Institutt for samfunnsmedisin: Nye registreringer
Viser treff 801-820 av 2031
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Pragmatiske studier – hva er det?
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-11)Konseptet pragmatiske studier ble foreslått av Schwartz og Lellouch i 1967 og problematiserte to viktige aspekter ved utprøving av ny behandling, nemlig forståelse og beslutning (1). Tradisjonelle forklarende effektstudier (explanatory trials) har som mål å øke vår forståelse ved å vise om en behandling virker per se, ofte under optimale forhold med nøye utvalgte studiedeltakere og utfallsmål. ... -
Heterogeneity of Associations between Total and Types of Fish Intake and the Incidence of Type 2 Diabetes: Federated Meta-Analysis of 28 Prospective Studies Including 956,122 Participants
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-04-07)The association between fish consumption and new-onset type 2 diabetes is inconsistent and differs according to geographical location. We examined the association between the total and types of fish consumption and type 2 diabetes using individual participant data from 28 prospective cohort studies from the Americas (6), Europe (15), the Western Pacific (6), and the Eastern Mediterranean (1) comprising ... -
Sunscreens With High Versus Low Sun Protection Factor and Cutaneous Squamous Cell Carcinoma Risk: A Population-Based Cohort Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-08-11)Evidence on sunscreen use and cutaneous squamous cell carcinoma (cSCC) risk is limited. Most studies have not taken sun protection factor (SPF) into consideration and used nonusers of sunscreen as the reference group. Nonusers are likely a priori at lower cSCC risk than users. No study has investigated the effect of high- versus low-SPF sunscreens on cSCC, appropriately adjusting for time-varying ... -
Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-15)Background - How contextual factors may influence GP decisions in real life practice is poorly understood. The authors have undertaken a scoping review of antibiotic prescribing in primary care, with a focus on the interaction between context and GP decision-making, and what it means for the decisions made.<p> <p>Method - The authors searched Medline, Embase and Cinahl databases for English ... -
Peer Support for People Living With HIV: A Scoping Review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-23)Peer support for people living with HIV has gained increasing traction and is considered a way to take an active role in self-management. The existing research examining peer support interventions has reported promising evidence of the benefits of peer support. The purpose of our scoping review was to describe research on peer support for people living with HIV. We included 53 studies and sorted ... -
Validity and responsiveness of GHC-index in patients with amalgam-attributed health complaints
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-15)Objective - Many patients have medically unexplained physical symptoms (MUPS); some of them attribute their health complaints to dental amalgam fillings. The aim of this study was to assess the validity and responsiveness of General Health Complaints index (GHC-index) for measuring the symptom load in MUPS patients compared to the widely used symptom outcome measure, Giessen Subjective Complaints ... -
Treatment target achievement after myocardial infarction and ischemic stroke: cardiovascular risk factors, medication use and lifestyle – The Tromsø Study 2015-2016. Secondary prevention in myocardial infarction and stroke
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-03-29)Aims - To investigate European guideline treatment target achievement in cardiovascular risk factors, medication use, and lifestyle, after myocardial infarction (MI) or ischaemic stroke, in women and men living in Norway.<p> <p>Methods and results - In the population-based Tromsø Study 2015–16 (attendance 65%), 904 participants had previous validated MI and/or stroke. Cross-sectionally, we ... -
Dietary intake of advanced glycation endproducts and risk of hepatobiliary cancers: A multinational cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-04-25)Advanced glycation endproducts (AGEs) may contribute to liver carcinogenesis because of their proinflammatory and prooxidative properties. Diet is a major source of AGEs, but there is sparse human evidence on the role of AGEs intake in liver cancer etiology. We examined the association between dietary AGEs and the risk of hepatobiliary cancers in the European Prospective Investigation into Cancer ... -
Coffee and tea consumption and risk of pre- and postmenopausal breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-31)Introduction: Specific coffee subtypes and tea may impact risk of pre- and post-menopausal breast cancer differently. We investigated the association between coffee (total, caffeinated, decaffeinated) and tea intake and risk of breast cancer.<p> <p>Methods: A total of 335,060 women participating in the European Prospective Investigation into Nutrition and Cancer (EPIC) Study, completed a dietary ... -
Secular and longitudinal trends in body composition: The Tromsø Study, 2001 to 2016
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-14)<p><i>Objective - </i>Overweight, defined as excessive fat mass, is a long-standing worldwide public health challenge. Traditional anthropometric measures used to identify overweight and obesity do not assess body composition. The aim of this study was to examine population trends in general and abdominal fat mass during the past two decades. <p><i>Methods - </i>This study included participants ... -
