Publications by authors named "Kuh D"

Background: Blood pressure, grip strength and lung function are frequently assessed in longitudinal population studies, but the measurement devices used differ between studies and within studies over time. We aimed to compare measurements ascertained from different commonly used devices.

Methods: We used a randomised cross-over study.

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Objective: To investigate associations between age at natural menopause, particularly premature ovarian insufficiency (POI) (natural menopause before age 40 years), and incident type 2 diabetes (T2D) and identify any variations by ethnicity.

Research Design And Methods: We pooled individual-level data of 338,059 women from 13 cohort studies without T2D before menopause from six ethnic groups: White (n = 177,674), Chinese (n = 146,008), Japanese (n = 9,061), South/Southeast Asian (n = 2,228), Black (n = 1,838), and mixed/other (n = 1,250). Hazard ratios (HRs) of T2D associated with age at menopause were estimated in the overall sample and by ethnicity, with study as a random effect.

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  • This research investigates how genetic variations influence DNA methylation, which is crucial for understanding gene regulation and disease risk.
  • The study analyzed DNA methylation across nearly 725,000 sites in blood samples from 2,358 individuals, finding that over a third of these sites are impacted by genetic variants called SNPs, mostly acting nearby.
  • The findings enhance our understanding of DNA methylation mechanisms and can help prioritize genetic variants in further genetic studies; researchers have made their database available online for public use.*
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  • This study explored how infertility, miscarriage, and stillbirth are linked to the age at which women experience natural menopause, especially looking for differences between Asian and non-Asian women.
  • Researchers analyzed data from 303,594 postmenopausal women, using statistical methods to account for factors like race, education, and health habits, to identify patterns in menopause timing.
  • Results indicated that the median age at natural menopause was 50 years, with 2.1% of participants experiencing premature menopause and 8.4% having early menopause, but the specifics of the associations varied by race.
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Introduction: The one-legged balance test is a common screening tool for fall risk. Yet, there is little empirical evidence assessing its prognostic ability. The study aims were to assess the prognostic accuracy of one-legged balance performance in predicting falls and identify optimal cut-points to classify those at greater risk.

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Few studies can address how adulthood cognitive trajectories relate to brain health in 70-year-olds. Participants (n = 468, 49% female) from the 1946 British birth cohort underwent 18F-Florbetapir PET/MRI. Cognitive function was measured in childhood (age 8 years) and across adulthood (ages 43, 53, 60-64 and 69 years) and was examined in relation to brain health markers of β-amyloid (Aβ) status, whole brain and hippocampal volume, and white matter hyperintensity volume (WMHV).

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Introduction: The one-legged balance test is widely used as a fall risk screening tool in both clinical and research settings. Despite rising fall prevalence in midlife, there is little evidence examining balance and fall risk in those aged <65 years. This study investigated the longitudinal associations between one-legged balance and the number of falls between ages 53 and 68 years.

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Objective: To examine the associations of infertility, recurrent miscarriage, and stillbirth with the risk of first non-fatal and fatal stroke, further stratified by stroke subtypes.

Design: Individual participant pooled analysis of eight prospective cohort studies.

Setting: Cohort studies across seven countries (Australia, China, Japan, Netherlands, Sweden, the United Kingdom, and the United States) participating in the InterLACE (International Collaboration for a Life Course Approach to Reproductive Health and Chronic Disease Events) consortium, which was established in June 2012.

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  • The study analyzes work-family life courses from ages 16 to 42 in three British birth cohorts (1946, 1958, 1970) using multi-channel sequence analysis and logistic regression to assess psychological distress at ages 42/43 in men and women.
  • It hypothesizes that weaker employment ties and early transitions to partnerships and parenthood increase psychological distress risks, with expectations of this effect intensifying across the cohorts.
  • Findings indicate men and women with weaker long-term job connections experience more psychological distress, largely influenced by early life factors, with teen mothers showing increased distress in later cohorts that remains unexplained.
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  • This study investigates how growth and weight changes during early life affect DNA methylation age (DNAm age) biomarkers in mid-life, using a sample of 1,376 participants.
  • Researchers measured four different DNAm age acceleration biomarkers and analyzed factors such as weight changes and growth patterns during infancy to adolescence.
  • Results showed a correlation between weight gain in late childhood and increased AgeAccelGrim, but no significant links were found between growth patterns or pubertal timing and other AgeAccel biomarkers.
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Background: Cognitive integration of sensory input and motor output plays an important role in balance. Despite this, it is not clear if specific cognitive processes are associated with balance and how these associations change with age. We examined longitudinal associations of word memory, verbal fluency, search speed, and reading ability with repeated measures of one-legged balance performance.

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  • Scientists studied people's genetics to learn about traits related to blood sugar, which helps diagnose and monitor type 2 diabetes.
  • Most of the earlier studies only looked at people with European backgrounds, but this research included many more individuals from different backgrounds, finding 242 important genetic spots linked to blood sugar levels.
  • By studying a diverse group of people, they discovered new insights about how diabetes works in the body, helping to uncover different biological processes for each glycemic trait.
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Purpose: Genome-wide association studies have not identified replicable genetic risk loci for stress or urgency urinary incontinence.

