Markus Juonala

Professor, Internal Medicine (Department of Clinical Medicine)
+358 29 450 2754
+358 50 478 3572

Areas of expertise
Internal medicine; endocrinology; cardiovascular risk


Professor Markus Juonala (MD,
PhD, University of Turku) is a specialist in internal medicine and
endocrinology at the Turku University Hospital, Turku, Finland. Since 2001, he
has been conducting research on longitudinal studies examining the importance
of childhood risk factors on later cardiovascular health. His PhD work was
based primarily on the Cardiovascular Risk in Young Finns Study (University of
Turku, April 2005). Since 2008, he has had a major involvement in the
development of the International Childhood Cardiovascular Cohort (i3C)
Consortium that combines the efforts of the main longitudinal studies
worldwide. In June 2014, he was appointed as Professor of Internal Medicine at
the University of Turku. In 2014-2015 and 2018-2019 he has been working as the Dame Elisabeth Murdoch Fellow in Murdoch Childrens Research Institute

His career
publications total is 270 (h-index 44) with published highlights including a
first-author paper in the New England Journal of Medicine, the first-ranked
general medicine journal, one paper in JAMA, the third-ranked general medicine
journal and 30 papers (11 as first/last author) published in either the number
one, two, or three ranked cardiovascular disease journals (17 in Circulation,
five in the Journal of the American College of Cardiology, eight in the
European Heart Journal). 


Professor Juonala’s
principal research focus has been to provide novel information on the effects
of childhood risk factors on cardiovascular health in adulthood. Beginning from
the summer of 2008 he has led a research group within the Young Finns Study and
i3c consortium with special interest on cardiometabolic risk factors. The most
important findings of his research have provided information on childhood and
early adulthood risk factors for atherosclerosis, suggesting that childhood
risk factors, such as dyslipidaemia, elevated blood pressure and smoking,
predict early atherosclerosis and its progression independent of adult risk
factors levels. Concerning cardiometabolic risk factors, his group has been
able to show that overweight and metabolic syndrome diagnosed either in childhood or adulthood
is predictive of carotid atherosclerosis and its progression in adulthood.
However, at the time of obesity epidemic, the most important findings concern
the reversibility of cardiovascular risk. His work has demonstrated that although overweight and metabolic syndrome are predictive of early atherosclerosis, favourable changes
in lifestyle associated with weight maintenance or reduction improve
cardiovascular health.



Teaching responsibilities: 1) Internal medicine for medical students, 2) Internal medicine specialisation programme for MDs

Special interest areas: Acute internal medicine, endocrinology, lipidology


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A network approach to the analysis of psychosocial risk factors and their association with health (2018)
Journal of Health Psychology
Marko Elovainio, Christian Hakulinen, Laura Pulkki-Råback, Markus Juonala, Olli Raitakari
A1 Journal article – refereed)

Aortic sinus diameter in middle age is associated with body size in young adulthood (2018)
Hernesniemi JA, Heiskanen J, Ruohonen S, Kartiosuo N, Hutri-Kähönen N, Kähönen M, Jokinen E, Tossavainen P, Kallio M, Laitinen T, Lehtimäki T, Viikari JSA, Juonala M, Raitakari OT
A1 Journal article – refereed)

Association of Youth Triponderal Mass Index vs Body Mass Index with Obesity-Related Outcomes in Adulthood (2018)
JAMA Pediatrics
Feitong Wu, Marie-Jeanne Buscot, Markus Juonala, Nina Hutri-Kähönen, Jorma S. A. Viikari, Olli T. Raitakari, Costan G. Magnussen
A1 Journal article – refereed)

BMI Trajectories Associated With Resolution of Elevated Youth BMI and Incident Adult Obesity (2018)
Buscot MJ, Thomson RJ, Juonala M, Sabin MA, Burgner DP, Lehtimäki T, Hutri-Kähönen N, Viikari JSA, Jokinen E, Tossavainen P, Laitinen T, Raitakari OT, Magnussen CG
A1 Journal article – refereed)

Both youth and long-term vitamin D status is associated with risk of type 2 diabetes mellitus in adulthood: a cohort study (2018)
Annals of Medicine
Feitong Wu, Markus Juonala, Niina Pitkänen, Antti Jula, Terho Lehtimäki, Matthew A. Sabin, Katja Pahkala, Nina Hutri-Kähönen, Mika Kähönen, Tomi Laitinen, Jorma S. A. Viikari, Costan G. Magnussen, Olli T. Raitakari
A1 Journal article – refereed)

Cardiometabolic Health Among Adult Offspring of Hypertensive Pregnancies: The Cardiovascular Risk in Young Finns Study (2018)
Journal of the American Heart Association
Robyn J. Tapp, Alun D. Hughes, Mika Kähönen, Tien Yin Wong, Nicholas Witt, Terho Lehtimäki, Nina Hutri‐Kähönen, Pinki Sahota, Markus Juonala, Olli T. Raitakari
A1 Journal article – refereed)

Childhood adiposity, adult adiposity, and the ACE gene insertion/deletion polymorphism: evidence of gene-environment interaction effects on adult blood pressure and hypertension status in adulthood (2018)
Journal of Hypertension
Cong Sun, Anne-Louise Ponsonby, John B. Carlin, Minh Bui, Costan G. Magnussen, Trudy L. Burns, Terho Lehtimaki, Nicole H. Wardrop, Markus Juonala, Jorma S.A. Viikari, Alison J. Venn, Olli T. Raitakari, Terence Dwyer
A1 Journal article – refereed)

