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Published in: Respiratory Research 1/2008

Open Access 01-12-2008 | Research

A multivariate analysis of serum nutrient levels and lung function

Authors: Tricia M McKeever, Sarah A Lewis, Henriette A Smit, Peter Burney, Patricia A Cassano, John Britton

Published in: Respiratory Research | Issue 1/2008

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Abstract

Background

There is mounting evidence that estimates of intakes of a range of dietary nutrients are related to both lung function level and rate of decline, but far less evidence on the relation between lung function and objective measures of serum levels of individual nutrients. The aim of this study was to conduct a comprehensive examination of the independent associations of a wide range of serum markers of nutritional status with lung function, measured as the one-second forced expiratory volume (FEV1).

Methods

Using data from the Third National Health and Nutrition Examination Survey, a US population-based cross-sectional study, we investigated the relation between 21 serum markers of potentially relevant nutrients and FEV1, with adjustment for potential confounding factors. Systematic approaches were used to guide the analysis.

Results

In a mutually adjusted model, higher serum levels of antioxidant vitamins (vitamin A, beta-cryptoxanthin, vitamin C, vitamin E), selenium, normalized calcium, chloride, and iron were independently associated with higher levels of FEV1. Higher concentrations of potassium and sodium were associated with lower FEV1.

Conclusion

Maintaining higher serum concentrations of dietary antioxidant vitamins and selenium is potentially beneficial to lung health. In addition other novel associations found in this study merit further investigation.
Literature
1.
2.
go back to reference Smit HA, Grievink L, Tabak C: Dietary influences on chronic obstructive lung disease and asthma: a review of the epidemiological evidence. Proc Nutr Soc 1999,58(2):309–19.CrossRefPubMed Smit HA, Grievink L, Tabak C: Dietary influences on chronic obstructive lung disease and asthma: a review of the epidemiological evidence. Proc Nutr Soc 1999,58(2):309–19.CrossRefPubMed
3.
go back to reference Schunemann HJ, Freudenheim JL, Grant BJ: Epidemiologic evidence linking antioxidant vitamins to pulmonary function and airway obstruction. Epidemiol Rev 2001,23(2):248–67.CrossRefPubMed Schunemann HJ, Freudenheim JL, Grant BJ: Epidemiologic evidence linking antioxidant vitamins to pulmonary function and airway obstruction. Epidemiol Rev 2001,23(2):248–67.CrossRefPubMed
4.
go back to reference Fogarty A, Britton J: The role of diet in the aetiology of asthma. Clin Exp Allergy 2000,30(5):615–27.CrossRefPubMed Fogarty A, Britton J: The role of diet in the aetiology of asthma. Clin Exp Allergy 2000,30(5):615–27.CrossRefPubMed
5.
go back to reference MRC/BHF Heart Protection Study of antioxidant vitamin supplementation in 20,536 high-risk individuals: a randomised placebo-controlled trialLancet 2002,360(9326):23–33. MRC/BHF Heart Protection Study of antioxidant vitamin supplementation in 20,536 high-risk individuals: a randomised placebo-controlled trialLancet 2002,360(9326):23–33.
6.
go back to reference Willett W: Nutritional Epidemiology. New York: Oxford University Press; 1990. Willett W: Nutritional Epidemiology. New York: Oxford University Press; 1990.
7.
go back to reference Hu G, Cassano PA: Antioxidant nutrients and pulmonary function: the Third National Health and Nutrition Examination Survey (NHANES III). Am J Epidemiol 2000,151(10):975–81.CrossRefPubMed Hu G, Cassano PA: Antioxidant nutrients and pulmonary function: the Third National Health and Nutrition Examination Survey (NHANES III). Am J Epidemiol 2000,151(10):975–81.CrossRefPubMed
