0000000001149687

AUTHOR

Mia-maria Perälä

showing 14 related works from this author

Telomere Length and Frailty: The Helsinki Birth Cohort Study

2018

Objectives: Telomere length is associated with aging-related pathologies. Although the association between telomere length and frailty has been studied previously, only a few studies assessing longitudinal changes in telomere length and frailty exist. Design: Longitudinal cohort study. Setting and participants: A subpopulation of the Helsinki Birth Cohort Study consisting of 1078 older adults aged 67 to 79 years born in Helsinki, Finland, between 1934 and 1944. Measures: Relative leukocyte telomere length (LTL) was measured using quantitative real-time polymerase chain reaction at the average ages of 61 and 71 years, and at the latter the participants were assessed for frailty according to …

0301 basic medicineMaleAgingBODY-WATERbiomarkkeritvanheneminenPHENOTYPECohort StudiesRisk FactorsElectric ImpedanceMedicineLongitudinal StudiesLongitudinal cohortOXIDATIVE STRESSGeneral NursingFinlandTelomere ShorteningtelomeregerasteniaFrailtyHealth PolicyConfoundingAge FactorsRISK FACTORta3142General MedicineASSOCIATIONMiddle Aged3. Good healthCohortBody CompositionbiomarkerFemaleBirth cohortLongevityfrailtyta311103 medical and health sciencesSex FactorsINFLAMMATIONHumansELDERLY CHINESERisk factorOLDER-ADULTSAgedbusiness.industryMORTALITYBiomarkerConfidence intervalTelomere030104 developmental biologyPHYSICAL-ACTIVITYCross-Sectional StudiesSocioeconomic FactorsmarkkeritRelative risk3121 General medicine internal medicine and other clinical medicinetelomeeritGeriatrics and Gerontologybusinesshauraus-raihnausoireyhtymäDemographyJournal of the American Medical Directors Association
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A healthy Nordic diet and physical performance in old age : findings from the longitudinal Helsinki Birth Cohort Study

2016

AbstractEpidemiological studies have shown that a number of nutrients are associated with better physical performance. However, little is still known about the role of the whole diet, particularly a healthy Nordic diet, in relation to physical performance. Therefore, we examined whether a healthy Nordic diet was associated with measures of physical performance 10 years later. We studied 1072 participants from the Helsinki Birth Cohort Study. Participants’ diet was assessed using a validated 128-item FFQ at the mean age of 61 years, and a priori-defined Nordic diet score (NDS) was calculated. The score included Nordic fruits and berries, vegetables, cereals, PUFA:SFA and trans-fatty acids ra…

Male0301 basic medicineGerontologyMediterranean dietMedicine (miscellaneous)VITAMIN-D STATUSSenior Fitness TestBody Mass IndexPhysical performanceCohort Studies0302 clinical medicine3123 Gynaecology and paediatricsSurveys and QuestionnairesVegetablesEpidemiologyLongitudinal StudiesMicronutrients030212 general & internal medicineMETABOLIC SYNDROMENutrition and DieteticsFatty AcidsFishesBALTIC SEA DIETta3141ta3142ASSOCIATIONMiddle AgedTrans Fatty AcidsMicronutrientMEDITERRANEAN DIETMilkFatty Acids UnsaturatedFemaleDietary ProteinsCohort studymedicine.medical_specialtyMeatMotor Activity03 medical and health sciencesDietary CarbohydratesmedicineAnimalsHumansFOOD FREQUENCY QUESTIONNAIRE030109 nutrition & dieteticsbusiness.industryNordic dietWOMENS HEALTHADULTSmedicine.diseaseDietary FatsDietBODY-MASS INDEXAgeingLOWER-EXTREMITY FUNCTIONNutrition AssessmentSeafood416 Food SciencePhysical performanceAgeingFruitMetabolic syndromeEdible GrainEnergy IntakebusinessBody mass indexFollow-Up StudiesDemography
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Body composition as a predictor of physical performance in older age : A ten- year follow-up of the Helsinki Birth Cohort Study

