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Overvad M, Díaz LJ, Bjerregaard P, Pedersen ML, Larsen CVL, Grarup N, Hansen T, Rossing P, Jørgensen ME. The effect of diabetes and the diabetogenic TBC1D4 p.Arg684ter variant on kidney function in Inuit in Greenland. Int J Circumpolar Health 2023; 82:2191406. [PMID: 36944026 PMCID: PMC10035948 DOI: 10.1080/22423982.2023.2191406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023] Open
Abstract
The aim of this study was to examine the effect of diabetes and the diabetogenic TBC1D4 variant on kidney function in Greenland in a population-based setting. Health survey data and TBC1D4 genotypes from 5,336 Greenlanders were used to estimate odds ratios (ORs) of albuminuria (>30 mg/g creatinine) and chronic kidney disease (CKD, eGFR <60 ml/min/1.73m2), comparing individuals with and without diabetes, including the effect of TBC1D4 variant. Of the 3,909 participants with complete data, 9.3% had diabetes. Albuminuria was found in 27.6% and 9.5% and CKD was found in 10.8% and 6.3% among those with and without diabetes, respectively. Diabetes was cross-sectionally associated with an increased risk of albuminuria (OR (95% CI) = 2.37 (1.69,3.33); p < 0.001) and the TBC1D4 variant protected against albuminuria (OR (95% CI) = 0.44 (0.22,0.90); p = 0.02) in a multivariable model. Neither diabetes nor the TBC1D4 variant significantly associated with CKD. The presence/absence of diabetes did not predict changes in eGFR and UACR in longitudinal analyses. Diabetes conferred an increased risk of albuminuria, and the TBC1D4 variant was associated with a decreased risk of albuminuria, but neither was associated with CKD. The potential renoprotective association of the TBC1D4 variant on albuminuria calls for further studies.
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Affiliation(s)
- Maria Overvad
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
- Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark
| | - Lars Jorge Díaz
- Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark
| | - Peter Bjerregaard
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Michael Lynge Pedersen
- Greenland Center for Health Research, University of Greenland, Nuuk, Greenland
- Steno Diabetes Center Greenland, Nuuk, Greenland
| | - Christina Viskum Lytken Larsen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
- Greenland Center for Health Research, University of Greenland, Nuuk, Greenland
| | - Niels Grarup
- Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Torben Hansen
- Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Peter Rossing
- Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark
- Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
| | - Marit Eika Jørgensen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
- Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark
- Greenland Center for Health Research, University of Greenland, Nuuk, Greenland
- Steno Diabetes Center Greenland, Nuuk, Greenland
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Termannsen AD, Clemmensen KKB, Thomsen JM, Nørgaard O, Díaz LJ, Torekov SS, Quist JS, Faerch K. Effects of vegan diets on cardiometabolic health: A systematic review and meta-analysis of randomized controlled trials. Obes Rev 2022; 23:e13462. [PMID: 35672940 PMCID: PMC9540559 DOI: 10.1111/obr.13462] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 04/08/2022] [Accepted: 04/27/2022] [Indexed: 11/28/2022]
Abstract
In parallel with an increased focus on climate changes and carbon footprint, the interest in plant-based diets and its potential health effects have increased over the past decade. The objective of this systematic review and meta-analysis was to examine the effect of vegan diets (≥12 weeks) on cardiometabolic risk factors in people with overweight or type 2 diabetes. We identified 11 trials (796 participants). In comparison with control diets, vegan diets reduced body weight (-4.1 kg, 95% confidence interval (CI) -5.9 to -2.4, p < 0.001), body mass index (BMI) (-1.38 kg/m2 , 95% CI -1.96 to -0.80, p < 0.001), glycated hemoglobin (HbA1c ) (-0.18% points, 95% CI -0.29 to -0.07, p = 0.002), total cholesterol (-0.30 mmol/L, 95% CI -0.52 to -0.08, p = 0.007), and low-density lipoprotein cholesterol (-0.24 mmol/L, 95% CI -0.40 to -0.07, p = 0.005). We identified no effect on blood pressure, high-density lipoprotein cholesterol, and triglycerides. We found that adhering to vegan diets for at least 12 weeks may be effective in individuals with overweight or type 2 diabetes to induce a meaningful decrease in body weight and improve glycemia. Some of this effect may be contributed to differences in the macronutrient composition and energy intake in the vegan versus control diets. Therefore, more research is needed regarding vegan diets and cardiometabolic health.
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Affiliation(s)
- Anne-Ditte Termannsen
- Clinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev.,Department of Biomedical Sciences, University of Copenhagen, Copenhagen
| | | | - Jonas Mark Thomsen
- Clinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev
| | - Ole Nørgaard
- Department of Education, Danish Diabetes Knowledge Center, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev, Denmark
| | - Lars Jorge Díaz
- Clinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev
| | | | - Jonas Salling Quist
- Clinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev
| | - Kristine Faerch
- Clinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev.,Department of Biomedical Sciences, University of Copenhagen, Copenhagen
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Castro L, Escalante H, Jaimes-Estévez J, Díaz LJ, Vecino K, Rojas G, Mantilla L. Low cost digester monitoring under realistic conditions: Rural use of biogas and digestate quality. Bioresour Technol 2017; 239:311-317. [PMID: 28531856 DOI: 10.1016/j.biortech.2017.05.035] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Revised: 05/05/2017] [Accepted: 05/06/2017] [Indexed: 06/07/2023]
Abstract
The purpose of this work was to assess the behaviour of anaerobic digestion of cattle manure in a rural digester under realistic conditions, and estimate the quality and properties of the digestate. The data obtained during monitoring indicated that the digester operation was stable without risk of inhibition. It produced an average of 0.85Nm3biogas/d at 65.6% methane, providing an energy savings of 76%. In addition, the digestate contained high nutrient concentrations, which is an important feature of fertilizers. However, this method requires post-treatment due to the presence of pathogens.
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Affiliation(s)
- L Castro
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia.
| | - H Escalante
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia
| | - J Jaimes-Estévez
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia
| | - L J Díaz
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia
| | - K Vecino
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia
| | - G Rojas
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia
| | - L Mantilla
- Grupo de Investigación en Tecnologías de Valorización de Residuos y Fuentes Agrícolas e Industriales para la Sustentabilidad Energética (INTERFASE), Escuela de Ingeniería Química, Universidad Industrial de Santander, Carrera 27, Calle 9 Ciudad Universitaria, Bucaramanga, Colombia
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