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Mazza E, Fava A, Ferro Y, Moraca M, Rotundo S, Colica C, Provenzano F, Terracciano R, Greco M, Foti D, Gulletta E, Russo D, Bosco D, Pujia A, Montalcini T. Impact of legumes and plant proteins consumption on cognitive performances in the elderly. J Transl Med 2017; 15:109. [PMID: 28532453 PMCID: PMC5440936 DOI: 10.1186/s12967-017-1209-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 05/12/2017] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Numerous studies have investigated the role of the dietary factors in the prevention of cognitive decline but the short-term effects of foods choice on cognitive performances in the elderly are poorly explored. Our aim was to investigate the choice of foods among elderly Italian individuals and the association with cognitive function. METHODS In this longitudinal study, the participants were 214 individuals aged ≥65 years with a score >20 at the Mini Mental State Examination. The cognitive sub-test of ADAScale was used to detect cognitive decline progression over 12 months. Food choices was measured by a combination of a 24-h recall and a seven-day diet record and Principal Components Analysis. RESULTS The Principal Components Analysis identified four food and four nutrient patterns. MMSE and ADAS-cog score after 1 year were found to be associated with legumes pattern (B = 0.25, p = 0.007; 95% CI 0.07/0.44; and B = -0.10, p = 0.006; CI -0.79/-0.30, respectively). A dietary pattern including plant proteins was independently associated with an improved ADAS-cog after 1 year (B = 0.584, p = 0.04; OR 1.79, CI 0.04-0.42). CONCLUSIONS The Principal Components Analysis is useful to investigate the choice of foods and nutrients in the elderly. We demonstrated an association between legumes pattern with cognitive performances.
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Affiliation(s)
- Elisa Mazza
- Department of Clinical and Experimental Medicine, Nutrition Unit, University Magna Grecia, Viale S. Venuta, 88100, Catanzaro, Italy
| | - Antonietta Fava
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Yvelise Ferro
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Marta Moraca
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Stefania Rotundo
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Carmela Colica
- Department of Pharmacology, CNR, ISN, University Magna Graecia, Catanzaro, Italy
| | - Francesco Provenzano
- Department of Clinical and Experimental Medicine, Nutrition Unit, University Magna Grecia, Viale S. Venuta, 88100, Catanzaro, Italy
| | - Rosa Terracciano
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Marta Greco
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Daniela Foti
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Elio Gulletta
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Diego Russo
- Department of Health Science, Laboratory Unit, University Magna Grecia, Catanzaro, Italy
| | - Domenico Bosco
- Neurology Unit, S. Giovanni di Dio Hospital, Crotone, Italy
| | - Arturo Pujia
- Department of Medical and Surgical Science, Nutrition Unit, University Magna Grecia, Catanzaro, Italy
| | - Tiziana Montalcini
- Department of Clinical and Experimental Medicine, Nutrition Unit, University Magna Grecia, Viale S. Venuta, 88100, Catanzaro, Italy.
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Li X, Shen J, Lu Z, Chen M, Fang X, Wang G. High neutrophil-to-lymphocyte ratio is associated with increased carotid artery intima-media thickness in type 2 diabetes. J Diabetes Investig 2016; 8:101-107. [PMID: 27220111 PMCID: PMC5217917 DOI: 10.1111/jdi.12541] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 05/12/2016] [Accepted: 05/22/2016] [Indexed: 01/09/2023] Open
Abstract
Aims/Introduction Emerging evidence suggests that the neutrophil‐to‐lymphocyte ratio (NLR) is a novel potential marker of inflammatory responses. The objective was to evaluate the association between NLR and carotid artery intima‐media thickness (cIMT) in type 2 diabetes. Materials and Methods We carried out a case–control study involving 320 patients with type 2 diabetes, and 250 age‐, sex‐ and body mass index‐matched healthy controls who all underwent carotid ultrasonography and took a blood examination. We divided the diabetes patients into two groups according to cIMT: 188 diabetes patients with high cIMT and 132 diabetes patients with low cIMT, and compared baseline characteristics and NLR between the two groups and healthy controls. Results The mean NLR was significantly higher in the group of diabetes patients with high cIMT than the group of diabetes patients with low cIMT, who in turn showed a significantly higher NLR compared with control participants. Logistic regression analysis showed that the NLR was an independent risk factor for diabetes patients with high cIMT (odds ratio 140.89, 95% CI 1.71–11615.30, P = 0.028). Based on the receiver operating characteristic curve, use of the NLR as an indicator for diabetes patients with high cIMT diagnosis was projected to be 3.16, and yielded a sensitivity and specificity of 36.2% and 93.2%, respectively, with an area under the curve of 0.606 (95% CI 0.544–0.667). Conclusions High NLR might be a potential biomarker for the increased cIMT in type 2 diabetes patients. Future studies are required to validate our findings.
