Height

高度
  • 文章类型: Journal Article
    背景:异速体形指数(ABSI)和臀部指数(HI),以及多性状体型表型,尚未比较它们与炎症标志物的关联。这项研究的目的是使用来自欧洲癌症与营养前瞻性调查(EPIC)和英国生物库队列的数据,检查新型和传统人体测量指标与炎症之间的关系。
    方法:来自EPIC(n=17,943,69.1%的女性)和UKBiobank(n=426,223,53.2%的女性)的参与者以及人体测量指数和C反应蛋白(CRP)的数据被纳入该横断面分析。EPIC中的一部分女性也有至少一项白细胞介素测量,肿瘤坏死因子α,干扰素γ,瘦素,和脂联素。通过对身高的主成分(PC)分析得出了四种不同的体型表型,体重,体重指数(BMI),腰围(WC)和臀围(HC),腰臀比(WHR)。PC1描述了总体肥胖,PC2高,低WHR,PC3高和中央肥胖,和PC4高BMI和体重,低WC和HC,提示一种运动表型。ABSI,HI,还计算了腰高比和腰臀指数(WHI).分别在EPIC和UKBiobank中进行线性回归模型,按性别分层并调整年龄,吸烟状况,教育,和身体活动。结果也合并在随机效应荟萃分析中。
    结果:传统人体测量指数,特别是BMI,WC,体重与CRP水平呈正相关,在男人和女人。体形表型也显示出与CRP的明显关联。具体来说,PC2在EPIC和英国生物银行中显示出与CRP呈负相关,同样的高度。PC3与女性的CRP呈负相关,而在男性中观察到正相关。
    结论:体型和体脂分布的具体指标显示出与成人炎症的不同关联。值得注意的是,我们的结果表明,在女性中,身高可以减轻较高的WC和HC对炎症的影响。这表明肥胖亚型在其炎症潜能方面表现出实质性的变化。这可能对炎症相关的慢性疾病有影响。
    BACKGROUND: The allometric body shape index (ABSI) and hip index (HI), as well as multi-trait body shape phenotypes, have not yet been compared in their associations with inflammatory markers. The aim of this study was to examine the relationship between novel and traditional anthropometric indexes with inflammation using data from the European Prospective Investigation into Cancer and Nutrition (EPIC) and UK Biobank cohorts.
    METHODS: Participants from EPIC (n = 17,943, 69.1% women) and UK Biobank (n = 426,223, 53.2% women) with data on anthropometric indexes and C-reactive protein (CRP) were included in this cross-sectional analysis. A subset of women in EPIC also had at least one measurement for interleukins, tumour necrosis factor alpha, interferon gamma, leptin, and adiponectin. Four distinct body shape phenotypes were derived by a principal component (PC) analysis on height, weight, body mass index (BMI), waist (WC) and hip circumferences (HC), and waist-to-hip ratio (WHR). PC1 described overall adiposity, PC2 tall with low WHR, PC3 tall and centrally obese, and PC4 high BMI and weight with low WC and HC, suggesting an athletic phenotype. ABSI, HI, waist-to-height ratio and waist-to-hip index (WHI) were also calculated. Linear regression models were carried out separately in EPIC and UK Biobank stratified by sex and adjusted for age, smoking status, education, and physical activity. Results were additionally combined in a random-effects meta-analysis.
    RESULTS: Traditional anthropometric indexes, particularly BMI, WC, and weight were positively associated with CRP levels, in men and women. Body shape phenotypes also showed distinct associations with CRP. Specifically, PC2 showed inverse associations with CRP in EPIC and UK Biobank in both sexes, similarly to height. PC3 was inversely associated with CRP among women, whereas positive associations were observed among men.
    CONCLUSIONS: Specific indexes of body size and body fat distribution showed differential associations with inflammation in adults. Notably, our results suggest that in women, height may mitigate the impact of a higher WC and HC on inflammation. This suggests that subtypes of adiposity exhibit substantial variation in their inflammatory potential, which may have implications for inflammation-related chronic diseases.
