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  • Perez-Cornago, AuroraCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom (author)

Plant foods, dietary fibre and risk of ischaemic heart disease in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2020-11-27
  • Oxford University Press,2021
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-181788
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181788URI
  • https://doi.org/10.1093/ije/dyaa155DOI
  • https://lup.lub.lu.se/record/ca0e1f3f-8341-46de-87c9-fa4758092819URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Epidemiological evidence indicates that diets rich in plant foods are associated with a lower risk of ischaemic heart disease (IHD), but there is sparse information on fruit and vegetable subtypes and sources of dietary fibre. This study examined the associations of major plant foods, their subtypes and dietary fibre with risk of IHD in the European Prospective Investigation into Cancer and Nutrition (EPIC).Methods: We conducted a prospective analysis of 490 311 men and women without a history of myocardial infarction or stroke at recruitment (12.6 years of follow-up, n cases = 8504), in 10 European countries. Dietary intake was assessed using validated questionnaires, calibrated with 24-h recalls. Multivariable Cox regressions were used to estimate hazard ratios (HR) of IHD.Results: There was a lower risk of IHD with a higher intake of fruit and vegetables combined [HR per 200 g/day higher intake 0.94, 95% confidence interval (CI): 0.90–0.99, P-trend = 0.009], and with total fruits (per 100 g/day 0.97, 0.95–1.00, P-trend = 0.021). There was no evidence for a reduced risk for fruit subtypes, except for bananas. Risk was lower with higher intakes of nuts and seeds (per 10 g/day 0.90, 0.82–0.98, P-trend = 0.020), total fibre (per 10 g/day 0.91, 0.85–0.98, P-trend = 0.015), fruit and vegetable fibre (per 4 g/day 0.95, 0.91–0.99, P-trend = 0.022) and fruit fibre (per 2 g/day 0.97, 0.95–1.00, P-trend = 0.045). No associations were observed between vegetables, vegetables subtypes, legumes, cereals and IHD risk.Conclusions: In this large prospective study, we found some small inverse associations between plant foods and IHD risk, with fruit and vegetables combined being the most strongly inversely associated with risk. Whether these small associations are causal remains unclear.

Subject headings and genre

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  • Crowe, Francesca L.Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom; Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom (author)
  • Appleby, Paul N.Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom (author)
  • Bradbury, Kathryn E.Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom; National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland, New Zealand (author)
  • Wood, Angela M.British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Blood and Transplant Research Unit in Donor Health and Genomics, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge and Cambridge University Hospitals, Cambridge, United Kingdom; Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, University of Cambridge, Cambridge, United Kingdom; Health Data Research UK Cambridge, Wellcome Genome Campus and University of Cambridge, Cambridge, United Kingdom; Alan Turing Institute, London, United Kingdom (author)
  • Uhre Jakobsen, MarianneDepartment of Public Health, Aarhus University, Aarhus, Denmark; Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Kgs. Lyngby, Denmark (author)
  • Johnson, LauraCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, United Kingdom (author)
  • Sacerdote, CarlottaUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy (author)
  • Steur, MarinkaMRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom (author)
  • Weiderpass, ElisabeteInternational Agency for Research on Cancer, World Health Organization, Lyon, France,World Health Organization (WHO) (author)
  • Würtz, Anne Mette L.Department of Public Health, Aarhus University, Aarhus, Denmark (author)
  • Kühn, TilmanDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany (author)
  • Katzke, VerenaDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany (author)
  • Trichopoulou, AntoniaHellenic Health Foundation, Athens, Greece (author)
  • Karakatsani, AnnaHellenic Health Foundation, Athens, Greece; 2nd Pulmonary Medicine Department, School of Medicine, National and Kapodistrian University of Athens, "ATTIKON" University Hospital, Haidari, Greece,National Technical University of Athens (author)
  • La Vecchia, CarloHellenic Health Foundation, Athens, Greece; Department of Clinical Sciences and Community Health Università degli Studi di Milano, Milan, Italy (author)
  • Masala, GiovannaCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy (author)
  • Tumino, RosarioCancer Registry and Histopathology Department, "M.P.Arezzo" Hospital, ASP Ragusa, Italy,Civic and M.P Arezzo Hospital (author)
  • Panico, SalvatoreDipartimento Di Medicina Clinica E Chirurgia Federico Ii University, Naples, Italy (author)
  • Sluijs, IvonneJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands (author)
  • Skeie, GuriDepartment of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway; Nutrition Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds, United Kingdom (author)
  • Imaz, LiherPublic Health Division of Gipuzkoa, Health Department of Basque Country, Spain (author)
  • Petrova, Dafinaalusian School of Public Health (EASP), Granada, Spain; Instituto de Investigaciœn Biosanitaria de Granada (ibs.GRANADA), Universidad de Granada, Granada, Spain; CIBER de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain,Andalusian School Of Public Health (EASP) (author)
  • Quirós, J. RamónPublic Health Directorate, Asturias, Spain (author)
  • Yohar, Sandra Milena ColoradoCIBER de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain; Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; Research Group on Demography and Health, National Faculty of Public Health, University of Antioquia, Colombia (author)
  • Jakszyn, PaulaNutrition and Cancer Unit, Cancer Epidemiology Research Programme, Catalan Institute of Oncology, Barcelona, Spain; Facultad de Ciencias de la salud, Universidad Ramon LLul, Barcelona, Spain (author)
  • Melander, OlleLund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Skåne University Hospital(Swepub:lu)endo-ome (author)
  • Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso (author)
  • Andersson, Jonas,1977-Umeå University,Umeå universitet,Avdelningen för medicin(Swepub:umu)jasaon96 (author)
  • Wennberg, Maria,1974-Umeå University,Umeå universitet,Näringsforskning,Avdelningen för hållbar hälsa(Swepub:umu)mawe0024 (author)
  • Aune, DagfinnDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Nutrition, Bjørknes University College, Oslo, Norway; Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway (author)
  • Riboli, ElioDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom (author)
  • Schulze, Matthias B.Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Sciences, University of Potsdam, Nuthetal, Germany (author)
  • di Angelantonio, EmanueleBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Blood and Transplant Research Unit in Donor Health and Genomics, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge and Cambridge University Hospitals, Cambridge, United Kingdom; Health Data Research UK Cambridge, Wellcome Genome Campus and University of Cambridge, Cambridge, United Kingdom (author)
  • Wareham, Nicholas J.Health Data Research UK Cambridge, Wellcome Genome Campus and University of Cambridge, Cambridge, United Kingdom (author)
  • Danesh, JohnBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Blood and Transplant Research Unit in Donor Health and Genomics, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge and Cambridge University Hospitals, Cambridge, United Kingdom; Health Data Research UK Cambridge, Wellcome Genome Campus and University of Cambridge, Cambridge, United Kingdom (author)
  • Forouhi, Nita G.MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom (author)
  • Butterworth, Adam S.British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; British Heart Foundation Centre of Research Excellence, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Blood and Transplant Research Unit in Donor Health and Genomics, University of Cambridge, Cambridge, United Kingdom; National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge and Cambridge University Hospitals, Cambridge, United Kingdom; Health Data Research UK Cambridge, Wellcome Genome Campus and University of Cambridge, Cambridge, United Kingdom (author)
  • Key, Timothy J.Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom (author)
  • Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United KingdomCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom; Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom (creator_code:org_t)

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  • In:International Journal of Epidemiology: Oxford University Press50:1, s. 212-2220300-57711464-3685

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