8.
go back to reference Schunemann HJ, Grant BJ, Freudenheim JL, Muti P, Browne RW, Drake JA, et al.: The relation of serum levels of antioxidant vitamins C and E, retinol and carotenoids with pulmonary function in the general population. Am J Respir Crit Care Med 2001,163(5):1246–55.CrossRefPubMed Schunemann HJ, Grant BJ, Freudenheim JL, Muti P, Browne RW, Drake JA, et al.: The relation of serum levels of antioxidant vitamins C and E, retinol and carotenoids with pulmonary function in the general population. Am J Respir Crit Care Med 2001,163(5):1246–55.CrossRefPubMed
9.
go back to reference Kelly Y, Sacker A, Marmot M: Nutrition and respiratory health in adults: findings from the health survey for Scotland. Eur Respir J 2003,21(4):664–71.CrossRefPubMed Kelly Y, Sacker A, Marmot M: Nutrition and respiratory health in adults: findings from the health survey for Scotland. Eur Respir J 2003,21(4):664–71.CrossRefPubMed
10.
go back to reference Grievink L, Smit HA, Veer P, Brunekreef B, Kromhout D: Plasma concentrations of the antioxidants beta-carotene and alpha-tocopherol in relation to lung function. Eur J Clin Nutr 1999,53(10):813–7.CrossRefPubMed Grievink L, Smit HA, Veer P, Brunekreef B, Kromhout D: Plasma concentrations of the antioxidants beta-carotene and alpha-tocopherol in relation to lung function. Eur J Clin Nutr 1999,53(10):813–7.CrossRefPubMed
11.
go back to reference Grievink L, Smit HA, Veer P, Brunekreef B, Kromhout D: A case-control study of plasma antioxidant (pro-)vitamins in relation to respiratory symptoms in non-smokers. Epidemiology 2000,11(1):59–63.CrossRefPubMed Grievink L, Smit HA, Veer P, Brunekreef B, Kromhout D: A case-control study of plasma antioxidant (pro-)vitamins in relation to respiratory symptoms in non-smokers. Epidemiology 2000,11(1):59–63.CrossRefPubMed
12.
go back to reference Chuwers P, Barnhart S, Blanc P, Brodkin CA, Cullen M, Kelly T, et al.: The protective effect of beta-carotene and retinol on ventilatory function in an asbestos-exposed cohort. Amer J Respir Crit Care Med 1997,155(3):1066–71.CrossRef Chuwers P, Barnhart S, Blanc P, Brodkin CA, Cullen M, Kelly T, et al.: The protective effect of beta-carotene and retinol on ventilatory function in an asbestos-exposed cohort. Amer J Respir Crit Care Med 1997,155(3):1066–71.CrossRef
13.
go back to reference Hu GZ, Zhang X, Chen JS, Peto R, Campbell TC, Cassano PA: Dietary vitamin C intake and lung function in rural China. Am J Epidemiol 1998,148(6):594–9.CrossRefPubMed Hu GZ, Zhang X, Chen JS, Peto R, Campbell TC, Cassano PA: Dietary vitamin C intake and lung function in rural China. Am J Epidemiol 1998,148(6):594–9.CrossRefPubMed
14.
go back to reference Kassaye T, Becklake MR, Receveur O, Hanley JA, Johns T: Association between vitamin A status and lung function level in children aged 6–9 years in Wukro wereda, Northern Ethiopia. Int J Epidemiol 2001,30(3):457–64.CrossRefPubMed Kassaye T, Becklake MR, Receveur O, Hanley JA, Johns T: Association between vitamin A status and lung function level in children aged 6–9 years in Wukro wereda, Northern Ethiopia. Int J Epidemiol 2001,30(3):457–64.CrossRefPubMed
15.
go back to reference Pearson P, Britton J, McKeever T, Lewis SA, Weiss S, Pavord I, et al.: Lung function and blood levels of copper, selenium, vitamin C and vitamin E in the general population. Eur J Clin Nutr 2005,59(9):1043–8.CrossRefPubMed Pearson P, Britton J, McKeever T, Lewis SA, Weiss S, Pavord I, et al.: Lung function and blood levels of copper, selenium, vitamin C and vitamin E in the general population. Eur J Clin Nutr 2005,59(9):1043–8.CrossRefPubMed