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  • 文章类型: Journal Article
    背景:身高与癌症风险增加有关,但大多数研究集中在西方人群。我们旨在评估东亚人的这种关系。
    方法:利用来自中国嘉道理生物库(CKB)前瞻性队列的数据进行观察性分析。使用Cox比例风险模型估计调整后的风险比(HR)和相应的95%置信区间(CI)。两个样本孟德尔随机化(MR)分析使用韩国基因组和流行病学研究(KoGES)的数据探讨了身高和癌症之间的因果关系。日本生物银行(BBJ),还有CKB.
    结果:在中位10.1年的随访中,发生了22,731例癌症。在观察性分析中,Bonferroni校正后,身高每增加10厘米与总体癌症风险显着相关(HR1.16,95%CI1.14-1.19,P<0.001),肺癌(1.18,95%CI1.12-1.24,P<0.001),食管癌(1.21,95%CI1.12-1.30,P<0.001),乳腺癌(1.41,95%CI1.31-1.53,P<0.001),宫颈癌(1.29,95%CI1.15-1.45,P<0.001)。身高每增加10cm提示淋巴瘤风险增加(1.18,95%CI1.04-1.34,P=0.010),结直肠癌(1.09,95%CI1.02-1.16,P=0.010),和胃癌(1.07,95%CI1.00-1.14,P=0.044)。在MR分析中,遗传预测的身高(每增加1个标准差,8.07cm)与肺癌(比值比[OR]1.17,95%置信区间[CI]1.02-1.35,P=0.0244)和胃癌(OR1.14,95%CI1.02-1.29,P=0.0233)的高风险相关。
    结论:身高越高,患癌症的风险越高,肺癌,食道癌,乳腺癌,和子宫颈癌.我们的发现表明,身高可能是东亚人肺癌和胃癌的潜在危险因素。
    BACKGROUND: Height is associated with increased cancer risk, but most studies focus on Western populations. We aimed to evaluate this relationship in East Asians.
    METHODS: Observational analyses were performed utilizing data from China Kadoorie Biobank (CKB) prospective cohort. Adjusted hazard ratios (HRs) and corresponding 95 % confidence intervals (CIs) were estimated using Cox proportional hazards models. Two-sample Mendelian randomization (MR) analyses explored causal effects between height and cancer using data from Korean Genome and Epidemiology Study (KoGES), Biobank Japan (BBJ), and CKB.
    RESULTS: Over a median 10.1-years follow-up, 22,731 incident cancers occurred. In observational analyses, after Bonferroni correction, each 10 cm increase in height was significantly associated with higher risk of overall cancer (HR 1.16, 95 % CI 1.14-1.19, P < 0.001), lung cancer (1.18, 95 % CI 1.12-1.24, P < 0.001), esophageal cancer (1.21, 95 % CI 1.12-1.30, P < 0.001), breast cancer (1.41, 95 % CI 1.31-1.53, P < 0.001), and cervix uteri cancer (1.29, 95 % CI 1.15-1.45, P < 0.001). Each 10 cm increase in height was suggestively associated with increased risk for lymphoma (1.18, 95 % CI 1.04-1.34, P = 0.010), colorectal cancer (1.09, 95 % CI 1.02-1.16, P = 0.010), and stomach cancer (1.07, 95 % CI 1.00-1.14, P = 0.044). In MR analyses, genetically predicted height (per 1 standard deviation increase, 8.07 cm) was suggestively associated with higher risk of lung cancer (odds ratio [OR] 1.17, 95 % confidence interval [CI] 1.02-1.35, P = 0.0244) and gastric cancer (OR 1.14, 95 % CI 1.02-1.29, P = 0.0233).
    CONCLUSIONS: Taller height was significantly related to a higher risk for overall cancer, lung cancer, esophageal cancer, breast cancer, and cervix uteri cancer. Our findings suggest that height may be a potential causal risk factor for lung and gastric cancers among East Asians.
