Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men

<b>Background</b><p></p> Obesity increases the risk of many serious illnesses such as coronary heart disease, type 2 diabetes and osteoarthritis. More men than women are overweight or obese in the UK but men are less likely to perceive their weight as a problem and less likely to engage with weight-loss services.<p></p> <b>Objective</b><p></p> The aim of this study was to systematically review evidence-based management strategies for treating obesity in men and investigate how to engage men in obesity services by integrating the quantitative, qualitative and health economic evidence base.<p></p> <b>Data sources</b><p></p> Electronic databases including MEDLINE, EMBASE, PsycINFO, the Cochrane Central Register of Controlled Trials, the Database of Abstracts of Reviews of Effects and the NHS Economic Evaluation Database were searched from inception to January 2012, with a limited update search in July 2012. Subject-specific websites, reference lists and professional health-care and commercial organisations were also consulted.<p></p> <b>Review methods</b><p></p> Six systematic reviews were conducted to consider the clinical effectiveness, cost-effectiveness and qualitative evidence on interventions for treating obesity in men, and men in contrast to women, and the effectiveness of interventions to engage men in their weight reduction. Randomised controlled trials (RCTs) with follow-up data of at least 1 year, or any study design and length of follow-up for UK studies, were included. Qualitative and mixed-method studies linked to RCTs and non-randomised intervention studies, and UK-based, men-only qualitative studies not linked to interventions were included. One reviewer extracted data from the included studies and a second reviewer checked data for omissions or inaccuracies. Two reviewers carried out quality assessment. We undertook meta-analysis of quantitative data and a realist approach to integrating the qualitative and quantitative evidence synthesis.<p></p> <b>Results</b><p></p> From a total of 12,764 titles reviewed, 33 RCTs with 12 linked reports, 24 non-randomised reports, five economic evaluations with two linked reports, and 22 qualitative studies were included. Men were more likely than women to benefit if physical activity was part of a weight-loss programme. Reducing diets tended to produce more favourable weight loss than physical activity alone (mean weight change after 1 year from a reducing diet compared with an exercise programme -3.2 kg, 95% CI -4.8 kg to -1.6 kg). The type of reducing diet did not affect long-term weight loss. A reducing diet plus physical activity and behaviour change gave the most effective results. Low-fat reducing diets, some with meal replacements, combined with physical activity and behaviour change training gave the most effective long-term weight change in men [-5.2 kg (standard error 0.2 kg) after 4 years]. Such trials may prevent type 2 diabetes in men and improve erectile dysfunction. Although fewer men joined weight-loss programmes, once recruited they were less likely to drop out than women (difference 11%, 95% CI 8% to 14%). The perception of having a health problem (e.g. being defined as obese by a health professional), the impact of weight loss on health problems and desire to improve personal appearance without looking too thin were motivators for weight loss amongst men. The key components differ from those found for women, with men preferring more factual information on how to lose weight and more emphasis on physical activity programmes. Interventions delivered in social settings were preferred to those delivered in health-care settings. Group-based programmes showed benefits by facilitating support for men with similar health problems, and some individual tailoring of advice assisted weight loss in some studies. Generally, men preferred interventions that were individualised, fact-based and flexible, which used business-like language and which included simple to understand information. Preferences for men-only versus mixed-sex weight-loss group programmes were divided. In terms of context, programmes which were cited in a sporting context where participants have a strong sense of affiliation showed low drop out rates and high satisfaction. Although some men preferred weight-loss programmes delivered in an NHS context, the evidence comparing NHS and commercial programmes for men was unclear. The effect of family and friends on participants in weight-loss programmes was inconsistent in the evidence reviewed - benefits were shown in some cases, but the social role of food in maintaining relationships may also act as a barrier to weight loss. Evidence on the economics of managing obesity in men was limited and heterogeneous.<p></p> <b>Limitations</b><p></p> The main limitations were the limited quantity and quality of the evidence base and narrow outcome reporting, particularly for men from disadvantaged and minority groups. Few of the studies were undertaken in the UK.<p></p> <b>Conclusions</b><p></p> Weight reduction for men is best achieved and maintained with the combination of a reducing diet, physical activity advice or a physical activity programme, and behaviour change techniques. Tailoring interventions and settings for men may enhance effectiveness, though further research is needed to better understand the influence of context and content. Future studies should include cost-effectiveness analyses in the UK setting

