Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case–control, cohort and intervention studies
Increasing evidence suggests that the Mediterranean diet can reduce the risk of CVD. Olive oil is the hallmark of this dietary pattern. We conducted a meta-analysis of case–control, prospective cohort studies and a randomised controlled trial investigating the specific association between olive oil...
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Veröffentlicht in: | British journal of nutrition 2014-07, Vol.112 (2), p.248-259 |
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description | Increasing evidence suggests that the Mediterranean diet can reduce the risk of CVD. Olive oil is the hallmark of this dietary pattern. We conducted a meta-analysis of case–control, prospective cohort studies and a randomised controlled trial investigating the specific association between olive oil consumption and the risk of CHD (101 460 participants) or stroke (38 673 participants). The results of all observational studies were adjusted for total energy intake. The random-effects model assessing CHD as an outcome showed a relative risk (RR) of 0·73 (95 % CI 0·44, 1·21) in case–control studies and 0·96 (95 % CI 0·78, 1·18) in cohort studies for a 25 g increase in olive oil consumption. In cohort studies, the random-effects model assessing stroke showed a RR of 0·74 (95 % CI 0·60, 0·92). The random-effects model combining all cardiovascular events (CHD and stroke) showed a RR of 0·82 (95 % CI 0·70, 0·96). Evidence of heterogeneity was apparent for CHD, but not for stroke. Both the Egger test (P= 0·06) and the funnel plot suggested small-study effects. Available studies support an inverse association of olive oil consumption with stroke (and with stroke and CHD combined), but no significant association with CHD. This finding is in agreement with the recent successful results of the PREDIMED randomised controlled trial. |
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Olive oil is the hallmark of this dietary pattern. We conducted a meta-analysis of case–control, prospective cohort studies and a randomised controlled trial investigating the specific association between olive oil consumption and the risk of CHD (101 460 participants) or stroke (38 673 participants). The results of all observational studies were adjusted for total energy intake. The random-effects model assessing CHD as an outcome showed a relative risk (RR) of 0·73 (95 % CI 0·44, 1·21) in case–control studies and 0·96 (95 % CI 0·78, 1·18) in cohort studies for a 25 g increase in olive oil consumption. In cohort studies, the random-effects model assessing stroke showed a RR of 0·74 (95 % CI 0·60, 0·92). The random-effects model combining all cardiovascular events (CHD and stroke) showed a RR of 0·82 (95 % CI 0·70, 0·96). Evidence of heterogeneity was apparent for CHD, but not for stroke. Both the Egger test (P= 0·06) and the funnel plot suggested small-study effects. Available studies support an inverse association of olive oil consumption with stroke (and with stroke and CHD combined), but no significant association with CHD. This finding is in agreement with the recent successful results of the PREDIMED randomised controlled trial.</description><identifier>ISSN: 0007-1145</identifier><identifier>ISSN: 1475-2662</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114514000713</identifier><identifier>PMID: 24775425</identifier><identifier>CODEN: BJNUAV</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Case-Control Studies ; Cohort Studies ; Coronary Disease - epidemiology ; Coronary Disease - prevention & control ; Coronary heart disease ; Diet ; Diet, Mediterranean ; Dietary Surveys and Nutritional Epidemiology ; eating habits ; energy intake ; Evidence-Based Medicine ; Feeding. Feeding behavior ; Fruit - chemistry ; Fundamental and applied biological sciences. Psychology ; Heart ; Heterogeneity ; Humans ; Incidence ; Medical sciences ; Mediterranean diet ; Meta-analysis ; Myocarditis. Cardiomyopathies ; Neurology ; Nutrition research ; Observational studies ; Olea - chemistry ; Olive Oil ; Plant Oils - therapeutic use ; randomized clinical trials ; Randomized Controlled Trials as Topic ; relative risk ; Reproducibility of Results ; Risk Factors ; risk reduction ; Stroke ; Stroke - epidemiology ; Stroke - prevention & control ; Vascular diseases and vascular malformations of the nervous system ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>British journal of nutrition, 2014-07, Vol.112 (2), p.248-259</ispartof><rights>Copyright © The Authors 2014</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-36e0fb300d759141c1d9f5a464502001923a4aa92133537e8b57776d8371f5ee3</citedby><cites>FETCH-LOGICAL-c512t-36e0fb300d759141c1d9f5a464502001923a4aa92133537e8b57776d8371f5ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114514000713/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28640693$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24775425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez-González, Miguel A.</creatorcontrib><creatorcontrib>Dominguez, Ligia J.