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1.
Alzheimers Dement ; 20(2): 1076-1088, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37861080

RESUMO

INTRODUCTION: Evidence is limited on the role of mid-life Dietary Approaches to Stop Hypertension (DASH) diet in late-life subjective cognitive complaints (SCCs). METHODS: We included 5116 women (mean age in 1985-1991: 46 years) from the New York University Women's Health Study. SCCs were assessed from 2018 to 2020 (mean age: 79 years) by a 6-item questionnaire. RESULTS: Compared to women in the bottom quartile of the DASH scores, the odds ratio (OR) for having two or more SCCs was 0.83 (95% confidence interval: 0.70-0.99) for women in the top quartile of DASH scores at baseline (P for trend = 0.019). The association was similar with multiple imputation and inverse probability weighting to account for potential selection bias. The inverse association was stronger in women without a history of cancer (P for interaction = 0.003). DISCUSSION: Greater adherence to the DASH diet in mid-life was associated with lower prevalence of late-life SCCs in women.


Assuntos
Abordagens Dietéticas para Conter a Hipertensão , Hipertensão , Humanos , Feminino , Pessoa de Meia-Idade , Idoso , Dieta , Hipertensão/epidemiologia , Inquéritos e Questionários , Cognição
2.
Environ Health Perspect ; 131(10): 107001, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37791759

RESUMO

BACKGROUND: Living in neighborhoods with higher levels of walkability has been associated with a reduced risk of obesity and higher levels of physical activity. Obesity has been linked to increased risk of 13 cancers in women. However, long-term prospective studies of neighborhood walkability and risk for obesity-related cancer are scarce. OBJECTIVES: We evaluated the association between long-term average neighborhood walkability and obesity-related cancer risk in women. METHODS: The New York University Women's Health Study (NYUWHS) is a prospective cohort with 14,274 women recruited between 1985 and 1991 in New York City and followed over nearly three decades. We geocoded residential addresses for each participant throughout follow-up and calculated an average annual measure of neighborhood walkability across years of follow-up using data on population density and accessibility to destinations associated with geocoded residential addresses. We used ICD-9 codes to characterize first primary obesity-related cancers and employed Cox proportional hazards models to assess the association between average neighborhood walkability and risk of overall and site-specific obesity-related cancers. RESULTS: Residing in neighborhoods with a higher walkability level was associated with a reduced risk of overall and site-specific obesity-related cancers. The hazards ratios associated with a 1-standard deviation increase in average annual neighborhood walkability were 0.88 (95% CI: 0.85, 0.93) for overall obesity-related cancer, 0.89 (95% CI: 0.84, 0.95) for postmenopausal breast cancer, 0.82 (95% CI: 0.68, 0.99) for ovarian cancer, 0.87 (95% CI: 0.76, 0.99) for endometrial cancer, and 0.68 (95% CI: 0.49, 0.94) for multiple myeloma, adjusting for potential confounders at both the individual and neighborhood level. The association between neighborhood walkability and risk of overall obesity-related cancer was stronger among women living in neighborhoods with higher levels of poverty compared with women living in areas with lower poverty levels (pInteraction=0.006). DISCUSSION: Our study highlights a potential protective role of neighborhood walkability in preventing obesity-related cancers in women. https://doi.org/10.1289/EHP11538.


Assuntos
Neoplasias , Caminhada , Humanos , Feminino , Estudos Prospectivos , Universidades , Planejamento Ambiental , Obesidade/epidemiologia , Características de Residência , Saúde da Mulher , Neoplasias/epidemiologia , Cidade de Nova Iorque/epidemiologia
3.
J Dairy Sci ; 106(1): 274-293, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36333133

RESUMO

The objectives were to determine the effects of incrementally applied improved nutrient management, alternative cropping practices, and advanced production technologies in a dual forage system of perennial grass and silage corn on nutrient composition and in vitro ruminal fiber digestibility of the forages and, using these data as inputs into the Cornell Net Carbohydrate and Protein System, to predict milk production, indicators of nitrogen (N) utilization, and N excretion of dairy cattle. Farm management systems (farmlets) included a conventional system with whole manure slurry broadcast to a late maturing corn hybrid and grass harvested with 5 cuts per year (F1); improved nutrient management with a separated manure system where the sludge was applied to corn and the liquid was applied to grass (F2); improved nutrient management and alternative cropping practices with separated manure, an early maturing corn hybrid interseeded with a relay winter cover crop, and grass harvested with 3 cuts per year (F3); and improved nutrient management and alternative cropping practices combined with advanced production technologies that included irrigation and a nitrification inhibitor (F4). The field trial was a randomized complete block design over 2 yr with 4 blocks each divided into grass and corn, 4 subplots within each block for each crop, and 2 replicates within each subplot. Diets were formulation with 60% forage and 40% concentrate where the grass and corn as silage was proportional to yield for land allocations of grass and corn of 80:20, 60:40, 40:60, and 20:80. Data were analyzed using the MIXED procedure of SAS (SAS Institute Inc.). The intensified management systems (F2, F3, and F4) increased the crude protein (CP) concentration of corn with no effects on starch concentration [32.1% dry matter (DM)] compared with the conventional system (F1). Decreasing cuts of grass from 5 to 3 reduced the CP concentration in the spring harvest (15.8% vs. 12.5% DM), and increased fiber concentration and reduced digestibility in the spring, summer, and fall harvests. A common concentrate was formulated for the conventional farmlet and then combined with the forages for each farmlet within each land allocation. Forages grown under intensified management to improve N capture increased the CP concentration of the diets. However, reducing the number of cuts of grass from 5 to 3, combined with the corn and relay crop to increase yield, reduced milk production across all land allocations. To complement the nutritive value of the forages grown under each management system and land allocation, the concentrates were reformulated, which reduced dietary CP, improved the indicators of N utilization (e.g., milk urea N and milk N efficiency), reduced N excretion, and improved milk yield with no differences among the farmlets. Increasing land allocated to corn supported higher milk yield at lower dietary CP concentrations (16.5% vs. 15.4% DM) with improved milk N efficiency and lower N excretion. Intensified agronomic management increased the CP of the combined forages decreasing the need for supplemental CP in the concentrate and could reduce the importation of feed N to the farm.


