Publications

Les publications qui suivent sont des exemples de recherches rendues possibles grâce aux données de CanPath et de ses cohortes régionales.

2024

Association of lifetime lactation and characteristics of menopause: a longitudinal cohort study

Auteurs : N. V. Scime, B. Huang, M. M. Brockway, H. K. Brown , E. A. Brennand

The researchers used survey data on 19,783 parous women aged 40 to 65 years at enrollment in the Alberta’s Tomorrow Project to investigate the association between lifetime duration of lactation and the timing and type of menopause in midlife women. They found that in a dose-response manner, longer lactation was associated with reduced risk of natural menopause before age 50, surgical menopause before age 55, and indeterminate menopause before age 50. Longer lactation was associated with lower odds of surgical and indeterminate menopause, compared to natural menopause.

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2024

Unilateral Oophorectomy and Age at Natural Menopause: A Longitudinal Community-Based Cohort Study.

Auteurs : E. A. Brennand, N. V. Scime, R. Manion, B. Huang

The researchers investigated the impact of unilateral oophorectomy (UO) on the age of natural menopause using data from Alberta’s Tomorrow Project. They found that UO was linked to an earlier age at natural menopause, with the strongest effect seen in women who had UO between ages 20-40. These findings highlight that UO, particularly before the age of 40, increases the risk of earlier natural menopause.

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2024

Education level is associated with the occurrence and timing of hysterectomy: A cohort study of Canadian women

Auteurs : E. A. Brennand, N. V. Scime, B. Huang, H. P. McDonagh

Les chercheurs ont utilisé les données de 30 496 femmes dans le projet Alberta Tomorrow pour déterminer l’association entre le niveau d’éducation et l’occurrence et le moment de l’hystérectomie chez les femmes canadiennes. Ils ont constaté que les femmes ayant un faible niveau d’éducation étaient plus susceptibles de subir une hystérectomie, y compris avant la ménopause et à un âge plus jeune.

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2024

Association of parity with the timing and type of menopause: A longitudinal cohort study

Auteurs : N. V. Scime, B. Huang, H. K. Brown, E. A. Brennand

The study aimed to determine the time-varying association between parity and timing of natural menopause, surgical menopause, and premenopausal hysterectomy among 23,728 women aged 40-65 years at enrollment in the Alberta’s Tomorrow Project cohort study. The researchers found that overall, natural menopause was most common, then premenopausal hysterectomy and surgical menopause. The risk of natural menopause before age 50 was higher for women with 0 or 1 birth, while the risk was similar for those with 3 or more births compared to those with 2 births. Elevated risks of surgical menopause before age 45 for women with 0 or 1 birth were reduced after excluding those with a history of infertility or recurrent pregnancy loss, and the risk decreased over time for women with 3 or more births. Additionally, the risk of premenopausal hysterectomy before age 50 was lower for women with 0 births but increased after age 40 for those with 3 or more births.

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2024

Sex-Specific Associations of Aldosterone and Renin with Body Composition: A Population-Based Cohort Study

Auteurs : G. L. Hundemer, M. Agharazii, F. Madore, M.-E. Piché, C. Gagnon, A. Bussières, M. St-Jean, A. A. Leung, G. A. Kline, M. M. Sood, D. Burger, T. Ramsay, R. Goupil

The researchers investigated the associations of aldosterone and renin with body composition according to sex in a population-based cohort. Using data from 3,687 adults aged 40-69 years enrolled in the CARTaGENE study, they found that among males, higher aldosterone and renin levels were linked to increased waist to hip ratio, increased fat mass, and decreased lean and muscle mass, while aldosterone specifically was also associated with increased ectopic cardiac adiposity. In contrast, among females higher renin, but not aldosterone, was associated with increased waist circumference, increased waist-to-hip ratio, and increased cardiac adiposity. Higher renin and aldosterone were associated with increased fat mass but were not associated with lean body mass or muscle mass.

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2024

Risk factors for early-onset colorectal cancer: A Canadian prospective cohort study

Auteurs : Dylan E O'Sullivan, Yibing Ruan, Eliya Farah, John M Hutchinson, Robert J Hilsden, Darren R Brenner

Researchers aimed to determine associations between specific risk factors and early-onset colorectal cancer (eoCRC). Accordingly, the researchers utilized data from 127,852 healthy study participants who were less than 50 years of age and were either part of the Ontario Health Study cohort or the Alberta’s Tomorrow Project cohort. Ninety-eight cases of eoCRC were identified after an average follow-up of 6.63 years. Analyses indicated that a family history of CRC alone or with a history of other cancer types was associated with a heightened risk of developing eoCRC. However, there was no significant association between eoCRC and a family history of solely non-CRC cancer. Those classified as heavy smokers at baseline had a higher risk of eoCRC compared to non-smokers. Lastly, there were no significant associations between sex, socioeconomic factors, diabetes, alcohol consumption, and other factors with the risk of eoCRC.

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2024

Neighbourhood walkability and greenspace and their associations with health-related fitness in urban dwelling Canadian adults

Auteurs : Levi Frehlich, Tanvir C Turin, Patricia K Doyle-Baker, Gavin R McCormack

The researchers aimed to outline sex-specific associations between the neighborhood built environment, grip strength, and body fat percentage of Canadian adults living in urban areas. They used cohort data from 4,052 males and 7,841 females who were part of Alberta’s Tomorrow Project. Negative associations were found between walkability and both grip strength and body fat percentage among males and females. Additionally, greenness showed a positive association with grip strength across both sexes, but this association was not observed with body fat percentage. These associations remained significant even after adjusting for physical activity and sitting.

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2024

Predictors of primary cutaneous melanoma stage at diagnosis: observations from Alberta’s Tomorrow Project

Auteurs : Ghebrial M, Wang Q, Zhang R, Robson PJ, Shack L, Kopciuk KA.

This study examined data from the Alberta’s Tomorrow Project on 62 adults who developed primary cutaneous melanoma by 2018. The majority (67.74%) were diagnosed at stage I, with individual factors like being married or common-law, having an annual household income between $50,000–100,000, and spending more than 1 hour in the sun between 11 am–4 pm per day during the past summer. In contrast, increased occupational physical activity was linked to a higher likelihood of later-stage diagnosis. These findings highlight potential epidemiologic risk factors that could inform targeted interventions for earlier melanoma detection.

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2024

Stage shifting by modifying the determinants of breast cancer stage at diagnosis: a simulation study

Auteurs : Gyanendra Pokharel, Qinggang Wang, Momtafin Khan, Paula J. Robson, Lorraine Shack, Karen A. Kopciuk

The researchers sought to understand how lifestyle factors influence the stage at which breast cancer is diagnosed. Using data from 492 participants in Alberta’s Tomorrow Project, they found that increasing dietary protein intake and reducing energy intake had the most significant impact. This suggests that minor lifestyle adjustments could potentially increase the rate of early-stage diagnoses by 12%, thereby informing cancer prevention strategies.

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2024

Dose-responsive effects of iron supplementation on the gut microbiota in middle-aged women

Auteurs : Jane Shearer, Shrushti Shah, Martin J MacInnis, Grace Shen-Tu, Chunlong Mu

The researchers sought to investigate the association between iron supplementation and the gut microbiota among healthy female participants in Alberta’s Tomorrow Project. They found that adequate iron levels are essential for the overall health and wellbeing of women through their various life stages.

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