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Book ; Online: Data underlying the publication "Fatty Liver Index and mortality after myocardial infarction

Heerkens, Luc

A prospective analysis in the Alpha Omega Cohort"

2023

Abstract: Data in this repository consists of the metadata, a read-me file, and the codebook, but not the minimal dataset to reproduce the results of the corresponding manuscript. The dataset is secured at the Division of Human Nutrition and Health, Wageningen ... ...

Abstract	Data in this repository consists of the metadata, a read-me file, and the codebook, but not the minimal dataset to reproduce the results of the corresponding manuscript. The dataset is secured at the Division of Human Nutrition and Health, Wageningen University and Research, Wageningen, The Netherlands. Accumulating evidence shows that NAFLD might play a role in the etiology and progression of CVD, but little is known on the association of NAFLD and CVD mortality in patients with a history of a myocardial infarction (MI). Therefore, we studied the relationship of Fatty Liver Index (FLI), as indicator for non-alcoholic fatty liver disease (NAFLD), with 12-year risk of cardiovascular disease (CVD) and all-cause mortality in post-MI patients. We included 4165 Dutch patients from the Alpha Omega Cohort aged 60-80 years who had an MI ≤10 years prior to study enrolment. NAFLD was defined as FLI ≥60. Patients were followed for cause-specific mortality from enrolment (2002-2006) through December 2018. Hazard ratios for CVD and all-cause mortality were obtained by multivariable Cox regression using FLI <30 (indicating absence of NAFLD) as the reference. Baseline FLI as a continuous measure were studied with mortality using restricted cubic splines analyses. The median (IQR) FLI was 68 (48-84). Sixty percent of the patients had FLI ≥60, who were more likely to be male and more often had diabetes, high blood pressure and high serum cholesterol levels. During 12 years of follow-up, 2042 deaths occurred of which 846 from CVD. Patients with NAFLD were at increased risk of CVD mortality (HR: 1.55 [1.19, 2.03]) and all-cause mortality (HR: 1.21 [1.03; 1.41]) compared to patients without NAFLD. Results remained consistent after excluding patients with obesity and diabetes. To conclude, the adverse association of FLI with CVD mortality were stronger in female than in male patients with conventional cut-off points. FLI ≥60, indicating NAFLD, was a predictor for CVD and all-cause mortality in post-MI patients, independent of ...
Keywords	cardiovascular diseases ; mortality ; myocardial infarction ; non-alcoholic fatty liver disease ; patients
Subject code	610
Publisher	Wageningen University & Research
Publishing country	nl
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Online: FLI and mortality MI

Heerkens, Luc

2023

Abstract: Raw data, incl. codebook that is necessary for reproducing results of the manuscript entitled 'Fatty Liver Index and mortality after myocardial infarction: A prospective analysis in the Alpha Omega Cohort'. ...

Abstract	Raw data, incl. codebook that is necessary for reproducing results of the manuscript entitled 'Fatty Liver Index and mortality after myocardial infarction: A prospective analysis in the Alpha Omega Cohort'.
Keywords	Alpha Omega Cohort ; prospective analysis
Publisher	Wageningen University & Research
Publishing country	nl
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Diet quality in relation to kidney function and its potential interaction with genetic risk of kidney disease among Dutch post-myocardial infarction patients.

van Westing, Anniek C / Heerkens, Luc / Cruijsen, Esther / Voortman, Trudy / Geleijnse, Johanna M

European journal of nutrition

2024

Abstract: Purpose: We examined the relation between diet quality, its components and kidney function decline in post-myocardial infarction (MI) patients, and we explored differences by genetic risk of chronic kidney disease (CKD).: Methods: We analysed 2169 ... ...

Abstract	Purpose: We examined the relation between diet quality, its components and kidney function decline in post-myocardial infarction (MI) patients, and we explored differences by genetic risk of chronic kidney disease (CKD). Methods: We analysed 2169 patients from the Alpha Omega Cohort (aged 60-80 years, 81% male). Dietary intake was assessed at baseline (2002-2006) using a validated food-frequency questionnaire and diet quality was defined using the Dutch Healthy Diet Cardiovascular Disease (DHD-CVD) index. We calculated 40-months change in estimated glomerular filtration rate (eGFR, mL/min per 1.73m Results: The average DHD-CVD index was 79 (SD 15) points and annual eGFR decline was 1.71 (SD 3.86) mL/min per 1.73 m Conclusion: The DHD-CVD index for overall adherence to Dutch dietary guidelines for CVD patients was not associated with kidney function decline after MI, irrespective of genetic CKD risk. The preferred dietary pattern for CKD prevention in CVD patients warrants further research.
Language	English
Publishing date	2024-03-02
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
DOI	10.1007/s00394-024-03355-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Fatty Liver Index and mortality after myocardial infarction: A prospective analysis in the Alpha Omega Cohort.

