Publications

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

2024

Psychosocial factors, health behaviors and risk of cancer incidence: Testing interaction and effect modification in an individual participant data meta-analysis

Authors: Maartje Basten, Kuan-Yu Pan, Lonneke A vanTuijl, Alexander de Graeff, Joost Dekker, Adriaan W Hoogendoorn, Femke Lamers, Adelita V Ranchor, Roel Vermeulen, Lützen Portengen, Adri C Voogd, Jessica Abell, Philip Awadalla, Aartjan T.F. Beekman, Ottar Bjerkeset, Andy Boyd, Yunsong Cui, Philipp Frank, Henrike Galenkamp, Bert Garssen, Sean Hellingman, Martijn Huisman, Anke Huss, Melanie R. Keats, Almar A.L. Kok, Steinar Krokstad, Flora E. van Leeuwen, Annemarie I. Luik, NolwennNoisel, Yves Payette, Brenda W.J.H. Penninx, Ina Rissanen, Annelieke M. Roest, Judith G.M. Rosmalen, Rikje Ruiter, Robert A. Schoevers, David Soave, Mandy Spaan, Andrew Steptoe, Karien Stronks, Erik R. Sund, Ellen Sweeney, Emma L. Twait, Alison Teyhan, W.M. Monique Verschuren, Kimberly D. van der Willik, Mirjam I. Geerlings

Researchers determined whether psychosocial factors interact with or modify the effects of health behaviors, such as smoking and alcohol use, in relation to cancer incidence. Data were used from 22 cohorts, including the Ontario Health Study, Atlantic Partnership for Tomorrow’s Health, and CARTaGENE. After exploring 744 combinations of psychosocial factors, the researchers found no evidence that psychosocial factors interacted with or modified health behaviors related to cancer incidence.

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2024

Ultra-processed foods consumption, depression, and the risk of diabetes complications in the CARTaGENE project: a prospective cohort study in Quebec, Canada

Authors: Akankasha Sen, Anne-Sophie Brazeau, Sonya Deschênes, Hugo Ramiro Melgar-Quiñonez, Norbert Schmitz 

Researchers examined the association between depression, ultra-processed food consumption (UPFs), and the risk of developing diabetes-specific complications in adults with type 2 diabetes. Data from participants enrolled in CARTaGENE were used. Over 7 years, 105 individuals developed diabetes-related complications. Participants with high depressive symptoms and high levels of UPF consumption had a higher risk of diabetes complications compared to those without depressive symptoms and low levels of UPFs in their diet. When high depressive symptoms and antidepressant use were combined with high UPF consumption, the risk of diabetes complications was higher.

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2023

Reduced incidence of diabetes during the COVID-19 pandemic in Alberta: A time-segmented longitudinal study of Alberta’s Tomorrow Project

Authors: Ming Ye, Jennifer E Vena, Grace Shen-Tu, Jeffrey A Johnson, Dean T Eurich

Researchers aimed to outline the impact of the COVID-19 pandemic on diabetes diagnosis using data from participants who were part of Alberta’s Tomorrow Project. During the COVID-19 pandemic (up to 31 March 2021), the rate of diabetes diagnosis was 32% lower than pre-pandemic levels. The first COVID-19 state of emergency (first wave) was associated with an 87.3% reduction in diabetes diagnoses. This trend continued through the second COVID-19 state of emergency, and no notable increase in diagnoses was observed even after the state of emergency was relaxed. Ultimately, it was found that in Alberta, the COVID-19 public health emergencies had adverse consequences on diabetes diagnoses.

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2023

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

Authors: Helen-Maria Vasiliadis, Jessica Spagnolo, Mary Bartram, Marie-Josée Fleury, Jean-Philippe Gouin, Sébastien Grenier, Pasquale Roberge, Grace Shen-Tu, Jennifer E Vena, Catherine Lamoureux-Lamarche , JianLi Wang

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.

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2023

Plant-based dietary patterns and genetic susceptibility to obesity in the CARTaGENE cohort

Authors: Guiomar Masip, Atheer Attar, Daiva E Nielsen

Researchers explored whether adherence to three plant-based dietary indices (PDIs) mediated or moderated genetic susceptibility to obesity. The study included 7,037 adults from the CARTaGENE cohort. Obesity outcomes were found to be significantly associated with overall- and healthy-PDIs and polygenic risk scores (PRSs). Adherence to PDIs neither mediated nor moderated genetic susceptibility to obesity. Higher levels of meat consumption were positively associated with obesity, while increased levels of whole grain intake were negatively associated with obesity outcomes.

