Serum Trans-Fatty Acid Concentration Is Elevated in Young Patients With Coronary Artery Disease in Japan

Background:Adverse effects of dietary intake of trans-fatty acids (TFA) on the incidence of coronary artery disease (CAD) are well recognized in Western countries. The risk of TFA, however, has not been well clarified in Japan. We investigated the association of serum TFA concentration with serum li...

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Veröffentlicht in:Circulation Journal 2015/08/25, Vol.79(9), pp.2017-2025
Hauptverfasser: Mori, Kenta, Ishida, Tatsuro, Yasuda, Tomoyuki, Hasokawa, Minoru, Monguchi, Tomoko, Sasaki, Maki, Kondo, Kensuke, Nakajima, Hideto, Shinohara, Masakazu, Shinke, Toshiro, Irino, Yasuhiro, Toh, Ryuji, Nishimura, Kunihiro, Hirata, Ken-ichi
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container_end_page 2025
container_issue 9
container_start_page 2017
container_title Circulation Journal
container_volume 79
creator Mori, Kenta
Ishida, Tatsuro
Yasuda, Tomoyuki
Hasokawa, Minoru
Monguchi, Tomoko
Sasaki, Maki
Kondo, Kensuke
Nakajima, Hideto
Shinohara, Masakazu
Shinke, Toshiro
Irino, Yasuhiro
Toh, Ryuji
Nishimura, Kunihiro
Hirata, Ken-ichi
description Background:Adverse effects of dietary intake of trans-fatty acids (TFA) on the incidence of coronary artery disease (CAD) are well recognized in Western countries. The risk of TFA, however, has not been well clarified in Japan. We investigated the association of serum TFA concentration with serum lipid profile, coronary risk factors, and prevalence of CAD.Methods and Results:A total of 902 patients, who were hospitalized at Kobe University Hospital from July 2008 to March 2012 and gave written informed consent, were enrolled in this study. Among them, 463 patients had CAD, and 318 patients had metabolic syndrome (MetS). Serum TFA, elaidic acid (trans-9-C18:1) and linolelaidic acid (trans-9, 12-C18:2), were measured on gas chromatography/mass spectrometry. Serum TFA level had a positive correlation with body mass index, waist circumference, low-density lipoprotein cholesterol, triglycerides, and apolipoprotein B48, and an inverse correlation with age and high-density lipoprotein cholesterol. Fasting serum TFA, by age quartile in the young generation with CAD and/or MetS, was higher than that in patients without CAD and/or MetS. On multivariate logistic regression, TFA was identified as a CAD risk after adjustment for classical risk factors.Conclusions:Serum TFA concentration was elevated in young patients with CAD and/or MetS. Diet-derived TFA may cause a serious health problem, particularly in the young generation in Japan. (Circ J 2015; 79: 2017–2025)
doi_str_mv 10.1253/circj.CJ-14-0750
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The risk of TFA, however, has not been well clarified in Japan. We investigated the association of serum TFA concentration with serum lipid profile, coronary risk factors, and prevalence of CAD.Methods and Results:A total of 902 patients, who were hospitalized at Kobe University Hospital from July 2008 to March 2012 and gave written informed consent, were enrolled in this study. Among them, 463 patients had CAD, and 318 patients had metabolic syndrome (MetS). Serum TFA, elaidic acid (trans-9-C18:1) and linolelaidic acid (trans-9, 12-C18:2), were measured on gas chromatography/mass spectrometry. Serum TFA level had a positive correlation with body mass index, waist circumference, low-density lipoprotein cholesterol, triglycerides, and apolipoprotein B48, and an inverse correlation with age and high-density lipoprotein cholesterol. Fasting serum TFA, by age quartile in the young generation with CAD and/or MetS, was higher than that in patients without CAD and/or MetS. On multivariate logistic regression, TFA was identified as a CAD risk after adjustment for classical risk factors.Conclusions:Serum TFA concentration was elevated in young patients with CAD and/or MetS. Diet-derived TFA may cause a serious health problem, particularly in the young generation in Japan. (Circ J 2015; 79: 2017–2025)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-14-0750</identifier><identifier>PMID: 26166015</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Age Factors ; Aged ; Cholesterol, HDL - blood ; Coronary artery disease ; Coronary Artery Disease - blood ; Coronary Artery Disease - chemically induced ; Coronary Artery Disease - epidemiology ; Dietary Fats - adverse effects ; Elaidic acid ; Female ; Humans ; Hyperlipidemia ; Incidence ; Japan - epidemiology ; Male ; Metabolic syndrome ; Metabolic Syndrome - blood ; Metabolic Syndrome - chemically induced ; Metabolic Syndrome - epidemiology ; Middle Aged ; Oleic Acid - blood ; Prevalence ; Trans Fatty Acids - blood ; Trans-fatty acid</subject><ispartof>Circulation Journal, 