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T I Sorensen

Publications and source records attributed to T I Sorensen.

7 recordsLinked to original sources

Multi-state models for bleeding episodes and mortality in liver cirrhosis.

Data from a controlled clinical trial in liver cirrhosis are used to illustrate that multi-state models may be a useful tool in the analysis of data where survival is the ultimate outcome of interest but where intermediate, transient states are identified. We compare models for the marginal survival time distribution with models including transient states, both with respect to their clinical interpretation and with respect to the precision of survival probability estimates obtained from the various models.

Antihypertensive Agents↗

Impact of the v/v 55 polymorphism of the uncoupling protein 2 gene on 24-h energy expenditure and substrate oxidation.

OBJECTIVE: The gene that codes for a novel uncoupling protein, UCP2, has been linked to obesity in animal models. Markers encompassing the UCP2 locus have been linked to energy expenditure in humans. We studied the role of a common amino acid substitution, replacing an alanine (A) with a valine (V) at codon 55, of the coding region of the UCP2 gene for 24-h energy expenditure and respiratory quotient (RQ) in healthy subjects METHODS: 24-h energy expenditure and RQ were measured in calorimeters in 60 healthy subjects. The UCP2 polymorphism was determined by restriction fragment length polymorphism-generating polymerase chain reaction. RESULTS: Age, gender and body fat were not different between groups, the number of subjects in each groups was A/A: 35% (n=21), A/V: 48% (n=29), and V/V: 17% (n=10). Twenty-four-hour energy expenditure, adjusted for fat-free mass, fat mass, and spontaneous physical activity, was 311 kJ/d lower (95% confidence interval: 24-598 kJ/d, P=0.03) in the V/V homozygotes than in the A/A and A/V genotypes. The V/V had approximately 20% higher 24-h spontaneous physical activity, particularly higher at night (P<0.005). Energy expenditure due to higher spontaneous physical activity counteracted the V/V group's lower 24-h resting energy expenditure for a given body size and composition. 24-h RQ adjusted for energy balance, age, sex and spontaneous physical activity, was higher in the V/V homozygotes than in the AA and A /V groups (P<0.05). CONCLUSIONS: Subjects with the V/V genotype of the UCP2 gene exhibit an enhanced metabolic efficiency and lower fat oxidation than the A/A and A/V genotypes.

Adult↗

Weight-loss attempts and risk of major weight gain: a prospective study in Finnish adults.

BACKGROUND: The effects of weight-loss attempts on long-term weight gain remain unclear. OBJECTIVE: The objective was to study prospectively how attempts to lose weight relate to future risk of major weight gain (>10 kg) and whether familial factors affect this relation. DESIGN: Participants in the Finnish Twin Cohort (3536 men and 4193 women aged 18-54 y at baseline) were followed up for 6-15 y. The role of familial factors was studied in 1705 twin pairs in this cohort who were discordant for weight-loss attempts at baseline. Baseline (1975) and follow-up (1981 and 1990) data-including weight, weight-loss attempts (dieting), and selected confounders-were obtained via mailed questionnaires. RESULTS: Average weight gain was at most weakly associated with weight-loss attempts. The risk of major weight gain for subjects attempting to lose weight at baseline was greatest among initially young (18-29 y) men (over 6 and 15 y, respectively-odds ratios: 2.01 and 1.74; 95% CI: 1.13, 3.57 and 1.11, 2.75) and middle-aged (30-54 y) women (over 6 and 15 y, respectively-2.43 and 1.52; 1.33, 4.42 and 1.06, 2.22) and persisted after potential confounders were controlled for. These risks decreased and became nonsignificant in the pairwise twin analysis, suggesting that the relation between dieting and subsequent major weight gain may also have a familial component. CONCLUSIONS: Weight-loss attempts may be associated with subsequent major weight gain, even when several potential confounders are controlled for. Genetic and familial factors may contribute to this association.

Adolescent↗

Central venous catheterization through the basilic vein or by infraclavicular puncture? A controlled trial.

Central venous catheterization through the basilic vein and by infraclavicular puncture of the subclavian vein was compared in a trial with random allocation to 125 candidate patients. The catheters were inserted via the two routes with roughly equal success rates. Subclavian catheters were maintained better for the period required than were basilic catheters. The infraclavicular puncture caused initial, and basilic catheterization, late complications. Consequently, infraclavicular puncture is preferable for long-term, and basilic catheterization for short-term, needs.

Blood Pressure Determination↗