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Affiliation(s)
- Xueqin Li
- Department of Gerontology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu, China
| | - Jun Shen
- Department of Neurology, Huai'an Hospital Affiliated of Xuzhou Medical College and Huai'an Second People's Hospital, Huai'an, Jiangsu, China
| | - Zhenghong Lu
- Department of Gerontology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu, China
| | - Min Chen
- Department of Gerontology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu, China
| | - Xiaozheng Fang
- Department of Gerontology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu, China
| | - Gongcheng Wang
- Department of Urology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu, China
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Pujia A, Gazzaruso C, Ferro Y, Mazza E, Maurotti S, Russo C, Lazzaro V, Romeo S, Montalcini T. Individuals with Metabolically Healthy Overweight/Obesity Have Higher Fat Utilization than Metabolically Unhealthy Individuals. Nutrients 2016; 8:E2. [PMID: 26742056 PMCID: PMC4728616 DOI: 10.3390/nu8010002] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 12/04/2015] [Accepted: 12/08/2015] [Indexed: 12/17/2022] Open
Abstract
The mechanisms underlying the change in phenotype from metabolically healthy to metabolically unhealthy obesity are still unclear. The aim of this study is to investigate whether a difference in fasting fat utilization exists between overweight/obese individuals with a favorable cardiovascular risk profile and those with Metabolic Syndrome and Type 2 diabetes. Furthermore, we sought to explore whether there is an association between fasting fat utilization and insulin resistance. In this cross-sectional study, 172 overweight/obese individuals underwent a nutritional assessment. Those with fasting glucose ≥ 126 mg/dL or antidiabetic treatment were considered to be diabetics. If at least three of the NCEP criteria were present, they had Metabolic Syndrome, while those with less criteria were considered to be healthy overweight/obese. An indirect calorimetry was performed to estimate Respiratory Quotient, an index of nutrient utilization. A lower Respiratory Quotient (i.e., higher fat utilization) was found in healthy overweight/obese individuals than in those with Metabolic Syndrome and Type 2 diabetes (0.85 ± 0.05; 0.87 ± 0.06; 0.88 ± 0.05 respectively, p = 0.04). The univariate and multivariable analysis showed a positive association between the Respiratory Quotient and HOMA-IR (slope in statistic (B) = 0.004; β = 0.42; p = 0.005; 95% Confidence interval = 0.001-0.006). In this study, we find, for the first time, that the fasting Respiratory Quotient is significantly lower (fat utilization is higher) in individuals who are metabolically healthy overweight/obese than in those with metabolically unhealthy obesity. In addition, we demonstrated the association between fat utilization and HOMA-IR, an insulin resistance index.
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Affiliation(s)
- Arturo Pujia
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | | | - Yvelise Ferro
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Elisa Mazza
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Samantha Maurotti
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Cristina Russo
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Veronica Lazzaro
- Department of Health Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Stefano Romeo
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
- Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg 40530, Sweden.
| | - Tiziana Montalcini
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
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Li X, Liu J, Wang G, Yu J, Sheng Y, Wang C, Lv Y, Lv S, Qi H, Di W, Yin C, Ding G. Determination of UCP1 expression in subcutaneous and perirenal adipose tissues of patients with hypertension. Endocrine 2015; 50:413-23. [PMID: 25784389 DOI: 10.1007/s12020-015-0572-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2015] [Accepted: 03/03/2015] [Indexed: 01/08/2023]
Abstract
The objective of this study is to determine the property of human perirenal adipose tissue (PAT) and assess the adipose property of PAT in hypertension. Ninety-four patients, including 64 normotensive patients (T-NP) and 30 hypertensive patients (HP), who underwent renal surgery were included. Expression analysis was performed using quantitative real-time polymerase chain reaction, Western blot, and immunohistochemistry in PAT and back subcutaneous adipose tissue (bSAT) depots. Compared with bSAT, PAT adipocytes were smaller, and the expressions of uncoupling protein-1 (UCP1) mRNA and protein were markedly higher, while the mRNA expressions of markers for classic beige and white adipocytes were lower in PAT. Immunohistochemistry analysis showed more multilocular UCP1-positive adipocytes in PAT than in bSAT. UCP1 expressions were lower in PAT in HP than in the T-NP or age- and body mass index-matched NP groups. Bigger unilocular adipocytes with less UCP1 staining in PAT were detected in HP than in NP group, although no such difference was observed in bSAT. PAT acts as a brown-like fat. UCP1 expression of PAT was lower in HP than in normotensive patients. UCP1 expression of PAT may serve as a protective indicator for hypertension.
