Dietary fiber and saturated fat intake associations with cardiovascular disease differ by sex in the Malmö Diet and Cancer Cohort: a prospective study
The aim of the study was to examine associations between intake of macronutrients and dietary fiber and incident ischemic cardiovascular disease (iCVD) in men and women. We used data from 8,139 male and 12,535 female participants (aged 44-73 y) of the Swedish population-based Malmö Diet and Cancer c...
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| creator | Wallström, Peter Sonestedt, Emily Hlebowicz, Joanna Ericson, Ulrika Drake, Isabel Persson, Margaretha Gullberg, Bo Hedblad, Bo Wirfält, Elisabet |
| description | The aim of the study was to examine associations between intake of macronutrients and dietary fiber and incident ischemic cardiovascular disease (iCVD) in men and women.
We used data from 8,139 male and 12,535 female participants (aged 44-73 y) of the Swedish population-based Malmö Diet and Cancer cohort. The participants were without history of CVD and diabetes mellitus, and had reported stable dietary habits in the study questionnaire. Diet was assessed by a validated modified diet history method, combining a 7-d registration of cooked meals and cold beverages, a 168-item food questionnaire (covering other foods and meal patterns), and a 1-hour diet interview. Sociodemographic and lifestyle data were collected by questionnaire. iCVD cases, which included coronary events (myocardial infarctions or deaths from chronic ischemic heart disease) and ischemic strokes, were ascertained via national and local registries. Nutrient-disease associations were examined by multivariate Cox regressions.
During a mean follow-up of 13.5 years, we identified 1,089 male and 687 female iCVD cases. High fiber intakes were associated with lower incidence rates of iCVD in women and of ischemic stroke in men. In post-hoc analysis, we discovered statistically significant interactions between intake of fiber and saturated fat; these interactions also differed between men and women (p |
| doi_str_mv | 10.1371/journal.pone.0031637 |
| format | Article |
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We used data from 8,139 male and 12,535 female participants (aged 44-73 y) of the Swedish population-based Malmö Diet and Cancer cohort. The participants were without history of CVD and diabetes mellitus, and had reported stable dietary habits in the study questionnaire. Diet was assessed by a validated modified diet history method, combining a 7-d registration of cooked meals and cold beverages, a 168-item food questionnaire (covering other foods and meal patterns), and a 1-hour diet interview. Sociodemographic and lifestyle data were collected by questionnaire. iCVD cases, which included coronary events (myocardial infarctions or deaths from chronic ischemic heart disease) and ischemic strokes, were ascertained via national and local registries. Nutrient-disease associations were examined by multivariate Cox regressions.
During a mean follow-up of 13.5 years, we identified 1,089 male and 687 female iCVD cases. High fiber intakes were associated with lower incidence rates of iCVD in women and of ischemic stroke in men. In post-hoc analysis, we discovered statistically significant interactions between intake of fiber and saturated fat; these interactions also differed between men and women (p<0.001).
In this well-defined population, a high fiber intake was associated with lower risk of iCVD, but there were no robust associations between other macronutrients and iCVD risk. Judging from this study, gender-specific nutrient analysis may be preferable in epidemiology.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0031637</identifier><identifier>PMID: 22384046</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Beverages ; Body Mass Index ; Cancer ; Cardiac and Cardiovascular Systems ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - metabolism ; Clinical Medicine ; Cohort Studies ; Coronary artery disease ; Diabetes mellitus ; Diet ; Dietary Fats - metabolism ; Dietary fiber ; Dietary Fiber - metabolism ; Epidemiology ; Female ; Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ; Food ; Gender ; Habits ; Health risk assessment ; Health Sciences ; Heart diseases ; Humans ; Hälsovetenskap ; Incidence ; Ischemia ; Ischemia - pathology ; Kardiologi ; Klinisk medicin ; Male ; Meals ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Medicine ; Men ; Middle Aged ; Neoplasms - complications ; Neoplasms - metabolism ; Nutrients ; Nutrition and Dietetics ; Nutritional Sciences ; Näringslära ; Proportional Hazards Models ; Prospective Studies ; Public Health, Global Health, Social Medicine and Epidemiology ; Regression Analysis ; Sex Factors ; Smoking ; Statistical analysis ; Stroke - pathology ; Studies ; Systematic review</subject><ispartof>PloS one, 2012-02, Vol.7 (2), p.e31637</ispartof><rights>2012 Wallström et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Wallström et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-8ab279a53056d4d0fccd4625432daa347e2384510f5bb11d0449b70c0f074303</citedby><cites>FETCH-LOGICAL-c594t-8ab279a53056d4d0fccd4625432daa347e2384510f5bb11d0449b70c0f074303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3288044/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3288044/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22384046$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/2432315$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><contributor>Obukhov, Alexander G.</contributor><creatorcontrib>Wallström, Peter</creatorcontrib><creatorcontrib>Sonestedt, Emily</creatorcontrib><creatorcontrib>Hlebowicz, Joanna</creatorcontrib><creatorcontrib>Ericson, Ulrika</creatorcontrib><creatorcontrib>Drake, Isabel</creatorcontrib><creatorcontrib>Persson, Margaretha</creatorcontrib><creatorcontrib>Gullberg, Bo</creatorcontrib><creatorcontrib>Hedblad, Bo</creatorcontrib><creatorcontrib>Wirfält, Elisabet</creatorcontrib><title>Dietary fiber and saturated fat intake associations with cardiovascular disease differ by sex in the Malmö Diet and Cancer Cohort: a prospective study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The aim of the study was to examine associations between intake of macronutrients and dietary fiber and incident ischemic cardiovascular disease (iCVD) in men and women.
