European Journal of Clinical Nutrition最新文献_第10页

Effects of saturated and monounsaturated fatty acids on cognitive impairment: evidence from Mendelian randomization study 饱和脂肪酸和单不饱和脂肪酸对认知障碍的影响：孟德尔随机研究的证据

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-17 DOI: 10.1038/s41430-024-01437-5

Youjie Zeng, Si Cao, Juan Tang, Guoxin Lin

{"title":"Effects of saturated and monounsaturated fatty acids on cognitive impairment: evidence from Mendelian randomization study","authors":"Youjie Zeng, Si Cao, Juan Tang, Guoxin Lin","doi":"10.1038/s41430-024-01437-5","DOIUrl":"10.1038/s41430-024-01437-5","url":null,"abstract":"Prior observational studies have suggested correlations between saturated fatty acids (SFAs) and monounsaturated fatty acids (MUFAs) with cognitive function. However, causal relationships remains unclear. We assessed the causal impact of two SFAs (palmitic acid [PA] and stearic acid [SA]) and two MUFAs (oleic acid [OA] and palmitoleic acid [POA]) on cognitive function-related traits, and dementia-related traits by univariable Mendelian randomization (UVMR) and multivariable Mendelian randomization (MVMR) analyses. UVMR indicated β of 0.060 (P = 4.05E−06) for cognitive performance score and 0.066 (P = 4.21E−04) for fluid intelligence per standard deviation (SD) increase in OA level. MVMR indicated: (i) β of −0.608 (P = 8.37E−05) for fluid intelligence score per SD increase in POA; (ii) β of 0.074 (P = 0.018) for fluid intelligence score per SD increase in OA; (iii) β of 0.029 (P = 0.033) for number of incorrect matches in round per SD increase in PA; and (iv) β of 0.039 (P = 0.032) for number of incorrect matches in round per SD increase in SA. In addition, a secondary MVMR analysis after excluding the effect of polyunsaturated fatty acids suggested that: (i) β of −0.043 (P = 1.97E−02) for cognitive performance score per SD increase in PA and (ii) β of −0.079 (P = 1.79E−03) for cognitive performance score per SD increase in SA. Overall, UVMR and MVMR suggest that OA may be beneficial for cognitive function, while POA, PA, and SA may have detrimental effects on cognitive function.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140615385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Phase angle and anthropometric indicators of cardiometabolic risk in children and adolescents 儿童和青少年心脏代谢风险的相位角和人体测量指标

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-17 DOI: 10.1038/s41430-024-01439-3

Juliana Raissa Oliveira Ricarte, Maria Dinara de Araújo Nogueira, Matheus Aragão Dias Firmino, Luis Felipe Nunes de Oliveira, Ashley Brito Valentim, Géssica de Souza Martins, Ana Cecília Pereira Dantas, Nayeli Silva Lima Matias, Enairton Vinicius da Silva Rocha, Kaluce Gonçalves de Sousa Almondes, Carla Soraya Costa Maia