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Affiliation(s)
- Xueqin Li
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
- Department of Geratology, Huai'an First People's Hospital, Nanjing Medical University, 6 Beijing Road West, Huai'an, 223300, Jiangsu, People's Republic of China
| | - Juan Liu
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Gongcheng Wang
- Departments of Urology, Huai'an First People's Hospital, Nanjing Medical University, 6 Beijing Road West, Huai'an, 223300, Jiangsu, People's Republic of China
| | - Jing Yu
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Yunlu Sheng
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Chen Wang
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Yifan Lv
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Shan Lv
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Hanmei Qi
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Wenjuan Di
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China
| | - Changjun Yin
- Department of Urology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China.
| | - Guoxian Ding
- Department of Geratology, The First Hospital Affiliated to Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, People's Republic of China.
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Montalcini T, De Bonis D, Ferro Y, Carè I, Mazza E, Accattato F, Greco M, Foti D, Romeo S, Gulletta E, Pujia A. High Vegetable Fats Intake Is Associated with High Resting Energy Expenditure in Vegetarians. Nutrients 2015; 7:5933-47. [PMID: 26193314 PMCID: PMC4517036 DOI: 10.3390/nu7075259] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2015] [Revised: 06/08/2015] [Accepted: 07/10/2015] [Indexed: 12/20/2022] Open
Abstract
It has been demonstrated that a vegetarian diet may be effective in reducing body weight, however, the underlying mechanisms are not entirely clear. We investigated whether there is a difference in resting energy expenditure between 26 vegetarians and 26 non-vegetarians and the correlation between some nutritional factors and inflammatory markers with resting energy expenditure. In this cross-sectional study, vegetarians and non-vegetarians were matched by age, body mass index and gender. All underwent instrumental examinations to assess the difference in body composition, nutrient intake and resting energy expenditure. Biochemical analyses and 12 different cytokines and growth factors were measured as an index of inflammatory state. A higher resting energy expenditure was found in vegetarians than in non-vegetarians (p = 0.008). Furthermore, a higher energy from diet, fibre, vegetable fats intake and interleukin-β (IL-1β) was found between the groups. In the univariate and multivariable analysis, resting energy expenditure was associated with vegetarian diet, free-fat mass and vegetable fats (p < 0.001; Slope in statistic (B) = 4.8; β = 0.42). After adjustment for cytokines, log10 interleukin-10 (IL-10) still correlated with resting energy expenditure (p = 0.02). Resting energy expenditure was positively correlated with a specific component of the vegetarian's diet, i.e., vegetable fats. Furthermore, we showed that IL-10 was positively associated with resting energy expenditure in this population.
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Affiliation(s)
- Tiziana Montalcini
- Department of Clinical and Experimental Medicine, University Magna Grecia, Catanzaro 88100, Italy.
| | - Daniele De Bonis
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Yvelise Ferro
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Ilaria Carè
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Elisa Mazza
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Francesca Accattato
- Department of Health Sciences, University Magna Grecia, Catanzaro 88100, Italy.
| | - Marta Greco
- Department of Health Sciences, University Magna Grecia, Catanzaro 88100, Italy.
| | - Daniela Foti
- Department of Health Sciences, University Magna Grecia, Catanzaro 88100, Italy.
| | - Stefano Romeo
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
- Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg SE-413 45, Sweden.
| | - Elio Gulletta
- Department of Health Sciences, University Magna Grecia, Catanzaro 88100, Italy.