Characterization of condensed tannins from purple prairie clover (Dalea purpurea Vent.) conserved as either freeze-dried forage, sun-cured hay or silage

Conservation methods have been shown to affect forage nutrient composition and value, but little information is available about the effect of forage conservation on plant condensed tannins (CT). The objective of this study was to assess the effects of conservation method on the concentration, chemical composition and biological activity of CT. Whole-plant purple prairie clover (PPC, Dalea purpurea Vent.) was harvested at full flower and conserved as freeze-dried forage (FD), hay (HAY) or silage (SIL). Concentration of CT in conserved PPC was determined by the butanol-HCl-acetone method. Structural composition, protein-precipitation capacity and anti-bacterial activity of CT isolated from conserved forage were determined by in situ thiolytic degradation followed by HPLC-MS analysis, a protein precipitation assay using bovine serum albumin and ribulose 1,5-disphosphate carboxylase as model proteins and by an Escherichia coli (E. coli) growth test, respectively. Conservation method had no effect on concentration of total CT, but ensiling decreased (p HAY > SIL. E. coli growth n M9 medium was inhibited by 25-100 µg/mL of CT isolated from FD, HAY and SIL (p < 0.05), but preservation method had no effect on the ability of CT to inhibit bacterial growth. The results demonstrated that ensiling decreased the extractability and protein-precipitating capacity of CT by increasing the proportions of PC. Purple prairie clover conserved as hay retained more biologically active CT than if it was conserved as silage

The Grizzly, February 17, 1997

Window Shopping Without the Glass • Ursinus Celebrates Diversity Week • Students Benefit from Internships • Study Abroad: They Don\u27t Call \u27Em Deadlines For Nothing • Campus Apathy on the Issue of Diversity • And the Spirit Moved Them • Caplan Addresses Ethical Issues • Dr. Scott Landis\u27 Resignation Announced • So This is What Security Does: Ursinus\u27 Security Log Returns • Opinion: Greek Speaks Out; Read This if you Think Pledging is Dumb; Come Catch a Square; Perspective from Scotland; Faces of Silence • Defend Yourself! • Keep the Tutorial Program Alive! • Wrestling Bears Win Conference Championship • Women\u27s Basketball Nets Three More Wins • Men\u27s Basketball Drops Two • Gymnasts Leap to Two More Winshttps://digitalcommons.ursinus.edu/grizzlynews/1397/thumbnail.jp

Ecosystem and Wildlife Implications of Brush: Management System Designed to Improve Water Runoff and Percolation

With the settlement of Texas and establishment of ranchers to produce cattle, there was an effort to maximize beef production. This caused serious overgrazing. In addition, there was a reduced incidence of fires across the landscape to clear out brush. These factors led to deterioration of the grazing lands and provided an opportunity for invasive intrusion by brush and other species onto the land and riparian zones. There has been a large-scale conversion from grasslands and savannahs to wildlands over the last 150 years (Scholes and Archer, 1997). The overall impacts are significantly impaired uplands and reduced percolation and surface flow of water from rainfall which caused changes and loss in basic aquatic and terrestrial habitat. The State of Texas adopted a program to study and implement brush management systems across the state to improve the water availability in streams, rivers, reservoirs and aquifers, as well as to improve the rangelands. The feasibility studies have shown great promise for improving ranchland and improving the water situation. However, there is less known about the aquatic and wildlife species response implications of brush management. Certainly, there are opportunities for improving the viability of an ecosystem through brush management strategies and continuing management practices. The purpose of this study was to evaluate the changes in hydrology and biological diversity associated with brush management in two watersheds where significant data was already available. This study focused on assessing the aquatic and terrestrial species implications related to specified brush management strategies over time. This involved an integrated analysis including modeling of the landscape, assessing biological diversity and developing economic implications for the two watersheds (Twin Buttes and Edwards regions). Thus, this study is comprised of three parts: modeling of brush management strategies temporally, assessing biological diversity (aquatic and terrestrial) and estimating economic implications. This represents a complex analysis involving variable units and multiple disciplines. Previous feasibility studies of brush removal have been targeted at maximizing water runoff. This analysis is an extension that is designed to examine the implications of brush management under a more restrictive set of brush removal criteria that were chosen based upon wildlife considerations. To achieve the integration of hydrologic modeling, range ecology, and economic implications, there were three team meetings bringing together all components to review status and set priorities for the remainder of the work. In addition, scientists in the three basic groups of specialization interacted daily along with representatives of the Corps of Engineers to assure that each decision was reflected in other parts of the analyses. The major addition of this analysis to brush management feasibility studies being conducted as part of the Texas brush management plan is the consideration of wildlife and aquatic biota and assessing changes in biological diversity likely to result from alternative brush management scenarios