Materials And Methods: We carried out a discovery stage, case control, genome-wide association study in 3 independent discovery cohorts of European women (8,979) for stress incontinence, urgency incontinence, and any incontinence phenotypes. We conducted replication in 6 additional studies of European ancestry (4,069).

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Background: Smoking remains one of the leading preventable causes of death. Smoking leaves a strong signature on the blood methylome as shown in multiple studies using the Infinium HumanMethylation450 BeadChip. Here, we explore novel blood methylation smoking signals on the Illumina MethylationEPIC BeadChip (EPIC) array, which also targets novel CpG-sites in enhancers.

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Background: While childhood social risk factors appear to be associated with adult obesity, it is unclear whether exposure to multiple childhood social risk factors is associated with accelerated weight gain during adulthood.

Methods: We used the Medical Research Council National Survey of Health and Development, a British population-based birth cohort study of participants born in 1946, height and weight were measured by nurses at ages 36, 43, 53 and 60-64 and self-reported at 20 and 26 years. The 9 childhood socioeconomic risk factors and 8 binary childhood psychosocial risk factors were measured, with 13 prospectively measured at age 4 years (or at 7 or 11 years if missing) and 3 were recalled when participants were age 43.

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Objectives: To investigate whether cross-sectional and longitudinal associations of body mass index (BMI) and waist circumference (WC) with back pain change with age and extend into later life.

Design: British birth cohort study.

Setting: England, Scotland and Wales.

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Background: Age-related changes in cognitive and balance capabilities are well-established, as is their correlation with one another. Given limited evidence regarding the directionality of associations, we aimed to explore the direction and potential explanations of associations between word memory and one-legged balance performance in mid-later life.

Methods: A total of 3062 participants in the Medical Research Council National Survey of Health and Development, a British birth cohort study, were included.

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Background: Low socio-economic position (SEP) is a risk factor for multiple health outcomes, but its molecular imprints in the body remain unclear.

Methods: We examined SEP as a determinant of serum nuclear magnetic resonance metabolic profiles in ∼30 000 adults and 4000 children across 10 UK and Finnish cohort studies.

Results: In risk-factor-adjusted analysis of 233 metabolic measures, low educational attainment was associated with 37 measures including higher levels of triglycerides in small high-density lipoproteins (HDL) and lower levels of docosahexaenoic acid (DHA), omega-3 fatty acids, apolipoprotein A1, large and very large HDL particles (including levels of their respective lipid constituents) and cholesterol measures across different density lipoproteins.

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Objective: To examine the association between age at menarche and risk of vasomotor menopausal symptoms (VMS) and whether midlife body mass index (BMI) modified the association.

Design: A pooled analysis of six cohort studies.

Setting: The International collaboration on the Life course Approach to reproductive health and Chronic disease Events (InterLACE).

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Background: Nuclear magnetic resonance (NMR) spectroscopy allows triglycerides to be subclassified into 14 different classes based on particle size and lipid content. We recently showed that these subfractions have differential associations with cardiovascular disease events. Here we report the distributions and define reference interval ranges for 14 triglyceride-containing lipoprotein subfraction metabolites.

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Importance: Early menarche and early menopause are associated with increased risk of cardiovascular disease (CVD) in midlife, but little is known about the association between reproductive life span and the risk of CVD.

Objective: To investigate the association between the length of reproductive life span and risk of incident CVD events, while also considering the timing of menarche and menopause.

Design, Setting, And Participants: Individual-level data were pooled from 12 studies participating in the International Collaboration for a Life Course Approach to Reproductive Health and Chronic Disease Events consortium.

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The Covid-19 pandemic is shaking fundamental assumptions about the human life course in societies around the world. In this essay, we draw on our collective expertise to illustrate how a life course perspective can make critical contributions to understanding the pandemic's effects on individuals, families, and populations. We explore the pandemic's implications for the organization and experience of life transitions and trajectories within and across central domains: health, personal control and planning, social relationships and family, education, work and careers, and migration and mobility.

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Background: Menopausal vasomotor symptoms (ie, hot flashes and night sweats) have been associated with unfavorable risk factors and surrogate markers of cardiovascular disease, but their association with clinical cardiovascular disease events is unclear.

Objective: To examine the associations between different components of vasomotor symptoms, timing of vasomotor symptoms, and risk of cardiovascular disease.

Study Design: We harmonized and pooled individual-level data from 23,365 women in 6 prospective studies that contributed to the International Collaboration for a Life Course Approach to Women's Reproductive Health and Chronic Disease Events consortium.

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Study Question: How does the risk of cardiovascular disease (CVD) vary with type and age of menopause?

Summary Answer: Earlier surgical menopause (e.g. <45 years) poses additional increased risk of incident CVD events, compared to women with natural menopause at the same age, and HRT use reduced the risk of CVD in women with early surgical menopause.

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Unlabelled: Heavy alcohol consumption is associated with an increased risk of heart failure. We sought to investigate whether levels of NT-proBNP differ by alcohol consumption profiles, both current drinking as well as cumulative exposure to drinking over several decades in a general population sample.

Methods: Data on 2054 participants (49% male) were taken from the UK Medical Research Council National Survey for Health and Development, a longitudinal cohort study based on a nationally representative sample of births in 1946.

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