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Articles
by
G Borges |
Total Records (
3 ) for
G Borges |
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W Mullen
,
G Borges
,
J. L Donovan
,
M. E Lean
and
A. Crozier
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Background: Cocoa drinks containing flavan-3-ols are associated with many health benefits, and conflicting evidence exists as to whether milk adversely affects the bioavailability of flavan-3-ols.
Objective: The objective was to determine the effect of milk on the bioavailability of cocoa flavan-3-ol metabolites.
Design: Nine human volunteers followed a low-flavonoid diet for 2 d before drinking 250 mL of a cocoa beverage, made with water or milk, that contained 45 µmol (–)-epicatechin and (–)-catechin. Plasma and urine samples were collected for 24 h, and flavan-3-ol metabolites were analyzed by HPLC with photodiode array and mass spectrometric detection.
Results: Milk affected neither gastric emptying nor the transit time through the small intestine. Two flavan-3-ol metabolites were detected in plasma and 4 in urine. Milk had only minor effects on the plasma pharmacokinetics of an (epi)catechin-O-sulfate and had no effect on an O-methyl-(epi)catechin-O-sulfate. However, milk significantly lowered the excretion of 4 urinary flavan-3-ol metabolites from 18.3% to 10.5% of the ingested dose (P = 0.016). Studies that showed protective effects of cocoa and those that showed no effect of milk on bioavailability used products that have a much higher flavan-3-ol content than does the commercial cocoa used in the present study.
Conclusions: Most studies of the protective effects of cocoa have used drinks with a very high flavan-3-ol content. Whether similar protective effects are associated with the consumption of many commercial chocolate and cocoa products containing substantially lower amounts of flavan-3-ols, especially when absorption at lower doses is obstructed by milk, remains to be determined. |
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R Bruffaerts
,
K Demyttenaere
,
G Borges
,
J. M Haro
,
W. T Chiu
,
I Hwang
,
E. G Karam
,
R. C Kessler
,
N Sampson
,
J Alonso
,
L. H Andrade
,
M Angermeyer
,
C Benjet
,
E Bromet
,
G de Girolamo
,
R de Graaf
,
S Florescu
,
O Gureje
,
I Horiguchi
,
C Hu
,
V Kovess
,
D Levinson
,
J Posada Villa
,
R Sagar
,
K Scott
,
A Tsang
,
S. M Vassilev
,
D. R Williams
and
M. K. Nock
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Background
Suicide is a leading cause of death worldwide, but the precise effect of
childhood adversities as risk factors for the onset and persistence of
suicidal behaviour (suicide ideation, plans and attempts) are not well
understood.
Aims
To examine the associations between childhood adversities as risk factors
for the onset and persistence of suicidal behaviour across 21 countries
worldwide.
Method
Respondents from nationally representative samples (n = 55 299)
were interviewed regarding childhood adversities that occurred before the age
of 18 years and lifetime suicidal behaviour.
Results
Childhood adversities were associated with an increased risk of suicide
attempt and ideation in both bivariate and multivariate models (odds ratio
range 1.2–5.7). The risk increased with the number of adversities
experienced, but at a decreasing rate. Sexual and physical abuse were
consistently the strongest risk factors for both the onset and persistence of
suicidal behaviour, especially during adolescence. Associations remained
similar after additional adjustment for respondents’ lifetime mental
disorder status.
Conclusions
Childhood adversities (especially intrusive or aggressive adversities) are
powerful predictors of the onset and persistence of suicidal behaviours. |
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D Levinson
,
M. D Lakoma
,
M Petukhova
,
M Schoenbaum
,
A. M Zaslavsky
,
M Angermeyer
,
G Borges
,
R Bruffaerts
,
G de Girolamo
,
R de Graaf
,
O Gureje
,
J. M Haro
,
C Hu
,
A. N Karam
,
N Kawakami
,
S Lee
,
J. P Lepine
,
M. O Browne
,
M Okoliyski
,
J Posada Villa
,
R Sagar
,
M. C Viana
,
D. R Williams
and
R. C. Kessler
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Background
Burden-of-illness data, which are often used in setting healthcare
policy-spending priorities, are unavailable for mental disorders in most
countries.
Aims
To examine one central aspect of illness burden, the association of serious
mental illness with earnings, in the World Health Organization (WHO) World
Mental Health (WMH) Surveys.
Method
The WMH Surveys were carried out in 10 high-income and 9 low- and
middle-income countries. The associations of personal earnings with serious
mental illness were estimated.
Results
Respondents with serious mental illness earned on average a third less than
median earnings, with no significant between-country differences
(2(9) = 5.5–8.1, P = 0.52–0.79). These
losses are equivalent to 0.3–0.8% of total national earnings. Reduced
earnings among those with earnings and the increased probability of not
earning are both important components of these associations.
Conclusions
These results add to a growing body of evidence that mental disorders have
high societal costs. Decisions about healthcare resource allocation should
take these costs into consideration. |
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