Dietary Copper Intake Research Articles

Comparison of Dietary Intake of Zinc, Copper, Selenium, and Manganese in Children Having Autism Spectrum Disorders with Healthy Control Children

Comparison of Dietary Intake of Zinc, Copper, Selenium, and Manganese in Children Having Autism Spectrum Disorders with Healthy Control Children

Dietary intake and serum levels of copper and zinc and risk of hepatocellular carcinoma: A matched case-control study.

Copper and zinc are involved in the development of multiple malignancies; yet, epidemiological evidence on hepatocellular carcinoma (HCC) is limited. This study aimed to investigate the association between dietary intake and serum levels of copper and zinc with the risk of HCC. A total of 434 case-control pairs matched for sex and age (±1 year) were included in this study. Cases with newly diagnosed HCC were from the Guangdong Liver Cancer Cohort (GLCC) study, and healthy controls were from the Guangzhou Nutrition and Health Study (GNHS). A semi-quantitative 79-item food frequency questionnaire (FFQ) was used to assess habitual dietary intakes of copper and zinc. Serum levels of copper and zinc were measured by using inductively coupled plasma mass spectrometry. The copper (Cu)/ zinc (Zn) ratio was computed by dividing copper levels by zinc levels. Conditional logistic regression models were performed to calculate the odds ratio (OR) and 95% confidence intervals (CI) for per 1 standard deviation increase (per-SD increase) in copper and zinc levels. Higher dietary intake (OR per-SD increase = 0.65, 95% CI: 0.44, 0.96, Ptrend = 0.029) and serum levels of zinc (OR per-SD increase = 0.11, 95% CI: 0.04, 0.30, Ptrend <0.001) were both associated with a lower risk of HCC. Subgroup analyses showed that the inverse association was only pronounced in men but not in women ( Pinteraction = 0.041 for dietary zinc intake and 0.010 for serum zinc levels). Serum copper levels (OR per-SD increase = 2.05, 95% CI: 1.39, 3.03, Ptrend = 0.020) and serum Cu/Zn ratio (OR per-SD increase = 6.53, 95% CI: 2.52, 16.92, Ptrend <0.001) were positively associated with HCC risk, while dietary copper intake and dietary Cu/Zn ratio were not associated with HCC risk. Zinc may be a protective factor for HCC, especially among men, but the effects of copper on HCC risk are not clear.

Association between dietary trace minerals and pelvic inflammatory disease: data from the 2015–2018 National Health and Nutrition Examination Surveys

ObjectivePelvic inflammatory disease (PID) is a prevalent gynecological disorder. Dietary trace minerals play an important role in combating many chronic diseases including PID. However, it is unknown whether dietary trace minerals and PID are related. This study aimed to examine the relationship between dietary trace minerals (copper, iron, selenium, and zinc) and PID.MethodsData of women participants from the National Health and Nutrition Examination Survey (NHANES) 2015–2018 were enrolled in this cross-sectional investigation. Univariate and multivariate linear regression analyses of the relationship between dietary trace minerals and PID were performed, and restricted cubic spline (RCS) analyses were applied to visualize those relationships.ResultsIn total, 2,694 women between the ages of 20 and 59 years participated in the two NHANES cycles. In the univariate analyses, a significant negative relationship was identified between PID and dietary copper intake [odds ratio (OR) = 0.40, 95% confidence interval (CI): 0.24–0.67, p &amp;lt; 0.01] but not with iron (OR = 0.96, 95% CI: 0.90–1.03, p = 0.25), selenium (OR = 1.0, 95% CI: 0.99–1.0, p = 0.23), and zinc (OR = 0.94, 95% CI: 0.86–1.03, p = 0.17) intake. Following the adjustment for age and race (model 1), a robust correlation was found between dietary copper intake and PID (OR = 0.23, 95% CI = 0.09–0.61, p &amp;lt; 0.01), as indicated by the fully adjusted model 2 (OR = 0.29, 95% CI = 0.09–0.90, p = 0.03). Simultaneously, a significant trend was found between copper intake and PID across the quintile subgroups (p for trends &amp;lt;0.05), suggesting a robust relationship. Furthermore, the RCS analysis demonstrated a linear correlation between PID and dietary copper intake (overall p &amp;lt; 0.01, non-linear p = 0.09).ConclusionDecreased dietary copper intakes are linked to PID. However, additional research is needed to fully investigate this relationship due to the constraints of the study design.

