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The associations of...
The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke : A prospective study of 418 329 participants in the EPIC cohort across nine European countries
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- Tong, Tammy Y.N. (author)
- University of Oxford
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- Appleby, Paul N. (author)
- University of Oxford
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- Key, Timothy J. (author)
- University of Oxford
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- Dahm, Christina C. (author)
- Aarhus University
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- Overvad, Kim (author)
- Aalborg University Hospital,Aarhus University
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- Olsen, Anja (author)
- Danish Cancer Society
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- Tjønneland, Anne (author)
- Danish Cancer Society,University of Copenhagen
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- Katzke, Verena (author)
- German Cancer Research Centre
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- Kühn, Tilman (author)
- German Cancer Research Centre
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- Boeing, Heiner (author)
- German Institute of Human Nutrition
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- Karakatsani, Anna (author)
- National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens
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- Peppa, Eleni (author)
- Hellenic Health Foundation, Athens
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- Trichopoulou, Antonia (author)
- Hellenic Health Foundation, Athens
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- Weiderpass, Elisabete (author)
- International Agency for Research on Cancer, World Health Organization
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Masala, Giovanna (author)
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- Grioni, Sara (author)
- Istituto Nazionale dei Tumori
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- Panico, Salvatore (author)
- University of Naples Federico II
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- Tumino, Rosario (author)
- Civic and M.P Arezzo Hospital
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- Boer, Jolanda M.A. (author)
- National Institute for Public Health and the Environment (RIVM),Catalan Institute of Oncology
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- Verschuren, W. M.Monique (author)
- University Medical Center Utrecht,National Institute for Public Health and the Environment (RIVM)
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- Quirós, J. Ramón (author)
- Public Health Directorate
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- Agudo, Antonio (author)
- Catalan Institute of Oncology
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- Rodríguez-Barranco, Miguel (author)
- University of Granada,CIBER Epidemiology and Public Health (CIBERESP)
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- Imaz, Liher (author)
- Biodonostia Health Research Institute
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- Chirlaque, Mariá Dolores (author)
- CIBER Epidemiology and Public Health (CIBERESP),University of Murcia
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- Moreno-Iribas, Conchi (author)
- Health Research Institute of Navarra (IDISNA)
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- Engström, Gunnar (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups
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- Sonestedt, Emily (author)
- Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups
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- Lind, Marcus (author)
- Umeå universitet,Umeå University,Avdelningen för medicin
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- Otten, Julia, 1973- (author)
- Umeå universitet,Umeå University,Avdelningen för medicin
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- Khaw, Kay Tee (author)
- Strangeways Research Laboratory
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- Aune, Dagfinn (author)
- Imperial College London,Oslo university hospital
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- Riboli, Elio (author)
- Imperial College London
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- Wareham, Nicholas J. (author)
- University of Cambridge
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- Imamura, Fumiaki (author)
- University of Cambridge
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- Forouhi, Nita G. (author)
- University of Cambridge
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- Di Angelantonio, Emanuele (author)
- Strangeways Research Laboratory
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- Wood, Angela M. (author)
- Strangeways Research Laboratory
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- Butterworth, Adam S. (author)
- Strangeways Research Laboratory
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- Perez-Cornago, Aurora (author)
- University of Oxford
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(creator_code:org_t)
- 2020-02-24
- 2020
- English 9 s.
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In: European Heart Journal. - : Oxford University Press (OUP). - 0195-668X .- 1522-9645. ; 41:28, s. 2632-2640
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https://academic.oup...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Aim: To investigate the associations between major foods and dietary fibre with subtypes of stroke in a large prospective cohort. Methods and results: We analysed data on 418 329 men and women from nine European countries, with an average of 12.7 years of follow-up. Diet was assessed using validated country-specific questionnaires which asked about habitual intake over the past year, calibrated using 24-h recalls. Multivariable-adjusted Cox regressions were used to estimate hazard ratios (HRs) for ischaemic and haemorrhagic stroke associated with consumption of red and processed meat, poultry, fish, dairy foods, eggs, cereals, fruit and vegetables, legumes, nuts and seeds, and dietary fibre. For ischaemic stroke (4281 cases), lower risks were observed with higher consumption of fruit and vegetables combined (HR; 95% CI per 200 g/day higher intake, 0.87; 0.82-0.93, P-trend < 0.001), dietary fibre (per 10 g/day, 0.77; 0.69-0.86, P-trend < 0.001), milk (per 200 g/day, 0.95; 0.91-0.99, P-trend = 0.02), yogurt (per 100 g/day, 0.91; 0.85-0.97, P-trend = 0.004), and cheese (per 30 g/day, 0.88; 0.81-0.97, P-trend = 0.008), while higher risk was observed with higher red meat consumption which attenuated when adjusted for the other statistically significant foods (per 50 g/day, 1.07; 0.96-1.20, P-trend = 0.20). For haemorrhagic stroke (1430 cases), higher risk was associated with higher egg consumption (per 20 g/day, 1.25; 1.09-1.43, P-trend = 0.002). Conclusion: Risk of ischaemic stroke was inversely associated with consumption of fruit and vegetables, dietary fibre, and dairy foods, while risk of haemorrhagic stroke was positively associated with egg consumption. The apparent differences in the associations highlight the importance of examining ischaemic and haemorrhagic stroke subtypes separately.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- Diet
- Fibre
- Fruit
- Haemorrhagic stroke
- Ischaemic stroke
- Vegetables
- Diet
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Tong, Tammy Y.N.
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Appleby, Paul N.
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Key, Timothy J.
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Dahm, Christina ...
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Overvad, Kim
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Olsen, Anja
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show more...
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Tjønneland, Anne
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Katzke, Verena
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Kühn, Tilman
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Boeing, Heiner
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Karakatsani, Ann ...
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Peppa, Eleni
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Trichopoulou, An ...
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Weiderpass, Elis ...
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Masala, Giovanna
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Grioni, Sara
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Panico, Salvator ...
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Tumino, Rosario
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Boer, Jolanda M. ...
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Verschuren, W. M ...
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Quirós, J. Ramón
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Agudo, Antonio
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Rodríguez-Barran ...
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Imaz, Liher
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Chirlaque, Mariá ...
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Moreno-Iribas, C ...
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Engström, Gunnar
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Sonestedt, Emily
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Lind, Marcus
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Otten, Julia, 19 ...
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Khaw, Kay Tee
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Aune, Dagfinn
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Riboli, Elio
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Wareham, Nichola ...
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Imamura, Fumiaki
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Forouhi, Nita G.
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Di Angelantonio, ...
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Wood, Angela M.
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Butterworth, Ada ...
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Perez-Cornago, A ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nutrition and Di ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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European Heart J ...
- By the university
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Lund University
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Umeå University