| | - Arturo Pujia
- Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
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Montalcini T, Lamprinoudi T, Gorgone G, Ferro Y, Romeo S, Pujia A. Subclinical cardiovascular damage and fat utilization in overweight/obese individuals receiving the same dietary and pharmacological interventions. Nutrients 2014; 6:5560-71. [PMID: 25470378 PMCID: PMC4276983 DOI: 10.3390/nu6125560] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2014] [Revised: 11/06/2014] [Accepted: 11/08/2014] [Indexed: 01/19/2023] Open
Abstract
Subclinical organ damage precedes the occurrence of cardiovascular events in individuals with obesity and hypertension. The aim of this study was to assess the relationship between fuel utilization and subclinical cardiovascular damage in overweight/obese individuals free of established cardiovascular disease receiving the same diet and pharmacological intervention. In this retrospective study a total of 35 subjects following a balanced diet were enrolled. They underwent a complete nutritional and cardiovascular assessment. Echocardiography and ultrasonography of the carotid arteries was performed. The respiratory quotient (fuel utilization index) was assessed by indirect calorimetry. A total of 18 had left ventricular concentric remodeling, 17 were normal. Between these two groups, a significant difference of intima-media thickness was showed (p = 0.015). Also a difference of respiratory quotient was shown with the highest value in those with remodeling (p = 0.038). At univariate and multivariate analysis, cardiac remodeling was associated with respiratory quotient (RQ) (p = 0.04; beta = 0.38; SE = 0.021; B = 0.044). The area under the receiver operating characteristic (ROC) curve for respiratory quotient to predict remodeling was 0.72 (SE = 0.093; p = 0.031; RQ = 0.87; 72% sensitivity, 84% specificity). The respiratory quotient is significantly different between those participants with and without cardiac remodeling. Its measurement may help for interpreting the (patho)physiological mechanisms in the nutrients utilization of obese people with different response to dietary or pharmacological interventions.
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Affiliation(s)
- Tiziana Montalcini
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Theodora Lamprinoudi
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Gaetano Gorgone
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Yvelise Ferro
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Stefano Romeo
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
| | - Arturo Pujia
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro 88100, Italy.
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Nutrients utilization in obese individuals with and without hypertriglyceridemia. Nutrients 2014; 6:790-8. [PMID: 24566437 PMCID: PMC3942732 DOI: 10.3390/nu6020790] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2013] [Revised: 01/23/2014] [Accepted: 02/12/2014] [Indexed: 11/24/2022] Open
Abstract
Background: Low fat utilization is linked to weight gain and to the presence of certain atherosclerosis markers. It is not clear whether the presence of hyperlipidemia can further affect nutrients utilization. The main objective of this study was to investigate the fasting fuel utilization of obese subjects suffering from hypertriglyceridemia, and to compare it with that of individuals that are solely obese. Method: We recruited 20 obese individuals with hypertriglyceridemia and 20 matched individuals not affected by hypertriglyceridemia. The fuel utilization (respiratory quotient) was measured by respiratory gas exchange, by Indirect Calorimetry. Results: There was a significant difference in fuel utilization and HDL-cholesterol between cases and controls (respiratory quotient 0.89 ± 0.07 vs. 0.84 ± 0.06; p = 0.020 respectively). The univariate and multivariate linear regression analysis confirmed that hypertrygliceridemia was positively correlated to the respiratory quotient (p = 0.035). Conclusion: obese subjects with hypertriglyceridemia had a higher respiratory quotient in comparison to unaffected subjects. This could suggest a limitation in the beta-oxidation mechanisms; this could actually imply that fatty acids may be redirected from oxidation to reesterification into triglycerides. The study could suggest the presence of different mechanisms unrelated to obesity and also a potential new therapeutic target for hypertriglyceridemia management.
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Montalcini T, Terracciano R, Romeo S, Foti D, Gulletta E, Costanzo FS, Pujia A. Postmenopausal women with carotid atherosclerosis: potential role of the serum calcium levels. Nutr Metab Cardiovasc Dis 2013; 23:1141-1146. [PMID: 23466180 DOI: 10.1016/j.numecd.2012.12.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2012] [Revised: 11/08/2012] [Accepted: 12/14/2012] [Indexed: 10/27/2022]
Abstract
BACKGROUND AND AIM Studies on the association between serum calcium levels and cardiovascular diseases suggested a causative role for hypercalcemia but other studies showed that even serum calcium levels within normal range could be involved in atherosclerosis. However, while dietary calcium intake does not seem to be related to adverse cardiovascular effects, the association between calcium supplementation and the cardiovascular events has not been fully proven. Our aim was to determine the relation between serum calcium levels, within normal range, and the presence of carotid atherosclerosis in a population in whom investigations on this topic are lacking, the postmenopausal women. METHODS AND RESULTS In this retrospective study, participants were recruited from women aged 49-65 years who underwent an ultrasonography evaluation of the carotid arteries between years 2008-2012. The study included 413 subjects with serum calcium level available, without symptomatic cardiovascular disease. A physical examination, including the evaluation of body mass index, waist and hip circumferences and the blood pressure, as well as, a collection of a venous blood sample was performed. The mean age was 56 ± 7 years. The prevalence of the carotid atherosclerosis was 50.8%. The comparison between women with and without carotid atherosclerosis showed differences for the classical risk factors and for serum calcium levels (p = 0.001). The logistic regression analysis, adjusting for these risk factors, confirmed the association between serum calcium levels and carotid atherosclerosis (p = 0.011). Furthermore, we showed an increasing prevalence of carotid atherosclerosis from lower to higher calcium quartiles (p = 0.016). CONCLUSION We found a positive relation between serum calcium levels and the carotid atherosclerosis in postmenopausal women. This study may suggest a redetermination of the reference range of calcemia, at least in menopause.