Is There any Correlation Between Nutrient Intake and Mental Health in Patients with Chronic Kidney Disease? A Cross-Sectional Study

Background: The prevalence of stress, anxiety, and depression seems to be high in patients with chronic kidney disease (CKD), which may influence their quality of life. Due to limiting some food groups, these patients suffer from a deficiency of some nutrients, which may be related to mood disorders. Objectives: This study aimed to investigate the correlation between nutrient intake, stress, anxiety, and depression in patients with CKD. Methods: The present cross-sectional study was conducted on 90 patients with CKD. To assess the diet of the patients, the researchers completed three days of the 24-hour food recall. The short self-report Iranian version of the Depression, Anxiety, and Stress Scale 21 (DASS-21) was also used to investigate the participants' mental health. Results: Of the 90 patients examined, 64 were men and 26 were women. There was a significant inverse correlation between depression and the dietary intake of polyunsaturated fatty acids (PUFAs) (β = -0.214, P = 0.039) and α-tocopherol (β = -0.225, P = 0.025). A significant inverse correlation was also found between anxiety and the dietary intake of iron (β = -0.319, P = 0.003), copper (β = -0.25, P = 0.031), vitamin B1 (β = -0.314, P = 0.004), vitamin B5 (β = -0.262, P = 0.016), vitamin B6 (β = -0.292, P = 0.007), vitamin B9 (β = -0.241, P = 0.026), fiber (β = -0.224, P = 0.04), and vitamin K (β = -0.26, P = 0.015). Conclusions: The dietary intake of nutrients such as PUFAs, α-tocopherol, B vitamins, vitamin K, iron, copper, and fiber might be associated with depression and anxiety. However, further studies with longitudinal designs are needed to reveal cause-effect relationships in this regard.

Association of the dietary copper intake with all-cause and cardiovascular mortality: A prospective cohort study.

Copper (Cu) is a component that performs a crucial role in the normal function and development of the human body. Nonetheless, it is still largely unclear how Cu consumption in the diet relates to the risk for all-cause and cardiovascular disease (CVD) mortality. Data from the National Health and Nutrition Examination Survey from 2001-2018 were used to conduct a prospective cohort study of individuals between the ages of 20 years and above. Regression coefficients and 95% confidence intervals for the link between dietary Cu consumption and all-cause and cardiovascular-related mortality were computed utilizing univariate and multivariate-adjusted Cox proportional hazards models. A total of 197.9 million non-institutionalized American citizens were represented by the NHANES's 39,784 participants. The link between Cu in the diet and all-cause mortality was discovered to be non-linear in our restricted cubic spline regression models. When comparing the highest with the lowest quartile of Cu consumption in the diet, the weighted multivariate hazard ratios for all-cause mortality were 0.91 (0.83-0.99) for Q2, 0.88 (0.80-0.97) for Q3, and 0.86 (0.76-0.98) for Q4 (P for trend = 0.017). An identical trend was observed for cardiovascular mortality, but the association is not significant. The most important discovery was that higher dietary Cu consumption was associated with a lower risk of all-cause mortality. This trend was also consistent with that of cardiovascular-related mortality, but the association is not significant.