2015/08/25, Vol.79(9), pp.2017-2025</ispartof><rights>2015 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-3dec599dbb140be70419b1b78ab1b4c12720a187f009e9ee93c5965305603dff3</citedby><cites>FETCH-LOGICAL-c494t-3dec599dbb140be70419b1b78ab1b4c12720a187f009e9ee93c5965305603dff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26166015$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mori, Kenta</creatorcontrib><creatorcontrib>Ishida, Tatsuro</creatorcontrib><creatorcontrib>Yasuda, Tomoyuki</creatorcontrib><creatorcontrib>Hasokawa, Minoru</creatorcontrib><creatorcontrib>Monguchi, Tomoko</creatorcontrib><creatorcontrib>Sasaki, Maki</creatorcontrib><creatorcontrib>Kondo, Kensuke</creatorcontrib><creatorcontrib>Nakajima, Hideto</creatorcontrib><creatorcontrib>Shinohara, Masakazu</creatorcontrib><creatorcontrib>Shinke, Toshiro</creatorcontrib><creatorcontrib>Irino, Yasuhiro</creatorcontrib><creatorcontrib>Toh, Ryuji</creatorcontrib><creatorcontrib>Nishimura, Kunihiro</creatorcontrib><creatorcontrib>Hirata, Ken-ichi</creatorcontrib><title>Serum Trans-Fatty Acid Concentration Is Elevated in Young Patients With Coronary Artery Disease in Japan</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:Adverse effects of dietary intake of trans-fatty acids (TFA) on the incidence of coronary artery disease (CAD) are well recognized in Western countries. The risk of TFA, however, has not been well clarified in Japan. We investigated the association of serum TFA concentration with serum lipid profile, coronary risk factors, and prevalence of CAD.Methods and Results:A total of 902 patients, who were hospitalized at Kobe University Hospital from July 2008 to March 2012 and gave written informed consent, were enrolled in this study. Among them, 463 patients had CAD, and 318 patients had metabolic syndrome (MetS). Serum TFA, elaidic acid (trans-9-C18:1) and linolelaidic acid (trans-9, 12-C18:2), were measured on gas chromatography/mass spectrometry. Serum TFA level had a positive correlation with body mass index, waist circumference, low-density lipoprotein cholesterol, triglycerides, and apolipoprotein B48, and an inverse correlation with age and high-density lipoprotein cholesterol. Fasting serum TFA, by age quartile in the young generation with CAD and/or MetS, was higher than that in patients without CAD and/or MetS. On multivariate logistic regression, TFA was identified as a CAD risk after adjustment for classical risk factors.Conclusions:Serum TFA concentration was elevated in young patients with CAD and/or MetS. Diet-derived TFA may cause a serious health problem, particularly in the young generation in Japan. 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The risk of TFA, however, has not been well clarified in Japan. We investigated the association of serum TFA concentration with serum lipid profile, coronary risk factors, and prevalence of CAD.Methods and Results:A total of 902 patients, who were hospitalized at Kobe University Hospital from July 2008 to March 2012 and gave written informed consent, were enrolled in this study. Among them, 463 patients had CAD, and 318 patients had metabolic syndrome (MetS). Serum TFA, elaidic acid (trans-9-C18:1) and linolelaidic acid (trans-9, 12-C18:2), were measured on gas chromatography/mass spectrometry. Serum TFA level had a positive correlation with body mass index, waist circumference, low-density lipoprotein cholesterol, triglycerides, and apolipoprotein B48, and an inverse correlation with age and high-density lipoprotein cholesterol. Fasting serum TFA, by age quartile in the young generation with CAD and/or MetS, was higher than that in patients without CAD and/or MetS. On multivariate logistic regression, TFA was identified as a CAD risk after adjustment for classical risk factors.Conclusions:Serum TFA concentration was elevated in young patients with CAD and/or MetS. Diet-derived TFA may cause a serious health problem, particularly in the young generation in Japan. (Circ J 2015; 79: 2017–2025)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>26166015</pmid><doi>10.1253/circj.CJ-14-0750</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Age Factors
Aged
Cholesterol, HDL - blood
Coronary artery disease
Coronary Artery Disease - blood
Coronary Artery Disease - chemically induced
Coronary Artery Disease - epidemiology
Dietary Fats - adverse effects
Elaidic acid
Female
Humans
Hyperlipidemia
Incidence
Japan - epidemiology
Male
Metabolic syndrome
Metabolic Syndrome - blood
Metabolic Syndrome - chemically induced
Metabolic Syndrome - epidemiology
Middle Aged
Oleic Acid - blood
Prevalence
Trans Fatty Acids - blood
Trans-fatty acid
title Serum Trans-Fatty Acid Concentration Is Elevated in Young Patients With Coronary Artery Disease in Japan
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