Dietary acid load significantly predicts 10-years survival in patients underwent coronary artery bypass grafting (CABG) surgery
Autoři:
Mahdieh Abbasalizad Farhangi aff001; Mahdi Vajdi aff003; Mahdi Najafi aff004
Působiště autorů:
Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
aff001; Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
aff002; Student Research Committee, Department of Community Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran
aff003; Department of Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
aff004; Faculty Research Associate, Western University, London, ON, Canada
aff005; Cardiac Outcome Research and Education (CORE), Universal Scientific Education and Research Network (USERN), Tehran, Iran
aff006
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0223830
Souhrn
Backgrounds
Numerous studies have revealed the role of dietary acid load as a potential risk factor for cardiovascular events and blood pressure. However, its role in predicting the mortality rate in patients underwent coronary artery bypass grafting surgery (CABG) has not been reported. In the current study we aimed to evaluate the relationship of dietary acid load and cardio-metabolic risk factors with ten year survival among patients underwent CABG.
Methods
The current prospective cohort study comprises 454 patients underwent CABG. Anthropometric, clinical and biochemical measurements were performed. Dietary acid load was calculated as either potential renal acid load (PRAL) or net endogenous acid production (NEPA) using the data obtained from a semi-quantitative food frequency questionnaire (FFQ). Survival analysis was performed using Kaplan-Meier method followed by log-rank test. The association between all-cause mortality and study parameters was performed with Cox-proportional hazard model.
Results
Patients in the higher PRAL and NEAP quartiles had lower BMI and lower ejection fraction rate (P <0.05). Moreover, lower hematocrit values were observed in patients of higher PRAL quartiles. Higher PRAL scores were associated with higher mortality rate and reduced survival days (adjusted hazard ratio: 1.023 (1.00–1.04; P-value = 0.01). However, there was no relationship between NEAP and survival.
Conclusions
We revealed that high PRAL scores are positive predictors of 10-year mortality in patients underwent CABG. The results of our study suggest that maintaining an adequate acid-base balance can contribute to longevity by reducing the risk of mortality.
Klíčová slova:
Cardiovascular diseases – Coronary artery bypass grafting – Coronary heart disease – Death rates – Cholesterol – Medical risk factors – Obesity – Surgical and invasive medical procedures
Zdroje
1. Naghavi M, Wang H, Lozano R, Davis A, Liang X, Zhou M, et al. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015. 10; 385(9963):117–171. doi: 10.1016/S0140-6736(14)61682-2 25530442
2. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS medicine. 2006;3(11):e442. doi: 10.1371/journal.pmed.0030442 17132052
3. World Health Organization (WHO). Cardiovascular Disease (CVDs) 2017:Availablefrom:http://www.who.int/mediacentre/factsheets/fs317/en/.
4. Forouzanfar MH, Sepanlou SG, Shahraz S, BESc PN, Pourmalek F, Lozano R, et al. Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010. Arch Iran Med. 2014; 17(5):304–20. doi: 0141705/AIM.004 24784860
5. Fakhrzadeh H, Bandarian F, Adibi H, Samavat T, Malekafzali H, Hodjatzadeh E, et al. Coronary heart disease and associated risk factors in Qazvin: a population-based study. East Mediterr Health J 2008; 14:33–41. 18557450
6. Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the burden of cardiovascular diseases in Iran from 2005 to 2025: The impact of demographic changes. Iran J Public Health 2017;46(4):506–16. 28540267
7. Van Domburg RT, Kappetein AP, Bogers AJ. The clinical outcome after coronary bypass surgery: a 30-year follow-up study. Eur Heart J. 2008; 30(4):453–8. doi: 10.1093/eurheartj/ehn530 19066209
8. Yusuf S, Reddy S, Ôunpuu S, Anand S. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation. 2001; 104(22):2746–53. doi: 10.1161/hc4601.099487 11723030
9. Ezzati M, Riboli E. Behavioral and dietary risk factors for noncommunicable diseases. N Engl J Med. 2013; 369(10):954–64. doi: 10.1056/NEJMra1203528 24004122
10. Estruch R, Ros E, Salas-Salvadó J, Covas M-I, Corella D, Arós F, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368(14):1279–90. doi: 10.1056/NEJMoa1200303 23432189
