Healthy Diet, Mortality
Conditions
Keywords
Polyamine, cardiovascular disease, cancer
Brief summary
This study seeks to test the potential association between spermidine content in diet and mortality in humans.
Detailed description
This prospective community-based cohort study includes 829 participants aged 45-84 years, 49.9% of which are male. Diet is assessed by repeated dietician-administered validated food-frequency questionnaires (2540 assessments) in 1995, 2000, 2005, and 2010. Nutrient intakes including spermidine are calculated using USDA standard databases. Clinical events (all-cause mortality and cause-specific mortality) are recorded from 1995 to 2015. The primary endpoint of all-cause mortality is related to the exposure of long-term average spermidine intake by Cox proportional hazards models with time-varying covariates. Additional analyses employ the Fine and Gray proportional subdistribution hazards model and flexible Royston-Parmar spline-based models. Comprehensive sensitivity analyses are performed to guard against potential biases associated with nutritional epidemiology.
Interventions
The exposure consists in the long-term average dietary intake of the polyamine spermidine
Sponsors
Study design
Eligibility
Inclusion criteria
Resident of Bruneck aged 40-79 years in 1990, age- and sex-stratified random sample.
Exclusion criteria
None.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality | 1995-2015 | Death due to any cause |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cause-specific mortalities | 1995-2015 | Death due to cardiovascular disease, cancer, or other causes |