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Musallam KM, Ahmed W, Almarshoodi MO, Trad O, Al Zein N, Siddique S, Shekary N, Daboul S, Hashmi S. Establishment of the Abu Dhabi Emirate Thalassemia Longitudinal Cohort (AD-TLC): leveraging the power of observation. Ann Hematol 2023; 102:2277-2278. [PMID: 37162516 DOI: 10.1007/s00277-023-05252-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 04/26/2023] [Indexed: 05/11/2023]
Affiliation(s)
- Khaled M Musallam
- Thalassemia Center, Burjeel Medical City, 28th Street, Mohammad Bin Zayed City, PO Box 92510, Abu Dhabi, United Arab Emirates.
| | - Wesam Ahmed
- Division of Hematology and Medical Oncology, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | | | - Omar Trad
- Division of Pediatric Hematology and Oncology, Tawam Hospital, Al-Ain, United Arab Emirates
| | - Naser Al Zein
- Division of Pediatric Hematology and Oncology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
| | - Shamyla Siddique
- Thalassemia Center, Burjeel Medical City, 28th Street, Mohammad Bin Zayed City, PO Box 92510, Abu Dhabi, United Arab Emirates
| | - Nastaran Shekary
- Department of Medicine, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
| | - Sulaima Daboul
- Department of Medicine, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
| | - Shahrukh Hashmi
- Department of Medicine, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
- Department of Medicine, Mayo Clinic, Rochester, MN, USA
- College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, UAE
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Malaspina D, Kranz T, Kleinhaus K, Daboul S, Rothman K, Gilman C, Getz M, Harlap S, Friedlander Y. Short duration of marriage at conception as an independent risk factor for schizophrenia. Schizophr Res 2019; 208:190-195. [PMID: 30857873 DOI: 10.1016/j.schres.2019.03.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Revised: 01/28/2019] [Accepted: 03/02/2019] [Indexed: 01/22/2023]
Abstract
UNLABELLED Short duration of marriage (DoM) is a risk factor for preeclampsia that is also related to the risk for schizophrenia. This analysis examined the risk for schizophrenia associated with DoM and its independence from parental psychiatric disorders, parental ages and fathers' age at marriage. METHOD Relative Risks (RR) for schizophrenia were estimated using continuous and stratified Cox proportional hazards models in the 90,079 offspring from the prospective population-based Jerusalem birth cohort study (1964-1976). Schizophrenia diagnos in offspring and parental diagnoses of schizophrenia or other psychiatric conditions were identified by cross-linkage to Israel's psychiatric case registry. DoM and paternal age at marriage were abstracted from birth certificates. RESULTS In the full model, RR for schizophrenia decreased for each 5 years DoM: 0.83 (0.75-0.95), ptrend = 0.0015. Stratified analyses showed the greatest RR risk for DoM <2 years: 1.53 (1.11-1.66) with lesser risk for 2-4 years DoM: 1.38 (1.05-1.81) compared to more DOM of 10+ years. DoM effects were independent from parental psychiatric diagnoses (RRs = 2-6, p~0.00001), paternal age (1.34: p = 0.0001 /5 years- including fathers of 25-34 years). The apparent risk related to later fathers' age at marriage (1.27: p < 0.0001) was eliminated in after accounting for DoM and later paternal age. CONCLUSIONS Offspring born to couples married for less than 3 years, across all paternal ages, harbored a small increased risk for schizophrenia, which was independent of parental psychiatric disorders and paternal age. Fathers who married late had particularly short DoM, which, along with paternal age, completely explained the risks related to later paternal age at marriage. Further studies are needed to replicate these results and examine if pathogenic pathways include prenatal immune activation.
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Affiliation(s)
- Dolores Malaspina
- Icahn School of Medicine at Mt Sinai, Department of Psychiatry, New York, NY 10128, USA.