{"title":"Phase angle and anthropometric indicators of cardiometabolic risk in children and adolescents","authors":"Juliana Raissa Oliveira Ricarte, Maria Dinara de Araújo Nogueira, Matheus Aragão Dias Firmino, Luis Felipe Nunes de Oliveira, Ashley Brito Valentim, Géssica de Souza Martins, Ana Cecília Pereira Dantas, Nayeli Silva Lima Matias, Enairton Vinicius da Silva Rocha, Kaluce Gonçalves de Sousa Almondes, Carla Soraya Costa Maia","doi":"10.1038/s41430-024-01439-3","DOIUrl":"10.1038/s41430-024-01439-3","url":null,"abstract":"The phase angle (PhA) is a measurement obtained from the resistance and reactance found in the bioelectrical impedance examination and is useful in assessing nutritional status and in assessing cardiometabolic diseases. Therefore, the objective was to correlate the phase angle to the anthropometric variables of cardiometabolic risk (CMR) in children and adolescents. Weight, height, body mass index (BMI), waist circumference (WC) and neck circumference (NC), waist-to-height ratio (WHtR), and PhA of 1231 children and adolescents aged between 5 and 18 years were assessed. PhA was assessed in tertiles and CMR was identified using the anthropometric variables BMI, WC, NC, and WHtR. Linear regression models were used to verify the association between PhA tertiles and CMR anthropometric variables, stratified by sex. No relationship was found between PhA and CMR variables in children. In adolescents, lower values of NC (β = -0.019, p = 0.005) and BMI (β = -0.025, p = 0.023) were found in boys, WC (β = -0.017, p = 0.020), WHtR (β = -0.017, p = 0.020), NC (β = -0.011, p = 0.027) and BMI (β = -0.026, p = 0.009) in girls when they were in tertile 1 when compared to tertile 3 of the PhA, even after adjusting for age. The PhA was directly associated with CMR in the assessed adolescents.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140615332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between sugar-sweetened beverages and pure fruit juice with risk of six cardiovascular diseases: a Mendelian randomization study 含糖饮料和纯果汁与六种心血管疾病风险的关系：孟德尔随机研究

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-12 DOI: 10.1038/s41430-024-01441-9

Hanzhang Xie, Yiyang Liu, Xiaohan Gu, Shuhan Liu, Yimeng Fang, Wenjie Zhong, Yinan Zhang, Shunyu Yao

{"title":"Association between sugar-sweetened beverages and pure fruit juice with risk of six cardiovascular diseases: a Mendelian randomization study","authors":"Hanzhang Xie, Yiyang Liu, Xiaohan Gu, Shuhan Liu, Yimeng Fang, Wenjie Zhong, Yinan Zhang, Shunyu Yao","doi":"10.1038/s41430-024-01441-9","DOIUrl":"10.1038/s41430-024-01441-9","url":null,"abstract":"In observational and prospective cohort studies, intake of sugar-sweetened beverages (SSBs) and pure fruit juice (PFJ) has been associated with cardiovascular disease (CVD). Still, the causality of the connection has not yet been determined. Our objective was to uncover the relationship between SSBs/PFJ and CVD. Genetically predicted causal associations between SSBs/PFJ (obtained in a published genome-wide association study) and six common CVDs (atrial fibrillation (AF), angina, heart failure (HF), acute myocardial infarction, hypertension, and coronary atherosclerosis) were assessed using MR analytic modeling. The primary analysis method utilized was the inverse variance weighted (IVW) method, complemented by additional methods such as the weighted median method, MR Egger regression, Cochran’s Q test, MR pleiotropy residual, funnel plot, Bonferroni correction, and others for MR analysis. To ensure the robustness of the findings, F-values were calculated as a complementary test to set looser thresholds for exposing genetic instrumental variables (P < 1e−5). The results of MR analysis suggested genetically causal associations between SSBs and AF (odds ratio (OR): 1.023; 95% confidence interval (CI) 1.007–1.038; P = 0.0039) as well as between PFJ and angina (OR: 0.968; 95% CI, 0.943–0.993; P = 0.0138) there was genetic causality. However, MR analysis showed no causal association between SSBs/PFJ and other CVD risks. This study suggests that there may be a potential causal relationship between SSBs intake and AF and a causal negative association between PFJ intake and angina.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of coffee, tea and alcohol intake on circulating inflammatory cytokines: a two sample-Mendelian randomization study 咖啡、茶和酒精摄入量对循环炎症细胞因子的影响：双样本孟德尔随机研究

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-12 DOI: 10.1038/s41430-024-01438-4

Yuan He, Shuang Zhu, Yu Zhang, Chin Ping Tan, Jianbin Zhang, Yuanfa Liu, Yong-Jiang Xu