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Affiliation(s)
- T Montalcini
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Catanzaro, Viale S. Venuta, 88100 Catanzaro, Italy.
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Ferro Y, Gazzaruso C, Coppola A, Romeo S, Migliaccio V, Giustina A, Pujia A, Montalcini T. Fat utilization and arterial hypertension in overweight/obese subjects. J Transl Med 2013; 11:159. [PMID: 23815947 PMCID: PMC3708740 DOI: 10.1186/1479-5876-11-159] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2013] [Accepted: 06/27/2013] [Indexed: 11/12/2022] Open
Abstract
Background The Respiratory Quotient is a parameter reflecting the utilization of the nutrients by a subject. It is associated with an high rate of subsequent weight gain and with the atherosclerosis. Subjects tending to burn less fat have an increased Respiratory Quotient. Aim of this study was to investigate on the relationship between the Respiratory Quotient and the cardiovascular risk factors. Methods In this cross-sectional study we enrolled 223 individuals of both sexes aged 45–75 ys that were weight stable, receiving a balanced diet, and not affected by debilitating disease or cardiovascular disease. The Respiratory Quotient was measured by Indirect Calorimetry. The measurement of the Blood Pressure was obtained by a mercury sphygmomanometer. Results We enrolled 133 female and 90 male. Systolic blood pressure only was positively correlated to the Respiratory Quotient in univariate and multivariate regression analysis (p=0,017). The prevalence of hypertension was significatively different between the quartiles of the Respiratory Quotient, with the highest prevalence in the IV quartile (p=0,024). Conclusion High value of the Respiratory Quotient, an index of nutrients utilization, is associated to an high prevalence of Hypertension. It is possible that in the subjects with high Respiratory Quotient and high body mass index, the activation of the renin angiotensin system, in concert to the reduction of the utilization of the endogenous fat stores, could increase the risk of hypertension.
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Affiliation(s)
- Yvelise Ferro
- Clinical Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, Viale S, Venuta, 88100 Catanzaro, Italy
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Karras A, Haymann JP, Bozec E, Metzger M, Jacquot C, Maruani G, Houillier P, Froissart M, Stengel B, Guardiola P, Laurent S, Boutouyrie P, Briet M. Large Artery Stiffening and Remodeling Are Independently Associated With All-Cause Mortality and Cardiovascular Events in Chronic Kidney Disease. Hypertension 2012; 60:1451-7. [DOI: 10.1161/hypertensionaha.112.197210] [Citation(s) in RCA: 142] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Alexandre Karras
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Jean-Philippe Haymann
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Erwan Bozec
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Marie Metzger
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Christian Jacquot
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Gerard Maruani
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Pascal Houillier
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Marc Froissart
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Bénédicte Stengel
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Philippe Guardiola
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Stéphane Laurent
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Pierre Boutouyrie
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
| | - Marie Briet
- From the Departments of Nephrology (A.K., C.J.), Pharmacology (E.B., S.L., P.B.), and Physiology (G.M., P.H., M.F.), and Institut National de la Santé et de la Recherche Médicale CIC 9201 (M.B.), Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France; Department of Physiology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France (J.P.H.); Institut National de la Santé et de la Recherche Médicale, CESP Center for Research in Epidemiology and Population
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Hypertension, as well as higher pulse pressure, promotes large artery remodeling even in normotensive postmenopausal women. Menopause 2012; 19:123. [PMID: 22278309 DOI: 10.1097/gme.0b013e318240f485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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