Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial

Background and aim: Certain trace elements have been associated with increased cardiovascular risk. The aim of this study was to evaluate the association between serum copper (S-Cu) levels and the risk of a first event of cardiovascular disease (CVD) in a population of older adults with high cardiov...

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Autores: Muñoz Bravo, Carlos, Olmedo, Pablo, Gil, Fernando, Ruiz Canela, Miguel, Martínez-González, Miguel Ángel, 1957-, Martínez, María Ángeles, Babio, Nancy, Fitó Colomer, Montserrat, Del Val García, Jose Luís, Corella Piquer, Dolores, Sorlí, José V., Ros Rahola, Emilio, Fiol Sala, Miguel, Estruch Riba, Ramon, Santos Lozano, José Manuel, Arós, Fernando, Serra Majem, Lluís, Pintó Sala, Xavier, Gómez Gracia, Enrique, Gutierrez Bedmar, Mario
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/207360
Acceso en línea:https://hdl.handle.net/2445/207360
Access Level:acceso abierto
Palabra clave:Malalties cardiovasculars
Sèrum
Coure en l'organisme
Cardiovascular diseases
Serum
Copper in the body
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spelling Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trialMuñoz Bravo, CarlosOlmedo, PabloGil, FernandoRuiz Canela, MiguelMartínez-González, Miguel Ángel, 1957-Martínez, María ÁngelesBabio, NancyFitó Colomer, MontserratDel Val García, Jose LuísCorella Piquer, DoloresSorlí, José V.Ros Rahola, EmilioFiol Sala, MiguelEstruch Riba, RamonSantos Lozano, José ManuelArós, FernandoSerra Majem, LluísPintó Sala, XavierGómez Gracia, EnriqueGutierrez Bedmar, MarioMalalties cardiovascularsSèrumCoure en l'organismeCardiovascular diseasesSerumCopper in the bodyBackground and aim: Certain trace elements have been associated with increased cardiovascular risk. The aim of this study was to evaluate the association between serum copper (S-Cu) levels and the risk of a first event of cardiovascular disease (CVD) in a population of older adults with high cardiovascular risk. Methods and results: We conducted a case-control study nested within the PREDIMED trial. During a median follow-up of 4.8 years, a total of 207 incident cases diagnosed with CVD were matched for sex, age, and intervention group with 436 controls. Personal interviews, reviews of medical records, and validated questionnaires were used to assess known CVD risk factors. Biological serum samples were collected annually. Inductively coupled plasma mass spectrometry analysis was used to determine S-Cu levels. Adjusted odds ratios were calculated using multivariate conditional logistic regression models. All participants had S-Cu levels within the reference values, 750 μg/L to 1450 μg/L. Among men, but not among women, the mean S-Cu concentration was higher in cases 1014.1 μg/L than in controls 959.3 μg/L; (p = 0.004). In men, the multivariable-adjusted odds ratio for CVD was 2.36 (95% CI 1.07-5.20 for the comparison of the highest vs. the lowest quartile; p for trend = 0.02), in women, it was 0.43 (95% CI 0.11-1.70; p for trend = 0.165). Conclusion: In older Spanish men with high cardiovascular risk, a significant association was observed between high S-Cu levels, but still within the reference values, and an increased risk of a first event of CVD. Our findings suggest a sex difference in CVD risk and S-Cu levels. To confirm this relationship and to analyze the differences observed between men and women, further studies are needed.Elsevier B.V.2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/207360Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.numecd.2023.07.008Nutrition Metabolism and Cardiovascular Diseases, 2023, vol. 33, num.11, p. 2199-2208https://doi.org/10.1016/j.numecd.2023.07.008cc-by-nc-nd (c) Muñoz-Bravo et al., 2023http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2073602026-05-27T06:46:51Z
dc.title.none.fl_str_mv Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
title Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
spellingShingle Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
Muñoz Bravo, Carlos
Malalties cardiovasculars
Sèrum
Coure en l'organisme
Cardiovascular diseases
Serum
Copper in the body
title_short Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
title_full Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
title_fullStr Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
title_full_unstemmed Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
title_sort Association between serum copper levels and risk of cardiovascular disease: A nested case-control study in the PREDIMED trial
dc.creator.none.fl_str_mv Muñoz Bravo, Carlos
Olmedo, Pablo
Gil, Fernando
Ruiz Canela, Miguel
Martínez-González, Miguel Ángel, 1957-
Martínez, María Ángeles
Babio, Nancy
Fitó Colomer, Montserrat
Del Val García, Jose Luís
Corella Piquer, Dolores
Sorlí, José V.