Habitual intake of iron, copper, and zinc and the risk of type 2 diabetes in a prospective cohort: The CAVAS (Cardiovascular Disease Association Study)

Background and aimsUnlike iron, evidence of the association between dietary copper and zinc intake and type 2 diabetes (T2D) risk is limited. This study aimed to examine the prospective associations of dietary intake of iron (total, plant-based, and animal-based), copper, and zinc with T2D risk among adults aged ≥40 years. Methods and resultsFor 16,666 participants, dietary intakes (baseline, cumulative average, and most recent) of iron, copper, and zinc were calculated from repeated food frequency questionnaires; a modified Poisson regression model with a robust error estimator was conducted. In men, positive associations between T2D and baseline dietary intake of Cu and Zn, cumulative average dietary intake of Fe (total and animal-based), Cu and Zn, and most recent dietary intake of Fe (total, plant-based, and animal-based), Cu, and Zn [most recent diet: for total Fe, IRR(95%CI) = 1.93 (1.41–2.64); for plant-based Fe, 1.56 (1.15–2.11); for animal-based Fe, 1.44 (1.09–1.90); for Cu, 3.17 (2.33–4.30); for Zn, 2.18 (1.64–2.89)] were observed, where as in women, there were positive associations of only cumulative average dietary Zn intake and most recent dietary intake of plant-based Fe, Cu, and Zn [most recent diet: for plant-based Fe, 1.30 (1.01–1.68); for Cu, 1.62 (1.27–2.08); for Zn, 2.07 (1.61–2.66)]. ConclusionDietary intakes of iron (total, plant-based, and animal-based), copper, and zinc may be positively associated with T2D risk. These positive associations are predominantly observed in most recent diet and appear to be stronger compared to baseline and cumulative average diet.

Factors Affecting Dietary Intake of Copper and Zinc via Rice Consumption by Residents of Major Rice-Producing Regions in China

Background: Copper (Cu) and zinc (Zn) are essential nutrients that must be maintained at adequate levels in the human body in order to make physiological functions normal and sustainable. Rice is a leading staple cereal crop which can be the main source of Cu and Zn in the diet. Results: Here, we aimed to investigate Cu and Zn concentrations in rice with corresponding soil influencing factors and to assess the dietary intake of Cu and Zn from rice consumption by residents of major rice producing regions. A total of 712 rice grain and 90 paired soil–rice samples were collected from September to November 2015 covering eleven provinces across China. Average Cu and Zn concentrations were 27.2 and 69.1 mg kg−1, respectively, in soils, and 1.98 and 12.3 mg kg−1 in rice. The concentrations and bioconcentration factors (BCFs) of Cu and Zn followed the sequence: roots &gt; shoots &gt; grains. Soil pH, cation exchange capacity (CEC), and soil organic carbon (SOC) play important roles in rice Cu and Zn uptake with negative effects. The average Cu and Zn intakes from rice consumption were 0.597 and 3.68 mg day−1, respectively. Conclusions: The status of Cu and Zn daily intake from rice consumption were fully adequate but there remained some sampling sites where Zn intake for males and Cu intakes were deficient at 1.40%, indicating that local residents need to maintain their dietary nutrient requirements.

The association between dietary mineral intake and the risk of preeclampsia in Chinese pregnant women: a matched case–control study

Previous studies on the relationship between dietary minerals and preeclampsia (PE) have given inconsistent results. The aim of this study was to further clarify the relationship between dietary minerals intake and PE in Chinese pregnant women. In this study, 440 pairs of hospital–based preeclamptic and healthy women were matched 1:1. Dietary intake was obtained through a 78–item semi–quantitative food frequency questionnaire. Multivariate conditional logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs). Restricted cubic splines were plotted to evaluate the dose–response relationship between dietary minerals intake and PE. This study found significant inverse associations for dietary intake of calcium, magnesium, phosphorus, iron, copper, manganese and zinc and the risk of PE in both univariate and multivariate models (all P- trend < 0.05). After adjusting for possible confounders, compared with the lowest quartile, the odds ratio of the highest quartile was 0.74 (95% CI 0.56–0.98) for calcium, 0.63 (95% CI 0.42–0.93) for magnesium, 0.45 (95% CI 0.31–0.65) for phosphorus, 0.44 (95% CI 0.30–0.65) for iron, 0.72 (95% CI 0.53–0.97) for copper, 0.66 (95% CI 0.48–0.91) for manganese and 0.38 (95% CI 0.25–0.57) for zinc. In addition, a reverse J–shaped relationship between dietary minerals intake and PE risk was observed (P–overall association < 0.05). In Chinese pregnant women, a higher intake of dietary minerals, including calcium, magnesium, phosphorus, copper, iron, manganese, and zinc was associated with a lower odds of PE.

