Skip to main content
Top
Published in: European Journal of Nutrition 7/2015

01-10-2015 | Original Contribution

Differences in micronucleus frequency and acrylamide adduct levels with hemoglobin between vegetarians and non-vegetarians

Authors: Natalia Kotova, Cecilia Frostne, Lilianne Abramsson-Zetterberg, Eden Tareke, Rolf Bergman, Siamak Haghdoost, Birgit Paulsson, Margareta Törnqvist, Dan Segerbäck, Dag Jenssen, Jan Grawé

Published in: European Journal of Nutrition | Issue 7/2015

Login to get access

Abstract

Purpose

Nutrients and food constituents can prevent or contribute to genotoxicity. In this study, the possible influence of a vegetarian/non-vegetarian diet on genotoxic effects was investigated in 58 non-smoking healthy vegetarians (V) and non-vegetarians (NV), age 21–37 years from the Stockholm area in Sweden.

Methods

Physical activity and dietary habits were similar in both groups, with the exception of the intake of meat and fish. Using flow cytometry, we determined the formation of micronuclei (MN) in transferrin-positive immature peripheral blood reticulocytes (Trf-Ret) (Total: n = 53; V: n = 27; NV: n = 26). Dietary exposure to acrylamide was measured through hemoglobin (Hb) adducts in peripheral erythrocytes (Total: n = 53; V: n = 29; NV: n = 24). Hb adducts of both acrylamide and its genotoxic metabolite glycidamide were monitored as a measure of the corresponding in vivo doses.

Results

Our data demonstrated that compared with the non-vegetarians, the vegetarians exhibited lower frequencies of MN (fMN) in the Trf-Ret (p < 0.01, Student’s t test). A multivariate analysis demonstrated that there was no association between the fMN and factors such as age, sex, intake of vitamins/minerals, serum folic acid and vitamin B12 levels, physical activity, and body mass index. The mean Hb adduct levels of acrylamide and glycidamide showed no significant differences between vegetarians and non-vegetarians. Furthermore, there were no significant relationships between the adduct levels and fMN in the individuals. The ratio of the Hb adduct levels from glycidamide and acrylamide, however, showed a significant difference (p < 0.04) between the two groups.

