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Trace element status in Saudi patients with established atherosclerosis

Traditional coronary risk factors do not fully explain variations in the incidence of cardiovascular disease (CVD). Epidemiological studies have implicated perturbations in selenium, copper, and zinc metabolism in the aetiology of CVD. However, these studies have been principally undertaken in Cauca...

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Published in:Journal of trace elements in medicine and biology 2006-01, Vol.20 (2), p.105-114
Main Authors: Alissa, Eman M., Bahjri, Suhad M., Ahmed, Waqar H., Al-ama, Nabeel, Ferns, Gordon A.A.
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creator Alissa, Eman M.
Bahjri, Suhad M.
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Al-ama, Nabeel
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description Traditional coronary risk factors do not fully explain variations in the incidence of cardiovascular disease (CVD). Epidemiological studies have implicated perturbations in selenium, copper, and zinc metabolism in the aetiology of CVD. However, these studies have been principally undertaken in Caucasian populations, in whom trace element intake is generally sufficient. We have measured serum and urine selenium, copper, and zinc; and superoxide dismutase, glutathione peroxidase, and lipid peroxide concentrations in 130 Saudi male subjects with established CVD, and 130 age-matched controls. Diabetes mellitus, positive smoking habit ( p
doi_str_mv 10.1016/j.jtemb.2005.10.004
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Epidemiological studies have implicated perturbations in selenium, copper, and zinc metabolism in the aetiology of CVD. However, these studies have been principally undertaken in Caucasian populations, in whom trace element intake is generally sufficient. We have measured serum and urine selenium, copper, and zinc; and superoxide dismutase, glutathione peroxidase, and lipid peroxide concentrations in 130 Saudi male subjects with established CVD, and 130 age-matched controls. Diabetes mellitus, positive smoking habit ( p<0.0001 for both), and hypertension ( p<0.05) were more prevalent among CVD patients. Urinary copper ( p<0.0001) and zinc ( p<0.05) were higher among controls. Serum selenium concentrations were lower among CVD patients ( p<0.001), and a high proportion (52%) had selenium levels below 79 μg/L compared to controls (22%) ( p<0.0001). Conditional logistic regression analysis, showed the characteristics differentiating CVD patients from controls were serum zinc (odds ratio (OR) 0.92, confidence interval (CI) 0.85–0.99, p<0.05), serum copper/zinc ratio (OR 0.31, CI 0.10–0.96), serum selenium (OR 0.07, CI 0.02–0.31, p<0.0001), and urine selenium (OR 3.34, CI 1.40–7.99, p<0.01). Measures of trace metals status appear to be associated with the risk of atherosclerosis in a Saudi male population.]]></description><identifier>ISSN: 0946-672X</identifier><identifier>EISSN: 1878-3252</identifier><identifier>DOI: 10.1016/j.jtemb.2005.10.004</identifier><identifier>PMID: 16785050</identifier><language>eng</language><publisher>Germany: Elsevier GmbH</publisher><subject>Adult ; Age Factors ; Aged ; Atherosclerosis ; Atherosclerosis - blood ; Atherosclerosis - urine ; Copper ; Copper - blood ; Copper - urine ; Demography ; Diet ; Glutathione Peroxidase - blood ; Glutathione Peroxidase - urine ; Humans ; Lipid Peroxides - blood ; Lipid Peroxides - urine ; Male ; Middle Aged ; Multivariate Analysis ; Risk Factors ; Saudi Arabia ; Selenium ; Selenium - blood ; Selenium - urine ; Superoxide Dismutase - blood ; Superoxide Dismutase - urine ; Trace Elements - blood ; Trace Elements - urine ; Zinc ; Zinc - blood ; Zinc - urine</subject><ispartof>Journal of trace elements in medicine and biology, 2006-01, Vol.20 (2), p.105-114</ispartof><rights>2005 Elsevier GmbH</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-f5e33ccf6568af5150a3a47289e19c9c5e62d8a15cc8a0ca681773b09a0cec643</citedby><cites>FETCH-LOGICAL-c357t-f5e33ccf6568af5150a3a47289e19c9c5e62d8a15cc8a0ca681773b09a0cec643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16785050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alissa, Eman M.</creatorcontrib><creatorcontrib>Bahjri, Suhad M.</creatorcontrib><creatorcontrib>Ahmed, Waqar H.</creatorcontrib><creatorcontrib>Al-ama, Nabeel</creatorcontrib><creatorcontrib>Ferns, Gordon A.A.