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Joshi E, Biddanda A, Popoola J, Yakubu A, Osakwe O, Attipoe D, Dogbo E, Salako B, Nash O, Salako O, Oyedele O, Eze-Echesi G, Fatumo S, Ene-Obong A, O’Dushlaine C. Whole-genome sequencing across 449 samples spanning 47 ethnolinguistic groups provides insights into genetic diversity in Nigeria. Cell Genom 2023; 3:100378. [PMID: 37719143 PMCID: PMC10504631 DOI: 10.1016/j.xgen.2023.100378] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 02/23/2023] [Accepted: 07/13/2023] [Indexed: 09/19/2023]
Abstract
African populations have been drastically underrepresented in genomics research, and failure to capture the genetic diversity across the numerous ethnolinguistic groups (ELGs) found on the continent has hindered the equity of precision medicine initiatives globally. Here, we describe the whole-genome sequencing of 449 Nigerian individuals across 47 unique self-reported ELGs. Population structure analysis reveals genetic differentiation among our ELGs, consistent with previous findings. From the 36 million SNPs and insertions or deletions (indels) discovered in our dataset, we provide a high-level catalog of both novel and medically relevant variation present across the ELGs. These results emphasize the value of this resource for genomics research, with added granularity by representing multiple ELGs from Nigeria. Our results also underscore the potential of using these cohorts with larger sample sizes to improve our understanding of human ancestry and health in Africa.
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Affiliation(s)
- Esha Joshi
- 54gene, Inc., 1100 15th St. NW, Washington, DC 20005, USA
| | - Arjun Biddanda
- 54gene, Inc., 1100 15th St. NW, Washington, DC 20005, USA
| | - Jumi Popoola
- 54gene, Inc., 1100 15th St. NW, Washington, DC 20005, USA
| | - Aminu Yakubu
- 54gene, Inc., 1100 15th St. NW, Washington, DC 20005, USA
| | | | - Delali Attipoe
- 54gene, Inc., 1100 15th St. NW, Washington, DC 20005, USA
| | - Estelle Dogbo
- 54gene, Inc., 1100 15th St. NW, Washington, DC 20005, USA
| | | | - Oyekanmi Nash
- Center for Genomics Research and Innovation, National Agency for Biotechnology Development, Abuja 09004, Nigeria
- H3Africa Bioinformatics Network (H3ABioNet) Node, Centre for Genomics Research and Innovation, NABDA/FMST, Abuja 09004, Nigeria
| | - Omolola Salako
- College of Medicine University of Lagos, Lagos 101233, Nigeria
| | | | | | - Segun Fatumo
- H3Africa Bioinformatics Network (H3ABioNet) Node, Centre for Genomics Research and Innovation, NABDA/FMST, Abuja 09004, Nigeria
- The African Computational Genomics (TAGC) Research Group, MRC/UVRI and London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
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Adeogun A, Babalola AS, Okoko OO, Oyeniyi T, Omotayo A, Izekor RT, Adetunji O, Olakiigbe A, Olagundoye O, Adeleke M, Ojianwuna C, Adamu D, Daskum A, Musa J, Sambo O, Adedayo O, Inyama PU, Samdi L, Obembe A, Dogara M, Kennedy P, Mohammed S, Samuel R, Amajoh C, Adesola M, Bala M, Esema M, Omo-Eboh M, Sinka M, Idowu OA, Ande A, Olayemi I, Yayo A, Uhomoibhi P, Awolola S, Salako B. Spatial distribution and ecological niche modeling of geographical spread of Anopheles gambiae complex in Nigeria using real time data. Sci Rep 2023; 13:13679. [PMID: 37608210 PMCID: PMC10444803 DOI: 10.1038/s41598-023-40929-5] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 08/18/2023] [Indexed: 08/24/2023] Open
Abstract
The need for evidence-based data, to inform policy decisions on malaria vector control interventions in Nigeria, necessitated the establishment of mosquito surveillance sites in a few States in Nigeria. In order to make evidence-based-decisions, predictive studies using available data becomes imperative. We therefore predict the distribution of the major members of the Anopheles gambiae s.l. in Nigeria. Immature stages of Anopheles were collected from 72 study locations which span throughout the year 2020 resulted in the identification of over 60,000 Anopheline mosquitoes. Of these, 716 breeding sites were identified with the presence of one or more vector species from the An. gambiae complex and were subsequently used for modelling the potential geographical distribution of these important malaria vectors. Maximum Entropy (MaxEnt) distribution modeling was used to predict their potentially suitable vector habitats across Nigeria. A total of 23 environmental variables (19 bioclimatic and four topographic) were used in the model resulting in maps of the potential geographical distribution of three dominant vector species under current climatic conditions. Members of the An. gambiae complex dominated the collections (98%) with Anopheles stephensi, Anopheles coustani, Anopheles funestus, Anopheles moucheti, Anopheles nilli also present. An almost equal distribution of the two efficient vectors of malaria, An. gambiae and Anopheles coluzzii, were observed across the 12 states included in the survey. Anopheles gambiae and Anopheles coluzzii had almost equal, well distributed habitat suitability patterns with the latter having a slight range expansion. However, the central part of Nigeria (Abuja) and some highly elevated areas (Jos) in the savannah appear not suitable for the proliferation of these species. The most suitable habitat for Anopheles arabiensis was mainly in the South-west and North-east. The results of this study provide a baseline allowing decision makers to monitor the distribution of these species and establish a management plan for future national mosquito surveillance and control programs in Nigeria.
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Affiliation(s)
- Adedapo Adeogun
- Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
- Department of Biological Sciences, Lead City University, Ibadan, Oyo State, Nigeria.
| | - Ayodele Samuel Babalola
- Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
- Department of Pure and Applied Zoology, Federal University of Agriculture, Abeokuta, Nigeria.
| | - Okefu Oyale Okoko
- National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria.
| | | | - Ahmed Omotayo
- Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | | | | | | | | | - Monsuru Adeleke
- Department of Zoology, Faculty of Basic and Applied Sciences, Osun State University, Osogbo, Nigeria
| | - Cynthia Ojianwuna
- Department of Animal and Environmental Biology, Delta State University, Delta, Nigeria
| | - Dagona Adamu
- Biology Research Laboratory, Federal University, Gashua/Yobe State University, Yobe State, Gashua, Nigeria
| | - Abdullahi Daskum
- Biology Research Laboratory, Federal University, Gashua/Yobe State University, Yobe State, Gashua, Nigeria
| | - Jibrin Musa
- Biology Research Laboratory, Federal University, Gashua/Yobe State University, Yobe State, Gashua, Nigeria
| | - Obadiah Sambo
- Department of Biological Sciences, Taraba State University, Jalingo, Nigeria
| | | | | | | | - Abiodun Obembe
- Department of Zoology, Kwara State University, Melete, Kwara, Nigeria
| | - Musa Dogara
- Department of Biological Sciences, Faculty of Science, Federal University, Jigawa State, Dutse, Nigeria
| | - Poloma Kennedy
- Department of Zoology, Faculty of Science, Gombe State University, Gombe, Nigeria
| | - Suleiman Mohammed
- Department of Biology, Umaru Musa Yar'adua University, Batagarawa, Katsina State, Nigeria
| | - Rebecca Samuel
- Department of Zoology, Madibbo Adama University of Technology, Yola, Adamawa State, Nigeria
| | | | - Musa Adesola
- Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Mohammed Bala
- National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria
| | - Mary Esema
- National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria
| | - Mamudu Omo-Eboh
- National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria
| | | | | | - Adeolu Ande
- Department of Zoology, University of Ilorin, Ilorin, Kwara State, Nigeria
| | - Israel Olayemi
- Department of Animal Biology, Federal University of Technology, Minna, Nigeria
| | - Abdulsalami Yayo
- Centre for Infectious Disease Research, Bayero University, Kano, Nigeria
| | - Perpetua Uhomoibhi
- National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria.
| | - Samson Awolola
- Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
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Osuolale K, Salako A, Musa A, Odubela O, Adepoju-Olajuwon F, David A, Gbaja-Biamila T, Ezechi O, Salako B. Health-related quality of life among children/adolescents living with HIV/AIDS in Lagos State, Nigeria. Afr Health Sci 2023; 23:121-127. [PMID: 38223629 PMCID: PMC10782323 DOI: 10.4314/ahs.v23i2.13] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2024] Open
Abstract
Health-Related Quality of Life (HRQL) is commonly used to assess the impact of health status on quality of life. The HRQL data obtained does not follow the assumption of normality and a non-parametric test was used to make inference in this study. This study compares the characteristics of children with HRQL classified as good, intermediate, and poor quality of life. The children and adolescents that have a good health-related quality of life had a mean rank of 75.5, intermediate, 27.0 while children and adolescents with poor HRQL had a mean rank of 8.5. The health -related quality of life differs significantly across the demographic characteristics. However, tertiary education does not differ significantly on HRQL. The Kruskal-Wallis's chi-squared was 76.95 with two degrees of freedom and p-value < 2.2e-16. The p-value < 0.05 indicates sufficient evidence that HRQL of children and adolescents differs significantly across the three categories. Conclusively, children and adolescents in the three categories have different quality of life. It is clear that most of the children and adolescents had a good health-related quality of life once they have been taking their drugs regularly as prescribed by the physician.
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Affiliation(s)
- Kazeem Osuolale
- Biostatistics Subunit, Grant, Monitoring and Evaluation Unit, Department of Statistics. University of Ibadan Nigeria
| | - Abideen Salako
- Clinical Sciences Department, Nigerian Institute of Medical Research
| | - Adesola Musa
- Biostatistics Subunit, Grant, Monitoring and Evaluation Unit, Department of Statistics. University of Ibadan Nigeria
| | | | - Fatimah Adepoju-Olajuwon
- Biostatistics Subunit, Grant, Monitoring and Evaluation Unit, Department of Statistics. University of Ibadan Nigeria
| | - Agatha David
- Clinical Sciences Department, Nigerian Institute of Medical Research
| | | | - Oliver Ezechi
- Clinical Sciences Department, Nigerian Institute of Medical Research
| | - Babatunde Salako
- Clinical Sciences Department, Nigerian Institute of Medical Research
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Fink DL, Oladele DA, Slack AJ, Odubela O, Musari-Martins T, Okechukwu A, Adetayo K, Opaneye S, Abubakar R, David A, Cai J, Quaderi S, Abubakar I, Ezechi O, Hurst JR, Lipman M, Salako B. A multi-centre observational study of HIV, tuberculosis and risk of chronic lung disease in urban West Africa. AIDS 2022; 36:1987-1995. [PMID: 35983707 DOI: 10.1097/qad.0000000000003360] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE HIV and tuberculosis (TB) are risk factors for non-communicable chronic lung disease (CLD). Despite the high prevalence of these infections in West Africa, there are no studies that compare CLD between people with HIV and HIV-negative populations in this setting. This study sought to quantify the contribution of HIV and TB infection in addition to conventional CLD risk factors, such as tobacco and biofuel exposure, to CLD in urban West Africa. DESIGN A multi-centre cross-sectional study was conducted in three community clinics in Lagos, Nigeria between 2018 and 2019. METHODS Spirometry, questionnaires and clinical records were used to estimate prevalence of CLD and association with risk factors. RESULTS In total, 148 HIV-negative individuals and 170 HIV-positive individuals completed the study. Current cigarette (11 of 318, 3.5%) and lifetime domestic biofuel (6 of 318, 1.8%) exposures were low. Airway obstruction (33 of 170, 19.4% vs. 12 of 148, 8.1%, P = 0.004) and CLD (73 of 170, 42.9% vs. 34 of 148, 23%, P < 0.0001) were more prevalent in people with HIV compared with the HIV-negative group. HIV infection [odds ratio 2.35 (1.33, 4.17), P = 0.003] and history of TB [odds ratio 2.09 (1.04, 4.20), P = 0.038] were independently associated with increased risk of CLD. CONCLUSION HIV and TB far outweigh conventional risk factors, including tobacco and domestic biofuel exposure, as drivers of non-communicable CLD in urban West Africa. Current global policy for CLD may have limited impact on CLD in this setting. Enhanced prevention, diagnosis and management strategies for incident HIV and TB infections are likely to have a significant impact on long-term lung health in sub-Saharan Africa.
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Affiliation(s)
- Douglas L Fink
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine.,Division of Infection and Immunity, University College London, London, UK
| | - David A Oladele
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Abigail J Slack
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine
| | - Oluwatosin Odubela
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Tomilola Musari-Martins
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Adaobi Okechukwu
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Kemi Adetayo
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Sola Opaneye
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Rufai Abubakar
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Agatha David
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - James Cai
- Division of Infection and Immunity, University College London, London, UK
| | | | - Ibrahim Abubakar
- Institute for Global Health, University College London, London, UK
| | - Oliver Ezechi
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - John R Hurst
- Centre for Inflammation and Tissue Repair; UCL Respiratory
| | - Marc Lipman
- Centre for Inflammation and Tissue Repair; UCL Respiratory
| | - Babatunde Salako
- Department of Non Communicable Disease Research, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
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Mobarak AM, Miguel E, Abaluck J, Ahuja A, Alsan M, Banerjee A, Breza E, Chandrasekhar AG, Duflo E, Dzansi J, Garrett D, Goldsmith-Pinkham P, Gonsalves GS, Hossain MM, Jakubowski A, Kang G, Kharel A, Kremer M, Meriggi N, Nekesa C, Olken BA, Omer SB, Qadri F, Rees H, Salako B, Voors M, Warren S, Więcek W. End COVID-19 in low- and middle-income countries. Science 2022; 375:1105-1110. [PMID: 35271319 DOI: 10.1126/science.abo4089] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
| | - Edward Miguel
- Department of Economics and Center for Effective Global Action, University of California, Berkeley, Berkeley, CA, USA
| | - Jason Abaluck
- Yale School of Management, Yale University, New Haven, CT, USA
| | - Amrita Ahuja
- Douglas B. Marshall, Jr. Family Foundation, Houston, TX, USA
| | - Marcella Alsan
- John F. Kennedy School of Government, Harvard University, Cambridge, MA, USA
| | - Abhijit Banerjee
- Department of Economics, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Emily Breza
- Department of Economics, Harvard University, Cambridge, MA, USA
| | | | - Esther Duflo
- Department of Economics, Massachusetts Institute of Technology, Cambridge, MA, USA
| | | | | | | | - Gregg S Gonsalves
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.,Yale Law School, New Haven, CT, USA.,Yale Global Health Justice Partnership, Yale University, New Haven, CT, USA
| | | | - Aleksandra Jakubowski
- Center for Effective Global Action, University of California, Berkeley, Berkeley, CA, USA
| | | | - Arjun Kharel
- Tribhuvan University, Centre for the Study of Labour and Mobility, Kirtipur, Kathmandu, Nepal
| | | | - Niccolo Meriggi
- International Growth Centre, Freetown, Sierra Leone.,Development Economics Group, Wageningen University, Wageningen, Netherlands
| | | | - Benjamin A Olken
- Department of Economics, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Saad B Omer
- Yale Institute for Global Health, Yale University, New Haven, CT, USA.,Department of Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT, USA
| | - Firdausi Qadri
- International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
| | - Helen Rees
- Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa
| | | | - Maarten Voors
- Development Economics Group, Wageningen University, Wageningen, Netherlands
| | - Shana Warren
- Innovations for Poverty Action, Washington, DC, USA
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Oleribe OO, Idigbe IE, Osita-Oleribe P, Olawepo O, Musa ZA, Aikhuomogbe S, Ezechi OC, Fertleman M, Salako B, Taylor-Robinson SD. Perceptions and opinions of Nigerians to the management and response to COVID-19 in Nigeria. Pan Afr Med J 2022; 40:185. [PMID: 35059105 PMCID: PMC8728801 DOI: 10.11604/pamj.2021.40.185.31824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/13/2021] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION we present a qualitative analysis of opinions of the Nigerian general public as to how successful healthcare strategies have been in containing the COVID-19 outbreak. METHODS an online qualitative survey was conducted, consisting of 30 semi-structured questions. RESULTS four hundred and ninety-five (495) respondents participated, ranging in age from 18 to 59 years. Over 40% of all respondents were critical of public health information. Participants saw provision of social support measures (n = 83), lack of economic, financial and social support (n = 65), enforcement of restrictions on movement outside the home, availability of face-masks and social distancing (n = 53) and provision of COVID-19 testing (n = 48) as the major things that were handled poorly by the government and health authorities. CONCLUSION we advocate coordinated forward planning for public safety until vaccines are widely available; while social distancing should continue. Policymakers need to be adaptable to changing conditions, given fluctuating case numbers and fatality rates.
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Affiliation(s)
- Obinna Ositadimma Oleribe
- Family Services Department, Klamath Tribal Health and Family Services, Klamath Falls, Oregon, United States of America
| | - Ifeoma Eugenia Idigbe
- Department of Public Health, Nigeria Institute for Medical Research, PMB 2013, Yaba, Lagos, Nigeria
| | | | - Olatayo Olawepo
- Office of the Central Secretariat, Georgetown Global Health, Abuja, Nigeria
| | - Zaidat Adesola Musa
- Department of Public Health, Nigeria Institute for Medical Research, PMB 2013, Yaba, Lagos, Nigeria
| | | | | | - Michael Fertleman
- Cutrale Perioperative and Ageing Group, Department of Bioengineering, Imperial College London, White City Campus, 86 Wood Lane, London W120BZ, United Kingdom
| | - Babatunde Salako
- Office of the Director General, Nigeria Institute for Medical Research, PMB 2013, Yaba, Lagos, Nigeria
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7
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Amoo OS, Adewara F, Tijani B, Onuigbo TI, Ikemefuna AS, Oraegbu JI, Rizvi T, Okwuraiwe A, Onwuamah C, Shaibu J, James A, Ohihoin G, Ige F, Kareithi D, David A, Karera S, Agboola H, Adeniyi A, Obi J, Achanya D, Odewale E, Oforomeh O, Liboro G, Nwogbe O, Ezechi O, Adegbola R, Audu R, Salako B. The use of DIY (Do it yourself) sampling and telemonitoring model for COVID-19 qPCR testing scale up. PLoS One 2021; 16:e0259398. [PMID: 34735503 PMCID: PMC8568151 DOI: 10.1371/journal.pone.0259398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 10/18/2021] [Indexed: 11/24/2022] Open
Abstract
The first case of COVID-19 in Nigeria was recorded on February 27, 2020, being an imported case by an Italian expatriate, to the country. Since then, there has been steady increase in the number of cases. However, the number of cases in Nigeria is low in comparison to cases reported by other countries with similar large populations, despite the poor health system prevailing in the country. This has been mainly attributed to the low testing capacity in Nigeria among other factors. Therefore, there is a need for innovative ways to increase the number of persons testing for COVID-19. The aim of the study was to pilot a nasopharyngeal swab self-sample collection model that would help increase COVID-19 testing while ensuring minimal person-to-person contact being experienced at the testing center. 216 participants took part in this study which was carried out at the Nigerian Institute of Medical Research between June and July 2020. Amongst the 216 participants, 174 tested negatives for both self-collected samples and samples collected by Professionals, 30 tested positive for both arms, with discrepancies occurring in 6 samples where the self-collected samples were positive while the ones collected by the professionals were negative. The same occurred in another set of 6 samples with the self-collected samples being negative and the professional-collected sample coming out positive, with a sensitivity of 83.3% and a specificity of 96.7%. The results of the interrater analysis are Kappa = 0.800 (95% CI, 0.690 to 0.910) which implies an outstanding agreement between the two COVID-19 sampling methods. Furthermore, since p< 0.001 Kappa (k) coefficient is statistically different from zero, our findings have shown that self-collected samples can be reliable in the diagnosis of COVID-19.
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Affiliation(s)
- Olufemi Samuel Amoo
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | | | | | | | | | - Joy Isioma Oraegbu
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Tazeen Rizvi
- Mobihealth International Limited, Abuja, Nigeria
| | - Azuka Okwuraiwe
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Chika Onwuamah
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Joseph Shaibu
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Ayorinde James
- Department of Biochemistry, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Greg Ohihoin
- Clinical Science Department, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Fehintola Ige
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | | | - Agatha David
- Clinical Science Department, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | | | - Hammed Agboola
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Anthony Adeniyi
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Josephine Obi
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Dominic Achanya
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Ebenezer Odewale
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Osaga Oforomeh
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Gideon Liboro
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Olayemi Nwogbe
- Department of Library and Information Technology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Oliver Ezechi
- Clinical Science Department, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Richard Adegbola
- Department of Biochemistry, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Rosemary Audu
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
| | - Babatunde Salako
- Department of Microbiology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
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8
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Salako A, Odubela O, Musari-Martins T, Ezemelue P, Gbaja-Biamila T, Opaneye B, James A, Oforomeh O, Osuolale K, Musa A, Chukwu E, Rahman N, David A, Audu R, Ezechi O, Salako B. Prevalence and Presentation of Paediatric Coronavirus Disease 2019 in Lagos, Nigeria. Int J Pediatr 2021; 2021:2185161. [PMID: 34659422 PMCID: PMC8514970 DOI: 10.1155/2021/2185161] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 06/01/2021] [Accepted: 09/08/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND The objective of this study was to describe the prevalence and clinical features of coronavirus disease 2019 (COVID-19) among children (≤18 years) evaluated for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection at a testing centre in Lagos, Nigeria. Methodology. This was a retrospective study. Data on the sociodemographic, clinical characteristics and SARS-CoV-2 results of participants at a modified drive-through centre for COVID-19 test sample collection over four months were retrieved from the electronic medical records (EMR). Data obtained were analyzed using SPSS version 22.0. RESULTS A total of 307 children (≤18 years) were evaluated in this review. The prevalence of SARS-CoV-2 infection among the paediatric population was 16.3%. The median age (interquartile range (IQR)) was 9 (4-14) years. Common symptoms reported by the positive cases were fever (40.0%), cough (32.9%), sore throat (17.1%), and runny nose (15.7%). The majority of the positive cases had mild symptoms. Fever and sore throat were associated with the positive cases. CONCLUSION Fever and sore throat were associated with SARS-CoV-2 infection among our cohort which buttresses the need for a high level of suspicion and clinical acumen in the management of common febrile diseases in paediatric settings.
