Association between dietary total choline and abdominal aorta calcification among older US adults : A cross-sectional study of the National Health and Nutrition Examination Survey

© 2023 American Society for Parenteral and Enteral Nutrition..

BACKGROUND: Numerous studies indicate a potential bidirectional association between dietary choline intake and its derivative, betaine, and subclinical atherosclerosis. However, little research has been conducted on the relationship between dietary choline and severe abdominal aortic calcification (SAAC).

METHODS: This cross-sectional study analyzed population-based data from the National Health and Nutrition Examination Survey (2013-2014). Choline intake and food sources were measured using two 24-h dietary-recall interviews. The abdominal aortic calcification score was measured using a dual-emission x-ray absorptiometry scan. To assess the relationship between choline intake and SAAC, the study utilized restricted cubic spline and a multivariable logistic regression model.

RESULTS: Among the 2640 individuals included in the study, 10.9% had SAAC. After adjusting for all selected covariates, compared with the lowest quartile of dietary choline, the odds ratios of SAAC for the second-quartile, third-quartile, and fourth-quartile dietary choline intake were 0.63 (95% confidence interval [CI], 0.43-0.93), 0.63 (95% CI, 0.42-0.94), and 0.77 (95% CI, 0.5-1.16), respectively. The study found an L-shaped relationship between dietary choline and SAAC in the dose-response analysis. Subgroup analyses did not demonstrate any statistically significant interaction effects for any subgroup.

CONCLUSION: The study found that a higher intake of dietary choline is associated with a lower prevalence of SAAC. The dose-response analysis revealed an L-shaped relationship between dietary choline and SAAC. However, further studies are warranted to investigate the direct role of choline in the development of SAAC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:48

Enthalten in:

JPEN. Journal of parenteral and enteral nutrition - 48(2024), 2 vom: 06. Feb., Seite 155-164

Sprache:

Englisch

Beteiligte Personen:

Zhang, Kai [VerfasserIn]
Han, Yu [VerfasserIn]
Gu, Fangmin [VerfasserIn]
Gu, Zhaoxuan [VerfasserIn]
Zhao, JiaYu [VerfasserIn]
Chen, Jianguo [VerfasserIn]
Chen, Bowen [VerfasserIn]
Gao, Min [VerfasserIn]
Hou, Zhengyan [VerfasserIn]
Yu, Xiaoqi [VerfasserIn]
Cai, Tianyi [VerfasserIn]
Gao, Yafang [VerfasserIn]
Xie, Jinyu [VerfasserIn]
Liu, Tianzhou [VerfasserIn]
Liu, Kexiang [VerfasserIn]

Links:

Volltext

Themen:

Abdominal aortic calcification
American
Choline
Epidemiology
Journal Article
N91BDP6H0X
National Health and Nutrition Examination Survey

Anmerkungen:

Date Completed 07.02.2024

Date Revised 28.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jpen.2577

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364247274