Division of Health Sciences, University of South Australia, Adelaide, SA 5000, Australia.
Human Nutrition Department, College of Health Sciences, QU Health, Qatar University, Doha 2713, Qatar.
Nutrients. 2022 Dec 16;14(24):5345. doi: 10.3390/nu14245345.
The association between intakes of riboflavin and mortality has not been examined intensively in general populations. In this study, 10,480 adults in the 2005-2016 National Health and Nutrition Examination Survey (NHANES) were followed-up until 2019 for their vital status. Riboflavin and folate were assessed by two-day 24 h recall. The date and cause of death were obtained from the US Mortality Registry. The risks of all-cause mortality and cardiovascular disease (CVD) mortality were investigated using a Cox regression analysis. During a mean of 8.5 years follow-up, there were 1214 deaths registered (including 373 deaths from CVD and 302 from cancer). Compared to low level (quartile 1, Q1) of riboflavin intake, the hazard ratios (HRs) (95% confidence interval (CI)) for high level (quartile 4, Q4) were 0.53 (0.31-0.90) for CVD mortality and 0.62 (0.48-0.81) for all-cause mortality. The inverse association between riboflavin intake and CVD mortality was only significant among those with a high intake of folate ( for interaction 0.045). Those with a high folate intake (Q4) and low intake of riboflavin (Q1) had the highest risk of CVD mortality (HR 4.38, 95% CI 1.79-10.72), as compared with a high intake of both riboflavin and folate. In conclusion, riboflavin intake was inversely associated with all-cause mortality and CVD mortality, and the association was modified by folate intake.
人群中,关于核黄素摄入量与死亡率之间的关联尚未得到深入研究。在这项研究中,对 2005-2016 年国家健康和营养调查(NHANES)中的 10480 名成年人进行了随访,直到 2019 年记录其生存状态。通过两天 24 小时回顾法评估核黄素和叶酸的摄入量。通过美国死亡率登记处获取死亡日期和原因。使用 Cox 回归分析研究全因死亡率和心血管疾病(CVD)死亡率的风险。在平均 8.5 年的随访期间,登记了 1214 例死亡(包括 373 例 CVD 死亡和 302 例癌症死亡)。与低核黄素摄入量(四分位 1,Q1)相比,高水平摄入量(四分位 4,Q4)的风险比(HR)(95%置信区间(CI))分别为 0.53(0.31-0.90)(CVD 死亡率)和 0.62(0.48-0.81)(全因死亡率)。核黄素摄入量与 CVD 死亡率之间的负相关仅在叶酸摄入量高的人群中具有统计学意义(交互作用检验 P=0.045)。与高叶酸摄入量(Q4)和低核黄素摄入量(Q1)相结合的人群相比,叶酸摄入量高(Q4)和核黄素摄入量低(Q1)的人群发生 CVD 死亡率的风险最高(HR 4.38,95%CI 1.79-10.72)。总之,核黄素摄入量与全因死亡率和 CVD 死亡率呈负相关,且这种关联受叶酸摄入量的影响。