RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes

Abstract To investigate the associations of composite dietary antioxidant index (CDAI) with risk of cardiovascular disease (CVD) mortality among individuals with type 2 diabetes (T2D). This prospective cohort study included 7551 patients with T2D who participated in the National Health and Nutrition...

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Main Authors: Chan Yang, Qiangfei Yang, Xi Peng, Xinqiong Li, Guocheng Rao
Format: Article
Language:English
Published: BMC 2023-06-01
Series:Diabetology & Metabolic Syndrome
Subjects:
Online Access:https://doi.org/10.1186/s13098-023-01109-7
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author Chan Yang
Qiangfei Yang
Xi Peng
Xinqiong Li
Guocheng Rao
author_facet Chan Yang
Qiangfei Yang
Xi Peng
Xinqiong Li
Guocheng Rao
author_sort Chan Yang
collection DOAJ
description Abstract To investigate the associations of composite dietary antioxidant index (CDAI) with risk of cardiovascular disease (CVD) mortality among individuals with type 2 diabetes (T2D). This prospective cohort study included 7551 patients with T2D who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999 through 2018. Death statistics were gathered by connecting the cohort database to the National Death Index through December 31, 2019. Multivariable Cox proportional hazards regression models were utilized to calculate hazard ratios and 95% CIs for the relationship of CDAI with risks of CVD and all-cause mortality. Three multivariable models were built. Restricted cubic spline analyses were utilized to explore the nonlinear association of CDAI with CVD mortality, and nonlinearity was tested by the likelihood ratio test. This cohort study included data from 7551 participants with T2D (mean [SE] age, 61.4 (0.2) years; 3811 male [weighted, 50.5%] and 3740 female [weighted, 49.5%]; median CDAI level, − 2.19 [IQR, − 2.19 ~ − 0.22]). A total of 2227 all-cause deaths and 746 CVD deaths were identified during an average of 98 months of follow-up. Nonlinear associations were observed for CDAI (P < 0.05 for nonlinearity) with risk of CVD mortality among patients with T2D. Compared with participants in the first quartile of CDAI levels (< − 2.19), the hazard ratios for CVD mortality were 0.47 (95% CI 0.30–0.75) for participants in the highest CDAI level quartile. This cohort study found that higher CDAI levels were significantly associated with lower risk of CVD mortality among individuals with T2D.
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spelling doaj-art-da290bd472a24966a107c3cc7b2ac18f2025-01-19T12:33:27ZengBMCDiabetology & Metabolic Syndrome1758-59962023-06-0115111110.1186/s13098-023-01109-7RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetesChan Yang0Qiangfei Yang1Xi Peng2Xinqiong Li3Guocheng Rao4Division of Endocrinology and Metabolism, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University and Collaborative Innovation Center of BiotherapyJianyang City People’s HospitalDivision of Endocrinology and Metabolism, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University and Collaborative Innovation Center of BiotherapyDivision of Endocrinology and Metabolism, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University and Collaborative Innovation Center of BiotherapyDivision of Endocrinology and Metabolism, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University and Collaborative Innovation Center of BiotherapyAbstract To investigate the associations of composite dietary antioxidant index (CDAI) with risk of cardiovascular disease (CVD) mortality among individuals with type 2 diabetes (T2D). This prospective cohort study included 7551 patients with T2D who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999 through 2018. Death statistics were gathered by connecting the cohort database to the National Death Index through December 31, 2019. Multivariable Cox proportional hazards regression models were utilized to calculate hazard ratios and 95% CIs for the relationship of CDAI with risks of CVD and all-cause mortality. Three multivariable models were built. Restricted cubic spline analyses were utilized to explore the nonlinear association of CDAI with CVD mortality, and nonlinearity was tested by the likelihood ratio test. This cohort study included data from 7551 participants with T2D (mean [SE] age, 61.4 (0.2) years; 3811 male [weighted, 50.5%] and 3740 female [weighted, 49.5%]; median CDAI level, − 2.19 [IQR, − 2.19 ~ − 0.22]). A total of 2227 all-cause deaths and 746 CVD deaths were identified during an average of 98 months of follow-up. Nonlinear associations were observed for CDAI (P < 0.05 for nonlinearity) with risk of CVD mortality among patients with T2D. Compared with participants in the first quartile of CDAI levels (< − 2.19), the hazard ratios for CVD mortality were 0.47 (95% CI 0.30–0.75) for participants in the highest CDAI level quartile. This cohort study found that higher CDAI levels were significantly associated with lower risk of CVD mortality among individuals with T2D.https://doi.org/10.1186/s13098-023-01109-7CDAICardiovascular mortalityType 2 diabetesNHANESProspective cohort study
spellingShingle Chan Yang
Qiangfei Yang
Xi Peng
Xinqiong Li
Guocheng Rao
RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
Diabetology & Metabolic Syndrome
CDAI
Cardiovascular mortality
Type 2 diabetes
NHANES
Prospective cohort study
title RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
title_full RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
title_fullStr RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
title_full_unstemmed RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
title_short RETRACTED ARTICLE: Associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
title_sort retracted article associations of composite dietary antioxidant index with cardiovascular disease mortality among patients with type 2 diabetes
topic CDAI
Cardiovascular mortality
Type 2 diabetes
NHANES
Prospective cohort study
url https://doi.org/10.1186/s13098-023-01109-7
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