{"title":"Effect of coffee, tea and alcohol intake on circulating inflammatory cytokines: a two sample-Mendelian randomization study","authors":"Yuan He, Shuang Zhu, Yu Zhang, Chin Ping Tan, Jianbin Zhang, Yuanfa Liu, Yong-Jiang Xu","doi":"10.1038/s41430-024-01438-4","DOIUrl":"10.1038/s41430-024-01438-4","url":null,"abstract":"Despite the abundance of research examining the effects of coffee, tea, and alcohol on inflammatory diseases, there is a notable absence of conclusive evidence regarding their direct causal influence on circulating inflammatory cytokines. Previous studies have primarily concentrated on established cytokines, neglecting the potential impact of beverage consumption on lesser-studied but equally important cytokines. Information regarding the consumption of coffee, tea, and alcohol was collected from the UK Biobank, with sample sizes of 428,860, 447,485, and 462,346 individuals, respectively. Data on 41 inflammatory cytokines were obtained from summary statistics of 8293 healthy participants from Finnish cohorts. The consumption of coffee was found to be potentially associated with decreased levels of Macrophage colony-stimulating factor (β = −0.57, 95% CI −1.06 ~ −0.08; p = 0.022) and Stem cell growth factor beta (β = −0.64, 95% CI −1.16 ~ −0.12; p = 0.016), as well as an increase in TNF-related apoptosis-inducing ligand (β = 0.43, 95% CI 0.06 ~ 0.8; p = 0.023) levels. Conversely, tea intake was potentially correlated with a reduction in Interleukin-8 (β = −0.45, 95% CI −0.9 ~ 0; p = 0.045) levels. Moreover, our results indicated an association between alcohol consumption and decreased levels of Regulated on Activation, Normal T Cell Expressed and Secreted (β = −0.24, 95% CI −0.48 ~ 0; p = 0.047), as well as an increase in Stem cell factor (β = 0.17, 95% CI 0.02 ~ 0.31; p = 0.023) and Stromal cell-derived factor-1 alpha (β = 0.20, 95% CI 0.04 ~ 0.36; p = 0.013). Revealing the interactions between beverage consumption and various inflammatory cytokines may lead to the discovery of novel therapeutic targets, thereby facilitating dietary interventions to complement clinical disease treatments.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adherence to the Mediterranean diet and 20-year incidence of hypertension: the ATTICA prospective epidemiological study (2002–2022) 坚持地中海饮食与 20 年高血压发病率：ATTICA 前瞻性流行病学研究（2002-2022 年）

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-11 DOI: 10.1038/s41430-024-01440-w

Michael Georgoulis, Evangelia Damigou, Evgenia Derdelakou, Rena I. Kosti, Christina Chrysohoou, Fotios Barkas, Evrydiki Kravvariti, Costas Tsioufis, Christos Pitsavos, Evangelos Liberopoulos, Petros P. Sfikakis, Demosthenes B. Panagiotakos

{"title":"Adherence to the Mediterranean diet and 20-year incidence of hypertension: the ATTICA prospective epidemiological study (2002–2022)","authors":"Michael Georgoulis, Evangelia Damigou, Evgenia Derdelakou, Rena I. Kosti, Christina Chrysohoou, Fotios Barkas, Evrydiki Kravvariti, Costas Tsioufis, Christos Pitsavos, Evangelos Liberopoulos, Petros P. Sfikakis, Demosthenes B. Panagiotakos","doi":"10.1038/s41430-024-01440-w","DOIUrl":"10.1038/s41430-024-01440-w","url":null,"abstract":"Dietary habits are a significant predictor of hypertension (HTN). We aimed to evaluate the long-term association between adherence to the Mediterranean diet and HTN incidence. This was a prospective study among 1415 non-hypertensive adults (44% men, age: 41 ± 13 years) followed up for 20 years. Anthropometric, lifestyle, and clinical parameters were evaluated at baseline. Adherence to the Mediterranean diet was evaluated both at baseline and 10 years through the MedDietScore (range: 0–55, higher values indicate greater adherence). At the 20-year follow-up, 314 new HTN cases were recorded. HTN incidence was 35.5%, 22.5%, and 8.7% in the lowest, middle, and upper tertile of baseline MedDietScore, respectively (p < 0.001). For each 1-point increase in baseline MedDietScore, the 20-year HTN risk decreased by 7% [relative risk (RR): 0.925, 95% confidence interval (CI): 0.906, 0.943], and this effect remained significant after adjustment for age, sex, and baseline lifestyle and clinical confounders, i.e., body mass index, physical activity, smoking, systolic and diastolic blood pressure, family history of HTN, and presence of hypercholesterolemia and diabetes mellitus (RR: 0.973, 95%CI: 0.949, 0.997). In a similar multiadjusted model, compared to subjects who were consistently away from the Mediterranean diet (in the lowest MedDietScore tertile both at baseline and 10 years), only those who were consistently close (in the middle and upper MedDietScore tertiles both at baseline and 10 years) exhibited a 47% lower 20-year HTN risk. A high adherence to the Mediterranean diet, particularly when longitudinally sustained, is associated with lower incidence of HTN.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01440-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Malnutrition, sarcopenia and cachexia: exploring prevalence, overlap, and perceptions in older adults with cancer 营养不良、肌肉疏松症和恶病质：探讨癌症老年患者的患病率、重叠率和看法