2018

Background: This study assessed how different measures of body composition predict physical performance ten years later among older adults. Methods: The participants were 1076 men and women aged 57 to 70 years. Body mass index (BMI), waist circumference, and body composition (bioelectrical impedance analysis) were measured at baseline and physical performance (Senior Fitness Test) ten years later. Linear regression analyses were adjusted for age, education, smoking, duration of the follow-up and physical activity. Results: Greater BMI, waist circumference, fat mass, and percent body fat were associated with poorer physical performance in both sexes (standardized regression coefficient [beta…

MaleSarcopeniaAgingHealth (social science)Body compositionPhysical performanceCohort Studies0302 clinical medicineMedicine030212 general & internal medicineChildFinlandAdiposity2. Zero hungerINSULIN-RESISTANCELOWER-EXTREMITY PERFORMANCEIncidenceFUNCTIONAL IMPAIRMENTta3142X-RAY ABSORPTIOMETRYMiddle AgedPhysical Functional PerformanceC-REACTIVE PROTEINfyysinen kuntoFemaleBioelectrical impedance analysisikääntyneetCohort studyNATIONAL-HEALTHWaist030209 endocrinology & metabolismArticle03 medical and health scienceslean massHumansSarcopenic obesitySARCOPENIC OBESITYObesityExerciseAgedkehonkoostumusbusiness.industryLean massALTERNATIVE DEFINITIONSphysical performanceADULTSmedicine.diseaseObesitylihasmassa3121 General medicine internal medicine and other clinical medicineStandardized coefficientLean body masslihavuus3111 BiomedicineGeriatrics and GerontologybusinessGerontologyBody mass indexFollow-Up StudiesForecastingDemography
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Glucose regulation and physical performance among older people: the Helsinki Birth Cohort Study

2018

Aims To assess whether disturbances in glucose regulation are associated with impairment in physical performance during a 10-year follow-up. Methods 475 Men and 603 women from the Helsinki Birth Cohort Study were studied. Glucose regulation was evaluated with a 2-h 75-g oral glucose tolerance test (OGTT) in 2001-2004. Subjects were categorised as having either impaired fasting glucose (IFG), impaired glucose tolerance (IGT), newly diagnosed diabetes or previously known diabetes. Physical performance was assessed approximately 10 years later using the validated senior fitness test (SFT). The relationship between glucose regulation and the overall SFT score was estimated using multiple linear…

Blood GlucoseMaleAgingFITNESSEpidemiologyEndocrinology Diabetes and MetabolismPhysical fitnessCohort StudiesImpaired glucose toleranceMUSCLE STRENGTHDiabetes mellitus0302 clinical medicineEndocrinologyglukoosi-intoleranssiEpidemiology030212 general & internal medicineepidemiologiaFinlandAged 80 and overeducation.field_of_studyGlucose tolerance testdiabetesmedicine.diagnostic_testINDEPENDENCEGeneral Medicinefyysinen kuntodiabetes mellitusOriginal ArticleFemaleHEALTHmedicine.medical_specialtyBODY-COMPOSITIONPopulation030209 endocrinology & metabolismglucose tolerance testIMPAIRMENTSPrediabetic State03 medical and health sciencesUS ADULTSInternal medicineDiabetes mellitusGlucose IntoleranceInternal MedicinemedicineHumanseducationAgedbusiness.industryDISABILITYPhysical fitnessGlucose Tolerance Testmedicine.diseaseImpaired fasting glucoseHIGH-RISKAgeingikääntyminenverensokeri3121 General medicine internal medicine and other clinical medicineBlood sugar regulation3111 BiomedicinebusinessMEXICAN-AMERICANSFollow-Up StudiesActa Diabetologica
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Infant and childhood growth and frailty in old age : the Helsinki Birth Cohort Study