11. Frassetto LA, Todd KM, Morris RC Jr, Sebastian A. Estimation of net endogenous noncarbonic acid production in humans from diet potassium and protein contents. Am J Clin Nutr. 1998;68(3):576–83. doi: 10.1093/ajcn/68.3.576 9734733
12. Remer T, Dimitriou T, Manz F. Dietary potential renal acid load and renal net acid excretion in healthy, free-living children and adolescents. Am J Clin Nutr. 2003; 77(5):1255–60. doi: 10.1093/ajcn/77.5.1255 12716680
13. Adeva MM, Souto G. Diet-induced metabolic acidosis. Clin Nutr. 2011; 30(4):416–21. doi: 10.1016/j.clnu.2011.03.008 21481501
14. Scialla JJ, Appel LJ, Astor BC, Miller ER, Beddhu S, Woodward M, et al. Estimated net endogenous acid production and serum bicarbonate in African Americans with chronic kidney disease. Clin J Am Soc Nephrol. 2011; 6 (7):1526–32. doi: 10.2215/CJN.00150111 21700817
15. Souto G, Donapetry C, Calvino J, Adeva MM. Metabolic acidosis-induced insulin resistance and cardiovascular risk. Metab Syndr Relat Disord. 2011;9(4):247–53. doi: 10.1089/met.2010.0108 21352078
16. Xu H, Åkesson A, Orsini N, Håkansson N, Wolk A, Carrero JJ. Modest U-shaped association between dietary acid load and risk of all-cause and cardiovascular mortality in adults. J Nutr. 2016; 146(8):1580–5. doi: 10.3945/jn.116.231019 27385761
17. Haghighatdoost F, Najafabadi MM, Bellissimo N, Azadbakht L. Association of dietary acid load with cardiovascular disease risk factors in patients with diabetic nephropathy. Nutrition. 2015; 31(5):697–702. doi: 10.1016/j.nut.2014.11.012 25837215
18. Zhang L, Curhan GC, Forman JP. Diet-dependent net acid load and risk of incident hypertension in United States women. Hypertension. 2009; 54(4):751–5. doi: 10.1161/HYPERTENSIONAHA.109.135582 19667248
19. Moghadam SK, Bahadoran Z, Mirmiran P, Tohidi M, Azizi F. Association between dietary acid load and insulin resistance: Tehran lipid and glucose study. Prev Nutr Food Sci. 2016;21(2):104. doi: 10.3746/pnf.2016.21.2.104 27390726
20. Kiefte-de Jong JC, Li Y, Chen M, Curhan GC, Mattei J, Malik VS, et al. Diet-dependent acid load and type2 diabetes: Pooled results from three prospective cohort studies. Diabetologia. 2017; 60(2):270–9. doi: 10.1007/s00125-016-4153-7 27858141
21. Fagherazzi G, Vilier A, Bonnet F, Lajous M, Balkau B, Boutron-Ruault M-C, et al. Dietary acid load and risk of type 2 diabetes: the E3N-EPIC cohort study. Diabetologia. 2014; 57(2):313–20. doi: 10.1007/s00125-013-3100-0 24232975
22. Bahadoran Z, Mirmiran P, Khosravi H, Azizi F. Associations between dietary acid-base load and cardiometabolic risk factors in adults: the Tehran Lipid and Glucose Study. Endocrinol Metab (Seoul). 2015; 30(2):201–7. doi: 10.3803/EnM.2015.30.2.201 25433661
23. Han E, Kim G, Hong N, Lee Y-h, Kim DW, Shin HJ, et al. Association between dietary acid load and the risk of cardiovascular disease: nationwide surveys (KNHANES 2008–2011). Cardiovasc Diabetol. 2016; 15(1):122. doi: 10.1186/s12933-016-0436-z 27565571
24. Engberink MF, Bakker SJ, Brink EJ, van Baak MA, van Rooij FJ, Hofman A, et al. Dietary acid load and risk of hypertension: the Rotterdam Study. Am J Clin Nutr. 2012; 95(6):1438–44. doi: 10.3945/ajcn.111.022343 22552032
25. Najafi M, Sheikhvatan M. Gender differences in coronary artery disease: correlational study on dietary pattern and known cardiovascular risk factors. Int Cardiovasc Res J. 2013; 7(4):124. 24757636
26. Farhangi MA, Ataie JA, Najafi M, Sarmi FG, Mohajeri TM, Jahangiry L. Gender differences in major dietary patterns and their relationship with cardio-metabolic risk factors in a year before coronary artery bypass grafting (CABG) surgery period. Arch Iran Med 2016; 19:470–9. doi: 0161907/AIM.005 27362240
27. Farhangi MA, Najafi M, Jafarabadi MA, Jahangiry L. Mediterranean dietary quality index and dietary phytochemical index among patients candidate for coronary artery bypass grafting (CABG) surgery. BMC Cardiovasc Disord. 2017;17(1):114. doi: 10.1186/s12872-017-0544-z 28482801
28. De Maria R, Mazzoni M, Parolini M, Gregori D, Bortone F, Arena V, et al. Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. Heart. 2005; 91(6):779–84. doi: 10.1136/hrt.2004.037135 15894777
29. Mirinazhad M-M, Farhangi MA, Jahangiri L, Yaghoubi A. Serum adiponectin concentrations in relation to lipid proffle, anthropometric variables and insulin resistance in patients with metabolic syndrome. Malays J Nutr. 2014;20(3):283–9.
30. Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010; 20(2):150–8. doi: 10.2188/jea.JE20090083 20154450
31. Ghafarpour M, Houshiar-Rad A, Kianfar H. The manual for household measures, cooking yields factors and edible portion of food. Tehran: Keshavarzi Press; 1999.
32. Remer T, Manz F. Estimation of the renal net acid excretion by adults consuming diets containing variable amounts of protein. Am J Clin Nutr. 1994; 59(6):1356–61. doi: 10.1093/ajcn/59.6.1356 8198060
33. Farhangi MA, Najafi M. Dietary total antioxidant capacity (TAC) among candidates for coronary artery bypass grafting (CABG) surgery: Emphasis to possible beneficial role of TAC on serum vitamin D. PloS one. 2018;13(12):e0208806. doi: 10.1371/journal.pone.0208806 30540842
34. New SA, MacDonald HM, Campbell MK, Martin JC, Garton MJ, Robins SP, et al. Lower estimates of net endogenous noncarbonic acid production are positively associated with indexes of bone health in premenopausal and perimenopausal women. Am J Clin Nutr. 2004; 79(1):131–8. doi: 10.1093/ajcn/79.1.131 14684409
35. Berkemeyer S. Acid–base balance and weight gain: Are there crucial links via protein and organic acids in understanding obesity? Med Hypotheses. 2009;73(3):347–56. doi: 10.1016/j.mehy.2008.09.059 19410381
36. Akter S, Nanri A, Mizoue T, Noda M, Sawada N, Sasazuki S, et al. Dietary acid load and mortality among Japanese men and women: the Japan Public Health Center–based Prospective Study. Am J Clin Nutr. 2017; 106(1):146–54. doi: 10.3945/ajcn.117.152876 28539378
37. Park M, Jung SJ, Yoon S, Yun JM, Yoon H-J. Association between the markers of metabolic acid load and higher all-cause and cardiovascular mortality in a general population with preserved renal function. Hypertens Res. 2015; 38(6):433–438. doi: 10.1038/hr.2015.23 2576241
38. Najafi M, Jahangiry L, Mortazavi SH, Jalali A, Karimi A, Bozorgi A. Outcomes and long‑term survival of coronary artery surgery: The controversial role of opium as risk marker. World J Cardiol 2016; 8:676‑83. doi: 10.4330/wjc.v8.i11.676 27957254
39. Del Prete JC, Bakaeen FG, Dao TK, Huh J, LeMaire SA, Coselli JS, Chu D. The impact of obesity on long-term survival after coronary artery bypass grafting. J Surg Res2010; 163: 7–11. doi: 10.1016/j.jss.2010.02.014 20452615
40. Oreopoulos A, Padwal R, Norris CM, Mullen JC, Pretorius V, Kalantar‐Zadeh K. Effect of obesity on short‐and long‐term mortality postcoronary revascularization: a meta‐analysis. Obesity. 2008; 16(2):442–50. doi: 10.1038/oby.2007.36 18239657
41. van Straten AH, Bramer S, Hamad MAS, van Zundert AA, Martens EJ, Schönberger JP, et al. Effect of body mass index on early and late mortality after coronary artery bypass grafting. Ann Thorac Surg. 2010; 89(1):30–7. doi: 10.1016/j.athoracsur.2009.09.050 20103201
42. Birkmeyer NJ, Charlesworth DC, Hernandez F, Leavitt BJ, Marrin CA, Morton JR, et al. Obesity and risk of adverse outcomes associated with coronary artery bypass surgery. Circulation. 1998; 97(17):1689–94. doi: 10.1161/01.cir.97.17.1689 9591762
43. Farhangi MA, Moradi F, Najafi M, Jafarabadi MA. 10-y survival in patients who underwent coronary artery bypass grafting surgery in Tehran Heart Center-Coronary Outcome Measurement Study: The powerful predicting ability of the dietary inflammatory index and dietary antioxidant quality. Nutrition. 2019; 63:22–8. doi: 10.1016/j.nut.2019.01.011 30927643
