Provincial variation in colorectal cancer screening adherence in Canada; evidence from the Canadian Partnership for Tomorrow’s Health
The researchers investigated how social and medical characteristics influence adherence to breast cancer screening in Canada. They used data from five regional cohorts of the Canadian Partnership for Tomorrow’s Health (CanPath): the BC Generations Project (BCGP), Alberta’s Tomorrow Project (ATP), the Ontario Health Study (OHS), Quebec’s CARTaGENE, and the Atlantic Partnership for Tomorrow’s Health Study (Atlantic PATH). They analyzed self-reported data on screening mammography among 79,986 participants aged 50-74 and 46,907 participants aged 40-49. Most participants reported undergoing screening within two years of enrollment, with rates ranging from 77.8% in OHS to 86.3% in BCGP. Factors linked to lower odds of screening included lower household income, being single or never married, current daily smoking, poor self-perceived health, no history of breastfeeding, and longer intervals since the last routine medical check-up. Among women aged 40-49 with a first-degree family history of breast cancer, screening adherence varied by region and was lower among those post-menopause or with longer intervals since medical check-ups. These findings highlight key factors for targeting underserved communities and suggest that early screening guidelines may benefit from considering regional differences and individual health characteristics.
Investigating Skin Cancer Risk and Sun Safety Practices Among LGBTQ+ Communities in Canada
The researchers conducted a national survey of 700 LGBTQ+ individuals to evaluate skin cancer risk factors, sun-protective behaviors, and related concerns. Some participants were recruited with the help of longitudinal cohorts, notably the Manitoba Tomorrow Project and Atlantic PATH. The researchers found that 60% reported over 10 lifetime sunburns, 58% experienced at least one blistering sunburn, 34% had used tanning beds, and 69% reported having a tan in the last 12 months. Regular sunscreen use was reported by only half of the respondents. These findings emphasize the urgent need for culturally sensitive public health campaigns targeting sun safety practices within the LGBTQ+ community.
Effects of gene dosage on cognitive ability: A function-based association study across brain and non-brain processes
The researchers assessed the relationship between copy-number variants (CNVs) and cognitive ability using data from six cohorts, including the CARTaGENE cohort. They performed a genome-wide association study (GWAS) with 258,292 individuals, identifying a duplication at 2q12.3 associated with higher cognitive performance. A functional-burden analysis was developed to examine the association between cognition and CNVs disrupting 6,502 gene sets defined across various biological tissues, cell types, and ontologies. Among these, 864 gene sets were linked to cognition, with the effect sizes of deletions and duplications negatively correlated. Deletions affected subcortical regions and postsynaptic functions, while duplications impacted the cerebral cortex and presynaptic functions.
A comprehensive analysis of skin cancer concerns and protective practices in Manitoba, Canada, highlights lack of skin cancer awareness and predominance of high-risk sun exposure behaviors
The researchers conducted a cross-sectional survey using data from Manitoba’s Tomorrow Project to examine sun exposure behaviors and attitudes. They found that over 65% of participants reported a history of sunburns, more than 50% had used tanning beds, and fewer than 50% used sunscreen. These findings highlight critical gaps in sun protection practices and awareness, underscoring the urgent need for targeted public health interventions to reduce skin cancer rates.
Cohort profile: the CARTaGENE Cohort Nutrition Study (Quebec, Canada)
The researchers aimed to address emerging nutritional epidemiological research questions, using data from the CARTaGENE cohort. Dietary information was collected making it a rich resource for the exploration of diet in the etiology of many health outcomes. They found that dietary intake and quality varied among participants but generally met recommended nutrient levels. Along with other findings, the Canadian Healthy Eating Index 2005 (C-HEI) scores were higher among never smokers, those with higher education, and those with more physical activity compared to current smokers, less than high school education, and those with lower physical activity.
Sex-Specific Associations of Aldosterone and Renin with Body Composition: A Population-Based Cohort Study
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.
A statistical testing strategy accounting for random and nonrandom (skewed) X-chromosome inactivation identifies lung cancer susceptibility loci among smokers
The research used 9,261 participants from the CARTaGENE cohort to identify susceptibility loci for lung cancer among current and past smokers. X chromosome-wide statistical analysis identified two SNPs in low-linkage disequilibrium located in the IL1RAPL1 (IL-1 R accessory protein-like) gene: rs12558491 and rs12835699. For both SNPs, the minor allele was associated with lower lung cancer risk.
Premature thymic functional senescence is a hallmark of childhood acute lymphoblastic leukemia survivorship
The researchers investigated thymic immunosenescence in childhood acute lymphoblastic leukemia (cALL) survivors. The healthy participant cohort consisted of participants from the CARTaGENE cohort and an institutional cohort from the Centre Hospitalier de l’Université de Montréal. The thymic immunosenescence biomarker, signal joint T-cell receptor excision circles (TREC), was evaluated and was highly correlated with age in healthy participants and cALL survivors. While TREC levels declined with age in both groups, cALL survivors exhibited a systematic immunoage acceleration ranging from 5.9 to 88.3 years. This immunoage gain was independent of age at diagnosis and treatment modalities but was more pronounced in females and those with metabolic syndrome. The decline in TREC was unrelated to blood cell counts, suggesting selective thymic aging.
Differences in antihypertensive medication prescription profiles between 2009 and 2021: a retrospective cohort study of CARTaGENE
Researchers examined the differences in antihypertensive medication prescription profiles in the province of Quebec between 2009 and 2021. Data from the CARTaGENE population–based cohort was used. The study found that application of hypertension guidelines for the choice of antihypertensive drugs remains suboptimal, underscoring the importance of educational initiatives.
Factors associated with change in moderate or severe symptoms of anxiety and depression in community-living adults and older adults during the COVID-19 pandemic
Researchers explored changes in moderate or severe symptoms of anxiety or depression (MSSANXDEP) from before to during the COVID-19 pandemic in Canada, and examined associated sociodemographic, economic, psychosocial, health behavior and lifestyle, and clinical factors. Data from 59,997 participants from the five established cohorts of the Canadian Partnership for Tomorrow’s Health (CanPath) were used. Analyses indicated that certain sociodemographic, economic, lifestyle, health behavior, psychosocial, and clinical factors were associated with remitted, incident, and persistent MSSANXDEP.