IF 4.7 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-05 DOI: 10.1038/s41430-024-01433-9

Alex F. Bullock, Michael J. Patterson, Lewis W. Paton, David C. Currow, Miriam J. Johnson

{"title":"Malnutrition, sarcopenia and cachexia: exploring prevalence, overlap, and perceptions in older adults with cancer","authors":"Alex F. Bullock, Michael J. Patterson, Lewis W. Paton, David C. Currow, Miriam J. Johnson","doi":"10.1038/s41430-024-01433-9","DOIUrl":"10.1038/s41430-024-01433-9","url":null,"abstract":"Older adults with cancer are a growing population requiring tailored care to achieve optimum treatment outcomes. Their care is complicated by under-recognised and under-treated wasting disorders: malnutrition, sarcopenia, and cachexia. We aimed to investigate the prevalence, overlap, and patients’ views and experiences of malnutrition, sarcopenia, and cachexia, in older adults with cancer. Mixed-methods study with cross-sectional study and qualitative interviews. Interviews were thematically analysed through a phenomenological lens, with feedback loop analysis investigating relationships between themes and findings synthesised using modified critical interpretative synthesis. n = 30 were screened for malnutrition, sarcopenia, and cachexia, n = 8 completed semi-structured interviews. Eighteen (60.0%) were malnourished, 16 (53.3%) sarcopenic, and 17 (56.7%) cachexic. One or more condition was seen in 80%, and all three in 30%. In univariate analysis, Rockwood clinical frailty score (OR 2.94 [95% CI: 1.26–6.89, p = 0.013]) was associated with sarcopenia, reported percentage meal consumption (OR 2.28 [95% CI: 1.24–4.19, p = 0.008]), and visible wasting (OR 8.43 [95% CI: 1.9–37.3] p = 0.005) with malnutrition, and percentage monthly weight loss (OR 8.71 [95% CI: 1.87–40.60] p = 0.006) with cachexia. Screening tools identified established conditions rather than ‘risk’. Nutritional and functional problems were often overlooked, overshadowed, and misunderstood by both patients and (in patients’ perceptions) by clinicians; misattributed to ageing, cancer, or comorbidities. Patients viewed these conditions as both personal impossibilities, yet accepted inevitabilities. Perceptions, identification, and management of these conditions needs to improve, and their importance recognised by clinicians and patients so those truly ‘at risk’ are identified whilst conditions are more remediable to interventions.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01433-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stability of child appetitive traits and association with diet quality at 5 years and 9–11 years old: Findings from the ROLO longitudinal birth cohort study 5 岁和 9-11 岁儿童食欲特征的稳定性及其与饮食质量的关系：ROLO 出生纵向队列研究的结果

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-04-04 DOI: 10.1038/s41430-024-01436-6

Anna Delahunt, Sarah Louise Killeen, Eileen C. O’Brien, Aisling A. Geraghty, Sharleen L. O’Reilly, Ciara M. McDonnell, Rosemary Cushion, John Mehegan, Fionnuala M. McAuliffe

