Association of circulating vitamin E (α- and γ-tocopherol) levels with gallstone disease

Research output: Contribution to journalArticleResearchpeer review

Authors

  • S. Waniek
  • R. di Giuseppe
  • T. Esatbeyoglu
  • I. Ratjen
  • J. Enderle
  • G. Jacobs
  • U. Nöthlings
  • M. Koch
  • S. Schlesinger
  • G. Rimbach
  • W. Lieb

External Research Organisations

  • Kiel University
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Details

Original languageEnglish
Article number133
JournalNutrients
Volume10
Issue number2
Early online date27 Jan 2018
Publication statusPublished - Feb 2018
Externally publishedYes

Abstract

In addition to well-established risk factors like older age, female gender, and adiposity, oxidative stress may play a role in the pathophysiology of gallstone disease. Since vitamin E exerts important anti-oxidative functions, we hypothesized that circulating vitamin E levels might be inversely associated with prevalence of gallstone disease. In a cross-sectional study, we measured plasma levels of α- and γ-tocopherol using high performance liquid chromatography in a community-based sample (582 individuals; median age 62 years; 38.5% women). Gallstone disease status was assessed by ultrasound. Multivariable-adjusted logistic regression models were used to estimate the association of circulating α- and γ-tocopherol/cholesterol ratio levels with prevalent gallstone disease. Lower probabilities of having gallstone disease were observed in the top (compared to the bottom) tertile of the plasma α-tocopherol/cholesterol ratio in multivariable-adjusted models (OR (Odds Ratio): 0.31; 95% CI (Confidence Interval): 0.13-0.76). A lower probability of having gallstone disease was also observed for the γ-tocopherol/cholesterol ratio, though the association did not reach statistical significance (OR: 0.77; 95% CI: 0.35-1.69 for 3rd vs 1st tertile). In conclusion, our observations are consistent with the concept that higher vitamin E levels might protect from gallstone disease, a premise that needs to be further addressed in longitudinal studies.

Keywords

    Gallstone disease, Vitamin E, α-and γ-tocopherol, Body Mass Index, Prevalence, Cross-Sectional Studies, Oxidative Stress, Humans, Middle Aged, Risk Factors, European Continental Ancestry Group, Logistic Models, Male, alpha-Tocopherol/administration & dosage, Exercise, Cholesterol/blood, gamma-Tocopherol/administration & dosage, Biomarkers/blood, Female, Aged, Dietary Supplements, Germany, Gallstones/blood

ASJC Scopus subject areas

Cite this

Association of circulating vitamin E (α- and γ-tocopherol) levels with gallstone disease. / Waniek, S.; di Giuseppe, R.; Esatbeyoglu, T. et al.
In: Nutrients, Vol. 10, No. 2, 133, 02.2018.

Research output: Contribution to journalArticleResearchpeer review

Waniek, S, di Giuseppe, R, Esatbeyoglu, T, Ratjen, I, Enderle, J, Jacobs, G, Nöthlings, U, Koch, M, Schlesinger, S, Rimbach, G & Lieb, W 2018, 'Association of circulating vitamin E (α- and γ-tocopherol) levels with gallstone disease', Nutrients, vol. 10, no. 2, 133. https://doi.org/10.3390/nu10020133
Waniek, S., di Giuseppe, R., Esatbeyoglu, T., Ratjen, I., Enderle, J., Jacobs, G., Nöthlings, U., Koch, M., Schlesinger, S., Rimbach, G., & Lieb, W. (2018). Association of circulating vitamin E (α- and γ-tocopherol) levels with gallstone disease. Nutrients, 10(2), Article 133. https://doi.org/10.3390/nu10020133
Waniek S, di Giuseppe R, Esatbeyoglu T, Ratjen I, Enderle J, Jacobs G et al. Association of circulating vitamin E (α- and γ-tocopherol) levels with gallstone disease. Nutrients. 2018 Feb;10(2):133. Epub 2018 Jan 27. doi: 10.3390/nu10020133
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abstract = "In addition to well-established risk factors like older age, female gender, and adiposity, oxidative stress may play a role in the pathophysiology of gallstone disease. Since vitamin E exerts important anti-oxidative functions, we hypothesized that circulating vitamin E levels might be inversely associated with prevalence of gallstone disease. In a cross-sectional study, we measured plasma levels of α- and γ-tocopherol using high performance liquid chromatography in a community-based sample (582 individuals; median age 62 years; 38.5% women). Gallstone disease status was assessed by ultrasound. Multivariable-adjusted logistic regression models were used to estimate the association of circulating α- and γ-tocopherol/cholesterol ratio levels with prevalent gallstone disease. Lower probabilities of having gallstone disease were observed in the top (compared to the bottom) tertile of the plasma α-tocopherol/cholesterol ratio in multivariable-adjusted models (OR (Odds Ratio): 0.31; 95% CI (Confidence Interval): 0.13-0.76). A lower probability of having gallstone disease was also observed for the γ-tocopherol/cholesterol ratio, though the association did not reach statistical significance (OR: 0.77; 95% CI: 0.35-1.69 for 3rd vs 1st tertile). In conclusion, our observations are consistent with the concept that higher vitamin E levels might protect from gallstone disease, a premise that needs to be further addressed in longitudinal studies.",
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AU - Waniek, S.

AU - di Giuseppe, R.

AU - Esatbeyoglu, T.

AU - Ratjen, I.

AU - Enderle, J.

AU - Jacobs, G.

AU - Nöthlings, U.

AU - Koch, M.

AU - Schlesinger, S.

AU - Rimbach, G.

AU - Lieb, W.

N1 - Funding information: Acknowledgments: Romina di Giuseppe is supported by the Deutsche Forschungsgemeinschaft Excellence Cluster “Inflammation at Interfaces” (grants EXC306 and EXC306/2). The PopGen 2.0 Network was supported by the German Federal Ministry of Education and Research (01EY1103). The funding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

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N2 - In addition to well-established risk factors like older age, female gender, and adiposity, oxidative stress may play a role in the pathophysiology of gallstone disease. Since vitamin E exerts important anti-oxidative functions, we hypothesized that circulating vitamin E levels might be inversely associated with prevalence of gallstone disease. In a cross-sectional study, we measured plasma levels of α- and γ-tocopherol using high performance liquid chromatography in a community-based sample (582 individuals; median age 62 years; 38.5% women). Gallstone disease status was assessed by ultrasound. Multivariable-adjusted logistic regression models were used to estimate the association of circulating α- and γ-tocopherol/cholesterol ratio levels with prevalent gallstone disease. Lower probabilities of having gallstone disease were observed in the top (compared to the bottom) tertile of the plasma α-tocopherol/cholesterol ratio in multivariable-adjusted models (OR (Odds Ratio): 0.31; 95% CI (Confidence Interval): 0.13-0.76). A lower probability of having gallstone disease was also observed for the γ-tocopherol/cholesterol ratio, though the association did not reach statistical significance (OR: 0.77; 95% CI: 0.35-1.69 for 3rd vs 1st tertile). In conclusion, our observations are consistent with the concept that higher vitamin E levels might protect from gallstone disease, a premise that needs to be further addressed in longitudinal studies.

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