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2023

The influence of smoking and occupational risk factors on DNA methylation in the AHRR and F2RL3 genes

Authors: Laura Pelland-St-Pierre, Michael C Pham, Alice Quynh Huong Nguyen, Romain Pasquet, Sherryl A Taylor, Delphine Bosson-Rieutort, Anita Koushik, Vikki Ho

The researchers aimed to determine the association between smoking, occupational exposures, and AHRR and F2RL3 methylation, as AHRR and F2RL3 hypomethylation has been associated with lung cancer. A case-control study was implemented with CARTaGENE participants to outline the relationship between AHRR and F2RL3 methylation and lung cancer risk. It was found that in both the AHRR and F2RL3 genes, smoking was associated with lower levels of methylation. The data indicates that smoking and occupational exposures to some agents are associated with AHRR and F2RL3 hypomethylation.

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2023

Subclinical primary aldosteronism and cardiovascular health: a population-based cohort study

Authors: Gregory L Hundemer, Mohsen Agharazii, François Madore, Anand Vaidya, Jenifer M Brown, Alexander A Leung, Gregory A Kline, Eric Larose, Marie-Eve Piché, Andrew M Crean, Julie L V Shaw, Tim Ramsay, Bernhard Hametner, Siegfried Wassertheurer, Manish M Sood, Swapnil Hiremath, Marcel Ruzicka, Rémi Goupil

This study explores the impact of subclinical primary aldosteronism, a less recognized form of hypertension characterized by renin-independent aldosterone production, on cardiovascular health. With data from 1284 CARTaGENE participants, researchers found that a higher aldosterone-to-renin ratio, indicative of this condition, was associated with increased arterial stiffness, adverse cardiac remodeling, and higher odds of developing hypertension, independent of traditional blood pressure measures.

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2023

Health-related and psychosocial factors associated with prostate cancer stage at diagnosis among males participating in Alberta’s Tomorrow Project

Authors: Michelle L Aktary, Brittany Shewchuk, Qinggang Wang, Eric Hyndman, Lorraine Shack, Paula J Robson, Karen A Kopciuk

Researchers investigated the factors associated with the stage at which prostate cancer (PCa) is diagnosed among males in Alberta’s Tomorrow Project. They found that a higher number of lifetime prostate-specific antigen tests were linked to earlier-stage PCa, while higher abdominal circumference, lower social support, and having children were associated with later-stage disease.

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2023

The role of ultra-processed food consumption and depression on type 2 diabetes incidence: a prospective community study in Quebec, Canada

Authors: Akankasha Sen, Anne-Sophie Brazeau, Sonya Deschênes, Hugo Ramiro Melgar-Quiñonez, Norbert Schmitz

Researchers explored the link between depression and consumption of highly processed foods as potential risk factors for developing type 2 diabetes. Using CARTaGENE data, findings suggest that individuals with high depressive symptoms and high consumption of ultra-processed foods had the highest risk of developing type 2 diabetes.

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2023

Evidence that ovarian hormones, but not diet and exercise, contribute to the sex disparity in post-traumatic stress disorder

Authors: Megan Wiseman, Meagan Hinks, Darcy Hallett, Jacqueline Blundell, Ellen Sweeney, Christina Thorpe, Susan Walling, Ashlyn Swift-Gallant

Females are twice as likely as males to receive a diagnosis of post-traumatic stress disorder (PTSD). Using data from the Atlantic Partnership for Tomorrow’s Health (PATH) cohort of 16,899 participants, the relationship between endogenous hormone fluctuations (e.g., menarche, pregnancy, and menopause), exogenous hormone use (e.g., hormonal contraception and hormone replacement therapy (HRT)) and lifestyle variables (diet and exercise habits, as measured by the Mediterranean Diet Adherence Screener, Healthy Eating Index, and International Physical Activity Questionnaire) with PTSD diagnosis and treatment were analyzed. While several hormonal variables, including contraceptive use, higher total number of pregnancies, younger menarche age, and having undergone menopause increased the risk of PTSD, no lifestyle variables contributed to an increased risk of PTSD diagnosis.

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