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毛细血管血液中二十二碳六烯酸水平可预测绝经前女性样本群体中的心电图标志物。

Capillary Blood Docosahexaenoic Acid Levels Predict Electrocardiographic Markers in a Sample Population of Premenopausal Women.

作者信息

Casagrande Breno P, Sherrard George, Fowler Mike S, Estadella Débora, Bueno Allain A

机构信息

College of Health, Life and Environmental Sciences, University of Worcester, Henwick Grove, Worcester WR2 6AJ, UK.

Biosciences Department, Institute of Health and Society, Federal University of São Paulo, Santos 1015-020, SP, Brazil.

出版信息

J Clin Med. 2024 Oct 7;13(19):5957. doi: 10.3390/jcm13195957.

Abstract

: The relationship between blood N-3 polyunsaturated fatty acid (PUFA) levels and cardiovascular health is known, but direct evidence that N-3 PUFA levels influence electrocardiographic (ECG) parameters is non-existent. In the study described herein, we investigated the relationship between anthropometric biomarkers and capillary blood PUFAs with ECG outputs in a sample population of healthy pre-menopausal women. : Twenty-three consenting females were recruited, with the study power analysis sufficiently demonstrated. Food intake, anthropometric and cardiovascular parameters were obtained. Capillary blood was collected for fatty acid chromatographic analysis. : Body mass index, haematocrit, heart rate (HR), mean arterial pressure (MAP) and ECG readings all fell within healthy ranges. Principal component analysis-mediated correlations were carried out controlling for combined Components 1 (age, body fat % and waist-to-hip ratio) and 2 (height, HR and MAP) as control variables. Docosahexaenoic acid (DHA) unequivocally decreased the QRS area under the curve (AUC-QRS) regardless of the impact of control variables, with each unit increase in DHA corresponding to a 2.3-unit decrease in AUC-QRS. Mediation analysis revealed a significant overall effect of DHA on AUC-QRS, with the impact of DHA on R wave amplitude accounting for 77% of the total observed effect. : Our new findings revealed an inverse relationship between AUC-QRS with capillary blood DHA, suggesting that the association between ventricular mass and its QRS depolarising voltage is mediated by DHA. Our findings bridge a knowledge gap on the relationship between ventricular mass and ventricular efficiency. Further research will confirm whether the relationship identified in our study also exists in diseased patients.

摘要

血液中n - 3多不饱和脂肪酸(PUFA)水平与心血管健康之间的关系是已知的,但n - 3多不饱和脂肪酸水平影响心电图(ECG)参数的直接证据并不存在。在本文所述的研究中,我们调查了健康绝经前女性样本群体中人体测量生物标志物和毛细血管血中多不饱和脂肪酸与心电图输出之间的关系。招募了23名同意参与的女性,充分证明了研究效能分析。获取食物摄入量、人体测量和心血管参数。采集毛细血管血进行脂肪酸色谱分析。体重指数、血细胞比容、心率(HR)、平均动脉压(MAP)和心电图读数均在健康范围内。进行主成分分析介导的相关性分析,将组合成分1(年龄、体脂百分比和腰臀比)和2(身高、心率和平均动脉压)作为控制变量。无论控制变量的影响如何,二十二碳六烯酸(DHA)均明确降低了曲线下QRS面积(AUC-QRS),DHA每增加一个单位,AUC-QRS相应降低2.3个单位。中介分析显示DHA对AUC-QRS有显著的总体影响,DHA对R波振幅的影响占总观察效应的77%。我们的新发现揭示了AUC-QRS与毛细血管血DHA之间的负相关关系,表明心室质量与其QRS去极化电压之间的关联是由DHA介导的。我们的发现填补了心室质量与心室效率之间关系的知识空白。进一步的研究将证实我们研究中确定的关系是否也存在于患病患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13d8/11478101/a3ad12b7aad3/jcm-13-05957-g001.jpg

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