Impact of anthropometric factors on outcomes in atrial fibrillation patients: analysis on 10 220 patients from the European Society of Cardiology (ESC)-European Heart Rhythm Association (EHRA) EurObservational Research Programme on Atrial Fibrillation (EORP-AF) general long-term registry
European Journal of Preventive Cardiology

Abstract
To investigate the association of anthropometric parameters [height, weight, body mass index (BMI), body surface area (BSA), and lean body mass (LBM)] with outcomes in atrial fibrillation (AF).
Ten-thousand two-hundred twenty patients were enrolled [40.3% females, median age 70 (62–77) years, followed for 728 (interquartile range 653–745) days]. Sex-specific tertiles were considered for the five anthropometric variables. At the end of follow-up, survival free from all-cause death was worse in the lowest tertiles for all the anthropometric variables analyzed. On multivariable Cox regression analysis, an independent association with all-cause death was found for the lowest vs. middle tertile when body weight (hazard ratio [HR] 1.66, 95%CI 1.23–2.23), BMI (HR 1.65, 95%CI 1.23–2.21), and BSA (HR 1.49, 95%CI 1.11–2.01) were analysed in female sex, as well as for body weight in male patients (HR 1.61, 95%CI 1.25–2.07). Conversely, the risk of MACE was lower for the highest tertile (vs. middle tertile) of BSA and LBM in males and for the highest tertile of weight and BSA in female patients. A higher occurrence of haemorrhagic events was found for female patients in the lowest tertile of height [odds ratio (OR) 1.90, 95%CI 1.23–2.94] and LBM (OR 2.13, 95%CI 1.40–3.26).
In AF patients height, weight, BMI, BSA, and LBM were associated with clinical outcomes, with all-cause death being higher for patients presenting lower values of these variables, i.e. in the lowest tertiles of distribution. The anthropometric variables independently associated with other outcomes were also different between male and female subjects.
Contributors

O Deceuninck
Author

O Xhaet
Author

F Dormal
Author

E Ballant
Author

D Blommaert
Author

D Yakova
Author

A Olejnik
Author

L Benham
Author

M Hristov
Author

E Harc-Dyl
Author

Marco Vitolo
Author

T Yncheva
Author

R Brady
Author

L Buchanan
Author

Vincenzo L Malavasi
Author

J Miarka
Author

A Ashton
Author

M Pasieka
Author

H Crowther
Author

N Stancheva
Author

H Fairlamb
Author

S Tisheva
Author

S Thornthwaite
Author

C Relph
Author

M Ziemińska-Łuć
Author

A McSkeane
Author

M Tokmakova
Author

Elisa Fantecchi
Author

Igor Diemberger
Author

U Poultney
Author

W Bujak
Author

F Nikolov
Author

N Kelsall
Author

D Gencheva
Author

A Śliwiński
Author

P Rice
Author

T Shalganov
Author

B Kunev
Author

A Grech
Author

T Wilson
Author

M Wrigley
Author

M Stoyanov
Author

J Morka
Author

D Marchov
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R Kaba
Author

Francisco Marin
Author

T Patel
Author

Michael Nabauer
Author

V Gelev
Author

K Petrykowska
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E Young
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J Law
Author

Tatjana S Potpara
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C Runnett
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M Prasał
Author

H Thomas
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V Traykov
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G Hordyński
Author

Gheorghe-Andrei Dan
Author

P Feusette
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A Kisheva
Author

Zbigniew Kalarus
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Luigi Tavazzi
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H McKie
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H Tsvyatkov
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Aldo Pietro Maggioni
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P Lipski
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J Fuller
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Deirdre A Lane
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R Shtereva
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A Wester
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S Pick
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Gregory Y H Lip
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S Bakalska-Georgieva
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W Streb
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A Sharp
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G Boriani
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A Hunt
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S Slavcheva
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J Romanek
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M Hough
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S Loehndorf
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A Logemann
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J Hoskamp
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M Quintana Giner
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G Ballesteros
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M Palacio
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O Alcalde
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J Grundt
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M Block
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R Ulrych
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I García-Bolao
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V Bertomeu Gonzalez
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F Otero-Raviña
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A Reithmeier
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J García Seara
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V Panagopoulos
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C Martignani
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J Gonzalez Juanatey
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N Dayal
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P Maziarski
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D Bernucci
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E Fantecchi
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P Gentil-Baron
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D Shah
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I Diemberger
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M Koç
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E Onrat
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I E Dural
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K Yilmaz
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M Ziacchi
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M Biffi
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B Özin
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P Cimaglia
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J Frisoni
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G Boriani
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I Giannini
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S Boni
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S Tan Kurklu
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S Fumagalli
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Y Atmaca
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U Canpolat
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S Pupo
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L Tokgozoglu
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A K Dolu
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A Di Chiara
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B Demirtas
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D Sahin
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P Mirone
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E Fantecchi
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G Boriani
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O Ozcan Celebi
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E Diker
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F Pesce
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G Gagirci
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U O Turk
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H Ari
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C Zoccali
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N Polat
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N Toprak
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M Sucu
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V L Malavasi
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A Mussagaliyeva
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O Akin Serdar
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A Taha Alper
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B Ahyt
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Z Salihova
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K Koshum-Bayeva
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A Kepez
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Y Yuksel
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A Kerimkulova
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A Bairamukova
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A Uzunselvi
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S Yuksel
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E Mirrakhimov
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M Sahin
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B Lurina
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O Kayapinar
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R Zuzans
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T Ozcan
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H Kaya
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M B Yilmaz
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M Kutlu
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S Jegere
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I Mintale
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M Demir
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K Kupics
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C Gibbs
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S Kaminskiene
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K Jubele
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M Bryce
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A Erglis
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O Kalejs
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A Skinner
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K Vanhear
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M Burg
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G Belcher
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J Hunt
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L Stancombe
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B Holbrook
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M Cachia
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E Abela
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C Peters
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S Warwicker
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S Tettersell
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A Shantsila
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T Tabone
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D Lane
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R Xuereb
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D Asanovic
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K Senoo
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D Drakalovic
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M Proietti
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M Vukmirovic
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N Pavlovic
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K Russell
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P Domingos
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L Music
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S Hussain
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N Bulatovic
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J Partridge
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R Haynes
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S Bahadur
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R Brown
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A Boskovic
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H Uiterwaal
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N Bijsterveld
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S McMahon
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G Y H Lip
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J De Groot
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J Neefs
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N van den Berg
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J McDonald
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K Balachandran
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F Piersma
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A Wilde
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R Singh
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V Hagens
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S Garg
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J Van Es
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H Desai
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J Van Opstal
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B Van Rennes
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K Davies
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H Verheij
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W Goddard
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W Breukers
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G Galasko
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G Tjeerdsma
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R Nijmeijer
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I Rahman
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Y Chua
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O Payne
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D Wegink
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R Binnema
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S Preston
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S Said
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Ö Erküner
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S Philippens
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O Brennan
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W van Doorn
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L Pedley
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C Whiteside
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C Dickinson
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H Crijns
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J Brown
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T Szili-Torok
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R Bhagwandien
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N van der Ven
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M Cichocka
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A Sokal
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A Kowalik-Sztylc
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W Czapla
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M Kozlowski
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T Pawlowski
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M Tendera
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A Winiarska-Filipek
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A Fidyk
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A Slowikowski
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M Haberka
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M Lachor-Broda
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M Biedron
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Z Gasior
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M Kołodziej
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M Janion
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I Gorczyca-Michta
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B Wozakowska-Kaplon
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M Stasiak
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