The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups

ObjectiveAdvanced glycation end-products (AGEs) may contribute to the pathogenesis of atherosclerotic cardiovascular disease (ASCVD), potentially influencing its development and progression differently at various life stages. This study aimed to elucidate the associations between AGEs and the risk o...

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Main Authors: Yina Wang, Shangyan Liang, Ying Zhou, Xiumei Tang, Na Ye, Weilan Huang, Xixiang Tang, Boxiong Jiang, Yunfeng Pan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1491643/full
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author Yina Wang
Shangyan Liang
Ying Zhou
Xiumei Tang
Na Ye
Weilan Huang
Xixiang Tang
Boxiong Jiang
Boxiong Jiang
Yunfeng Pan
author_facet Yina Wang
Shangyan Liang
Ying Zhou
Xiumei Tang
Na Ye
Weilan Huang
Xixiang Tang
Boxiong Jiang
Boxiong Jiang
Yunfeng Pan
author_sort Yina Wang
collection DOAJ
description ObjectiveAdvanced glycation end-products (AGEs) may contribute to the pathogenesis of atherosclerotic cardiovascular disease (ASCVD), potentially influencing its development and progression differently at various life stages. This study aimed to elucidate the associations between AGEs and the risk of ASCVD across different age groups.MethodsIn this cross-sectional study, 1,240 subjects were enrolled and divided into three groups (Group Ⅰ, 20–39 years old, n = 468; Group Ⅱ, 40–59 years old, n = 471; Group Ⅲ, 60–79 years old, n = 301). Skin AGEs were measured by skin autofluorescence (SAF). ASCVD risk was assessed by a validated Framingham risk score calculator. Other proven ASCVD risk factors were also measured, including glycosylated hemoglobin, uric acid, lipid profile, homocysteine, and cystatin C.ResultsAn increasing trend in skin AGEs was observed from Group Ⅰ to Group Ⅲ. Skin AGEs were significantly associated with ASCVD risk in all subjects (OR 1.029, 95% CI 1.003–1.056, P = 0.018), independent of some of the proven cardiovascular risk factors. This association was particularly significant in individuals aged 40–59 and 60–79 (OR = 1.047, 95% CI: 1.025–1.069; OR = 1.022, 95% CI: 1.002–1.042; both P < 0.05). ROC analysis showed that skin AGEs predicted the diagnosis of medium or high ASCVD risk in the pooled group, Group Ⅱ, and Group Ⅲ.ConclusionOur study substantiates that skin AGEs play an important role as an independent risk factor for ASCVD, highlighting their significance beyond traditional risk assessment models, particularly in middle-aged and older populations.
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spelling doaj-art-325bbf96c7a744d09ee3ce02510ffbd72025-08-20T02:08:24ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-04-011210.3389/fcvm.2025.14916431491643The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groupsYina Wang0Shangyan Liang1Ying Zhou2Xiumei Tang3Na Ye4Weilan Huang5Xixiang Tang6Boxiong Jiang7Boxiong Jiang8Yunfeng Pan9Department of VIP Medical Service Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of VIP Medical Service Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of VIP Medical Service Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Health Management Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Health Management Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Health Management Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of VIP Medical Service Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of VIP Medical Service Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Health Management Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Rheumatology and Immunology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaObjectiveAdvanced glycation end-products (AGEs) may contribute to the pathogenesis of atherosclerotic cardiovascular disease (ASCVD), potentially influencing its development and progression differently at various life stages. This study aimed to elucidate the associations between AGEs and the risk of ASCVD across different age groups.MethodsIn this cross-sectional study, 1,240 subjects were enrolled and divided into three groups (Group Ⅰ, 20–39 years old, n = 468; Group Ⅱ, 40–59 years old, n = 471; Group Ⅲ, 60–79 years old, n = 301). Skin AGEs were measured by skin autofluorescence (SAF). ASCVD risk was assessed by a validated Framingham risk score calculator. Other proven ASCVD risk factors were also measured, including glycosylated hemoglobin, uric acid, lipid profile, homocysteine, and cystatin C.ResultsAn increasing trend in skin AGEs was observed from Group Ⅰ to Group Ⅲ. Skin AGEs were significantly associated with ASCVD risk in all subjects (OR 1.029, 95% CI 1.003–1.056, P = 0.018), independent of some of the proven cardiovascular risk factors. This association was particularly significant in individuals aged 40–59 and 60–79 (OR = 1.047, 95% CI: 1.025–1.069; OR = 1.022, 95% CI: 1.002–1.042; both P < 0.05). ROC analysis showed that skin AGEs predicted the diagnosis of medium or high ASCVD risk in the pooled group, Group Ⅱ, and Group Ⅲ.ConclusionOur study substantiates that skin AGEs play an important role as an independent risk factor for ASCVD, highlighting their significance beyond traditional risk assessment models, particularly in middle-aged and older populations.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1491643/fullskin advanced glycation end-productsFramingham cardiovascular risk scoreatherosclerotic cardiovascular diseasedifferent age groupsskin autofluorescence
spellingShingle Yina Wang
Shangyan Liang
Ying Zhou
Xiumei Tang
Na Ye
Weilan Huang
Xixiang Tang
Boxiong Jiang
Boxiong Jiang
Yunfeng Pan
The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups
Frontiers in Cardiovascular Medicine
skin advanced glycation end-products
Framingham cardiovascular risk score
atherosclerotic cardiovascular disease
different age groups
skin autofluorescence
title The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups
title_full The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups
title_fullStr The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups
title_full_unstemmed The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups
title_short The associations between skin advanced glycation end-products and Framingham cardiovascular risk in different age groups
title_sort associations between skin advanced glycation end products and framingham cardiovascular risk in different age groups
topic skin advanced glycation end-products
Framingham cardiovascular risk score
atherosclerotic cardiovascular disease
different age groups
skin autofluorescence
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1491643/full
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