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TITLE:
Plasma Ceramides, Mediterranean Diet, and Incident Cardiovascular Disease in the PREDIMED Trial ( Prevencion con Dieta Mediterranea) - imarina:2840767

URV's Author/s:Salas Salvadó, Jorge
Author, as appears in the article.:Wang, Dong D; Toledo, Estefania; Hruby, Adela; Rosner, Bernard A; Willett, Walter C; Sun, Qi; Razquin, Cristina; Zheng, Yan; Ruiz-Canela, Miguel; Guasch-Ferre, Marta; Corella, Dolores; Gomez-Gracia, Enrique; Fiol, Miquel; Estruch, Ramon; Ros, Emilio; Lapetra, Jose; Fito, Montserrat; Aros, Fernando; Serra-Majem, Luis; Lee, Chih-Hao; Clish, Clary B; Liang, Liming; Salas-Salvado, Jordi; Martinez-Gonzalez, Miguel A; Hu, Frank B
Author's mail:jordi.salas@urv.cat
Author identifier:0000-0003-2700-7459
Journal publication year:2017
Publication Type:Journal Publications
ISSN:00097322
APA:Wang, Dong D; Toledo, Estefania; Hruby, Adela; Rosner, Bernard A; Willett, Walter C; Sun, Qi; Razquin, Cristina; Zheng, Yan; Ruiz-Canela, Miguel; Guas (2017). Plasma Ceramides, Mediterranean Diet, and Incident Cardiovascular Disease in the PREDIMED Trial ( Prevencion con Dieta Mediterranea). Circulation, 135(21), 2028-2040. DOI: 10.1161/CIRCULATIONAHA.116.024261
Paper original source:Circulation. 135 (21): 2028-2040
Abstract:Although in vitro studies and investigations in animal models and small clinical populations have suggested that ceramides may represent an intermediate link between overnutrition and certain pathological mechanisms underlying cardiovascular disease (CVD), no prospective studies have investigated the association between plasma ceramides and risk of CVD.The study population consisted of 980 participants from the PREDIMED trial (Prevención con Dieta Mediterránea), including 230 incident cases of CVD and 787 randomly selected participants at baseline (including 37 overlapping cases) followed for ?7.4 years. Participants were randomized to a Mediterranean diet supplemented with extra virgin olive oil, a Mediterranean diet supplemented with nuts, or a control diet. Plasma ceramide concentrations were measured on a liquid chromatography tandem mass spectrometry metabolomics platform. The primary outcome was a composite of nonfatal acute myocardial infarction, nonfatal stroke, or cardiovascular death. Hazard ratios were estimated with weighted Cox regression models using Barlow weights to account for the case-cohort design.The multivariable hazard ratios (HR) and 95% confidence intervals (CIs) comparing the extreme quartiles of plasma concentrations of C16:0, C22:0, C24:0, and C24:1 ceramides were 2.39 (1.49-3.83, Ptrend<0.001), 1.91 (1.21-3.01, Ptrend=0.003), 1.97 (1.21-3.20, Ptrend=0.004), and 1.73 (1.09-2.74, Ptrend=0.011), respectively. The ceramide score, calculated as a weighted sum of concentrations of four ceramides, was associated with a 2.18-fold higher risk of CVD across extreme quartiles (HR, 2.18; 95% CI, 1.36-3.49; Ptrend<0.001). The association between baseline ceramide score and incident CVD varied significantly by treatment groups (Pinteraction=0.010). Participants with a higher ceramide score and assigned to either of the 2 active intervention arms of the trial showed similar CVD risk to those with a lower ceramide score, whereas participants with a higher ceramide score and assigned to the control arm presented significantly higher CVD risk. Changes in ceramide concentration were not significantly different between Mediterranean diet and control groups during the first year of follow-up.Our study documented a novel positive association between baseline plasma ceramide concentrations and incident CVD. In addition, a Mediterranean dietary intervention may mitigate potential deleterious effects of elevated plasma ceramide concentrations on CVD.URL: http://www.isrctn.com. Unique identifier: ISRCTN35739639.© 2017 American Heart Association, Inc.
Article's DOI:10.1161/CIRCULATIONAHA.116.024261
Link to the original source:https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.116.024261
Paper version:info:eu-repo/semantics/acceptedVersion
licence for use:https://creativecommons.org/licenses/by/3.0/es/
Department:Bioquímica i Biotecnologia
Licence document URL:https://repositori.urv.cat/ca/proteccio-de-dades/
Thematic Areas:Saúde coletiva
Physiology (medical)
Peripheral vascular disease
Nutrição
Medicina iii
Medicina ii
Medicina i
Interdisciplinar
Hematology
General medicine
Farmacia
Ensino
Engenharias iv
Engenharias ii
Enfermagem
Educação física
Ciências biológicas iii
Ciências biológicas ii
Ciências biológicas i
Ciência da computação
Cardiology and cardiovascular medicine
Cardiac & cardiovascular systems
Biotecnología
Keywords:Virgin olive oil
Stroke
Sphingolipid metabolism
Skeletal-muscle cells
Saturated fatty-acids
Pleckstrin homology domain
Metabolic syndrome
Mediterranean diet
Intracerebral hemorrhage
Induced insulin-resistance
Coronary-artery-disease
Coronary heart disease
Ceramide
Case-cohort design
Cardiovascular disease
mediterranean diet
coronary heart disease
ceramide
cardiovascular disease
Entity:Universitat Rovira i Virgili
Record's date:2025-02-17
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