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核黄素摄入量与心血管疾病死亡率呈负相关,并与叶酸摄入量相互作用:来自国家健康和营养检查调查(NHANES)2005-2016 的研究结果。

Riboflavin Intake Inversely Associated with Cardiovascular-Disease Mortality and Interacting with Folate Intake: Findings from the National Health and Nutrition Examination Survey (NHANES) 2005-2016.

机构信息

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.

出版信息

Nutrients. 2022 Dec 16;14(24):5345. doi: 10.3390/nu14245345.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf62/9785396/95a18dc6e3aa/nutrients-14-05345-g001.jpg

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