Association between the tissue accumulation of advanced glycation end products and exercise capacity in cardiac rehabilitation patients

被引：13

作者：

Kunimoto, Mitsuhiro ^{[1
]}

Shimada, Kazunori ^{[1
,2
]}

Yokoyama, Miho ^{[1
,2
]}

Matsubara, Tomomi ^{[1
]}

Aikawa, Tatsuro ^{[1
]}

Ouchi, Shohei ^{[1
]}

Shimizu, Megumi ^{[1
]}

Fukao, Kosuke ^{[1
]}

Miyazaki, Tetsuro ^{[1
]}

Kadoguchi, Tomoyasu ^{[1
]}

Fujiwara, Kei ^{[1
]}

Abulimiti, Abidan ^{[1
]}

Honzawa, Akio ^{[2
]}

Yamada, Miki ^{[2
]}

Shimada, Akie ^{[3
]}

Yamamoto, Taira ^{[3
]}

Asai, Tohru ^{[3
]}

Amano, Atsushi ^{[3
]}

Smit, Andries J. ^{[4
]}

Daida, Hiroyuki ^{[1
,5
]}

机构：

[1] Juntendo Univ, Grad Sch Med, Dept Cardiovasc Med, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan

[2] Juntendo Univ Hosp, Cardiovasc Rehabil & Fitness, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan

[3] Juntendo Univ, Dept Cardiovasc Surg, Grad Sch Med, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan

[4] Univ Groningen, Univ Med Ctr Groningen, Dept Internal Med, Div Vasc Med, Hanzepl 1, NL-9713 GZ Groningen, Netherlands

[5] Juntendo Univ, Fac Hlth Sci, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan

来源：

BMC CARDIOVASCULAR DISORDERS | 2020年 / 20卷 / 01期

关键词：

Advanced glycation end products; Exercise tolerance; Cardiac rehabilitation; Skin autofluorescence; HEART-FAILURE; SKIN AUTOFLUORESCENCE; MUSCLE STRENGTH; OXYGEN-CONSUMPTION; DIABETIC-PATIENTS; RISK PATIENTS; PREDICTORS; TOLERANCE; MORTALITY; MARKER;

D O I：

10.1186/s12872-020-01484-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Advanced glycation end products (AGEs) are associated with aging, diabetes mellitus (DM), and other chronic diseases. Recently, the accumulation of AGEs can be evaluated by skin autofluorescence (SAF). However, the relationship between SAF levels and exercise capacity in patients with cardiovascular disease (CVD) remains unclear. This study aimed to investigate the association between the tissue accumulation of AGEs and clinical characteristics, including exercise capacity, in patients with CVD. Methods We enrolled 319 consecutive CVD patients aged >= 40 years who underwent early phase II cardiac rehabilitation (CR) at our university hospital between November 2015 and September 2017. Patient background, clinical data, and the accumulation of AGEs assessed by SAF were recorded at the beginning of CR. Characteristics were compared between two patient groups divided according to the median SAF level (High SAF and Low SAF). Results The High SAF group was significantly older and exhibited a higher prevalence of DM than the Low SAF group. The sex ratio did not differ between the two groups. AGE levels showed significant negative correlations with peak oxygen uptake and ventilator efficiency (both P < 0.0001). Exercise capacity was significantly lower in the high SAF group than in the low SAF group, regardless of the presence or absence of DM (P < 0.05). A multivariate logistic regression analysis showed that SAF level was an independent factor associated with reduced exercise capacity (odds ratio 2.10; 95% confidence interval 1.13-4.05; P = 0.02). Conclusion High levels of tissue accumulated AGEs, as assessed by SAF, were significantly and independently associated with reduced exercise capacity. These data suggest that measuring the tissue accumulation of AGEs may be useful in patients who have undergone CR, irrespective of whether they have DM.

引用

页数：9

共 52 条

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