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Vitamin D and cognitive function: A Mendelian randomisation study.

Identifieur interne : 000373 ( PubMed/Corpus ); précédent : 000372; suivant : 000374

Vitamin D and cognitive function: A Mendelian randomisation study.

Auteurs : Jane Maddock ; Ang Zhou ; Alana Cavadino ; El Bieta Ku Ma ; Yanchun Bao ; Melissa C. Smart ; Kai-Uwe Saum ; Ben Schöttker ; Jorgen Engmann ; Marie Kj Rgaard ; Ville Karhunen ; Yiqiang Zhan ; Terho Lehtim Ki ; Suvi P. Rovio ; Liisa Byberg ; Jari Lahti ; Pedro Marques-Vidal ; Abhijit Sen ; Laura Perna ; Henrik Schirmer ; Archana Singh-Manoux ; Juha Auvinen ; Nina Hutri-K Hönen ; Mika K Hönen ; Lena Kilander ; Katri R Ikkönen ; H Kan Melhus ; Erik Ingelsson ; Idris Guessous ; Katja E. Petrovic ; Helena Schmidt ; Reinhold Schmidt ; Peter Vollenweider ; Lars Lind ; Johan G. Eriksson ; Karl Michaëlsson ; Olli T. Raitakari ; Sara H Gg ; Nancy L. Pedersen ; Karl-Heinz Herzig ; Marjo-Riitta J Rvelin ; Juha Veijola ; Mika Kivimaki ; Rolf Jorde ; Hermann Brenner ; Meena Kumari ; Chris Power ; David J. Llewellyn ; Elina Hyppönen

Source :

RBID : pubmed:29038561

Abstract

The causal nature of the association between hypovitaminosis D and poor cognitive function in mid- to later-life is uncertain. Using a Mendelian randomisation(MR) approach, we examined the causal relationship between 25(OH)D and cognitive function. Data came from 172,349 participants from 17 cohorts. DHCR7(rs12785878), CYP2R1 rs12794714) and their combined synthesis score were chosen to proxy 25(OH)D. Cognitive tests were standardised into global and memory scores. Analyses were stratified by 25(OH)D tertiles, sex and age. Random effects meta-analyses assessed associations between 25(OH)D and cognitive function. Associations of serum 25(OH)D with global and memory-related cognitive function were non-linear (lower cognitive scores for both low and high 25(OH)D, p curvature ≤ 0.006), with much of the curvature attributed to a single study. DHCR7, CYP2R1, and the synthesis score were associated with small reductions in 25(OH)D per vitamin D-decreasing allele. However, coefficients for associations with global or memory-related cognitive function were non-significant and in opposing directions for DHCR7 and CYP2R1, with no overall association observed for the synthesis score. Coefficients for the synthesis score and global and memory cognition were similar when stratified by 25(OH)D tertiles, sex and age. We found no evidence for serum 25(OH)D concentration as a causal factor for cognitive performance in mid- to later life.