16.
go back to reference National Center for Health Statistics: Plan and operation of the Third National Health and Nutrition Examination Survey, 1988–94. Vital Health Stat 1 1994, (32):1–407. National Center for Health Statistics: Plan and operation of the Third National Health and Nutrition Examination Survey, 1988–94. Vital Health Stat 1 1994, (32):1–407.
17.
go back to reference US Department of Health and Human Services: National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988-NHANES III Laboratory Data File (CD-ROM). In Public Use Data File Documentation Number 76200. Hyattsville, MD.: Centers for Disease Control and Prevention; 1996. US Department of Health and Human Services: National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988-NHANES III Laboratory Data File (CD-ROM). In Public Use Data File Documentation Number 76200. Hyattsville, MD.: Centers for Disease Control and Prevention; 1996.
18.
19.
go back to reference Smit HA: Chronic obstructive pulmonary disease, asthma and protective effects of food intake: from hypothesis to evidence? Respir Res 2001,2(5):261–4.CrossRefPubMedPubMedCentral Smit HA: Chronic obstructive pulmonary disease, asthma and protective effects of food intake: from hypothesis to evidence? Respir Res 2001,2(5):261–4.CrossRefPubMedPubMedCentral
21.
go back to reference Packer JE, Slater TF, Willson RL: Direct observation of a free radical interaction between vitamin E and vitamin C. Nature 1979, 278:737–8.CrossRefPubMed Packer JE, Slater TF, Willson RL: Direct observation of a free radical interaction between vitamin E and vitamin C. Nature 1979, 278:737–8.CrossRefPubMed
22.
go back to reference Grievink L, de Waart FG, Schouten EG, Kok FJ: Serum carotenoids, alpha-tocopherol, and lung function among Dutch elderly. Am J Respir Crit Care Med 2000,161(3 Pt 1):790–5.CrossRefPubMed Grievink L, de Waart FG, Schouten EG, Kok FJ: Serum carotenoids, alpha-tocopherol, and lung function among Dutch elderly. Am J Respir Crit Care Med 2000,161(3 Pt 1):790–5.CrossRefPubMed
23.
go back to reference Shaheen SO, Sterne JA, Thompson RL, Songhurst CE, Margetts BM, Burney PG: Dietary antioxidants and asthma in adults: population-based case-control study. Am J Respir Crit Care Med 2001,164(10 Pt 1):1823–8.CrossRefPubMed Shaheen SO, Sterne JA, Thompson RL, Songhurst CE, Margetts BM, Burney PG: Dietary antioxidants and asthma in adults: population-based case-control study. Am J Respir Crit Care Med 2001,164(10 Pt 1):1823–8.CrossRefPubMed
24.
go back to reference Rubin RN, Navon L, Cassano PA: Relationship of serum antioxidants to asthma prevalence in youth. Am J Respir Crit Care Med 2004,169(3):393–8.CrossRefPubMed Rubin RN, Navon L, Cassano PA: Relationship of serum antioxidants to asthma prevalence in youth. Am J Respir Crit Care Med 2004,169(3):393–8.CrossRefPubMed
25.
go back to reference Picado C, Deulofeu R, Lleonart R, Agusti M, Mullol J, Quinto L, et al.: Dietary micronutrients/antioxidants and their relationship with bronchial asthma severity. Allergy 2001,56(1):43–9.CrossRefPubMed Picado C, Deulofeu R, Lleonart R, Agusti M, Mullol J, Quinto L, et al.: Dietary micronutrients/antioxidants and their relationship with bronchial asthma severity. Allergy 2001,56(1):43–9.CrossRefPubMed
27.
go back to reference Hasselmark L, Malmgren R, Unge G, Zetterstrom O: Lowered platelet glutathione peroxidase activity in patients with intrinsic asthma. Allergy 1990,45(7):523–7.CrossRefPubMed Hasselmark L, Malmgren R, Unge G, Zetterstrom O: Lowered platelet glutathione peroxidase activity in patients with intrinsic asthma. Allergy 1990,45(7):523–7.CrossRefPubMed
