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Measurement of Heme Synthesis Levels in Mammalian Cells
Published on: July 9, 2015
Dietary haem iron and coronary heart disease in women
Daphne L van der A1, Petra H M Peeters, Diederick E Grobbee
1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, HP Str.6.131, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Insights
High dietary heme iron intake is linked to increased coronary heart disease (CHD) risk in middle-aged women. This finding suggests dietary iron may play a significant role in cardiovascular health.
Area of Science:
- Cardiovascular Science
- Nutritional Epidemiology
- Iron Metabolism
Background:
- In vitro and in vivo studies suggest a role for iron in ischaemic heart disease risk.
- Dietary iron, particularly heme iron, is a key nutrient with potential cardiovascular implications.
- Understanding the association between dietary heme iron and coronary heart disease (CHD) is crucial for public health.
Purpose of the Study:
- To investigate the association between dietary heme iron intake and the risk of developing coronary heart disease (CHD).
- To examine this relationship in a large population-based cohort of middle-aged women.
Main Methods:
- Utilized data from 16,136 women aged 49-70 years, with follow-up until January 1, 2000.
- Employed Cox proportional hazards analysis to estimate CHD risk across quartiles of heme iron intake.
- Adjusted for cardiovascular and nutritional risk factors, and explored potential effect modification.
Main Results:
- A high dietary heme iron intake was associated with a 65% increase in CHD risk (HR=1.65; 95% CI: 1.07-2.53).
- This association remained significant after adjusting for cardiovascular and nutritional risk factors.
- No significant modification of risk was observed based on additional cardiovascular risk factors, menstrual status, or antioxidant intake.
Conclusions:
- Middle-aged women with relatively high dietary heme iron intake face an elevated risk of coronary heart disease (CHD).
- Dietary heme iron is a potential modifiable risk factor for CHD in women.
Aims:
A role for iron in the risk of ischaemic heart disease has been supported by in vitro and in vivo studies. We investigated whether dietary haem iron intake is associated with coronary heart disease (CHD) risk in a large population-based cohort of middle-aged women.
Methods And Results:
We used data of 16 136 women aged 49-70 years at recruitment between 1993 and 1997. Follow-up was complete until 1 January 2000 and 252 newly diagnosed CHD cases were documented. Cox proportional hazards analysis was used to estimate hazard ratios of CHD for quartiles of haem iron intake, adjusted for cardiovascular and nutritional risk factors. We stratified by the presence of additional cardiovascular risk factors, menstrual periods, and antioxidant intake to investigate the possibility of effect modification. High dietary haem iron intake was associated with a 65% increase in CHD risk [hazard ratio (HR)=1.65; 95% confidence interval (CI): 1.07-2.53], after adjustment for cardiovascular and nutritional risk factors. This risk was not modified by additional risk factors, menstruation, or antioxidant intake.
Conclusion:
The results indicate that middle-aged women with a relatively high haem iron intake have an increased risk of CHD.
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