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10.1186/s13075-017-1338-5

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suck abstract from ncbi


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pmid28587625      Arthritis+Res+Ther 2017 ; 19 (ä): ä
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  • Anti-nuclear autoantibodies in the general German population: prevalence and lack of association with selected cardiovascular and metabolic disorders?findings of a multicenter population-based study #MMPMID28587625
  • Akmatov MK; Röber N; Ahrens W; Flesch-Janys D; Fricke J; Greiser H; Günther K; Kaaks R; Kemmling Y; Krone B; Linseisen J; Meisinger C; Moebus S; Obi N; Guzman CA; Conrad K; Pessler F
  • Arthritis Res Ther 2017[]; 19 (ä): ä PMID28587625show ga
  • Background: We determined the prevalence of anti-nuclear autoantibodies (ANAs) in the German adult population and examined the association between ANAs and cardiovascular and metabolic disorders. Methods: We used data and blood samples from the pretest phases of the German National Cohort, obtained from six of the 18 study centers (n?=?1199). All centers applied standardized instruments including face-to-face interviews, anthropometric measurements and collection of blood samples. Self-reported histories of diabetes mellitus, heart attack and elevated blood cholesterol and/or lipids were recorded. Height, weight and blood pressure were measured. ANAs were detected using a semi-automated system (AKLIDES®; Medipan GmbH, Dahlewitz, Germany). A positive ANA was defined as a titer???1:80. ANA were classified as weakly (1:80 or 1:160), moderately (1:320 or 1:640) or strongly (?1:1280) positive. Specific autoantibodies against nuclear antigens were detected with second-step assays according to the ANA staining pattern. Associations between the assessed disorders and ANA positivity and pattern were examined using sex and age-adjusted mixed-effects logistic regression models. Results: Thirty-three percent (95% confidence interval; 31?36%) of the 1196 participants (measurements could not be obtained from three samples) were ANA positive (titer???1:80). The proportions of weakly, moderately and strongly positive ANA were 29%, 3.3% and 1.3%, respectively. ANA positivity was more common among women than men across all titers (?2, p = 0.03). ANA positivity, even when stratified according to height of titer or immunofluorescent pattern, was not associated with diabetes, elevated blood cholesterol and/or lipids, obesity or hypertension. Second-step autoantibody assays were positive in 41 of the 83 samples (49%) tested, with anti-DFS70 (n?=?13) and anti-dsDNA (n?=?7) being most frequent. These subgroups were too small to test for associations with the disorders assessed. Conclusions: The prevalence of ANA positivity in the German general population was similar to values reported from other countries. Contrary to other studies, there was no association with selected self-reported and objectively measured cardiovascular and metabolic variables.
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