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  • 文章类型: Journal Article
    简介:肥胖,除了许多其他负面健康后果,影响肺功能,是哮喘的潜在危险因素。方法:我们分析了1972年、1977年、1982年、1987年、1992年、1997年、2002年、2007年或2012年参加基于人群的慢性病危险因素调查的60,639名25至74岁芬兰男性和女性的体重指数(BMI)与哮喘发作的关系。有关吸烟和体育锻炼等生活方式因素的数据,以及病史,获得了,和各种物理测量,包括身高和体重,在基线时采取。从国家社会保险机构的登记数据中确定哮喘事件。研究队列通过登记进行随访,直到2017年底。结果:随访期间,4612(14%)女性和2578(9.3%)男性发生哮喘。在以下三个BMI类别中分析了哮喘的风险:<24.9(参考类别),25-29.9(超重)和≥30kg/m2(肥胖)。女性的危险比(95%CI)为1.34(1.24-1.43)和1.57(1.44-1.71),男性为1.25(1.14-1.37)和1.63(1.44-1.83)。观察到的关联与吸烟无关,身高和休闲时间的体力活动。在女性中,哮喘总发病率的30.8%(男性19.2%)归因于超重和肥胖。结论:超重和肥胖是哮喘的重要危险因素。
    Introduction: Obesity, in addition to many other negative health consequences, affects pulmonary function and is a potential risk factor for asthma. Methods: We analyzed the association of body mass index (BMI) with incident asthma among 60,639 Finnish men and women aged 25 to 74 years who participated in a population-based chronic disease risk factor survey in 1972, 1977, 1982, 1987, 1992, 1997, 2002, 2007, or 2012. Data on lifestyle factors such as smoking and physical activity, as well as medical history, were obtained, and various physical measurements, including height and weight, were taken at baseline. Incident asthma events were ascertained from the National Social Insurance Institution\'s register data. The study cohorts were followed-up until the end of 2017 through registers. Results: During the follow-up, 4612 (14%) women and 2578 (9.3%) men developed asthma. The risk of asthma was analyzed in the following three BMI categories: <24.9 (reference category), 25-29.9 (overweight) and ≥30 kg/m2 (obesity). Hazard ratios (95% CI) were 1.34 (1.24-1.43) and 1.57 (1.44-1.71) in women and 1.25 (1.14-1.37) and 1.63 (1.44-1.83) in men. The observed association was independent of smoking, height and leisure-time physical activity. In women, 30.8% (19.2% in men) of the total asthma incidence was attributed to overweight and obesity. Conclusions: Overweight and obesity are important risk factors for asthma.
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  • 文章类型: Journal Article
    已知身高是由复杂的多基因因素控制的经典遗传性状。到目前为止,已经在整个基因组中发现了许多与身高相关的遗传变异。它也是用于预测法医学外观的外部可见特征(EVC)的代表。当犯罪现场的生物证据不足以识别个人时,可以考虑使用某些遗传变异对法医DNA表型进行检查.在这项研究中,我们的目标是预测\'高度\',代表性的法医表型,当短串联重复序列(STR)分析在生物样品不足的情况下很困难时,使用少量的遗传变异。我们的结果不仅复制了以前的遗传信号,而且还表明,随着两种性别的验证和复制阶段的高度增加,多基因评分(PGS)呈上升趋势。这些结果表明,本研究中建立的SNP集可用于韩国人群的身高估计。具体来说,由于本研究中构建的PGS模型仅针对少量SNP,即使在犯罪现场,它也有助于以最少的生物学证据进行法医DNA表型鉴定。据我们所知,这是第一项利用GWAS信号评估韩国人群身高估测PGS模型的研究.我们的研究提供了对东亚人身高的多基因效应的见解,纳入非亚洲人群的遗传变异。
    Height is known to be a classically heritable trait controlled by complex polygenic factors. Numerous height-associated genetic variants across the genome have been identified so far. It is also a representative of externally visible characteristics (EVC) for predicting appearance in forensic science. When biological evidence at a crime scene is deficient in identifying an individual, the examination of forensic DNA phenotyping using some genetic variants could be considered. In this study, we aimed to predict \'height\', a representative forensic phenotype, by using a small number of genetic variants when short tandem repeat (STR) analysis is hard with insufficient biological samples. Our results not only replicated previous genetic signals but also indicated an upward trend in polygenic score (PGS) with increasing height in the validation and replication stages for both genders. These results demonstrate that the established SNP sets in this study could be used for height estimation in the Korean population. Specifically, since the PGS model constructed in this study targets only a small number of SNPs, it contributes to enabling forensic DNA phenotyping even at crime scenes with a minimal amount of biological evidence. To the best of our knowledge, this was the first study to evaluate a PGS model for height estimation in the Korean population using GWAS signals. Our study offers insight into the polygenic effect of height in East Asians, incorporating genetic variants from non-Asian populations.