Assuntos
Silagem , Zea mays , Feminino , Bovinos , Animais , Silagem/análise , Zea mays/metabolismo , Poaceae/metabolismo , Leite/metabolismo , Lactação , Esterco , Valor Nutritivo , Dieta/veterinária , Proteínas Alimentares/metabolismo , Fibras na Dieta/metabolismo , Digestão
4.
Environ Res ; 215(Pt 2): 114285, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36088991

RESUMO

BACKGROUND: Neighborhood walkability (NW) has been linked to increased physical activity, which in turn is associated with lower concentrations of sex hormones and higher concentration of SHBG in women. However, no study has directly examined the association of NW with female sex hormone levels. OBJECTIVE: We conducted a cross-sectional study to evaluate the association between NW and circulating levels of sex hormones and SHBG in pre- and post-menopausal women. METHODS: We included 797 premenopausal and 618 postmenopausal women from the New York University Women's Health Study (NYUWHS) who were healthy controls in previous nested case-control studies in which sex hormones (androstenedione, testosterone, DHEAS, estradiol and estrone) and SHBG had been measured in serum at enrollment. Baseline residential addresses were geo-coded and the Built Environment and Health Neighborhood Walkability Index (BEH-NWI) was calculated. Generalized Estimating Equations were used to assess the association between BEH-NWI and sex hormone and SHBG concentrations adjusting for individual- and neighborhood-level factors. RESULTS: In premenopausal women, a one standard deviation (SD) increment in BEH-NWI was associated with a 3.5% (95% CI 0.9%-6.1%) lower DHEAS concentration. In postmenopausal women, a one SD increment in BEH-NWI was related to an 8.5% (95% CI 5.4%-11.5%) lower level of DHEAS, a 3.7% (95% CI 0.5%-6.8%) lower level of testosterone, a 1.8% (95% CI 0.5%-3.0%) lower level of estrone, and a 4.2% (95% CI 2.7%-5.7%) higher level of SHBG. However, the associations with respect to DHEAS and estrone became apparent only after adjusting for neighborhood-level variables. Sensitivity analyses using fixed effects meta-analysis and inverse probability weighting accounting for potential selection bias yielded similar results. CONCLUSION: Our findings suggest that NW is associated with lower concentrations of androgens and estrone, and increased SHBG, in postmenopausal women, and lower levels of DHEAS in premenopausal women.


Assuntos
Androstenodiona , Estrona , Androgênios , Estudos Transversais , Desidroepiandrosterona , Sulfato de Desidroepiandrosterona , Estradiol , Feminino , Hormônios Esteroides Gonadais , Humanos , Globulina de Ligação a Hormônio Sexual/análise , Testosterona
5.
J Alzheimers Dis ; 88(1): 251-262, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35570486

RESUMO

BACKGROUND: Epidemiological studies that investigate alterations in gut microbial composition associated with cognitive dysfunction are limited. OBJECTIVE: To examine the association between the gut microbiota and subjective memory complaints (SMCs), a self-reported, validated indicator of cognitive dysfunction. METHODS: In this cross-sectional study of 95 older women selected from the New York University Women's Health Study (NYUWHS), we characterized the gut microbial composition using 16S rRNA gene sequencing. We estimated odds ratio (OR) from beta regression which approximates the ratio of mean relative abundances of individual bacterial taxon from phylum to genus levels by binary (2+ versus < 2) and continuous SMCs. RESULTS: Women reporting 2 or more SMCs had higher relative abundances of genus Holdemania and family Desulfovibrionaceae compared with those reporting one or no complaint. Compared with women with < 2 SMCs, the relative abundances of Holdemania and family Desulfovibrionaceae were 2.09 times (OR: 2.09, 95% confidence interval [CI]: 1.38-3.17) and 2.10 times (OR: 2.10, 95% CI: 1.43-3.09) higher in women with 2+ SMCs, respectively (false discovery rate (FDR)-adjusted p = 0.038 and 0.010, respectively). A dose-response association was observed for genus Sutterella and family Desulfovibrionaceae. Every one-unit increase in SMCs was associated with 25% and 27% higher relative abundances of Sutterella (OR: 1.25; 95% CI: 1.11-1.40) and Desulfovibrionaceae (OR: 1.27; 95% CI: 1.13-1.42), respectively (FDR-adjusted p = 0.018 and 0.006, respectively). CONCLUSION: Our findings support an association between alterations in the gut bacterial composition and cognitive dysfunction.


Assuntos
Disfunção Cognitiva , Microbioma Gastrointestinal , Idoso , Disfunção Cognitiva/psicologia , Estudos Transversais , Feminino , Microbioma Gastrointestinal/genética , Humanos , Razão de Chances , RNA Ribossômico 16S/genética
6.
J Anim Sci ; 100(9)2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35460418

