Cardiovascular Diseases Clinical Trial
To develop, test, and apply comprehensive mathematical models for the interaction of genetic and environmental effect on cardiovascular risk with gender differences.
DESIGN NARRATIVE:
Models were developed which allowed for sex difference in the expression of autosomal
polygenes, differences in the impact of the paternal and maternal environment on male and
female offspring, and for the complex consequences of assortative mating on the correlations
among loci and between genes and environment. Computer simulations were used to decide which
kinds of gender-dependent effects could be resolved with particular constellations of
relatives, and to address problems of power and bias resulting from errors of
model-specification. The methods developed were applied to data from extensive data already
gathered from twins and their relatives to determine the importance of sex differences in
genetic and environmental causes of variation in measured aspects of cardiovascular risk
including weight, body-mass index, family history of CV disease, smoking, alcohol
consumption, exercise, diet, psychosocial variables and lifestyle.
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