Vaccinia Scars Associated with Improved Survival among Adults in Rural Guinea-Bissau

BACKGROUND: In urban Guinea-Bissau, adults with a vaccinia scar had better survival but also a higher prevalence of HIV-2 infection. We therefore investigated the association between vaccinia scar and survival and HIV infection in a rural area of Guinea-Bissau. METHODOLOGY/PRINCIPAL FINDINGS: In connection with a study of HIV in rural Guinea-Bissau, we assessed vaccinia and BCG scars in 193 HIV-1 or HIV-2 infected and 174 uninfected participants. Mortality was assessed after 2½–3 years of follow-up. The analyses were adjusted for age, sex, village, and HIV status. The prevalence of vaccinia scar was associated with age, village, and HIV-2 status but not with sex and schooling. Compared with individuals without any scar, individuals with a vaccinia scar had better survival (mortality rate ratio (MR) = 0.22 (95% CI 0.08–0.61)), the MR being 0.19 (95% CI 0.06–0.57) for women and 0.40 (95% CI 0.04–3.74) for men. Estimates were similar for HIV-2 infected and HIV-1 and HIV-2 uninfected individuals. The HIV-2 prevalence was higher among individuals with a vaccinia scar compared to individuals without a vaccinia scar (RR = 1.57 (95% CI 1.02–2.36)). CONCLUSION: The present study supports the hypothesis that vaccinia vaccination may have a non-specific beneficial effect on adult survival

A Systematic Review on the Diagnosis of Pediatric Bacterial Pneumonia: When Gold Is Bronze

In developing countries, pneumonia is one of the leading causes of death in children under five years of age and hence timely and accurate diagnosis is critical. In North America, pneumonia is also a common source of childhood morbidity and occasionally mortality. Clinicians traditionally have used the chest radiograph as the gold standard in the diagnosis of pneumonia, but they are becoming increasingly aware that it is not ideal. Numerous studies have shown that chest radiography findings lack precision in defining the etiology of childhood pneumonia. There is no single test that reliably distinguishes bacterial from non-bacterial causes. These factors have resulted in clinicians historically using a combination of physical signs and chest radiographs as a 'gold standard', though this combination of tests has been shown to be imperfect for diagnosis and assigning treatment. The objectives of this systematic review are to: 1) identify and categorize studies that have used single or multiple tests as a gold standard for assessing accuracy of other tests, and 2) given the 'gold standard' used, determine the accuracy of these other tests for diagnosing childhood bacterial pneumonia.Search strategies were developed using a combination of subject headings and keywords adapted for 18 electronic bibliographic databases from inception to May 2008. Published studies were included if they: 1) included children one month to 18 years of age, 2) provided sufficient data regarding diagnostic accuracy to construct a 2x2 table, and 3) assessed the accuracy of one or more index tests as compared with other test(s) used as a 'gold standard'. The literature search revealed 5,989 references of which 256 were screened for inclusion, resulting in 25 studies that satisfied all inclusion criteria. The studies examined a range of bacterium types and assessed the accuracy of several combinations of diagnostic tests. Eleven different gold standards were studied in the 25 included studies. Criterion validity was calculated for fourteen different index tests using eleven different gold standards. The most common gold standard utilized was blood culture tests used in six studies. Fourteen different tests were measured as index tests. PCT was the most common measured in five studies each with a different gold standard.We have found that studies assessing the diagnostic accuracy of clinical, radiological, and laboratory tests for bacterial childhood pneumonia have used a heterogeneous group of gold standards, and found, at least in part because of this, that index tests have widely different accuracies. These findings highlight the need for identifying a widely accepted gold standard for diagnosis of bacterial pneumonia in children