RESUMO

Manure N from cattle contributes to nitrate leaching, nitrous oxide, and ammonia emissions. Measurement of manure N outputs on commercial beef cattle operations is laborious, expensive, and impractical; therefore, models are needed to predict N excreted in urine and feces. Building robust prediction models requires extensive data from animals under different management systems worldwide. Thus, the study objectives were to 1) collate an international dataset of N excretion in feces and urine based on individual observations from beef cattle; 2) determine the suitability of key variables for predicting fecal, urinary, and total manure N excretion; and 3) develop robust and reliable N excretion prediction models based on individual observation from beef cattle consuming various diets. A meta-analysis based on individual beef data from different experiments was carried out from a raw dataset including 1,004 observations from 33 experiments collected from 5 research institutes in Europe (n = 3), North America (n = 1), and South America (n = 1). A sequential approach was taken in developing models of increasing complexity by incrementally adding significant variables that affected fecal, urinary, or total manure N excretion. Nitrogen excretion was predicted by fitting linear mixed models with experiment as a random effect. Simple models including dry matter intake (DMI) were better at predicting fecal N excretion than those using only dietary nutrient composition or body weight (BW). Simple models based on N intake performed better for urinary and total manure N excretion than those based on DMI. A model including DMI and dietary component concentrations led to the most robust prediction of fecal and urinary N excretion, generating root mean square prediction errors as a percentage of the observed mean values of 25.0% for feces and 25.6% for urine. Complex total manure N excretion models based on BW and dietary component concentrations led to the lowest prediction errors of about 14.6%. In conclusion, several models to predict N excretion already exist, but the ones developed in this study are based on individual observations encompassing larger variability than the previous developed models. In addition, models that include information on DMI or N intake are required for accurate prediction of fecal, urinary, and total manure N excretion. In the absence of intake data, equations have poor performance as compared with equations based on intake and dietary component concentrations.


Assuntos
Esterco , Nitrogênio , Amônia/análise , Ração Animal/análise , Animais , Peso Corporal , Bovinos , Dieta/veterinária , Fezes/química , Esterco/análise , Nitratos , Nitrogênio/análise , Óxido Nitroso/análise
7.
Epidemiology ; 32(6): 763-772, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34347687

RESUMO

BACKGROUND: There is a paucity of prospective cohort studies evaluating neighborhood walkability in relation to the risk of death. METHODS: We geocoded baseline residential addresses of 13,832 women in the New York University Women's Health Study (NYUWHS) and estimated the Built Environment and Health Neighborhood Walkability Index (BEH-NWI) for each participant circa 1990. The participants were recruited from 1985 to 1991 in New York City and followed for an average of 27 years. We conducted survival analyses using Cox proportional hazards models to assess the association between neighborhood walkability and risk of death from any cause, obesity-related diseases, cardiometabolic diseases, and obesity-related cancers. RESULTS: Residing in a neighborhood with a higher neighborhood walkability score was associated with a lower mortality rate. Comparing women in the top versus the lowest walkability tertile, the hazards ratios (and 95% CIs) were 0.96 (0.93, 0.99) for all-cause, 0.91 (0.86, 0.97) for obesity-related disease, and 0.72 (0.62, 0.85) for obesity-related cancer mortality, respectively, adjusting for potential confounders at both the individual and neighborhood level. We found no association between neighborhood walkability and risk of death from cardiometabolic diseases. Results were similar in analyses censoring participants who moved during follow-up, using multiple imputation for missing covariates, and using propensity scores matching women with high and low neighborhood walkability on potential confounders. Exploratory analyses indicate that outdoor walking and average BMI mediated the association between neighborhood walkability and mortality. CONCLUSION: Our findings are consistent with a protective role of neighborhood walkability in obesity-related mortality in women, particularly obesity-related cancer mortality.


Assuntos
Planejamento Ambiental , Características de Residência , Estudos de Coortes , Feminino , Humanos , Cidade de Nova Iorque , Estudos Prospectivos , Caminhada
8.
J Clin Endocrinol Metab ; 106(11): e4542-e4553, 2021 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-34157104

RESUMO

CONTEXT: We previously reported that anti-Müllerian hormone (AMH), a marker of ovarian reserve, is positively associated with breast cancer risk, consistent with other studies. OBJECTIVE: This study assessed whether risk factors for breast cancer are correlates of AMH concentration. METHODS: This cross-sectional study included 3831 healthy premenopausal women (aged 21-57, 87% aged 35-49) from 10 cohort studies among the general population. RESULTS: Adjusting for age and cohort, AMH positively associated with age at menarche (P < 0.0001) and parity (P = 0.0008) and inversely associated with hysterectomy/partial oophorectomy (P = 0.0008). Compared with women of normal weight, AMH was lower (relative geometric mean difference 27%, P < 0.0001) among women who were obese. Current oral contraceptive (OC) use and current/former smoking were associated with lower AMH concentration than never use (40% and 12% lower, respectively, P < 0.0001). We observed higher AMH concentrations among women who had had a benign breast biopsy (15% higher, P = 0.03), a surrogate for benign breast disease, an association that has not been reported. In analyses stratified by age (<40 vs ≥40), associations of AMH with body mass index and OCs were similar in younger and older women, while associations with the other factors (menarche, parity, hysterectomy/partial oophorectomy, smoking, and benign breast biopsy) were limited to women ≥40 (P-interaction < 0.05). CONCLUSION: This is the largest study of AMH and breast cancer risk factors among women from the general population (not presenting with infertility), and it suggests that most associations are limited to women over 40, who are approaching menopause and whose AMH concentration is declining.


