Fruit and vegetable consumption, ethnicity and risk of fatal ischemic heart disease.

Fruit and vegetable consumption, ethnicity and risk of fatal ischemic heart disease.
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DOI:
10.1007/s12603-014-0010-x
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发表时间:
2014
影响因子:
5.8
通讯作者:
Kolonel, L. N.
Kolonel, L. N.
中科院分区:
医学3区
文献类型:
--
作者:
Sharma, S.;Vik, S.;Kolonel, L. N.

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缺血性心脏病的死亡率因种族而异。饮食中摄入水果和蔬菜与较低的缺血性心脏病风险有关,但种族特异性数据有限。前瞻性队列研究。夏威夷和洛杉矶县,从1993年到1996年。这些分析包括164,617名年龄在45至75岁之间的老年人,他们代表了参加多种族队列研究的五个种族。饮食数据是在基线时通过有效的食物频率问卷收集的,直到2001年12月31日,确定了致死性缺血性心脏病病例。使用多变量Cox比例风险模型检验了水果和蔬菜消费与致死性缺血性心脏病之间的关系。水果和蔬菜摄入量与致死性缺血性心脏病之间的关联在五个民族中是相似的。当将不同种族的数据结合起来时,较高的蔬菜摄入量与每天摄入量超过2.3份的男性(每天超过6.6份:风险比为0.73;95%可信区间为0.58-0.92)和每天摄入量在3.4 - 6.6份之间的女性(每天4.6 - 6.6份:风险比为0.77;95%可信区间为0.59-0.99)对缺血性心脏病的保护作用相关。没有证据表明这与水果摄入量有关。水果和蔬菜摄入量与缺血性心脏病之间的联系在不同种族之间似乎没有变化。需要进一步的研究来澄清水果和蔬菜摄入量之间的联系以及对心血管疾病的影响。
Mortality rates from ischemic heart disease vary among ethnic groups. Dietary intake of fruit and vegetables has been associated with a lower risk of ischemic heart disease, but ethnic-specific data are limited. Prospective cohort study. Hawaii and Los Angeles County, between 1993 and 1996. These analyses included 164,617 older adults age 45 to 75, representing five ethnic groups who were enrolled in the Multiethnic Cohort Study. Dietary data were collected at baseline using a validated food frequency questionnaire and fatal ischemic heart disease cases were identified up to December 31, 2001. Associations between fruit and vegetable consumption and fatal ischemic heart disease were examined using multivariate Cox proportional hazard models. The associations between fruit and vegetable intake and fatal ischemic heart disease were similar among the five ethnic groups. When data for the ethnic groups were combined, higher vegetable intake was associated with a protective effect against ischemic heart disease in men with all intake levels above 2.3 servings per day (over 6.6 servings per day: hazard ratio, 0.73; 95% confidence interval, 0.58–0.92), and for women with intakes levels between 3.4 and 6.6 servings per day (4.6 to 6.6 servings per day: hazard ratio, 0.77; 95% confidence interval, 0.59–0.99). There was no evidence of an association for fruit intake. Associations between fruit and vegetable intake and ischemic heart disease do not appear to vary among ethnic groups. Additional research is needed to clarify associations for fruit versus vegetable intake and impact on cardiovascular outcomes.
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