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Affiliation(s)
- Abideen Salako
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | | | | | | | | | - Babasola Opaneye
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Ayorinde James
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Osaga Oforomeh
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Kazeem Osuolale
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Adesola Musa
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Emelda Chukwu
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Nurudeen Rahman
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Agatha David
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Rosemary Audu
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Oliver Ezechi
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Babatunde Salako
- Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
- College of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria
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9
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Graff M, Justice AE, Young KL, Marouli E, Zhang X, Fine RS, Lim E, Buchanan V, Rand K, Feitosa MF, Wojczynski MK, Yanek LR, Shao Y, Rohde R, Adeyemo AA, Aldrich MC, Allison MA, Ambrosone CB, Ambs S, Amos C, Arnett DK, Atwood L, Bandera EV, Bartz T, Becker DM, Berndt SI, Bernstein L, Bielak LF, Blot WJ, Bottinger EP, Bowden DW, Bradfield JP, Brody JA, Broeckel U, Burke G, Cade BE, Cai Q, Caporaso N, Carlson C, Carpten J, Casey G, Chanock SJ, Chen G, Chen M, Chen YDI, Chen WM, Chesi A, Chiang CWK, Chu L, Coetzee GA, Conti DV, Cooper RS, Cushman M, Demerath E, Deming SL, Dimitrov L, Ding J, Diver WR, Duan Q, Evans MK, Falusi AG, Faul JD, Fornage M, Fox C, Freedman BI, Garcia M, Gillanders EM, Goodman P, Gottesman O, Grant SFA, Guo X, Hakonarson H, Haritunians T, Harris TB, Harris CC, Henderson BE, Hennis A, Hernandez DG, Hirschhorn JN, McNeill LH, Howard TD, Howard B, Hsing AW, Hsu YHH, Hu JJ, Huff CD, Huo D, Ingles SA, Irvin MR, John EM, Johnson KC, Jordan JM, Kabagambe EK, Kang SJ, Kardia SL, Keating BJ, Kittles RA, Klein EA, Kolb S, Kolonel LN, Kooperberg C, Kuller L, Kutlar A, Lange L, Langefeld CD, Le Marchand L, Leonard H, Lettre G, Levin AM, Li Y, Li J, Liu Y, Liu Y, Liu S, Lohman K, Lotay V, Lu Y, Maixner W, Manson JE, McKnight B, Meng Y, Monda KL, Monroe K, Moore JH, Mosley TH, Mudgal P, Murphy AB, Nadukuru R, Nalls MA, Nathanson KL, Nayak U, N'Diaye A, Nemesure B, Neslund-Dudas C, Neuhouser ML, Nyante S, Ochs-Balcom H, Ogundiran TO, Ogunniyi A, Ojengbede O, Okut H, Olopade OI, Olshan A, Padhukasahasram B, Palmer J, Palmer CD, Palmer ND, Papanicolaou G, Patel SR, Pettaway CA, Peyser PA, Press MF, Rao DC, Rasmussen-Torvik LJ, Redline S, Reiner AP, Rhie SK, Rodriguez-Gil JL, Rotimi CN, Rotter JI, Ruiz-Narvaez EA, Rybicki BA, Salako B, Sale MM, Sanderson M, Schadt E, Schreiner PJ, Schurmann C, Schwartz AG, Shriner DA, Signorello LB, Singleton AB, Siscovick DS, Smith JA, Smith S, Speliotes E, Spitz M, Stanford JL, Stevens VL, Stram A, Strom SS, Sucheston L, Sun YV, Tajuddin SM, Taylor H, Taylor K, Tayo BO, Thun MJ, Tucker MA, Vaidya D, Van Den Berg DJ, Vedantam S, Vitolins M, Wang Z, Ware EB, Wassertheil-Smoller S, Weir DR, Wiencke JK, Williams SM, Williams LK, Wilson JG, Witte JS, Wrensch M, Wu X, Yao J, Zakai N, Zanetti K, Zemel BS, Zhao W, Zhao JH, Zheng W, Zhi D, Zhou J, Zhu X, Ziegler RG, Zmuda J, Zonderman AB, Psaty BM, Borecki IB, Cupples LA, Liu CT, Haiman CA, Loos R, Ng MCY, North KE. Discovery and fine-mapping of height loci via high-density imputation of GWASs in individuals of African ancestry. Am J Hum Genet 2021; 108:564-582. [PMID: 33713608 PMCID: PMC8059339 DOI: 10.1016/j.ajhg.2021.02.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 02/09/2021] [Indexed: 01/21/2023] Open
Abstract
Although many loci have been associated with height in European ancestry populations, very few have been identified in African ancestry individuals. Furthermore, many of the known loci have yet to be generalized to and fine-mapped within a large-scale African ancestry sample. We performed sex-combined and sex-stratified meta-analyses in up to 52,764 individuals with height and genome-wide genotyping data from the African Ancestry Anthropometry Genetics Consortium (AAAGC). We additionally combined our African ancestry meta-analysis results with published European genome-wide association study (GWAS) data. In the African ancestry analyses, we identified three novel loci (SLC4A3, NCOA2, ECD/FAM149B1) in sex-combined results and two loci (CRB1, KLF6) in women only. In the African plus European sex-combined GWAS, we identified an additional three novel loci (RCCD1, G6PC3, CEP95) which were equally driven by AAAGC and European results. Among 39 genome-wide significant signals at known loci, conditioning index SNPs from European studies identified 20 secondary signals. Two of the 20 new secondary signals and none of the 8 novel loci had minor allele frequencies (MAF) < 5%. Of 802 known European height signals, 643 displayed directionally consistent associations with height, of which 205 were nominally significant (p < 0.05) in the African ancestry sex-combined sample. Furthermore, 148 of 241 loci contained ≤20 variants in the credible sets that jointly account for 99% of the posterior probability of driving the associations. In summary, trans-ethnic meta-analyses revealed novel signals and further improved fine-mapping of putative causal variants in loci shared between African and European ancestry populations.
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Affiliation(s)
- Mariaelisa Graff
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
| | - Anne E Justice
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Population Health Services, Geisinger Health, Danville, PA 17822, USA
| | - Kristin L Young
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Eirini Marouli
- William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London EC1M 6BQ, UK; Centre for Genomic Health, Life Sciences, Queen Mary University of London, London EC1M 6BQ, UK
| | - Xinruo Zhang
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | | | - Elise Lim
- Department of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA
| | - Victoria Buchanan
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Kristin Rand
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Mary F Feitosa
- Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis, MO 63108, USA
| | - Mary K Wojczynski
- Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis, MO 63108, USA
| | - Lisa R Yanek
- Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
| | - Yaming Shao
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Rebecca Rohde
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Adebowale A Adeyemo
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Melinda C Aldrich
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Department of Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, TN 37232, USA
| | - Matthew A Allison
- Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA 92093, USA
| | - Christine B Ambrosone
- Department of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
| | - Stefan Ambs
- Laboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA
| | - Christopher Amos
- Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Donna K Arnett
- School of Public Health, University of Kentucky, Lexington, KY 40563, USA
| | - Larry Atwood
- Framingham Heart Study, Boston University School of Medicine, Boston, MA 02118, USA
| | - Elisa V Bandera
- Department of Population Science, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA
| | - Traci Bartz
- Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA 98101, USA; Department of Biostatistics, University of Washington, Seattle, WA 98195, USA
| | - Diane M Becker
- Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
| | - Sonja I Berndt
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892, USA
| | - Leslie Bernstein
- Division of Biomarkers of Early Detection and Prevention, Department of Population Sciences, Beckman Research Institute of the City of Hope, Duarte, CA 91010, USA
| | - Lawrence F Bielak
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - William J Blot
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; International Epidemiology Institute, Rockville, MD 20850, USA
| | - Erwin P Bottinger
- The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Donald W Bowden
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA; Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA; Center for Diabetes Research, Wake Forest school of Medicine, Winston-Salem, NC 27157, USA
| | - Jonathan P Bradfield
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
| | - Jennifer A Brody
- Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA 98101, USA
| | - Ulrich Broeckel
- Department of Pediatrics, Section of Genomic Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226, USA
| | - Gregory Burke
- Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA
| | - Brian E Cade
- Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA
| | - Qiuyin Cai
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA
| | - Neil Caporaso
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892, USA
| | - Chris Carlson
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - John Carpten
- Department of Translational Genomics, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Graham Casey
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - Stephen J Chanock
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892, USA
| | - Guanjie Chen
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Minhui Chen
- Center for Genetic Epidemiology, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Yii-Der I Chen
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USA
| | - Wei-Min Chen
- Department of Public Health Sciences and Center for Public Health Genomics, University of Virginia School of Medicine, Charlottesville, VA 22908, USA
| | - Alessandra Chesi
- Division of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
| | - Charleston W K Chiang
- Center for Genetic Epidemiology, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Lisa Chu
- Cancer Prevention Institute of California, Fremont, CA 94538, USA
| | - Gerry A Coetzee
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA; Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, LA 90033, USA
| | - David V Conti
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Richard S Cooper
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IL 60153, USA
| | - Mary Cushman
- Department of Medicine, University of Vermont College of Medicine, Burlington, VT 05405, USA
| | - Ellen Demerath
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
| | - Sandra L Deming
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA
| | - Latchezar Dimitrov
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | - Jingzhong Ding
- Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | - W Ryan Diver
- Epidemiology Research Program, American Cancer Society, Atlanta, GA 30303, USA
| | - Qing Duan
- Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Michele K Evans
- Health Disparities Research Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA
| | - Adeyinka G Falusi
- Institute for Medical Research and Training, University of Ibadan, Ibadan, Nigeria
| | - Jessica D Faul
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
| | - Myriam Fornage
- Center for Human Genetics, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Caroline Fox
- Population Sciences Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA; Framingham Heart Study, Framingham, MA 01702, USA; Division of Endocrinology and Metabolism, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Barry I Freedman
- Department of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | - Melissa Garcia
- National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA
| | - Elizabeth M Gillanders
- Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD 20892, USA
| | - Phyllis Goodman
- SWOG Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Omri Gottesman
- The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Struan F A Grant
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Center for Spatial and Functional Genomics, The Children's Hospital of Philadelphia Research Institute, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
| | - Xiuqing Guo
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USA
| | - Hakon Hakonarson
- Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Division of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
| | - Talin Haritunians
- Medical Genetics Institute, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
| | - Tamara B Harris
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Bethesda, MD 20892, USA
| | - Curtis C Harris
- Laboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA
| | - Brian E Henderson
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - Anselm Hennis
- Department of Preventive Medicine, Stony Brook University, Stony Brook, NY 11794, USA; Chronic Disease Research Centre and Faculty of Medical Sciences, University of West Indies, Bridgetown, Barbados; Ministry of Health, Bridgetown, Barbados
| | - Dena G Hernandez
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD 20814, USA
| | - Joel N Hirschhorn
- Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA; Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA 02115, USA; Department of Genetics, Harvard Medical School, Boston, MA 02115, USA
| | - Lorna Haughton McNeill
- Department of Health Disparities Research, Division of OVP, Cancer Prevention and Population Sciences, and Center for Community Implementation and Dissemination Research, Duncan Family Institute, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Timothy D Howard
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | | | - Ann W Hsing
- Cancer Prevention Institute of California, Fremont, CA 94538, USA; Department of Medicine, Stanford Prevention Research Center and Cancer Institute, Stanford, CA 94305, USA
| | - Yu-Han H Hsu
- Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA; Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA 02115, USA; Department of Genetics, Harvard Medical School, Boston, MA 02115, USA
| | - Jennifer J Hu
- Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
| | - Chad D Huff
- Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Dezheng Huo
- Department of Public Health Sciences, University of Chicago, Chicago, IL 60637, USA
| | - Sue A Ingles
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - Marguerite R Irvin
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Esther M John
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94304, USA
| | - Karen C Johnson
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - Joanne M Jordan
- Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Edmond K Kabagambe
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Sun J Kang
- Genetic Epidemiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA
| | - Sharon L Kardia
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Brendan J Keating
- Institute for Translational Medicine and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Rick A Kittles
- Division of Health Equities, Department of Population Sciences, City of Hope Medical Center, Duarte, CA 91010, USA
| | - Eric A Klein
- Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH 44195, USA
| | - Suzanne Kolb
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Laurence N Kolonel
- Epidemiology Program, Cancer Research Center, University of Hawaii Cancer Center, Honolulu, HI 96813, USA
| | - Charles Kooperberg
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Lewis Kuller
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Abdullah Kutlar
- Sickle Cell Center, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
| | - Leslie Lange
- Division of Biomedical Informatics and Personalized Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA
| | - Carl D Langefeld
- Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | - Loic Le Marchand
- Epidemiology Program, Cancer Research Center, University of Hawaii Cancer Center, Honolulu, HI 96813, USA
| | - Hampton Leonard
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD 20814, USA; Data Tecnica Int'l, LLC, Glen Echo, MD 20812, USA
| | - Guillaume Lettre
- Montreal Heart Institute, Montréal, QC H1T 1C8, Canada; Department of Medicine, Université de Montréal, Montréal, QC H1T 1C8, Canada
| | - Albert M Levin
- Department of Public Health Sciences, Henry Ford Health System, Detroit, MI 48202, USA
| | - Yun Li
- Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Jin Li
- Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA
| | - Yongmei Liu
- Department of Medicine, Division of Cardiology, Duke Molecular Physiology Institute, Duke University Medical Center, Durham, NC 27701, USA
| | - Youfang Liu
- Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Simin Liu
- Department of Epidemiology, Brown University, Providence, RI 02912, USA
| | - Kurt Lohman
- Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | - Vaneet Lotay
- The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Yingchang Lu
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - William Maixner
- Center for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
| | - JoAnn E Manson
- Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Barbara McKnight
- Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA 98101, USA; Department of Biostatistics, University of Washington, Seattle, WA 98195, USA
| | - Yan Meng
- Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA
| | - Keri L Monda
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; The Center for Observational Research, Amgen, Inc., Thousand Oaks, CA 91320, USA
| | - Kris Monroe
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Jason H Moore
- Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Thomas H Mosley
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA
| | - Poorva Mudgal
- Center for Diabetes Research, Wake Forest school of Medicine, Winston-Salem, NC 27157, USA
| | - Adam B Murphy
- Department of Urology, Northwestern University, Chicago, IL 60611, USA
| | - Rajiv Nadukuru
- The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Mike A Nalls
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD 20814, USA; Data Tecnica Int'l, LLC, Glen Echo, MD 20812, USA
| | | | - Uma Nayak
- Department of Public Health Sciences and Center for Public Health Genomics, University of Virginia School of Medicine, Charlottesville, VA 22908, USA
| | | | - Barbara Nemesure
- Department of Preventive Medicine, Stony Brook University, Stony Brook, NY 11794, USA
| | | | - Marian L Neuhouser
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Sarah Nyante
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA
| | - Heather Ochs-Balcom
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY 14214, USA
| | - Temidayo O Ogundiran
- Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Adesola Ogunniyi
- Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Oladosu Ojengbede
- Centre for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Hayrettin Okut
- Center for Diabetes Research, Wake Forest school of Medicine, Winston-Salem, NC 27157, USA
| | - Olufunmilayo I Olopade
- Center for Clinical Cancer Genetics and Global Health, University of Chicago Medical Center, Chicago, IL 60637, USA
| | - Andrew Olshan
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA
| | - Badri Padhukasahasram
- Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI 48202, USA
| | - Julie Palmer
- Slone Epidemiology Center, Boston University School of Medicine, Boston, MA 02118, USA
| | - Cameron D Palmer
- Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA; Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA 02115, USA
| | - Nicholette D Palmer
- Department of Biochemistry, School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USA
| | - George Papanicolaou
- Division of Cardiovascular Sciences, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Sanjay R Patel
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15260, USA
| | - Curtis A Pettaway
- Department of Urology, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA
| | - Patricia A Peyser
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Michael F Press
- Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - D C Rao
- Division of Biostatistics, Washington University School of Medicine, St. Louis, MO 63110, USA
| | - Laura J Rasmussen-Torvik
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
| | - Susan Redline
- Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Alex P Reiner
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
| | - Suhn K Rhie
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - Jorge L Rodriguez-Gil
- Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
| | - Charles N Rotimi
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Jerome I Rotter
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USA
| | - Edward A Ruiz-Narvaez
- Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA
| | - Benjamin A Rybicki
- Department of Public Health Sciences, Henry Ford Health System, Detroit, MI 48202, USA
| | - Babatunde Salako
- Centre for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Michele M Sale
- Department of Public Health Sciences and Center for Public Health Genomics, University of Virginia School of Medicine, Charlottesville, VA 22908, USA
| | - Maureen Sanderson
- Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208, USA
| | - Eric Schadt
- Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Pamela J Schreiner
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
| | - Claudia Schurmann
- The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Ann G Schwartz
- Department of Oncology, Wayne State University School of Medicine, Detroit, MI 48201, USA; Karmanos Cancer Institute, Detroit, MI 48201, USA
| | - Daniel A Shriner
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Lisa B Signorello
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; International Epidemiology Institute, Rockville, MD 20850, USA
| | - Andrew B Singleton
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD 20814, USA
| | | | - Jennifer A Smith
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
| | - Shad Smith
- Center for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
| | - Elizabeth Speliotes
- Division of Gastroenterology and Hepatology, University of Michigan Health System, Ann Arbor, MI 48109, USA; Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI 48109, USA
| | - Margaret Spitz
- Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Janet L Stanford
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA; Department of Epidemiology, University of Washington School of Public Health, Seattle, WA 98195, USA
| | - Victoria L Stevens
- Epidemiology Research Program, American Cancer Society, Atlanta, GA 30303, USA
| | - Alex Stram
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
| | - Sara S Strom
- Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Lara Sucheston
- Department of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
| | - Yan V Sun
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
| | - Salman M Tajuddin
- National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA
| | - Herman Taylor
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA
| | - Kira Taylor
- Department of Epidemiology and Population Health, School of Public Health and Information Sciences, University of Louisville, Louisville, KY 40202, USA
| | - Bamidele O Tayo
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IL 60153, USA
| | - Michael J Thun
- Epidemiology Research Program, American Cancer Society, Atlanta, GA 30303, USA
| | - Margaret A Tucker
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892, USA
| | - Dhananjay Vaidya
- Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - David J Van Den Berg
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - Sailaja Vedantam
- Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA; Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA 02115, USA
| | - Mara Vitolins
- Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA
| | - Zhaoming Wang
- Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN 38105, USA
| | - Erin B Ware
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
| | - Sylvia Wassertheil-Smoller
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA
| | - David R Weir
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
| | - John K Wiencke
- Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Scott M Williams
- Departments of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH 44106, USA
| | - L Keoki Williams
- Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI 48202, USA; Department of Internal Medicine, Henry Ford Health System, Detroit, MI 48202, USA
| | - James G Wilson
- Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, MS 39216, USA
| | - John S Witte
- Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158, USA; Department of Urology, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Margaret Wrensch
- Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94158, USA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Xifeng Wu
- Department of Epidemiology, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Jie Yao
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USA
| | - Neil Zakai
- Department of Medicine, University of Vermont College of Medicine, Burlington, VT 05405, USA
| | - Krista Zanetti
- Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD 20892, USA
| | - Babette S Zemel
- Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA; Division of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA
| | - Wei Zhao
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Jing Hua Zhao
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge CB2 0QQ, UK
| | - Wei Zheng
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA
| | - Degui Zhi
- School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Jie Zhou
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | - Xiaofeng Zhu
- Departments of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH 44106, USA
| | - Regina G Ziegler
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892, USA
| | - Joe Zmuda
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Alan B Zonderman
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Bethesda, MD 20892, USA
| | - Bruce M Psaty
- Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA 98101, USA
| | - Ingrid B Borecki
- Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis, MO 63108, USA; BioData Catalyst Program, National Heart, Lung, and Blood Institute, Bethesda, MD 20892, USA
| | - L Adrienne Cupples
- Department of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA; Framingham Heart Study, Boston University School of Medicine, Boston, MA 02118, USA
| | - Ching-Ti Liu
- Department of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA
| | - Christopher A Haiman
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA
| | - Ruth Loos
- The Charles R. Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA; The Mindich Child Health Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Maggie C Y Ng
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA; Center for Diabetes Research, Wake Forest school of Medicine, Winston-Salem, NC 27157, USA
| | - Kari E North
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
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10
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Iwalokun BA, Olalekan A, Adenipekun E, Ojo O, Iwalokun SO, Mutiu B, Orija O, Adegbola R, Salako B, Akinloye O. Improving the Understanding of the Immunopathogenesis of Lymphopenia as a Correlate of SARS-CoV-2 Infection Risk and Disease Progression in African Patients: Protocol for a Cross-sectional Study. JMIR Res Protoc 2021; 10:e21242. [PMID: 33621190 PMCID: PMC7935252 DOI: 10.2196/21242] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 08/05/2020] [Accepted: 11/10/2020] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic, caused by SARS-CoV-2, continues to impact health systems throughout the world with serious medical challenges being imposed on many African countries like Nigeria. Although emerging studies have identified lymphopenia as a driver of cytokine storm, disease progression, and poor outcomes in infected patients, its immunopathogenesis, as well as environmental and genetic determinants, remain unclear. Understanding the interplay of these determinants in the context of lymphopenia and COVID-19 complications in patients in Africa may help with risk stratification and appropriate deployment of targeted treatment regimens with repurposed drugs to improve prognosis. OBJECTIVE This study is designed to investigate the role of vitamin D status, vasculopathy, apoptotic pathways, and vitamin D receptor (VDR) gene polymorphisms in the immunopathogenesis of lymphopenia among African people infected with SARS-CoV-2. METHODS This cross-sectional study will enroll 230 participants, categorized as "SARS-CoV-2 negative" (n=69), "COVID-19 mild" (n=32), "hospitalized" (n=92), and "recovered" (n=37), from two health facilities in Lagos, Nigeria. Sociodemographic data, travel history, and information on comorbidities will be obtained from case files and through a pretested, interview-based structured questionnaire. Venous blood samples (5 mL) collected between 8 AM and 10 AM and aliquoted into EDTA (ethylenediaminetetraacetic acid) and plain tubes will be used for complete blood count and CD4 T cell assays to determine lymphopenia (lymphocyte count <1000 cells/µL) and CD4 T lymphocyte levels, as well as to measure the concentrations of vitamin D, caspase 3, soluble vascular cell adhesion molecule-1 (sVCAM-1), and soluble Fas ligand (sFasL) using an autoanalyzer, flow cytometry, and ELISA (enzyme-linked immunosorbent assay) techniques. Genomic DNA will be extracted from the buffy coat and used as a template for the amplification of apoptosis-related genes (Bax, Bcl-2, BCL2L12) by polymerase chain reaction (PCR) and genotyping of VDR (Apa1, Fok1, and Bsm1) gene polymorphisms by the PCR restriction fragment length polymorphism method and capillary sequencing. Total RNA will also be extracted, reverse transcribed, and subsequently quantitated by reverse transcription PCR (RT-PCR) to monitor the expression of apoptosis genes in the four participant categories. Data analyses, which include a test of association between VDR gene polymorphisms and study outcomes (lymphopenia and hypovitaminosis D prevalence, mild/moderate and severe infections) will be performed using the R statistical software. Hardy-Weinberg equilibrium and linkage disequilibrium analyses for the alleles, genotypes, and haplotypes of the genotyped VDR gene will also be carried out. RESULTS A total of 45 participants comprising 37 SARS-CoV-2-negative and 8 COVID-19-recovered individuals have been enrolled so far. Their complete blood counts and CD4 T lymphocyte counts have been determined, and their serum samples and genomic DNA and RNA samples have been extracted and stored at -20 °C until further analyses. Other expected outcomes include the prevalence and distribution of lymphopenia and hypovitaminosis D in the control (SARS-CoV-2 negative), confirmed, hospitalized, and recovered SARS-CoV-2-positive participants; association of lymphopenia with CD4 T lymphocyte level, serum vitamin D, sVCAM-1, sFasL, and caspase 3 levels in hospitalized patients with COVID-19; expression levels of apoptosis-related genes among hospitalized participants with COVID-19, and those with lymphopenia compared to those without lymphopenia; and frequency distribution of the alleles, genotypes, and haplotypes of VDR gene polymorphisms in COVID-19-infected participants. CONCLUSIONS This study will aid in the genotypic and phenotypic stratification of COVID-19-infected patients in Nigeria with and without lymphopenia to enable biomarker discovery and pave the way for the appropriate and timely deployment of patient-centered treatments to improve prognosis. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/21242.