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  • 文章类型: Journal Article
    目的:为了比较体重,高度,有和没有唇裂和/或腭裂(CLP)的患者的BMI和营养状况。
    方法:横断面研究。
    方法:拉各斯大学教学医院。
    方法:CLP患者和对照组无CLP患者,年龄在1个月至6岁之间。CLP组的所有患者均未接受手术或营养干预。
    方法:体重,高度,BMI,他们各自的百分位数,根据世界卫生组织2006年参与者的生长曲线和营养状况。
    结果:CLP患者(n=60,21例男性,39名女性,平均年龄:19.1个月)的体重和身高百分比显着低于对照组(n=60,26名女性,平均年龄,23.6个月)在单变量分析中(所有p<0.01)。多元线性回归显示体重与年龄组的显着相互作用。此外,与对照组相比,CLP组的体重不足和身材矮小的比例显着升高(均p<0.05),这些显著差异取决于年龄组,仅在小于25个月的年龄组存在组间显著差异.
    结论:总体而言,CLP患者体重明显降低,高度,BMI和营养状况比他们未受影响的同龄人,这些差异取决于年龄组。在长达24个月的CLP患者中,营养状况显着降低,这凸显了在CLP管理中早期营养干预的必要性。
    OBJECTIVE: To compare the weight, height, BMI and nutritional status of patients with and without cleft lip and/or cleft palate (CLP).
    METHODS: Cross-sectional study.
    METHODS: Lagos University Teaching Hospital.
    METHODS: Patients with CLP and a control group of participants without CLP aged between 1 month and 6 years. All patients in the CLP group had not received surgical or nutritional intervention.
    METHODS: Weight, height, BMI, their respective percentiles, and nutritional status according to the WHO 2006 growth curves of participants.
    RESULTS: Patients with CLP (n = 60, 21 males, 39 females, mean age: 19.1 months) had significantly lower percentile weight and height compared to those of controls (n = 60, 26 females, mean age, 23.6 months) in univariate analyses (all p < 0.01). Multivariate linear regression revealed significant interactions with age group for weight. In addition, proportions of underweight and short stature were significantly higher in the CLP group compared to the control group (all p < 0.05), and these significant differences were dependent on the age group with between-group significant differences only in age groups less than 25 months.
    CONCLUSIONS: Overall, patients with CLP had significantly lower weight, height, BMI and nutritional status than their unaffected peers, and these differences were dependent on age group. Significantly lower nutritional status was seen in patients with CLP up to 24 months of age, which highlights the need for early nutritional intervention in the management of CLP.
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  • 文章类型: Journal Article
    观察性研究报告了体重指数(BMI)以及身高与气胸风险之间的关联。然而,长期以来,尚不清楚BMI或身高是否与气胸有因果关系.
    BMI的遗传汇总数据,身高和气胸来自多项独立的大基因组关联研究(GWAS).进行一系列质量控制步骤以选择仪器。进行了四个独立的双样本孟德尔随机化(MR)分析,以充分评估BMI或身高与气胸之间的因果关系。并通过一系列敏感性分析评估结果的稳健性。
    身高增加气胸的风险,OR为1.5181(95CI1.3092-1.7604;p=3.28e-08);没有证据表明BMI对气胸的风险有因果关系,OR为0.8979(95CI0.7417-1.0869;p=0.269)。身高增加自发性气胸的风险,OR为1.0010(95CI1.0002-1.0018;p=0.012);结果显示BMI与自发性气胸之间没有显著的因果关系,OR为0.9992(95CI0.9983-1.0002;p=0.112)。
    我们的结果支持身高与气胸之间的遗传关联。我们发现身高会增加气胸的风险。然而,没有证据表明BMI与气胸风险之间存在因果关系.BMI与气胸之间的关系需要进一步深入分析。
    UNASSIGNED: Observational studies have reported an association between body mass index (BMI) as well as height and the risk of pneumothorax. However, it has long been unclear whether BMI or height are causally associated with pneumothorax.