DOI: 10.1038/s41598-017-13189-3
PubMed: 29038561

Links to Exploration step

pubmed:29038561

Le document en format XML

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<name sortKey="Zhou, Ang" sort="Zhou, Ang" uniqKey="Zhou A" first="Ang" last="Zhou">Ang Zhou</name>
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<name sortKey="Ku Ma, El Bieta" sort="Ku Ma, El Bieta" uniqKey="Ku Ma E" first="El Bieta" last="Ku Ma">El Bieta Ku Ma</name>
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<nlm:affiliation>University of Exeter Medical School, Exeter, United Kingdom.</nlm:affiliation>
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<name sortKey="Bao, Yanchun" sort="Bao, Yanchun" uniqKey="Bao Y" first="Yanchun" last="Bao">Yanchun Bao</name>
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<nlm:affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</nlm:affiliation>
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<name sortKey="Smart, Melissa C" sort="Smart, Melissa C" uniqKey="Smart M" first="Melissa C" last="Smart">Melissa C. Smart</name>
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<nlm:affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</nlm:affiliation>
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<name sortKey="Saum, Kai Uwe" sort="Saum, Kai Uwe" uniqKey="Saum K" first="Kai-Uwe" last="Saum">Kai-Uwe Saum</name>
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<name sortKey="Schottker, Ben" sort="Schottker, Ben" uniqKey="Schottker B" first="Ben" last="Schöttker">Ben Schöttker</name>
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<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
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<name sortKey="Engmann, Jorgen" sort="Engmann, Jorgen" uniqKey="Engmann J" first="Jorgen" last="Engmann">Jorgen Engmann</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</nlm:affiliation>
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<name sortKey="Kj Rgaard, Marie" sort="Kj Rgaard, Marie" uniqKey="Kj Rgaard M" first="Marie" last="Kj Rgaard">Marie Kj Rgaard</name>
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<nlm:affiliation>Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.</nlm:affiliation>
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<name sortKey="Karhunen, Ville" sort="Karhunen, Ville" uniqKey="Karhunen V" first="Ville" last="Karhunen">Ville Karhunen</name>
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<nlm:affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</nlm:affiliation>
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<name sortKey="Zhan, Yiqiang" sort="Zhan, Yiqiang" uniqKey="Zhan Y" first="Yiqiang" last="Zhan">Yiqiang Zhan</name>
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<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
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<name sortKey="Lehtim Ki, Terho" sort="Lehtim Ki, Terho" uniqKey="Lehtim Ki T" first="Terho" last="Lehtim Ki">Terho Lehtim Ki</name>
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<nlm:affiliation>Department of Clinical Chemistry, Fimlab Laboratories and Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</nlm:affiliation>
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<name sortKey="Rovio, Suvi P" sort="Rovio, Suvi P" uniqKey="Rovio S" first="Suvi P" last="Rovio">Suvi P. Rovio</name>
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<nlm:affiliation>Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.</nlm:affiliation>
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<name sortKey="Byberg, Liisa" sort="Byberg, Liisa" uniqKey="Byberg L" first="Liisa" last="Byberg">Liisa Byberg</name>
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<nlm:affiliation>Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
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<name sortKey="Lahti, Jari" sort="Lahti, Jari" uniqKey="Lahti J" first="Jari" last="Lahti">Jari Lahti</name>
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<nlm:affiliation>Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
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<name sortKey="Marques Vidal, Pedro" sort="Marques Vidal, Pedro" uniqKey="Marques Vidal P" first="Pedro" last="Marques-Vidal">Pedro Marques-Vidal</name>
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<nlm:affiliation>Department of Medicine, Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.</nlm:affiliation>
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<name sortKey="Sen, Abhijit" sort="Sen, Abhijit" uniqKey="Sen A" first="Abhijit" last="Sen">Abhijit Sen</name>
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<nlm:affiliation>Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.</nlm:affiliation>
