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      Plasma Carotenoids, Tocopherols, and Retinol in the Age-Stratified (35–74 Years) General Population: A Cross-Sectional Study in Six European Countries

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          Abstract

          Blood micronutrient status may change with age. We analyzed plasma carotenoids, α-/γ-tocopherol, and retinol and their associations with age, demographic characteristics, and dietary habits (assessed by a short food frequency questionnaire) in a cross-sectional study of 2118 women and men (age-stratified from 35 to 74 years) of the general population from six European countries. Higher age was associated with lower lycopene and α-/β-carotene and higher β-cryptoxanthin, lutein, zeaxanthin, α-/γ-tocopherol, and retinol levels. Significant correlations with age were observed for lycopene ( r = −0.248), α-tocopherol ( r = 0.208), α-carotene ( r = −0.112), and β-cryptoxanthin ( r = 0.125; all p < 0.001). Age was inversely associated with lycopene (−6.5% per five-year age increase) and this association remained in the multiple regression model with the significant predictors (covariables) being country, season, cholesterol, gender, smoking status, body mass index (BMI (kg/m 2)), and dietary habits. The positive association of α-tocopherol with age remained when all covariates including cholesterol and use of vitamin supplements were included (1.7% vs. 2.4% per five-year age increase). The association of higher β-cryptoxanthin with higher age was no longer statistically significant after adjustment for fruit consumption, whereas the inverse association of α-carotene with age remained in the fully adjusted multivariable model (−4.8% vs. −3.8% per five-year age increase). We conclude from our study that age is an independent predictor of plasma lycopene, α-tocopherol, and α-carotene.

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          Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study.

          Epidemiologic studies report inconsistent findings on the association of fruit and vegetable intake with the risk of cardiovascular disease. The objective was to examine the relation between fruit and vegetable intake and the risk of cardiovascular disease. We studied 9608 adults aged 25-74 y participating in the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study and free of cardiovascular disease at the time of their baseline examination between 1971 and 1975. Fruit and vegetable intake at baseline was measured with a food-frequency questionnaire. The incidence of and mortality from cardiovascular disease were obtained from medical records and death certificates. Over an average of 19 y, 888 strokes (218 fatal), 1786 ischemic heart disease events (639 fatal), 1145 cardiovascular disease deaths, and 2530 all-cause deaths were documented. Consuming fruit and vegetables > or = 3 times/d compared with <1 time/d was associated with a 27% lower stroke incidence [relative risk (RR): 0.73; 95% CI: 0.57, 0.95; P for trend = 0.01), a 42% lower stroke mortality (0.58; 0.33, 1.02; P for trend = 0.05), a 24% lower ischemic heart disease mortality (0.76; 0.56, 1.03; P for trend = 0.07), a 27% lower cardiovascular disease mortality (0.73; 0.58, 0.92; P for trend = 0.008), and a 15% lower all-cause mortality (0.85; 0.72, 1.00; P for trend = 0.02) after adjustment for established cardiovascular disease risk factors. We showed an inverse association of fruit and vegetable intake with the risk of cardiovascular disease and all-cause mortality in the general US population.
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            Carotenoid bioavailability and bioconversion.

            The possible role of carotenoids and their metabolites in disease prevention is far from fully understood, because the bioavailabilities of carotenoids are complicated by multiple factors that affect their absorption, breakdown, transport, and storage. Rapid progress in developing sophisticated methodologies, including use of stable-isotope dilution methods, now allows for an accurate determination of the true vitamin A activity of provitamin A carotenoids. The recent identification of specific enzymes, which catalyze the breakdown of beta-carotene as well as nonprovitamin A carotenoids, is providing a better understanding of the functions of carotenoids at the molecular level. The pathways and possible mechanisms of carotenoid breakdown and factors affecting the bioavailability of carotenoids, such as carotenoid type, food matrix, interaction with other carotenoids and other food components, nutritional status, aging, and infection, are discussed in this review.
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              MARK-AGE biomarkers of ageing.

