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Published on: January 29, 2020
Cardiovascular disease mortality and serum carotenoid levels: a Japanese population-based follow-up study
Yoshinori Ito1, Mio Kurata, Koji Suzuki
1Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine, Japan. itoyo@med.nagoya-u.ac.jp
Insights
High serum carotenoids, including alpha-carotene, beta-carotene, and lycopene, are linked to lower cardiovascular disease mortality in Japanese adults. This suggests a protective role for these dietary compounds in heart health.
Area of Science:
- Nutritional Epidemiology
- Cardiovascular Health
- Biomarkers
Background:
- Observational studies suggest a link between dietary and serum carotenoids and reduced cardiovascular disease (CVD) mortality.
- Carotenoids are antioxidants with potential cardioprotective effects.
Purpose of the Study:
- To investigate the association between serum carotenoid levels and CVD mortality in a Japanese cohort.
- To determine if specific carotenoids (alpha-carotene, beta-carotene, lycopene) or total carotene influence CVD risk.
Main Methods:
- A cohort of 3,061 Japanese adults (aged 39-80) was followed for 11.9 years.
- Serum levels of alpha-carotene, beta-carotene, and lycopene were measured using high-performance liquid chromatography.
- Cox proportional hazard models adjusted for confounders were used to estimate hazard ratios for CVD mortality.
Main Results:
- High serum levels of alpha-carotene, beta-carotene, and total carotene were significantly associated with lower CVD mortality.
- A significant inverse association between high serum lycopene and stroke mortality was not consistently observed.
- 80 CVD deaths, 40 heart disease deaths, and 37 stroke deaths occurred during follow-up.
Conclusions:
- Elevated serum total carotene, primarily from alpha- and beta-carotenes and lycopene, may reduce cardiovascular disease mortality risk.
- These findings support the potential cardioprotective role of carotenoids in the Japanese population.
Background:
Some observational epidemiologic studies suggest that dietary and serum carotenoids are associated with reduced cardiovascular disease mortality.
Methods:
Three thousand and sixty-one subjects (1,190 males and 1,871 females), aged 39 to 80 years, were recruited from residents of Hokkaido, Japan who had attended comprehensive health check-up programs from 1988 through 1995. Serum levels of alpha-carotene, beta-carotene, and lycopene were separately determined by high-performance liquid chromatography. Serum levels of total carotene consisted of the sum of alpha-carotene, beta-carotene, and lycopene levels. Each serum level of alpha-carotene, beta-carotene, lycopene, total carotene, triglyceride, and alanine transaminase (ALT) activity was transformed logarithmically. The hazard ratios of serum alpha- and beta-carotenes, lycopene, and total carotene values were estimated by the Cox proportional hazard model after adjusting for sex, age, and other potential confounding factors.
Results:
During the 11.9-year follow-up period, 80 deaths (49 males and 31 females) from cardiovascular disease, 40 deaths from heart disease, and 37 deaths from stroke were identified among the cohort subjects. High serum values of carotenoids such as alpha- and beta-carotenes, and lycopene were found to be significantly associated with low hazard ratios for cardiovascular disease mortality. However, a significant inverse association between high serum lycopene value and the risk for stroke mortality was not always observed.
Conclusions:
High serum levels of total carotene, comprising alpha- and beta-carotenes and lycopene, may reduce the risk for cardiovascular disease mortality among the Japanese population.
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