    UNASSIGNED: Genetic summary data for BMI, height and pneumothorax were retrieved from multiple independent large genome-wide association studies (GWAS). A series of quality control steps were conducted to select instruments. Four independent two-sample Mendelian randomization (MR) analyzes were performed to adequately assess the causal relationship between BMI or height on pneumothorax, and the robustness of the results was assessed by a series of sensitivity analyzes.
    UNASSIGNED: Height increased the risk of pneumothorax with an OR of 1.5181 (95%CI 1.3092-1.7604; p = 3.28e-08); there was no evidence of a causal effect of BMI on the risk of pneumothorax with an OR of 0.8979 (95%CI 0.7417-1.0869; p = 0.269). Height increased the risk of spontaneous pneumothorax with an OR of 1.0010 (95%CI 1.0002-1.0018; p = 0.012); the results showed no significant causal relationship between BMI and spontaneous pneumothorax either with an OR of 0.9992 (95%CI 0.9983-1.0002; p = 0.112).
    UNASSIGNED: Our results supported a genetic association between height and pneumothorax. We found that height increased the risk of pneumothorax. However, no evidence was found to suggest a causal relationship between BMI and pneumothorax risk. The relationship between BMI and pneumothorax requires further in-depth analysis.
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  • 文章类型: Journal Article
    当无法可靠地测量站立高度时,膝盖高度可以代表高度。我们比较了两个常用的方程式(Chumlea和Rumapea),它们从膝盖高度估算站立高度。我们前瞻性招募了210名7-12岁无脊柱侧凸或后凸的儿童(平均年龄:10.2岁,47.6%的男性)并测量了他们的膝盖高度和站立高度。使用双尾T检验将每个方程式的预测高度与实际站立高度进行比较。发现Chumlea方程不可靠(p=0.0376),而Rumapea方程在估计站立高度方面可靠(p=0.878)。此外,当根据性别和种族对结果进行隔离时,还发现Rumapea方程比Chumlea方程更准确。总之,在7-12岁的美国儿童中,Rumapea方程比Chumlea方程得出更准确的站立高度估计。
    Knee height can be a proxy for height when standing height cannot be reliably measured. We compared two commonly used equations (Chumlea and Rumapea) that estimate standing height from knee height. We prospectively enrolled 210 children without scoliosis or kyphosis aged 7-12 years (mean age: 10.2 years, 47.6% males) and measured their knee heights and standing heights. A two-tailed T-test was used to compare predicted heights from each of the equations to actual standing height. Chumlea equation was found to be unreliable (p = 0.0376) while Rumapea equation was found to be reliable in estimating standing height (p = 0.878). Additionally, Rumapea equation was also found to be more accurate than Chumlea equation when results were segregated based on gender and race. In conclusion, the Rumapea equation yields more accurate estimates of standing heights than the Chumlea equation in US children aged 7-12 years.
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  • 文章类型: Journal Article
    已经开发了根据身高和双髂(最大骨盆)宽度预测体重的方程,但是当应用于活着或最近去世的个人时,取得了不同的成功,质疑它们的一般适用性。在这里,我们在一个大的,种族多样的样本。507名最近去世的土著人的骨骼和人体测量数据,西班牙裔,非西班牙裔白人成人是从新墨西哥州死者图像数据库获得的。具有“正常”体重指数(BMI=18.5-24.9)的个体的体重可以非常准确地预测,平均方向偏差约为1%,平均随机误差小于8%。体重过重的人(BMI<18.5)被高估了,而超重(BMI=25-29.9),尤其是肥胖(BMI≥30)的个体被低估了。在BMI类别中,预测体重和真实体重之间有很强的等距关系。使用身高/双髂方法的个体体重预测误差主要取决于BMI的变化。因为早期人类更有可能落入或接近正常BMI范围,方程应该是适用的,在个人基础上,在考古和古生物学背景下。由于肥胖在许多现代人群中的流行,这些方程不适用于一般的法医背景。我们从样本中的非肥胖个体(n=338)推导了新的方程,产生合理的平均预测误差。如果可以使用其他骨骼参数识别肥胖个体,这些方程可能有助于估计非肥胖法医病例中的体重.