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Affiliation(s)
| | - Adesola Olalekan
- Department of Medical Laboratory Sciences, Faculty of Basic Medical Science, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Eyitayo Adenipekun
- Department of Medical Laboratory Sciences, Faculty of Basic Medical Science, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Olabisi Ojo
- Department of Natural Sciences, Albany State University, Georgia, GA, United States
| | | | - Bamidele Mutiu
- Department of Medical Microbiology & Parasitology, College of Medicine, Lagos State University, Lagos, Nigeria
| | - Oluseyi Orija
- Department of Public Health, National University, San Diego, CA, United States
| | - Richard Adegbola
- Microbiology Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | | | - Oluyemi Akinloye
- Department of Medical Laboratory Sciences, Faculty of Basic Medical Science, College of Medicine, University of Lagos, Lagos, Nigeria
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11
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Dan-Nwafor C, Ochu CL, Elimian K, Oladejo J, Ilori E, Umeokonkwo C, Steinhardt L, Igumbor E, Wagai J, Okwor T, Aderinola O, Mba N, Hassan A, Dalhat M, Jinadu K, Badaru S, Arinze C, Jafiya A, Disu Y, Saleh F, Abubakar A, Obiekea C, Yinka-Ogunleye A, Naidoo D, Namara G, Muhammad S, Ipadeola O, Ofoegbunam C, Ogunbode O, Akatobi C, Alagi M, Yashe R, Crawford E, Okunromade O, Aniaku E, Mba S, Agogo E, Olugbile M, Eneh C, Ahumibe A, Nwachukwu W, Ibekwe P, Adejoro OO, Ukponu W, Olayinka A, Okudo I, Aruna O, Yusuf F, Alex-Okoh M, Fawole T, Alaka A, Muntari H, Yennan S, Atteh R, Balogun M, Waziri N, Ogunniyi A, Ebhodaghe B, Lokossou V, Abudulaziz M, Adebiyi B, Abayomi A, Abudus-Salam I, Omilabu S, Lawal L, Kawu M, Muhammad B, Tsanyawa A, Soyinka F, Coker T, Alabi O, Joannis T, Dalhatu I, Swaminathan M, Salako B, Abubakar I, Fiona B, Nguku P, Aliyu SH, Ihekweazu C. Nigeria's public health response to the COVID-19 pandemic: January to May 2020. J Glob Health 2020; 10:020399. [PMID: 33274062 PMCID: PMC7696244 DOI: 10.7189/jogh.10.020399] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
| | | | | | - John Oladejo
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Elsie Ilori
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Chukwuma Umeokonkwo
- African Field Epidemiology Network, Abuja, Nigeria
- Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
| | - Laura Steinhardt
- Center for Global Health, Centers for Disease Control and Prevention, FCT Abuja, Nigeria
| | - Ehimario Igumbor
- Nigeria Centre for Disease Control, Abuja, Nigeria
- School of Public Health, University of the Western Cape, Cape Town, South Africa
| | - John Wagai
- World Health Organisation, Abuja, Nigeria
| | - Tochi Okwor
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | | | - Nwando Mba
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Assad Hassan
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Mahmood Dalhat
- Nigeria Centre for Disease Control, Abuja, Nigeria
- Resolve to Save Lives Resolve to Save Lives (Vital Strategies), Abuja, Nigeria
| | - Kola Jinadu
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | | | | | | | - Yahya Disu
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Fatima Saleh
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | | | | | | | | | | | - Saleh Muhammad
- Center for Global Health, Centers for Disease Control and Prevention, FCT Abuja, Nigeria
| | - Oladipupo Ipadeola
- Center for Global Health, Centers for Disease Control and Prevention, FCT Abuja, Nigeria
| | | | | | | | - Matthias Alagi
- Center for Global Health, Centers for Disease Control and Prevention, FCT Abuja, Nigeria
| | | | | | | | | | - Sandra Mba
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Emmanuel Agogo
- Resolve to Save Lives Resolve to Save Lives (Vital Strategies), Abuja, Nigeria
| | | | - Chibuzo Eneh
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | | | | | | | - Ope-Oluwa Adejoro
- Tony Blair Institute, Tony Blair Institute for Global Change, London, UK
| | - Winifred Ukponu
- George Town University Center for Global Health Practice and Impact, Abuja, Nigeria
| | | | | | - Olusola Aruna
- Public Health England International Health Regulations (IHR) Strengthening Project, British High Commission, Abuja, Nigeria
| | - Fatima Yusuf
- Nigeria Port Health Services, Federal Ministry of Health Abuja, Nigeria
| | | | | | - Akeem Alaka
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | | | | | - Rhoda Atteh
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | | | | | | | | | - Virgile Lokossou
- ECOWAS Regional Center for Disease Surveillance and Control, Abuja-Nigeria
| | - Mohammed Abudulaziz
- Africa Centers for Disease Control and Prevention, African Union Commission, Addis Ababa Ethiopia
| | - Bimpe Adebiyi
- Department of Hospital Services, Federal Ministry of Health Abuja, Federal Secretariat Abuja, Nigeria
| | - Akin Abayomi
- Lagos State Ministry of Health Ikeja, Lagos, Nigeria
| | | | - Sunday Omilabu
- College of Medicine, University of Lagos Teaching Hospital Lagos, Nigeria
| | - Lukman Lawal
- Health and Human Services Secretariat Federal, Capital Territory Administration, Abuja, Nigeria
| | - Mohammed Kawu
- Health and Human Services Secretariat Federal, Capital Territory Administration, Abuja, Nigeria
| | | | | | | | - Tomi Coker
- Ogun State Ministry of Health Abeokuta, Nigeria
| | - Olaniran Alabi
- Federal Ministry of Agriculture and Rural Development, Federal Secretariat Abuja, Nigeria
| | - Tony Joannis
- National Veterinary Research Institute Vom, Plateau State, Nigeria
| | - Ibrahim Dalhatu
- Center for Global Health, Centers for Disease Control and Prevention, FCT Abuja, Nigeria
| | - Mahesh Swaminathan
- Center for Global Health, Centers for Disease Control and Prevention, FCT Abuja, Nigeria
| | | | - Ibrahim Abubakar
- Institute of Global Health, University College London, London, UK
| | | | | | - Sani H Aliyu
- Department of Infectious Diseases, Cambridge University Hospitals, Cambridge, UK
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12
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Ojagbemi A, Akinyemi J, Owolabi M, Akinyemi R, Arulogun O, Gebregziabher M, Akpa O, Olaniyan O, Salako B, Ovbiagele B. Predictors and prognoses of new onset post-stroke anxiety at one year in black Africans. J Stroke Cerebrovasc Dis 2020; 29:105082. [PMID: 32807479 DOI: 10.1016/j.jstrokecerebrovasdis.2020.105082] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 06/09/2020] [Accepted: 06/19/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND There is relatively limited information on the risk factors and outcome of new onset Poststroke Anxiety (PSA) in Low- and Middle-Income Countries. We estimated incidence, cumulative incidence, risk factors and outcome of new onset anxiety in the first year of stroke among African stroke survivors. METHODS We analyzed the dataset of a completed clinical trial comprising patients enrolled to test an intervention designed to improve one-year blood pressure control among recent (≤ one month) stroke survivors in Nigeria. Anxiety was measured using the Hospital Anxiety and Depression Scale. Outcomes were assessed using the modified Rankin Scale (mRS), Community screening instrument for dementia (CSID) and Health Related Quality of Life in Stroke Patients (HRQOLISP-26). RESULTS Among 322 stroke survivors who were free of anxiety at baseline, we found a one-year cumulative incidence of 34% (95% CI = 28.6-39.3). Rates were 36.2% (95% CI =29.6-42.7) for men and 29.2% (95% CI =19.9-38.3) for women. In multivariate Cox regression analyses, haemorrhagic stroke type was associated with higher risk of new onset PSA (Hazard Ratio=1.52, 95% CI =1.01-2.29). New onset PSA was independently associated with cognitive [(mean difference (MD) in CSID scores=1.1, 95% C.I=0.2, 1.9)] and motor decline (MD in mRS scores= -0.2, 95% C.I= -0.4, -0.02), as well as poorer quality of life overtime (MD in total HRQOLISP-26 scores=3.6, 95% C.I=1.0, 6.2). CONCLUSION One in 3 stroke survivors in Nigeria had PSA at one year. Clinicians in SSA should pay special attention to survivors of haemorrhagic stroke as they are at higher risk of incident anxiety and therefore its consequences.
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Affiliation(s)
- Akin Ojagbemi
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria.
| | - Joshua Akinyemi
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria
| | - Mayowa Owolabi
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria
| | - Rufus Akinyemi
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria
| | - Oyedunni Arulogun
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria
| | | | - Onoja Akpa
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria
| | | | - Babatunde Salako
- Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria
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13
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Akpa OM, Made F, Ojo A, Ovbiagele B, Adu D, Motala AA, Mayosi BM, Adebamowo SN, Engel ME, Tayo B, Rotimi C, Salako B, Akinyemi R, Gebregziabher M, Sarfo F, Wahab K, Agongo G, Alberts M, Ali SA, Asiki G, Boua RP, Gómez-Olivé FX, Mashinya F, Micklesfield L, Mohamed SF, Nonterah EA, Norris SA, Sorgho H, Tollman S, Parekh RS, Chishala C, Ekoru K, Waddy SP, Peprah E, Mensah GA, Wiley K, Troyer J, Ramsay M, Owolabi MO. Regional Patterns and Association Between Obesity and Hypertension in Africa: Evidence From the H3Africa CHAIR Study. Hypertension 2020; 75:1167-1178. [PMID: 32172619 PMCID: PMC7176339 DOI: 10.1161/hypertensionaha.119.14147] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 01/12/2020] [Accepted: 02/12/2020] [Indexed: 12/12/2022]
Abstract
Hypertension and obesity are the most important modifiable risk factors for cardiovascular diseases, but their association is not well characterized in Africa. We investigated regional patterns and association of obesity with hypertension among 30 044 continental Africans. We harmonized data on hypertension (defined as previous diagnosis/use of antihypertensive drugs or blood pressure [BP]≥140/90 mmHg/BP≥130/80 mmHg) and obesity from 30 044 individuals in the Cardiovascular H3Africa Innovation Resource across 13 African countries. We analyzed data from population-based controls and the Entire Harmonized Dataset. Age-adjusted and crude proportions of hypertension were compared regionally, across sex, and between hypertension definitions. Logit generalized estimating equation was used to determine the independent association of obesity with hypertension (P value <5%). Participants were 56% women; with mean age 48.5±12.0 years. Crude proportions of hypertension (at BP≥140/90 mmHg) were 47.9% (95% CI, 47.4-48.5) for Entire Harmonized Dataset and 42.0% (41.1-42.7) for population-based controls and were significantly higher for the 130/80 mm Hg threshold at 59.3% (58.7-59.9) in population-based controls. The age-adjusted proportion of hypertension at BP≥140/90 mmHg was the highest among men (33.8% [32.1-35.6]), in western Africa (34.7% [33.3-36.2]), and in obese individuals (43.6%; 40.3-47.2). Obesity was independently associated with hypertension in population-based controls (adjusted odds ratio, 2.5 [2.3-2.7]) and odds of hypertension in obesity increased with increasing age from 2.0 (1.7-2.3) in younger age to 8.8 (7.4-10.3) in older age. Hypertension is common across multiple countries in Africa with 11.9% to 51.7% having BP≥140/90 mmHg and 39.5% to 69.4% with BP≥130/80 mmHg. Obese Africans were more than twice as likely to be hypertensive and the odds increased with increasing age.
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Affiliation(s)
- Onoja M. Akpa
- From the Center for Genomic and Precision Medicine, College of Medicine, (O.M.A., B.S., R.A., M.O.O.), University of Ibadan, Ibadan, Nigeria
- Department of Epidemiology and Medical Statistics, College of Medicine (O.M.A.), University of Ibadan, Ibadan, Nigeria
- Institute of Cardiovascular Diseases, College of Medicine (O.M.A.), University of Ibadan, Ibadan, Nigeria
- Sydney Brenner Institute for Molecular Bioscience and Division of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (O.M.A., F. Made, S.A.A., M.R.)
| | - Felix Made
- The Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Services, Gauteng Region, South Africa (F. Made)
- Sydney Brenner Institute for Molecular Bioscience and Division of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (O.M.A., F. Made, S.A.A., M.R.)
| | - Akinlolu Ojo
- Clinical research and global health initiatives, University of Arizona Health Sciences (A.O.)
| | - Bruce Ovbiagele
- Department of Neurology, University of California, San Francisco CA, USA (B.O.)
| | - Dwomoa Adu
- School of Medicine and Dentistry, University of Ghana, Accra, Ghana (D.A.)
| | - Ayesha A. Motala
- Department of Diabetes and Endocrinology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa (A.A.M.)
| | - Bongani M. Mayosi
- Department of Medicine, Groote Schuur Hospital (B.M.M.), University of Cape Town, South Africa
| | - Sally N. Adebamowo
- Department of Epidemiology and Public Health, Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA (S.N.A.)
| | - Mark E. Engel
- Division of Cardiology, Department of Medicine (M.E.E., C.C.), University of Cape Town, South Africa
| | - Bamidele Tayo
- Department of Preventive Medicine and Epidemiology, Loyola University Chicago Stritch School of Medicine, Maywood, IL (B.T.)
| | - Charles Rotimi
- Center for Research on Genomics and Global Health, NHGRI, NIH, Bethesda, MD, USA (C.R.)
| | - Babatunde Salako
- From the Center for Genomic and Precision Medicine, College of Medicine, (O.M.A., B.S., R.A., M.O.O.), University of Ibadan, Ibadan, Nigeria
| | - Rufus Akinyemi
- From the Center for Genomic and Precision Medicine, College of Medicine, (O.M.A., B.S., R.A., M.O.O.), University of Ibadan, Ibadan, Nigeria
| | - Mulugeta Gebregziabher
- Department of Public Health Sciences, Medical University of South Carolina, Charleston SC, USA (M.G.)
| | - Fred Sarfo
- Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S.)
| | - Kolawole Wahab
- Department of Medicine, University of Ilorin, Nigeria (K. Wahab)
| | - Godfred Agongo
- Navrongo Health Research Centre, Ghana (G. Agongo, E.A.N.)
| | - Marianne Alberts
- Department of Pathology and Medical Science, School of Health Care Sciences, Faculty of Health Sciences, University of Limpopo, Polokwane, South Africa (M.A., F. Mashinya)
| | - Stuart A. Ali
- Sydney Brenner Institute for Molecular Bioscience and Division of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (O.M.A., F. Made, S.A.A., M.R.)
| | - Gershim Asiki
- African Population and Health Research Center, Nairobi, Kenya (G. Asiki, S.F.M.)
| | - Romuald P. Boua
- Institut de Recherche en Sciences de la Sante, Clinical Research Unit of Nanoro, Burkina Faso (R.P.B., H.S.)
| | - F. Xavier Gómez-Olivé
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (F.X.G.-O., S.T.)
| | - Felistas Mashinya
- Department of Pathology and Medical Science, School of Health Care Sciences, Faculty of Health Sciences, University of Limpopo, Polokwane, South Africa (M.A., F. Mashinya)
| | - Lisa Micklesfield
- MRC/Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (L.M., S.A.N.)
| | - Shukri F. Mohamed
- African Population and Health Research Center, Nairobi, Kenya (G. Asiki, S.F.M.)
| | | | - Shane A. Norris
- MRC/Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (L.M., S.A.N.)
| | - Hermann Sorgho
- Institut de Recherche en Sciences de la Sante, Clinical Research Unit of Nanoro, Burkina Faso (R.P.B., H.S.)
| | - Stephen Tollman
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (F.X.G.-O., S.T.)
| | - Rulan S. Parekh
- Departments of Pediatrics, Medicine and Epidemiology, Hospital for Sick Children, University Health Network and University of Toronto, Canada (R.S.P.)
| | - Chishala Chishala
- Division of Cardiology, Department of Medicine (M.E.E., C.C.), University of Cape Town, South Africa
| | - Kenneth Ekoru
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD (K.E.)
| | - Salina P. Waddy
- Department of Neurology, Atlanta Veterans Affairs Medical Center, Decatur, GA (S.P.W.)
| | - Emmanuel Peprah
- College of Global Public Health, New York University, New York, NY (E.P.)
| | - George A. Mensah
- Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, NIH, Bethesda, MD (G.A.M.)
| | - Ken Wiley
- Division of Genomic Medicine, National Human Genome Research Institute, Bethesda, MD (K. Wiley)
| | - Jennifer Troyer
- Human Heredity and Health in Africa, Division of Genome Sciences (J.T.), National Institutes of Health, Bethesda, MD
| | - Michèle Ramsay
- Sydney Brenner Institute for Molecular Bioscience and Division of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (O.M.A., F. Made, S.A.A., M.R.)
| | - Mayowa O. Owolabi
- From the Center for Genomic and Precision Medicine, College of Medicine, (O.M.A., B.S., R.A., M.O.O.), University of Ibadan, Ibadan, Nigeria
| | - as members of the CVD Working Group of the H3Africa Consortium
- From the Center for Genomic and Precision Medicine, College of Medicine, (O.M.A., B.S., R.A., M.O.O.), University of Ibadan, Ibadan, Nigeria
- Department of Epidemiology and Medical Statistics, College of Medicine (O.M.A.), University of Ibadan, Ibadan, Nigeria
- Institute of Cardiovascular Diseases, College of Medicine (O.M.A.), University of Ibadan, Ibadan, Nigeria
- The Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Services, Gauteng Region, South Africa (F. Made)
- Sydney Brenner Institute for Molecular Bioscience and Division of Human Genetics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (O.M.A., F. Made, S.A.A., M.R.)
- Clinical research and global health initiatives, University of Arizona Health Sciences (A.O.)
- Department of Neurology, University of California, San Francisco CA, USA (B.O.)
- School of Medicine and Dentistry, University of Ghana, Accra, Ghana (D.A.)
- Department of Diabetes and Endocrinology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa (A.A.M.)
- Department of Medicine, Groote Schuur Hospital (B.M.M.), University of Cape Town, South Africa
- Division of Cardiology, Department of Medicine (M.E.E., C.C.), University of Cape Town, South Africa
- Department of Epidemiology and Public Health, Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD, USA (S.N.A.)
- Department of Preventive Medicine and Epidemiology, Loyola University Chicago Stritch School of Medicine, Maywood, IL (B.T.)
- Center for Research on Genomics and Global Health, NHGRI, NIH, Bethesda, MD, USA (C.R.)
- Department of Public Health Sciences, Medical University of South Carolina, Charleston SC, USA (M.G.)
- Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S.)
- Department of Medicine, University of Ilorin, Nigeria (K. Wahab)
- Navrongo Health Research Centre, Ghana (G. Agongo, E.A.N.)
- Department of Pathology and Medical Science, School of Health Care Sciences, Faculty of Health Sciences, University of Limpopo, Polokwane, South Africa (M.A., F. Mashinya)
- African Population and Health Research Center, Nairobi, Kenya (G. Asiki, S.F.M.)
- Institut de Recherche en Sciences de la Sante, Clinical Research Unit of Nanoro, Burkina Faso (R.P.B., H.S.)
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (F.X.G.-O., S.T.)
- MRC/Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (L.M., S.A.N.)
- Departments of Pediatrics, Medicine and Epidemiology, Hospital for Sick Children, University Health Network and University of Toronto, Canada (R.S.P.)
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD (K.E.)
- Department of Neurology, Atlanta Veterans Affairs Medical Center, Decatur, GA (S.P.W.)
- College of Global Public Health, New York University, New York, NY (E.P.)
- Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, NIH, Bethesda, MD (G.A.M.)
- Division of Genomic Medicine, National Human Genome Research Institute, Bethesda, MD (K. Wiley)
- Human Heredity and Health in Africa, Division of Genome Sciences (J.T.), National Institutes of Health, Bethesda, MD
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14
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Salako O, Okunade K, Allsop M, Habeebu M, Toye M, Oluyede G, Fagbenro G, Salako B. Upheaval in cancer care during the COVID-19 outbreak. Ecancermedicalscience 2020; 14:ed97. [PMID: 32269597 PMCID: PMC7134578 DOI: 10.3332/ecancer.2020.ed97] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Indexed: 11/06/2022] Open
Abstract
On Monday, 23 March 2020, Nigeria recorded its first mortality from the novel global COVID-19 outbreak. Before this, the country reported 36 confirmed cases (at the time of writing) and has discharged home two cases after weeks of care at a government-approved isolation centre in Lagos State. This first mortality was that of a 67-year-old man with a history of multiple myeloma, a type of blood cancer. He was undergoing chemotherapy and had just returned to Nigeria following medical treatment in the United Kingdom. The novel COVID-19 pandemic has grounded several global activities including the provision of health care services to people with chronic conditions such as cancer. Evidence from China suggests that cancer patients with COVID-19 infection are a vulnerable group, with a higher risk of severe illness resulting in intensive care unit admissions or death, particularly if they received chemotherapy or surgery. This letter is an attempt to suggest practicable interventions such as the use of existing digital health platforms to limit patients' and oncology professionals' physical interactions as a way of reducing the risk of COVID-19 infection transmission amongst cancer patients and oncologists, as well as outlining effective strategies to ensure that cancer care is not completely disrupted during the outbreak.