44. Guglin M, Darbinyan N. Relationship of hemoglobin and hematocrit to systolic function in advanced heart failure. Cardiology. 2012; 122(3):187–94. doi: 10.1159/000339536 22846848
45. Mozaffarian D, Nye R, Levy WC. Anemia predicts mortality in severe heart failure: the Prospective Randomized Amlodipine Survival Evaluation (PRAISE). J Am Coll Cardiol 2003; 41:1933–9. doi: 10.1016/s0735-1097(03)00425-x 12798560
46. Musallam KM, Jamali FR, Rosendaal FR, Richards T, Spahn DR, Khavandi K, et al. Preoperative hematocrit concentration and the risk of stroke in patients undergoing isolated coronary-artery bypass grafting. Anemia. 2013; 2013:206829 doi: 10.1155/2013/206829 23738059
47. Cao JJ, Johnson LK, Hunt JR. A Diet High in Meat Protein and Potential Renal Acid Load Increases Fractional Calcium Absorption and Urinary Calcium Excretion without Affecting Markers of Bone Resorption or Formation in Postmenopausal Women. J Nutr. 2010; 141(3):391–7. doi: 10.3945/jn.110.129361 21248199
48. Andrews TJ, Laight DW, Anggard EE, Carrier MJ. Investigation of endothelial hyperreactivity in the obese Zucker rat in- situ: reversal by vitamin E. J Pharm Pharmacol 2000; 52(1):83–86. doi: 10.1211/0022357001773544 10716607
49. Steiner M. Vitamin E, a modifier of platelet function: rationale and use in cardiovascular and cerebrovascular disease. Nutr Rev 1999; 57(10):306–309. doi: 10.1111/j.1753-4887.1999.tb06903.x 10575906
50. Knekt P, Ritz J, Pereira MA, O'Reilly E J, Augustsson K, et al. Antioxidant vitamins and coronary heart disease risk: a pooled analysis of 9 cohorts. Am J Clin Nutr 2004; 80(6):1508–1520. doi: 10.1093/ajcn/80.6.1508 15585762
51. Sesso HD, Buring JE, Christen WG, Kurth T, Belanger C, et al. Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians’ Health Study II randomized controlled trial. JAMA. 2008; 300, 2123–2133. doi: 10.1001/jama.2008.600 18997197
52. Rimm EB, Stampfer MJ, Ascherio A, Giovannucci E, Colditz GA, Willett WC. Vitamin E consumption and the risk of coronary heart disease in men. N Engl J Med. 1993; 328(20):1450–6. doi: 10.1056/NEJM199305203282004 8479464
Článek vyšel v časopise
PLOS One
2019 Číslo 10
- Tisícileté topoly, mokří psi, stárnoucí kočky a ospalé octomilky – „jednohubky“ z výzkumu 2024/41
- Jaké jsou aktuální trendy v léčbě karcinomu slinivky?
- Může hubnutí souviset s vyšším rizikem nádorových onemocnění?
- Menstruační krev má značný diagnostický potenciál, mimo jiné u diabetu
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
Nejčtenější v tomto čísle
- Correction: Low dose naltrexone: Effects on medication in rheumatoid and seropositive arthritis. A nationwide register-based controlled quasi-experimental before-after study
- Combining CDK4/6 inhibitors ribociclib and palbociclib with cytotoxic agents does not enhance cytotoxicity
- Experimentally validated simulation of coronary stents considering different dogboning ratios and asymmetric stent positioning
- Prevalence of pectus excavatum (PE), pectus carinatum (PC), tracheal hypoplasia, thoracic spine deformities and lateral heart displacement in thoracic radiographs of screw-tailed brachycephalic dogs
Zvyšte si kvalifikaci online z pohodlí domova
Všechny kurzy