Clinical Epidemiology
![Johan Sundström in a data storage room.](/images/200.300bef8f18f0f87bbe91f213/1714371198243/_MG_9052_1932x828.jpg)
Our passion is using big data to create value for patients and populations.
Description of our research
![](/images/200.300bef8f18f0f87bbe91f2b2/1714371559086/_MG_8986.jpg)
Photo: Mikael Wallerstedt.
Our research group is leading a national strategic research program in epidemiology funded by the Swedish government. We utilize many of Sweden’s cohorts in our observational research and have collected many of them ourselves, and we are leading a national initiative to increase the value of all Swedish cohorts. We also lead randomized clinical trials, mainly in cardiometabolic diseases and emergency care, and conduct systematic reviews and meta-analyses.
Our methods and method development are focused on using big data to guide risk estimation, treatment decisions, and evaluation of treatment effects, risks and costs. In addition to traditional data sources such as clinical trials and cohorts with multiple omics data, we use emerging ones such as electronic health records and patient-generated data. We use causal inference methods such as Mendelian randomization, causal diagrams, and propensity score-based methods. We also use machine learning methods and develop new digital tools for clinical research.
Publications
Part of Circulation Heart Failure, 2024
Part of EBioMedicine, 2024
- DOI for Accelerometer-based physical activity is associated with the gut microbiota in 8416 individuals in SCAPIS
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Dietary patterns, untargeted metabolite profiles and their association with colorectal cancer risk
Part of Scientific Reports, 2024
- DOI for Dietary patterns, untargeted metabolite profiles and their association with colorectal cancer risk
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Usefulness of Heart Failure Categories Based on Left Ventricular Ejection Fraction
Part of Journal of the American Heart Association, 2024
- DOI for Usefulness of Heart Failure Categories Based on Left Ventricular Ejection Fraction
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Part of BMC Health Services Research, 2024
- DOI for Factors predictive of hospital admission for children via emergency departments in Australia and Sweden: an observational cross-sectional study
- Download full text (pdf) of Factors predictive of hospital admission for children via emergency departments in Australia and Sweden: an observational cross-sectional study
Part of Respiratory Research, 2024
- DOI for Exertional breathlessness related to medical conditions in middle-aged people: the population-based SCAPIS study of more than 25,000 men and women
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Part of Eur J Epidemiol, 2024
Analysis of plasma metabolomes from 11 309 subjects in five population-based cohorts.
Part of Scientific Reports, p. 8933, 2024
Markers of imminent myocardial infarction
Part of Nature Cardiovascular Research, 2024
- DOI for Markers of imminent myocardial infarction
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More Evidence That HF With Normal EF Is Distinct From HF Below Normal EF
Part of Journal of the American College of Cardiology, p. 1740-1742, 2024
Part of Mayo Clinic proceedings, p. 69-80, 2024
- DOI for Life's Essential 8 and Life's Simple 7 in Relation to Coronary Atherosclerosis: Results From the Population-Based SCAPIS Project
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Part of Stroke, p. 50-58, 2024
Part of BMC Oral Health, 2024
- DOI for Does smoking cessation affect postoperative healing following oral surgery among smokers?: a systematic review
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An association between heart rate variability and incident heart failure in an elderly cohort
Part of Clinical Cardiology, 2024
- DOI for An association between heart rate variability and incident heart failure in an elderly cohort
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Part of The Lancet, p. 1027-1050, 2024
- DOI for Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults
- Download full text (pdf) of Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults
Part of Environment International, 2024
- DOI for Socio-demographic inequalities influence differences in the chemical exposome among Swedish adolescents
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Part of Journal of Mass Spectrometry, 2024
- DOI for Assessing the performance of a targeted absolute quantification isotope dilution liquid chromatograhy tandem mass spectrometry assay versus a commercial nontargeted relative quantification assay for detection of three major perfluoroalkyls in human blood
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Are there lost opportunities in chronic kidney disease?: A region-wide cohort study
Part of BMJ Open, 2024
- DOI for Are there lost opportunities in chronic kidney disease?: A region-wide cohort study
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Genetic drivers of heterogeneity in type 2 diabetes pathophysiology
Part of Nature, p. 347-357, 2024
- DOI for Genetic drivers of heterogeneity in type 2 diabetes pathophysiology
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Part of Journal of Clinical Medicine, 2024
- DOI for The Human Phospholipase B-II Precursor (HPLBII-P) in Urine as a Novel Biomarker of Increased Glomerular Production or Permeability in Diabetes Mellitus?
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Part of Scientific Reports, 2024
- DOI for A combined observational and Mendelian randomization investigation reveals NMR-measured analytes to be risk factors of major cardiovascular diseases
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Part of Chest, p. 503-516, 2023
- DOI for OSA Is Associated With the Human Gut Microbiota Composition and Functional Potential in the Population-Based Swedish CardioPulmonary bioImage Study
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Part of European Journal of Preventive Cardiology, p. 1007-1014, 2023
Part of Atherosclerosis, p. 46-54, 2023
- DOI for Body weight at age 20 and in midlife is more important than weight gain for coronary atherosclerosis: Results from SCAPIS
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Loci for insulin processing and secretion provide insight into type 2 diabetes risk.
