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                  <mods:namePart>Martínez-González, Miguel Ángel</mods:namePart>
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                  <mods:namePart>Estruch, Ramón</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2026-01-22T09:40:38Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2025-01-07</mods:dateIssued>
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               <mods:identifier type="citation">Domínguez-López I, Lamuela-Raventós RM, Razquin C, Arancibia-Riveros C, Galkina P, Salas-Salvadó J, Alonso-Gómez ÁM, Fitó M, Fiol M, Lapetra J, Gómez-Gracia E, Sorlí JV, Ruiz-Canela M, Castañer O, Liang L, Serra-Majem L, Hu FB, Ros E, Martínez-González MÁ, Estruch R. Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial. Eur Heart J. 2025 Jan 7;46(2):161-172. doi: 10.1093/eurheartj/ehae804. PMID: 39689849; PMCID: PMC11704392.</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/10630/44708</mods:identifier>
               <mods:identifier type="doi">10.1093/eurheartj/ehae804</mods:identifier>
               <mods:abstract>Background and Aims&#xd;
Moderate wine consumption has been associated with lower cardiovascular disease (CVD) risk in older populations.&#xd;
However, wine consumption information through self-reports is prone to measurement errors inherent to subjective as-&#xd;
sessments. The aim of this study was to evaluate the association between urinary tartaric acid, an objective biomarker of&#xd;
wine consumption, and the rate of a composite clinical CVD event.&#xd;
Methods A case-cohort nested study was designed within the PREDIMED trial with 1232 participants: 685 incident cases of CVD and arandom subcohort of 625 participants (including 78 overlapping cases). Wine consumption was registered using validated food frequency questionnaires. Liquid chromatography-tandem mass spectrometry was used to measure urinary tartaric acid at base-line and after one year of intervention. Weighted Cox regression models were used to estimate hazard ratios (HRs) of CVD.&#xd;
Results Tartaric acid was correlated with self-reported wine consumption at baseline [r = 0.46 (95% CI 0.41; 0.50)]. Five categories of post hoc urinary tartaric acid excretion were used for better representation of risk patterns. Concentrations of 3–12 and 12–35 μg/mL, which reflect ∼3–12 and 12–35 glasses/month of wine, were associated with lower CVD risk [HR 0.62 (95% CI 0.38; 1.00), P = .050 and HR 0.50 (95% CI 0.27; 0.95), P = .035, respectively]. Less significant associations between self-&#xd;
reported wine consumption and CVD risk were observed.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Atribución 4.0 Internacional</mods:accessCondition>
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                  <mods:topic>Marcadores bioquímicos</mods:topic>
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               <mods:subject>
                  <mods:topic>Sistema cardiovascular - Enfermedades</mods:topic>
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                  <mods:title>Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial</mods:title>
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