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Affiliation(s)
- Omolola Salako
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, University of Lagos, Nigeria
| | - Kehinde Okunade
- Oncological and Pathological studies Unit, Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Nigeria
| | - Matthew Allsop
- Academic Unit of Palliative Care, University of Leeds, UK
| | - Muhammedu Habeebu
- Department of Radiation Biology, Radiotherapy and Radiodiagnosis, College of Medicine, University of Lagos, Nigeria
| | - Mariam Toye
- Health and Literacy Unit, Oumissa Inspire, Nigeria
| | - Glory Oluyede
- Department of Radiotherapy, NSIA-LUTH Cancer Centre, Nigeria
| | - Gabriel Fagbenro
- X-Research Hub, Department of Radiotherapy, College of Medicine, University of Lagos, Nigeria
| | - Babatunde Salako
- X-Research Hub, Department of Radiotherapy, College of Medicine, University of Lagos, Nigeria
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15
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ONU U, Onu I, Okoye J, Onodugo O, Arodiwe E, Ijoma C, Ulasi I, Dwomoa A, Ojo A, Salako B, Neil D. SUN-111 THE SAFETY OF RENAL BIOPSY IN HIV- INFECTED PATIENTS WITH CHRONIC KIDNEY DISEASE. Kidney Int Rep 2020. [DOI: 10.1016/j.ekir.2020.02.638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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16
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Osafo C, Raji YR, Olanrewaju T, Mamven M, Arogundade F, Ajayi S, Ulasi I, Salako B, Plange-Rhule J, Mengistu Y, Mc'Ligeyo SO, Moturi G, Winkler CA, Moxey-Mims MM, Rasooly RS, Kimmel P, Adu D, Ojo A, Parekh RS. Genomic approaches to the burden of kidney disease in Sub-Saharan Africa: the Human Heredity and Health in Africa (H3Africa) Kidney Disease Research Network. Kidney Int 2018; 90:2-5. [PMID: 27312436 DOI: 10.1016/j.kint.2015.12.059] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 12/09/2015] [Accepted: 12/11/2015] [Indexed: 12/21/2022]
Affiliation(s)
- Charlotte Osafo
- School of Medicine and Dentistry, University of Ghana, Accra, Ghana.
| | - Yemi R Raji
- Department of Medicine, University of Ibadan, Ibadan, Nigeria
| | | | - Manmak Mamven
- Department of Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria
| | - Fatiu Arogundade
- Department of Medicine, Obafemi Awolowo University, Ile Ife, Nigeria
| | - Samuel Ajayi
- Department of Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria
| | - Ifeoma Ulasi
- Department of Medicine, University of Nigeria, Enugu, Nigeria
| | | | - Jacob Plange-Rhule
- Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - S O Mc'Ligeyo
- Department of Medicine, University of Nairobi, Nairobi, Kenya
| | - George Moturi
- Department of Medicine, University of Nairobi, Nairobi, Kenya
| | - Cheryl A Winkler
- Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA
| | - Marva M Moxey-Mims
- National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA
| | - Rebekah S Rasooly
- National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA
| | - Paul Kimmel
- National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA
| | - Dwomoa Adu
- School of Medicine and Dentistry, University of Ghana, Accra, Ghana
| | - Akinlolu Ojo
- Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - Rulan S Parekh
- Departments of Pediatrics and Medicine, Hospital for Sick Children, University of Health Network, University of Toronto, Toronto, Ontario, Canada
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17
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Raji YR, Ajayi SO, Ademola AF, Lawal TA, Ayandipo OO, Adigun T, Salako B. Acute kidney injury among adult patients undergoing major surgery in a tertiary hospital in Nigeria. Clin Kidney J 2018; 11:443-449. [PMID: 30094006 PMCID: PMC6070100 DOI: 10.1093/ckj/sfx144] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Accepted: 11/20/2017] [Indexed: 12/17/2022] Open
Abstract
Background Acute kidney injury (AKI) is an underreported but major cause of morbidity and mortality among patients undergoing major surgical interventions in sub-Saharan Africa (SSA). Whereas AKI is often seen following major cardiac surgery in high-income countries, a similar spectrum of surgical diseases and interventions is not seen in developing countries. The impacts on surgical outcomes have also not been well characterized in SSA. This study aimed at identifying risk factors, incidence and determinants and short-term outcomes of AKI among patients undergoing major surgery. Methods This was a cohort study of adult patients undergoing major surgery at the University College Hospital, Ibadan, Nigeria. Data obtained were sociodemographic details, risk factors for AKI, details of surgery, anaesthesia and intra-operative events and short-term outcomes. Blood samples were obtained for pre-operative (pre-op) full blood count, serum electrolytes, blood urea and creatinine (SCr). Post-operatively (Post-op) SCr was determined at 24 h, Day 7 post-op and weekly until each patient was discharged. Results A total of 219 subjects who had major surgery (86.3% elective) were enrolled. The median age of the patients was 46 (range 18-73) years and 72.6% were females. The surgeries performed were mostly simple mastectomies (37.4%), exploratory laparotomies (22.8%) and total thyroidectomies (16.4%). The incidences of AKI were 18.7% at 24 h and 17.4% at Day 7 post-op, while cumulative AKI incidence was 22.5% at 1-week post-op. Pre-op elevated SCr [odds ratio (OR) 3.86], sepsis (OR 2.69), anaemia (OR 2.91) and duration of surgery >120 min (OR 1.75) were independently associated with AKI. In-patient mortality was 20.4% in individuals with AKI and 5.3% in those without AKI (P < 0.01). Conclusion Peri-operative risk factors for AKI are common among patients undergoing major surgery in SSA hospitals. The cumulative incidence of AKI was high and independently associated with pre-op sepsis, anaemia, pre-existing kidney dysfunction and duration of surgery >120 min.
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Affiliation(s)
- Yemi Raheem Raji
- Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Samuel Oluwole Ajayi
- Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Adeyinka F Ademola
- Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Taiwo Akeem Lawal
- Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Omobolaji O Ayandipo
- Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Tinuola Adigun
- Department of Anaesthesia, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Babatunde Salako
- Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
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18
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Ng MCY, Graff M, Lu Y, Justice AE, Mudgal P, Liu CT, Young K, Yanek LR, Feitosa MF, Wojczynski MK, Rand K, Brody JA, Cade BE, Dimitrov L, Duan Q, Guo X, Lange LA, Nalls MA, Okut H, Tajuddin SM, Tayo BO, Vedantam S, Bradfield JP, Chen G, Chen WM, Chesi A, Irvin MR, Padhukasahasram B, Smith JA, Zheng W, Allison MA, Ambrosone CB, Bandera EV, Bartz TM, Berndt SI, Bernstein L, Blot WJ, Bottinger EP, Carpten J, Chanock SJ, Chen YDI, Conti DV, Cooper RS, Fornage M, Freedman BI, Garcia M, Goodman PJ, Hsu YHH, Hu J, Huff CD, Ingles SA, John EM, Kittles R, Klein E, Li J, McKnight B, Nayak U, Nemesure B, Ogunniyi A, Olshan A, Press MF, Rohde R, Rybicki BA, Salako B, Sanderson M, Shao Y, Siscovick DS, Stanford JL, Stevens VL, Stram A, Strom SS, Vaidya D, Witte JS, Yao J, Zhu X, Ziegler RG, Zonderman AB, Adeyemo A, Ambs S, Cushman M, Faul JD, Hakonarson H, Levin AM, Nathanson KL, Ware EB, Weir DR, Zhao W, Zhi D, Arnett DK, Grant SFA, Kardia SLR, Oloapde OI, Rao DC, Rotimi CN, Sale MM, Williams LK, Zemel BS, Becker DM, Borecki IB, Evans MK, Harris TB, Hirschhorn JN, Li Y, Patel SR, Psaty BM, Rotter JI, Wilson JG, Bowden DW, Cupples LA, Haiman CA, Loos RJF, North KE. Discovery and fine-mapping of adiposity loci using high density imputation of genome-wide association studies in individuals of African ancestry: African Ancestry Anthropometry Genetics Consortium. PLoS Genet 2017; 13:e1006719. [PMID: 28430825 PMCID: PMC5419579 DOI: 10.1371/journal.pgen.1006719] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 05/05/2017] [Accepted: 03/29/2017] [Indexed: 11/20/2022] Open
Abstract
Genome-wide association studies (GWAS) have identified >300 loci associated with measures of adiposity including body mass index (BMI) and waist-to-hip ratio (adjusted for BMI, WHRadjBMI), but few have been identified through screening of the African ancestry genomes. We performed large scale meta-analyses and replications in up to 52,895 individuals for BMI and up to 23,095 individuals for WHRadjBMI from the African Ancestry Anthropometry Genetics Consortium (AAAGC) using 1000 Genomes phase 1 imputed GWAS to improve coverage of both common and low frequency variants in the low linkage disequilibrium African ancestry genomes. In the sex-combined analyses, we identified one novel locus (TCF7L2/HABP2) for WHRadjBMI and eight previously established loci at P < 5×10−8: seven for BMI, and one for WHRadjBMI in African ancestry individuals. An additional novel locus (SPRYD7/DLEU2) was identified for WHRadjBMI when combined with European GWAS. In the sex-stratified analyses, we identified three novel loci for BMI (INTS10/LPL and MLC1 in men, IRX4/IRX2 in women) and four for WHRadjBMI (SSX2IP, CASC8, PDE3B and ZDHHC1/HSD11B2 in women) in individuals of African ancestry or both African and European ancestry. For four of the novel variants, the minor allele frequency was low (<5%). In the trans-ethnic fine mapping of 47 BMI loci and 27 WHRadjBMI loci that were locus-wide significant (P < 0.05 adjusted for effective number of variants per locus) from the African ancestry sex-combined and sex-stratified analyses, 26 BMI loci and 17 WHRadjBMI loci contained ≤ 20 variants in the credible sets that jointly account for 99% posterior probability of driving the associations. The lead variants in 13 of these loci had a high probability of being causal. As compared to our previous HapMap imputed GWAS for BMI and WHRadjBMI including up to 71,412 and 27,350 African ancestry individuals, respectively, our results suggest that 1000 Genomes imputation showed modest improvement in identifying GWAS loci including low frequency variants. Trans-ethnic meta-analyses further improved fine mapping of putative causal variants in loci shared between the African and European ancestry populations. Genome-wide association studies (GWAS) have identified >300 genetic regions that influence body size and shape as measured by body mass index (BMI) and waist-to-hip ratio (WHR), respectively, but few have been identified in populations of African ancestry. We conducted large scale high coverage GWAS and replication of these traits in 52,895 and 23,095 individuals of African ancestry, respectively, followed by additional replication in European populations. We identified 10 genome-wide significant loci in all individuals, and an additional seven loci by analyzing men and women separately. We combined African and European ancestry GWAS and were able to narrow down 43 out of 74 African ancestry associated genetic regions to contain small number of putative causal variants. Our results highlight the improvement of applying high density genome coverage and combining multiple ancestries in the identification and refinement of location of genetic regions associated with adiposity traits.
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Affiliation(s)
- Maggie C. Y. Ng
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
- Center for Diabetes Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
| | - Mariaelisa Graff
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
| | - Yingchang Lu
- The Charles Bronfman Institute for Personalized Medicine, Icachn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Anne E. Justice
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
| | - Poorva Mudgal
- Center for Diabetes Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
| | - Ching-Ti Liu
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States of America
| | - Kristin Young
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
| | - Lisa R. Yanek
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
| | - Mary F. Feitosa
- Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis MO, United States of America
| | - Mary K. Wojczynski
- Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis MO, United States of America
| | - Kristin Rand
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America
| | - Jennifer A. Brody
- Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, United States of America
| | - Brian E. Cade
- Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, United States of America
- Harvard Medical School, Boston, MA, United States of America
| | - Latchezar Dimitrov
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
| | - Qing Duan
- Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
| | - Xiuqing Guo
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States of America
| | - Leslie A. Lange
- Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
| | - Michael A. Nalls
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD, United States of America
- Data Tecnica International, Glen Echo, MD, United States of America
| | - Hayrettin Okut
- Center for Diabetes Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
| | - Salman M. Tajuddin
- National Institute on Aging, National Institutes of Health, Baltimore, MD, United States of America
| | - Bamidele O. Tayo
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, United States of America
| | - Sailaja Vedantam
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA, United States of America
- Broad Institute of MIT and Harvard, Cambridge, MA, United States of America
| | - Jonathan P. Bradfield
- Center for Applied Genomics, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
| | - Guanjie Chen
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, United States of America
| | - Wei-Min Chen
- Department of Public Health Sciences and Center for Public Health Genomics, University of Virginia School of Medicine, Charlottesville, VA, United States of America
| | - Alessandra Chesi
- Division of Human Genetics, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
| | - Marguerite R. Irvin
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States of America
| | - Badri Padhukasahasram
- Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI, United States of America
| | - Jennifer A. Smith
- Department of Epidemiology, University of Michigan, Ann Arbor, MI, United States of America
| | - Wei Zheng
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University School of Medicine, Nashville, TN, United States of America
| | - Matthew A. Allison
- Division of Preventive Medicine, Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, United States of America
| | - Christine B. Ambrosone
- Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, United States of America
| | - Elisa V. Bandera
- Department of Population Science, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, United States of America
| | - Traci M. Bartz
- Cardiovascular Health Research Unit, Departments of Medicine and Biostatistics, University of Washington, Seattle, WA, United States of America
| | - Sonja I. Berndt
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States of America
| | - Leslie Bernstein
- Beckman Research Institute of the City of Hope, Duarte, CA, United States of America
| | - William J. Blot
- International Epidemiology Institute, Rockville, MD, United States of America
| | - Erwin P. Bottinger
- The Charles Bronfman Institute for Personalized Medicine, Icachn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - John Carpten
- Department of Translational Genomics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America
| | - Stephen J. Chanock
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States of America
| | - Yii-Der Ida Chen
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States of America
| | - David V. Conti
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America
| | - Richard S. Cooper
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, United States of America
| | - Myriam Fornage
- Center for Human Genetics, University of Texas Health Science Center at Houston, Houston, TX, United States of America
| | - Barry I. Freedman
- Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
| | - Melissa Garcia
- National Institute on Aging, National Institutes of Health, Baltimore, MD, United States of America
| | - Phyllis J. Goodman
- SWOG Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America
| | - Yu-Han H. Hsu
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA, United States of America
- Broad Institute of MIT and Harvard, Cambridge, MA, United States of America
- Program in Bioinformatics and Integrative Genomics, Harvard Medical School, Boston, MA, United States of America
| | - Jennifer Hu
- Sylvester Comprehensive Cancer Center, University of Miami Leonard Miller School of Medicine, Miami, FL, United States of America
- Department of Public Health Sciences, University of Miami Leonard Miller School of Medicine, Miami, FL, United States of America
| | - Chad D. Huff
- Department of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, TX, United States of America
| | - Sue A. Ingles
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America
- Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, United States of America
| | - Esther M. John
- Cancer Prevention Institute of California, Fremont, CA, United States of America
- Department of Health Research and Policy (Epidemiology) and Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, United States of America
| | - Rick Kittles
- Division of Urology, Department of Surgery, The University of Arizona, Tucson, AZ, United States of America
| | - Eric Klein
- Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, United States of America
| | - Jin Li
- Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States of America
| | - Barbara McKnight
- Cardiovascular Health Research Unit, Department of Biostatistics, University of Washington, Seattle, WA, United States of America
| | - Uma Nayak
- Center for Public Health Genomics, University of Virginia School of Medicine, Charlottesville, VA, United States of America
| | - Barbara Nemesure
- Department of Preventive Medicine, Stony Brook University, Stony Brook, NY, United States of America
| | | | - Andrew Olshan
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
- Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, Chapel Hill, NC, United States of America
| | - Michael F. Press
- Department of Pathology and Norris Comprehensive Cancer Center, University of Southern California Keck School of Medicine, Los Angeles, CA, United States of America
| | - Rebecca Rohde
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
| | - Benjamin A. Rybicki
- Department of Public Health Sciences, Henry Ford Health System, Detroit, MI, United States of America
| | | | - Maureen Sanderson
- Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, United States of America
| | - Yaming Shao
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
| | - David S. Siscovick
- The New York Academy of Medicine, New York, NY, United States of America
| | - Janet L. Stanford
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, United States of America
| | - Victoria L. Stevens
- Epidemiology Research Program, American Cancer Society, Atlanta, GA, United States of America
| | - Alex Stram
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America
| | - Sara S. Strom
- Department of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, TX, United States of America
| | - Dhananjay Vaidya
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
- Department of Epidemiology, Bloomberg School of Public Health, Baltimore, MD, United States of America
| | - John S. Witte
- Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States of America
- Institute for Human Genetics, University of California, San Francisco, San Francisco, CA, United States of America
| | - Jie Yao
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States of America
| | - Xiaofeng Zhu
- Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, United States of America
| | - Regina G. Ziegler
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States of America
| | - Alan B. Zonderman
- National Institute on Aging, National Institutes of Health, Baltimore, MD, United States of America
| | - Adebowale Adeyemo
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, United States of America
| | - Stefan Ambs
- Laboratory of Human Carcinogenesis, National Cancer Institute, Bethesda, MD, United States of America
| | - Mary Cushman
- Department of Medicine, University of Vermont College of Medicine, Burlington, VT, United States of America
| | - Jessica D. Faul
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, United States of America
| | - Hakon Hakonarson
- Center for Applied Genomics, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
- Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Albert M. Levin
- Department of Public Health Sciences, Henry Ford Health System, Detroit, MI, United States of America
| | - Katherine L. Nathanson
- Department of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Erin B. Ware
- Department of Epidemiology, University of Michigan, Ann Arbor, MI, United States of America
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, United States of America
| | - David R. Weir
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, United States of America
| | - Wei Zhao
- Department of Epidemiology, University of Michigan, Ann Arbor, MI, United States of America
| | - Degui Zhi
- School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX, United States of America
| | | | - Donna K. Arnett
- School of Public Health, University of Kentucky, Lexington, KY, United States of America
| | - Struan F. A. Grant
- Center for Applied Genomics, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
- Division of Human Genetics, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
- Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
- Division of Endocrinology, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
| | - Sharon L. R. Kardia
- Department of Epidemiology, University of Michigan, Ann Arbor, MI, United States of America
| | - Olufunmilayo I. Oloapde
- Center for Clinical Cancer Genetics, Department of Medicine and Human Genetics, University of Chicago, Chicago, IL, United States of America
| | - D. C. Rao
- Division of Biostatistics, Washington University School of Medicine, St. Louis, MO, United States of America
| | - Charles N. Rotimi
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, United States of America
| | - Michele M. Sale
- Department of Public Health Sciences and Center for Public Health Genomics, University of Virginia School of Medicine, Charlottesville, VA, United States of America
| | - L. Keoki Williams
- Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI, United States of America
- Department of Internal Medicine, Henry Ford Health System, Detroit, MI, United States of America
| | - Babette S. Zemel
- Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America
- Division of Gastroenterology, Hepatology and Nutrition, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America
| | - Diane M. Becker
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
| | - Ingrid B. Borecki
- Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis MO, United States of America
- Regeneron Genetics Center, Regeneron Pharmaceuticals, Inc, United States of America
| | - Michele K. Evans
- National Institute on Aging, National Institutes of Health, Baltimore, MD, United States of America
| | - Tamara B. Harris
- National Institute on Aging, National Institutes of Health, Baltimore, MD, United States of America
| | - Joel N. Hirschhorn
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Boston, MA, United States of America
- Broad Institute of MIT and Harvard, Cambridge, MA, United States of America
- Departments of Genetics and Pediatrics, Harvard Medical School, Boston, MA, United States of America
| | - Yun Li
- Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
- Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
| | - Sanjay R. Patel
- Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States of America
| | - Bruce M. Psaty
- Cardiovascular Health Research Unit, Departments of Medicine, Epidemiology, and Health Services, University of Washington, Seattle, WA, United States of America
- Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States of America
| | - Jerome I. Rotter
- Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, United States of America
- Division of Genomic Outcomes, Departments of Pediatrics and Medicine, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Los Angeles, CA, United States of America
| | - James G. Wilson
- Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, MS, United States of America
| | - Donald W. Bowden
- Center for Genomics and Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
- Center for Diabetes Research, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
- Department of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
| | - L. Adrienne Cupples
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States of America
- NHLBI Framingham Heart Study, Framingham, MA, United States of America
| | - Christopher A. Haiman
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America
- Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, United States of America
- * E-mail: (CAH); (RJFL); (KEN)
| | - Ruth J. F. Loos
- The Charles Bronfman Institute for Personalized Medicine, Icachn School of Medicine at Mount Sinai, New York, NY, United States of America
- The Mindich Child Health and Development Institute, Ichan School of Medicine at Mount Sinai, New York, NY, United States of America
- * E-mail: (CAH); (RJFL); (KEN)
| | - Kari E. North
- Department of Epidemiology, University of North Carolina, Chapel Hill, NC, United States of America
- * E-mail: (CAH); (RJFL); (KEN)
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19
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Owolabi M, Olowoyo P, Miranda JJ, Akinyemi R, Feng W, Yaria J, Makanjuola T, Yaya S, Kaczorowski J, Thabane L, Van Olmen J, Mathur P, Chow C, Kengne A, Saulson R, Thrift AG, Joshi R, Bloomfield GS, Gebregziabher M, Parker G, Agyemang C, Modesti PA, Norris S, Ogunjimi L, Farombi T, Melikam ES, Uvere E, Salako B, Ovbiagele B. Gaps in Hypertension Guidelines in Low- and Middle-Income Versus High-Income Countries: A Systematic Review. Hypertension 2016; 68:1328-1337. [PMID: 27698059 PMCID: PMC5159303 DOI: 10.1161/hypertensionaha.116.08290] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Mayowa Owolabi
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.).
| | - Paul Olowoyo
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - J Jaime Miranda
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Rufus Akinyemi
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Wuwei Feng
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Joseph Yaria
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Tomiwa Makanjuola
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Sanni Yaya
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Janusz Kaczorowski
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Lehana Thabane
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Josefien Van Olmen
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Prashant Mathur
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Clara Chow
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Andre Kengne
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Raelle Saulson
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Amanda G Thrift
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Rohina Joshi
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Gerald S Bloomfield
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Mulugeta Gebregziabher
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Gary Parker
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Charles Agyemang
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Pietro Amedeo Modesti
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Shane Norris
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Luqman Ogunjimi
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Temitope Farombi
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Ezinne Sylvia Melikam
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Ezinne Uvere
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Babatunde Salako
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
| | - Bruce Ovbiagele
- From the Department of Medicine and University College Hospital (M.O., J.Y., T.M., L.O., T.F., E.S.M., B.S.) and Institute for Advanced Medical Research and Training, College of Medicine (R.A.), University of Ibadan, Nigeria; WFNR-Blossom Specialist Medical Center, Ibadan, Nigeria (M.O., E.U.); Federal Teaching Hospital, Ido-Ekiti, Nigeria (P.O.); Department of Medicine, CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (J.J.M.); Department of Neurology (W.F., R.S., B.O.) and Department of Public Health Sciences (M.G.), Medical University of South Carolina, Charleston; School of International Development and Global Studies, University of Ottawa, Ontario, Canada (S.Y.); Department of Family and Emergency Medicine, University of Montreal, Quebec, Canada (J.K.); Department of Public Health, Health Service Organization, Hamilton, Ontario, Canada (L.T.); Departments of Anesthesia/Pediatrics, McMaster University, Hamilton, Ontario, Canada (J.V.O.); Department of Health Research, Ministry of Health & Family Welfare, Government of India, New Delhi, India (P.M.); Sydney Medical School, University of Sydney, New South Wales, Australia (C.C., R.J.); Non Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa (A.K.); School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia (A.G.T.); Cardiovascular Global Health Division of Cardiology, Duke University Medical Center, Durham, NC (G.S.B.); Global Alliance for Chronic Diseases, UCL Institute for Global Health, London, United Kingdom (G.P.); Department of Public Health, Academic Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Experimental and Clinical Medicine, University of Florence, Italy (P.A.M.); and Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa (S.N.)
