Ageing Clinical Trial
Official title:
Association of Midlife Dietary and Lifestyle Factors on Cardiac Functional Changes in the Elderly
The investigators aim to investigate the association of midlife dietary and lifestyle factors on cardiac functional changes in the elderly. The investigators hypothesize that even in those without clinically manifest cardiovascular disease, the extent of underlying abnormalities in cardiovascular structure and function in the elderly would be independently related to midlife dietary and lifestyle factors.
This proposal will investigate how midlife factors in diet and lifestyle affect various
aspects of cardiac structure and function related to ageing. The investigators plan to
conduct the study among a sub-cohort of 600 participants from the Singapore Chinese Health
Study. Comprehensive information on diet and lifestyle factors had been collected at
recruitment and updated in two subsequent follow-up interviews. Candidate nutrition-related
blood biomarkers such as vitamins D, homocysteine, fatty acids (short, medium and
long-chain) and lipids (LDL, HDL, triglycerides) will be analyzed from samples obtained
between 1999 and 2004. The investigators will study effects of smoking, alcohol consumption,
sleep duration, physical activity and diet on cardiac ageing. The investigators will study
overall dietary pattern, intake of specific items such as fatty acids, soy food, coffee and
tea beverages, from validated food frequency questionnaires (FFQ), and nutrients from
questionnaire information from this cohort previously obtained.
These nutrient and lifestyle factors will be studied individually, and for their joint or
interactive effects on cardiac ageing measurements. Quantitative cardiac ageing-related
outcome parameters describing cardiac mass, systolic and diastolic function, and vessel
distensibility will be examined by cardiac magnetic resonance imaging. Maximum oxygen uptake
(VO2 max) will be calculated based on age, gender, waist circumference, resting heart rate,
and exercise habits. Body composition will be analysed by a body composition analyser
machine onto which subjects stand on.
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Observational Model: Case Control, Time Perspective: Prospective
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