europa (Continente) , Comportamento Alimentar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mortalidade/tendências , Fatores de Risco , Fumar/efeitos adversos , Fumar/tendências , Cloreto de Sódio na Dieta/efeitos adversos
14.
J Leukoc Biol ; 50(1): 49-56, 1991 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2056246

RESUMO

L-arginine-dependent production of reactive nitrogen intermediates (RNIs: nitric oxide, nitrite, and nitrate) by mammalian macrophages has been proposed to occur via an L-arginine oxidative deimination pathway and is known to be responsible for certain antineoplastic and antimicrobial effector functions. The present study represents the first examination of this pathway in a non-mammalian vertebrate. Because chickens, unlike mammals, lack a urea cycle and are incapable of de novo synthesis of L-arginine, the possible existence of an avian macrophage pathway for production of RNIs is questionable. We have defined conditions under which chicken macrophages are able to produce nitrite. Sephadex-elicited chicken peritoneal macrophages required a bacterial lipopolysaccharide (LPS from Escherichia coli) signal to produce nitrite during 24 hour cultures in the presence of L-arginine. As little as 5 ng/ml LPS resulted in significant nitrite production in culture. The relationship of nitrite production to both LPS and L-arginine levels was dose-dependent. D-arginine was unable to substitute for L-arginine but also produced no inhibitory effect. In contrast, L-NG-monomethyl arginine showed a significant inhibitory effect on nitrite production. A virus-transformed chicken macrophage cell line, HD11, also produced nitrite in a dose-dependent manner relative to both LPS and L-arginine concentration. Concentrations as low as 5 ng/ml LPS and 0.1 mM L-arginine resulted in significant nitrite production, while maximum levels of nitrite production were obtained using greater than or equal to 0.5 micrograms/ml LPS and greater than or equal to 0.4 mM L-arginine. These results indicate that chicken macrophages can produce RNIs. This production is dependent upon activation and is influenced by local L-arginine concentration. Moreover, because the chicken does not possess the ability to synthesize arginine and has an absolute nutritional requirement for this amino acid, the chicken represents a highly controllable system to examine the in vivo effects of L-arginine on macrophage-related immune functions.


Assuntos
Arginina/farmacologia , Macrófagos/metabolismo , Óxido Nítrico/metabolismo , Nitritos/metabolismo , Animais , Arginina/análogos & derivados , Linhagem Celular , Galinhas , Feminino , Imunidade/efeitos dos fármacos , ômega-N-Metilarginina
15.
Math Med Biol ; 22(1): 99-112, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15716301

RESUMO

One-compartment, mathematical models for pressure controlled ventilation, incorporating volume dependent compliances, linear and nonlinear resistances, are constructed and compared with data obtained from healthy and (oleic acid) lung-injured pigs. Experimental data are used to find parameters in the mathematical models and were collected in two forms. Firstly, the P(e)-V curves for healthy and lung injured pigs were constructed; these data are used to compute compliance functions for each animal. Secondly, dynamic data from pressure controlled ventilation for a variety of applied pressures are used to estimate resistance parameters in the models. The models were then compared against the collected dynamic data. The best mathematical models are ones with compliance functions of the form C(V) = a + bV where a and b are constants obtained from the P(e)-V curves and the resistive pressures during inspiration change from a linear relation P(r) = RQ to a nonlinear relation P(r) = RQ(epsilon) where Q is the flow into the one-compartment lung and epsilon is a positive number. The form of the resistance terms in the mathematical models indicate the possible presence of gas-liquid foams in the experimental data.