    Equations for predicting body mass from stature and bi-iliac (maximum pelvic) breadth have been developed, but have had variable success when applied to living or recently deceased individuals, calling into question their general applicability. Here we test these equations on a large, ethnically diverse sample. Skeletal and anthropometric data for 507 recently deceased Indigenous, Hispanic, and non-Hispanic White adults were obtained from the New Mexico Decedent Image Database. The body mass of individuals with a \"normal\" body mass index (BMI = 18.5-24.9) is very accurately predicted, with an average directional bias of about 1% and an average random error of less than 8%. Underweight individuals (BMI < 18.5) are overpredicted, while overweight (BMI = 25-29.9) and especially obese (BMI≥30) individuals are underpredicted. Within BMI categories, there is a strong and isometric relationship between predicted and true body mass. Individual body mass prediction errors using the stature/bi-iliac method are mainly dependent on variation in BMI. Because earlier humans were more likely to fall within or close to the normal BMI range, the equations should be applicable, on an individual basis, in archeological and paleontological contexts. Because of the prevalence of obesity in many modern populations, these equations are not applicable in a general forensic context. We derive new equations from nonobese individuals in our sample (n = 338), which produce reasonable average prediction errors. If obese individuals can be identified using other skeletal parameters, these equations may be useful in estimating body mass in nonobese forensic cases.
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  • 文章类型: Journal Article
    高个子女性更容易患乳腺癌(BC)。高移动性组AT-Hook1(HMGA1),一种癌胚蛋白,在乳腺癌的进展中起作用。邻近HMGA1的非编码序列含有与4.83cm高相关的变体。在目前的研究中,我们使用英国生物库数据来检查HMGA1与身高的关系,风险,和乳腺癌妇女的预后。
    我们的分析包括所有在参与者招募之前或之后发生的侵袭性BC,并使用自我报告数据和国际疾病分类(ICD10,ICD9)记录在UKBiobank数据库中。我们将受试者分为三个先前描述的三个高度组:短(<155厘米),中等(155厘米至175厘米),高(>175厘米)。我们分析了HMGA1SNPrs41269028,一种单核苷酸内含子变体,C>T,次要等位基因频率0.044。先前在患有糖尿病的受试者中评估了SNPrs41269028。
    9583名具有HMGA1SNPrs41269028主要等位基因纯合的BC的女性的身高为162.29cm±6.18。作为次要等位基因T的携带者或纯合子(CTTT)的944名女性BC的身高为162.88cm±6.001。这种差异是显著的(p=0.005)。身高组对存活率的影响是显著的(p=0.032,对数秩检验)。高个子妇女的生存状况最差。HMGA1SNPrs41269028基因型对BC风险(p=0.602)和存活(p=0.439,对数秩检验)的影响不显著。
    我们得出结论,HMGA1影响高度,但我们无法证明HMGA1与身高女性乳腺癌的发病率增加或预后不良有关.我们确实发现,患有乳腺癌的高个子女性比矮个子女性的生存率要低。我们发现高个子女性的预后较差很重要,因为它可以帮助肿瘤学家做出决定,以及其他预后因素,是否需要辅助治疗.
    UNASSIGNED: Tall women are more likely to develop breast cancer (BC). High Mobility Group AT-Hook 1(HMGA1), an oncofetal protein, plays a role in the progression of breast cancer. Non-coding sequences proximal to HMGA1 contain variants associated with 4.83 cm taller height. In the current study, we used UK Biobank data to examine the relationship of HMGA1 to height, risk, and prognosis of women with breast cancer.
    UNASSIGNED: Our analysis included all subjects with invasive BC that occurred either before or after participant enrollment and were recorded in the UK Biobank database using self-reported data and the International Classification of Diseases (ICD10, ICD9). We divided the subjects into three previously described three height groups: Short (< 155 cm), Medium (155 cm to 175 cm), Tall (> 175 cm). We analyzed the HMGA1 SNP rs41269028, a single nucleotide intron variant, C > T, minor allele frequency 0.044. SNP rs41269028 was previously evaluated in subjects with diabetes.