Heerkens, Luc / van Kleef, Laurens A / de Knegt, Robert J / Voortman, Trudy / Geleijnse, Johanna M

PloS one

2023 Volume 18, Issue 9, Page(s) e0287467

Abstract: Accumulating evidence shows that NAFLD might play a role in the etiology and progression of CVD, but little is known on the association of NAFLD and CVD mortality in patients with a history of a myocardial infarction (MI). Therefore, we studied the ... ...

Abstract	Accumulating evidence shows that NAFLD might play a role in the etiology and progression of CVD, but little is known on the association of NAFLD and CVD mortality in patients with a history of a myocardial infarction (MI). Therefore, we studied the relationship of Fatty Liver Index (FLI), as indicator for non-alcoholic fatty liver disease (NAFLD), with 12-year risk of cardiovascular disease (CVD) and all-cause mortality in post-MI patients. We included 4165 Dutch patients from the Alpha Omega Cohort aged 60-80 years who had an MI ≤10 years prior to study enrolment. NAFLD was defined as FLI ≥60. Patients were followed for cause-specific mortality from enrolment (2002-2006) through December 2018. Hazard ratios for CVD and all-cause mortality were obtained by multivariable Cox regression using FLI <30 (indicating absence of NAFLD) as the reference. Baseline FLI as a continuous measure was studied with mortality using restricted cubic splines analyses. The median (IQR) FLI was 68 (48-84). Sixty percent of the patients had FLI ≥60, who were more likely to be male and more often had diabetes, high blood pressure, and high serum cholesterol levels. During 12 years of follow-up, 2042 deaths occurred of which 846 from CVD. Patients with NAFLD were at increased risk of CVD mortality (HR: 1.55 [1.19, 2.03]) and all-cause mortality (HR: 1.21 [1.03; 1.41]) compared to patients without NAFLD. Results remained consistent after excluding patients with obesity and diabetes. To conclude, the adverse association of FLI with CVD mortality was stronger in female than in male patients with conventional cut-off points. FLI ≥60, indicating NAFLD, was a predictor for CVD and all-cause mortality in post-MI patients, independent of other cardiometabolic risk factors. However, cut-off points might differ between male and female patients for predicting CVD mortality.
MeSH term(s)	Humans ; Female ; Male ; Non-alcoholic Fatty Liver Disease/complications ; Myocardial Infarction ; Hypertension ; Cardiometabolic Risk Factors ; Ethnicity ; Hypercholesterolemia ; Syndrome
Language	English
Publishing date	2023-09-08
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0287467
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Serum uric acid is related to liver and kidney disease and 12-year mortality risk after myocardial infarction.

Heerkens, Luc / van Westing, Anniek C / Voortman, Trudy / Kardys, Isabella / Boersma, Eric / Geleijnse, Johanna M

Frontiers in endocrinology

2023 Volume 14, Page(s) 1240099

Abstract: Objective: To study the associations of non-alcoholic fatty liver disease (NAFLD), chronic kidney disease (CKD), and serum uric acid (SUA) in patients with post-myocardial infarction (MI) patients, and the relationship of SUA with 12-year mortality risk. ...

Abstract	Objective: To study the associations of non-alcoholic fatty liver disease (NAFLD), chronic kidney disease (CKD), and serum uric acid (SUA) in patients with post-myocardial infarction (MI) patients, and the relationship of SUA with 12-year mortality risk. Methods: We included 3,396 patients (60-80 years old, 78% men) of the Alpha Omega Cohort. Multivariable prevalence ratios (PRs) were obtained for the association of NAFLD [fatty liver index (FLI), ≥77 (women) and ≥79 (men)] with CKD [estimated glomerular filtration rate (eGFR), <60 mL/min per 1.73 m Results: Median baseline FLI was 67 (men, 68; women, 64), and mean ± SD eGFR was 81 ± 20 mL/min per 1.73 m Conclusions: NAFLD and CKD were strongly associated, which was reflected by higher SUA concentrations. SUA was a strong predictor of 12-year mortality risk after MI.
MeSH term(s)	Male ; Humans ; Female ; Middle Aged ; Aged ; Aged, 80 and over ; Uric Acid ; Non-alcoholic Fatty Liver Disease/complications ; Non-alcoholic Fatty Liver Disease/epidemiology ; Myocardial Infarction/complications ; Renal Insufficiency, Chronic
Chemical Substances	Uric Acid (268B43MJ25)
Language	English
Publishing date	2023-10-11
Publishing country	Switzerland
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2592084-4
ISSN	1664-2392
ISSN	1664-2392
DOI	10.3389/fendo.2023.1240099
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Diet quality in relation to kidney function and its potential interaction with genetic risk of kidney disease among Dutch post-myocardial infarction patients

van Westing, Anniek C. / Heerkens, Luc / Cruijsen, Esther / Voortman, Trudy / Geleijnse, Johanna M.