Conclusions

These data suggest that the vegetarian diet might be beneficial in lowering genomic instability in healthy individuals. The measured Hb adduct levels indicate that the total intake of acrylamide does not differ between the two studied groups and does not contribute to the observed difference in fMN, although an influence of the diet on the metabolic rates of acrylamide was indicated. In addition, the observed significant difference in the background fMN in the two groups demonstrated that the MN analysis method has a sensitivity applicable to the biomonitoring of human lifestyle factors.
Literature
1.
go back to reference Mateuca R, Lombaert N, Aka PV, Decordier I, Kirsch-Volders M (2006) Chromosomal changes: induction, detection methods and applicability in human biomonitoring. Biochimie 88:1515–1531CrossRef Mateuca R, Lombaert N, Aka PV, Decordier I, Kirsch-Volders M (2006) Chromosomal changes: induction, detection methods and applicability in human biomonitoring. Biochimie 88:1515–1531CrossRef
2.
go back to reference Bonassi S, El-Zein R, Bolognesi C, Fenech M (2010) Micronuclei frequency in peripheral blood lymphocytes and cancer risk: evidence from human studies. Mutagenesis 26:93–100CrossRef Bonassi S, El-Zein R, Bolognesi C, Fenech M (2010) Micronuclei frequency in peripheral blood lymphocytes and cancer risk: evidence from human studies. Mutagenesis 26:93–100CrossRef
3.
go back to reference Dertinger SD, Torous DK, Hayashi M, MacGregor JT (2011) Flow cytometric scoring of micronucleated erythrocytes: an efficient platform for assessing in vivo cytogenetic damage. Mutagenesis 26:139–145CrossRef Dertinger SD, Torous DK, Hayashi M, MacGregor JT (2011) Flow cytometric scoring of micronucleated erythrocytes: an efficient platform for assessing in vivo cytogenetic damage. Mutagenesis 26:139–145CrossRef
4.
go back to reference Fenech M (2003) Nutritional treatment of genome instability: a paradigm shift in disease prevention and in the setting of recommended dietary allowances. Nutr Res Rev 16:109–122CrossRef Fenech M (2003) Nutritional treatment of genome instability: a paradigm shift in disease prevention and in the setting of recommended dietary allowances. Nutr Res Rev 16:109–122CrossRef
5.
go back to reference Verhagen H, Rauma AL, Torronen R, de Vogel N, Bruijntjes-Rozier GC, Drevo MA, Bogaards JJ, Mykkanen H (1996) Effect of a vegan diet on biomarkers of chemoprevention in females. Hum Exp Toxicol 15:821–825CrossRef Verhagen H, Rauma AL, Torronen R, de Vogel N, Bruijntjes-Rozier GC, Drevo MA, Bogaards JJ, Mykkanen H (1996) Effect of a vegan diet on biomarkers of chemoprevention in females. Hum Exp Toxicol 15:821–825CrossRef
6.
go back to reference Fenech M, Rinaldi J (1995) A comparison of lymphocyte micronuclei and plasma micronutrients in vegetarians and non-vegetarians. Carcinogenesis 16:223–230CrossRef Fenech M, Rinaldi J (1995) A comparison of lymphocyte micronuclei and plasma micronutrients in vegetarians and non-vegetarians. Carcinogenesis 16:223–230CrossRef
7.
go back to reference Tucker JD, Vanderlaan M, Kwan TC, Moore DH II, Felton JS (1993) Effects of diet and folate on levels of micronucleated polychromatic erythrocytes. Mutat Res 301:19–26CrossRef Tucker JD, Vanderlaan M, Kwan TC, Moore DH II, Felton JS (1993) Effects of diet and folate on levels of micronucleated polychromatic erythrocytes. Mutat Res 301:19–26CrossRef
8.
go back to reference Kazimirova A, Barancokova M, Krajcovicova-Kudlackova M, Volkovova K, Staruchova M, Valachovicova M, Paukova V, Blazicek P, Wsolova L, Dusinska M (2006) The relationship between micronuclei in human lymphocytes and selected micronutrients in vegetarians and non-vegetarians. Mutat Res 611:64–70CrossRef Kazimirova A, Barancokova M, Krajcovicova-Kudlackova M, Volkovova K, Staruchova M, Valachovicova M, Paukova V, Blazicek P, Wsolova L, Dusinska M (2006) The relationship between micronuclei in human lymphocytes and selected micronutrients in vegetarians and non-vegetarians. Mutat Res 611:64–70CrossRef
