Publications

These publications are examples of research made possible with data from CanPath and its regional cohorts.

2025

Gender differences in the association between adherence to healthy diet principles and adherence to cardiopreventive medication among adults from Québec (Canada)

Authors: L. Leblay, J. Lessard-Lord, J. Paquette, L. Guénette, J. Drouin-Chartier

The researchers examined gender differences in the relationship between adherence to healthy diet principles and cardiopreventive medication among 268 women and 204 men in the CARTaGENE cohort. Using the Alternate Healthy Eating Index (AHEI) and daily pharmacotherapy possession rate (DPPR) to assess healthy diet and medication adherence, respectively, they found contrasting associations. Among men, higher AHEI scores were inversely associated with DPPR, particularly in non-smokers and those on cholesterol-lowering medication only. In women, this association was positive and stronger among those with obesity or using three or more medications, highlighting gender-specific challenges in optimizing adherence to both behaviors.

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2025

Uromodulin and risk of upper urinary tract infections: A Mendelian randomization study

Authors: K. Vardheim Liyanarachi, H. Flatby, S. Hallan, B.O. Åsvold, J. K. Damås, T. Rogne

The researchers examined whether uromodulin, a protein produced by the kidneys, helps protect against upper urinary tract infections using data from the CARTaGENE cohort and other large datasets. They used a genetic approach called Mendelian randomization. The study included participants with measured urinary uromodulin levels and individuals with or without upper urinary tract infections. Their analysis showed that higher genetically predicted levels of urinary uromodulin were linked to a lower risk of these infections. These findings suggest that uromodulin may play a protective role in preventing upper urinary tract infections.

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2025

Covert vascular brain injury and cognitive dysfunction among Chinese adults living in Canada and China

Authors: C. Ke, S.S. Anand, E.E. Smith , K.M. Schulze, A. Moody

The researchers examined how country of residence influences covert cerebrovascular disease (VBI) and cognitive dysfunction among Chinese adults living in Canada and China. The study compared Chinese adults in Canada and China. They found that people in Canada had a lower prevalence of covert VBI and cognitive dysfunction than those living in China, even though both groups shared the same ethnicity. Living in China was associated with a much higher risk of covert VBI and lower cognitive function, although the link between cognitive dysfunction and country of residence was explained by education and traditional cerebrovascular risk factors, such as blood pressure and cholesterol.

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2024

Relationships between the Planetary Health Diet Index, its food groups, and polygenic risk of obesity in the CARTaGENE cohort

Authors: G. Masip, D. E. Nielsen

The researchers investigated the relationship between adherence to the Planetary Health Diet Index (PHDI) and genetic susceptibility to obesity in 7,037 CARTaGENE participants. They found that higher PHDI adherence was negatively associated with BMI, waist circumference, and body fat percentage. Genetic susceptibility to obesity was partly mediated by red meat and whole grain intake, with some effects varying by sex and reducing after correction for multiple comparisons.

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2024

Healthcare costs associated with receipt of effective mental healthcare coverage in individuals with moderate or severe symptoms of anxiety and depression.

Authors: H. Vasiliadis, P. Roberge, G. Shen-Tu, J. Vena

The researchers assessed the factors and healthcare costs associated with effective mental healthcare coverage (EMHC) for anxiety and depression using data from 720 participants in Alberta’s Tomorrow Project during the first wave of the COVID-19 pandemic. They found that only 26.7% of participants received EMHC, defined as adequate pharmacotherapy and/or psychotherapy. Individuals reporting worsening self-rated mental health after the pandemic compared to before were less likely to receive EMHC. Lifetime diagnoses of anxiety and depression increased the likelihood of receiving EMHC. Adjusted total healthcare costs attributable to EMHC were $2601. These findings underscore unmet mental health needs during the pandemic and highlight the need for policies to ensure timely access to EMHC.

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2024

Investigating Skin Cancer Risk and Sun Safety Practices Among LGBTQ+ Communities in Canada

Authors: F. Lagacé, F. Mahmood, S. Conte, L. A. Mija, A. Moustaqim-Barrette, J. LeBeau, A. McKenna, M. Maazi, J. Hanna, A. S. V. Kelly, R. Lazarowitz, E. Rahme, T. J. Hrubeniuk, E. Sweeney, I. V. Litvinov,

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.

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2024

Effects of gene dosage on cognitive ability: A function-based association study across brain and non-brain processes

Authors: G. Huguet, T. Renne, C. Poulain, A. Dubuc, K. Kumar, S. Kazem, W. Engchuan, O. Shanta, E. Douard, C. Proulx, J.-L. Martineau, Z. Saci, J. Mollon, L. M. Schultz, E. E. M. Knowles, S. R. Cox, D. Porteous, G. Davies, P. Redmond, S. E. Harris, G. Schumann, G. Dumas, A. Labbe, Z. Pausova, T. Paus, S. W. Scherer, J. Sebat, L. Almasy, D. C. Glahn, S. Jacquemont

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.

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2024

Lower estimated glomerular filtration rate relates to cognitive impairment and brain alterations

Authors: S. Rahayel, R. Goupil, D.S. Genest, F. Lamarche, M. Agharazii, V. Ayral, C. Tremblay, F. Madore

The researchers investigated the association between estimated glomerular filtration rate (eGFR) and cognitive function in 15,897 CARTaGENE participants. They found that lower eGFR was linked to reduced cognitive performance and that brain regions associated with eGFR were enriched in mitochondrial and inflammation-related genes. These associations were independent of age, sex, education, BMI, Framingham risk score, and white matter lesion volume.

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2024

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

Authors: 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

Exposure to air pollutants and subclinical carotid atherosclerosis measured by magnetic resonance imaging: A cross-sectional analysis

Authors: S. M. Azab, D. Doiron, K. M. Schulze, J. R. Brook, M. Brauer, E. E. Smith, A. R. Moody, D. Desai, M. G. Friedrich, S. I. Bangdiwala, D. Zeraatkar, D. Lee, T. J. B. Dummer, P. Poirier, J.-C. Tardif, K. K. Teo, S. Lear, S. Yusuf, S. S. Anand, R. J. de Souza.

The researchers examined how long-term exposure to air pollution affects early signs of heart disease. They used data to explore whether low levels of air pollutants are linked to the thickening of artery walls. The study included 6,645 adults from five Canadian provinces and estimated their exposure to nitrogen dioxide (NO₂), ozone (O₃), and fine particulate matter (PM2.5) over several years. Using MRI scans to measure carotid artery wall thickness, the researchers found mixed results. Higher levels of ozone were linked to thicker artery walls, suggesting a potential negative effect, while higher nitrogen dioxide levels were associated with thinner artery walls, a finding that requires further investigation.

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