Part of American Journal of Human Genetics, p. 284-299, 2023
Proteomic analysis of 92 circulating proteins and their effects in cardiometabolic diseases
Part of Clinical Proteomics, 2023
- DOI for Proteomic analysis of 92 circulating proteins and their effects in cardiometabolic diseases
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A machine learning based approach to identify carotid subclinical atherosclerosis endotypes
Part of Cardiovascular Research, p. 2594-2606, 2023
Part of Psychiatry Research, 2023
- DOI for The association between exposure to clozapine, olanzapine, and quetiapine and the outcomes perimyocarditis and heart failure: A population-based cohort study
- Download full text (pdf) of The association between exposure to clozapine, olanzapine, and quetiapine and the outcomes perimyocarditis and heart failure: A population-based cohort study
Part of Journal of Exposure Science and Environmental Epidemiology, p. 748-756, 2023
- DOI for Associations between per- and polyfluoroalkyl substances (PFAS) and diabetes in two population-based cohort studies from Sweden
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Part of Environment International, 2023
- DOI for Plasma levels of per- and polyfluoroalkyl substances (PFAS) and cardiovascular disease - Results from two independent population-based cohorts and a meta-analysis
- Download full text (pdf) of Plasma levels of per- and polyfluoroalkyl substances (PFAS) and cardiovascular disease - Results from two independent population-based cohorts and a meta-analysis
Part of BMJ Open, 2023
- DOI for Accelerometer derived physical activity and subclinical coronary and carotid atherosclerosis: cross-sectional analyses in 22 703 middle-aged men and women in the SCAPIS study
- Download full text (pdf) of Accelerometer derived physical activity and subclinical coronary and carotid atherosclerosis: cross-sectional analyses in 22 703 middle-aged men and women in the SCAPIS study
Part of Journal of Advanced Nursing, p. 3115-3126, 2023
- DOI for Fundamental nursing actions for frail older people in the emergency department: A national cross-sectional survey and a qualitative analysis of practice guidelines
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Part of BMJ Open, 2023
- DOI for Multicentre, national, investigator-initiated, randomised, parallel-group, register-based superiority trial to compare extended ECG monitoring versus standard ECG monitoring in elderly patients with ischaemic stroke or transient ischaemic attack and the effect on stroke, death and intracerebral bleeding: the AF SPICE protocol
- Download full text (pdf) of Multicentre, national, investigator-initiated, randomised, parallel-group, register-based superiority trial to compare extended ECG monitoring versus standard ECG monitoring in elderly patients with ischaemic stroke or transient ischaemic attack and the effect on stroke, death and intracerebral bleeding: the AF SPICE protocol
Part of Journal of the American College of Cardiology, p. 1343-1359, 2023
Part of Clinical Gastroenterology and Hepatology, 2023
- DOI for Patients With Microscopic Colitis Are at Higher Risk of Major Adverse Cardiovascular Events: A Matched Cohort Study
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Part of Clinical Nutrition, p. 1922-1931, 2023
- DOI for Diet composition, nutrient substitutions and circulating fatty acids in relation to ectopic and visceral fat depots
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Part of European Journal of Nutrition, p. 145-153, 2023
- DOI for Substitution analyses of foods with varying fat quality and the associations with all-cause mortality and impact of the FADS-1 genotype in elderly men
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Cardiovascular Outcomes in Patients With Biopsy-proven Alcohol-related Liver Disease
Part of Clinical Gastroenterology and Hepatology, p. 1841-1853000000000000, 2023
- DOI for Cardiovascular Outcomes in Patients With Biopsy-proven Alcohol-related Liver Disease
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Part of JACC Cardiovascular Imaging, p. 1193-1204, 2023
Associations of perfluoroalkyl substances (PFAS) with lipid and lipoprotein profiles
Part of Journal of Exposure Science and Environmental Epidemiology, p. 757-765, 2023
- DOI for Associations of perfluoroalkyl substances (PFAS) with lipid and lipoprotein profiles
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Life's Essential 8 and carotid artery plaques: the Swedish cardiopulmonary bioimage study
Part of Frontiers in Cardiovascular Medicine, 2023
- DOI for Life's Essential 8 and carotid artery plaques: the Swedish cardiopulmonary bioimage study
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Part of Scandinavian Journal of Public Health, p. 527-530, 2023
- DOI for Low prevalence of ideal cardiovascular health in the general Swedish population: Results from the Swedish CArdioPulmonary bioImage Study (SCAPIS)
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Part of BMC Geriatrics, 2023
- DOI for Prevalence of frailty and associated factors in older adults seeking care at Swedish emergency departments
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Part of The Lancet Diabetes and Endocrinology, p. 731-742, 2023
- DOI for Life expectancy associated with different ages at diagnosis of type 2 diabetes in high-income countries: 23 million person-years of observation
- Download full text (pdf) of Life expectancy associated with different ages at diagnosis of type 2 diabetes in high-income countries: 23 million person-years of observation
Part of Frontiers In Public Health, 2023
- DOI for Sodium content in processed food items in Sweden compared to other countries: a cross-sectional multinational study
- Download full text (pdf) of Sodium content in processed food items in Sweden compared to other countries: a cross-sectional multinational study
Part of The Lancet Global Health, 2023
- DOI for Global burden of peripheral artery disease and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019
- Download full text (pdf) of Global burden of peripheral artery disease and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019
Part of Cogent Social Sciences, 2023
- DOI for Medical students experience mistreatment, with a focus on gender discrimination. Cross-sectional study at one Swedish medical school
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‘No more heroes’: The ILC Oxford Statement on fundamental care in times of crises
Part of Journal of Advanced Nursing, p. 922-932, 2023
- DOI for ‘No more heroes’: The ILC Oxford Statement on fundamental care in times of crises
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Single-cell transcriptome dataset of human and mouse in vitro adipogenesis models
Part of Scientific Data, 2023
- DOI for Single-cell transcriptome dataset of human and mouse in vitro adipogenesis models
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The metabolic profile of waist to hip ratio-A multi-cohort study
Part of PLOS ONE, 2023
- DOI for The metabolic profile of waist to hip ratio-A multi-cohort study
- Download full text (pdf) of The metabolic profile of waist to hip ratio-A multi-cohort study