9.
go back to reference Abramsson-Zetterberg L, Vikstrom AC, Tornqvist M, Hellenas KE (2008) Differences in the frequency of micronucleated erythrocytes in humans in relation to consumption of fried carbohydrate-rich food. Mutat Res Genet Toxicol Environ Mutagen 653:50–56CrossRef Abramsson-Zetterberg L, Vikstrom AC, Tornqvist M, Hellenas KE (2008) Differences in the frequency of micronucleated erythrocytes in humans in relation to consumption of fried carbohydrate-rich food. Mutat Res Genet Toxicol Environ Mutagen 653:50–56CrossRef
10.
go back to reference Tareke E, Rydberg P, Karlsson P, Eriksson S, Tornqvist M (2002) Analysis of acrylamide, a carcinogen formed in heated foodstuffs. J Agric Food Chem 50:4998–5006CrossRef Tareke E, Rydberg P, Karlsson P, Eriksson S, Tornqvist M (2002) Analysis of acrylamide, a carcinogen formed in heated foodstuffs. J Agric Food Chem 50:4998–5006CrossRef
12.
go back to reference Carere A (2006) Genotoxicity and carcinogenicity of acrylamide: a critical review. Ann Ist Super Sanita 42:144–155 Carere A (2006) Genotoxicity and carcinogenicity of acrylamide: a critical review. Ann Ist Super Sanita 42:144–155
13.
go back to reference Mottram DS, Low MY, Elmore JS (2006) The Maillard reaction and its role in the formation of acrylamide and other potentially hazardous compounds in foods. In: Skog K, Alexander J (eds) Acrylamide and other hazardous compounds in heat-treated foods. Woodhead Publ Ltd, Cambridge, pp 3–22CrossRef Mottram DS, Low MY, Elmore JS (2006) The Maillard reaction and its role in the formation of acrylamide and other potentially hazardous compounds in foods. In: Skog K, Alexander J (eds) Acrylamide and other hazardous compounds in heat-treated foods. Woodhead Publ Ltd, Cambridge, pp 3–22CrossRef
14.
go back to reference Chaudhry Q, Cotterill J, Watkins R, Price N (2006) A molecular modelling approach to predict the toxicity of compounds generated during heat treatment of foods. In: Skog K, Alexander J (eds) Acrylamide and other hazardous compounds in heat-treated foods. Woodhead Publ Ltd, Cambridge, pp 132–160CrossRef Chaudhry Q, Cotterill J, Watkins R, Price N (2006) A molecular modelling approach to predict the toxicity of compounds generated during heat treatment of foods. In: Skog K, Alexander J (eds) Acrylamide and other hazardous compounds in heat-treated foods. Woodhead Publ Ltd, Cambridge, pp 132–160CrossRef
15.
go back to reference Abramsson-Zetterberg L, Zetterberg G, Bergqvist M, Grawe J (2000) Human cytogenetic biomonitoring using flow-cytometric analysis of micronuclei in transferrin-positive immature peripheral blood reticulocytes. Environ Mol Mutagen 36:22–31CrossRef Abramsson-Zetterberg L, Zetterberg G, Bergqvist M, Grawe J (2000) Human cytogenetic biomonitoring using flow-cytometric analysis of micronuclei in transferrin-positive immature peripheral blood reticulocytes. Environ Mol Mutagen 36:22–31CrossRef
16.
go back to reference Grawe J, Biko J, Lorenz R, Reiners C, Stopper H, Vershenya S, Vukicevic V, Hempel K (2005) Evaluation of the reticulocyte micronucleus assay in patients treated with radioiodine for thyroid cancer. Mutat Res 583:12–25CrossRef Grawe J, Biko J, Lorenz R, Reiners C, Stopper H, Vershenya S, Vukicevic V, Hempel K (2005) Evaluation of the reticulocyte micronucleus assay in patients treated with radioiodine for thyroid cancer. Mutat Res 583:12–25CrossRef
17.
go back to reference Stopper H, Hempel K, Reiners C, Vershenya S, Lorenz R, Vukicevic V, Heidland A, Grawe J (2005) Pilot study for comparison of reticulocyte-micronulei with lymphocyte-micronuclei in human biomonitoring. Toxicol Lett 156:351–360CrossRef Stopper H, Hempel K, Reiners C, Vershenya S, Lorenz R, Vukicevic V, Heidland A, Grawe J (2005) Pilot study for comparison of reticulocyte-micronulei with lymphocyte-micronuclei in human biomonitoring. Toxicol Lett 156:351–360CrossRef
18.
