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Figure 1.

Betaine metabolism.

Metabolic pathways involving betaine. BHMT: betaine homocysteine methyltransferase, a zinc metalloenzyme abundant in human liver and kidney tissues. SAM: S-adenosylmethionine, ubiquitous methyl-group donor in human metabolism.

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Table 1.

Study population.

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Table 2.

Predictors of events.

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Figure 2.

Outcomes in quintiles.

Kaplan-Meier curves for time to first secondary event after samples taken: A & B: quintiles of gender-adjusted plasma betaine concentrations, A without acute MI, B without admission to hospital for heart failure; C & D: quintiles of plasma homocysteine concentrations, C without acute MI, D without admission to hospital for heart failure. Significance based on log-rank statistic for paired comparisons.

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Figure 3.

Effect of diabetes.

Kaplan-Meier curves for time to first secondary events after samples taken: A & B subjects without diabetes, A time without acute MI, B time without admission to hospital with heart failure; C & D subjects with diabetes, C time without acute MI, D time without admission to hospital with heart failure. Quintiles (based on whole population) of gender-adjusted plasma betaine concentrations. Significance based on log-rank statistic for paired comparisons.

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Table 3.

Differences between plasma betaine quintiles.

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Table 3 Expand

Figure 4.

NT-proBNP and plasma betaine.

Median NT-proBNP concentrations of deciles of gender-corrected plasma betaine concentrations; trend (quadratic regression) and 95% confidence intervals shown (p<0.001).

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Table 4.

Cox regression models.

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