Crop Updates 2002 - Weeds

This session covers fifty eight papers from different authors: 1. INTRODUCTION Vanessa Stewart, DEPARTMENT OF AGRICULTURE INTEGRATED WEED MANAGEMENT IWM system studies / demonstration sites 2. Major outcomes from IWM demonstration sites, Alexandra Douglas Department of Agriculture 3. Integrated weed management: Katanning, Alexandra Douglas Department of Agriculture 4. Integrated weed management: Merredin, Vanessa Stewart Department of Agriculture 5. Long term resistance site: Get ryegrass numbers low and keep them low! Peter Newman and Glen Adams Department of Agriculture 6. Using pastures to manage ryegrass populations, Andrew Blake and Natalie Lauritsen Department of Agriculture Weed biology and competition 7. Understanding the weed seed bank life if important agricultural weeds, Sally Peltzer and Paul Matson Department of Agriculture 8. Consequence of radish competition on lupin nutrients in wheat-lupin rotation, Abul Hashem and Nerys Wilkins Department of Agriculture 9. Consequence of ryegrass competition on lupin nutrients in a wheat-lupin rotation, Abul Hashem and Nerys Wilkins Department of Agriculture 10. Brome grass too competitive for early sown wheat in a dry year at Mullewa, Peter Newman and Glenn Adam Department of Agriculture Crop establishment and weed management 11. Seeding rate, row spacing and herbicides for weed control, David Minkey Department of Agriculture 12. Effect of different seeding methods on wheat and ryegrass, Abul Hashem, Glen Riethmuller and Nerys Wilkins Department of Agriculture 13. Role of tillage implements and trifluralin on the effectiveness of the autumn tickle for stimulating annual ryegrass emergence, Tim Cusack1, Kathryn Steadman1 and Abul Hashem2,1Western Australia Herbicide Resistance Initiative, UWA; 2Department of Agriculture, 14. Timing of autumn tickle in important for non-wetting soils, Pippa Michael1, Peter Newman2 and Kathryn Steadman 2, 1Western Australia Herbicide Resistance Initiative, UWA, 2Department of Agriculture 15. Early investigation into weed seed burial by mouldboard plough, Sally Peltzer and Alex Douglas Department of Agriculture 16. Rolling post-emergent lupins to improve weed emergence and control on loamy sand, Paul Blackwell, Department of Agriculture and Dave Brindal, Strawberry via Mingenew IWM tools 17. Crop topping in 2001: How did we do? Peter Newman and Glenn Adam Department of Agriculture 18. Wickwipers work! Peter Newman and Glenn Adam Department of Agriculture 19. Wild radish and ryegrass seed collection at harvest: Chaff carts and other devices, Michael Walsh Western Australia Herbicide Resistance Initiative, UWA and Wayne Parker Department of Agriculture 20. Improving weed control in grazed pastures using legumes with low palatability, Clinton Revell, Giles Glasson Department of Agriculture, and Dean Thomas Faculty of Agriculture, University of Western Australia Adoption and modelling 21. Grower weed survey, Peter Newman and Glenn Adam Department of Agriculture 22. Agronomist survey, Peter Newman and Glenn Adam Department of Agriculture 23. Ryegrass RIM model stands the test of IWM field trial data, Alister Draper Western Australia Herbicide Resistance Initiative, UWA and Bill Roy, Western Australia Herbicide Resistance Initiative, UWA Agricultural Consulting and Research Services 24. Multi-species RIM: An update, Marta Monjardin1,2, David Pannell2 and Stephen Powles 1, 1Western Australia Herbicide Resistance Initiative, UWA, 2 ARE, University of Western Australia 25. RIM survey feedback, Robert Barrett-Lennard and Alister Draper Western Australia Herbicide Resistance Initiative, UWA 26. Effect of historic input and product prices on choice of ryegrass management strategies, Alister Draper1 and Martin Bent2, 1Western Australia Herbicide Resistance Initiative, UWA, 2Muresk Institute of Agriculture 27. Living with ryegrass – trading off weed control and economic performance, Martin Bent1 and Alister Draper2 , 1Muresk Institute of Agriculture, Curtin University, 2Western Australia Herbicide Resistance Initiative, UWA HERBICIDE RESISTANCE 28. Glyphosate resistance in WA and Australia: Where are we at? Paul Neve1, Art Diggle2, Patrick Smith3, Mechelle Owen1, Abul Hashem2, Christopher Preston4and Stephen Powles1,1Western Australian Herbicide Resistance Initiative, University of Western Australia, 2Department of Agriculture, 3CSIRO Sustainable Ecosystems, 4CRC for Australian Weed Management and Department of Applied and