We used data from 8,139 male and 12,535 female participants (aged 44-73 y) of the Swedish population-based Malmö Diet and Cancer cohort. The participants were without history of CVD and diabetes mellitus, and had reported stable dietary habits in the study questionnaire. Diet was assessed by a validated modified diet history method, combining a 7-d registration of cooked meals and cold beverages, a 168-item food questionnaire (covering other foods and meal patterns), and a 1-hour diet interview. Sociodemographic and lifestyle data were collected by questionnaire. iCVD cases, which included coronary events (myocardial infarctions or deaths from chronic ischemic heart disease) and ischemic strokes, were ascertained via national and local registries. Nutrient-disease associations were examined by multivariate Cox regressions.
During a mean follow-up of 13.5 years, we identified 1,089 male and 687 female iCVD cases. High fiber intakes were associated with lower incidence rates of iCVD in women and of ischemic stroke in men. In post-hoc analysis, we discovered statistically significant interactions between intake of fiber and saturated fat; these interactions also differed between men and women (p<0.001).
In this well-defined population, a high fiber intake was associated with lower risk of iCVD, but there were no robust associations between other macronutrients and iCVD risk. 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wallström, Peter</au><au>Sonestedt, Emily</au><au>Hlebowicz, Joanna</au><au>Ericson, Ulrika</au><au>Drake, Isabel</au><au>Persson, Margaretha</au><au>Gullberg, Bo</au><au>Hedblad, Bo</au><au>Wirfält, Elisabet</au><au>Obukhov, Alexander G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary fiber and saturated fat intake associations with cardiovascular disease differ by sex in the Malmö Diet and Cancer Cohort: a prospective study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-02-27</date><risdate>2012</risdate><volume>7</volume><issue>2</issue><spage>e31637</spage><pages>e31637-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The aim of the study was to examine associations between intake of macronutrients and dietary fiber and incident ischemic cardiovascular disease (iCVD) in men and women.
We used data from 8,139 male and 12,535 female participants (aged 44-73 y) of the Swedish population-based Malmö Diet and Cancer cohort. The participants were without history of CVD and diabetes mellitus, and had reported stable dietary habits in the study questionnaire. Diet was assessed by a validated modified diet history method, combining a 7-d registration of cooked meals and cold beverages, a 168-item food questionnaire (covering other foods and meal patterns), and a 1-hour diet interview. Sociodemographic and lifestyle data were collected by questionnaire. iCVD cases, which included coronary events (myocardial infarctions or deaths from chronic ischemic heart disease) and ischemic strokes, were ascertained via national and local registries. Nutrient-disease associations were examined by multivariate Cox regressions.
During a mean follow-up of 13.5 years, we identified 1,089 male and 687 female iCVD cases. High fiber intakes were associated with lower incidence rates of iCVD in women and of ischemic stroke in men. In post-hoc analysis, we discovered statistically significant interactions between intake of fiber and saturated fat; these interactions also differed between men and women (p<0.001).
In this well-defined population, a high fiber intake was associated with lower risk of iCVD, but there were no robust associations between other macronutrients and iCVD risk. Judging from this study, gender-specific nutrient analysis may be preferable in epidemiology.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22384046</pmid><doi>10.1371/journal.pone.0031637</doi><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_1333202709 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Beverages Body Mass Index Cancer Cardiac and Cardiovascular Systems Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - complications Cardiovascular Diseases - metabolism Clinical Medicine Cohort Studies Coronary artery disease Diabetes mellitus Diet Dietary Fats - metabolism Dietary fiber Dietary Fiber - metabolism Epidemiology Female Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Food Gender Habits Health risk assessment Health Sciences Heart diseases Humans Hälsovetenskap Incidence Ischemia Ischemia - pathology Kardiologi Klinisk medicin Male Meals Medical and Health Sciences Medicin och hälsovetenskap Medicine Men Middle Aged Neoplasms - complications Neoplasms - metabolism Nutrients Nutrition and Dietetics Nutritional Sciences Näringslära Proportional Hazards Models Prospective Studies Public Health, Global Health, Social Medicine and Epidemiology Regression Analysis Sex Factors Smoking Statistical analysis Stroke - pathology Studies Systematic review |
| title | Dietary fiber and saturated fat intake associations with cardiovascular disease differ by sex in the Malmö Diet and Cancer Cohort: a prospective study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T05%3A15%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Dietary%20fiber%20and%20saturated%20fat%20intake%20associations%20with%20cardiovascular%20disease%20differ%20by%20sex%20in%20the%20Malm%C3%B6%20Diet%20and%20Cancer%20Cohort:%20a%20prospective%20study&rft.jtitle=PloS%20one&rft.au=Wallstr%C3%B6m,%20Peter&rft.date=2012-02-27&rft.volume=7&rft.issue=2&rft.spage=e31637&rft.pages=e31637-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0031637&rft_dat=%3Cproquest_plos_%3E926154426%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1333202709&rft_id=info:pmid/22384046&rft_doaj_id=oai_doaj_org_article_d027adf6e7354c5999072769c7b37535&rfr_iscdi=true |