go back to reference Abramsson-Zetterberg L, Durling LJ, Yang-Wallentin F, Rytter E, Vessby B (2006) The impact of folate status and folic acid supplementation on the micronucleus frequency in human erythrocytes. Mutat Res 603:33–40CrossRef Abramsson-Zetterberg L, Durling LJ, Yang-Wallentin F, Rytter E, Vessby B (2006) The impact of folate status and folic acid supplementation on the micronucleus frequency in human erythrocytes. Mutat Res 603:33–40CrossRef
19.
go back to reference Rytter E, Vessby B, Asgard R, Johansson C, Sjodin A, Abramsson-Zetterberg L, Moller L, Basu S (2009) Glycaemic status in relation to oxidative stress and inflammation in well-controlled type 2 diabetes subjects. Br J Nutr 101:1423–1426CrossRef Rytter E, Vessby B, Asgard R, Johansson C, Sjodin A, Abramsson-Zetterberg L, Moller L, Basu S (2009) Glycaemic status in relation to oxidative stress and inflammation in well-controlled type 2 diabetes subjects. Br J Nutr 101:1423–1426CrossRef
20.
go back to reference Bergmark E (1997) Hemoglobin adducts of acrylamide and acrylonitrile in laboratory workers, smokers and nonsmokers. Chem Res Toxicol 10:78–84CrossRef Bergmark E (1997) Hemoglobin adducts of acrylamide and acrylonitrile in laboratory workers, smokers and nonsmokers. Chem Res Toxicol 10:78–84CrossRef
21.
go back to reference Paulsson B, Athanassiadis I, Rydberg P, Tornqvist M (2003) Hemoglobin adducts from glycidamide: acetonization of hydrophilic groups for reproducible gas chromatography/tandem mass spectrometric analysis. Rapid Commun Mass Spectrom 17:1859–1865CrossRef Paulsson B, Athanassiadis I, Rydberg P, Tornqvist M (2003) Hemoglobin adducts from glycidamide: acetonization of hydrophilic groups for reproducible gas chromatography/tandem mass spectrometric analysis. Rapid Commun Mass Spectrom 17:1859–1865CrossRef
22.
go back to reference Tornqvist M (1994) Epoxide adducts to N-terminal valine of hemoglobin. Hemoglob Pt B Method Enzymol 231:650–657CrossRef Tornqvist M (1994) Epoxide adducts to N-terminal valine of hemoglobin. Hemoglob Pt B Method Enzymol 231:650–657CrossRef
23.
go back to reference Fenech M, Bonassi S (2011) The effect of age, gender, diet and lifestyle on DNA damage measured using micronucleus frequency in human peripheral blood lymphocytes. Mutagenesis 26:43–49CrossRef Fenech M, Bonassi S (2011) The effect of age, gender, diet and lifestyle on DNA damage measured using micronucleus frequency in human peripheral blood lymphocytes. Mutagenesis 26:43–49CrossRef
24.
go back to reference Battershill JM, Burnett K, Bull S (2008) Factors affecting the incidence of genotoxicity biomarkers in peripheral blood lymphocytes: impact on design of biomonitoring studies. Mutagenesis 23:423–437CrossRef Battershill JM, Burnett K, Bull S (2008) Factors affecting the incidence of genotoxicity biomarkers in peripheral blood lymphocytes: impact on design of biomonitoring studies. Mutagenesis 23:423–437CrossRef
25.
go back to reference Offer T, Ho E, Traber MG, Bruno RS, Kuypers FA, Ames BN (2005) A simple assay for frequency of chromosome breaks and loss (micronuclei) by flow cytometry of human reticulocytes. FASEB J 19:485–487 Offer T, Ho E, Traber MG, Bruno RS, Kuypers FA, Ames BN (2005) A simple assay for frequency of chromosome breaks and loss (micronuclei) by flow cytometry of human reticulocytes. FASEB J 19:485–487
26.
go back to reference Fenech M (2001) The role of folic acid and Vitamin B12 in genomic stability of human cells. Mutat Res 475:57–67CrossRef Fenech M (2001) The role of folic acid and Vitamin B12 in genomic stability of human cells. Mutat Res 475:57–67CrossRef
27.
go back to reference MacGregor JT, Wehr CM, Hiatt RA, Peters B, Tucker JD, Langlois RG, Jacob RA, Jensen RH, Yager JW, Shigenaga MK, Frei B, Eynon BP, Ames BN (1997) ‘Spontaneous’ genetic damage in man: evaluation of interindividual variability, relationship among markers of damage, and influence of nutritional status. Mutat Res 377:125–135CrossRef MacGregor JT, Wehr CM, Hiatt RA, Peters B, Tucker JD, Langlois RG, Jacob RA, Jensen RH, Yager JW, Shigenaga MK, Frei B, Eynon BP, Ames BN (1997) ‘Spontaneous’ genetic damage in man: evaluation of interindividual variability, relationship among markers of damage, and influence of nutritional status. Mutat Res 377:125–135CrossRef