The emerging role of copper in depression.

Copper (Cu) is an essential trace element in the brain and serves as an important cofactor for numerous enzymes involved in a wide range of biochemical processes including neurobehavioral, mitochondrial respiration, and antioxidant effects. Recent studies have demonstrated that copper dyshomeostasis is tightly associated with the development of depression by inducing oxidative stress and inflammatory responses. However, these findings have remained controversial so far. Cumulative studies have shown a positive association, while some other studies showed no association and even a negative association between serum/plasma copper level and depression. Based on these conflicted results, the association was speculated to be due to the clinical features of the population, stages of the disease, severity of copper excess, and types of specimens detected in these studies. In addition, there was an inverse association between dietary copper intake and depression. Furthermore, increasing copper intake could influence dietary zinc and iron intake to prevent and treat depression. Thus, copper supplementation may be a good measure to manage depression. This review provided a deeper understanding of the potential applicability of copper in the prevention and treatment of depression.

Dietary Copper Intake and Risk of Parkinson’s Disease: a Cross-sectional Study

Copper is an essential trace element for the human body. The epidemiological evidence for the association of dietary intake of copper with the risk of Parkinson’s disease (PD) is limited. We conducted an evaluation of the cross-sectional data gathered from the National Health and Nutrition Examination Surveys spanning from 2007 to 2018, which comprised a total of 17,948 participants. To discern the distinct characteristics of the participants, we performed a univariate analysis and utilized a 1:2 ratio propensity score matching method to minimize the effects of selection bias. We employed weighted univariate as well as three multivariate logistic regression models both prior to and following matching, with the aim of examining the association between dietary copper intake and PD risk. Finally, we used the restricted cubic spline (RCS) methodology in order to investigate possible non-linear relationships. Furthermore, subgroup analysis was undertaken to elicit further understanding concerning the association between copper intake and PD. A negative correlation resulted between dietary copper intake and PD risk in both univariate and multivariate logistic regression models, prior to and following matching. Our findings demonstrate that there is a nonlinear, dose-dependent relationship between copper intake and PD, according to our RCS analysis. In subgroup analysis, copper intake was identified as an important protective factor for individuals who were non-Hispanic White, unmarried, and had completed higher education. Dietary copper intake was associated with the risk of PD. Supplementation of dietary copper may have potentially beneficial effects.

High Copper Intake Is Associated with Decreased Likelihood of Abdominal Aortic Calcification in Middle-Aged and Older US Adults.

The purpose of our study was primarily to investigate the relationship between dietary copper intake and abdominal aortic calcification (AAC) in US adults. We used data from the National Health and Nutrition Examination Survey (NHANES) 2013-2014 for our analysis. Multivariate linear regression analysis was used to explore the relationship between copper intake and AAC scores. We also used multivariate logistic regression analysis to explore the association between copper intake and the risk of AAC and severe AAC. We also examined whether there was a nonlinear relationship between copper intake and AAC scores and risk of AAC and severe AAC using restricted cubic splines (RCS) analysis. In addition, we also performed subgroup analysis and interaction tests. A total of 2897 participants were recruited in this study. The mean AAC score of the participants was 1.46 ± 0.11, and the prevalence of AAC and severe AAC among the participants was 28.53% and 7.68%, respectively. In the fully adjusted model, a negative association of copper intake with AAC scores (β = - 0.16, 95%CI: - 0.49 ~ 0.17) and the risk of AAC (OR = 0.85, 95% CI: 0.61-1.19) and severe AAC (OR = 0.82, 95% CI: 0.49-1.38) was observed. Compared to participants in the lowest tertile of copper intake, participants in the highest tertile of copper intake had a 0.37-unit decrease in mean AAC score (β = - 0.37, 95% CI: - 0.90-0.15) and a significant 38% and 22% decrease in risk of AAC (OR = 0.62, 95% CI: 0.41-0.95) and severe AAC (OR = 0.78, 95% CI: 0.34 - 1.77), respectively. The results of subgroup analyses and interaction tests suggested no significant differences in AAC scores and AAC risk between the different strata. In contrast, the risk of severe AAC was significantly dependent on the patients' diabetes status. Increased copper intake was associated with decreased AAC scores and decreased likelihood of AAC and severe AAC.