    UNASSIGNED: Height of 9583 women with BC homozygous for the HMGA1 SNP rs41269028 major allele was 162.29 cm ± 6.18. Height of 944 women with BC who were carriers or homozygotes (CT + TT) of the minor allele T was 162.88 cm ± 6.001. This difference was significant (p = 0.005). The effect of height group on survival was significant (p = 0.032, log rank test). Tall women had the poorest survival. The effect of HMGA1 SNP rs41269028 genotype on BC risk (p = 0.602) and survival (p = 0.439, log rank test) was insignificant.
    UNASSIGNED: We conclude that HMGA1 influences height, but we were unable to demonstrate that HMGA1 is related to increased incidence or poor prognosis of tall women with breast cancer. We did find that tall women with breast cancer have poorer survival than short women. Our finding that tall women have a worse prognosis is important because it could help the oncologist decide, along with other prognostic factors, whether adjuvant therapy is warranted.
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  • 文章类型: Journal Article
    目的:儿童站立高度是根据手臂跨度相关(高度AS)模型估算的。作者旨在开发和交叉验证脊柱裂(SB)个体的高度AS模型,并检查现有高度AS模型的准确性。
    方法:参与者是骶骨和下腰椎SB(n=14)和非SB(n=83)的个体,7-16岁。臂跨度,年龄,性别,和组(SBvs.非SB)是候选身高预测因子。模型开发(M1)和交叉验证(M1-M5)采用顺序回归和留一法交叉验证方法。现有的模型是:来自Polfuss等人的SB特定模型。(M2)和Gauld等人的非SB特异性模型。(M3),Mulu等人。(M4),和Zverev等人。(M5)研究。
    结果:手臂跨度和组解释了身高差异的95%(R2=0.95;p<0.001;SEE=3.666cm),并包括在M1中。实际身高和估计身高之间的平均差为0.0cm(M1),0.4cm(M2),和0.5厘米(M5),均不显著(p>0.05)。然而,Bland-Altman分析显示,参与者模型的可预测性存在一定差异,协议范围为7.4至10.9cm。M3观察到相当大的误差(平均差异:-5.58厘米,95%CI:-1.6,-20.2厘米),和M4(平均差异:10.5厘米,95%CI:-13.8,-27.3厘米)。
    结论:模型(M1,M2和M5)可以准确估计SB儿童的站立高度。然而,由于协议的广泛限制,在将这些模型应用于各个高度估计时,建议谨慎。
    OBJECTIVE: Childhood standing height has been estimated from arm span-related (heightAS) models. The authors aimed to develop and cross-validate a heightAS model in individuals with spina bifida (SB) and examine the accuracy of existing heightAS models.
    METHODS: Participants were individuals with sacral and low-lumbar SB (n = 14) and non-SB (n = 83), 7-16 years old. Arm span, age, sex, and group (SB vs. non-SB) were candidate height predictors. Sequential regression and leave-one-out cross-validation approaches were used for the model development (M1) and cross-validation (M1-M5). Existing models were: an SB-specific model from Polfuss et al. (M2) and non-SB specific models from Gauld et al. (M3), Mulu et al. (M4), and Zverev et al. (M5) studies.
    RESULTS: Arm span and group explained 95 % of the variance in height (R2 = 0.95; p < 0.001; SEE = 3.666 cm) and were included in the M1. Mean differences between actual and estimated height were 0.0 cm (M1), 0.4 cm (M2), and 0.5 cm (M5), all not significant (p > 0.05). However, Bland-Altman analysis revealed some variability in the predictability of the models across participants with limits of agreement ranging from 7.4 to 10.9 cm. Considerable errors were observed with M3 (mean diff: -5.58 cm, 95 % CI: -1.6, -20.2 cm), and M4 (mean diff: 10.5 cm, 95 % CI: -13.8, -27.3 cm).
    CONCLUSIONS: Models (M1, M2 and M5) may accurately estimate standing height in groups of children with SB. However, due to the wide limits of agreement, caution is recommended when applying these models for individual height estimations.
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