28.
go back to reference Mowrer J, Tornqvist M, Jensen S, Ehrenberg L (1986) Modified Edman degradation applied to hemoglobin for monitoring occupational exposure to alkylating agents. Toxicol Environ Chem 11:215–231CrossRef Mowrer J, Tornqvist M, Jensen S, Ehrenberg L (1986) Modified Edman degradation applied to hemoglobin for monitoring occupational exposure to alkylating agents. Toxicol Environ Chem 11:215–231CrossRef
29.
go back to reference Tornqvist M, Mowrer J, Jensen S, Ehrenberg L (1986) Monitoring of environmental cancer initiators through hemoglobin adducts by a modified Edman degradation method. Anal Biochem 154:255–266CrossRef Tornqvist M, Mowrer J, Jensen S, Ehrenberg L (1986) Monitoring of environmental cancer initiators through hemoglobin adducts by a modified Edman degradation method. Anal Biochem 154:255–266CrossRef
30.
go back to reference Vikstrom AC, Abramsson-Zetterberg L, Naruszewicz M, Athanassiadis I, Granath FN, Tornqvist MA (2011) In vivo doses of acrylamide and glycidamide in humans after intake of acrylamide-rich food. Toxicol Sci 119:41–49CrossRef Vikstrom AC, Abramsson-Zetterberg L, Naruszewicz M, Athanassiadis I, Granath FN, Tornqvist MA (2011) In vivo doses of acrylamide and glycidamide in humans after intake of acrylamide-rich food. Toxicol Sci 119:41–49CrossRef
31.
go back to reference Fenech M, Bonassi S (2010) The effect of age, gender, diet and lifestyle on DNA damage measured using micronucleus frequency in human peripheral blood lymphocytes. Mutagenesis 26:43–49CrossRef Fenech M, Bonassi S (2010) The effect of age, gender, diet and lifestyle on DNA damage measured using micronucleus frequency in human peripheral blood lymphocytes. Mutagenesis 26:43–49CrossRef
32.
go back to reference Thomas P, Wu J, Dhillon V, Fenech M (2011) Effect of dietary intervention on human micronucleus frequency in lymphocytes and buccal cells. Mutagenesis 26:69–76CrossRef Thomas P, Wu J, Dhillon V, Fenech M (2011) Effect of dietary intervention on human micronucleus frequency in lymphocytes and buccal cells. Mutagenesis 26:69–76CrossRef
33.
go back to reference Gooderham NJ, Murray S, Lynch AM, Yadollahi-Farsani M, Zhao K, Boobis AR, Davies DS (2001) Food-derived heterocyclic amine mutagens: variable metabolism and significance to humans. Drug Metab Dispos 29:529–534 Gooderham NJ, Murray S, Lynch AM, Yadollahi-Farsani M, Zhao K, Boobis AR, Davies DS (2001) Food-derived heterocyclic amine mutagens: variable metabolism and significance to humans. Drug Metab Dispos 29:529–534
34.
go back to reference Anderson KE, Sinha R, Kulldorff M, Gross M, Lang NP, Barber C, Harnack L, DiMagno E, Bliss R, Kadlubar FF (2002) Meat intake and cooking techniques: associations with pancreatic cancer. Mutat Res 506–507:225–231CrossRef Anderson KE, Sinha R, Kulldorff M, Gross M, Lang NP, Barber C, Harnack L, DiMagno E, Bliss R, Kadlubar FF (2002) Meat intake and cooking techniques: associations with pancreatic cancer. Mutat Res 506–507:225–231CrossRef
35.
go back to reference Lewin MH, Bailey N, Bandaletova T, Bowman R, Cross AJ, Pollock J, Shuker DE, Bingham SA (2006) Red meat enhances the colonic formation of the DNA adduct O6-carboxymethyl guanine: implications for colorectal cancer risk. Cancer Res 66:1859–1865CrossRef Lewin MH, Bailey N, Bandaletova T, Bowman R, Cross AJ, Pollock J, Shuker DE, Bingham SA (2006) Red meat enhances the colonic formation of the DNA adduct O6-carboxymethyl guanine: implications for colorectal cancer risk. Cancer Res 66:1859–1865CrossRef
36.
go back to reference IARC (2010) Ingested nitrate and nitrite and cyanobacterial peptide toxins. IARC Monogr Eval Carcinog Risks Hum 94:43–325 IARC (2010) Ingested nitrate and nitrite and cyanobacterial peptide toxins. IARC Monogr Eval Carcinog Risks Hum 94:43–325
37.