| | - Thorsten Kranz
- Skirball Institute of Biomolecular Medicine, Departments of Cell Biology, Physiology & Neuroscience and Psychiatry, New York University, New York, NY, USA; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Germany
| | | | - Sulaima Daboul
- Icahn School of Medicine at Mt Sinai, Department of Psychiatry, New York, NY 10128, USA
| | - Karen Rothman
- Department of Psychology, University of Miami, Coral Gables, FL 33124, USA
| | - Caitlin Gilman
- Department of Pediatrics, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA
| | - Mara Getz
- Mailman School of Public Health, Columbia University, New York, NY 10032, USA
| | - Susan Harlap
- Unit of Epidemiology, School of Public Health, Hebrew University of Jerusalem, Israel
| | - Yechiel Friedlander
- Unit of Epidemiology, School of Public Health, Hebrew University of Jerusalem, Israel
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Sun L, Getz M, Daboul S, Jay M, Sherman S, Rogers E, Aujero N, Rosedale M, Goetz RR, Weissman J, Malaspina D, Ahmad S. Independence of diabetes and obesity in adults with serious mental illness: Findings from a large urban public hospital. J Psychiatr Res 2018; 99:159-166. [PMID: 29482065 PMCID: PMC9714959 DOI: 10.1016/j.jpsychires.2018.01.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Revised: 12/26/2017] [Accepted: 01/11/2018] [Indexed: 12/12/2022]
Abstract
OBJECTIVE There is limited research on metabolic abnormalities in psychotropic-naïve patients with serious mental illness (SMI). Our study examined metabolic conditions in a large, ethnically diverse sample of psychotropic-naïve and non-naïve adults with SMI at an urban public hospital. METHODS In this cross-sectional study of 923 subjects, the prevalences of hyperglycemia meeting criteria for type 2 diabetes mellitus (T2DM) based on fasting plasma glucose and obesity defined by BMI and abdominal girth were compared across duration of psychotropic medication exposure. Multiple logistic regression models used hyperglycemia and obesity as dependent variables and age, sex, race/ethnicity, and years on psychotropics as independent variables. RESULTS Psychotropic-naïve patients, including both schizophrenia and non-psychotic subgroups, showed an elevated prevalence of hyperglycemia meeting criteria for T2DM and a decreased prevalence of obesity compared to the general population. Obesity rates significantly increased for those on psychotropic medications more than 5 years, particularly for patients without psychosis (BMI: aOR = 5.23 CI = 1.44-19.07; abdominal girth: aOR = 6.40 CI = 1.98-20.69). Women had a significantly higher obesity rate than men (BMI: aOR = 1.63 CI = 1.17-2.28; abdominal girth: aOR = 3.86 CI = 2.75-5.44). Asians had twice the prevalence of hyperglycemia as whites (aOR = 2.29 CI = 1.43-3.67), despite having significantly less obesity (BMI: aOR = .39 CI = .20-.76; abdominal girth: aOR = .34 CI = .20-.60). Hispanics had a higher rate of obesity by BMI than whites (aOR = 1.91 CI = 1.22-2.99). CONCLUSIONS This study showed disparities between obesity and T2DM in psychotropic-naïve patients with SMI, suggesting separate risk pathways for these two metabolic conditions.
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Affiliation(s)
- Langston Sun
- New York University School of Medicine, Department of Psychiatry, New York, NY, United States
| | - Mara Getz
- New York University School of Medicine, Department of Psychiatry, New York, NY, United States
| | - Sulaima Daboul
- New York University School of Medicine, Department of Psychiatry, New York, NY, United States
| | - Melanie Jay
- New York University, Division of General Internal Medicine and Clinical Innovation, New York, NY, United States,Veterans Affairs New York Harbor Healthcare System, New York, NY, United States
| | - Scott Sherman
- New York University, Department of Population Health, New York, NY, United States,Veterans Affairs New York Harbor Healthcare System, New York, NY, United States
| | - Erin Rogers
- New York University, Department of Population Health, New York, NY, United States
| | - Nicole Aujero
- New York University School of Medicine, Department of Psychiatry, New York, NY, United States
| | - Mary Rosedale
- New York University School of Medicine, Department of Psychiatry, New York, NY, United States,New York University, College of Nursing (deceased), New York, NY, United States
| | - Raymond R. Goetz
- New York State Psychiatric Institute and Columbia University Department of Psychiatry, New York, NY, United States
| | - Judith Weissman
- Icahn School of Medicine at Mount Sinai, Departments of Psychiatry and Neuroscience, New York, NY, United States,Veterans Affairs New York Harbor Healthcare System, New York, NY, United States
| | - Dolores Malaspina
- Icahn School of Medicine at Mount Sinai, Departments of Psychiatry and Neuroscience, New York, NY, United States.
| | - Samoon Ahmad
- New York University School of Medicine, Department of Psychiatry, New York, NY, United States
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