2018

BackgroundEvidence from life course studies highlights the importance of infant and childhood growth as risk factors for adulthood chronic diseases.MethodsIn this sub-study of the Helsinki Birth Cohort Study, we studied 1078 individuals who had both information on body size from birth to 12 years of age and who were assessed for frailty according to the Fried criteria at the mean age of 71 years.ResultsGreater BMI gain between 2 and 11 years in boys was associated with frailty in old age (age-adjusted RRR 2.36, 95% CI 1.21, 4.63). No similar associations were observed in girls.ConclusionsMen who were frail in old age experienced accelerated BMI gain in childhood compared with those men who …

MaleAgingChildhood growthDiseasefrailtyBody sizeWeight GainpituuskasvukasvuelämänkaariArticlepainonnousuBody Mass IndexCohort Studiesvarhaislapsuus03 medical and health sciencesChild DevelopmentSex Factors0302 clinical medicinevanhuusRisk FactorsHumansMedicine030212 general & internal medicineRisk factorChildAgedlife coursegerasteniaFrailtybusiness.industryInfant NewbornInfantMean ageriskitekijätlapsuusrisk factorPhysical performanceChild PreschoolLife course approachFemaleGeriatrics and GerontologybusinessBirth cohort030217 neurology & neurosurgeryDemography
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The healthy Nordic diet predicts muscle strength 10 years later in old women, but not old men

2017

Background a number of nutrients have been found to be associated with better muscle strength and mass; however, the role of the whole diet on muscle strength and mass remains still unknown. Objective to examine whether the healthy Nordic diet predicts muscle strength, and mass 10 years later among men and women. Methods about 1,072 participants belong to the Helsinki Birth Cohort Study, born 1934–44. Diet was assessed with a validated food-frequency questionnaire during 2001–04. The Nordic diet score (NDS) was calculated. The score included Nordic fruits, vegetables, cereals, ratio of polyunsaturated to saturated fatty acids, low-fat milk, fish, red meat, total fat and alcohol. Higher scor…

Male0301 basic medicineAgingTime FactorsMediterranean dietolder peopleGrip strength0302 clinical medicineSurveys and QuestionnairesElectric Impedance030212 general & internal medicine2. Zero hungerMuscle WeaknessHand StrengthAge Factorsta3141General Medicineta3142Middle Agedmedicine.anatomical_structureQuartilemuscle massBody CompositionRed meatpopulation characteristicsFemaleDiet Healthymedicine.symptommedicine.medical_specialtyNutritional Status03 medical and health sciencesSex FactorsInternal medicineHand strengthmedicineHumansMuscle Skeletal030109 nutrition & dieteticsbusiness.industryNordic dietMuscle weaknessSkeletal muscleFeeding BehaviorConfidence intervallihasmassaPhysical therapymuscle strengthGeriatrics and Gerontologybusinesslihasvoima
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Relationship between physical activity and physical performance in later life in different birth weight groups.

2017

There is strong evidence that physical activity (PA) has an influence on physical performance in later life. Also, a small body size at birth has been associated with lower physical functioning in older age and both small and high birth weight have shown to be associated with lower leisure time physical activity. However, it is unknown whether size at birth modulates the association between PA and physical performance in old age. We examined 695 individuals from the Helsinki Birth Cohort Study born in Helsinki, Finland between 1934 and 1944. At a mean age of 70.7 years PA was objectively assessed with a multisensory activity monitor and physical performance with the Senior Fitness Test (SFT…

MaleBirth weightPhysical activityMedicine (miscellaneous)physical activity030209 endocrinology & metabolismMotor ActivityBody Mass IndexCohort Studies03 medical and health sciences0302 clinical medicineSex FactorsMedicineBirth WeightHumanssyntymäpaino030212 general & internal medicineta31510. No inequalityExerciseFinlandAgedbusiness.industryagingGestational ageta3141physical performancePhysical Functional PerformanceConfidence intervalLow birth weightFitness testikääntyminenPhysical performanceCohortFemalemedicine.symptombusinessfyysinen aktiivisuusDemographyJournal of developmental origins of health and disease
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Telomere length and physical performance among older people-The Helsinki Birth Cohort Study.