Childhood cardiorespiratory fitness, muscular fitness and adult measures of glucose homeostasis (2018)
Journal of Science and Medicine in Sport
Brooklyn J. Fraser, Leigh Blizzard, Michael D. Schmidt, Markus Juonala, Terence Dwyer, Alison J. Venn, Costan G. Magnussen
A1 Journal article – refereed)

Childhood socioeconomic status and lifetime health behaviors: The Young Finns Study (2018)
International Journal of Cardiology
Elina Puolakka, Katja Pahkala, Tomi T. Laitinen, Costan G. Magnussen, Nina Hutri-Kähönen, Satu Männistö, Kristiina S. Pälve, Tuija Tammelin, Päivi Tossavainen, Eero Jokinen, Kylie J. Smith, Tomi Laitinen, Marko Elovainio, Laura Pulkki-Råback, Jorma S.A. Viikari, Olli T. Raitakari, Markus Juonala
A1 Journal article – refereed)

Distinct child-to-adult body mass index trajectories are associated with different levels of adult cardiometabolic risk (2018)
European Heart Journal
Buscot MJ, Thomson RJ, Juonala M, Sabin MA, Burgner DP, Lehtimaki T, Hutri-Kahonen N, Viikari JSA, Raitakari OT, Magnussen CG
A1 Journal article – refereed)

Early life determinants of cardiovascular health in adulthood. The Australian Aboriginal Birth Cohort study (2018)
International Journal of Cardiology
Pauline Sjöholm, Katja Pahkala, Belinda Davison, Markus Juonala, Gurmeet R. Singh
A1 Journal article – refereed)

Education as a moderator of genetic risk for higher body mass index: prospective cohort study from childhood to adulthood (2018)
International Journal of Obesity
Komulainen K, Pulkki-Raback L, Jokela M, Lyytikainen LP, Pitkanen N, Laitinen T, Hintsanen M, Elovainio M, Hintsa T, Jula A, Juonala M, Pahkala K, Viikari J, Lehtimaki T, Raitakari O, Keltikangas-Jarvinen L
A1 Journal article – refereed)

Fatty liver is associated with blood pathways of inflammatory response, immune system activation and prothrombotic state in Young Finns Study (2018)
Scientific Reports
Tuukka Taipale, Ilkka Seppälä, Emma Raitoharju, Nina Mononen, Leo-Pekka Lyytikäinen, Thomas Illig, Melanie Waldenberger, Markus Juonala, Nina Hutri-Kähönen, Niku Oksala, Mika Kähönen, Olli Raitakari, Terho Lehtimäki
A1 Journal article – refereed)

Genetic polymorphism of sterol transporters in children with future gallstones (2018)
Digestive and Liver Disease
Markku J.Nissinen, Niina Pitkänen, Piia Simonen, Helena Gylling, Jorma Viikari, Olli Raitakari, Terho Lehtimäki, Markus Juonala, Mikko P. Pakarinen
A1 Journal article – refereed)

Geographic origin as a determinant of left ventricular mass and diastolic function – the Cardiovascular Risk in Young Finns Study (2018)
Scandinavian Journal of Public Health
L. Vähämurto, M. Juonala, S. Ruohonen, N. Hutri-Kähönen, M. Kähönen, T. Laitinen, P. Tossavainen, E. Jokinen, J. Viikari, O.T. Raitakari, K. Pahkala
A1 Journal article – refereed)

Impact of Ideal Cardiovascular Health in Childhood on the Retinal Microvasculature in Midadulthood: Cardiovascular Risk in Young Finns Study (2018)
Journal of the American Heart Association
Matthew D. Campbell, Tomi T. Laitinen, Alun Hughes, Katja Pahkala, Markus Juonala, Mika Kähönen, Tien Y. Wong, Terho Lehtimäki, Nina Hutri-Kähönen, Olli T. Raitakari, Robyn J. Tapp
A1 Journal article – refereed)

Impact of Lipid Measurements in Youth in Addition to Conventional Clinic-Based Risk Factors on Predicting Preclinical Atherosclerosis in Adulthood: The International Childhood Cardiovascular Cohort (i3C) Consortium (2018)
Koskinen J, Juonala M, Dwyer T, Venn A, Thomson R, Bassano L, Berenson GS, Sabin Ma, Burns TL, Viikari JSA, Woo JG, Urbina EM, Prineas R, Hutri-Kähönen N, Sinaiko A, Jacobs D, Steinberger J, Danielts S, Raitakari OT, Magnussen CG
A1 Journal article – refereed)

Influence of cardiovascular risk factors on longitudinal motion of the common carotid artery wall (2018)
Taivainen SH, Yli-Ollila H, Juonala M, Kahonen M, Raitakari OT, Laitinen TM, Laitinen TP
A1 Journal article – refereed)

Is the Association Between Depressive Symptoms and Glucose Bidirectional? A Population-Based Study (2018)
Health Psychology
Wesolowska K, Elovainio M, Hintsa T, Jokela M, Pulkki-Råback L, Lipsanen J, Juonala M, Raitakari O, Keltikangas-Järvinen L
A1 Journal article – refereed)

Lapsuuden elintavat ja diabeteksen ehkäisy: kuinka panostaa tuleviin sukupolviin? (2018)
Markus Juonala, Jorma Toppari
D1 Article in a trade journal)

Last updated on 2019-22-08 at 02:20