{"title":"Stability of child appetitive traits and association with diet quality at 5 years and 9–11 years old: Findings from the ROLO longitudinal birth cohort study","authors":"Anna Delahunt, Sarah Louise Killeen, Eileen C. O’Brien, Aisling A. Geraghty, Sharleen L. O’Reilly, Ciara M. McDonnell, Rosemary Cushion, John Mehegan, Fionnuala M. McAuliffe","doi":"10.1038/s41430-024-01436-6","DOIUrl":"10.1038/s41430-024-01436-6","url":null,"abstract":"We explored change in child appetitive traits from 5 to 9–11 years old and examined associations between appetitive traits at both timepoints and child diet quality. This is secondary analyses of the ROLO longitudinal birth cohort study, including mother-child dyads from the 5 and 9–11-year old follow-up. The Children’s Eating Behaviour Questionnaire measured child appetitive traits, with 167 children having matched data for both timepoints. The Healthy Eating Index (HEI) measured diet quality. Linear mixed models and multiple linear regression were completed. Mean (SD) score for ‘Emotional Overeating’ (1.63 (0.51) vs. 1.99 (0.57), p = <0.001) and ‘Enjoyment of Food’ (3.79 (0.72) vs. 3.98 (0.66), p = <0.001) increased from 5 to 9–11 years. Mean score for ‘Desire to Drink’ (2.63 (0.94) vs. 2.45 (0.85), p = 0.01), ‘Satiety Responsiveness (3.07 (0.66) vs. 2.71 (0.66), p = <0.001), ‘Slowness Eating’ (3.02 (0.77) vs. 2.64 (0.78), p = <0.001), and ‘Food Fussiness’ (3.00 (1.04) vs. 2.81 (0.96), p = 0.001) decreased. At 5-years-old, ‘Food Responsiveness’ and ‘Enjoyment of Food’ were positively associated with HEI and ‘Desire to Drink’, ‘Satiety Responsiveness’ and ‘Food Fussiness’ were negatively associated with HEI. At 9–11-years, ‘Enjoyment of Food’ was positively and ‘Desire to Drink’ and ‘Food ‘Fussiness’ were negatively associated with HEI. Food approach appetitive traits increased over time, whereas food avoidant appetitive traits tended to decrease. At both time points ‘Food Fussiness’ and ‘Desire to Drink” were inversely associated with HEI. Further research on how appetitive traits track over childhood and how this relates to dietary quality and weight is warranted.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01436-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients? 相位角与心脏病门诊患者的内脏脂肪和心脏代谢风险有关吗？

IF 4.7 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-03-21 DOI: 10.1038/s41430-024-01435-7

Victoria Domingues Ferraz, Jarson Pedro da Costa Pereira, Claudia Porto Sabino Pinho Ramiro, Gabriela Maria Pereira Floro Arcoverde, Isa Galvão Rodrigues, Camila Lima Chagas, José Reginaldo Alves de Queiroz Jr, Maria Conceição Chaves de Lemos, Alcides da Silva Diniz, Ilma Kruze Grande de Arruda