European Journal of Nutrition (2024) ; ISSN: 1436-6207

2024

Abstract	Purpose: We examined the relation between diet quality, its components and kidney function decline in post-myocardial infarction (MI) patients, and we explored differences by genetic risk of chronic kidney disease (CKD). Methods: We analysed 2169 patients from the Alpha Omega Cohort (aged 60–80 years, 81% male). Dietary intake was assessed at baseline (2002–2006) using a validated food-frequency questionnaire and diet quality was defined using the Dutch Healthy Diet Cardiovascular Disease (DHD-CVD) index. We calculated 40-months change in estimated glomerular filtration rate (eGFR, mL/min per 1.73m2). We constructed a weighted genetic risk score (GRS) for CKD using 88 single nucleotide polymorphisms previously linked to CKD. Betas with 95%-confidence intervals (CIs) were obtained using multivariable linear regression models for the association between DHD-CVD index and its components and eGFR change, by GRS. Results: The average DHD-CVD index was 79 (SD 15) points and annual eGFR decline was 1.71 (SD 3.86) mL/min per 1.73 m2. The DHD-CVD index was not associated with annual eGFR change (per 1-SD increment in adherence score: -0.09 [95% CI -0.26,0.08]). Results for adherence to guidelines for red meat showed less annual eGFR decline (per 1-SD: 0.21 [0.04,0.38]), whereas more annual eGFR decline was found for legumes and dairy (per 1-SD: -0.20legumes [-0.37,-0.04] and − 0.18dairy [-0.34,-0.01]). Generally similar results were obtained in strata of GRS. Conclusion: The DHD-CVD index for overall adherence to Dutch dietary guidelines for CVD patients was not associated with kidney function decline after MI, irrespective of genetic CKD risk. The preferred dietary pattern for CKD prevention in CVD patients warrants further research.
Keywords	Cohort study ; Coronary heart disease ; DHD-CVD index ; Estimated glomerular filtration rate ; Nutrition
Subject code	616
Language	English
Publishing country	nl
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Fatty Liver Index and mortality after myocardial infarction

Heerkens, Luc / van Kleef, Laurens A. / de Knegt, Robert J. / Voortman, Trudy / Geleijnse, Johanna M.

PLoS ONE

A prospective analysis in the Alpha Omega Cohort

2023 Volume 18, Issue 9

Abstract	Accumulating evidence shows that NAFLD might play a role in the etiology and progression of CVD, but little is known on the association of NAFLD and CVD mortality in patients with a history of a myocardial infarction (MI). Therefore, we studied the relationship of Fatty Liver Index (FLI), as indicator for non-alcoholic fatty liver disease (NAFLD), with 12-year risk of cardiovascular disease (CVD) and all-cause mortality in post-MI patients. We included 4165 Dutch patients from the Alpha Omega Cohort aged 60-80 years who had an MI ≤10 years prior to study enrolment. NAFLD was defined as FLI ≥60. Patients were followed for cause-specific mortality from enrolment (2002-2006) through December 2018. Hazard ratios for CVD and all-cause mortality were obtained by multivariable Cox regression using FLI <30 (indicating absence of NAFLD) as the reference. Baseline FLI as a continuous measure was studied with mortality using restricted cubic splines analyses. The median (IQR) FLI was 68 (48-84). Sixty percent of the patients had FLI ≥60, who were more likely to be male and more often had diabetes, high blood pressure, and high serum cholesterol levels. During 12 years of follow-up, 2042 deaths occurred of which 846 from CVD. Patients with NAFLD were at increased risk of CVD mortality (HR: 1.55 [1.19, 2.03]) and all-cause mortality (HR: 1.21 [1.03; 1.41]) compared to patients without NAFLD. Results remained consistent after excluding patients with obesity and diabetes. To conclude, the adverse association of FLI with CVD mortality was stronger in female than in male patients with conventional cut-off points. FLI ≥60, indicating NAFLD, was a predictor for CVD and all-cause mortality in post-MI patients, independent of other cardiometabolic risk factors. However, cut-off points might differ between male and female patients for predicting CVD mortality.
Keywords	Life Science
Subject code	610
Language	English
Publishing country	nl
Document type	Article ; Online
ZDB-ID	2267670-3
ISSN	1932-6203
ISSN	1932-6203
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Serum uric acid is related to liver and kidney disease and 12-year mortality risk after myocardial infarction

Heerkens, Luc / van Westing, Anniek C. / Voortman, Trudy / Kardys, Isabella / Boersma, Eric / Geleijnse, Johanna M.