Assuntos
Pneumopatias/terapia , Modelos Biológicos , Respiração com Pressão Positiva/métodos , Respiração Artificial/métodos , Animais , Simulação por Computador , Expiração/fisiologia , Inalação/fisiologia , Pneumopatias/induzido quimicamente , Ácido Oleico , Suínos
16.
J Dairy Sci ; 88(9): 3130-8, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16107402

RESUMO

The effects of holding raw milk under carbon dioxide pressures of 68 to 689 kPa at temperatures of 5, 6.1, 10, and 20 degrees C on the indigenous microbiota were investigated. These pressure-temperature combinations did not cause precipitation of proteins from the milk. Standard plate counts from treated milks demonstrated significantly lower growth rate compared with untreated controls at all temperatures, and in some cases, the treatment was microcidal. Raw milk treated with CO2 and held at 6.1 degrees C for 4 d exhibited reduced bacterial growth rates at pressures of 68, 172, 344, and 516 kPa; and at 689 kPa, demonstrated a significant loss of viability in standard plate count assays. The 689-kPa treatment also reduced gram-negative bacteria and total Lactobacillus spp. The time required for raw milk treated at 689 kPa and held at 4 degrees C to reach 4.30 log10 cfu/mL increased by 4 d compared with untreated controls. Total coliform counts in the treated milk were maintained at 1.95 log10 cfu/mL by d 9 of treatment, whereas counts in the control significantly increased to 2.61 log10 cfu/mL by d 4 and 2.89 log10 cfu/mL by d 9. At d 8, Escherichia coli counts had not significantly changed in treated milk, but significantly increased in the control milk. Thermoduric bacteria counts after 8 d were 1.32 log10 cfu/mL in treated milk and 1.98 log10 cfu/mL in control milk. These data indicated that holding raw milk at low CO2 pressure reduces bacterial growth rates without causing milk protein precipitation. Combining low CO2 pressure and refrigeration would improve the microbiological quality and safety of raw milk and may be an effective strategy for shipping raw single strength or concentrated milk over long distances.


Assuntos
Dióxido de Carbono , Conservação de Alimentos/métodos , Leite/microbiologia , Animais , Bactérias/crescimento & desenvolvimento , Precipitação Química , Temperatura Baixa , Contagem de Colônia Microbiana , Fermentação , Bactérias Gram-Negativas , Concentração de Íons de Hidrogênio , Lactobacillus , Lactose/metabolismo , Proteínas do Leite/química , Pressão , Temperatura , Fatores de Tempo
17.
Vet Rec ; 157(14): 408-12, 2005 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-16199775

RESUMO

The aim of this study was to assess the effects of changes to the stable environment on exhaled markers of respiratory inflammation in six horses with clinical histories of recurrent airway obstruction. The horses were maintained for two weeks under conventional stable management (straw bedding and hay) and for two weeks on a reduced-dust regimen (paper bedding and ensiled grass), in a crossover study design. Exhaled ethane and carbon monoxide (CO) and exhaled breath condensate hydrogen peroxide (H(2)O(2)) were measured every three days under each regimen. The presence of clinical signs of airway inflammation (nasal discharge and cough) was monitored daily. The reduced-dust regimen was associated with fewer clinical signs of airway inflammation than the conventional regimen. Exhaled ethane and CO were significantly lower on the reduced-dust regimen and these markers were correlated with clinical signs of respiratory inflammation, but exhaled H(2)O(2) was not affected by the management regimen.


Assuntos
Obstrução das Vias Respiratórias/veterinária , Monóxido de Carbono/análise , Etano/análise , Doenças dos Cavalos/metabolismo , Abrigo para Animais , Peróxido de Hidrogênio/análise , Obstrução das Vias Respiratórias/epidemiologia , Obstrução das Vias Respiratórias/metabolismo , Animais , Testes Respiratórios , Estudos Cross-Over , Poeira , Meio Ambiente , Doenças dos Cavalos/epidemiologia , Cavalos , Recidiva
18.
Endocrinology ; 96(6): 1509-12, 1975 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1126318

RESUMO

In a continuing effort to elucidate the processes underlying in primates, the concentrations of estradiol, estrone and progesterone were measured in ovarian tissues and in ovarian vein plasma through the luteal phase of the menstrual cycle of the rhesus monkey. The concentration of progesterone in corpora lutea collected 4-6 days after the preovulatory LH peak (early luteal phase) was more than twice that found in those collected 8-13 days after the LH surge (late luteal phase) while estradiol and estrone concentrations in the latter had increased 4-fold. These changes in luteal steroid concentrations were paralleled by a striking increase in the concentration of estrone in the ipsilateral ovarian vein. Estrone predominated in the venous effluent of the ovary beaing the corpus luteum while estradiol concentrations were similar in both ovarian veins suggesting that estrone is the principal estrogen released by the corpus luteum. The results of this study are consonant with the hypothesis that estrogen produced by the corpus luteum is the physiologic luteolsin in the rhesus monkey.