{"title":"Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients?","authors":"Victoria Domingues Ferraz, Jarson Pedro da Costa Pereira, Claudia Porto Sabino Pinho Ramiro, Gabriela Maria Pereira Floro Arcoverde, Isa Galvão Rodrigues, Camila Lima Chagas, José Reginaldo Alves de Queiroz Jr, Maria Conceição Chaves de Lemos, Alcides da Silva Diniz, Ilma Kruze Grande de Arruda","doi":"10.1038/s41430-024-01435-7","DOIUrl":"10.1038/s41430-024-01435-7","url":null,"abstract":"Phase angle (PhA) serves as a prognostic marker in various clinical scenarios, reflecting oxidative stress and cellular damage. Despite its clinical relevance, its connection with adiposity and cardiovascular risk markers remains underexplored. Hence, our study sought to investigate the relationship between PhA and metabolic, adiposity, and cardiovascular risk parameters among outpatients with cardiology diagnosis. Adults aged between 26 and 59 years, under the care of a cardiology unit, were included. Ultrasound imaging was used to assess visceral adipose tissue (VAT). Single-frequency bioelectrical impedance analysis (BIA) [50 kHz] was employed to calculate PhA, from BIA’s resistance and reactance measurements. Muscle strength, body mass index, waist circumference, and waist-to-height ratio were also evaluated. Framingham’s risk score was calculated to estimate the cardiovascular risk events. Metabolic blood samples’ results were obtained from medical records. One hundred and five participants were included in our study. Low PhA was observed in 29.5% of our sample. Higher PhA values were independently and inversely associated with both higher VAT and cardiovascular risk (adjusted OR: 0.79 [95% CI 0.69;0.91], OR: 0.74 [95% CI 0.60;0.89], respectively). Lower PhA values (≤5.59) were goodly associated with high VAT (AUC: 0.82 p < 0.001). Lower PhA values (≤5.06) were fairly associated with higher cardiovascular risk (AUC: 0.70 p = 0.003). Our study provides evidence that PhA is independently and inversely associated with elevated VAT and cardiovascular risk. These findings underscore the potential of PhA as a valuable complementary marker in assessing cardiometabolic health.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01435-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The potential renal acid load of plant-based meat alternatives 植物肉类替代品的潜在肾酸负荷

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-03-19 DOI: 10.1038/s41430-024-01434-8

Julian Herter, Roman Huber, Maximilian Andreas Storz

引用次数: 0

Effects of low-carbohydrate diets, with and without caloric restriction, on inflammatory markers in adults: a systematic review and meta-analysis of randomized clinical trials 低碳水化合物饮食（无论是否限制热量）对成人炎症指标的影响：随机临床试验的系统回顾和荟萃分析

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-03-18 DOI: 10.1038/s41430-024-01431-x

Fatemeh Kazeminasab, Maryam Miraghajani, Mousa Khalafi, Mohammad Hossein Sakhaei, Sara K. Rosenkranz, Heitor O. Santos

{"title":"Effects of low-carbohydrate diets, with and without caloric restriction, on inflammatory markers in adults: a systematic review and meta-analysis of randomized clinical trials","authors":"Fatemeh Kazeminasab, Maryam Miraghajani, Mousa Khalafi, Mohammad Hossein Sakhaei, Sara K. Rosenkranz, Heitor O. Santos","doi":"10.1038/s41430-024-01431-x","DOIUrl":"10.1038/s41430-024-01431-x","url":null,"abstract":"Low-carbohydrate diets (LCDs) have gained interest due to their favorable effects on health outcomes, such as inflammation. However, further research is needed to ascertain the overall effects of LCDs on inflammatory parameters, but at the same time considering weight loss and calorie intake. Thus, a systematic review and meta-analysis of randomized clinical trials was performed to investigate the effects of LCDs compared with low-fat diets (LFDs), with and without caloric restriction, on inflammatory markers in adults. PubMed, Scopus, and Web of Science were searched through March 2022 to select intervention studies addressing LCDs vs. LFDs, in which the following circulating inflammatory markers were used: C-reactive protein (CRP), tumor necrosis factor alpha (TNF-α), and interleukin (IL-6). Analyses were conducted comparing LCDs vs. LFDs through weighted mean differences (WMD) or standardized mean differences (SMD) and 95% confidence intervals (95% CIs) using random effects models. The systematic review and meta-analysis included a total of 51 studies with a total sample of 4,164 adults, with or without other chronic diseases. Intervention durations ranged from 2–144 weeks. LCDs, compared with LFDs, significantly decreased body weight [WMD = −1.35%, p = 0.001], CRP [SMD = −0.1, p = 0.03], and IL-6 [SMD = −0.15, p = 0.09]. However, LCDs did not significantly decrease TNF-α [SMD = −0.02, p = 0.7] compared to LFDs. In conclusion, LCDs have a beneficial effect on markers of inflammation by decreasing CRP and IL-6; this effect has an association with weight loss. However, LCDs were not more effective than LFDs in decreasing TNF-α.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01431-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140146866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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