Association of sleep quality with nutritional status and body mass index in adults

Purpose: Identifying the factors that affect sleep quality will help minimize potential health risks. This study aimed to evaluate the association of sleep quality with dietary habits, nutritional status and body mass index (BMI) in adults.&#x0D; Materials and Methods: This study was conducted on 576 healthy individuals, 293 males and 283 females, aged between 18-65 years. The study did not include individuals with chronic diseases, pregnant and lactating women. The participants' descriptive information, dietary habits, and some anthropometric measurements were questioned. Additionally, Pittsburgh Sleep Quality Index (PSQI) was applied to the participants and 24-hour dietary recalls were recorded.&#x0D; Results: In both male and total participants, the rate of good sleep quality of those with a BMI between 18.50-24.99 kg/m2 was lower than those with a BMI ≥25 kg/m2. The number of cigarette smoked in a day and the total PSQI score of the male and total participants were positively correlated. Additionally, there was a positive correlation between the percentage of saturated fatty acids in the diet and the total PSQI scores in female and total participants, while a negative relationship was found between dietary niacin (mg) and copper (mg) intakes and total PSQI scores in female. &#x0D; Conclusion: The results of the study indicate that there is a relationship between sleep quality and nutritional status, and BMI. It can be concluded that some lifestyle modifications such as smoking cessation/reduction and the acquisition of healthy eating habits can be used to improve sleep quality.

A national cross-sectional analysis of dietary copper intake and abdominal aortic calcification in the US adults: NHANES 2013–2014

Background and aimsCopper is an essential dietary element with a crucial role in physiological regulation. However, the relationship between dietary copper intake and abdominal aortic calcification (AAC) remains uncertain. Methods and resultsThis study encompassed a cohort of 2535 adults aged over 40 years, derived from the National Health and Nutrition Examination Survey 2013–2014. Dietary copper intake from both food sources and supplements was assessed through two 24-h dietary recall interviews. AAC was measured by dual-energy X-ray absorptiometry and classified into 3 groups using the Kauppila score system. Multivariable logistic regression models were constructed to evaluate the association between dietary copper intake and AAC.Among the participants, a total of 771 individuals (30.4%) were diagnosed with AAC, of which 239 (9.4%) exhibited severe AAC. Higher dietary copper intake was significantly associated with a lower incidence of severe AAC. Specifically, for each 1 mg/day increase in dietary copper intake, the incidence of severe AAC decreased by 38% (odds ratios [OR] 0.62, 95% confidence intervals [CI] 0.39–0.98) after adjustment for relevant covariates. Moreover, individuals in the third tertile of copper intake had a 37% lower incidence of AAC compared to those in the first tertile [OR 0.63, 95% CI (0.43–0.95)]. However, no significant associations were found between supplemental copper intake or serum copper levels and AAC. ConclusionsThis study demonstrates that lower dietary copper intake, rather than serum copper levels or supplement copper intake, is significantly associated with a higher prevalence of AAC in adults ≥40 years old in the United States.