Alcohol consumption, endogenous estrogen and mammographic density among premenopausal women
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-08-07)Introduction: Alcohol consumption may promote aromatization of androgens to estrogens, which may partly explain the observations linking alcohol consumption to higher breast cancer risk. Whether alcohol consumption is associated with endogenous estrogen levels, and mammographic density phenotypes in premenopausal women remains unclear.<p> <p>Methods: Alcohol consumption was collected by self-report ... -
Genetic risk variants associated with in situ breast cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015-06-13)Introduction: Breast cancer in situ (BCIS) diagnoses, a precursor lesion for invasive breast cancer, comprise about 20 % of all breast cancers (BC) in countries with screening programs. Family history of BC is considered one of the strongest risk factors for BCIS.<p><p>Methods: To evaluate the association of BC susceptibility loci with BCIS risk, we genotyped 39 single nucleotide polymorphisms (SNPs), ... -
Physical activity in Sami and non-Sami populations in rural Northern Norway, the SAMINOR 2 Clinical Survey
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-14)Background - The Sami people is an indigenous minority population living in the northern parts of Norway and mainly in rural areas. We lack data of contemporary levels of physical activity (PA) in rural regions of Northern Norway and in the Sami population in particular. We aimed to describe the PA levels and investigate whether PA levels differs between Sami and non-Sami and between coastal and ... -
Complex lifestyle intervention among inactive older adults with elevated cardiovascular disease risk and obesity: a mixed-method, single-arm feasibility study for RESTART—a randomized controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-27)Background - Physical inactivity and obesity are global public health challenges. Older adults are important to target for prevention and management of disease and chronic conditions. However, many individuals struggle with maintaining increased physical activity (PA) and improved diet. This feasibility study provides the foundation for the RESTART trial, a randomized controlled trial (RCT) to test ... -
The educational gradient in intake of energy, macro- and micronutrients in the Tromsø Study 2015-2016
(Master thesis; Mastergradsoppgave, 2020-05-27)<p>Background: Socioeconomic status is associated with inequalities in health. Unhealthy diet is a risk factor for non-communicable diseases, and socioeconomic inequalities exists also in diet. <p>Aim: To investigate the relationship between educational level and the intake of total energy, macro- and micronutrients. <p>Participants: 11,302 individuals (40-96 years) from Tromsø, Norway. <p>Methods: ... -
Integrative, multi-omics, analysis of blood samples improves model predictions: applications to cancer
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-08-05)<i>Background</i> - Cancer genomic studies often include data collected from several omics platforms. Each omics data source contributes to the understanding of the underlying biological process via source specific (“individual”) patterns of variability. At the same time, statistical associations and potential interactions among the different data sources can reveal signals from common biological ... -
Associations with antibiotic prescribing for acute exacerbation of COPD in primary care: Secondary analysis of a randomised controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-03-26)<i>Background</i> - C-reactive protein (CRP) point-of-care testing can reduce antibiotic use in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in primary care, without compromising patient care. Further safe reductions may be possible.<br><br> <i>Aim</i> - To investigate the associations between presenting features and antibiotic prescribing in patients with ... -
Historical perspectives on using sham acupuncture in acupuncture clinical trials
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-04-02)<i>Background</i> - Trials of acupuncture in the West began before textbooks about acupuncture were generally available. This placed trials at risk of possible faulty assumptions about the practice of acupuncture and adoption of problematic research assumptions and methods. Further, this lack of information has had an influence on the theories of developing a valid and reliable sham control treatment ... -
Sex-Specific Associations between Blood Pressure and Risk of Atrial Fibrillation Subtypes in the Tromsø Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-04-05)The aim of this study was to explore sex-specific associations between systolic blood pressure (SBP), hypertension, and the risk of incident atrial fibrillation (AF) subtypes, including paroxysmal, persistent, and permanent AF, in a general population. A total of 13,137 women and 11,667 men who participated in the fourth survey of the Tromsø Study (1994–1995) were followed up for incident AF until ... -
Changes in maternal risk factors and their association with changes in cesarean sections in Norway between 1999 and 2016: A descriptive population-based registry study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-03)Background - Increases in the proportion of the population with increased likelihood of cesarean section (CS) have been postulated as a driving force behind the rise in CS rates worldwide. The aim of the study was to assess if changes in selected maternal risk factors for CS are associated with changes in CS births from 1999 to 2016 in Norway.<p> <p>Methods and findings - This national ...