Riedl, A. ; Wawro, N. ; Gieger, C. ; Meisinger, C. ; Peters, A. ; Roden, M.* ; Kronenberg, F.* ; Herder, C.* ; Rathmann, W.* ; Völzke, H.* ; Reincke, M.* ; Koenig, W.* ; Wallaschofski, H.* ; Hauner, H.* ; Daniel, H.* ; Linseisen, J.
     
    
        
        
        Identification of comprehensive metabotypes associated with cardiometabolic diseases in the population-based KORA study.
     
    
        
    
    
        
        Mol. Nutr. Food Res. 62:1800117 (2018)
    
    
    
      
      
	
	    Scope: "Metabotyping" describes the grouping of metabolically similar individuals. We aimed to identify valid metabotypes in a large cohort for targeted dietary intervention, for example, for disease prevention.Methods and results: We grouped 1729 adults aged 32-77 years of the German population-based KORA F4 study (2006-2008) using k-means cluster analysis based on 34 biochemical and anthropometric parameters. We identified three metabolically distinct clusters showing significantly different biochemical parameter concentrations. Cardiometabolic disease status was determined at baseline in the F4 study and at the 7 year follow-up termed FF4 (2013/2014) to compare disease prevalence and incidence between clusters. Cluster 3 showed the most unfavorable marker profile with the highest prevalence of cardiometabolic diseases. Also, disease incidence was higher in cluster 3 compared to clusters 2 and 1, respectively, for hypertension (41.2%/25.3%/18.2%), type 2 diabetes (28.3%/5.1%/2.0%), hyperuricemia/gout (10.8%/2.3%/0.7%), dyslipidemia (19.2%/18.3%/5.6%), all metabolic (54.5%/36.8%/19.7%), and all cardiovascular (6.3%/5.5%/2.3%) diseases together.Conclusion: Cluster analysis based on an extensive set of biochemical and anthropometric parameters allows the identification of comprehensive metabotypes that were distinctly different in cardiometabolic disease occurrence. As a next step, targeted dietary strategies should be developed with the goal of preventing diseases, especially in cluster 3.
	
	
	    
	
       
      
	
	    
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        Publication type
        Article: Journal article
    
 
    
        Document type
        Scientific Article
    
 
    
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        Keywords
        Cardiometabolic Disease ; Cluster Analysis ; Enable-cluster ; Metabolic Phenotype ; Metabotype; Metabolic Risk-factors; Personalized Nutrition; Cluster-analysis; Diabetes-mellitus; Women; Health; Determinants; Phenotypes; Patterns; Medicine
    
 
    
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        Publication Year
        2018
    
 
    
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        2018
    
 
    
    
        ISSN (print) / ISBN
        1613-4125
    
 
    
        e-ISSN
        1613-4133
    
 
    
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	    Volume: 62,  
	    Issue: 16,  
	    Pages: ,  
	    Article Number: 1800117 
	    Supplement: ,  
	
    
 
    
        
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            Publisher
            Wiley
        
 
        
            Publishing Place
            111 River St, Hoboken 07030-5774, Nj Usa
        
 
	
        
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        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        30202 - Environmental Health
30504 - Mechanisms of Genetic and Environmental Influences on Health and Disease
    
 
    
        Research field(s)
        Genetics and Epidemiology
    
 
    
        PSP Element(s)
        G-502900-001
G-504000-002
G-508600-002
G-504091-001
G-504000-010
G-504090-001
    
 
    
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        Erfassungsdatum
        2018-09-10