Publications by authors named "N E Wareham"

Background: Post-COVID-19 condition (PCC) affects millions of people, and is an essential component of the long-term impact of COVID-19 during the post-pandemic era. Yet, consensus on clinical case definition and core components of PCC remains lacking, affecting our ability to inform research and evidence-based management. Our study aims 1) to identify the most specific symptoms for PCC, and identify clinical subtypes; 2) to evaluate both virus- and host-related determinants of PCC, and 3) assess the impact of PCC on physical and mental health.

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Introduction: Observational studies have shown that more educated people are at lower risk of developing type 2 diabetes (T2D). However, robust study designs are needed to investigate the likelihood that such a relationship is causal. This study used genetic instruments for education to estimate the effect of education on T2D using the Mendelian randomisation (MR) approach.

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  • A study analyzed the link between different levels of food processing and the risk of developing type 2 diabetes, using data from the EPIC cohort involving nearly 312,000 participants over about 11 years.
  • The results showed that higher intake of ultra-processed foods (UPF) was significantly associated with an increased risk of type 2 diabetes, while unprocessed/minimally processed foods and processed foods were linked to a lower risk.
  • Sub-group analysis revealed specific types of UPF, like certain breads and plant-based alternatives, that, surprisingly, were associated with a reduced risk of developing type 2 diabetes.
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  • Vaccination before solid organ transplantation (SOT) is essential because immunosuppression post-transplant affects vaccine responses, but not much is known about how effective these vaccines are afterward.
  • In a study of 136 SOT recipients, only 27.9% showed protection against hepatitis B virus (HBV) and 42.6% against invasive pneumococcal disease (IPD) after transplantation despite being vaccinated before the procedure.
  • Patients who had seroprotection when listed for transplantation were significantly less likely to have a non-response to both HBV and IPD, indicating that early vaccination is crucial for improving post-transplant outcomes.
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