28.
go back to reference Hasselmark L, Malmgren R, Zetterstrom O, Unge G: Selenium supplementation in intrinsic asthma. Allergy 1993,48(1):30–6.PubMed Hasselmark L, Malmgren R, Zetterstrom O, Unge G: Selenium supplementation in intrinsic asthma. Allergy 1993,48(1):30–6.PubMed
29.
go back to reference Pearson DJ, Suarez-Mendez VJ, Day JP, Miller PF: Selenium status in relation to reduced glutathione peroxidase activity in aspirin-sensitive asthma. Clin Exp Allergy 1991,21(2):203–8.CrossRefPubMed Pearson DJ, Suarez-Mendez VJ, Day JP, Miller PF: Selenium status in relation to reduced glutathione peroxidase activity in aspirin-sensitive asthma. Clin Exp Allergy 1991,21(2):203–8.CrossRefPubMed
30.
31.
go back to reference Pistelli R, Forastiere F, Corbo GM, Dell'Orco V, Brancato G, Agibiti N, et al.: Respiratory symptoms and bronchial responsiveness are related to dietary salt intake and urinary potassium excretion in male children. Eur Respir J 1993, 6:517–22.PubMed Pistelli R, Forastiere F, Corbo GM, Dell'Orco V, Brancato G, Agibiti N, et al.: Respiratory symptoms and bronchial responsiveness are related to dietary salt intake and urinary potassium excretion in male children. Eur Respir J 1993, 6:517–22.PubMed
33.
go back to reference Medici TC, Schmid AZ, Hacki M, Vetter W: Are asthmatics salt-sensitive? A preliminary controlled study. Chest 1993,104(4):1138–43.CrossRefPubMed Medici TC, Schmid AZ, Hacki M, Vetter W: Are asthmatics salt-sensitive? A preliminary controlled study. Chest 1993,104(4):1138–43.CrossRefPubMed
34.
go back to reference Mickleborough TD, Gotshall RW, Cordain L, Lindley M: Dietary salt alters pulmonary function during exercise in exercise-induced asthmatics. J Sports Sci 2001,19(11):865–73.CrossRefPubMed Mickleborough TD, Gotshall RW, Cordain L, Lindley M: Dietary salt alters pulmonary function during exercise in exercise-induced asthmatics. J Sports Sci 2001,19(11):865–73.CrossRefPubMed
35.
go back to reference Mickleborough T, Cordain L, Gotshall R, Tucker A: Low sodium diet improves indices of pulmonary function in exercise-induced asthma. J Exercise Physiol 2000, 3:46–54. Mickleborough T, Cordain L, Gotshall R, Tucker A: Low sodium diet improves indices of pulmonary function in exercise-induced asthma. J Exercise Physiol 2000, 3:46–54.
36.
go back to reference Mickleborough T, Gotshall R, Kluka E, Miller C, Cordain L: Dietary chloride as a possible determinant of the severity of exercise-induced asthma. Eur J Appl Physiol 2001, 85:450–6.CrossRefPubMed Mickleborough T, Gotshall R, Kluka E, Miller C, Cordain L: Dietary chloride as a possible determinant of the severity of exercise-induced asthma. Eur J Appl Physiol 2001, 85:450–6.CrossRefPubMed
37.
go back to reference Gotshall R, Mickleborough T, Cordain L: Dietary salt restriction improves pulmonary function in exercise-induced asthma. Med Sci Sports Exerc 2000,32(11):1815–1819.CrossRefPubMed Gotshall R, Mickleborough T, Cordain L: Dietary salt restriction improves pulmonary function in exercise-induced asthma. Med Sci Sports Exerc 2000,32(11):1815–1819.CrossRefPubMed
38.
go back to reference Burney PGJ, Britton JR, Chinn S, Tattersfield AE, Platt HS, Papacosta AO, et al.: Response to inhaled histamine and 24 hour sodium excretion. Br Med J (Clin Res Ed) 1986,292(6534):1483–1486.CrossRef Burney PGJ, Britton JR, Chinn S, Tattersfield AE, Platt HS, Papacosta AO, et al.: Response to inhaled histamine and 24 hour sodium excretion. Br Med J (Clin Res Ed) 1986,292(6534):1483–1486.CrossRef
39.