go back to reference Magagnotti C, Orsi F, Bagnati R, Celli N, Rotilio D, Fanelli R, Airoldi L (2000) Effect of diet on serum albumin and hemoglobin adducts of 2-amino-1-methyl-6-phenylimidazo 4,5-b pyridine (PhIP) in humans. Int J Cancer 88:1–6CrossRef Magagnotti C, Orsi F, Bagnati R, Celli N, Rotilio D, Fanelli R, Airoldi L (2000) Effect of diet on serum albumin and hemoglobin adducts of 2-amino-1-methyl-6-phenylimidazo 4,5-b pyridine (PhIP) in humans. Int J Cancer 88:1–6CrossRef
38.
go back to reference Bessette EE, Yasa I, Dunbar D, Wilkens LR, Le Marchand L, Turesky RJ (2009) Biomonitoring of carcinogenic heterocyclic aromatic amines in hair: a validation study. Chem Res Toxicol 22:1454–1463CrossRef Bessette EE, Yasa I, Dunbar D, Wilkens LR, Le Marchand L, Turesky RJ (2009) Biomonitoring of carcinogenic heterocyclic aromatic amines in hair: a validation study. Chem Res Toxicol 22:1454–1463CrossRef
39.
go back to reference Taubert D, Glockner R, Muller D, Schomig E (2006) The garlic ingredient diallyl sulfide inhibits cytochrome P450 2E1 dependent bioactivation of acrylamide to glycidamide. Toxicol Lett 164:1–5CrossRef Taubert D, Glockner R, Muller D, Schomig E (2006) The garlic ingredient diallyl sulfide inhibits cytochrome P450 2E1 dependent bioactivation of acrylamide to glycidamide. Toxicol Lett 164:1–5CrossRef
40.
go back to reference Vesper HW, Caudill SP, Osterloh JD, Meyers T, Scott D, Myers GL (2010) Exposure of the US population to acrylamide in the National Health and Nutrition Examination Survey 2003–2004. Environ Health Perspect 118:278–283CrossRef Vesper HW, Caudill SP, Osterloh JD, Meyers T, Scott D, Myers GL (2010) Exposure of the US population to acrylamide in the National Health and Nutrition Examination Survey 2003–2004. Environ Health Perspect 118:278–283CrossRef
41.
go back to reference Kassie F, Lhoste EF, Bruneau A, Zsivkovits M, Ferk F, Uhl M, Zidek T, Knasmuller S (2004) Effect of intestinal microfloras from vegetarians and meat eaters on the genotoxicity of 2-amino-3-methylimidazo 4,5-f quinoline, a carcinogenic heterocyclic amine. J Chromatogr B: Anal Technol Biomed Life Sci 802:211–215CrossRef Kassie F, Lhoste EF, Bruneau A, Zsivkovits M, Ferk F, Uhl M, Zidek T, Knasmuller S (2004) Effect of intestinal microfloras from vegetarians and meat eaters on the genotoxicity of 2-amino-3-methylimidazo 4,5-f quinoline, a carcinogenic heterocyclic amine. J Chromatogr B: Anal Technol Biomed Life Sci 802:211–215CrossRef
42.
go back to reference World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington DC, pp 517 World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington DC, pp 517
43.
go back to reference Ross SA (2003) Diet and DNA methylation interactions in cancer prevention. Ann NY Acad Sci 983:197–207CrossRef Ross SA (2003) Diet and DNA methylation interactions in cancer prevention. Ann NY Acad Sci 983:197–207CrossRef
44.
go back to reference Friso S, Choi SW (2002) Gene-nutrient interactions and DNA methylation. J Nutr 132:2382S–2387S Friso S, Choi SW (2002) Gene-nutrient interactions and DNA methylation. J Nutr 132:2382S–2387S
45.
go back to reference Mathers JC, Coxhead JM, Tyson J (2007) Nutrition and DNA repair: potential molecular mechanisms of action. Curr Cancer Drug Targets 7:425–431CrossRef Mathers JC, Coxhead JM, Tyson J (2007) Nutrition and DNA repair: potential molecular mechanisms of action. Curr Cancer Drug Targets 7:425–431CrossRef
Metadata
Title
Differences in micronucleus frequency and acrylamide adduct levels with hemoglobin between vegetarians and non-vegetarians
Authors
Natalia Kotova
Cecilia Frostne
Lilianne Abramsson-Zetterberg
Eden Tareke
Rolf Bergman
Siamak Haghdoost
Birgit Paulsson
Margareta Törnqvist
Dan Segerbäck
Dag Jenssen
Jan Grawé
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 7/2015
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-014-0796-7

Other articles of this Issue 7/2015

European Journal of Nutrition 7/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.