              Many candidate biomarkers of human ageing have been proposed in the scientific literature but in all cases their variability in cross-sectional studies is considerable, and therefore no single measurement has proven to serve a useful marker to determine, on its own, biological age. A plausible reason for this is the intrinsic multi-causal and multi-system nature of the ageing process. The recently completed MARK-AGE study was a large-scale integrated project supported by the European Commission. The major aim of this project was to conduct a population study comprising about 3200 subjects in order to identify a set of biomarkers of ageing which, as a combination of parameters with appropriate weighting, would measure biological age better than any marker in isolation.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                30 September 2016
                October 2016
                : 8
                : 10
                : 614
                Affiliations
                [1 ]Institute of Biological Chemistry and Nutrition, University of Hohenheim, Stuttgart 70599, Germany; Wolfgang.Stuetz@ 123456uni-hohenheim.de (W.S.); breusing@ 123456uni-hohenheim.de (N.B.)
                [2 ]Institute of Nutrition, Friedrich-Schiller-University, Jena 07743, Germany
                [3 ]Department of Molecular Toxicology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal 14558, Germany; scientific.director@ 123456dife.de
                [4 ]National Institute of Public Health and the Environment (RIVM), BA Bilthoven 3721, The Netherlands; Martijn.Dolle@ 123456rivm.nl (M.E.T.D.); eugene.jansen@ 123456rivm.nl (E.J.)
                [5 ]Institute for Biomedical Aging Research, Leipold-Franzens-University, Innsbruck 6020, Austria; beatrix.grubeck@ 123456uibk.ac.at
                [6 ]Institute for Nutritional Sciences and Physiology, University for Health Sciences, Hall in Tirol 6060, Austria; simone.fiegl@ 123456umit.at
                [7 ]Unit of Cellular Biochemistry and Biology, University of Namur, Namur 5000, Belgium; olivier.toussaint@ 123456fundp.ac.be
                [8 ]BioTeSys GmbH, Esslingen 73728, Germany; j.bernhardt@ 123456biotesys.de
                [9 ]Institute of Biological Research and Biotechnology, National Hellenic Research Foundation (NHRF), Athens 11635, Greece; sgonos@ 123456eie.gr
                [10 ]Department of Experimental Pathology, University of Bologna, Bologna 40126, Italy; claudio.franceschi@ 123456unibo.it
                [11 ]Nencki Institute of Experimental Biology, Polish Academy of Sciences, Warsaw 02-093, Poland; e.sikora@ 123456nencki.gov.pl
                [12 ]Molecular Toxicology, Department of Biology, University of Konstanz, Konstanz 78457, Germany; maria.moreno-villanueva@ 123456uni-konstanz.de (M.M.-V.); alexander.buerkle@ 123456uni-konstanz.de (A.B.)
                [13 ]Department of Applied Nutritional Science/Dietetics, Institute of Nutritional Medicine, University of Hohenheim, Stuttgart 70599, Germany
                [14 ]German Center for Diabetes Research (DZD), Munich-Neuherberg 85764, Germany
                [15 ]German Center for Cardiovascular Research (DZHK), Berlin 13357, Germany
                [16 ]NutriAct-Competence Cluster Nutrition Research Berlin-Potsdam, Nuthetal 14458, Germany
                Author notes
                [* ]Correspondence: Daniela.Weber@ 123456dife.de ; Tel.: +49-33200-88-2358
                Article
                nutrients-08-00614
                10.3390/nu8100614
                5084002
                27706032
                39ccd41d-9a44-4f58-a47b-14bc5037b49a
                © 2016 by the authors; licensee MDPI, Basel, Switzerland.

                This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 19 July 2016
                : 27 September 2016
                Categories
                Article

                Nutrition & Dietetics
                carotenoids,plasma,age,europe,micronutrients,lycopene,retinol,tocopherols
                Nutrition & Dietetics
                carotenoids, plasma, age, europe, micronutrients, lycopene, retinol, tocopherols

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