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Joshi PK, Esko T, Mattsson H, Eklund N, Gandin I, Nutile T, Jackson AU, Schurmann C, Smith AV, Zhang W, Okada Y, Stančáková A, Faul JD, Zhao W, Bartz TM, Concas MP, Franceschini N, Enroth S, Vitart V, Trompet S, Guo X, Chasman DI, O'Connel JR, Corre T, Nongmaithem SS, Chen Y, Mangino M, Ruggiero D, Traglia M, Farmaki AE, Kacprowski T, Bjonnes A, van der Spek A, Wu Y, Giri AK, Yanek LR, Wang L, Hofer E, Rietveld CA, McLeod O, Cornelis MC, Pattaro C, Verweij N, Baumbach C, Abdellaoui A, Warren HR, Vuckovic D, Mei H, Bouchard C, Perry JRB, Cappellani S, Mirza SS, Benton MC, Broeckel U, Medland SE, Lind PA, Malerba G, Drong A, Yengo L, Bielak LF, Zhi D, van der Most PJ, Shriner D, Mägi R, Hemani G, Karaderi T, Wang Z, Liu T, Demuth I, Zhao JH, Meng W, Lataniotis L, van der Laan SW, Bradfield JP, Wood AR, Bonnefond A, Ahluwalia TS, Hall LM, Salvi E, Yazar S, Carstensen L, de Haan HG, Abney M, Afzal U, Allison MA, Amin N, Asselbergs FW, Bakker SJL, Barr RG, Baumeister SE, Benjamin DJ, Bergmann S, Boerwinkle E, Bottinger EP, Campbell A, Chakravarti A, Chan Y, Chanock SJ, Chen C, Chen YDI, Collins FS, Connell J, Correa A, Cupples LA, Smith GD, Davies G, Dörr M, Ehret G, Ellis SB, Feenstra B, Feitosa MF, Ford I, Fox CS, Frayling TM, Friedrich N, Geller F, Scotland G, Gillham-Nasenya I, Gottesman O, Graff M, Grodstein F, Gu C, Haley C, Hammond CJ, Harris SE, Harris TB, Hastie ND, Heard-Costa NL, Heikkilä K, Hocking LJ, Homuth G, Hottenga JJ, Huang J, Huffman JE, Hysi PG, Ikram MA, Ingelsson E, Joensuu A, Johansson Å, Jousilahti P, Jukema JW, Kähönen M, Kamatani Y, Kanoni S, Kerr SM, Khan NM, Koellinger P, Koistinen HA, Kooner MK, Kubo M, Kuusisto J, Lahti J, Launer LJ, Lea RA, Lehne B, Lehtimäki T, Liewald DCM, Lind L, Loh M, Lokki ML, London SJ, Loomis SJ, Loukola A, Lu Y, Lumley T, Lundqvist A, Männistö S, Marques-Vidal P, Masciullo C, Matchan A, Mathias RA, Matsuda K, Meigs JB, Meisinger C, Meitinger T, Menni C, Mentch FD, Mihailov E, Milani L, Montasser ME, Montgomery GW, Morrison A, Myers RH, Nadukuru R, Navarro P, Nelis M, Nieminen MS, Nolte IM, O'Connor GT, Ogunniyi A, Padmanabhan S, Palmas WR, Pankow JS, Patarcic I, Pavani F, Peyser PA, Pietilainen K, Poulter N, Prokopenko I, Ralhan S, Redmond P, Rich SS, Rissanen H, Robino A, Rose LM, Rose R, Sala C, Salako B, Salomaa V, Sarin AP, Saxena R, Schmidt H, Scott LJ, Scott WR, Sennblad B, Seshadri S, Sever P, Shrestha S, Smith BH, Smith JA, Soranzo N, Sotoodehnia N, Southam L, Stanton AV, Stathopoulou MG, Strauch K, Strawbridge RJ, Suderman MJ, Tandon N, Tang ST, Taylor KD, Tayo BO, Töglhofer AM, Tomaszewski M, Tšernikova N, Tuomilehto J, Uitterlinden AG, Vaidya D, van Hylckama Vlieg A, van Setten J, Vasankari T, Vedantam S, Vlachopoulou E, Vozzi D, Vuoksimaa E, Waldenberger M, Ware EB, Wentworth-Shields W, Whitfield JB, Wild S, Willemsen G, Yajnik CS, Yao J, Zaza G, Zhu X, Project TBJ, Salem RM, Melbye M, Bisgaard H, Samani NJ, Cusi D, Mackey DA, Cooper RS, Froguel P, Pasterkamp G, Grant SFA, Hakonarson H, Ferrucci L, Scott RA, Morris AD, Palmer CNA, Dedoussis G, Deloukas P, Bertram L, Lindenberger U, Berndt SI, Lindgren CM, Timpson NJ, Tönjes A, Munroe PB, Sørensen TIA, Rotimi CN, Arnett DK, Oldehinkel AJ, Kardia SLR, Balkau B, Gambaro G, Morris AP, Eriksson JG, Wright MJ, Martin NG, Hunt SC, Starr JM, Deary IJ, Griffiths LR, Tiemeier H, Pirastu N, Kaprio J, Wareham NJ, Pérusse L, Wilson JG, Girotto G, Caulfield MJ, Raitakari O, Boomsma DI, Gieger C, van der Harst P, Hicks AA, Kraft P, Sinisalo J, Knekt P, Johannesson M, Magnusson PKE, Hamsten A, Schmidt R, Borecki IB, Vartiainen E, Becker DM, Bharadwaj D, Mohlke KL, Boehnke M, van Duijn CM, Sanghera DK, Teumer A, Zeggini E, Metspalu A, Gasparini P, Ulivi S, Ober C, Toniolo D, Rudan I, Porteous DJ, Ciullo M, Spector TD, Hayward C, Dupuis J, Loos RJF, Wright AF, Chandak GR, Vollenweider P, Shuldiner A, Ridker PM, Rotter JI, Sattar N, Gyllensten U, North KE, Pirastu M, Psaty BM, Weir DR, Laakso M, Gudnason V, Takahashi A, Chambers JC, Kooner JS, Strachan DP, Campbell H, Hirschhorn JN, Perola M, Polašek O, Wilson JF. Directional dominance on stature and cognition in diverse human populations. Nature 2015; 523:459-462. [PMID: 26131930 PMCID: PMC4516141 DOI: 10.1038/nature14618] [Citation(s) in RCA: 133] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Accepted: 05/28/2015] [Indexed: 01/13/2023]
Abstract
Homozygosity has long been associated with rare, often devastating, Mendelian disorders, and Darwin was one of the first to recognize that inbreeding reduces evolutionary fitness. However, the effect of the more distant parental relatedness that is common in modern human populations is less well understood. Genomic data now allow us to investigate the effects of homozygosity on traits of public health importance by observing contiguous homozygous segments (runs of homozygosity), which are inferred to be homozygous along their complete length. Given the low levels of genome-wide homozygosity prevalent in most human populations, information is required on very large numbers of people to provide sufficient power. Here we use runs of homozygosity to study 16 health-related quantitative traits in 354,224 individuals from 102 cohorts, and find statistically significant associations between summed runs of homozygosity and four complex traits: height, forced expiratory lung volume in one second, general cognitive ability and educational attainment (P < 1 × 10(-300), 2.1 × 10(-6), 2.5 × 10(-10) and 1.8 × 10(-10), respectively). In each case, increased homozygosity was associated with decreased trait value, equivalent to the offspring of first cousins being 1.2 cm shorter and having 10 months' less education. Similar effect sizes were found across four continental groups and populations with different degrees of genome-wide homozygosity, providing evidence that homozygosity, rather than confounding, directly contributes to phenotypic variance. Contrary to earlier reports in substantially smaller samples, no evidence was seen of an influence of genome-wide homozygosity on blood pressure and low density lipoprotein cholesterol, or ten other cardio-metabolic traits. Since directional dominance is predicted for traits under directional evolutionary selection, this study provides evidence that increased stature and cognitive function have been positively selected in human evolution, whereas many important risk factors for late-onset complex diseases may not have been.
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Affiliation(s)
- Peter K Joshi
- Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland
| | - Tonu Esko
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Cambridge, 02141, MA, USA
- Program in Medical and Population Genetics, Broad Institute, Cambridge Center 7, Cambridge, 02242, MA, USA
- Department of Genetics, Harvard Medical School, 25 Shattuck St, Boston, 02115, MA, USA
| | - Hannele Mattsson
- Unit of Public Health Genomics, National Institute for Health and Welfare, P.O. Box 104, Helsinki, FI-00251, Finland
- Institute for Molecular Medicine Finland (FIMM), University of Helsinki, P.O. Box 20, Helsinki, FI-00014, Finland
| | - Niina Eklund
- Unit of Public Health Genomics, National Institute for Health and Welfare, P.O. Box 104, Helsinki, FI-00251, Finland
| | - Ilaria Gandin
- Department of Medical Sciences, University of Trieste, Strada di Fiume 447 - Osp. di Cattinara, Trieste, 34149, Italy
| | - Teresa Nutile
- Institute of Genetics and Biophysics "A. Buzzati-Traverso" CNR, via Pietro Castellino, 111, Naples, 80131, Italy
| | - Anne U Jackson
- Department of Biostatistics and Center for Statistical Genetics, University of Michigan, Ann Arbor, 48109, MI, USA
| | - Claudia Schurmann
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
- The Genetics of Obesity and Related Metabolic Traits Program, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Albert V Smith
- Icelandic Heart Association, Holtasmari 1, 201, Kopavogur, Iceland
- Faculty of Medicine, University of Iceland, Reykjavik, 101, Iceland
| | - Weihua Zhang
- Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London, W2 1PG, UK
- Department of Cardiology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3HW, UK
| | - Yukinori Okada
- Department of Human Genetics and Disease Diversity, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyoku, Tokyo, 113-8510, Japan
- Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, 1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, 230-0045, Japan
| | - Alena Stančáková
- Department of Medicine, University of Eastern Finland, 70210 Kuopio, Finland
| | - Jessica D Faul
- Institute for Social Research, University of Michigan, 426 Thompson Street, 48104, Ann Arbor, MI, USA
| | - Wei Zhao
- Department of Epidemiology, University of Michigan, 1415 Washington Heights, 48109, Ann Arbor, MI, USA
| | - Traci M Bartz
- Cardiovascular Health Research Unit, Departments of Biostatistics and Medicine, University of Washington, 1730 Minor Ave, Suite 1360, Seattle, 98101, WA, USA
| | - Maria Pina Concas
- Institute of Population Genetics, National Research Council, Trav. La Crucca n. 3 - Reg. Baldinca, Sassari, 07100, Italy
| | - Nora Franceschini
- Epidemiology, University of North Carolina, 137 E. Franklin St., Suite 306, 27599-8050, Chapel Hill, USA
| | - Stefan Enroth
- Immunology, Genetics & Pathology, Uppsala University, Husargatan 3, Box 815, Uppsala, SE-751 08, Sweden
| | - Veronique Vitart
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Stella Trompet
- Department of Gerontology and Geriatrics, Leiden University Medical Center , PO Box 9600, Leiden, Netherlands
| | - Xiuqing Guo
- Institute for Translational Genomics and Population Sciences , Los Angeles Biomedical Research Institute, 1124 W. Carson Street, Torrance, 90502, USA
- Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, 90502, USA
| | - Daniel I Chasman
- Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue, East, Harvard Medical School, Boston, Boston, MA 02215, USA
| | - Jeffery R O'Connel
- Division of Endocrinology, Diabetes, and Nutrition and Program for Personalised and Genomic Medicine, Department of Medicine, University of Maryland School of Medicine, 685 Baltimore St. MSTF, Baltimore, 21201, USA
| | - Tanguy Corre
- Department of Medical Genetics, University of Lausanne, Rue du Bugnon 27, Lausanne, 1005, Switzerland
- Swiss Institute of Bioinformatics, Quartier Sorge - batiment génopode, Lausanne, 1015, Switzerland
| | - Suraj S Nongmaithem
- Genomic Research on Complex Diseases (GRC) Group, CSIR-Centre for Cellular and Molecular Biology, Habshiguda, Uppal Road, Hyderabad, 500007, India
| | - Yuning Chen
- Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, 02118, MA, USA
| | - Massimo Mangino
- Department of Twin Research & Genetic Epidemiology, King's College London, South Wing, Block D, 3rd Floor, Westminster Bridge Road, London, SE1 7EH, UK
- NIHR Biomedical Research Centre , Guy's and St. Thomas' Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK
| | - Daniela Ruggiero
- Institute of Genetics and Biophysics "A. Buzzati-Traverso" CNR, via Pietro Castellino, 111, Naples, 80131, Italy
| | - Michela Traglia
- Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Via Olgettina 58, Milano, 20132, Italy
| | - Aliki-Eleni Farmaki
- Department of Nutrition and Dietetics, Harokopio University of Athens, 70, El. Venizelou Ave, Athens, 17671, Greece
| | - Tim Kacprowski
- Interfaculty Institute for Genetics and Functional Genomics, University Medicine Greifswald, Friedrich-Ludwig-Jahn-Str. 15A, Greifswald, 17475, Germany
| | - Andrew Bjonnes
- Center for Human Genetic Research , 55 Fruit Street, Massachusetts General Hospital, 2114, USA
| | - Ashley van der Spek
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Ying Wu
- Department of Genetics, University of North Carolina, Chapel Hill, 27599, NC, USA
| | - Anil K Giri
- Genomics and Molecular Medicine, CSIR-Institute of Genomics & Integrative Biology, Mathura Road, New Delhi, 110025, India
| | - Lisa R Yanek
- The GeneSTAR Research Program, Division of General Internal Medicine, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, 21287, Maryland, USA
| | - Lihua Wang
- Department of Genetics, Washington University School of Medicine, 4444 Forest Park Boulevard, Saint Louis, 63108, MO, USA
| | - Edith Hofer
- Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Auenbruggerplatz 22, Graz, A-8036, Austria
- Institute for Medical Informatics, Statistics and Documentation, Medical University Graz, Auenbruggerplatz2, Graz, A-8036, Austria
| | - Cornelius A Rietveld
- Erasmus School of Economics, Erasmus University Rotterdam, Burgemeester Oudlaan 50, Rotterdam, 3000 DR, The Netherlands
| | - Olga McLeod
- Atherosclerosis Research Unit, Department of Medicine Solna, Karolinska Institutet, CMM L8:03, Karolinska University Hospital, Solna, Stockholm, 171 76, Sweden
| | - Marilyn C Cornelis
- Channing Division of Network Medicine, Brigham & Women's Hospital, 181 Longwood, Boston, 02115, USA
- Nutrition, Harvard School of Public Health, 401 Park Drive, Boston, 02215, USA
| | - Cristian Pattaro
- Center for Biomedicine, European Academy Bozen/Bolzano (EURAC), Bolzano, Italy - Affiliated Institute of the University of Lübeck, Lübeck, Germany
| | - Niek Verweij
- University of Groningen, University Medical Center Groningen, Department of Cardiology, Hanzeplein 1, Groningen, 9700RB, The Netherlands
| | - Clemens Baumbach
- Research Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
- Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
- Institute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
| | - Abdel Abdellaoui
- Department of Biological Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, Netherlands
| | - Helen R Warren
- Clinical Pharmacology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
- NIHR Barts Cardiovascular Biomedical Research Unit, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Dragana Vuckovic
- Department of Medical Sciences, University of Trieste, Strada di Fiume 447 - Osp. di Cattinara, Trieste, 34149, Italy
| | - Hao Mei
- Department of Medicine, University of Mississippi Medical Center, 2500 N. State St., Jackson, 39216, MS, USA
| | - Claude Bouchard
- Pennington Biomedical Research Center, 6400 Perkins Rd, Baton Rouge, LA 70808, USA
| | - John R B Perry
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK
| | - Stefania Cappellani
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", via dell'Istria 65, Trieste, 34137, Italy
| | - Saira S Mirza
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Miles C Benton
- Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, GPO Box 2434, Brisbane Qld 4001, Brisbane, Australia
| | - Ulrich Broeckel
- Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, 53226, WI, USA
| | - Sarah E Medland
- Quantitative Genetics, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, 4006, Australia
| | - Penelope A Lind
- Quantitative Genetics, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, 4006, Australia
| | - Giovanni Malerba
- Dipartimento di Scienze della Vita e della Riproduzione, University of Verona, Strada Le Grazie 15, Verona, 37134, Italy
| | - Alexander Drong
- Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK
| | - Loic Yengo
- CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Lille 2 University, 1 Rue du Professeur Calmette, 59000, Lille, France
| | - Lawrence F Bielak
- Department of Epidemiology, University of Michigan, 1415 Washington Heights, 48109, Ann Arbor, MI, USA
| | - Degui Zhi
- Department of Biostatistics, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, 35294, AL, USA
| | - Peter J van der Most
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, P.O. box 30.001, 9700 RB, Groningen, The Netherlands
| | - Daniel Shriner
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, Building 12A/Room 4047, 12 South Dr., Bethesda, 20892, Maryland, USA
| | - Reedik Mägi
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
| | - Gibran Hemani
- MRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK
| | - Tugce Karaderi
- Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK
| | - Zhaoming Wang
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Rockville, 20850, MD, USA
- Cancer Genomics Research Laboratory, National Cancer Institute, SAIC-Frederick, Inc., Frederick National Laboratory for Cancer Research, Frederick,MD, USA
| | - Tian Liu
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Lentzeallee 94, Berlin, 14195, Germany
- Vertebrate Genomics, Max Planck Institute for Molecular Genetics, Ihnestr. 72, Berlin, 14195, Germany
| | - Ilja Demuth
- Charité Research Group on Geriatrics, Charité - Universitätsmedizin Berlin, Reinickendorferstr. 61, 13347, Berlin, Germany
- Institute of Medical and Human Genetics, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, Berlin, 13353, Germany
| | - Jing Hua Zhao
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK
| | - Weihua Meng
- Division of Population Health Sciences, Medical Research Institute, University of Dundee, Ninewells hospital and School of Medicine, Dundee, DD2 4BF, Scotland
| | - Lazaros Lataniotis
- William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Sander W van der Laan
- Experimental Cardiology, Division Heart and Lungs, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands
| | - Jonathan P Bradfield
- Center for Applied Genomics, Children's Hospital of Philadelphia, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA
| | - Andrew R Wood
- Genetics of Complex Traits, University of Exeter Medical School, University of Exeter, Royal Devon and Exeter Hospital, Barrack Road, Exeter, EX2 5DW, UK
| | - Amelie Bonnefond
- CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Lille 2 University, 1 Rue du Professeur Calmette, 59000, Lille, France
| | - Tarunveer S Ahluwalia
- Copenhagen Prospective Studies on Asthma in Childhood, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
- The Danish Pediatric Asthma Center, Gentofte Hospital, The Capital Region, Copenhagen, Denmark
- Novo Nordisk Centre for Basic Metabolic Research, Section of Metabolic Genetics, Faculty of Health and Medical Sciences, University of Copenhagen, Universitetsparken 1, Copenhagen, 2100, Denmark
| | - Leanne M Hall
- Department of Cardiovascular Sciences, University of Leicester, BHF Cardiovascular Research Centre, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK
| | - Erika Salvi
- Department of Health Sciences, University of Milan, via A. di Rudinì 8, 20142 Milan, Italy
| | - Seyhan Yazar
- Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, 2 Verdun St, Perth, 6009, Australia
| | - Lisbeth Carstensen
- Department of Epidemiology Research, Statens Serum Institut, Artillerivej 5, Copenhagen, 2300, Denmark
| | - Hugoline G de Haan
- Clinical Epidemiology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands
| | - Mark Abney
- Department of Human Genetics, University of Chicago, 920 E. 58th Street, Chicago, IL, USA
| | - Uzma Afzal
- Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London, W2 1PG, UK
- Department of Cardiology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3HW, UK
| | - Matthew A Allison
- Department of Family and Preventive Medicine, University of California San Diego, 9500 Gilman Drive, La Jolla, 92093, USA
| | - Najaf Amin
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Folkert W Asselbergs
- Department of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands
- Durrer Center for Cardiogenetic Research, ICIN-Netherlands Heart Institute, Catharijnesingel 52, Utrecht, 3501 DG, The Netherlands
- Institute of Cardiovascular Science, faculty of Population Health Sciences, University College London, Gower Street, London, WC1E 6BT, UK
| | - Stephan J L Bakker
- University of Groningen, University Medical Center Groningen, Department of Internal Medicine, Hanzeplein 1, Groningen, 9700RB, The Netherlands
| | - R Graham Barr
- Department of Medicine, Columbia University, 622 W. 168th Street, New York, 10032, NY, USA
| | - Sebastian E Baumeister
- Institute for Community Medicine, University Medicine Greifswald, W.-Rathenau-Str. 48, Greifswald, 17475, Germany
| | - Daniel J Benjamin
- Department of Economics, Cornell University, 480 Uris Hall, Ithaca, NY, 14853, USA
- Department of Economics and Center for Economic and Social Research, University of Southern California, 314C Dauterive Hall, 635 Downey Way, Los Angeles, CA, 90089, USA
| | - Sven Bergmann
- Department of Medical Genetics, University of Lausanne, Rue du Bugnon 27, Lausanne, 1005, Switzerland
- Swiss Institute of Bioinformatics, Quartier Sorge - batiment génopode, Lausanne, 1015, Switzerland
| | - Eric Boerwinkle
- Human Genetics Center, School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler St., Suite 453E, Houston, Texas, 77030, USA
| | - Erwin P Bottinger
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Archie Campbell
- Centre for Genomic and Experimental Medicine, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, UK
| | - Aravinda Chakravarti
- McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, 21205, MD, USA
| | - Yingleong Chan
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Cambridge, 02141, MA, USA
- Program in Medical and Population Genetics, Broad Institute, Cambridge Center 7, Cambridge, 02242, MA, USA
- Department of Genetics, Harvard Medical School, 25 Shattuck St, Boston, 02115, MA, USA
| | - Stephen J Chanock
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Rockville, 20850, MD, USA
| | - Constance Chen
- Program in Genetic Epidemiology and Statistical Genetics, Harvard School of Public Health, 665 Huntington Ave, Boston, 02115, USA
| | - Y-D Ida Chen
- Institute for Translational Genomics and Population Sciences , Los Angeles Biomedical Research Institute, 1124 W. Carson Street, Torrance, 90502, USA
- Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, 90502, USA
| | - Francis S Collins
- Genome Technology Branch, National Human Genome Research Institute, NIH, Bethesda, 20892, MD, USA
| | - John Connell
- College of Medicine, Dentistry and Nursing, Ninewells Hospital and Medical School, College Office, Level 10, Dundee, DD1 9SY, UK
| | - Adolfo Correa
- Department of Medicine, University of Mississippi Medical Center, 2500 N. State St., Jackson, 39216, MS, USA
| | - L Adrienne Cupples
- Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, 02118, MA, USA
- National Heart, Lung, and Blood Institute's Framingham Heart Study, 73 Mt. Wayte Ave, Framingham, 01702, MA, USA
| | - George Davey Smith
- MRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK
| | - Gail Davies
- Psychology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Marcus Dörr
- Department of Internal Medicine B, University Medicine Greifswald, Ferdinand-Sauerbruch-Str. NK, Greifswald, 17475, Germany
| | - Georg Ehret
- McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, 21205, MD, USA
- Cardiology, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil, 4, Genève 14, 1211, Switzerland
| | - Stephen B Ellis
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Bjarke Feenstra
- Department of Epidemiology Research, Statens Serum Institut, Artillerivej 5, Copenhagen, 2300, Denmark