Association Between Dietary Copper Intake and Cognitive Decline: A Perspective Cohort Study in Chinese Elderly

The association between dietary copper (Cu) intake and cognitive decline remains uncertain. We aim to investigate the longitudinal association of dietary Cu with cognitive decline in Chinese elderly. A total of 3,106 Chinese adults aged older than or equal to 55 years from China Health and Nutrition Survey (CHNS) were included. Dietary nutrients information was collected by 24-hours dietary recalls in combination with a food-weighted method. The 5-year change rates in global or composite cognitive scores based on a subset of items from the Telephone Interview for Cognitive Status-modified (TICS-m) was calculated as the last-survey score minus the baseline score, then divided by the follow-up time (unit, years) and multiplied by five. The median follow-up duration was 5.9 years. There was a nonlinear association of dietary Cu intake with the 5-year change rates in global or composite cognitive scores, with the inflection point at approximately 1.3 mg/day of dietary Cu intake. Accordingly, for the composite cognitive score, compared to the first quantile (<1.28 mg/day), those with dietary Cu in quantiles 2-8 (≥1.28 mg/day) had a significantly slower cognitive decline rate (B, 0.30; 95% CI, 0.13, 0.47). Similar results were found for the global cognitive score. Moreover, the inverse association between dietary Cu and cognitive decline was stronger in those with lower dietary fat intake and lower levels of physical activity (All p-interactions <0.05). There was a nonlinear inverse association of dietary Cu intake with cognitive decline in the elderly, with an inflection point at approximately 1.3 mg/day of dietary Cu intake.

High dietary copper intake induces perturbations in the gut microbiota and affects host ovarian follicle development

Increasing evidence has shown that gut microbes play an important role in the reproductive endocrine system and the development of polycystic ovary syndrome (PCOS). However, whether environmental factors are involved in these gut microbiota alterations has seldom been studied. In this study, we aimed to explore the crucial role of an imbalanced gut microbiota on abnormal ovarian follicle development induced by Cu. A 1:1 matched case-control study with 181 PCOS patients and 181 controls was conducted using a propensity score matching protocol. Information regarding dietary Cu intake was obtained from a face-to-face dietary intake interview. Alterations in the gut microbiota were detected by high-throughput 16 S rDNA sequencing. The results showed that dietary Cu intake was positively correlated with the risk of PCOS, and the risk threshold was approximately 1.992 mg/d. Compared with those with dietary Cu intakes lower than 1.992 mg/d, those who had a higher dietary Cu intake had a 1.813-fold increased risk of PCOS (OR=1.813, 95% CI: 1.150–2.857). PCOS patients had a lower relative abundance of Bacteroides than controls (P = 0.003), and Bacteroides played a partial mediating role between dietary Cu exposure and PCOS (Pindirect effect=0.026, 95% CI: 0.002–0.072). In addition, an animal model of Cu exposure through the diet showed that Cu can induce gut microbiota disorder; increase serum levels of LPS, MDA, and IL-6; and alter host ovarian steroidogenesis to affect ovarian follicle development. Staphylococcus played a partial mediating role between Cu exposure and CYP17A1 (Pg_Staphylococcus=0.083, 95% CI: 0.001–0.228). Overall, this study shows that long-term exposure to high dietary Cu levels can affect the composition of the gut microbiota, cause inflammation and oxidative stress, and then interfere with hormone signaling, ultimately affecting ovarian follicle development.

Association between dietary minerals and glioma: A case-control study based on Chinese population.

As one of the essential nutrients for the human body, minerals participate in various physiological activities of the body and are closely related to many cancers. However, the population study on glioma is not sufficient. The purpose of this study was to evaluate the relationship between five dietary minerals and glioma. A total of 506 adult patients with glioma and 506 healthy controls were matched 1:1 according to age (±5 years) and sex. The food intake of the subjects in the past year was collected through the food frequency questionnaire, and the intakes of calcium, magnesium, iron, zinc, and copper in the diet were calculated. The logistic regression model was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for dietary minerals to gliomas. After adjusting for confounders, higher intakes of calcium (OR = 0.65, 95% CI: 0.57-0.74), magnesium (OR = 0.18, 95% CI: 0.11-0.29), iron (OR = 0.04, 95% CI: 0.02-0.11), zinc (OR = 0.62, 95% CI: 0.54-0.73), and copper (OR = 0.22, 95% CI: 0.13-0.39) were associated with a significantly decreased risk of glioma. Similar results were observed in gliomas of different pathological types and pathological grades. The restriction cubic spline function suggested significant linear dose-response relationships between intakes of five minerals and the risk of glioma. When the dietary minerals exceeded a particular intake, the risk of glioma stabilized. Our study suggests that higher dietary intakes of calcium, magnesium, iron, zinc, and copper are associated with a decreased risk of glioma. However, the results of this study require further exploration of potential mechanisms in the future better to elucidate the effects of mineral intake on gliomas.

