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Accepted manuscript

Associations between plasma advanced glycation end products levels and body composition parameters: a cross-sectional study in Chinese participants aged over 40 years old

Published online by Cambridge University Press:  19 September 2025

Wenzhuo Zhang
Affiliation:
Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
Yun Wang
Affiliation:
Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Huanying He
Affiliation:
Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
Fangfei Xie
Affiliation:
Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Nimei Zeng
Affiliation:
Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Renfang Han
Affiliation:
Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Yi Wang
Affiliation:
Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Kangyun Sun*
Affiliation:
Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Zhongxiao Wan*
Affiliation:
Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
*
*Corresponding Authors: Kangyun Sun Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, 215002, China E-mail: skywj66@163.com Zhongxiao Wan, professor, PhD School of Public Health, Soochow University 199 Ren’ai Road, Suzhou, 215123, China E-mail: zhxwan@suda.edu.cn
*Corresponding Authors: Kangyun Sun Physical Examination Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, 215002, China E-mail: skywj66@163.com Zhongxiao Wan, professor, PhD School of Public Health, Soochow University 199 Ren’ai Road, Suzhou, 215123, China E-mail: zhxwan@suda.edu.cn
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Abstract

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To investigate the association between plasma advanced glycation end products (AGEs) level and fat, skeletal muscle related body composition parameters in middle-aged and elderly Chinese participants. A total of 1139 participants aged over 40 years were included in a cross-sectional study. Body composition including body mass index (BMI), waist to hip ratio (WHR), fat mass index (FMI), percentage of body fat (PBF), the ratio of trunk fat to legs fat (trunk fat/legs fat), fat free mass (FFM), fat free mass index (FFMI), and skeletal muscle index (SMI) was measured using a bioelectrical impedance analyzer (BIA). Plasma free and combined AGEs were measured by ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). Multiple linear regression and weighted quantile sum regression (WQS) models were used to examine the association between AGEs and body composition parameters. Total exposure of plasma AGEs was positively associated with BMI [β (95%CI): 0.381 (0.037,0.724), P=0.030], FMI [β (95%CI): 0.521 (0.241,0.800), P=0.001], PBF [β (95%CI): 1.996 (1.160,2.832), P <0.0001], Trunk Fat/ Legs Fat [β (95%CI): 0.058 (0.036,0.080), P <0.001]; while it was negatively associated with FFM [β (95%CI): -1.075 (-2.028,-0.122), P=0.027], FFMI [β (95%CI): -0.687 (-1.076,-0.297), P=0.001] and SMI [β (95%CI): -1.264 (-1.767,-0.761), P<0.001]. The associations between plasma AGEs and FFM and FFMI were more pronounced in those aged less than 61 years and female participants. This study provides evidence on the associations between plasma AGEs and fat and skeletal muscle parameters, suggesting their potential role in the development of obesity and skeletal muscle loss.

Information

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society