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<name sortKey="Perna, Laura" sort="Perna, Laura" uniqKey="Perna L" first="Laura" last="Perna">Laura Perna</name>
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<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
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<name sortKey="Schirmer, Henrik" sort="Schirmer, Henrik" uniqKey="Schirmer H" first="Henrik" last="Schirmer">Henrik Schirmer</name>
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<nlm:affiliation>Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Auvinen, Juha" sort="Auvinen, Juha" uniqKey="Auvinen J" first="Juha" last="Auvinen">Juha Auvinen</name>
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<nlm:affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</nlm:affiliation>
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<author>
<name sortKey="Hutri K Honen, Nina" sort="Hutri K Honen, Nina" uniqKey="Hutri K Honen N" first="Nina" last="Hutri-K Hönen">Nina Hutri-K Hönen</name>
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<nlm:affiliation>Department of Pediatrics, Tampere University Hospital and Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</nlm:affiliation>
</affiliation>
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<name sortKey="K Honen, Mika" sort="K Honen, Mika" uniqKey="K Honen M" first="Mika" last="K Hönen">Mika K Hönen</name>
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<nlm:affiliation>Department of Clinical Physiology, Tampere University Hospital and Faculty  of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</nlm:affiliation>
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<name sortKey="Kilander, Lena" sort="Kilander, Lena" uniqKey="Kilander L" first="Lena" last="Kilander">Lena Kilander</name>
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<nlm:affiliation>Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
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<name sortKey="R Ikkonen, Katri" sort="R Ikkonen, Katri" uniqKey="R Ikkonen K" first="Katri" last="R Ikkönen">Katri R Ikkönen</name>
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<nlm:affiliation>Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Melhus, H Kan" sort="Melhus, H Kan" uniqKey="Melhus H" first="H Kan" last="Melhus">H Kan Melhus</name>
<affiliation>
<nlm:affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ingelsson, Erik" sort="Ingelsson, Erik" uniqKey="Ingelsson E" first="Erik" last="Ingelsson">Erik Ingelsson</name>
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<nlm:affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Guessous, Idris" sort="Guessous, Idris" uniqKey="Guessous I" first="Idris" last="Guessous">Idris Guessous</name>
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<nlm:affiliation>Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland.</nlm:affiliation>
</affiliation>
</author>
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<name sortKey="Petrovic, Katja E" sort="Petrovic, Katja E" uniqKey="Petrovic K" first="Katja E" last="Petrovic">Katja E. Petrovic</name>
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<nlm:affiliation>Division of General Neurology, Department of Neurology, General Hospital and Medical University of Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Helena" sort="Schmidt, Helena" uniqKey="Schmidt H" first="Helena" last="Schmidt">Helena Schmidt</name>
<affiliation>
<nlm:affiliation>Research Unit for Genetic Epidemiology, Institute of Molecular Biology and Biochemistry, Center of Molecular Medicine, Medical University of Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Reinhold" sort="Schmidt, Reinhold" uniqKey="Schmidt R" first="Reinhold" last="Schmidt">Reinhold Schmidt</name>
<affiliation>
<nlm:affiliation>Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Vollenweider, Peter" sort="Vollenweider, Peter" uniqKey="Vollenweider P" first="Peter" last="Vollenweider">Peter Vollenweider</name>
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<nlm:affiliation>Department of Medicine, Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.</nlm:affiliation>
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<author>
<name sortKey="Lind, Lars" sort="Lind, Lars" uniqKey="Lind L" first="Lars" last="Lind">Lars Lind</name>
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<nlm:affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
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</author>
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<name sortKey="Eriksson, Johan G" sort="Eriksson, Johan G" uniqKey="Eriksson J" first="Johan G" last="Eriksson">Johan G. Eriksson</name>