2019

Telomere length has been suggested a biomarker of aging and is associated with several chronic diseases. However, the association between telomere length and physical performance is not well known. Using both cross-sectional and longitudinal data, we studied 582 women and 453 men from the Helsinki Birth Cohort Study at two time-points; a baseline examination in 2001-2004 at a mean age of 61 years and a follow-up examination approximately 10 years later in 2011-2013. Telomere length was measured both at baseline and at follow-up using real-time quantitative polymerase chain reaction. Physical performance was evaluated only at follow-up using the Senior Fitness Test (SFT), which assesses stre…

0301 basic medicineMaleAgingBLOODFITNESSEpidemiologybiomarkkeritCAPABILITY0302 clinical medicineMARKERSEpidemiologyMedicine2. Zero hungerSex CharacteristicsASSOCIATIONMiddle AgedTelomere3142 Public health care science environmental and occupational healthfyysinen kuntoPhysical functionBiomarker (medicine)Smoking statusepidemiologyFemaleHEALTHBirth cohortmedicine.medical_specialtyBIOMARKERSfyysinen toimintakyky03 medical and health sciencesphysical functionHumansFRAILTYAgedbusiness.industryMORTALITYDISABILITYagingbiomarkersTelomere HomeostasisTelomere030104 developmental biologyikääntyminenPhysical performancetelomeeritbusinessOlder peopleBody mass index030217 neurology & neurosurgeryDevelopmental BiologyDemographyFollow-Up StudiesMechanisms of ageing and development
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Early life determinants of frailty in old age : the Helsinki Birth Cohort Stud

2018

Background there is evidence suggesting that several chronic diseases have their origins in utero and that development taking place during sensitive periods may affect the aging process. We investigated whether early life determinants would be associated with frailty in old age. Methods at a mean age of 71 years, 1,078 participants belonging to the Helsinki Birth Cohort Study were assessed for frailty according to the Fried frailty criteria. Early life measurements (birth weight, length, mother body mass index [BMI] and parity) were obtained from birth, child welfare and school health records. Multinomial regression analysis was used to assess the association between early life determinants…

MaleAgingSocial Determinants of HealthMaternal HealthBody Mass Indexolder people0302 clinical medicinePregnancyRisk FactorsPrevalenceMedicineEconomic Status030212 general & internal medicineFinland2. Zero hungerlife courseConfoundingAge Factorsta3141General Medicineta3142sikiö3. Good healthParityCohortLife course approachFemaleterveysBirth weightFrail ElderlyfrailtyRisk Assessment03 medical and health sciencesHumanssyntymäpainoOccupationsSocioeconomic statusAgedbusiness.industryInfant Newbornbirth weightikääntyminenfetal programmingSocial ClassAgeingageingRelative riskGeriatrics and GerontologybusinessBody mass index030217 neurology & neurosurgeryhauraus-raihnausoireyhtymäDemographyAge and Ageing
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The Healthy Nordic Diet and Mediterranean Diet and Incidence of Disability 10 Years Later in Home-Dwelling Old Adults.