Molecular Ecology, Waite Campus, University of Adelaide 29. We need you weeds: A survey of knockdown resistance in the WA wheatbelt, Paul Neve1, Mechelle Owen1, Abul Hashem2 and Stephen Powles1 1Western Australian Herbicide Resistance Initiative, University of Western Australia, 2Department of Agriculture 30. A test for resistance testing, Mechelle Owen, Tracey Gillam, Rick Llewellyn and Steve Powles,Western Australia Herbicide Resistance Initiative, University of Western Australia 31. In field testing for herbicide resistance, a purpose built multi-treatment spray boom with results from 2001, Richard Quinlan, Elders Ltd 32. Advantages and limitations of a purpose built multi-treatment spray boom, Richard Quinlan, Elders Ltd 33. Group F resistant wild radish: What’s new? Aik Cheam, Siew Lee Department of Agriculture, and Mike Clarke Aventis Crop Science 34. Cross resistance of Brodal® resistant wild radish to Sniper®, Aik Cheam and Siew Lee, Department of Agriculture 35. Managing a biotype of wild radish with Group F and Group C resistance, Aik Cheam, Siew Lee, David Nicholson, Peter Newman Department of Agriculture and Mike Clarke, Aventis Crop Science HERBICIDE TOLERANCE 36. Herbicide tolerance of new wheat varieties, Harmohinder S. Dhammu, Terry Piper and David Nicholson, Agriculture Western Australia 37. Response of barley varieties to herbicides, Harmohinder S. Dhammu, Terry Piper, Department of Agriculture 38. Tolerance of barley to phenoxy herbicides, Harmohinder S. Dhammu, Terry Piper, Department of Agriculture and Chad Sayer, Nufarm Australia Limited 39. Response of Durum wheats to herbicides, Harmohinder S. Dhammu, Terry Piper, Department of Agriculture 40. Response of new field pea varieties to herbicides, Harmohinder S. Dhammu, Terry Piper and David Nicholson, Department of Agriculture 41. Herbicide tolerance of Desi chickpeas on marginal soil, Harmohinder S. Dhammu, Terry Piper and David Nicholson, Department of Agriculture 42. Herbicide tolerance of newer lupin varieties, Terry Piper, Harmohinder Dhammu and David Nicholson, Department of Agriculture 43. Herbicide tolerance of some annual pasture legumes, Clinton Revell and Ian Rose, Department of Agriculture 44. Herbicide tolerance of pasture legumes, Andrew Blake, Department of Agriculture HERBICIDES – NEW PRODUCTS/PRODUCT USES; USE 45. Knockdown herbicides do not reliably kill small grass weeds, Peter Newman and Glenn Adam, Department of Agriculture 46. ‘Hair Cutting’ wheat with Spray.Seed®: Does it work? Peter Newman and Glenn Adam, Department of Agriculture 47. ‘Haircutting’: Does the number one cut work? Robert Barrett-Lennard1 and Jerome Critch2,1WA Herbicide Resistance Initiative, University of WA, 2Student, University of WA 48. Hammer EC (Carfentrazone-ethyl): A mixing partner for glyphosate to enhance the control of difficult broadleaf weeds, Gordon R. Cumming, Crop Care Australasia 49. Marshmallow control in reduced tillage systems, Sam Taylor, Wesfarmers Landmark 50. Herbicide options for summer germinating marshmallow, Vanessa Stewart, Department of Agriculture 51. Dual Gold® safe in a dry year at Coorow, Peter Newman and Glenn Adam, Department of Agriculture 52. The effect of glyphosate, paraquat and diquat as a crop topping application on the germination of barley, John Moore and Roslyn Jettner, Department of Agriculture 53. Herbicide options for melon control, Vanessa Stewart, Department of Agriculture 54. Herbicide options for the control of Chloris truncate (windmill grass) Vanessa Stewart, Department of Agriculture 55. Allelopathic effects of crop, pasture and weed residues on subsequent crop and pasture establishment, Stuart Bee1, Lionel Martin1, Keith Devenish2 and Terry Piper2, 1Muresk Institute of Agriculture, Curtin University of Technology, Northam, Western Australia, 2Centre for Cropping Systems, Department of Agriculture WEED ISSUES 56. Role of Roundup ReadyÒ canola in the farming system, Art Diggle1, Patrick Smith2, Paul Neve3, Felicity Flugge4, Amir Abadi5 and Stephen Powles3, 1Department of Agriculture; 2CSIRO, Sustainable Ecosystems; 3Western Australian Herbicide Resistance Initiative; 4Centre for Legumes in Mediterranean Agriculture; 5Touchstone Consulting 57. ’Weeds for Feed’ and livestock enterprise structures: A feasibility study and farmer survey in the north-easern wheatbelt, Duncan Peter and Stuart McAlpine, Department of Agriculture and Liebe Group, Buntine 58. e-weed, Vanessa Stewart, Agriculture Western Australi