Assuntos
Hormônio Antimülleriano/sangue , Neoplasias da Mama/sangue , Pré-Menopausa/sangue , Adulto , Envelhecimento/sangue , Biomarcadores , Índice de Massa Corporal , Doenças Mamárias/sangue , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Reserva Ovariana , Gravidez , Fatores de Risco
9.
J Anim Sci ; 98(10)2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32936908

RESUMO

High grain diets are fed to finishing beef cattle to maximize animal performance in a cost-effective manner. However, a small amount of roughage is incorporated in finishing diets to help prevent ruminal acidosis, although few studies have examined optimum roughage inclusion level in barley-based diets. The objective of the study was to evaluate the effects of roughage proportion in barley-based finishing diets on growth performance, feeding behavior, and carcass traits of feedlot cattle. Crossbred beef steers (n = 160; mean body weight ± SD, 349.7 ± 21.4 kg) were allocated to 20 pens that were assigned randomly to four dietary treatments (five pens of eight steers per treatment). The treatment diets contained barley silage at 0%, 4%, 8%, and 12% of dietary dry matter (DM). The remainder of the diets (DM basis) consisted of 80%, 76%, 72%, and 68% barley grain, respectively, 15% corn dried distiller's grains, 5% mineral and vitamin supplement, and 32 mg monensin/kg diet DM. The diets were fed as total mixed rations for ad libitum intake (minimum of 5% refusal) once per day. Cattle were weighed on 2 consecutive days at the start and end of the experiment and on 1 d every 3 wk throughout the experiment (124 d). Two pens for each treatment group were equipped with an electronic feeding system (GrowSafe Systems Ltd., Calgary, Alberta) to monitor feed intake and feeding behavior of individual cattle. The data for dry matter intake (DMI), average daily gain (ADG), gain:feed (G:F) ratio, and carcass traits were analyzed as a completely randomized design with fixed effect of barley silage proportion and pen replicate as experimental unit. Feeding behavior data were analyzed similarly, but with animal as experimental unit. Averaged over the study, DMI increased linearly (11.1, 11.3, 11.7, 11.8 kg/d; P = 0.001) as barley silage proportion increased from 0%, 4%, 8%, and 12% of DM, but ADG was not affected (carcass-adjusted,1.90, 1.85, 1.87, 1.89 kg/d; P ≥ 0.30). Consequently, G:F ratio decreased linearly (carcass-adjusted, 168.9, 163.8, 158.5, 160.6 g/kg DMI; P = 0.023). When averaged over the study, proportion of barley silage in the diet had no linear or quadratic effects (P > 0.10) on meal frequency, duration of meals, intermeal duration, or meal size, but eating rate decreased linearly with increasing silage proportion (P = 0.008). There was no diet effect on liver abscesses (P ≥ 0.92), and effects on carcass characteristics were minor or nonexistent. We conclude that increasing the proportion of barley silage in a feedlot finishing diet at the expense of barley grain to minimize the incidence of ruminal acidosis may decrease feed conversion efficiency.


Assuntos
Fibras na Dieta , Hordeum , Alberta , Ração Animal/análise , Animais , Bovinos , Dieta/veterinária , Comportamento Alimentar , Zea mays
10.
J Anim Sci ; 98(6)2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32447367

RESUMO

Cattle need physically effective fiber to promote rumination and maintain rumen health, but economics favor the use of low-roughage feedlot diets. The study investigated the optimum barley silage proportion in barley-based finishing diets. Apparent total-tract digestibility (4-d total fecal collection), chewing behavior (6-d video recording), ruminal pH (6-d indwelling pH recording), and fermentation (1 day, sampling 0, 3, 6, 12, and 18 h postfeeding), short-chain fatty acid (SCFA) absorption (washed reticulo-rumen technique), gastrointestinal tract barrier function (marker infusion), and blood variables (catheters) were measured. Eight ruminally fistulated crossbred beef heifers (653 ± 44.2 kg; mean starting body weight [BW] ± SD) were used in a replicated 4 × 4 Latin square design with 28-d periods. Dietary treatments were 0%, 4%, 8%, and 12% of dietary dry matter (DM) as barley silage, with diets containing 80%, 76%, 72%, and 68% barley grain, respectively. Increasing silage proportion decreased dietary starch content from 49.0% to 43.1% DM, while neutral detergent content increased from 22.7% to 25.1% DM. Silage proportion had no effect on DM intake, but apparent DM digestibility decreased quadratically (86.0%, 82.1%, 81.1%, 79.5% for the four diets, respectively; P < 0.001). Although, silage proportion had no effect on eating activity, rumination time increased quadratically (246, 289, 302, 316 min/d; P = 0.04). Increased silage proportion increased minimum (5.07, 5.27, 5.29, 5.41; quadratic, P = 0.011) and mean (5.61, 5.87, 5.93, 5.95; quadratic, P = 0.007) ruminal pH, and there was a quadratic (P ≤ 0.047) decrease in duration and area under the pH acidosis threshold curves of 5.8, 5.5, and 5.2. Although increasing silage proportion decreased ruminal acidosis, it was not completely eliminated even with a diet containing 12% silage DM. SCFA concentration in ruminal fluid was not affected by diet, but silage proportion quadratically (P ≤ 0.088) increased ruminal acetate:propionate. There was no effect of diet on absolute or fractional rates of absorption of acetate, propionate, butyrate or total SCFA, and no effect on gastrointestinal barrier function or blood measurements. In conclusion, responses to roughage level were mostly quadratic with greatest improvements in acidosis variables between 0% and 4% barley silage, with incremental improvements with further increases in silage levels. The study showed a trade-off between maximizing digestibility and energy intake to promote animal performance and minimizing the risk of acidosis.