Assuntos
Corpo Lúteo/fisiologia , Estradiol/metabolismo , Estrona/metabolismo , Fase Luteal , Menstruação , Ovário/metabolismo , Progesterona/metabolismo , Animais , Feminino , Macaca mulatta , Fatores de Tempo
19.
Endocrinology ; 96(5): 1088-93, 1975 May.
Artigo em Inglês | MEDLINE | ID: mdl-1168127

RESUMO

Eighteen female rhesus monkeys subjected to complete or anterior disconnection of the medial basal hypothalamus (MBH) were studied to assess the effects of these deafferentation procedures on GH and cortisol secretion. Basal serum levels of GH were not disturbed or were slightly elevated following complete or anterior MBH disconnection. GH secretion in response to vasopressin administration or insulin hypoglycemia, however, was abolished by complete isolation of the MBH. In contrast, the elevations in serum cortisol concentrations observed in response to these noxious stimuli were not noticeably affected. The normal diurnal rhythm in cortisol secretion remained fully evident following anterior deafferentation, but was severely attenuated or abolished when all neuronal inputs to the MBH were transected. Such observations suggest that the central components of the neuroendocrine systems which regulate basal GH secretion and which subserve stress-induced elevations in cortisol secretion are resident within the MBH-hypophysial unit. In addition, these data indicate that the mechanisms underlying the diurnal rhythm in cortisol secretion, as well as those mediating the discharges of GH in response to vasopressin administration and insulin hypoglycemia, are dependent on the integrity of neuronal connections between the MBH and other hypothalamic and/or extrahypothalamic areas.


Assuntos
Hormônio do Crescimento/metabolismo , Hidrocortisona/metabolismo , Hipotálamo/fisiologia , Hipófise/fisiologia , Animais , Glicemia , Ritmo Circadiano , Denervação , Feminino , Hormônio do Crescimento/sangue , Insulina/farmacologia , Macaca , Neurônios Aferentes , Vasopressinas/farmacologia
20.
Endocrinology ; 129(3): 1207-14, 1991 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1874166

RESUMO

Continuous monitoring of the electrophysiological manifestations of GnRH pulse generator activity was achieved by radiotelemetry throughout the menstrual cycles of unrestrained rhesus monkeys. The characteristic increases in hypothalamic multiunit activity (MUA volleys) associated with each LH pulse measured in the peripheral circulation were of lower frequency during the luteal phase than in the follicular phase of the cycle. Multiunit activity volley frequency increased as functional luteolysis progressed and achieved maxima of approximately one volley per hour within the first few days of the follicular phase. Unexpectedly, a dramatic decline in pulse generator frequency was observed coincidentally with the initiation of the preovulatory LH surge. Evidence is presented to support the conclusion that this deceleration of pulse generator activity is the consequence of the preovulatory rise in plasma estrogen concentration. As reported in women, a significant reduction in GnRH pulse generator frequency was observed at night during the follicular phase, but not during the luteal phase, of the menstrual cycle.


Assuntos
Hormônio Liberador de Gonadotropina/fisiologia , Hipotálamo Médio/fisiologia , Hormônio Luteinizante/metabolismo , Ciclo Menstrual/fisiologia , Animais , Estradiol/sangue , Estradiol/farmacologia , Feminino , Hipotálamo Médio/efeitos dos fármacos , Hormônio Luteinizante/sangue , Macaca mulatta , Ciclo Menstrual/efeitos dos fármacos , Periodicidade , Progesterona/sangue , Progesterona/farmacologia , Telemetria
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