The relationship of skin autofluorescence with diastolic function and HFA-PEFF score in a general population of older people.

Marian Teren, Artjom Schott, Daniel Sedding, Sebastian Nuding, Andreas Simm, Anne Großkopf, Karin Halina Greiser, Alexander Kluttig, Rafael Mikolajczyk

Nutrition, metabolism, and cardiovascular diseases : NMCD 2022 Sep

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Advanced glycation end-products accumulation in tissue as measured by Skin autofluorescence (SAF) is related to diastolic function in specific patient populations. This analysis aims at investigating this relationship in a general population of older persons. Based on data from the CARLA cohort at first follow-up, 245 subjects were analyzed and stratified according to cardiovascular risk factors (CVRF). We used linear regression to investigate the association between diastolic function evaluated by echocardiography, HFA-PEFF score, and SAF. Univariable regression analysis showed an association of SAF with septal-E/e' (standardised beta = 1.11, 95% CI = 0.51-1.71) and A (3.42, 95% CI = 0.72-6.12), the former persisting after adjustment for age, sex and CVRF (0.67, 95% CI = 0.05-1.28). Septal-E/e' remained related to SAF only in the high cardiovascular risk stratum (1.16, 95% CI = 0.26-2.06). SAF was related to HFA-PEFF score (0.27, 95% CI = 0.10-0.43) but not after correcting for age and sex (0.16, 95% CI = 0.00-0.32) and CVRF and glomerular filtration rate (0.12, 95% CI = -0.07 - 0.27). SAF was related to the HFA-PEFF score only for participants with high cardiovascular risk (0.23, 95% CI = 0.02-0.45). In a general community-dwelling older population, SAF is related to diastolic function as measured by septal-E/e'. Further research is necessary to assess if SAF is a potential screening tool for diastolic dysfunction in advanced age. Copyright © 2022 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

Citation

Marian Teren, Artjom Schott, Daniel Sedding, Sebastian Nuding, Andreas Simm, Anne Großkopf, Karin Halina Greiser, Alexander Kluttig, Rafael Mikolajczyk. The relationship of skin autofluorescence with diastolic function and HFA-PEFF score in a general population of older people. Nutrition, metabolism, and cardiovascular diseases : NMCD. 2022 Sep;32(9):2112-2120