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The role of serum and dietary advanced glycation endproducts in relation to cardiac function and structure: The Hoorn Study
- Source :
- Kremers, S H M, Remmelzwaal, S, Schalkwijk, C G, Elders, P J M, Stehouwer, C D A, van Ballegooijen, A J & Beulens, J W J 2021, ' The role of serum and dietary advanced glycation endproducts in relation to cardiac function and structure: The Hoorn Study ', Nutrition, Metabolism and Cardiovascular Diseases, vol. 31, no. 11, pp. 3167-3175 . https://doi.org/10.1016/j.numecd.2021.07.020, Nutrition, Metabolism and Cardiovascular Diseases, 31(11), 3167-3175. Elsevier, Nutrition Metabolism and Cardiovascular Diseases, 31(11), 3167-3175. ELSEVIER SCI LTD
- Publication Year :
- 2021
-
Abstract
- Background and aims: This study aims to investigate the relationship of serum and dietary advanced glycation endproducts (AGEs) with cardiac function and structure after eight years of follow-up.Methods and results: We included 370 Hoorn Study participants (aged 66.4 +/- 6.1, 47% women). Serum protein-bound AGEs [N-epsilon-(carboxymethyl)lysine, N-epsilon-(carboxyethyl)lysine, and pentosidine], as well as echocardiography to assess left atrium volume index (LAVI), left ventricle ejection fraction (LVEF), and left ventricle mass index (LVMI), were measured at baseline and after 8 years of follow-up. Dietary AGEs [N-epsilon-(carboxymethyl)lysine and N-epsilon-(carboxyethyl)lysine] were estimated at baseline with a validated food-frequency questionnaire and an AGEs database. Increased pentosidine [-1. 4% (-2.6;-0.2)] and overall serum AGEs Z-scores over time [-2.1 % (-3.8;-0.5)] were associated with decreased LVEF at follow-up, adjusted for confounders. Glucose metabolism status was an effect modifier (P-for-interaction = 0.04). In participants with impaired glucose metabolism, but not type 2 diabetes, increased pentosidine was associated with decreased LVEF [-4.2 (-8.0;-0.3)%]. Higher dietary N-epsilon-(carboxyethyl)lysine [1.9 (0.1; 3.7)%] and overall dietary AGEs Z-scores [2.1 (0.1; 4.2)%] were associated with higher LVEF at follow-up. However, prior cardiovascular disease (CVD) was an effect modifier (P = 0.02). We found a stronger, non-significant, association of higher dietary (carboxyethyl)lysine with higher LVEF at follow-up in participants without CVD [2.3 (-0.1; 4.7)%] compared to participants with CVD [0.6 (-2.1; 3.4)%].Conclusion: Overall serum AGEs were longitudinally associated with impaired systolic function. Future research should focus on including changes in dietary AGEs intake over time and the relation of dietary AGEs with cardiac measures needs to be established in intervention studies using low AGEs diets. (C) 2021 The Authors. Published by Elsevier B.V. on behalf of The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University.
- Subjects :
- Glycation End Products, Advanced
Male
Time Factors
Epidemiology
Endocrinology, Diabetes and Metabolism
VENTRICULAR DIASTOLIC FUNCTION
END-PRODUCTS AGES
Medicine (miscellaneous)
Type 2 diabetes
Ventricular Function, Left
chemistry.chemical_compound
Ventricular Dysfunction, Left
Prevalence
FAILURE
Mass index
Longitudinal Studies
Netherlands
Nutrition and Dietetics
Ejection fraction
Confounding
Advanced glycation endproducts
Middle Aged
medicine.anatomical_structure
Longitudinal cohort study
Echocardiography
Female
Cardiology and Cardiovascular Medicine
Cardiac function curve
medicine.medical_specialty
Systole
Heart failure
Echocardioghrapy
Risk Assessment
FOOD
Internal medicine
medicine
Humans
CORONARY-HEART-DISEASE
Pentosidine
Aged
business.industry
Stroke Volume
medicine.disease
Diet
INDIVIDUALS
Endocrinology
chemistry
Diabetes Mellitus, Type 2
Ventricle
Heart Disease Risk Factors
business
Biomarkers
Subjects
Details
- Language :
- English
- ISSN :
- 09394753
- Volume :
- 31
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Nutrition Metabolism and Cardiovascular Diseases
- Accession number :
- edsair.doi.dedup.....48a2c3c888827c2515a16e7322a8dade