2019

Background/Objective: Diet has a major impact on a person's health. However, limited information exists on the long-term role of the whole diet on disability. We investigated the association of the healthy Nordic diet and the Mediterranean diet with incident disability 10 years later. Design: Longitudinal, with a follow-up of 10 years. Settings/Participants: A total of 962 home-dwelling men and women from the Helsinki Birth Cohort Study, mean age 61.6 years, who were free of disability at baseline. Measurements: At baseline, 2001-2004, the Nordic diet score (NDS) and modified Mediterranean diet score (mMDS) were calculated using a validated 128-item food-frequency questionnaire. Higher scor…

MaleMediterranean dietLogistic regressionruokavaliotDiet MediterraneanMUSCLE STRENGTH0302 clinical medicineRisk FactorsMedicinetoimintarajoitteet030212 general & internal medicineLongitudinal StudiesGeneral NursingFinlandRISKeducation.field_of_studyHealth PolicyIncidence (epidemiology)ConfoundingBALTIC SEA DIETliikuntarajoitteetGeneral Medicineta3142Middle Aged3142 Public health care science environmental and occupational health3. Good healthCohortFemale3143 NutritionDiet HealthyVälimeren ruokavalioikääntyneetPopulationLongevityHealth Promotion03 medical and health sciencesmobility limitationADHERENCEvammaisuusMediterranean dietHumansCOHORTMobility LimitationeducationLife StyleMETAANALYSISFOOD FREQUENCY QUESTIONNAIREbusiness.industryNordic dietMOBILITY LIMITATIONSmediterranean dietOdds ratioFUNCTIONAL LIMITATIONSConfidence intervalikääntyminendisabilityageing3121 General medicine internal medicine and other clinical medicineChronic DiseaseGeriatrics and GerontologyPHYSICAL PERFORMANCEbusiness030217 neurology & neurosurgeryDemographyJournal of the American Medical Directors Association
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Early life stress and frailty in old age: the Helsinki birth cohort study

2018

Background: Evidence suggests that early life stress (ELS) may extend its effect into adulthood and predispose an individual to adverse health outcomes. We investigated whether wartime parental separation, an indicator of severe ELS, would be associated with frailty in old age. Methods: Of the 972 participants belonging to the present sub-study of the Helsinki Birth Cohort Study, 117 (12. 0%) had been evacuated abroad unaccompanied by their parents in childhood during World War II. Frailty was assessed at a mean age of 71 years according to Fried's criteria. Results: Thirteen frail men (4 separated and 9 non-separated) and 20 frail women (2 separated and 18 non-separated) were identified. C…

MaleWorld War IImedicine.medical_treatmentEarly life stresslcsh:GeriatricsPHENOTYPE3124 Neurology and psychiatryCohort Studies0302 clinical medicineMALTREATMENT030212 general & internal medicineChildFinlandDepression (differential diagnoses)Aged 80 and overRehabilitationFrailtyConfoundingriskitekijätDEPRESSIONPREVALENCE5141 SociologyLife course approachFemaleHEALTHBirth cohortResearch ArticleSEX-DIFFERENCES515 Psychologylife-courseFrail Elderlyearly life stressfrailty03 medical and health sciencesINFLAMMATIONLife-courseterveysvaikutuksetmedicineHumansRisk factornatural experimentAgedADVERSE CHILDHOOD EXPERIENCESbusiness.industryDISABILITY3112 NeurosciencesADULTSstressiEarly life stresslapsuuslcsh:RC952-954.63121 General medicine internal medicine and other clinical medicineRelative risksotalapsetRisk factorGeriatrics and GerontologyNatural experimentbusinessStress Psychological030217 neurology & neurosurgeryFollow-Up StudiesDemographyBMC Geriatrics
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THE HEALTHY NORDIC DIET AMONG OLDER INDIVIDUALS PREDICTS INCIDENT DISABILITY IN A 10-YEAR FOLLOW-UP

2017

We investigated whether adherence to the healthy Nordic diet among older individuals was associated with incident disability 10 years later. We studied 972 participants from the Helsinki Birth Cohort Study who were free of disability at baseline. At the mean age of 61 years the Nordic diet score (NDS) was calculated based on a validated food-frequency questionnaire that the participants filled in. Higher scores indicated better adherence to the healthy Nordic diet. At the mean age of 71 years, participants’ incident disability was assessed using a self-reported questionnaire and was based on two levels of disability: mobility difficulty (difficulty in walking 500 m) and self-care dependence…

