Advanced glycation end products and their ratio to soluble receptor are associated with limitations in physical functioning only in women: results from the CARLA cohort.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
04 11 2019
Historique:
received: 15 04 2019
accepted: 17 10 2019
entrez: 6 11 2019
pubmed: 7 11 2019
medline: 25 7 2020
Statut: epublish

Résumé

Advanced glycation end products (AGEs), modifications of proteins or amino acids, are increasingly produced and accumulated with age-related diseases. Recent studies suggested that the ratio of AGEs and their soluble receptor (sRAGE) is a more accurate biomarker for age-related diseases than each separately. We aim to investigate whether this also applies for physical functioning in a broad age-spectrum. AGE and sRAGE levels, and physical functioning (SF-12 questionnaire) of 967 men and 812 women (45-83 years) were measured in the CARLA study. We used ordinal logistic regression to examine associations between AGEs, sRAGE, and AGE/sRAGE ratio with physical functioning in sex- and age-stratified models. Higher levels of AGEs and AGE/sRAGE ratio were associated with lower physical functioning only in women, even after consideration of classical lifestyle and age-related factors (education, BMI, smoking, alcohol consumption, diet, creatinine clearance, diabetes mellitus, lipid lowering and antihypertensive drugs) (odds ratio (OR) =0.86, 95%confidence interval = 0.74-0.98 and OR = 0.86, 95%CI = 0.75-0.98 for AGEs and AGE/sRAGE ratio respectively). We could not demonstrate a significant difference across age. We showed a sex-specific association between physical functioning and AGEs and AGE/sRAGE, but no stronger associations of the latter with physical functioning. Further investigation is needed in the pathophysiology of this association.

Sections du résumé

BACKGROUND
Advanced glycation end products (AGEs), modifications of proteins or amino acids, are increasingly produced and accumulated with age-related diseases. Recent studies suggested that the ratio of AGEs and their soluble receptor (sRAGE) is a more accurate biomarker for age-related diseases than each separately. We aim to investigate whether this also applies for physical functioning in a broad age-spectrum.
METHODS
AGE and sRAGE levels, and physical functioning (SF-12 questionnaire) of 967 men and 812 women (45-83 years) were measured in the CARLA study. We used ordinal logistic regression to examine associations between AGEs, sRAGE, and AGE/sRAGE ratio with physical functioning in sex- and age-stratified models.
RESULTS
Higher levels of AGEs and AGE/sRAGE ratio were associated with lower physical functioning only in women, even after consideration of classical lifestyle and age-related factors (education, BMI, smoking, alcohol consumption, diet, creatinine clearance, diabetes mellitus, lipid lowering and antihypertensive drugs) (odds ratio (OR) =0.86, 95%confidence interval = 0.74-0.98 and OR = 0.86, 95%CI = 0.75-0.98 for AGEs and AGE/sRAGE ratio respectively). We could not demonstrate a significant difference across age.
CONCLUSIONS
We showed a sex-specific association between physical functioning and AGEs and AGE/sRAGE, but no stronger associations of the latter with physical functioning. Further investigation is needed in the pathophysiology of this association.

Identifiants

pubmed: 31684879
doi: 10.1186/s12877-019-1323-8
pii: 10.1186/s12877-019-1323-8
pmc: PMC6829799
doi:

Substances chimiques

Biomarkers 0
Glycation End Products, Advanced 0
Receptor for Advanced Glycation End Products 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

299

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Auteurs

Helen Ebert (H)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany.

Maria Elena Lacruz (ME)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany.

Alexander Kluttig (A)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany.

Andreas Simm (A)

University Clinic and Outpatient Clinic for Cardiac Surgery,Middle German Heart Centre at the University Hospital Halle, Halle, Germany.

Karin Halina Greiser (KH)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany.
German Cancer Research Center, Division of Cancer Epidemiology, Heidelberg, Germany.

Daniel Tiller (D)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany.

Nadja Kartschmit (N)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany.

Rafael Mikolajczyk (R)

Institute of medical epidemiology, biometrics and informatics, Medical faculty of the Martin-Luther University Halle, Magdeburger Str. 8, 06112, Halle, Germany. rafael.mikolajczyk@medizin.uni-halle.de.

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