</creatorcontrib><title>Trace element status in Saudi patients with established atherosclerosis</title><title>Journal of trace elements in medicine and biology</title><addtitle>J Trace Elem Med Biol</addtitle><description><![CDATA[Traditional coronary risk factors do not fully explain variations in the incidence of cardiovascular disease (CVD). Epidemiological studies have implicated perturbations in selenium, copper, and zinc metabolism in the aetiology of CVD. However, these studies have been principally undertaken in Caucasian populations, in whom trace element intake is generally sufficient. We have measured serum and urine selenium, copper, and zinc; and superoxide dismutase, glutathione peroxidase, and lipid peroxide concentrations in 130 Saudi male subjects with established CVD, and 130 age-matched controls. Diabetes mellitus, positive smoking habit ( p<0.0001 for both), and hypertension ( p<0.05) were more prevalent among CVD patients. Urinary copper ( p<0.0001) and zinc ( p<0.05) were higher among controls. Serum selenium concentrations were lower among CVD patients ( p<0.001), and a high proportion (52%) had selenium levels below 79 μg/L compared to controls (22%) ( p<0.0001). Conditional logistic regression analysis, showed the characteristics differentiating CVD patients from controls were serum zinc (odds ratio (OR) 0.92, confidence interval (CI) 0.85–0.99, p<0.05), serum copper/zinc ratio (OR 0.31, CI 0.10–0.96), serum selenium (OR 0.07, CI 0.02–0.31, p<0.0001), and urine selenium (OR 3.34, CI 1.40–7.99, p<0.01). Measures of trace metals status appear to be associated with the risk of atherosclerosis in a Saudi male population.]]></description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis - blood</subject><subject>Atherosclerosis - urine</subject><subject>Copper</subject><subject>Copper - blood</subject><subject>Copper - urine</subject><subject>Demography</subject><subject>Diet</subject><subject>Glutathione Peroxidase - blood</subject><subject>Glutathione Peroxidase - urine</subject><subject>Humans</subject><subject>Lipid Peroxides - blood</subject><subject>Lipid Peroxides - urine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Risk Factors</subject><subject>Saudi Arabia</subject><subject>Selenium</subject><subject>Selenium - blood</subject><subject>Selenium - urine</subject><subject>Superoxide Dismutase - blood</subject><subject>Superoxide Dismutase - urine</subject><subject>Trace Elements - blood</subject><subject>Trace Elements - urine</subject><subject>Zinc</subject><subject>Zinc - blood</subject><subject>Zinc - urine</subject><issn>0946-672X</issn><issn>1878-3252</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLxDAUhYMozjj6CwTpyl1r0jSPLlzI4AsGXDiCu5Cmt0xKOx2TVPHfmzoD7twk5OTcc-_9ELokOCOY8Js2awP0VZZjzKKSYVwcoTmRQqY0Z_kxmuOy4CkX-fsMnXnfYkwEk_kpmhEuJMMMz9Hj2mkDCXTQwzYkPugw-sRuk1c91jbZ6WCj7pMvGzYJxO-qs34DdaLDBtzgTTed1p-jk0Z3Hi4O9wK9Pdyvl0_p6uXxeXm3Sg1lIqQNA0qNaTjjUjeMMKypLkQuSyClKQ0DntdSE2aM1NhoLokQtMJlfIDhBV2g633uzg0fYxxI9dYb6Dq9hWH0iktc8kLwaKR7o4nzeQeN2jnba_etCFYTP9WqX35q4jeJkV-sujrEj1UP9V_NAVg03O4NEJf8tOCUN5GQgdo6MEHVg_23wQ88AoMl</recordid><startdate>20060101</startdate><enddate>20060101</enddate><creator>Alissa, Eman M.</creator><creator>Bahjri, Suhad M.</creator><creator>Ahmed, Waqar H.</creator><creator>Al-ama, Nabeel</creator><creator>Ferns, Gordon A.A.</creator><general>Elsevier GmbH</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060101</creationdate><title>Trace element status in Saudi patients with established atherosclerosis</title><author>Alissa, Eman M. ; 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Epidemiological studies have implicated perturbations in selenium, copper, and zinc metabolism in the aetiology of CVD. However, these studies have been principally undertaken in Caucasian populations, in whom trace element intake is generally sufficient. We have measured serum and urine selenium, copper, and zinc; and superoxide dismutase, glutathione peroxidase, and lipid peroxide concentrations in 130 Saudi male subjects with established CVD, and 130 age-matched controls. Diabetes mellitus, positive smoking habit ( p<0.0001 for both), and hypertension ( p<0.05) were more prevalent among CVD patients. Urinary copper ( p<0.0001) and zinc ( p<0.05) were higher among controls. Serum selenium concentrations were lower among CVD patients ( p<0.001), and a high proportion (52%) had selenium levels below 79 μg/L compared to controls (22%) ( p<0.0001). 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source ScienceDirect Journals
subjects Adult
Age Factors
Aged
Atherosclerosis
Atherosclerosis - blood
Atherosclerosis - urine
Copper
Copper - blood
Copper - urine
Demography
Diet
Glutathione Peroxidase - blood
Glutathione Peroxidase - urine
Humans
Lipid Peroxides - blood
Lipid Peroxides - urine
Male
Middle Aged
Multivariate Analysis
Risk Factors
Saudi Arabia
Selenium
Selenium - blood
Selenium - urine
Superoxide Dismutase - blood
Superoxide Dismutase - urine
Trace Elements - blood
Trace Elements - urine
Zinc
Zinc - blood
Zinc - urine
title Trace element status in Saudi patients with established atherosclerosis
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