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, Val, José Luis del, Corella, Dolores, Sorlí, José Vicente, Ros, Emilio, Fiol, Miquel, Estruch, Ramón, Santos Lozano, José Manuel, Arós, Fernando, Serra Majem, Lluís, Pintó Sala, Xavier, Gómez Gracia, Enrique, Gutiérrez Bedmar, Mario
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/60288
Acceso en línea:http://hdl.handle.net/10230/60288
http://dx.doi.org/10.1016/j.numecd.2023.07.008
Access Level:acceso abierto
Palabra clave:Cardiovascular diseases
Infarction
PREDIMED
Serum copper
Stroke
Trace elements
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oai_identifier_str oai:repositori.upf.edu:10230/60288
network_acronym_str ES
network_name_str España
repository_id_str
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
Cardiovascular diseases
Infarction
PREDIMED
Serum copper
Stroke
Trace elements
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
Val, José Luis del
Corella, Dolores
Sorlí, José Vicente
Ros, Emilio
Fiol, Miquel
Estruch, Ramón
Santos Lozano, José Manuel
Arós, Fernando
Serra Majem, Lluís
Pintó Sala, Xavier
Gómez Gracia, Enrique
Gutiérrez 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
Val, José Luis del
Corella, Dolores
Sorlí, José Vicente
Ros, Emilio
Fiol, Miquel
Estruch, Ramón
Santos Lozano, José Manuel
Arós, Fernando
Serra Majem, Lluís
Pintó Sala, Xavier
Gómez Gracia, Enrique
Gutiérrez 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
Val, José Luis del
Corella, Dolores
Sorlí, José Vicente
Ros, Emilio
Fiol, Miquel
Estruch, Ramón
Santos Lozano, José Manuel
Arós, Fernando
Serra Majem, Lluís
Pintó Sala, Xavier
Gómez Gracia, Enrique
Gutiérrez 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 Cardiovascular diseases
Infarction
PREDIMED
Serum copper
Stroke
Trace elements
topic Cardiovascular diseases
Infarction
PREDIMED
Serum copper
Stroke
Trace elements
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
2024
2024
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 http://hdl.handle.net/10230/60288
http://dx.doi.org/10.1016/j.numecd.2023.07.008
url http://hdl.handle.net/10230/60288
http://dx.doi.org/10.1016/j.numecd.2023.07.008
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Nutr Metab Cardiovasc Dis. 2023 Nov;33(11):2199-208
info:eu-repo/grantAgreement/ES/3PN/AGL2009-13906-C02
info:eu-repo/grantAgreement/ES/3PN/AGL2010-22319-C03
info:eu-repo/grantAgreement/ES/1PE/AGL2013-49083C3-1-R
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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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, MontserratVal, José Luis delCorella, DoloresSorlí, José VicenteRos, EmilioFiol, MiquelEstruch, RamónSantos Lozano, José ManuelArós, FernandoSerra Majem, LluísPintó Sala, XavierGómez Gracia, EnriqueGutiérrez Bedmar, MarioCardiovascular diseasesInfarctionPREDIMEDSerum copperStrokeTrace elementsBackground 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.This research was funded by the official funding agency for biomedical research of the Spanish government, Instituto de Salud Carlos III (ISCIII), through grants provided to research networks specifically developed for the trial (RTIC G03/140; RTIC RD 06/0045 “PREDIMED”), and JR14/00008, and through Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERobn), and by grants from Centro Nacional de Investigaciones Cardiovasculares (CNIC06/2007), the Fondo de Investigación Sanitaria–Fondo Europeo de Desarrollo Regional (Proyecto de Investigación (PI04-2239, PI05/2584, CP06/00100, PI07/0240, PI07/1138, PI07/0954, PI 07/0473, PI10/01407, PI10/02658, PI11/01647, P11/02505 and PI13/00462), the Ministerio de Ciencia e Innovación (Recursos y teconologia agroalimentarias (AGL)-2009-13906-C02 and AGL2010-22319-C03 and AGL2013-49083C3-1-R), the Ministerio de Economía y Competitividad-Fondos FEDER-Instituto de Salud Carlos III (UNGR15-CE-3380), the Fundación Mapfre 2010, the Consejería de Salud de la Junta de Andalucía (PI0105/2007), the Public Health Division of the Department of Health of the Autonomous Government of Catalonia, the Generalitat Valenciana (Generalitat Valenciana Ayuda Complementatia GVACOMP) 06109, GVACOMP2010-181, GVACOMP2011-151), Conselleria de Sanitat y AP; Atención Primaria (CS) 2010-AP-111, and CS2011-AP-042), Regional Government of Navarra (P27/2011), and Centre Català de la Nutrició de l'Institut d'Estudis Catalans. Hojiblanca and Patrimonio Communal Olivarero donated extra-virgin olive oil; the California Walnut Commission donated walnuts; Borges donated almonds; La Morella Nuts donated hazelnuts.Elsevier202420242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/60288http://dx.doi.org/10.1016/j.numecd.2023.07.008reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésNutr Metab Cardiovasc Dis. 2023 Nov;33(11):2199-208info:eu-repo/grantAgreement/ES/3PN/AGL2009-13906-C02info:eu-repo/grantAgreement/ES/3PN/AGL2010-22319-C03info:eu-repo/grantAgreement/ES/1PE/AGL2013-49083C3-1-R© 2023 The Authors. Published by Elsevier B.V. on behalf of The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/602882026-06-12T07:21:37Z
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