go back to reference Burney PGJ, Neild JE, Twort CHC, Chinn S, Jones TD, Mitchell WD, et al.: Effect of changing dietary sodium on the airway response to histamine. Thorax 1989, 44:36–41.CrossRefPubMedPubMedCentral Burney PGJ, Neild JE, Twort CHC, Chinn S, Jones TD, Mitchell WD, et al.: Effect of changing dietary sodium on the airway response to histamine. Thorax 1989, 44:36–41.CrossRefPubMedPubMedCentral
41.
go back to reference Devereux G, Beach JR, Bromly C, Avery AJ, Ayatollahi SMT, Williams SM, et al.: Effect of dietary sodium on airways responsiveness and its importance in the epidemiology of asthma: An evaluation in three areas of northern England. Thorax 1995, 50:941–7.CrossRefPubMedPubMedCentral Devereux G, Beach JR, Bromly C, Avery AJ, Ayatollahi SMT, Williams SM, et al.: Effect of dietary sodium on airways responsiveness and its importance in the epidemiology of asthma: An evaluation in three areas of northern England. Thorax 1995, 50:941–7.CrossRefPubMedPubMedCentral
42.
43.
go back to reference Zoia MC, Fanfulla F, Bruschi C: Chronic respiratory symptoms, bronchial responsiveness and dietary sodium and potassium: a population-based study. Mon Arch Chest Dis 1995,50(2):104–108. Zoia MC, Fanfulla F, Bruschi C: Chronic respiratory symptoms, bronchial responsiveness and dietary sodium and potassium: a population-based study. Mon Arch Chest Dis 1995,50(2):104–108.
44.
go back to reference Britton J, Pavord I, Richards K, Knox A, Wisniewski A, Weiss S, et al.: Dietary sodium intake and the risk of airway hyperreactivity in a random adult population. Thorax 1994, 49:875–80.CrossRefPubMedPubMedCentral Britton J, Pavord I, Richards K, Knox A, Wisniewski A, Weiss S, et al.: Dietary sodium intake and the risk of airway hyperreactivity in a random adult population. Thorax 1994, 49:875–80.CrossRefPubMedPubMedCentral
45.
go back to reference Gilliland FD, Berhane KT, Li YF, Kim DH, Margolis HG: Dietary magnesium, potassium, sodium, and children's lung function. Am J Epidemiol 2002,155(2):125–31.CrossRefPubMed Gilliland FD, Berhane KT, Li YF, Kim DH, Margolis HG: Dietary magnesium, potassium, sodium, and children's lung function. Am J Epidemiol 2002,155(2):125–31.CrossRefPubMed
46.
go back to reference Sparrow D, O'Connor GT, Rosner B, Weiss ST: Methacholine airway responsiveness and 24-hour urine excretion of sodium and potassium. The Normative Aging Study. Am Rev Respir Dis 1991,144(3 Pt 1):722–5.CrossRefPubMed Sparrow D, O'Connor GT, Rosner B, Weiss ST: Methacholine airway responsiveness and 24-hour urine excretion of sodium and potassium. The Normative Aging Study. Am Rev Respir Dis 1991,144(3 Pt 1):722–5.CrossRefPubMed
47.
go back to reference Fantidis P, Ruiz CJ, Marin M, Madero JR, Solera J, Herrero E: Intracellular (polymorphonuclear) magnesium content in patients with bronchial asthma between attacks. J R Soc Med 1995,88(8):441–5.PubMedPubMedCentral Fantidis P, Ruiz CJ, Marin M, Madero JR, Solera J, Herrero E: Intracellular (polymorphonuclear) magnesium content in patients with bronchial asthma between attacks. J R Soc Med 1995,88(8):441–5.PubMedPubMedCentral
48.
go back to reference Alamoudi OS: Electrolyte disturbances in patients with chronic, stable asthma: effect of therapy. Chest 2001,120(2):431–6.CrossRefPubMed Alamoudi OS: Electrolyte disturbances in patients with chronic, stable asthma: effect of therapy. Chest 2001,120(2):431–6.CrossRefPubMed
49.
go back to reference Gustafson T, Boman K, Rosenhall L, Sandstrom T, Wester PO: Skeletal muscle magnesium and potassium in asthmatics treated with oral beta(2)-agonists. Eur Resp J 1996,9(2):237–240.CrossRef Gustafson T, Boman K, Rosenhall L, Sandstrom T, Wester PO: Skeletal muscle magnesium and potassium in asthmatics treated with oral beta(2)-agonists. Eur Resp J 1996,9(2):237–240.CrossRef