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<nlm:affiliation>Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Michaelsson, Karl" sort="Michaelsson, Karl" uniqKey="Michaelsson K" first="Karl" last="Michaëlsson">Karl Michaëlsson</name>
<affiliation>
<nlm:affiliation>Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Raitakari, Olli T" sort="Raitakari, Olli T" uniqKey="Raitakari O" first="Olli T" last="Raitakari">Olli T. Raitakari</name>
<affiliation>
<nlm:affiliation>Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="H Gg, Sara" sort="H Gg, Sara" uniqKey="H Gg S" first="Sara" last="H Gg">Sara H Gg</name>
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<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pedersen, Nancy L" sort="Pedersen, Nancy L" uniqKey="Pedersen N" first="Nancy L" last="Pedersen">Nancy L. Pedersen</name>
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<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Herzig, Karl Heinz" sort="Herzig, Karl Heinz" uniqKey="Herzig K" first="Karl-Heinz" last="Herzig">Karl-Heinz Herzig</name>
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<nlm:affiliation>Research Unit of Biomedicine, University of Oulu, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="J Rvelin, Marjo Riitta" sort="J Rvelin, Marjo Riitta" uniqKey="J Rvelin M" first="Marjo-Riitta" last="J Rvelin">Marjo-Riitta J Rvelin</name>
<affiliation>
<nlm:affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Veijola, Juha" sort="Veijola, Juha" uniqKey="Veijola J" first="Juha" last="Veijola">Juha Veijola</name>
<affiliation>
<nlm:affiliation>Medical Research Center (MRC) and Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kivimaki, Mika" sort="Kivimaki, Mika" uniqKey="Kivimaki M" first="Mika" last="Kivimaki">Mika Kivimaki</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Jorde, Rolf" sort="Jorde, Rolf" uniqKey="Jorde R" first="Rolf" last="Jorde">Rolf Jorde</name>
<affiliation>
<nlm:affiliation>Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Brenner, Hermann" sort="Brenner, Hermann" uniqKey="Brenner H" first="Hermann" last="Brenner">Hermann Brenner</name>
<affiliation>
<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kumari, Meena" sort="Kumari, Meena" uniqKey="Kumari M" first="Meena" last="Kumari">Meena Kumari</name>
<affiliation>
<nlm:affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Power, Chris" sort="Power, Chris" uniqKey="Power C" first="Chris" last="Power">Chris Power</name>
<affiliation>
<nlm:affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Llewellyn, David J" sort="Llewellyn, David J" uniqKey="Llewellyn D" first="David J" last="Llewellyn">David J. Llewellyn</name>
<affiliation>
<nlm:affiliation>University of Exeter Medical School, Exeter, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hypponen, Elina" sort="Hypponen, Elina" uniqKey="Hypponen E" first="Elina" last="Hyppönen">Elina Hyppönen</name>
<affiliation>
<nlm:affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom. elina.hypponen@unisa.edu.au.</nlm:affiliation>
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<title xml:lang="en">Vitamin D and cognitive function: A Mendelian randomisation study.</title>
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<name sortKey="Maddock, Jane" sort="Maddock, Jane" uniqKey="Maddock J" first="Jane" last="Maddock">Jane Maddock</name>
<affiliation>
<nlm:affiliation>MRC Lifelong Health and Ageing at UCL, London, United Kingdom. jane.maddock@ucl.ac.uk.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zhou, Ang" sort="Zhou, Ang" uniqKey="Zhou A" first="Ang" last="Zhou">Ang Zhou</name>
<affiliation>
<nlm:affiliation>Centre for Population Health Research, Sansom Institute, University of South Australia, Adelaide, Australia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Cavadino, Alana" sort="Cavadino, Alana" uniqKey="Cavadino A" first="Alana" last="Cavadino">Alana Cavadino</name>
<affiliation>
<nlm:affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ku Ma, El Bieta" sort="Ku Ma, El Bieta" uniqKey="Ku Ma E" first="El Bieta" last="Ku Ma">El Bieta Ku Ma</name>
<affiliation>
<nlm:affiliation>University of Exeter Medical School, Exeter, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bao, Yanchun" sort="Bao, Yanchun" uniqKey="Bao Y" first="Yanchun" last="Bao">Yanchun Bao</name>
<affiliation>
<nlm:affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Smart, Melissa C" sort="Smart, Melissa C" uniqKey="Smart M" first="Melissa C" last="Smart">Melissa C. Smart</name>
<affiliation>
<nlm:affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Saum, Kai Uwe" sort="Saum, Kai Uwe" uniqKey="Saum K" first="Kai-Uwe" last="Saum">Kai-Uwe Saum</name>
<affiliation>
<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schottker, Ben" sort="Schottker, Ben" uniqKey="Schottker B" first="Ben" last="Schöttker">Ben Schöttker</name>
<affiliation>