Differences in dietary intake between Turkish vegans and omnivores: a cross-sectional study

Background: Veganism is gaining more interest in Turkey, however, there is limited data on the nutritional intake of Turkish vegans. Aims: This cross-sectional online study aimed to evaluate the nutritional intake of Turkish vegans and compare their macro and micronutrient intake with Turkish omnivores. Subjects and Methods: This cross-sectional online study was conducted in İstanbul from October 2019, until December 2019. 108 Turkish adult vegans and 108 omnivores completed a sociodemographic questionnaire and a 3-day dietary recall online. The energy, macro-, and micronutrient intake were evaluated from the dietary recall via the dietary analysis program BEBIS 8.1, using the Turkish Food composition database. The dietary intake was compared to the Turkey Dietary Guideline. The Healthy Eating Index 2015 (HEI – 2015) was calculated as a diet quality indicator. Statistical analyses were performed with SPSS version 22.0. Results: Mean protein intake was 66.16 ± 21.69 g in vegan women and 74.87 ± 21.90 g was in omnivorous women (p &lt; 0.05), and 75.53 ± 29.09 g in vegan men and 88.89 ± 28.48 g in omnivorous men (p &gt; 0.05). Both male and female vegans had significantly higher dietary intakes of thiamine, vitamin C, iron, magnesium, potassium, and copper; with significantly lower intakes of riboflavin, vitamin B12, vitamin D, calcium, iodine, phosphorus, zinc compared to omnivores of both sexes. Vitamin B12, riboflavin and calcium intakes were below the recommendations in vegans as compared to omnivores for both sexes (p &lt; 0.001). Vegan participants showed a significantly higher intake of total fruits, vegetables, nuts, seeds, and legumes compared to omnivorous participants (p &lt; 0.001). HEI – 2015 scores were 58.18 ± 13.20 in vegans and 68.74 ± 7.72 in omnivores (p &lt; 0.001). Conclusions: Turkish vegans, in our study, had a well-balanced and healthy macronutrient intake with lower saturated fatty acids (SFA) and higher fiber intake. However, vegans showed a lower intake of micronutrients such as vitamin B12 and calcium. This indicates a need for greater care toward ensuring recommended daily intake of these specific micronutrients. Further research is required to evaluate dietary intake and nutritional biomarkers in Turkish vegans for the long-term effects of vegan diets. Keywords: dietary assessment, dietary intake, macronutrients, micronutrients, vegan diet.

Dietary Intake Levels of Iron, Copper, Zinc, and Manganese in Relation to Cognitive Function: A Cross-Sectional Study.

Background: Previous studies have related circulating levels of trace metal elements, of which dietary intake is the major source, to cognitive outcomes. However, there are still relatively few studies evaluating the associations of dietary intake levels of iron, copper, zinc, and manganese with cognitive function (CF). Methods: We leveraged the data of 6863 participants (mean [standard deviation] age = 66.7 [10.5] years) in the Health and Retirement Study (2013/2014). Dietary intake levels of iron, copper, zinc, and manganese were calculated from a semi-quantitative food frequency questionnaire. CF was assessed using the 27-point modified Telephone Interview for Cognitive Status (TICS). We used linear regression models to calculate the mean differences in global CF scores by quintiles of dietary intake levels of trace metal elements. Results: Among the study participants, the mean (SD) values of daily dietary intake were 13.3 (6.3) mg for iron, 1.4 (0.7) mg for copper, 10.7 (4.6) mg for zinc, and 3.3 (1.6) mg for manganese. Compared with the lowest quintile of dietary iron intake (<8.1 mg), the highest quintile (≥17.7 mg) was associated with a lower cognitive score (-0.50, -0.94 to -0.06, P-trend = 0.007). Higher dietary copper was significantly associated with poorer CF (P-trend = 0.002), and the mean difference in cognitive score between extreme quintiles (≥1.8 vs. <0.8 mg) was -0.52 (95% confidence interval: -0.94 to -0.10) points. We did not observe significant associations for dietary intake of zinc (P-trend = 0.785) and manganese (P-trend = 0.368). Conclusion: In this cross-sectional study, higher dietary intake of iron and copper was related to worse CF, but zinc and manganese intake levels were not significantly associated with CF.