| | - Mary F Feitosa
- Department of Genetics, Washington University School of Medicine, 4444 Forest Park Boulevard, Saint Louis, 63108, MO, USA
| | - Ian Ford
- Robertson Centre, University of Glasgow, Boyd Orr Building, Glasgow, G12 8QQ, Scotland
| | - Caroline S Fox
- National Heart, Lung, and Blood Institute's Framingham Heart Study, 73 Mt. Wayte Ave, Framingham, 01702, MA, USA
- Division of Endocrinology, Brigham and Women's Hospital and Harvard Medical School , 75 Francis St, Boston, 02115, MA, USA
| | - Timothy M Frayling
- Genetics of Complex Traits, University of Exeter Medical School, University of Exeter, Royal Devon and Exeter Hospital, Barrack Road, Exeter, EX2 5DW, UK
| | - Nele Friedrich
- Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Str. NK, 17475, Greifswald, Germany
| | - Frank Geller
- Department of Epidemiology Research, Statens Serum Institut, Artillerivej 5, Copenhagen, 2300, Denmark
| | - Generation Scotland
- Centre for Genomic and Experimental Medicine, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, UK
| | - Irina Gillham-Nasenya
- Department of Twin Research & Genetic Epidemiology, King's College London, South Wing, Block D, 3rd Floor, Westminster Bridge Road, London, SE1 7EH, UK
| | - Omri Gottesman
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Misa Graff
- Epidemiology, University of North Carolina, 137 E Franklin St., Suite 306, USA
| | - Francine Grodstein
- Nutrition, Harvard School of Public Health, 401 Park Drive, Boston, 02215, USA
| | - Charles Gu
- Division of Biostatistics, Washington University, 660 S Euclid, St Louis, 63110, MO, USA
| | - Chris Haley
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
- Roslin Institute, University of Edinburgh, Easter Bush, Midlothian, EH25 9RG, Scotland
| | - Christopher J Hammond
- Department of Twin Research & Genetic Epidemiology, King's College London, South Wing, Block D, 3rd Floor, Westminster Bridge Road, London, SE1 7EH, UK
| | - Sarah E Harris
- Centre for Genomic and Experimental Medicine, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, UK
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Tamara B Harris
- National Institutes on Aging, National Institutes of Health, Bethesda, MD, USA
| | - Nicholas D Hastie
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Nancy L Heard-Costa
- National Heart, Lung, and Blood Institute's Framingham Heart Study, 73 Mt. Wayte Ave, Framingham, 01702, MA, USA
- Department of Neurology, Boston University School of Medicine, 72 E Concord St, Boston, 02118, MA, USA
| | - Kauko Heikkilä
- Department of Public Health, University of Helsinki, Hjelt Institute, P.O.Box 41, Mannerheimintie 172, Helsinki, FI-00014, Finland
| | - Lynne J Hocking
- Musculoskeletal Research Programme, Division of Applied Medicine, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, UK
| | - Georg Homuth
- Interfaculty Institute for Genetics and Functional Genomics, University Medicine Greifswald, Friedrich-Ludwig-Jahn-Str. 15A, Greifswald, 17475, Germany
| | - Jouke-Jan Hottenga
- Department of Biological Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, Netherlands
| | - Jinyan Huang
- State Key Laboratory of Medical Genomics, Shanghai Institute of Hematology, Rui Jin Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Er Road, Shanghai, 200025 China
| | - Jennifer E Huffman
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Pirro G Hysi
- Department of Twin Research & Genetic Epidemiology, King's College London, South Wing, Block D, 3rd Floor, Westminster Bridge Road, London, SE1 7EH, UK
| | - M Arfan Ikram
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
- Department of Radiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Erik Ingelsson
- Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK
- Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden
| | - Anni Joensuu
- Unit of Public Health Genomics, National Institute for Health and Welfare, P.O. Box 104, Helsinki, FI-00251, Finland
- Institute for Molecular Medicine Finland (FIMM), University of Helsinki, P.O. Box 20, Helsinki, FI-00014, Finland
| | - Åsa Johansson
- Immunology, Genetics & Pathology, Uppsala University, Husargatan 3, Box 815, Uppsala, SE-751 08, Sweden
- Uppsala Clinical Research Center, Uppsala University, Uppsala, SE-75237, Sweden
| | - Pekka Jousilahti
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - J Wouter Jukema
- Department of Cardiology C5-P , Leiden University Medical Center, PO Box 9600, Leiden, Netherlands
| | - Mika Kähönen
- Department of Clinical Physiology, University of Tampere and Tampere University Hospital, P.O. Box 2000, Tampere, 33521, Finland
| | - Yoichiro Kamatani
- Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, 1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, 230-0045, Japan
| | - Stavroula Kanoni
- William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Shona M Kerr
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Nazir M Khan
- Genomics and Molecular Medicine, CSIR-Institute of Genomics & Integrative Biology, Mathura Road, New Delhi, 110025, India
| | - Philipp Koellinger
- Erasmus School of Economics, Erasmus University Rotterdam, Burgemeester Oudlaan 50, Rotterdam, 3000 DR, The Netherlands
| | - Heikki A Koistinen
- Diabetes Prevention Unit, National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland
- Department of Medicine, Division of Endocrinology, Helsinki University Central Hospital, P.O.Box 340, Haartmaninkatu 4, Helsinki, FI-00029, Finland
- Minerva Foundation Institute for Medical Research, Biomedicum 2U, Tukholmankatu 8, Helsinki, FI-00290, Finland
| | - Manraj K Kooner
- Department of Cardiology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3HW, UK
| | - Michiaki Kubo
- Laboratory for Genotyping Development RCfIMS, 1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, 230-0045, Japan
| | - Johanna Kuusisto
- Department of Medicine, University of Eastern Finland and Kuopio University Hospital, Kuopio, 70210, Finland
| | - Jari Lahti
- Institute of Behavioural Sciences, University of Helsinki, P.O. Box 9, FI-00014 University of Helsinki, Helsinki, Finland
- Folkhälsan Reasearch Centre, PB 63, Helsinki, FI-00014 University of Helsinki, Finland
| | - Lenore J Launer
- National Institutes on Aging, National Institutes of Health, Bethesda, MD, USA
| | - Rodney A Lea
- Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, GPO Box 2434, Brisbane Qld 4001, Brisbane, Australia
| | - Benjamin Lehne
- Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London, W2 1PG, UK
| | - Terho Lehtimäki
- Department of Clinical Chemistry, Fimlab Laboratories and School of Medicine University of Tampere, Tampere, 33520, Finland
| | - David C M Liewald
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Lars Lind
- Department of Medical Sciences, University Hospital, Uppsala, 75185, Sweden
| | - Marie Loh
- Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London, W2 1PG, UK
| | - Marja-Liisa Lokki
- Transplantation laboratory, Haartman Institute, University of Helsinki, P.O. Box 21, Helsinki, FI-00014, Finland
| | - Stephanie J London
- National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, RTP, NC, USA
| | - Stephanie J Loomis
- Ophthalmology, Massachusetts Eye and Ear, 243 Charles St, Boston, 02114, USA
| | - Anu Loukola
- Department of Public Health, University of Helsinki, Hjelt Institute, P.O.Box 41, Mannerheimintie 172, Helsinki, FI-00014, Finland
| | - Yingchang Lu
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
- The Genetics of Obesity and Related Metabolic Traits Program, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Thomas Lumley
- Department of Statistics, University of Auckland, 303.325 Science Centre, Private Bag 92019, Auckland, 1142, New Zealand
| | - Annamari Lundqvist
- Department of Health, Functional Capacity and Welfare, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - Satu Männistö
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - Pedro Marques-Vidal
- Department of Internal Medicine, University Hospital, Route du Bugnon 44, Lausanne, 1011, Switzerland
| | - Corrado Masciullo
- Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Via Olgettina 58, Milano, 20132, Italy
| | - Angela Matchan
- Human Genetics, Wellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1HH, UK
| | - Rasika A Mathias
- The GeneSTAR Research Program, Division of General Internal Medicine, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, 21287, Maryland, USA
- Division of Allergy and Clinical Immunology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, 21224, USA
| | - Koichi Matsuda
- Laboratory of Molecular Medicine, Human Genome Center, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan
| | - James B Meigs
- Division of General Internal Medicine, Massachusetts General Hospital , 50 Staniford St, Boston, 02114, MA, USA
| | - Christa Meisinger
- Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
| | - Thomas Meitinger
- Institute of Human Genetics, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764 Germany
- Institute of Human Genetics, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, München, 81675, Germany
| | - Cristina Menni
- Department of Twin Research & Genetic Epidemiology, King's College London, South Wing, Block D, 3rd Floor, Westminster Bridge Road, London, SE1 7EH, UK
| | - Frank D Mentch
- Center for Applied Genomics, Children's Hospital of Philadelphia, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA
| | - Evelin Mihailov
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
| | - Lili Milani
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
| | - May E Montasser
- Division of Endocrinology, Diabetes, and Nutrition and Program for Personalised and Genomic Medicine, Department of Medicine, University of Maryland School of Medicine, 685 Baltimore St. MSTF, Baltimore, 21201, USA
| | - Grant W Montgomery
- Molecular Epidemiology, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, 4006, Australia
| | - Alanna Morrison
- Human Genetics Center, School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler St., Suite 453E, Houston, Texas, 77030, USA
| | - Richard H Myers
- Genome Science Institute, Boston University School of Medicine, 72 East Concord Street, E-304, Boston, 2118, MA, USA
| | - Rajiv Nadukuru
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Pau Navarro
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Mari Nelis
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
| | - Markku S Nieminen
- HUCH Heart and Lung center, Helsinki University Central Hospital, P.O. Box 340, Helsinki, FI-00029, Finland
| | - Ilja M Nolte
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, P.O. box 30.001, 9700 RB, Groningen, The Netherlands
| | - George T O'Connor
- National Heart, Lung, and Blood Institute's Framingham Heart Study, 73 Mt. Wayte Ave, Framingham, 01702, MA, USA
- Pulmonary Center and Department of Medicine, Boston University School of Medicine, 72 E Concord St, Boston, 02118, MA, USA
| | | | | | - Walter R Palmas
- Department of Medicine, Columbia University, 622 W. 168th Street, New York, 10032, NY, USA
| | - James S Pankow
- Division of Epidemiology and Community Health , University of Minnesota , 1300 S 2nd Street, Minneapolis, 55454, USA
| | - Inga Patarcic
- Centre for Global Health and Department of Public Health, School of Medicine, University of Split, Soltanska 2, 21000 Split, Croatia
| | - Francesca Pavani
- Center for Biomedicine, European Academy Bozen/Bolzano (EURAC), Bolzano, Italy - Affiliated Institute of the University of Lübeck, Lübeck, Germany
| | - Patricia A Peyser
- Department of Epidemiology, University of Michigan, 1415 Washington Heights, 48109, Ann Arbor, MI, USA
| | - Kirsi Pietilainen
- Institute for Molecular Medicine Finland (FIMM), University of Helsinki, P.O. Box 20, Helsinki, FI-00014, Finland
- Department of Medicine, Division of Endocrinology, Helsinki University Central Hospital, P.O.Box 340, Haartmaninkatu 4, Helsinki, FI-00029, Finland
- Obesity Research Unit, Research Programs Unit, Diabetes and Obesity, University of Helsinki, P.O.Box 63, Haartmaninkatu 8, FI-00014, Helsinki, Finland
| | - Neil Poulter
- International Centre for Circulatory Health, Imperial College London, London, W2 1LA, UK
| | - Inga Prokopenko
- Department of Genomics of Common Disease, School of Public Health, Imperial College London, London, SW7 2AZ, UK
| | - Sarju Ralhan
- Department of Cardiology and Cardio thoracic Surgery Hero DMC Heart Institute, Civil Lines, 141001, Ludhiana, India
| | - Paul Redmond
- Psychology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Stephen S Rich
- Department Public Health Sciences, University of Virginia School of Medicine, 3232 West Complex, Charlottesville, 22908, USA
| | - Harri Rissanen
- Department of Health, Functional Capacity and Welfare, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - Antonietta Robino
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", via dell'Istria 65, Trieste, 34137, Italy
| | - Lynda M Rose
- Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue, East, Harvard Medical School, Boston, Boston, MA 02215, USA
| | - Richard Rose
- Department of Psychological & Brain Sciences, Indiana University Bloomington, 1101 E. 10th St., Bloomington, IN 47405, USA
| | - Cinzia Sala
- Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Via Olgettina 58, Milano, 20132, Italy
| | | | - Veikko Salomaa
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - Antti-Pekka Sarin
- Unit of Public Health Genomics, National Institute for Health and Welfare, P.O. Box 104, Helsinki, FI-00251, Finland
- Institute for Molecular Medicine Finland (FIMM), University of Helsinki, P.O. Box 20, Helsinki, FI-00014, Finland
| | - Richa Saxena
- Center for Human Genetic Research , 55 Fruit Street, Massachusetts General Hospital, 2114, USA
| | - Helena Schmidt
- Institute of Molecular Biology and Biochemistry, Medical University Graz, Harrachgasse 21, Graz, A-8010, Austria
| | - Laura J Scott
- Department of Biostatistics and Center for Statistical Genetics, University of Michigan, Ann Arbor, 48109, MI, USA
| | - William R Scott
- Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London, W2 1PG, UK
- Department of Cardiology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3HW, UK
| | - Bengt Sennblad
- Atherosclerosis Research Unit, Department of Medicine Solna, Karolinska Institutet, CMM L8:03, Karolinska University Hospital, Solna, Stockholm, 171 76, Sweden
- Science for Life Laboratory, Karolinska Institutet, Stockholm, Sweden
| | - Sudha Seshadri
- National Heart, Lung, and Blood Institute's Framingham Heart Study, 73 Mt. Wayte Ave, Framingham, 01702, MA, USA
- Department of Neurology, Boston University School of Medicine, 72 E Concord St, Boston, 02118, MA, USA
| | - Peter Sever
- International Centre for Circulatory Health, Imperial College London, London, W2 1LA, UK
| | - Smeeta Shrestha
- Genomic Research on Complex Diseases (GRC) Group, CSIR-Centre for Cellular and Molecular Biology, Habshiguda, Uppal Road, Hyderabad, 500007, India
| | - Blair H Smith
- University of Dundee, Kirsty Semple Way, Dundee, DD2 4DB, UK
| | - Jennifer A Smith
- Department of Epidemiology, University of Michigan, 1415 Washington Heights, 48109, Ann Arbor, MI, USA
| | - Nicole Soranzo
- Human Genetics, Wellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1HH, UK
| | - Nona Sotoodehnia
- Cardiovascular Health Research Unit, Division of Cardiology, University of Washington, 1730 Minor Ave, Suite 1360, Seattle, 98101, WA, USA
| | - Lorraine Southam
- Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK
- Human Genetics, Wellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1HH, UK
| | - Alice V Stanton
- Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, St. Stephen's Green, Dublin 2, Ireland
| | - Maria G Stathopoulou
- UMR INSERM U1122; IGE-PCV "Interactions Gène-Environnement en Physiopathologie Cardio-Vasculaire", INSERM, University of Lorraine, 30 Rue Lionnois, Nancy, 54000, France
| | - Konstantin Strauch
- Institute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
- Institute of Medical Informatics, Biometry and Epidemiology, Chair of Genetic Epidemiology, Ludwig-Maximilians-Universität, Munich, Germany
| | - Rona J Strawbridge
- Atherosclerosis Research Unit, Department of Medicine Solna, Karolinska Institutet, CMM L8:03, Karolinska University Hospital, Solna, Stockholm, 171 76, Sweden
| | - Matthew J Suderman
- MRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK
| | - Nikhil Tandon
- Department of Endocrinology, All India Institute of Medical Sciences, Ansari Nagar East, New Delhi, 110029, India
| | - Sian-Tsun Tang
- National Heart and Lung Institute, Imperial College London, Du Cane Road, London, W12 0NN, UK
| | - Kent D Taylor
- Institute for Translational Genomics and Population Sciences , Los Angeles Biomedical Research Institute, 1124 W. Carson Street, Torrance, 90502, USA
- Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, 90502, USA
| | - Bamidele O Tayo
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, USA
| | - Anna Maria Töglhofer
- Institute of Molecular Biology and Biochemistry, Medical University Graz, Harrachgasse 21, Graz, A-8010, Austria
| | - Maciej Tomaszewski
- Department of Cardiovascular Sciences, University of Leicester, BHF Cardiovascular Research Centre, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK
- NIHR Leicester Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK
| | - Natalia Tšernikova
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
- Institute of Molecular and Cell Biology, University of Tartu, Riia 23, Tartu, 51010 Estonia
| | - Jaakko Tuomilehto
- Diabetes Prevention Unit, National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland
- Centre for Vascular Prevention, Danube-University Krems, 3500 Krems, Austria
- Diabetes Research Group, King Abdulaziz University, 21589 Jeddah, Saudi Arabia
| | - Andre G Uitterlinden
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
- Department of Internal Medicine, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Dhananjay Vaidya
- The GeneSTAR Research Program, Division of General Internal Medicine, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, 21287, Maryland, USA
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, 21205, USA
| | - Astrid van Hylckama Vlieg
- Clinical Epidemiology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands
| | - Jessica van Setten
- Experimental Cardiology, Division Heart and Lungs, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands
| | - Tuula Vasankari
- Finnish Lung Health Association, Sibeliuksenkatu 11 A 1, Helsinki, FI-00250, Finland
| | - Sailaja Vedantam
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Cambridge, 02141, MA, USA
- Program in Medical and Population Genetics, Broad Institute, Cambridge Center 7, Cambridge, 02242, MA, USA
- Department of Genetics, Harvard Medical School, 25 Shattuck St, Boston, 02115, MA, USA
| | - Efthymia Vlachopoulou
- Transplantation laboratory, Haartman Institute, University of Helsinki, P.O. Box 21, Helsinki, FI-00014, Finland
| | - Diego Vozzi
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", via dell'Istria 65, Trieste, 34137, Italy
| | - Eero Vuoksimaa
- Department of Public Health, University of Helsinki, Hjelt Institute, P.O.Box 41, Mannerheimintie 172, Helsinki, FI-00014, Finland
| | - Melanie Waldenberger
- Research Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
- Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
| | - Erin B Ware
- Department of Epidemiology, University of Michigan, 1415 Washington Heights, 48109, Ann Arbor, MI, USA
| | | | - John B Whitfield
- Genetic Epidemiology, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, 4006, Australia
| | - Sarah Wild
- Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland
| | - Gonneke Willemsen
- Department of Biological Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, Netherlands
| | | | - Jie Yao
- Institute for Translational Genomics and Population Sciences , Los Angeles Biomedical Research Institute, 1124 W. Carson Street, Torrance, 90502, USA
| | - Gianluigi Zaza
- Renal Unit, Department of Medicine, Piazzale A. Stefani 1, Verona, 37124, Italy
| | - Xiaofeng Zhu
- Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, USA
| | - The BioBank Japan Project
- Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, 1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, 230-0045, Japan
| | - Rany M Salem
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Cambridge, 02141, MA, USA
- Program in Medical and Population Genetics, Broad Institute, Cambridge Center 7, Cambridge, 02242, MA, USA
- Department of Genetics, Harvard Medical School, 25 Shattuck St, Boston, 02115, MA, USA
| | - Mads Melbye
- Department of Epidemiology Research, Statens Serum Institut, Artillerivej 5, Copenhagen, 2300, Denmark
- Department of Medicine, Stanford University, 300 Pasteur Drive, Stanford, 94305, CA, USA
| | - Hans Bisgaard
- Copenhagen Prospective Studies on Asthma in Childhood, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
- The Danish Pediatric Asthma Center, Gentofte Hospital, The Capital Region, Copenhagen, Denmark
| | - Nilesh J Samani
- Department of Cardiovascular Sciences, University of Leicester, BHF Cardiovascular Research Centre, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK
- NIHR Leicester Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK
| | - Daniele Cusi
- Department of Health Sciences, University of Milan, via A. di Rudinì 8, 20142 Milan, Italy
| | - David A Mackey
- Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, 2 Verdun St, Perth, 6009, Australia
| | - Richard S Cooper
- Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, USA
| | - Philippe Froguel
- CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Lille 2 University, 1 Rue du Professeur Calmette, 59000, Lille, France
- Department of Genomics of Common Disease, School of Public Health, Imperial College London, London, SW7 2AZ, UK
| | - Gerard Pasterkamp
- Experimental Cardiology, Division Heart and Lungs, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands
| | - Struan F A Grant
- Center for Applied Genomics, Children's Hospital of Philadelphia, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA
- Department of Pediatrics, Perelman School of Medicine, The University of Pennsylvania, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA
| | - Hakon Hakonarson
- Center for Applied Genomics, Children's Hospital of Philadelphia, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA
- Department of Pediatrics, Perelman School of Medicine, The University of Pennsylvania, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA
| | - Luigi Ferrucci
- Translational Gerontology Branch, National institute on Aging, Baltimore, 21225, Maryland, USA
| | - Robert A Scott
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK
| | - Andrew D Morris
- Jacqui Wood Cancer Centre, Medical Research Insitute, University of Dundee, Ninewells hospital and School of Medicine, Dundee, DD1 9SY, Scotland
| | - Colin N A Palmer
- Centre for Pharmacogenetics and Pharmacogenomics, Medical Research Institute, University of Dundee, Ninewells hospital and School of Medicine, Dundee, DD1 9SY, Scotland