<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Engmann, Jorgen" sort="Engmann, Jorgen" uniqKey="Engmann J" first="Jorgen" last="Engmann">Jorgen Engmann</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kj Rgaard, Marie" sort="Kj Rgaard, Marie" uniqKey="Kj Rgaard M" first="Marie" last="Kj Rgaard">Marie Kj Rgaard</name>
<affiliation>
<nlm:affiliation>Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Karhunen, Ville" sort="Karhunen, Ville" uniqKey="Karhunen V" first="Ville" last="Karhunen">Ville Karhunen</name>
<affiliation>
<nlm:affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zhan, Yiqiang" sort="Zhan, Yiqiang" uniqKey="Zhan Y" first="Yiqiang" last="Zhan">Yiqiang Zhan</name>
<affiliation>
<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lehtim Ki, Terho" sort="Lehtim Ki, Terho" uniqKey="Lehtim Ki T" first="Terho" last="Lehtim Ki">Terho Lehtim Ki</name>
<affiliation>
<nlm:affiliation>Department of Clinical Chemistry, Fimlab Laboratories and Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Rovio, Suvi P" sort="Rovio, Suvi P" uniqKey="Rovio S" first="Suvi P" last="Rovio">Suvi P. Rovio</name>
<affiliation>
<nlm:affiliation>Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Byberg, Liisa" sort="Byberg, Liisa" uniqKey="Byberg L" first="Liisa" last="Byberg">Liisa Byberg</name>
<affiliation>
<nlm:affiliation>Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lahti, Jari" sort="Lahti, Jari" uniqKey="Lahti J" first="Jari" last="Lahti">Jari Lahti</name>
<affiliation>
<nlm:affiliation>Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Marques Vidal, Pedro" sort="Marques Vidal, Pedro" uniqKey="Marques Vidal P" first="Pedro" last="Marques-Vidal">Pedro Marques-Vidal</name>
<affiliation>
<nlm:affiliation>Department of Medicine, Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sen, Abhijit" sort="Sen, Abhijit" uniqKey="Sen A" first="Abhijit" last="Sen">Abhijit Sen</name>
<affiliation>
<nlm:affiliation>Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Perna, Laura" sort="Perna, Laura" uniqKey="Perna L" first="Laura" last="Perna">Laura Perna</name>
<affiliation>
<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schirmer, Henrik" sort="Schirmer, Henrik" uniqKey="Schirmer H" first="Henrik" last="Schirmer">Henrik Schirmer</name>
<affiliation>
<nlm:affiliation>Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Auvinen, Juha" sort="Auvinen, Juha" uniqKey="Auvinen J" first="Juha" last="Auvinen">Juha Auvinen</name>
<affiliation>
<nlm:affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hutri K Honen, Nina" sort="Hutri K Honen, Nina" uniqKey="Hutri K Honen N" first="Nina" last="Hutri-K Hönen">Nina Hutri-K Hönen</name>
<affiliation>
<nlm:affiliation>Department of Pediatrics, Tampere University Hospital and Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="K Honen, Mika" sort="K Honen, Mika" uniqKey="K Honen M" first="Mika" last="K Hönen">Mika K Hönen</name>
<affiliation>
<nlm:affiliation>Department of Clinical Physiology, Tampere University Hospital and Faculty  of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kilander, Lena" sort="Kilander, Lena" uniqKey="Kilander L" first="Lena" last="Kilander">Lena Kilander</name>
<affiliation>
<nlm:affiliation>Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="R Ikkonen, Katri" sort="R Ikkonen, Katri" uniqKey="R Ikkonen K" first="Katri" last="R Ikkönen">Katri R Ikkönen</name>
<affiliation>
<nlm:affiliation>Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Melhus, H Kan" sort="Melhus, H Kan" uniqKey="Melhus H" first="H Kan" last="Melhus">H Kan Melhus</name>
<affiliation>
<nlm:affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ingelsson, Erik" sort="Ingelsson, Erik" uniqKey="Ingelsson E" first="Erik" last="Ingelsson">Erik Ingelsson</name>
<affiliation>
<nlm:affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Guessous, Idris" sort="Guessous, Idris" uniqKey="Guessous I" first="Idris" last="Guessous">Idris Guessous</name>
<affiliation>
<nlm:affiliation>Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Petrovic, Katja E" sort="Petrovic, Katja E" uniqKey="Petrovic K" first="Katja E" last="Petrovic">Katja E. Petrovic</name>
<affiliation>
<nlm:affiliation>Division of General Neurology, Department of Neurology, General Hospital and Medical University of Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Helena" sort="Schmidt, Helena" uniqKey="Schmidt H" first="Helena" last="Schmidt">Helena Schmidt</name>
<affiliation>
<nlm:affiliation>Research Unit for Genetic Epidemiology, Institute of Molecular Biology and Biochemistry, Center of Molecular Medicine, Medical University of Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schmidt, Reinhold" sort="Schmidt, Reinhold" uniqKey="Schmidt R" first="Reinhold" last="Schmidt">Reinhold Schmidt</name>
<affiliation>