Assuntos
Acidose/veterinária , Doenças dos Bovinos/metabolismo , Fibras na Dieta/análise , Ácidos Graxos Voláteis/metabolismo , Acidose/metabolismo , Animais , Bovinos , Dieta/veterinária , Carboidratos da Dieta/metabolismo , Digestão , Feminino , Fermentação , Trato Gastrointestinal/metabolismo , Hordeum , Concentração de Íons de Hidrogênio , Nutrientes/metabolismo , Rúmen/metabolismo , Silagem/análise
11.
Eur J Clin Nutr ; 74(9): 1306-1315, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32317749

RESUMO

BACKGROUND/OBJECTIVES: Folates found in natural foods are thought to protect against cancer. However, folic acid (FA), a synthetic form of folate used in supplements and fortified foods, may increase breast cancer risk if present in unmetabolized form (UMFA) in the circulation. This study examined the associations of serum UMFA and 5-methyltetrahydrofolate (5-mTHF), the predominant form of circulating folate, with breast cancer risk. SUBJECTS/METHODS: We conducted a nested case-control study in a prospective cohort. In total, 553 cases of invasive breast cancer, diagnosed before mandatory FA fortification of grain in the US in 1998, were individually-matched to 1059 controls. Serum UMFA and 5-mTHF were measured using liquid chromatography-tandem mass spectrometry in stored serum samples, and 5-mTHF was corrected for storage degradation. RESULTS: Serum UMFA was not associated with breast cancer risk: the percentage of women with detectable levels of UMFA was similar in cases and controls (18% and 20%, respectively; p = 0.46). Two tag-SNPs in the promoter region of the FA-metabolizing gene were also not associated with risk. There was a marginally significant inverse association of 5-mTHFcorrected with breast cancer risk (odds ratio for the highest vs. lowest quintile = 0.69, 95% CI = 0.49 to 0.97; ptrend = 0.08). CONCLUSIONS: Circulating UMFA was not associated with breast cancer risk. These results apply to countries without mandatory FA food fortification. Studies are needed in countries with mandatory fortification, where levels of UMFA are much higher than in our study.


Assuntos
Neoplasias da Mama , Ácido Fólico , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/etiologia , Estudos de Casos e Controles , Feminino , Humanos , Estudos Prospectivos , Tetra-Hidrofolatos
13.
Breast Cancer Res ; 21(1): 42, 2019 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-30890167

RESUMO

BACKGROUND: Models that accurately predict risk of breast cancer are needed to help younger women make decisions about when to begin screening. Premenopausal concentrations of circulating anti-Müllerian hormone (AMH), a biomarker of ovarian reserve, and testosterone have been positively associated with breast cancer risk in prospective studies. We assessed whether adding AMH and/or testosterone to the Gail model improves its prediction performance for women aged 35-50. METHODS: In a nested case-control study including ten prospective cohorts (1762 invasive cases/1890 matched controls) with pre-diagnostic serum/plasma samples, we estimated relative risks (RR) for the biomarkers and Gail risk factors using conditional logistic regression and random-effects meta-analysis. Absolute risk models were developed using these RR estimates, attributable risk fractions calculated using the distributions of the risk factors in the cases from the consortium, and population-based incidence and mortality rates. The area under the receiver operating characteristic curve (AUC) was used to compare the discriminatory accuracy of the models with and without biomarkers. RESULTS: The AUC for invasive breast cancer including only the Gail risk factor variables was 55.3 (95% CI 53.4, 57.1). The AUC increased moderately with the addition of AMH (AUC 57.6, 95% CI 55.7, 59.5), testosterone (AUC 56.2, 95% CI 54.4, 58.1), or both (AUC 58.1, 95% CI 56.2, 59.9). The largest AUC improvement (4.0) was among women without a family history of breast cancer. CONCLUSIONS: AMH and testosterone moderately increase the discriminatory accuracy of the Gail model among women aged 35-50. We observed the largest AUC increase for women without a family history of breast cancer, the group that would benefit most from improved risk prediction because early screening is already recommended for women with a family history.


Assuntos
Neoplasias da Mama/epidemiologia , Adulto , Fatores Etários , Animais , Área Sob a Curva , Neoplasias da Mama/etiologia , Neoplasias da Mama/metabolismo , Estudos de Casos e Controles , Análise Discriminante , Suscetibilidade a Doenças , Feminino , Hormônios Esteroides Gonadais/sangue , Hormônios Esteroides Gonadais/metabolismo , Humanos , Pessoa de Meia-Idade , Modelos Teóricos , Curva ROC , Reprodutibilidade dos Testes , Medição de Risco , Fatores de Risco , Testosterona/sangue , Testosterona/metabolismo
14.
J Anim Sci ; 97(5): 2230-2244, 2019 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-30906949

RESUMO

The objective of this study was to determine the effects of different forms of hydrolyzable tannin [HT; source (chestnut, CN; tannic acid, TA); subunit (gallic acid, GA)] on apparent total-tract digestibility, methane (CH4) production, and nitrogen (N) utilization in beef cattle fed an alfalfa silage-based diet. Eight ruminally cannulated heifers with an initial BW of 480 ± 29.2 kg (mean ± SD) were used in a double 4 × 4 Latin square experiment. The experiment consisted of four 28-d periods (14-d adaptation, 14-d measurements) and a 7-d washout between periods. The animals received a basal diet with 19.8% CP (DM basis) content containing 75% alfalfa silage, 20% barley silage, and 5% supplement (DM basis) with or without different forms of HT. The dietary treatments were as follows: control (no HT), GA (1.5% of diet DM), TA (1.5% of diet DM), and CN (2% of diet DM). Animals were fed 95% of their ad libitum intake during the measurement phase. Total fecal excretion was collected for 4 d, CH4 was measured for 72 h using respiration chambers, and ruminal fermentation variables and plasma urea N (PUN) concentration were measured on 2 nonconsecutive days before and after feeding. The restricted DM (DMI; 10.79 ± 1.076 kg/d) and nutrient intakes did not differ (P ≥ 0.22) among treatments. Furthermore, apparent DM digestibility (60.3 ± 0.86%) was not affected (P = 0.20) by treatment, but CP digestibility decreased for TA and CN compared with control and GA treatments (63.1 vs. 69.0%; P < 0.001). Total VFA concentration tended (P = 0.089) to increase for GA compared with control and TA (134 vs. 125 and 126 mM) and intermediate for CN (129 mM). The PUN concentration was lower for all HT treatments compared with control (196 vs. 213 mg/L; P = 0.02). Both TA and CN increased the proportion of N excreted in feces and decreased the proportion in urine compared with control and GA (43.9% vs. 37.8% and 56.1% vs. 62.2%; respectively; P < 0.001). However, the proportion of urea N in urinary N decreased for all HT treatments compared with control (47.2% vs. 51.2%; P = 0.02). Also, GA tended to decrease CH4/DMI (20.4 vs. 22.3 g/kg DMI; P = 0.07) and decreased the proportion of GE intake emitted as CH4 (5.16 vs. 5.71%; P = 0.04) compared with control. Thus, among the different forms of HT applied to a high-protein alfalfa silage-based diet, both TA and CN had no effect on CH4 production, but decreased CP digestibility and shifted N excretion from urine to feces, whereas GA (i.e., HT subunit) decreased CH4 production and decreased the proportion of urea N in urinary N in beef cattle without affecting CP digestibility. Thus, feeding the HT subunit, GA, has the potential to decrease environment impact of ruminants (lower CH4 and ammonia emissions), without decreasing animal performance.