| | - George Dedoussis
- Department of Nutrition and Dietetics, Harokopio University of Athens, 70, El. Venizelou Ave, Athens, 17671, Greece
| | - Panos Deloukas
- William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
- Princess Al-Jawhara Al-Brahim Centre of Excellence in Research of Hereditary Disorders (PACER-HD), King Abdulaziz University, Jeddah, 21589, Saudi Arabia
| | - Lars Bertram
- Vertebrate Genomics, Max Planck Institute for Molecular Genetics, Ihnestr. 72, Berlin, 14195, Germany
- Faculty of Medicine, Imperial College London, Charing Cross Campus - St Dunstan's Road, London, W6 8RP, UK
| | - Ulman Lindenberger
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Lentzeallee 94, Berlin, 14195, Germany
| | - Sonja I Berndt
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Rockville, 20850, MD, USA
| | - Cecilia M Lindgren
- Program in Medical and Population Genetics, Broad Institute, Cambridge Center 7, Cambridge, 02242, MA, USA
- Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK
| | - Nicholas J Timpson
- MRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK
| | - Anke Tönjes
- Department of Medicine, University of Leipzig, Leipzig, Germany
| | - Patricia B Munroe
- Clinical Pharmacology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
- NIHR Barts Cardiovascular Biomedical Research Unit, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Thorkild I A Sørensen
- Novo Nordisk Centre for Basic Metabolic Research, Section of Metabolic Genetics, Faculty of Health and Medical Sciences, University of Copenhagen, Universitetsparken 1, Copenhagen, 2100, Denmark
- Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital , The Capital Region, Copenhagen, 2000, Denmark
| | - Charles N Rotimi
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, Building 12A/Room 4047, 12 South Dr., Bethesda, 20892, Maryland, USA
| | - Donna K Arnett
- Department of Epidemiology, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, 35294, AL, USA
| | - Albertine J Oldehinkel
- Department of Psychiatry, University Medical Center Groningen, University of Groningen, P.O. box 30.001, Groningen, 9700 RB, The Netherlands
| | - Sharon L R Kardia
- Department of Epidemiology, University of Michigan, 1415 Washington Heights, 48109, Ann Arbor, MI, USA
| | - Beverley Balkau
- Epidemiology of diabetes, obesity and chronic kidney disease over the lifecourse, Inserm, CESP Center for Research in Epidemiology and Population Health U1018, 16 Avenue Paul Vaillant Couturier, Villejuif, 94807, France
| | - Giovanni Gambaro
- Dipartimento di Scienze Mediche, Catholic University of the Sacred Heart, Via G. Moscati 31/34, Roma, 00168, Italy
| | - Andrew P Morris
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
- Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK
- Department of Biostatistics, University of Liverpool, Duncan Building, Daulby Stree, Liverpool, L69 3GA, UK
| | - Johan G Eriksson
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
- Department of General Practice and Primary Health Care, University of Helsinki, P.O. Box 20, University of Helsinki, Helsinki, FI-00014, Finland
- Vasa Central Hospital, Sandviksgatan 2-4, Vasa, 65130, Finland
- Folkhälsan Reasearch Centre, PB 63, University of Helsinki, Helsinki, FI-00014, Finland
- Unit of General Practice, Helsinki University Central Hospital, Haartmaninkatu 4, Helsinki, FI-00290, Finland
| | - Margie J Wright
- Neuro-Imaging Genetics, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, 4006 Australia
| | - Nicholas G Martin
- Genetic Epidemiology, QIMR Berghofer Medical Research Institute, 300 Herston Rd, Herston, Brisbane, 4006, Australia
| | - Steven C Hunt
- Cardiovascular Genetics Division, University of Utah, 420 Chipeta Way, Room 1160, Salt Lake City, 84117, Utah, USA
| | - John M Starr
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
- Alzheimer Scotland Research Centre, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Ian J Deary
- Psychology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Lyn R Griffiths
- Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, GPO Box 2434, Brisbane Qld 4001, Brisbane, Australia
| | - Henning Tiemeier
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
- Department of Psychiatry, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Nicola Pirastu
- Department of Medical Sciences, University of Trieste, Strada di Fiume 447 - Osp. di Cattinara, Trieste, 34149, Italy
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", via dell'Istria 65, Trieste, 34137, Italy
| | - Jaakko Kaprio
- Institute for Molecular Medicine Finland (FIMM), University of Helsinki, P.O. Box 20, Helsinki, FI-00014, Finland
- Department of Public Health, University of Helsinki, Hjelt Institute, P.O.Box 41, Mannerheimintie 172, Helsinki, FI-00014, Finland
- National Institute for Health and Welfare (THL), P.O.Box 30, Mannerheimintie 166, Helsinki, FI-00271, Finland
| | - Nicholas J Wareham
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK
| | - Louis Pérusse
- Department of kinesiology, Laval University, 2300 rue de la Terrasse, Quebec, G1V 0A6, Canada
| | - James G Wilson
- Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 N. State St., Jackson, 39216, MS, USA
| | - Giorgia Girotto
- Department of Medical Sciences, University of Trieste, Strada di Fiume 447 - Osp. di Cattinara, Trieste, 34149, Italy
| | - Mark J Caulfield
- Clinical Pharmacology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
- NIHR Barts Cardiovascular Biomedical Research Unit, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Olli Raitakari
- Department of Clinical Physiology and Nuclear Medicine, University of Turku and Turku University Hospital, Turku, 20521, Finland
- Research Center of Applied and Preventive Cardiovascular medicine, University of Turku, Turku, 20521, Finland
| | - Dorret I Boomsma
- Department of Biological Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, Netherlands
| | - Christian Gieger
- Research Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
- Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
- Institute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, 85764, Germany
| | - Pim van der Harst
- University of Groningen, University Medical Center Groningen, Department of Cardiology, Hanzeplein 1, Groningen, 9700RB, The Netherlands
- Durrer Center for Cardiogenetic Research, ICIN-Netherlands Heart Institute, Catharijnesingel 52, Utrecht, 3501 DG, The Netherlands
- University of Groningen, University Medical Center Groningen, Department of Genetics, Hanzeplein 1, Groningen, 9700RB, The Netherlands
| | - Andrew A Hicks
- Center for Biomedicine, European Academy Bozen/Bolzano (EURAC), Bolzano, Italy - Affiliated Institute of the University of Lübeck, Lübeck, Germany
| | - Peter Kraft
- Program in Genetic Epidemiology and Statistical Genetics, Harvard School of Public Health, 665 Huntington Ave, Boston, 02115, USA
| | - Juha Sinisalo
- HUCH Heart and Lung center, Helsinki University Central Hospital, P.O. Box 340, Helsinki, FI-00029, Finland
| | - Paul Knekt
- Department of Health, Functional Capacity and Welfare, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - Magnus Johannesson
- Department of Economics, Stockholm School of Economics, Box 6501, Stockholm, SE-113 83, Sweden
| | - Patrik K E Magnusson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Box 281, Stockholm, SE-171 77, Sweden
| | - Anders Hamsten
- Atherosclerosis Research Unit, Department of Medicine Solna, Karolinska Institutet, CMM L8:03, Karolinska University Hospital, Solna, Stockholm, 171 76, Sweden
| | - Reinhold Schmidt
- Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Auenbruggerplatz 22, Graz, A-8036, Austria
| | - Ingrid B Borecki
- Department of Genetics and Biostatistics, Washington University School of Medicine, 4444 Forest Park Boulevard, Saint Louis, 63108, MO, USA
| | - Erkki Vartiainen
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, P.O. Box 30, Helsinki, FI-00271, Finland
| | - Diane M Becker
- The GeneSTAR Research Program, Division of General Internal Medicine, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, 21287, Maryland, USA
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, 21205, Maryland, USA
| | - Dwaipayan Bharadwaj
- Genomics and Molecular Medicine, CSIR-Institute of Genomics & Integrative Biology, Mathura Road, New Delhi, 110025, India
| | - Karen L Mohlke
- Department of Genetics, University of North Carolina, Chapel Hill, 27599, NC, USA
| | - Michael Boehnke
- Department of Biostatistics and Center for Statistical Genetics, University of Michigan, Ann Arbor, 48109, MI, USA
| | - Cornelia M van Duijn
- Department of Epidemiology, Erasmus Medical Center, PO Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Dharambir K Sanghera
- Department of Pediatrics, University of Oklahoma Health Sciences Center, 940 Stanton Young Boulevard, Oklahoma City, 73104, OK , USA
- Department of Pharmaceutical Sciences , University of Oklahoma Health Sceienecs Center, Oklahoma City , 73104, USA
| | - Alexander Teumer
- Institute for Community Medicine, University Medicine Greifswald, W.-Rathenau-Str. 48, Greifswald, 17475, Germany
| | - Eleftheria Zeggini
- Human Genetics, Wellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1HH, UK
| | - Andres Metspalu
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
- Institute of Molecular and Cell Biology, University of Tartu, Riia 23, Tartu, 51010 Estonia
| | - Paolo Gasparini
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", via dell'Istria 65, Trieste, 34137, Italy
| | - Sheila Ulivi
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", via dell'Istria 65, Trieste, 34137, Italy
| | - Carole Ober
- Department of Human Genetics, University of Chicago, 920 E. 58th Street, Chicago, IL, USA
| | - Daniela Toniolo
- Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Via Olgettina 58, Milano, 20132, Italy
| | - Igor Rudan
- Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland
| | - David J Porteous
- Centre for Genomic and Experimental Medicine, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, UK
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, EH8 9JZ, UK
| | - Marina Ciullo
- Institute of Genetics and Biophysics "A. Buzzati-Traverso" CNR, via Pietro Castellino, 111, Naples, 80131, Italy
| | - Tim D Spector
- Department of Twin Research & Genetic Epidemiology, King's College London, South Wing, Block D, 3rd Floor, Westminster Bridge Road, London, SE1 7EH, UK
| | - Caroline Hayward
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Josée Dupuis
- Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, 02118, MA, USA
- National Heart, Lung, and Blood Institute's Framingham Heart Study, 73 Mt. Wayte Ave, Framingham, 01702, MA, USA
| | - Ruth J F Loos
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
- The Genetics of Obesity and Related Metabolic Traits Program, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
- The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, 10029, USA
| | - Alan F Wright
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
| | - Giriraj R Chandak
- Genomic Research on Complex Diseases (GRC) Group, CSIR-Centre for Cellular and Molecular Biology, Habshiguda, Uppal Road, Hyderabad, 500007, India
- Genome Institute of Singapore, 60 Biopolis Street, #02-01 Genome, Singapore, 138672, Singapore
| | - Peter Vollenweider
- Department of Internal Medicine, University Hospital, Route du Bugnon 44, Lausanne, 1011, Switzerland
| | - Alan Shuldiner
- Division of Endocrinology, Diabetes, and Nutrition and Program for Personalised and Genomic Medicine, Department of Medicine, University of Maryland School of Medicine, 685 Baltimore St. MSTF, Baltimore, 21201, USA
- Program for Personalised and Genomic Medicine, Department of Medicine, University of Maryland School of Medicine, 685 Baltimore St. MSTF, Baltimore, 21201, USA
- Geriatric Research and Education Clinical Center, Veterans Administration Medical Center, 685 W Baltimore MSTF, Baltimore, 21201, USA
| | - Paul M Ridker
- Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue, East, Harvard Medical School, Boston, Boston, MA 02215, USA
| | - Jerome I Rotter
- Institute for Translational Genomics and Population Sciences , Los Angeles Biomedical Research Institute, 1124 W. Carson Street, Torrance, 90502, USA
- Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, 90502, USA
| | - Naveed Sattar
- BHF centre, University of Glasgow, 126 University Avenue, Glasgow, G12 8TA, Scotland
| | - Ulf Gyllensten
- Immunology, Genetics & Pathology, Uppsala University, Husargatan 3, Box 815, Uppsala, SE-751 08, Sweden
| | - Kari E North
- Epidemiology, University of North Carolina, 137 E Franklin St., Suite 306, USA
- Carolina Center for Genome Sciences, University of North Carolina at Chapel Hill, 137 E. Franklin St., Suite 306, Chapel Hill, USA
| | - Mario Pirastu
- Institute of Population Genetics, National Research Council, Trav. La Crucca n. 3 - Reg. Baldinca, Sassari, 07100, Italy
| | - Bruce M Psaty
- Cardiovascular Health Research Unit, Departments of Medicine, Epidemiology and Health Services, University of Washington, 1730 Minor Ave, Suite 1360, Seattle, 98101, WA, USA
- Group Health Research Institute, Group Health Cooperative, 1730 Minor Ave, Suite 1360, Seattle, 98101, WA, USA
| | - David R Weir
- Institute for Social Research, University of Michigan, 426 Thompson Street, 48104, Ann Arbor, MI, USA
| | - Markku Laakso
- Department of Medicine, University of Eastern Finland and Kuopio University Hospital, Kuopio, 70210, Finland
| | - Vilmundur Gudnason
- Icelandic Heart Association, Holtasmari 1, 201, Kopavogur, Iceland
- Faculty of Medicine, University of Iceland, Reykjavik, 101, Iceland
| | - Atsushi Takahashi
- Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, 1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa, 230-0045, Japan
| | - John C Chambers
- Department of Epidemiology and Biostatistics, Imperial College London, Norfolk Place, London, W2 1PG, UK
- Department of Cardiology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3HW, UK
- Imperial College Healthcare NHS Trust, Imperial College London, Praed Street, London, W2 1NY, UK
| | - Jaspal S Kooner
- Department of Cardiology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3HW, UK
- National Heart and Lung Institute, Imperial College London, Du Cane Road, London, W12 0NN, UK
- Imperial College Healthcare NHS Trust, Imperial College London, Praed Street, London, W2 1NY, UK
| | - David P Strachan
- Population Health Research Institute, St George's, University of London, Cranmer Terrace, London, SW17 0RE, UK
| | - Harry Campbell
- Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland
| | - Joel N Hirschhorn
- Division of Endocrinology and Center for Basic and Translational Obesity Research, Boston Children's Hospital, Cambridge, 02141, MA, USA
- Program in Medical and Population Genetics, Broad Institute, Cambridge Center 7, Cambridge, 02242, MA, USA
- Department of Genetics, Harvard Medical School, 25 Shattuck St, Boston, 02115, MA, USA
| | - Markus Perola
- Estonian Genome Center, University of Tartu, Riia 23b, 51010, Tartu, Estonia
- Unit of Public Health Genomics, National Institute for Health and Welfare, P.O. Box 104, Helsinki, FI-00251, Finland
| | - Ozren Polašek
- Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland
- Centre for Global Health and Department of Public Health, School of Medicine, University of Split, Soltanska 2, 21000 Split, Croatia
| | - James F Wilson
- Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland
- MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, UK
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Akingbola TS, Tayo BO, Salako B, Layden JE, Hsu LL, Cooper RS, Gordeuk VR, Saraf SL. Comparison of patients from Nigeria and the USA highlights modifiable risk factors for sickle cell anemia complications. Hemoglobin 2014; 38:236-43. [PMID: 24941131 DOI: 10.3109/03630269.2014.927363] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [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: 12/17/2022]
Abstract
To identify factors that affect manifestations of sickle cell anemia we compared patients 11-30 years of age from University of Ibadan, Ibadan, Oyo, Nigeria (n = 214) and University of Illinois at Chicago, Chicago, IL, USA (n = 209). Paralleling findings in the general populations of the two countries, the Chicago patients were more often overweight or obese as defined by the Centers for Disease Control and Prevention (Atlanta, GA, USA) guidelines, and more often had elevated blood pressure (BP) as defined by the National Heart, Lung, and Blood Institute (NHLBI), Bethesda, MD, USA guidelines. The Ibadan patients did not receive the pneumococcal vaccine or hydroxyurea (HU) therapy as frequently as the Chicago patients. Consistent with lower rates of elevated BP and increased body mass index (BMI), stroke history was less frequent in the Ibadan patients ≥18 years old. Furthermore, in combined analyses, systolic and diastolic BP directly correlated with BMI, and elevated weight status independently associated with history of stroke. Our findings are consistent with the possibility that higher values for BMI and BP in Chicago sickle cell anemia patients may contribute to an increased risk of stroke and highlights the need for measures to reduce these risk factors. On the other hand, lower pneumococcal vaccination and HU therapy rates in Ibadan patients highlights the need for more improved vaccination coverage and for studies to define the role of HU therapy in Africa.
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Franceschini N, Fox E, Zhang Z, Edwards TL, Nalls MA, Sung YJ, Tayo BO, Sun YV, Gottesman O, Adeyemo A, Johnson AD, Young JH, Rice K, Duan Q, Chen F, Li Y, Tang H, Fornage M, Keene KL, Andrews JS, Smith JA, Faul JD, Guangfa Z, Guo W, Liu Y, Murray SS, Musani SK, Srinivasan S, Velez Edwards DR, Wang H, Becker LC, Bovet P, Bochud M, Broeckel U, Burnier M, Carty C, Chasman DI, Ehret G, Chen WM, Chen G, Chen W, Ding J, Dreisbach AW, Evans MK, Guo X, Garcia ME, Jensen R, Keller MF, Lettre G, Lotay V, Martin LW, Moore JH, Morrison AC, Mosley TH, Ogunniyi A, Palmas W, Papanicolaou G, Penman A, Polak JF, Ridker PM, Salako B, Singleton AB, Shriner D, Taylor KD, Vasan R, Wiggins K, Williams SM, Yanek LR, Zhao W, Zonderman AB, Becker DM, Berenson G, Boerwinkle E, Bottinger E, Cushman M, Eaton C, Nyberg F, Heiss G, Hirschhron JN, Howard VJ, Karczewsk KJ, Lanktree MB, Liu K, Liu Y, Loos R, Margolis K, Snyder M, Psaty BM, Schork NJ, Weir DR, Rotimi CN, Sale MM, Harris T, Kardia SLR, Hunt SC, Arnett D, Redline S, Cooper RS, Risch NJ, Rao DC, Rotter JI, Chakravarti A, Reiner AP, Levy D, Keating BJ, Zhu X. Genome-wide association analysis of blood-pressure traits in African-ancestry individuals reveals common associated genes in African and non-African populations. Am J Hum Genet 2013; 93:545-54. [PMID: 23972371 DOI: 10.1016/j.ajhg.2013.07.010] [Citation(s) in RCA: 148] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Revised: 05/20/2013] [Accepted: 07/03/2013] [Indexed: 01/11/2023] Open
Abstract
High blood pressure (BP) is more prevalent and contributes to more severe manifestations of cardiovascular disease (CVD) in African Americans than in any other United States ethnic group. Several small African-ancestry (AA) BP genome-wide association studies (GWASs) have been published, but their findings have failed to replicate to date. We report on a large AA BP GWAS meta-analysis that includes 29,378 individuals from 19 discovery cohorts and subsequent replication in additional samples of AA (n = 10,386), European ancestry (EA) (n = 69,395), and East Asian ancestry (n = 19,601). Five loci (EVX1-HOXA, ULK4, RSPO3, PLEKHG1, and SOX6) reached genome-wide significance (p < 1.0 × 10(-8)) for either systolic or diastolic BP in a transethnic meta-analysis after correction for multiple testing. Three of these BP loci (EVX1-HOXA, RSPO3, and PLEKHG1) lack previous associations with BP. We also identified one independent signal in a known BP locus (SOX6) and provide evidence for fine mapping in four additional validated BP loci. We also demonstrate that validated EA BP GWAS loci, considered jointly, show significant effects in AA samples. Consequently, these findings suggest that BP loci might have universal effects across studied populations, demonstrating that multiethnic samples are an essential component in identifying, fine mapping, and understanding their trait variability.
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Affiliation(s)
- Nora Franceschini
- Department of Epidemiology, University of North Carolina at Chapel Hill, NC 27599, USA.
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Reder NP, Tayo BO, Salako B, Ogunniyi A, Adeyemo A, Rotimi C, Cooper RS. Adrenergic alpha-1 pathway is associated with hypertension among Nigerians in a pathway-focused analysis. PLoS One 2012; 7:e37145. [PMID: 22615923 PMCID: PMC3353888 DOI: 10.1371/journal.pone.0037145] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2012] [Accepted: 04/16/2012] [Indexed: 12/24/2022] Open
Abstract
Background The pathway-focused association approach offers a hypothesis driven alternative to the agnostic genome-wide association study. Here we apply the pathway-focused approach to an association study of hypertension, systolic blood pressure (SBP), and diastolic blood pressure (DBP) in 1614 Nigerians with genome-wide data. Methods and Results Testing of 28 pathways with biological relevance to hypertension, selected a priori, containing a total of 101 unique genes and 4,349 unique single-nucleotide polymorphisms (SNPs) showed an association for the adrenergic alpha 1 (ADRA1) receptor pathway with hypertension (p<0.0009) and diastolic blood pressure (p<0.0007). Within the ADRA1 pathway, the genes PNMT (hypertension Pgene<0.004, DBP Pgene<0.004, and SBP Pgene<0.009, and ADRA1B (hypertension Pgene<0.005, DBP Pgene<0.02, and SBP Pgene<0.02) displayed the strongest associations. Neither ADRA1B nor PNMT could be the sole mediator of the observed pathway association as the ADRA1 pathway remained significant after removing ADRA1B, and other pathways involving PNMT did not reach pathway significance. Conclusions We conclude that multiple variants in several genes in the ADRA1 pathway led to associations with hypertension and DBP. SNPs in ADRA1B and PNMT have not previously been linked to hypertension in a genome-wide association study, but both genes have shown associations with hypertension through linkage or model organism studies. The identification of moderately significant (10−2>p>10−5) SNPs offers a novel method for detecting the “missing heritability” of hypertension. These findings warrant further studies in similar and other populations to assess the generalizability of our results, and illustrate the potential of the pathway-focused approach to investigate genetic variation in hypertension.
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Affiliation(s)
- Nicholas P Reder
- Department of Preventive Medicine and Epidemiology, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, United States of America.