<nlm:affiliation>Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Graz, Austria.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Vollenweider, Peter" sort="Vollenweider, Peter" uniqKey="Vollenweider P" first="Peter" last="Vollenweider">Peter Vollenweider</name>
<affiliation>
<nlm:affiliation>Department of Medicine, Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lind, Lars" sort="Lind, Lars" uniqKey="Lind L" first="Lars" last="Lind">Lars Lind</name>
<affiliation>
<nlm:affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Eriksson, Johan G" sort="Eriksson, Johan G" uniqKey="Eriksson J" first="Johan G" last="Eriksson">Johan G. Eriksson</name>
<affiliation>
<nlm:affiliation>Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Michaelsson, Karl" sort="Michaelsson, Karl" uniqKey="Michaelsson K" first="Karl" last="Michaëlsson">Karl Michaëlsson</name>
<affiliation>
<nlm:affiliation>Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Raitakari, Olli T" sort="Raitakari, Olli T" uniqKey="Raitakari O" first="Olli T" last="Raitakari">Olli T. Raitakari</name>
<affiliation>
<nlm:affiliation>Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="H Gg, Sara" sort="H Gg, Sara" uniqKey="H Gg S" first="Sara" last="H Gg">Sara H Gg</name>
<affiliation>
<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pedersen, Nancy L" sort="Pedersen, Nancy L" uniqKey="Pedersen N" first="Nancy L" last="Pedersen">Nancy L. Pedersen</name>
<affiliation>
<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Herzig, Karl Heinz" sort="Herzig, Karl Heinz" uniqKey="Herzig K" first="Karl-Heinz" last="Herzig">Karl-Heinz Herzig</name>
<affiliation>
<nlm:affiliation>Research Unit of Biomedicine, University of Oulu, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="J Rvelin, Marjo Riitta" sort="J Rvelin, Marjo Riitta" uniqKey="J Rvelin M" first="Marjo-Riitta" last="J Rvelin">Marjo-Riitta J Rvelin</name>
<affiliation>
<nlm:affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Veijola, Juha" sort="Veijola, Juha" uniqKey="Veijola J" first="Juha" last="Veijola">Juha Veijola</name>
<affiliation>
<nlm:affiliation>Medical Research Center (MRC) and Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kivimaki, Mika" sort="Kivimaki, Mika" uniqKey="Kivimaki M" first="Mika" last="Kivimaki">Mika Kivimaki</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Jorde, Rolf" sort="Jorde, Rolf" uniqKey="Jorde R" first="Rolf" last="Jorde">Rolf Jorde</name>
<affiliation>
<nlm:affiliation>Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Brenner, Hermann" sort="Brenner, Hermann" uniqKey="Brenner H" first="Hermann" last="Brenner">Hermann Brenner</name>
<affiliation>
<nlm:affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kumari, Meena" sort="Kumari, Meena" uniqKey="Kumari M" first="Meena" last="Kumari">Meena Kumari</name>
<affiliation>
<nlm:affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</nlm:affiliation>
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</author>
<author>
<name sortKey="Power, Chris" sort="Power, Chris" uniqKey="Power C" first="Chris" last="Power">Chris Power</name>
<affiliation>
<nlm:affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.</nlm:affiliation>
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<author>
<name sortKey="Llewellyn, David J" sort="Llewellyn, David J" uniqKey="Llewellyn D" first="David J" last="Llewellyn">David J. Llewellyn</name>
<affiliation>
<nlm:affiliation>University of Exeter Medical School, Exeter, United Kingdom.</nlm:affiliation>
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</author>
<author>
<name sortKey="Hypponen, Elina" sort="Hypponen, Elina" uniqKey="Hypponen E" first="Elina" last="Hyppönen">Elina Hyppönen</name>
<affiliation>
<nlm:affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom. elina.hypponen@unisa.edu.au.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Scientific reports</title>
<idno type="eISSN">2045-2322</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">The causal nature of the association between hypovitaminosis D and poor cognitive function in mid- to later-life is uncertain. Using a Mendelian randomisation(MR) approach, we examined the causal relationship between 25(OH)D and cognitive function. Data came from 172,349 participants from 17 cohorts. DHCR7(rs12785878), CYP2R1 rs12794714) and their combined synthesis score were chosen to proxy 25(OH)D. Cognitive tests were standardised into global and memory scores. Analyses were stratified by 25(OH)D tertiles, sex and age. Random effects meta-analyses assessed associations between 25(OH)D and cognitive function. Associations of serum 25(OH)D with global and memory-related cognitive function were non-linear (lower cognitive scores for both low and high 25(OH)D, p curvature ≤ 0.006), with much of the curvature attributed to a single study. DHCR7, CYP2R1, and the synthesis score were associated with small reductions in 25(OH)D per vitamin D-decreasing allele. However, coefficients for associations with global or memory-related cognitive function were non-significant and in opposing directions for DHCR7 and CYP2R1, with no overall association observed for the synthesis score. Coefficients for the synthesis score and global and memory cognition were similar when stratified by 25(OH)D tertiles, sex and age. We found no evidence for serum 25(OH)D concentration as a causal factor for cognitive performance in mid- to later life.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="In-Data-Review" Owner="NLM">