Assuntos
Bovinos/fisiologia , Ácido Gálico/farmacologia , Taninos Hidrolisáveis/farmacologia , Metano/metabolismo , Nitrogênio/metabolismo , Silagem/análise , Amônia/metabolismo , Animais , Dieta/veterinária , Dieta Rica em Proteínas , Suplementos Nutricionais , Fezes/química , Feminino , Fermentação , Hordeum , Medicago sativa , Ureia/sangue
15.
J Anim Sci ; 96(12): 5276-5286, 2018 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-30169710

RESUMO

Sustainability of animal agriculture requires efficient use of energy and nitrogen (N) by ruminants fed high-forage diets. Thus, there is a need to decrease methane (CH4) emissions and prevent excessive N release into the environment. Therefore, this experiment examined the long-term effects of feeding hydrolyzable tannin (HT) with or without condensed tannin (CT) on animal performance, rumen fermentation, N use, and CH4 production in beef cattle fed a high-forage diet. A total of 75 weaned crossbred steers (292 ± 4.1 kg) were grouped by body weight (BW), housed in individual pens, and randomly assigned to 1 of 5 dietary treatments (15 animals/treatment) in a completely random design. The animals were fed a basal diet of alfalfa:barley silages (50:50; dry matter [DM] basis) with a crude protein content of 17.1% and supplemented with HT extract (chestnut, CN) or a combination (50:50) of HT and CT extracts (quebracho, Q) in a powdered form at different levels of dietary DM. The treatments for determining animal performance and N use were control (no tannin), 0.25% CN, 1.5% CN, combination of CN and Q at 0.125% each (0.25% CNQ), and CN and Q at 0.75% each (1.5% CNQ) of dietary DM. The treatments for the CH4 measurement were control, 1.5% CN, and 1.5% CNQ of dietary DM. The first 84 d of the study were used to measure animal performance, rumen fermentation, and N use, and the next 30 d were used to measure CH4 emissions with the tracer gas technique. There were no effects of treatment on DM intake (DMI), BW, average daily gain, and gain: feed (P ≥ 0.10). The plasma urea N concentration was greater (P < 0.05) for 1.5% CN and 1.5% CNQ than those fed 0.25% CNQ (120.9 and 120.4 vs. 111.7 mg/L, respectively), but not different (P > 0.05) from animals fed control or 0.25% CN (117.2 and 117.5 mg/L, respectively). Tannin inclusion did not affect rumen pH, total volatile fatty acid concentration, proportions of acetate and propionate, and total protozoa populations (P ≥ 0.16). Tannin, irrespective of type or dose, decreased (P < 0.01) ruminal ammonia concentration. Tannin type and dose did not affect (P = 0.54) daily CH4 production (154 ± 5.9 g/d) but 1.5% CNQ tended to decrease CH4 yield compared with control (20.6 vs. 22.0 g/kg DMI; P = 0.094). HT from CN alone or in combination with CT from Q can be added at a low (0.25% DM) or high (1.5% DM) level to a forage-based diet to decrease ruminal ammonia concentration in growing beef cattle fed a high-protein diet without adverse effects on animal performance. A combination of HT and CT at a concentration of 1.5% dietary DM also tended to decrease CH4 emissions without negatively affecting performance.


Assuntos
Bovinos/fisiologia , Suplementos Nutricionais/análise , Taninos Hidrolisáveis/farmacologia , Metano/metabolismo , Nitrogênio/metabolismo , Proantocianidinas/farmacologia , Amônia/metabolismo , Animais , Peso Corporal , Dieta/veterinária , Fermentação , Hordeum , Masculino , Medicago sativa , Distribuição Aleatória , Rúmen/metabolismo , Silagem/análise
16.
J Anim Sci ; 96(10): 4414-4430, 2018 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-30032212