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N'Diaye A, Chen GK, Palmer CD, Ge B, Tayo B, Mathias RA, Ding J, Nalls MA, Adeyemo A, Adoue V, Ambrosone CB, Atwood L, Bandera EV, Becker LC, Berndt SI, Bernstein L, Blot WJ, Boerwinkle E, Britton A, Casey G, Chanock SJ, Demerath E, Deming SL, Diver WR, Fox C, Harris TB, Hernandez DG, Hu JJ, Ingles SA, John EM, Johnson C, Keating B, Kittles RA, Kolonel LN, Kritchevsky SB, Le Marchand L, Lohman K, Liu J, Millikan RC, Murphy A, Musani S, Neslund-Dudas C, North KE, Nyante S, Ogunniyi A, Ostrander EA, Papanicolaou G, Patel S, Pettaway CA, Press MF, Redline S, Rodriguez-Gil JL, Rotimi C, Rybicki BA, Salako B, Schreiner PJ, Signorello LB, Singleton AB, Stanford JL, Stram AH, Stram DO, Strom SS, Suktitipat B, Thun MJ, Witte JS, Yanek LR, Ziegler RG, Zheng W, Zhu X, Zmuda JM, Zonderman AB, Evans MK, Liu Y, Becker DM, Cooper RS, Pastinen T, Henderson BE, Hirschhorn JN, Lettre G, Haiman CA. Identification, replication, and fine-mapping of Loci associated with adult height in individuals of african ancestry. PLoS Genet 2011; 7:e1002298. [PMID: 21998595 PMCID: PMC3188544 DOI: 10.1371/journal.pgen.1002298] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2011] [Accepted: 07/26/2011] [Indexed: 11/19/2022] Open
Abstract
Adult height is a classic polygenic trait of high heritability (h2 ∼0.8). More than 180 single nucleotide polymorphisms (SNPs), identified mostly in populations of European descent, are associated with height. These variants convey modest effects and explain ∼10% of the variance in height. Discovery efforts in other populations, while limited, have revealed loci for height not previously implicated in individuals of European ancestry. Here, we performed a meta-analysis of genome-wide association (GWA) results for adult height in 20,427 individuals of African ancestry with replication in up to 16,436 African Americans. We found two novel height loci (Xp22-rs12393627, P = 3.4×10−12 and 2p14-rs4315565, P = 1.2×10−8). As a group, height associations discovered in European-ancestry samples replicate in individuals of African ancestry (P = 1.7×10−4 for overall replication). Fine-mapping of the European height loci in African-ancestry individuals showed an enrichment of SNPs that are associated with expression of nearby genes when compared to the index European height SNPs (P<0.01). Our results highlight the utility of genetic studies in non-European populations to understand the etiology of complex human diseases and traits. Adult height is an ideal phenotype to improve our understanding of the genetic architecture of complex diseases and traits: it is easily measured and usually available in large cohorts, relatively stable, and mostly influenced by genetics (narrow-sense heritability of height h2∼0.8). Genome-wide association (GWA) studies in individuals of European ancestry have identified >180 single nucleotide polymorphisms (SNPs) associated with height. In the current study, we continued to use height as a model polygenic trait and explored the genetic influence in populations of African ancestry through a meta-analysis of GWA height results from 20,809 individuals of African descent. We identified two novel height loci not previously found in Europeans. We also replicated the European height signals, suggesting that many of the genetic variants that are associated with height are shared between individuals of European and African descent. Finally, in fine-mapping the European height loci in African-ancestry individuals, we found SNPs more likely to be associated with the expression of nearby genes than the SNPs originally found in Europeans. Thus, our results support the utility of performing genetic studies in non-European populations to gain insights into complex human diseases and traits.
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Affiliation(s)
| | - Gary K. Chen
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Cameron D. Palmer
- Program in Medical and Population Genetics, Broad Institute, Cambridge, Massachusetts, United States of America
- Divisions of Genetics and Endocrinology and Program in Genomics, Children's Hospital Boston, Boston, Massachusetts, United States of America
| | - Bing Ge
- Department of Human Genetics, McGill University and Genome Quebec Innovation Centre, Montreal, Canada
| | - Bamidele Tayo
- Department of Preventive Medicine and Epidemiology, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, United States of America
| | - Rasika A. Mathias
- Department of Medicine, The Johns Hopkins GeneSTAR Research Program, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America
| | - Jingzhong Ding
- Sticht Center on Aging, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America
| | - Michael A. Nalls
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Adebowale Adeyemo
- NIH Intramural Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Véronique Adoue
- Department of Human Genetics, McGill University and Genome Quebec Innovation Centre, Montreal, Canada
| | - Christine B. Ambrosone
- Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, New York, United States of America
| | - Larry Atwood
- Department of Neurology, Boston University School of Medicine, Boston, Massachusetts, United States of America
| | - Elisa V. Bandera
- The Cancer Institute of New Jersey, New Brunswick, New Jersey, United States of America
| | - Lewis C. Becker
- Department of Medicine, The Johns Hopkins GeneSTAR Research Program, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America
| | - Sonja I. Berndt
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Leslie Bernstein
- Division of Cancer Etiology, Department of Population Science, Beckman Research Institute, City of Hope, Duarte, California, United States of America
| | - William J. Blot
- International Epidemiology Institute, Rockville, Maryland, United States of America
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University, Nashville, Tennessee, United States of America
- Vanderbilt–Ingram Cancer Center, Nashville, Tennessee, United States of America
| | - Eric Boerwinkle
- Human Genetics Center and Institute of Molecular Medicine and Division of Epidemiology, University of Texas Health Science Center, Houston, Texas, United States of America
| | - Angela Britton
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Graham Casey
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Stephen J. Chanock
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Ellen Demerath
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, United States of America
| | - Sandra L. Deming
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University, Nashville, Tennessee, United States of America
- Vanderbilt–Ingram Cancer Center, Nashville, Tennessee, United States of America
| | - W. Ryan Diver
- Epidemiology Research Program, American Cancer Society, Atlanta, Georgia, United States of America
| | - Caroline Fox
- Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, United States of America
| | - Tamara B. Harris
- Laboratory of Epidemiology, Demography, and Biometry, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Dena G. Hernandez
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Jennifer J. Hu
- Sylvester Comprehensive Cancer Center and Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, Florida, United States of America
| | - Sue A. Ingles
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Esther M. John
- Cancer Prevention Institute of California, Fremont, California, United States of America
- School of Medicine and Stanford Cancer Center, Stanford University, Stanford, California, United States of America
| | - Craig Johnson
- Department of Biostatistics, University of Washington, Seattle, Washington, United States of America
| | - Brendan Keating
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
| | - Rick A. Kittles
- Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, United States of America
| | - Laurence N. Kolonel
- Epidemiology Program, Cancer Research Center, University of Hawaii, Honolulu, Hawaii, United States of America
| | - Stephen B. Kritchevsky
- Sticht Center on Aging, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America
| | - Loic Le Marchand
- Epidemiology Program, Cancer Research Center, University of Hawaii, Honolulu, Hawaii, United States of America
| | - Kurt Lohman
- Sticht Center on Aging, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America
| | - Jiankang Liu
- University of Mississippi Medical Center, Jackson, Mississippi, United States of America
| | - Robert C. Millikan
- Department of Epidemiology, Gillings School of Global Public Health and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, United States of America
| | - Adam Murphy
- Department of Urology, Northwestern University, Chicago, Illinois, United States of America
| | - Solomon Musani
- Jackson Heart Study, Department of Medicine, Division of Cardiovascular Disease, University of Mississippi Medical Center, Jackson, Mississippi, United States of America
| | - Christine Neslund-Dudas
- Department of Biostatistics and Research Epidemiology, Henry Ford Hospital, Detroit, Michigan, United States of America
| | - Kari E. North
- Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States of America
- Carolina Center for Genome Sciences, University of North Carolina, Chapel Hill, North Carolina, United States of America
| | - Sarah Nyante
- Department of Epidemiology, Gillings School of Global Public Health and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, United States of America
| | | | - Elaine A. Ostrander
- Cancer Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, United States of America
| | - George Papanicolaou
- National Heart, Lung, and Blood Institute (NHLBI), Division of Cardiovascular Sciences, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Sanjay Patel
- Division of Sleep Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America
| | - Curtis A. Pettaway
- Department of Urology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, United States of America
| | - Michael F. Press
- Department of Pathology, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Susan Redline
- Division of Sleep Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America
| | - Jorge L. Rodriguez-Gil
- Sylvester Comprehensive Cancer Center and Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, Florida, United States of America
| | - Charles Rotimi
- NIH Intramural Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Benjamin A. Rybicki
- Department of Biostatistics and Research Epidemiology, Henry Ford Hospital, Detroit, Michigan, United States of America
| | | | - Pamela J. Schreiner
- Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Lisa B. Signorello
- International Epidemiology Institute, Rockville, Maryland, United States of America
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University, Nashville, Tennessee, United States of America
- Vanderbilt–Ingram Cancer Center, Nashville, Tennessee, United States of America
| | - Andrew B. Singleton
- Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Janet L. Stanford
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America
| | - Alex H. Stram
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Daniel O. Stram
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Sara S. Strom
- Department of Epidemiology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, United States of America
| | - Bhoom Suktitipat
- Department of Medicine, The Johns Hopkins GeneSTAR Research Program, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America
- The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Michael J. Thun
- Epidemiology Research Program, American Cancer Society, Atlanta, Georgia, United States of America
| | - John S. Witte
- Institute for Human Genetics, Departments of Epidemiology and Biostatistics and Urology, University of California San Francisco, San Francisco, California, United States of America
| | - Lisa R. Yanek
- Department of Medicine, The Johns Hopkins GeneSTAR Research Program, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America
| | - Regina G. Ziegler
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, United States of America
| | - Wei Zheng
- Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University, Nashville, Tennessee, United States of America
- Vanderbilt–Ingram Cancer Center, Nashville, Tennessee, United States of America
| | - Xiaofeng Zhu
- Department of Biostatistics and Epidemiology, Case Western Reserve University, Cleveland, Ohio, United States of America
| | - Joseph M. Zmuda
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
| | - Alan B. Zonderman
- Laboratory of Personality and Cognition, National Institute on Aging, National Institutes of Health, Baltimore, Maryland, United States of America
| | - Michele K. Evans
- Health Disparities Research Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health, Baltimore, Maryland, United States of America
| | - Yongmei Liu
- Sticht Center on Aging, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America
| | - Diane M. Becker
- Department of Medicine, The Johns Hopkins GeneSTAR Research Program, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America
| | - Richard S. Cooper
- Department of Preventive Medicine and Epidemiology, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, United States of America
| | - Tomi Pastinen
- Department of Human Genetics, McGill University and Genome Quebec Innovation Centre, Montreal, Canada
| | - Brian E. Henderson
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
| | - Joel N. Hirschhorn
- Program in Medical and Population Genetics, Broad Institute, Cambridge, Massachusetts, United States of America
- Divisions of Genetics and Endocrinology and Program in Genomics, Children's Hospital Boston, Boston, Massachusetts, United States of America
- Department of Medicine, Harvard Medical School, Boston, Massachusetts, United States of America
- * E-mail: (JN Hirschhorn); (G Lettre); (CA Haiman)
| | - Guillaume Lettre
- Montreal Heart Institute, Montréal, Canada
- Département de Médecine, Université de Montréal, Montréal, Canada
- * E-mail: (JN Hirschhorn); (G Lettre); (CA Haiman)
| | - Christopher A. Haiman
- Department of Preventive Medicine, Keck School of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, United States of America
- * E-mail: (JN Hirschhorn); (G Lettre); (CA Haiman)
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Kehinde AO, Adedapo KS, Aimaikhu CO, Odukogbe ATA, Olayemi O, Salako B. Significant bacteriuria among asymptomatic antenatal clinic attendees in ibadan, Nigeria. Trop Med Health 2011; 39:73-6. [PMID: 22028612 PMCID: PMC3191778 DOI: 10.2149/tmh.2011-02] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2011] [Accepted: 05/23/2011] [Indexed: 11/27/2022] Open
Abstract
Untreated asymptomatic bacteriuria can lead to urinary tract infection (UTI) in pregnancy with devastating maternal and neonatal effects such as prematurity and low birth weight, higher fetal mortality rates and significant maternal morbidity. We carried out a two year (April 2007 to March 2009) cross-sectional epidemiological study to determine the prevalence of significant bacteriuria among asymptomatic antenatal clinic attendees at two antenatal clinics (ANCs) in University College Hospital and Adeoyo Maternity Hospital, both in Ibadan, Nigeria. All consenting ANC attendees without UTI were enrolled in the study. Urine specimens of 5 to 10 ml collected from each subject were examined microscopically for white blood cells, red blood cells and bacteria. The specimens were further cultured on MacConkey agar using a sterile bacteriological loop that delivered 0.002 ml of urine. Colony counts yielding bacterial growth of more than 105/ml of pure isolates were considered significant. Of the 473 subjects studied, 136 had significant bacteriuria, giving a prevalence rate of 28.8%. The highest age specific prevalence (47.8%) was found in the 25–29 year olds while only one (0.7%) was found in the teenage group. A large percentage (64.0%) of subjects with significant bacteriuria had tertiary education, compared with 4.4% who had no formal education but the association was not statistically significant (X2 = 0.47, p = 0.79). The majority (75.8%) of subjects with significant bacteriuria had no previous history of abortion, while 20 (14.7%) had one previous abortion and only three (2.1%) admitted to three previous abortions (X2 = 5.16, p = 0.16). The majority (69.8%) of those with significant bacteriuria presented at second trimester while 38 (28.0%) presented at third trimester (X2 = 6.5, p = 37). Only 22 (4.6%) of the studied subjects presented at first trimester, and 3 (13.7%) of these had significant bacteriuria. The prevalence of asymptomatic bacteriuria is high among this study population. Hence we suggest that advocacy programs be initiated to urge pregnant women to access ANC services early in pregnancy.
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Affiliation(s)
- Aderemi O Kehinde
- Departments of Medical Microbiology and Parasitology, College of Medicine, University of Ibadan, Ibadan, Nigeria
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Kehinde A, Adedapo K, Aimakhu C, Odukogbe AT, Olayemi O, Salako B. Urinary pathogens and drug susceptibility patterns of urinary tract infections among antenatal clinic attendees in Ibadan, Nigeria. J Obstet Gynaecol Res 2011; 38:280-4. [PMID: 21917070 DOI: 10.1111/j.1447-0756.2011.01635.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIM To determine the bacterial agents involved in urinary tract infections in pregnant women and their antibiotic susceptibility patterns in Ibadan, Nigeria. METHODS All consenting subjects who attended antenatal clinics of the University College Hospital and Adeoyo Maternity Hospital, Ibadan, Nigeria, from 1 April 2007 and 30 March 2009 were interviewed to obtain demographic and pregnancy health data. Mid-stream urine samples obtained were processed by standard methods. Confirmed bacterial isolates were tested against seven antibiotics using the Kirby-Bauer disc diffusion technique. RESULTS Of the 473 specimens processed, 136 (28.8%) were positive for microscopy, 118 (25.0%) were culture positive, while 18 (3.8%) were microscopy positive but negative for culture. More than 90% of the bacterial isolates were Gram-negative bacilli, of which approximately 80% were members of the family Enterobacteriaceae. Klebsiella oxytoca accounted for 45 (38.1%) of the causative agents identified, followed by Escherichia coli (31.3%), Pseudomonas aeruginosa (9.3%) and Proteus mirabilis (6.8%). Candida albicans accounted for three (2.6%) of the isolates. Ten isolates (22.2%) of K. oxytoca were resistant to cefuroxime while three (6.7%) were resistant to ofloxacin. The only Gram-positive bacterium isolated, Staphylococcus saprophyticus, accounted for four (4.3%) of all pathogens, of which three (75.0%) were susceptible to nitrofurantoin, ofloxacin, cefuroxime and the amoxicillin-clavulanic acid combination. CONCLUSIONS In conclusion, the incidence of culture-positive urinary tract infection in pregnancy is common in Ibadan. More studies are needed to evaluate the susceptibility profile of uropathogens to commonly used antibiotics in our environment.
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Affiliation(s)
- Aderemi Kehinde
- Departments of Medical Microbiology and Parasitology Chemical Pathology Obstetrics and Gynaecology Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
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Bhatia G, Patterson N, Pasaniuc B, Zaitlen N, Genovese G, Pollack S, Mallick S, Myers S, Tandon A, Spencer C, Palmer CD, Adeyemo AA, Akylbekova EL, Cupples LA, Divers J, Fornage M, Kao WHL, Lange L, Li M, Musani S, Mychaleckyj JC, Ogunniyi A, Papanicolaou G, Rotimi CN, Rotter JI, Ruczinski I, Salako B, Siscovick DS, Tayo BO, Yang Q, McCarroll S, Sabeti P, Lettre G, De Jager P, Hirschhorn J, Zhu X, Cooper R, Reich D, Wilson JG, Price AL. Genome-wide comparison of African-ancestry populations from CARe and other cohorts reveals signals of natural selection. Am J Hum Genet 2011; 89:368-81. [PMID: 21907010 DOI: 10.1016/j.ajhg.2011.07.025] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2011] [Revised: 07/18/2011] [Accepted: 07/29/2011] [Indexed: 12/11/2022] Open
Abstract
The study of recent natural selection in human populations has important applications to human history and medicine. Positive natural selection drives the increase in beneficial alleles and plays a role in explaining diversity across human populations. By discovering traits subject to positive selection, we can better understand the population level response to environmental pressures including infectious disease. Our study examines unusual population differentiation between three large data sets to detect natural selection. The populations examined, African Americans, Nigerians, and Gambians, are genetically close to one another (F(ST) < 0.01 for all pairs), allowing us to detect selection even with moderate changes in allele frequency. We also develop a tree-based method to pinpoint the population in which selection occurred, incorporating information across populations. Our genome-wide significant results corroborate loci previously reported to be under selection in Africans including HBB and CD36. At the HLA locus on chromosome 6, results suggest the existence of multiple, independent targets of population-specific selective pressure. In addition, we report a genome-wide significant (p = 1.36 × 10(-11)) signal of selection in the prostate stem cell antigen (PSCA) gene. The most significantly differentiated marker in our analysis, rs2920283, is highly differentiated in both Africa and East Asia and has prior genome-wide significant associations to bladder and gastric cancers.
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Affiliation(s)
- Gaurav Bhatia
- Harvard- Massachusetts Institute of Technology (MIT) Division of Health, Science and Technology, Cambridge, USA.
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Falodun O, Ogunbiyi A, Salako B, George AK. Skin changes in patients with chronic renal failure. Saudi J Kidney Dis Transpl 2011; 22:268-272. [PMID: 21422624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
Management of patients with renal failure remains a major problem in poor-resource nations. Cutaneous manifestations in this group of patients are varied and remain helpful in differentiating acute from chronic renal failure (CRF). We studied the prevalence and pattern of skin disorders in patients with CRF at The University College Hospital, Ibadan, Nigeria, during the period between May 2006 and February 2007. Relevant information was collected with the aid of a questionnaire. The patients were then examined for skin disorders. One hundred and twenty patients who met the inclusion criteria were recruited into the study. The mean age of the CRF patients was 43.12 ± 15.38 years, while that of the control subjects was 43.13 ± 15.38 years. Seventy-six of the 120 patients (63.3%) were on chronic hemodialysis while 44 (36.5%) were on conservative management. A total of 107 patients (89.1%) had at least one skin problem. The skin disorders seen include xerosis in 72 (60%), pruritus in 32 (26.7%), hyperpigmentation, icthyosis and pityriasis versicolor in nine patients each (7.5%), either singly or in combination. Pallor of the skin was seen in three of the patients (2.5%), while uremic frost was seen in one (0.8%). Nail changes were seen in 48 patients (40%). We conclude that xerosis, pruritus, pigmentary and nail changes were the most common skin disorders in patients with CRF in our environment.
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Fadare J, Salako B. Ethical issues in kidney transplantation – reflections from Nigeria. TRRM 2010. [DOI: 10.2147/trrm.s14371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Olayemi O, Strobino D, Adedapo K, Aimakhu C, Odukogbe AT, Salako B. Influence of previous abortions and new paternity on the risk of hypertension in nulliparous parturients in Ibadan: a cohort study. J Obstet Gynaecol Res 2010; 36:965-9. [PMID: 20846258 DOI: 10.1111/j.1447-0756.2010.01268.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM This study aims to determine the influence of previous abortions and new paternity on the risk of hypertension in a cohort of nulliparous women. METHODS A prospective cohort study was conducted with development of hypertension in pregnancy as outcome variable. Explanatory variables were previous abortions and paternity. Univariate analysis was by t-test, χ(2) test and Fisher's exact test where applicable. Logistic regression was utilized for multivariate analysis. Stata was utilized for all the analyses. The level of statistical significance was set as P < 0.05. RESULTS Same paternity abortions reduced the risk of hypertension (OR 0.48, 95% CI 0.31-0.73). Previous abortions did not reduce the odds of hypertension in pregnancy (OR 1.25, 95% CI 0.83-1.88). Rural dwelling reduced the odds of developing hypertension in pregnancy (OR 0.54, 95% CI 0.42-0.70). CONCLUSION The result of this study supports the immunological theory of the etiology of hypertension in pregnancy.
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Affiliation(s)
- Oladapo Olayemi
- Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
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Olayemi O, Strobino D, Aimakhu C, Adedapo K, Kehinde A, Odukogbe AT, Salako B. Influence of duration of sexual cohabitation on the risk of hypertension in nulliparous parturients in Ibadan: A cohort study. Aust N Z J Obstet Gynaecol 2010; 50:40-4. [PMID: 20218996 DOI: 10.1111/j.1479-828x.2009.01115.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND Hypertensive disorders of pregnancy are an important cause of maternal mortality in this environment, it accounts for about 20% of all maternal deaths in pregnancy in Nigeria. AIM This study aims to determine the effect of the length of sexual cohabitation on the development of hypertension in pregnancy in a Nigerian population. MATERIALS AND METHODS The study was a prospective cohort study; three centres were involved in the study between July 2006 and February 2009. For this study, the main outcome variable was the development of Hypertension in pregnancy. The main explanatory variable was the length of preconception sexual cohabitation. Univariate analysis was by t test, chi-squared test and Fisher's exact test for continuous and categorical variables. Multivariate analysis was by Cox hazard regression. RESULTS In the study population, the incidence of gestational hypertension and pre-eclampsia were 28.93% and 4.13% respectively, 29.64% had previous abortions and same paternity abortion rate was 25.92%. Length of sexual cohabitation before index pregnancy was protective against hypertension in pregnancy but not for pre-eclampsia; there was a 4% decrease in the risk of developing hypertension for every month increase in cohabitation (hazard ratio, HR 0.96 (95% CI 0.93-0.99)). Also protective in this model was same paternity abortion with a HR of 0.71 (95% CI 0.55-0.93). A previous abortion was not protective (HR 1.05 (95% CI 0.82-1.35)). CONCLUSION It was concluded that increased length of sexual cohabitation prior to conception reduces the risk of gestational hypertension.
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Affiliation(s)
- Oladapo Olayemi
- Department of Obstetrics and Gynaecology, University of Ibadan, Nigeria.
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