Associations between dietary copper intake and hypertriglyceridemia among children and adolescents in the US

Background and aimsA relationship exists between dietary copper intake and hypertriglyceridemia in the United States (US). However, children and adolescents have there is limited research data for children and adolescents, who have not been thoroughly investigated. This study aimed to carefully evaluate this relationship. Methods and resultsThis cross-sectional study included 3982 children and adolescents who participated in the US National Health and Nutrition Examination Survey 1999–2006. The outcome variable was hypertriglyceridemia, defined as a triglyceride (TG) concentration >150 mg/dL. Multivariate and binary logistic regression models were applied in this study. The median (Q1–Q3) copper intake and TG levels were 0.98 (0.71–1.32) mg/d and 72.00 (53.00–100.00) mg/dL, respectively. The smoothing curve showed an inverted L-shaped relationship between copper intake and the prevalence of hypertriglyceridemia in American children and adolescents. A binary logistic regression model was developed to evaluate the relationship between copper intake and the prevalence of hypertriglyceridemia, and the inflection point was 0.76 mg/d. The odds of developing hypertriglyceridemia significantly increased with increasing levels of copper intake (odds ratio (OR), 2.00; 95% confidence interval (CI): 1.39–2.86) in participants with copper intake >0.76 mg/d (P for log likelihood ratio test = 0.032). The association between high copper intake and increased hypertriglyceridemia risk was significantly stronger in participants with a high body mass index (BMI; ≥23 kg/m2) (OR: 2.09; 95% CI: 1.42–3.07) than in those with a low BMI (tertile 1–2) (p for interaction = 0.048). Moreover, the increase in copper intake in adolescents aged 13–18 years significantly increased the prevalence of hypertriglyceridemia (OR: 1.95; 95% CI: 1.38–2.76; p for interaction = 0.001). ConclusionHigher dietary copper intake increases the prevalence of hypertriglyceridemia, especially among US adolescents with a BMI ≥23 kg/m2.

Association between micronutrients intake and metabolic-associated fatty liver disease: a cross-sectional study based on the National Health and Nutrition Examination Survey.

Metabolic-associated fatty liver disease (MAFLD) has been proposed to replace the term non-alcoholic fatty liver disease (NAFLD) in 2020. The association between micronutrients and MAFLD has not been reported. Therefore, this study aims to explore the association between micronutrients intake and MAFLD. This was a cross-section study based on the National Health and Nutrition Examination Survey (NHANES). The dietary intake of copper, zinc, iron, and selenium was evaluated using the 24-h dietary recall interview. Logistic regression analysis was used to explore the association between micronutrients and MAFLD, and the results were shown as odds ratio (OR) with 95 % confidence intervals (CIs). A total of 5976 participants were finally included for analysis, with 3437 participants in the MAFLD group. After adjusting potential confounders, copper intake at quartile Q3 (OR = 0⋅68, 95 % CI 0⋅50, 0⋅93) and Q4 (OR = 0⋅60, 95 % CI 0⋅45, 0⋅80) was found to be associated with lower odds of MAFLD. Iron intake at Q2 (OR = 0⋅64, 95 % CI 0⋅45, 0⋅92) and Q3 (OR = 0⋅61, 95 % CI 0⋅41, 0⋅91) was associated with the lower odds of MAFLD. Our findings found that high intake of copper and adequate intake of iron were associated with MAFLD, which may provide guidance for the management of MAFLD.