Ros Rahola, Emilio
Fiol Sala, Miguel
Estruch Riba, Ramon
Santos Lozano, José Manuel
Arós, Fernando
Serra Majem, Lluís
Pintó Sala, Xavier
Gómez Gracia, Enrique
Gutierrez Bedmar, Mario
author Muñoz Bravo, Carlos
author_facet Muñoz Bravo, Carlos
Olmedo, Pablo
Gil, Fernando
Ruiz Canela, Miguel
Martínez-González, Miguel Ángel, 1957-
Martínez, María Ángeles
Babio, Nancy
Fitó Colomer, Montserrat
Del Val García, Jose Luís
Corella Piquer, Dolores
Sorlí, José V.
Ros Rahola, Emilio
Fiol Sala, Miguel
Estruch Riba, Ramon
Santos Lozano, José Manuel
Arós, Fernando
Serra Majem, Lluís
Pintó Sala, Xavier
Gómez Gracia, Enrique
Gutierrez Bedmar, Mario
author_role author
author2 Olmedo, Pablo
Gil, Fernando
Ruiz Canela, Miguel
Martínez-González, Miguel Ángel, 1957-
Martínez, María Ángeles
Babio, Nancy
Fitó Colomer, Montserrat
Del Val García, Jose Luís
Corella Piquer, Dolores
Sorlí, José V.
Ros Rahola, Emilio
Fiol Sala, Miguel
Estruch Riba, Ramon
Santos Lozano, José Manuel
Arós, Fernando
Serra Majem, Lluís
Pintó Sala, Xavier
Gómez Gracia, Enrique
Gutierrez Bedmar, Mario
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malalties cardiovasculars
Sèrum
Coure en l'organisme
Cardiovascular diseases
Serum
Copper in the body
topic Malalties cardiovasculars
Sèrum
Coure en l'organisme
Cardiovascular diseases
Serum
Copper in the body
description Background and aim: Certain trace elements have been associated with increased cardiovascular risk. The aim of this study was to evaluate the association between serum copper (S-Cu) levels and the risk of a first event of cardiovascular disease (CVD) in a population of older adults with high cardiovascular risk. Methods and results: We conducted a case-control study nested within the PREDIMED trial. During a median follow-up of 4.8 years, a total of 207 incident cases diagnosed with CVD were matched for sex, age, and intervention group with 436 controls. Personal interviews, reviews of medical records, and validated questionnaires were used to assess known CVD risk factors. Biological serum samples were collected annually. Inductively coupled plasma mass spectrometry analysis was used to determine S-Cu levels. Adjusted odds ratios were calculated using multivariate conditional logistic regression models. All participants had S-Cu levels within the reference values, 750 μg/L to 1450 μg/L. Among men, but not among women, the mean S-Cu concentration was higher in cases 1014.1 μg/L than in controls 959.3 μg/L; (p = 0.004). In men, the multivariable-adjusted odds ratio for CVD was 2.36 (95% CI 1.07-5.20 for the comparison of the highest vs. the lowest quartile; p for trend = 0.02), in women, it was 0.43 (95% CI 0.11-1.70; p for trend = 0.165). Conclusion: In older Spanish men with high cardiovascular risk, a significant association was observed between high S-Cu levels, but still within the reference values, and an increased risk of a first event of CVD. Our findings suggest a sex difference in CVD risk and S-Cu levels. To confirm this relationship and to analyze the differences observed between men and women, further studies are needed.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/207360
url https://hdl.handle.net/2445/207360
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.numecd.2023.07.008
Nutrition Metabolism and Cardiovascular Diseases, 2023, vol. 33, num.11, p. 2199-2208
https://doi.org/10.1016/j.numecd.2023.07.008
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Muñoz-Bravo et al., 2023
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Muñoz-Bravo et al., 2023
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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