Associations of erythrocyte polyunsaturated fatty acids with incidence of stroke and stroke types in adult Chinese: a prospective study of over 8000 individuals.

Purpose: There is limited and inconsistent evidence about the relationships of erythrocyte polyunsaturated fatty acids (PUFAs) with stroke and stroke types, particularly in China where the stroke rates are high. We aimed to investigate the associations of different erythrocyte PUFAs with incidence o...

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Publicado en:European Journal of Nutrition Vol. 61; no. 6; pp. 3235 - 3247
Autores principales: Sun, Liang, Du, Huaidong, Zong, Geng, Guo, Yu, Chen, Yan, Chen, Yiping, Yin, Huiyong, Pei, Pei, Yang, Ling, Chu, Qianqian, Yu, Canqing, Li, Yixue, Lv, Jun, Zheng, He, Zhou, Puchen, Chen, Junshi, Li, Liming, Chen, Zhengming, Lin, Xu
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2022
      vid: 61
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      pub: Springer Nature
      place: New York, New York
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        atl: Associations of erythrocyte polyunsaturated fatty acids with incidence of stroke and stroke types in adult Chinese: a prospective study of over 8000 individuals.
      aug:
        au:
          Sun, Liang
          Du, Huaidong
          Zong, Geng
          Guo, Yu
          Chen, Yan
          Chen, Yiping
          Yin, Huiyong
          Pei, Pei
          Yang, Ling
          Chu, Qianqian
          Yu, Canqing
          Li, Yixue
          Lv, Jun
          Zheng, He
          Zhou, Puchen
          Chen, Junshi
          Li, Liming
          Chen, Zhengming
          Lin, Xu
        affil: Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, 320 Yue-yang Rd, 200031, Shanghai, China
      sug:
        subj:
          Erythrocytes
          Fatty Acids, Unsaturated
          Stroke Epidemiology
          Stroke Risk Factors
          Stroke Classification
          Risk Assessment
          China
          Human
          Prospective Studies
      ab: Purpose: There is limited and inconsistent evidence about the relationships of erythrocyte polyunsaturated fatty acids (PUFAs) with stroke and stroke types, particularly in China where the stroke rates are high. We aimed to investigate the associations of different erythrocyte PUFAs with incidence of total stroke, ischemic stroke (IS), and intracerebral hemorrhage (ICH) in Chinese adults. Methods: In the prospective China Kadoorie Biobank, erythrocyte PUFAs were measured using gas chromatography in 10,563 participants who attended 2013–14 resurvey. After a mean follow-up of 3.8 years, 412 incident stroke cases (342 IS, 53 ICH) were recorded among 8,159 participants without prior vascular diseases or diabetes. Cox regression yielded adjusted hazard ratios (HRs) for stroke associated with 13 PUFAs. Results: Overall, the mean body mass index was 24.0 (3.4) kg/m2 and the mean age was 58.1 (9.9) years. In multivariable analyses, 18:2n–6 was positively associated with ICH (HR = 2.33 [95% CIs 1.41, 3.82] for top versus bottom quintile, Ptrend = 0.007), but inversely associated with IS (0.69 [0.53,0.90], Ptrend = 0.027), while 20:3n-6 was positively associated with risk of IS (1.64 [1.32,2.04], Ptrend < 0.001), but not with ICH. Inverted-U shape curve associations were observed of 20:5n–3 with IS (Pnonlinear = 0.002) and total stroke (Pnonlinear = 0.008), with a threshold at 0.70%. After further adjustment for conventional CVD risk factors and dietary factors, these associations remained similar. Conclusion: Among relatively lean Chinese adults, erythrocyte PUFAs 18:2n–6, 20:3n–6 and 20:5n–3 showed different associations with risks of IS and ICH. These results would improve the understanding of stroke etiology.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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