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Circulating carotenoid concentrations and incident hypertension: the Coronary Artery Risk Development in Young Adults
Atsushi Hozawa1, David R Jacobs, Michael W Steffes
1Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55454, USA.
Insights
Higher serum carotenoid levels, excluding lycopene, are linked to a reduced risk of developing hypertension over 20 years. This finding supports the role of carotenoids in cardiovascular health.
Area of Science:
- Nutritional Epidemiology
- Cardiovascular Health
- Public Health
Background:
- Epidemiological studies suggest an inverse relationship between carotenoid concentrations and cardiovascular disease incidence.
- Hypertension is a significant risk factor for macrovascular diseases.
Purpose of the Study:
- To investigate the association between circulating carotenoids and the risk of developing hypertension.
- To examine the long-term impact of carotenoid levels on hypertension incidence.
Main Methods:
- Analysis of data from the Coronary Artery Risk Development in Young Adults (CARDIA) Study.
- Inclusion of Black and White men and women aged 18-30 years at recruitment (1985-1986).
- Assessment of serum carotenoid sums (alpha-carotene, beta-carotene, lutein/zeaxanthin, cryptoxanthin) and lycopene at baseline, year 7, and year 15, with hypertension incidence determined over 20 years using proportional hazards regression models.
Main Results:
- A significant inverse association was observed between the sum of four serum carotenoids (excluding lycopene) at baseline and 20-year hypertension incidence (relative hazard per SD increase: 0.91; 95% CI = 0.84-0.99).
- These inverse relationships remained significant in time-dependent models incorporating year 7 and year 15 carotenoid values (relative hazard per SD increase: 0.84; 95% CI = 0.77-0.92).
- Lycopene showed no significant association with hypertension incidence in any of the models.
Conclusions:
- Higher concentrations of serum carotenoids, excluding lycopene, are generally associated with a lower risk of future hypertension.
- These findings highlight the potential protective role of specific carotenoids against hypertension development.
Background:
Several epidemiological studies have demonstrated that carotenoid concentrations relate inversely to cardiovascular disease incidence. Thus, we examined the association of circulating carotenoids with hypertension, a major macrovascular disease risk factor.
Methods:
Black and White men and women in the Coronary Artery Risk Development in Young Adults Study, aged 18-30 years at recruitment (1985-1986) from four US cities, were investigated over 20 years. At years 0, 7, and 15, we determined the relationships of the sum of four serum carotenoids (alpha-carotene, beta-carotene, lutein/zeaxanthin, cryptoxanthin) and of lycopene with incident hypertension using proportional hazards regression models.
Results:
In 4412 participants, year 0 sum of four carotenoids was significantly inversely associated with 20-year hypertension incidence after adjustment for baseline systolic blood pressure and other confounding factors (relative hazard per SD increase of sum of four carotenoids: 0.91; 95% confidence interval = 0.84-0.99). The inverse relationships persisted in time-dependent models updating year 0 sum of four carotenoids with year 7 and year 15 values (relative hazard per SD increase of sum of four carotenoids: 0.84; 95% confidence interval = 0.77-0.92). Lycopene was unrelated to hypertension in any model.
Conclusion:
Those individuals with higher concentrations of sum of carotenoids, not including lycopene, generally had lower risk for future hypertension.
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