Health (social science)030214 geriatrics10 year follow upbusiness.industryHealth Professions (miscellaneous)Abstracts03 medical and health sciences0302 clinical medicineText miningMedicine030212 general & internal medicineLife-span and Life-course StudiesbusinessDemographyInnovation in Aging
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Objectively measured physical activity and physical performance in old age

2017

Abstract Background: Physical performance is a key factor that determines how older people cope with daily tasks and maintain independency. There is strong evidence suggesting that physical activity (PA) is important in maintaining physical performance in old age. However, most studies have been done using self-reported PA. Our aim was to explore the association between objectively measured PA and physical performance in old age. Methods: We studied 695 participants (mean age 70.7 years, SD 2.7) from the Helsinki Birth Cohort Study. Physical performance was assessed with the Senior Fitness Test (SFT) and PA with a multisensory activity monitor SenseWear Pro 3 Armband. Results: Total volume …

MaleAgingFunctional trainingmedicine.medical_specialtyPhysical activityfyysinen toimintakykyphysical activityFitness TrackersMotor ActivityArticleSenior Fitness Testsenior fitness testsolder people03 medical and health sciences0302 clinical medicinePredictive Value of TestsNegatively associatedHumansMedicinephysical functioning030212 general & internal medicineExerciseGeriatric AssessmentAgedbusiness.industryAge Factorsta3141ta3142General Medicinephysical performanceActigraphyConfidence intervalCross-Sectional StudiesFitness testikääntyminenPhysical FitnessAgeingPhysical performanceageingPhysical therapyFemaleSedentary BehaviorGeriatrics and GerontologybusinessOlder people030217 neurology & neurosurgery
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Genome-wide meta-analysis identifies six novel loci associated with habitual coffee consumption

2015

Contains fulltext : 155360.pdf (Publisher’s version ) (Closed access) Coffee, a major dietary source of caffeine, is among the most widely consumed beverages in the world and has received considerable attention regarding health risks and benefits. We conducted a genome-wide (GW) meta-analysis of predominately regular-type coffee consumption (cups per day) among up to 91,462 coffee consumers of European ancestry with top single-nucleotide polymorphisms (SNPs) followed-up in ~30 062 and 7964 coffee consumers of European and African-American ancestry, respectively. Studies from both stages were combined in a trans-ethnic meta-analysis. Confirmed loci were examined for putative functional and b…

INVOLVEMENTNetherlands Twin Register (NTR)GCKR protein humanPROTEINGenome-wide association studyVARIANTSgenetics [Brain-Derived Neurotrophic Factor]chemistry.chemical_compound0302 clinical medicinePolymorphism (computer science)genetics [Adaptor Proteins Signal Transducing]BINDINGBRAINGenetics0303 health sciencesBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsDisorders of movement Donders Center for Medical Neuroscience [Radboudumc 3]3. Good healthPsychiatry and Mental healthPhenotypegenetics [Polymorphism Single Nucleotide]/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_beinggenetics [Cytochrome P-450 CYP1A2]CaffeineCAFFEINESingle-nucleotide polymorphismBiologyArticle03 medical and health sciencesCellular and Molecular NeuroscienceSDG 3 - Good Health and Well-beingCytochrome P-450 CYP1A2/dk/atira/pure/keywords/cohort_studies/netherlands_twin_register_ntr_SNPHumansddc:610Allelegenetics [Basic Helix-Loop-Helix Leucine Zipper Transcription Factors]Molecular Biology030304 developmental biologyAdaptor Proteins Signal TransducingMLXIPL protein humanRECEPTORBrain-Derived Neurotrophic FactorCoffeata1182Feeding Behaviorbiology.organism_classificationta3124BDNFchemistryBehavioral medicineDevelopmental Psychopathology030217 neurology & neurosurgeryGLUCOKINASEmetabolism [Coffea]Genome-Wide Association StudyMolecular Psychiatry
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