Molecular Epidemiology of Endemic Human T-Lymphotropic Virus Type 1 in a Rural Community in Guinea-Bissau

Human T-Lymphotropic Virus type 1 (HTLV-1) affects millions of people worldwide. It is very similar to Simian T-Lymphotropic Virus, a virus that circulates in monkeys. HTLV-1 causes a lethal form of leukemia (Adult T-cell Leukemia) and a debilitating neurological syndrome (HTLV-associated myelopathy/tropical spastic paraparesis) in approximately 5% of infected people. Based on sequence variation, HTLV-1 can be divided into 7 subtypes (1a–1g) with the Cosmopolitan subtype 1a further subdivided into subgroups (A–E). We examined HTLV-1 diversity in a rural area in Guinea-Bissau, a country in West Africa with a high HTLV-1 prevalence (5%). We found that most viruses belong to the Cosmopolitan subtype 1a, subgroup D, but 2 viruses belonged to subtype 1g. This subtype had thus far only been found in monkey hunters in Cameroon, who were probably recently infected by monkeys. Our findings indicate that this subtype has spread beyond Central Africa. An important, unresolved question is whether persons with this subtype were infected by monkeys or through human-to-human transmission

Why Did Memetics Fail? Comparative Case Study

Although the theory of memetics appeared highly promising at the beginning, it is no longer considered a scientific theory among contemporary evolutionary scholars. This study aims to compare the genealogy of memetics with the historically more successful gene-culture coevolution theory. This comparison is made in order to determine the constraints that emerged during the internal development of the memetics theory that could bias memeticists to work on the ontology of meme units as opposed to hypotheses testing, which was adopted by the gene-culture scholars. I trace this problem back to the diachronic development of memetics to its origin in the gene-centered anti-group-selectionist argument of George C. Williams and Richard Dawkins. The strict adoption of this argument predisposed memeticists with the a priori idea that there is no evolution without discrete units of selection, which in turn, made them dependent on the principal separation of biological and memetic fitness. This separation thus prevented memeticists from accepting an adaptationist view of culture which, on the contrary, allowed gene-culture theorists to attract more scientists to test the hypotheses, creating the historical success of the gene-culture coevolution theory

Genome-Wide Association Study Identifies Two Novel Regions at 11p15.5-p13 and 1p31 with Major Impact on Acute-Phase Serum Amyloid A

Elevated levels of acute-phase serum amyloid A (A-SAA) cause amyloidosis and are a risk factor for atherosclerosis and its clinical complications, type 2 diabetes, as well as various malignancies. To investigate the genetic basis of A-SAA levels, we conducted the first genome-wide association study on baseline A-SAA concentrations in three population-based studies (KORA, TwinsUK, Sorbs) and one prospective case cohort study (LURIC), including a total of 4,212 participants of European descent, and identified two novel genetic susceptibility regions at 11p15.5-p13 and 1p31. The region at 11p15.5-p13 (rs4150642; p = 3.20×10−111) contains serum amyloid A1 (SAA1) and the adjacent general transcription factor 2 H1 (GTF2H1), Hermansky-Pudlak Syndrome 5 (HPS5), lactate dehydrogenase A (LDHA), and lactate dehydrogenase C (LDHC). This region explains 10.84% of the total variation of A-SAA levels in our data, which makes up 18.37% of the total estimated heritability. The second region encloses the leptin receptor (LEPR) gene at 1p31 (rs12753193; p = 1.22×10−11) and has been found to be associated with CRP and fibrinogen in previous studies. Our findings demonstrate a key role of the 11p15.5-p13 region in the regulation of baseline A-SAA levels and provide confirmative evidence of the importance of the 1p31 region for inflammatory processes and the close interplay between A-SAA, leptin, and other acute-phase proteins