RESUMO

Two experiments were conducted to determine the effects of feeding a condensed tannin extract (CT) on dry matter intake (DMI), growth performance, carcass traits, and NH3-N emissions of beef feedlot cattle fed high-protein barley-based finishing diets. In Exp. 1, 36 crossbred steers (346 ± 4.2 kg) were individually fed 4 diets with 20% corn dried distillers grains (DG) and increasing concentrations of a CT extract from Acacia mearnsii (black wattle) at 0%, 1.2%, 2.4%, and 3.5% of DM (9 steers per diet) for 52 d. The DMI was not affected at 1.2% and 2.4% but tended (P = 0.08, quadratic effect) to decrease at 3.5% CT extract. There was no effect (P ≥ 0.12) of increasing CT extract on ADG, but G:F tended (P = 0.09) to decrease linearly. In Exp. 2, 148 crossbred steers (457 ± 3.8 kg) were allocated to 16 pens with 4 pens per treatment in a completely randomized design and fed for 83 d. The 4 dietary treatments included 0% corn DG (0DG), 20% DG (20DG), 40% DG (40DG), and 40% DG with 2.5% CT extract (40DGCT) and contained 13.3, 15.9, 20.4, and 19.4% CP, respectively. All cattle were weighed, and blood was collected from 5 steers per pen every 3 wk. Ammonia emissions were measured in four 3-wk periods using the integrated horizontal flux technique with passive NH3 samplers from 2 pens of cattle fed 0DG and 20DG (Period 1), 40DG and 40DGCT (Period 2), 0DG and 40DG (Period 3), and 0DG and 40DGCT (Period 4). There was no effect (P ≥ 0.15) of diet on final body weight (621 ± 7.1 kg), DMI (11.9 ± 0.25 kg/d), ADG (1.98 ± 0.07 kg/d), G:F (166 ± 5.4 g/kg), and carcass traits. Plasma urea N (PUN) increased (P < 0.001) from 0DG to 40DG (113 to 170 ± 6.0 mg N/L) and was reduced (P < 0.001) by 40DGCT (146 mg N/L) compared with 40DG and tended (P = 0.09) to be reduced compared with steers fed 20DG (153 mg N/L). Ammonia-N emissions were greater from cattle fed 40DG [113.7 vs. 70.8 ± 4.57 g N/(steer·d), P = 0.003] and tended to be greater from cattle fed 20DG [51.3 vs. 26.3 ± 11.2 g N/(steer·d), P = 0.11] compared with 0DG. Cattle fed 40DGCT tended to have lower NH3-N emissions compared with cattle fed 40DG [72.7 vs. 95.1 ± 9.3 g N/(steer·d), P = 0.09 and 20.5 vs. 26.5 ± 2.64% N intake, P = 0.11]. Feeding 2.5% CT to beef feedlot cattle fed a high-protein diet had no detrimental effect on performance, reduced PUN indicating lower urinary urea N excretion, and lowered NH3-N emissions by 23%.


Assuntos
Amônia/metabolismo , Ração Animal/análise , Bovinos/fisiologia , Dieta Rica em Proteínas/veterinária , Proantocianidinas/farmacologia , Animais , Nitrogênio da Ureia Sanguínea , Bovinos/sangue , Bovinos/crescimento & desenvolvimento , Grão Comestível , Hordeum , Masculino , Nitrogênio/urina , Distribuição Aleatória , Ureia/urina , Zea mays
17.
J Anim Sci ; 96(10): 4398-4413, 2018 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-30032241

RESUMO

Eight ruminally cannulated crossbred beef heifers (427 ± 41.2 kg, body weight) were used in a replicated 4 × 4 Latin square to determine the effects of feeding a condensed tannin (CT) extract with high protein diets containing corn dried distillers grains and solubles (DG) on ruminal fermentation, nutrient digestibility, and route of nitrogen (N) excretion. Dietary treatments included [dry matter (DM) basis]: 0 (0DG), 20 (20DG), and 40% DG (40DG), and 40% DG with 2.5% CT extract (1.33% CT) from Acacia mearnsii (40DGCT). The DG and CT extract were substituted for grain in a barley-based diet that contained 91% concentrate and 9% silage (DM basis) and was fed as a total mixed ration once daily. The crude protein concentrations of the diets were 12.9, 16.8, 20.4, and 20.5% for 0DG, 20DG, 40DG, and 40DGCT, respectively. Periods were 5 wk with 2 wk for transition to the DG level of the diets, 1 wk for adaptation to CT, and 2 wk for measurements. Feed offered and refused were measured daily. Total urine and fecal output were collected daily for 4 d consecutively. Data were analyzed using a mixed linear model with diet and period as fixed effects and square and animal within square as random effects. There was no effect (P ≥ 0.22) of CT on DM intake, but 40% DG in the diet (40DG and 40DGCT) decreased (P ≤ 0.015) DM intake compared with 20DG. As a result, nitrogen (N) intake was not different (P > 0.15) among heifers fed 20DG, 40DG, and 40DGCT (313 g N/d) and was less (P ≤ 0.001) for heifers fed 0DG (220 ± 18 g N/d). Apparent total tract N digestibility was less (P ≤ 0.001) in heifers fed 40DGCT (70.6 ± 1.07%) compared with to 0DG, 20DG, and 40DG (78.4%). There was no effect (P = 0.84) of CT (40DGCT vs. 40DG) on the total N output, however, feeding 40DGCT decreased (P ≤ 0.001) the excretion of total urinary N and urea N in urine by 17 and 21%, respectively, compared with heifers fed 40DG and was equivalent (P ≥ 0.12) to the amount excreted by heifers fed 20DG. The reduction of N digestibility reflected the protein binding effects of CT within the gastrointestinal tract and the shift in excess N excretion from labile urea N in urine to bound NDIN and ADIN in feces (P ≤ 0.001) in heifers fed 40DGCT compared with 40DG. Supplementation of CT in high protein diets fed to feedlot cattle reduced urinary N and increased the capture of N in manure to potentially lesson the loss of N as ammonia and provide opportunities for improved nutrient management of beef production.