<PMID Version="1">29038561</PMID>
<DateCreated>
<Year>2017</Year>
<Month>10</Month>
<Day>17</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>11</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">2045-2322</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>7</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2017</Year>
<Month>Oct</Month>
<Day>16</Day>
</PubDate>
</JournalIssue>
<Title>Scientific reports</Title>
<ISOAbbreviation>Sci Rep</ISOAbbreviation>
</Journal>
<ArticleTitle>Vitamin D and cognitive function: A Mendelian randomisation study.</ArticleTitle>
<Pagination>
<MedlinePgn>13230</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/s41598-017-13189-3</ELocationID>
<Abstract>
<AbstractText>The causal nature of the association between hypovitaminosis D and poor cognitive function in mid- to later-life is uncertain. Using a Mendelian randomisation(MR) approach, we examined the causal relationship between 25(OH)D and cognitive function. Data came from 172,349 participants from 17 cohorts. DHCR7(rs12785878), CYP2R1 rs12794714) and their combined synthesis score were chosen to proxy 25(OH)D. Cognitive tests were standardised into global and memory scores. Analyses were stratified by 25(OH)D tertiles, sex and age. Random effects meta-analyses assessed associations between 25(OH)D and cognitive function. Associations of serum 25(OH)D with global and memory-related cognitive function were non-linear (lower cognitive scores for both low and high 25(OH)D, p curvature ≤ 0.006), with much of the curvature attributed to a single study. DHCR7, CYP2R1, and the synthesis score were associated with small reductions in 25(OH)D per vitamin D-decreasing allele. However, coefficients for associations with global or memory-related cognitive function were non-significant and in opposing directions for DHCR7 and CYP2R1, with no overall association observed for the synthesis score. Coefficients for the synthesis score and global and memory cognition were similar when stratified by 25(OH)D tertiles, sex and age. We found no evidence for serum 25(OH)D concentration as a causal factor for cognitive performance in mid- to later life.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Maddock</LastName>
<ForeName>Jane</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>MRC Lifelong Health and Ageing at UCL, London, United Kingdom. jane.maddock@ucl.ac.uk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom. jane.maddock@ucl.ac.uk.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zhou</LastName>
<ForeName>Ang</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Centre for Population Health Research, Sansom Institute, University of South Australia, Adelaide, Australia.</Affiliation>
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<LastName>Cavadino</LastName>
<ForeName>Alana</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.</Affiliation>
</AffiliationInfo>
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<Affiliation>Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, United Kingdom.</Affiliation>
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<LastName>Kuźma</LastName>
<ForeName>Elżbieta</ForeName>
<Initials>E</Initials>
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<Affiliation>University of Exeter Medical School, Exeter, United Kingdom.</Affiliation>
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<LastName>Bao</LastName>
<ForeName>Yanchun</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Smart</LastName>
<ForeName>Melissa C</ForeName>
<Initials>MC</Initials>
<AffiliationInfo>
<Affiliation>Institute for Social and Economic Research (ISER), University of Essex, Colchester, United Kingdom.</Affiliation>
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</Author>
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<LastName>Saum</LastName>
<ForeName>Kai-Uwe</ForeName>
<Initials>KU</Initials>
<AffiliationInfo>
<Affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Schöttker</LastName>