50.
go back to reference Carnelli V, D'Angelo E, Pecchiari M, Ligorio M, D'Angelo E: Pulmonary dysfunction in transfusion-dependent patients with thalassemia major. Am J Respir Crit Care Med 2003,168(2):180–4.CrossRefPubMed Carnelli V, D'Angelo E, Pecchiari M, Ligorio M, D'Angelo E: Pulmonary dysfunction in transfusion-dependent patients with thalassemia major. Am J Respir Crit Care Med 2003,168(2):180–4.CrossRefPubMed
51.
go back to reference Li AM, Chan D, Li CK, Wong E, Chan YL, Fok TF: Respiratory function in patients with thalassaemia major: relation with iron overload. Arch Dis Child 2002,87(4):328–30.CrossRefPubMedPubMedCentral Li AM, Chan D, Li CK, Wong E, Chan YL, Fok TF: Respiratory function in patients with thalassaemia major: relation with iron overload. Arch Dis Child 2002,87(4):328–30.CrossRefPubMedPubMedCentral
52.
go back to reference Tai DY, Wang YT, Lou J, Wang WY, Mak KH, Cheng HK: Lungs in thalassaemia major patients receiving regular transfusion. Eur Respir J 1996,9(7):1389–94.CrossRefPubMed Tai DY, Wang YT, Lou J, Wang WY, Mak KH, Cheng HK: Lungs in thalassaemia major patients receiving regular transfusion. Eur Respir J 1996,9(7):1389–94.CrossRefPubMed
53.
go back to reference Piatti G, Allegra L, Ambrosetti U, Cappellini MD, Turati F, Fiorelli G: Beta-thalassemia and pulmonary function. Haematologica 1999,84(9):804–8.PubMed Piatti G, Allegra L, Ambrosetti U, Cappellini MD, Turati F, Fiorelli G: Beta-thalassemia and pulmonary function. Haematologica 1999,84(9):804–8.PubMed
54.
go back to reference Factor JM, Pottipati SR, Rappoport I, Rosner IK, Lesser ML, Giardina PJ: Pulmonary function abnormalities in thalassemia major and the role of iron overload. Am J Respir Crit Care Med 1994,149(6):1570–4.CrossRefPubMed Factor JM, Pottipati SR, Rappoport I, Rosner IK, Lesser ML, Giardina PJ: Pulmonary function abnormalities in thalassemia major and the role of iron overload. Am J Respir Crit Care Med 1994,149(6):1570–4.CrossRefPubMed
55.
go back to reference Kanj N, Shamseddine A, Gharzeddine W, Kanj M, Nasr TA, Koussa S, et al.: Relation of ferritin levels to pulmonary function in patients with thalassemia major and the acute effects of transfusion. Eur J Haematol 2000,64(6):396–400.CrossRefPubMed Kanj N, Shamseddine A, Gharzeddine W, Kanj M, Nasr TA, Koussa S, et al.: Relation of ferritin levels to pulmonary function in patients with thalassemia major and the acute effects of transfusion. Eur J Haematol 2000,64(6):396–400.CrossRefPubMed
56.
go back to reference Tong GM, Rude RK: Magnesium deficiency in critical illness. J Intensive Care Med 2005,20(1):3–17.CrossRefPubMed Tong GM, Rude RK: Magnesium deficiency in critical illness. J Intensive Care Med 2005,20(1):3–17.CrossRefPubMed
57.
go back to reference Britton J, Pavord I, Richards K, Wisniewski A, Knox A, Lewis S, et al.: Dietary magnesium, lung function, wheezing, and airway hyperreactivity in a random adult population sample. Lancet 1994, 344:357–62.CrossRefPubMed Britton J, Pavord I, Richards K, Wisniewski A, Knox A, Lewis S, et al.: Dietary magnesium, lung function, wheezing, and airway hyperreactivity in a random adult population sample. Lancet 1994, 344:357–62.CrossRefPubMed
58.
Metadata
Title
A multivariate analysis of serum nutrient levels and lung function
Authors
Tricia M McKeever
Sarah A Lewis
Henriette A Smit
Peter Burney
Patricia A Cassano
John Britton
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2008
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-9-67

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