Mortality Clinical Trial
Official title:
Association Between Dietary Spermidine Intake and Mortality in the Population-based Bruneck Study
This study seeks to test the potential association between spermidine content in diet and mortality in humans.
This prospective community-based cohort study includes 829 participants aged 45-84 years,
49.9% of which are male. Diet is assessed by repeated dietician-administered validated
food-frequency questionnaires (2540 assessments) in 1995, 2000, 2005, and 2010. Nutrient
intakes including spermidine are calculated using USDA standard databases. Clinical events
(all-cause mortality and cause-specific mortality) are recorded from 1995 to 2015.
The primary endpoint of all-cause mortality is related to the exposure of long-term average
spermidine intake by Cox proportional hazards models with time-varying covariates. Additional
analyses employ the Fine and Gray proportional subdistribution hazards model and flexible
Royston-Parmar spline-based models. Comprehensive sensitivity analyses are performed to guard
against potential biases associated with nutritional epidemiology.
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