Frontiers in Endocrinology

2023 Volume 14

Abstract: Objective: To study the associations of non-alcoholic fatty liver disease (NAFLD), chronic kidney disease (CKD), and serum uric acid (SUA) in patients with post–myocardial infarction (MI) patients, and the relationship of SUA with 12-year mortality risk. ...

Abstract	Objective: To study the associations of non-alcoholic fatty liver disease (NAFLD), chronic kidney disease (CKD), and serum uric acid (SUA) in patients with post–myocardial infarction (MI) patients, and the relationship of SUA with 12-year mortality risk. Methods: We included 3,396 patients (60–80 years old, 78% men) of the Alpha Omega Cohort. Multivariable prevalence ratios (PRs) were obtained for the association of NAFLD [fatty liver index (FLI), ≥77 (women) and ≥79 (men)] with CKD [estimated glomerular filtration rate (eGFR), <60 mL/min per 1.73 m2]. We calculated sensitivity and specificity of SUA to detect the (combined) presence and absence of NAFLD and CKD. Cause-specific mortality was monitored from enrolment (2002–2006) through December 2018. Hazard ratios (HRs) for all-cause and cardiovascular disease (CVD) mortality in SUA categories were obtained from multivariable Cox models. Results: Median baseline FLI was 67 (men, 68; women, 64), and mean ± SD eGFR was 81 ± 20 mL/min per 1.73 m2 (17% with CKD). Sex-specific FLI was associated with higher CKD prevalence (PRtertile3 vs. tertile1, 1.94; 95% confidence interval: 1.57, 2.39). Baseline SUA was 0.36 ± 0.09 mmol/L. With increasing SUA concentrations, specificity for the presence of NAFLD, CKD, or both increased, and sensitivity decreased. During 12 (interquartile range, 9–14) years of follow-up, 1,592 patients died (713 from CVD). HRs ranged from 1.08 (0.88, 1.32) for SUA ≤0.25 mmol/L to 2.13 (1.75, 2.60) for SUA >0.50 mmol/L vs. SUA >0.30–0.35 mmol/L for all-cause mortality. For CVD mortality, HRs ranged from 1.05 (0.77, 1.44) to 2.43 (1.83, 3.25). Conclusions: NAFLD and CKD were strongly associated, which was reflected by higher SUA concentrations. SUA was a strong predictor of 12-year mortality risk after MI.
Keywords	glomerular filtration rate ; kidney diseases ; mortality ; non-alcoholic fatty liver disease ; uric acid
Subject code	610
Language	English
Publishing country	nl
Document type	Article ; Online
ZDB-ID	2592084-4
ISSN	1664-2392
ISSN	1664-2392
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Genome-Wide Interaction Analysis With DASH Diet Score Identified Novel Loci for Systolic Blood Pressure.

Guirette, Mélanie / Lan, Jessie / McKeown, Nicola M / Brown, Michael R / Chen, Han / de Vries, Paul S / Kim, Hyunju / Rebholz, Casey M / Morrison, Alanna C / Bartz, Traci M / Fretts, Amanda M / Guo, Xiuqing / Lemaitre, Rozenn N / Liu, Ching-Ti / Noordam, Raymond / de Mutsert, Renée / Rosendaal, Frits R / Wang, Carol A / Beilin, Lawrence J /

Mori, Trevor A / Oddy, Wendy H / Pennell, Craig E / Chai, Jin Fang / Whitton, Clare / van Dam, Rob M / Liu, Jianjun / Tai, E Shyong / Sim, Xueling / Neuhouser, Marian L / Kooperberg, Charles / Tinker, Lesley F / Franceschini, Nora / Huan, TianXiao / Winkler, Thomas W / Bentley, Amy R / Gauderman, W James / Heerkens, Luc / Tanaka, Toshiko / van Rooij, Jeroen / Munroe, Patricia B / Warren, Helen R / Voortman, Trudy / Chen, Honglei / Rao, D C / Levy, Daniel / Ma, Jiantao

Hypertension (Dallas, Tex. : 1979)

2024 Volume 81, Issue 3, Page(s) 552–560

Abstract: Background: The Dietary Approaches to Stop Hypertension (DASH) diet score lowers blood pressure (BP). We examined interactions between genotype and the DASH diet score in relation to systolic BP.: Methods: We analyzed up to 9 420 585 single ... ...