Assuntos
Ração Animal/análise , Bovinos/fisiologia , Dieta Rica em Proteínas/veterinária , Nitrogênio/urina , Proantocianidinas/farmacologia , Animais , Digestão/efeitos dos fármacos , Grão Comestível , Fezes/química , Feminino , Fermentação , Hordeum , Nutrientes/metabolismo , Rúmen/metabolismo , Silagem , Ureia/urina , Zea mays
18.
Int J Cancer ; 142(11): 2215-2226, 2018 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-29315564

RESUMO

A strong positive association has been observed between circulating anti-Müllerian hormone (AMH), a biomarker of ovarian reserve, and breast cancer risk in three prospective studies. Confirming this association is important because of the paucity of biomarkers of breast cancer risk in premenopausal women. We conducted a consortium study including ten prospective cohorts that had collected blood from premenopausal women. A nested case-control design was implemented within each cohort. A total of 2,835 invasive (80%) and in situ (20%) breast cancer cases were individually matched to controls (n = 3,122) on age at blood donation. AMH was measured using a high sensitivity enzyme-linked immunoabsorbent assay. Conditional logistic regression was applied to the aggregated dataset. There was a statistically significant trend of increasing breast cancer risk with increasing AMH concentration (ptrend across quartiles <0.0001) after adjusting for breast cancer risk factors. The odds ratio (OR) for breast cancer in the top vs. bottom quartile of AMH was 1.60 (95% CI = 1.31-1.94). Though the test for interaction was not statistically significant (pinteraction = 0.15), the trend was statistically significant only for tumors positive for both estrogen receptor (ER) and progesterone receptor (PR): ER+/PR+: ORQ4-Q1 = 1.96, 95% CI = 1.46-2.64, ptrend <0.0001; ER+/PR-: ORQ4-Q1 = 0.82, 95% CI = 0.40-1.68, ptrend = 0.51; ER-/PR+: ORQ4-Q1 = 3.23, 95% CI = 0.48-21.9, ptrend = 0.26; ER-/PR-: ORQ4-Q1 = 1.15, 95% CI = 0.63-2.09, ptrend = 0.60. The association was observed for both pre- (ORQ4-Q1 = 1.35, 95% CI = 1.05-1.73) and post-menopausal (ORQ4-Q1 = 1.61, 95% CI = 1.03-2.53) breast cancer (pinteraction = 0.34). In this large consortium study, we confirmed that AMH is associated with breast cancer risk, with a 60% increase in risk for women in the top vs. bottom quartile of AMH.


Assuntos
Hormônio Antimülleriano/sangue , Neoplasias da Mama/sangue , Neoplasias da Mama/epidemiologia , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Razão de Chances , Estudos Prospectivos , Medição de Risco , Fatores de Risco
19.
J Environ Qual ; 45(6): 1979-1987, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27898774

RESUMO

A study was conducted to investigate effects of feeding encapsulated nitrate (EN) to beef cattle on ammonia (NH) and greenhouse gas emissions from their manure. Eight beef heifers were randomly assigned to diets containing 0 (control), 1, 2, or 3% EN (55% forage dry matter; EN replaced encapsulated urea in the control diet and therefore all diets were iso-nitrogenous) in a replicated 4 × 4 Latin square design. Urine and feces collected from individual animals were reconstituted into manure and incubated over 156 h using a steady-state flux chamber system to monitor NH, methane (CH), carbon dioxide (CO), and nitrous oxide (NO) emissions. Urinary, fecal, and manure nitrate (NO)-N concentration linearly increased ( < 0.001) with feeding EN, and urinary urea concentration tended to be lower ( = 0.078) for EN versus Control. The hourly emissions of NH, CO, and NO (mg head h) were not affected, although NH emission rates tended to be lower ( = 0.070) for EN compared with Control at 0 to 12 h. Cumulative NH, CO, and NO emissions over 156 h were not affected, but CH emissions were less (4.5 vs. 7.4 g head; = 0.027) for EN compared with Control. In conclusion, although NH emissions were initially lower for EN manures, total NH emitted over 156 h was not affected. Dietary EN lowered CH emissions from manure, and, despite greater NO concentrations in EN manure, NO emissions were not affected in this short-term incubation.


Assuntos
Amônia , Gases de Efeito Estufa , Esterco , Ração Animal , Animais , Bovinos , Dieta , Feminino , Metano , Carne Vermelha
20.
Horm Cancer ; 7(3): 178-87, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-26925952

RESUMO

Endometrial cancer risk is increased by estrogens unopposed by progesterone. In premenopausal women, androgen excess is often associated with progesterone insufficiency, suggesting that premenopausal androgen concentrations may be associated with risk. In a case-control study nested within three cohorts, we assessed the relationship between premenopausal androgens and risk of endometrial cancer (161 cases and 303 controls matched on age and date of blood donation). Testosterone, DHEAS, androstenedione, and SHBG were measured in serum or plasma. Free testosterone was calculated from testosterone and SHBG. We observed trends of increasing risk across tertiles of testosterone (ORT3-T1 = 1.59, 95 % CI = 0.96, 2.64, p = 0.08) and free testosterone (ORT3-T1 = 1.76, 95 % CI = 1.01, 3.07, p = 0.047), which were not statistically significant after adjustment for body mass index (BMI). There was no association for DHEAS, androstenedione, or SHBG. There were significant interactions by age at diagnosis (<55 years, n = 51 cases; ≥55 years, n = 110 cases). Among women who were ≥55 years of age (predominantly postmenopausal) at diagnosis, the BMI-adjusted OR was 2.08 (95 % CI = 1.25, 3.44, p = 0.005) for a doubling in testosterone and 1.55 (95 % CI = 1.04, 2.31, p = 0.049) for a doubling in free testosterone. There was no association among women aged <55 years at diagnosis, consistent with the only other prospective study to date. If pre- and post-menopausal concentrations of androgens are correlated, our observation of an association of premenopausal androgens with risk among women aged ≥55 years at diagnosis could be due to the effect on the endometrium of postmenopausal androgen-derived estrogens in the absence of progesterone, which is no longer secreted.


Assuntos
Androgênios/sangue , Neoplasias do Endométrio/sangue , Neoplasias do Endométrio/epidemiologia , Pré-Menopausa/sangue , Adulto , Idoso , Biomarcadores , Estudos de Casos e Controles , Feminino , Humanos , Pessoa de Meia-Idade , Estudos Prospectivos , Risco
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