<ForeName>Ben</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Network Aging Research (NAR), University of Heidelberg, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institute of Health Care and Social Sciences, FOM University, Essen, Germany.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Engmann</LastName>
<ForeName>Jorgen</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kjærgaard</LastName>
<ForeName>Marie</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Endocrinology Research Group, Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Karhunen</LastName>
<ForeName>Ville</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Oulu University Hospital, Oulu, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zhan</LastName>
<ForeName>Yiqiang</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lehtimäki</LastName>
<ForeName>Terho</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Chemistry, Fimlab Laboratories and Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Rovio</LastName>
<ForeName>Suvi P</ForeName>
<Initials>SP</Initials>
<AffiliationInfo>
<Affiliation>Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.</Affiliation>
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<Author ValidYN="Y">
<LastName>Byberg</LastName>
<ForeName>Liisa</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.</Affiliation>
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<LastName>Lahti</LastName>
<ForeName>Jari</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Helsinki Collegium for Advanced Studies, University of Helsinki, Helsinki, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Marques-Vidal</LastName>
<ForeName>Pedro</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-4548-8500</Identifier>
<AffiliationInfo>
<Affiliation>Department of Medicine, Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Sen</LastName>
<ForeName>Abhijit</ForeName>
<Initials>A</Initials>
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<Affiliation>Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Perna</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
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<Affiliation>Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.</Affiliation>
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<Author ValidYN="Y">
<LastName>Schirmer</LastName>
<ForeName>Henrik</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Cardiology, Akershus University Hospital, Lørenskog, Norway.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Singh-Manoux</LastName>
<ForeName>Archana</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Epidemiology and Public Health, University College London, London, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>INSERM, U1018, Centre for Research in Epidemiology and Population Health, Hôpital Paul Brousse, Villejuif, France.</Affiliation>
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<LastName>Auvinen</LastName>
<ForeName>Juha</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Center for Life Course Health Research, University of Oulu, Oulu, Finland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Oulu University Hospital, Oulu, Finland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Hutri-Kähönen</LastName>
<ForeName>Nina</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Tampere University Hospital and Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Kähönen</LastName>
<ForeName>Mika</ForeName>
<Initials>M</Initials>
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<Affiliation>Department of Clinical Physiology, Tampere University Hospital and Faculty  of Medicine and Life Sciences, University of Tampere, Tampere, Finland.</Affiliation>
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<Author ValidYN="Y">
<LastName>Kilander</LastName>
<ForeName>Lena</ForeName>
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<Affiliation>Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.</Affiliation>
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<LastName>Räikkönen</LastName>
<ForeName>Katri</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.</Affiliation>
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<Author ValidYN="Y">
<LastName>Melhus</LastName>
<ForeName>Håkan</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</Affiliation>
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<Author ValidYN="Y">
<LastName>Ingelsson</LastName>
<ForeName>Erik</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Sciences, Uppsala University, Uppsala, Sweden.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Medicine, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, USA.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Guessous</LastName>
<ForeName>Idris</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
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