Abstract	Background: The Dietary Approaches to Stop Hypertension (DASH) diet score lowers blood pressure (BP). We examined interactions between genotype and the DASH diet score in relation to systolic BP. Methods: We analyzed up to 9 420 585 single nucleotide polymorphisms in up to 127 282 individuals of 6 population groups (91% of European population) from the Cohorts for Heart and Aging Research in Genomic Epidemiology consortium (n=35 660) and UK Biobank (n=91 622) and performed European population-specific and cross-population meta-analyses. Results: We identified 3 loci in European-specific analyses and an additional 4 loci in cross-population analyses at Conclusions: We demonstrated gene-DASH diet score interaction effects on systolic BP in several loci. Studies with larger diverse populations are needed to validate our findings.
MeSH term(s)	Humans ; Blood Pressure/genetics ; Dietary Approaches To Stop Hypertension ; Hypertension ; Diet ; Genotype
Language	English
Publishing date	2024-01-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	423736-5
ISSN	1524-4563 ; 0194-911X ; 0362-4323
ISSN (online)	1524-4563
ISSN	0194-911X ; 0362-4323
DOI	10.1161/HYPERTENSIONAHA.123.22334
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Article: Genome-Wide Interaction Analysis with DASH Diet Score Identified Novel Loci for Systolic Blood Pressure.

Guirette, Mélanie / Lan, Jessie / McKeown, Nicola / Brown, Michael R / Chen, Han / DE Vries, Paul S / Kim, Hyunju / Rebholz, Casey M / Morrison, Alanna C / Bartz, Traci M / Fretts, Amanda M / Guo, Xiuqing / Lemaitre, Rozenn N / Liu, Ching-Ti / Noordam, Raymond / DE Mutsert, Renée / Rosendaal, Frits R / Wang, Carol A / Beilin, Lawrence /

Mori, Trevor A / Oddy, Wendy H / Pennell, Craig E / Chai, Jin Fang / Whitton, Clare / VAN Dam, Rob M / Liu, Jianjun / Tai, E Shyong / Sim, Xueling / Neuhouser, Marian L / Kooperberg, Charles / Tinker, Lesley / Franceschini, Nora / Huan, Tianxiao / Winkler, Thomas W / Bentley, Amy R / Gauderman, W James / Heerkens, Luc / Tanaka, Toshiko / van Rooij, Jeroen / Munroe, Patricia B / Warren, Helen R / Voortman, Trudy / Chen, Honglei / Rao, D C / Levy, Daniel / Ma, Jiantao

medRxiv : the preprint server for health sciences

2023

Abstract: Objective: We examined interactions between genotype and a Dietary Approaches to Stop Hypertension (DASH) diet score in relation to systolic blood pressure (SBP).: Methods: We analyzed up to 9,420,585 biallelic imputed single nucleotide polymorphisms ...

Abstract	Objective: We examined interactions between genotype and a Dietary Approaches to Stop Hypertension (DASH) diet score in relation to systolic blood pressure (SBP). Methods: We analyzed up to 9,420,585 biallelic imputed single nucleotide polymorphisms (SNPs) in up to 127,282 individuals of six population groups (91% of European population) from the Cohorts for Heart and Aging Research in Genomic Epidemiology consortium (CHARGE; n=35,660) and UK Biobank (n=91,622) and performed European population-specific and cross-population meta-analyses. Results: We identified three loci in European-specific analyses and an additional four loci in cross-population analyses at P for interaction < 5e-8. We observed a consistent interaction between rs117878928 at 15q25.1 (minor allele frequency = 0.03) and the DASH diet score (P for interaction = 4e-8; P for heterogeneity = 0.35) in European population, where the interaction effect size was 0.42±0.09 mm Hg (P for interaction = 9.4e-7) and 0.20±0.06 mm Hg (P for interaction = 0.001) in CHARGE and the UK Biobank, respectively. The 1 Mb region surrounding rs117878928 was enriched with Conclusion: We demonstrated gene-DASH diet score interaction effects on SBP in several loci. Studies with larger diverse populations are needed to validate our findings.
Language	English
Publishing date	2023-11-11
Publishing country	United States
Document type	Preprint
DOI	10.1101/2023.11.10.23298402
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