title: Added value of total serum nitrate/nitrite for prediction of cardiovascular disease in middle east caucasian residents in Tehran.
abstract: Data on the association between serum nitrate/nitrite and cardiovascular disease (CVD) is controversial; the aim of this study was to examine the potential utility of serum nitrate/nitrite in prediction of CVD. A total of 2443 adult participants, free from CVD at baseline were included. The probability of developing CVD was estimated by incorporating traditional CVD risk factors into a logistic regression model in the presence of serum nitrate/nitrite. The probability of CVD was calculated using Ln-transformed CVD risk factors as a covariate in the presence of Ln-transformed nitrate/nitrite in the final model. The added value of nitrate/nitrite was estimated using receiver operating characteristic curves and the net reclassification index (NRI). During follow-up, 169 events occurred. The multivariate odds ratio (95% confidence interval) for each 1 unit of increase in the Ln-transformed traditional risk factors and Ln-transformed nitrate/nitrite, were 3.20 (2.67-3.84) and 1.35 (1.01-1.80) for incident CVD, respectively. The areas under the curves of discrimination for models with and without nitrate/nitrite were not significantly different; however, incorporating nitrate/nitrite to the traditional CVD risk model can help appropriately reclassify over 6% of individuals at risk. In conclusion, serum nitrate/nitrite levels were independently associated with incident CVD. Measurement of serum nitrate/nitrite provided information beyond individual data on risk factors and improved prediction of CVD.
authors.affiliation: Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Farzad
authors.initials: F
authors.lastname: Hadaegh
authors.affiliation: Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Samaneh
authors.initials: S
authors.lastname: Asgari
authors.affiliation: Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Bozorgmanesh
authors.affiliation: Endocrine Physiology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Sajad
authors.initials: S
authors.lastname: Jeddi
authors.affiliation: Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Fereidoun
authors.initials: F
authors.lastname: Azizi
authors.affiliation: Endocrine Physiology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: Ghasemi@endocrine.ac.ir.
authors.forename: Asghar
authors.initials: A
authors.lastname: Ghasemi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers / Q000097:blood; D002318:Cardiovascular Diseases / Q000097:blood* / Q000175:diagnosis / Q000208:ethnology; D005260:Female; D006801:Humans; D007492:Iran; D008875:Middle Aged; D009566:Nitrates / Q000097:blood*; D009569:Nitric Oxide / Q000097:blood; D009573:Nitrites / Q000097:blood*; D011379:Prognosis; D044465:White People
chemical_list: D015415:Biomarkers; D009566:Nitrates; D009573:Nitrites; D009569:Nitric Oxide
keywords: Biomarker; Cardiovascular disease; Nitrate/nitrite