</creatorcontrib><creatorcontrib>Delgado-Rodríguez, Miguel</creatorcontrib><title>Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case–control, cohort and intervention studies</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>Increasing evidence suggests that the Mediterranean diet can reduce the risk of CVD. Olive oil is the hallmark of this dietary pattern. We conducted a meta-analysis of case–control, prospective cohort studies and a randomised controlled trial investigating the specific association between olive oil consumption and the risk of CHD (101 460 participants) or stroke (38 673 participants). The results of all observational studies were adjusted for total energy intake. The random-effects model assessing CHD as an outcome showed a relative risk (RR) of 0·73 (95 % CI 0·44, 1·21) in case–control studies and 0·96 (95 % CI 0·78, 1·18) in cohort studies for a 25 g increase in olive oil consumption. In cohort studies, the random-effects model assessing stroke showed a RR of 0·74 (95 % CI 0·60, 0·92). The random-effects model combining all cardiovascular events (CHD and stroke) showed a RR of 0·82 (95 % CI 0·70, 0·96). Evidence of heterogeneity was apparent for CHD, but not for stroke. Both the Egger test (P= 0·06) and the funnel plot suggested small-study effects. Available studies support an inverse association of olive oil consumption with stroke (and with stroke and CHD combined), but no significant association with CHD. This finding is in agreement with the recent successful results of the PREDIMED randomised controlled trial.</description><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Case-Control Studies</subject><subject>Cohort Studies</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary Disease - prevention & control</subject><subject>Coronary heart disease</subject><subject>Diet</subject><subject>Diet, Mediterranean</subject><subject>Dietary Surveys and Nutritional Epidemiology</subject><subject>eating habits</subject><subject>energy intake</subject><subject>Evidence-Based Medicine</subject><subject>Feeding. Feeding behavior</subject><subject>Fruit - chemistry</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Heart</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Incidence</subject><subject>Medical sciences</subject><subject>Mediterranean diet</subject><subject>Meta-analysis</subject><subject>Myocarditis. Cardiomyopathies</subject><subject>Neurology</subject><subject>Nutrition research</subject><subject>Observational studies</subject><subject>Olea - chemistry</subject><subject>Olive Oil</subject><subject>Plant Oils - therapeutic use</subject><subject>randomized clinical trials</subject><subject>Randomized Controlled Trials as Topic</subject><subject>relative risk</subject><subject>Reproducibility of Results</subject><subject>Risk Factors</subject><subject>risk reduction</subject><subject>Stroke</subject><subject>Stroke - epidemiology</subject><subject>Stroke - prevention & control</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>0007-1145</issn><issn>1475-2662</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1u1DAQgC0EotvCA3BBlhBSD4R6_JtwQ8tPkSr1AJwjbzIBt0m8eJKi3ngH3pAnwdkuPwIhTvaMv_nGmmHsAYinIMCdvBVCOABtQO9u6hZbgXamkNbK22y1JIvl_YAdEl3ksARR3WUHUjtntDQr9vm8D1fIY-h5E0eah-0U4sj92PIU6JLHjq9PXyzxSUycphQv8Rn3fMDJF370_TUFWqjGE3778jVLMtM_ybaPMU07URgnTFc47sw0zW1AusfudL4nvL8_j9j7Vy_frU-Ls_PXb9bPz4rGgJwKZVF0GyVE60wFGhpoq854bbURUgiopPLa-0qCUkY5LDfGOWfbUjnoDKI6Ysc33m2Kn2akqR4CNdj3fsQ4Uw2lzINQpZP_R42qtC1B24w--gO9iHPK09hRzjhTyipTcEM1KRIl7OptCoNP1zWIellg_dcCc83DvXneDNj-rPixsQw83gOeGt93yY9NoF9cabWw1SJS--Z-2KTQfsDf_vjP9t8BznewRQ</recordid><startdate>20140728</startdate><enddate>20140728</enddate><creator>Martínez-González, Miguel A.</creator><creator>Dominguez, Ligia J.</creator><creator>Delgado-Rodríguez, Miguel</creator><general>Cambridge University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope></search><sort><creationdate>20140728</creationdate><title>Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case–control, cohort and intervention studies</title><author>Martínez-González, Miguel A. ; Dominguez, Ligia J. ; Delgado-Rodríguez, Miguel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-36e0fb300d759141c1d9f5a464502001923a4aa92133537e8b57776d8371f5ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary Disease - prevention & control</topic><topic>Coronary heart disease</topic><topic>Diet</topic><topic>Diet, Mediterranean</topic><topic>Dietary Surveys and Nutritional Epidemiology</topic><topic>eating habits</topic><topic>energy intake</topic><topic>Evidence-Based Medicine</topic><topic>Feeding. Feeding behavior</topic><topic>Fruit - chemistry</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Heart</topic><topic>Heterogeneity</topic><topic>Humans</topic><topic>Incidence</topic><topic>Medical sciences</topic><topic>Mediterranean diet</topic><topic>Meta-analysis</topic><topic>Myocarditis. Cardiomyopathies</topic><topic>Neurology</topic><topic>Nutrition research</topic><topic>Observational studies</topic><topic>Olea - chemistry</topic><topic>Olive Oil</topic><topic>Plant Oils - therapeutic use</topic><topic>randomized clinical trials</topic><topic>Randomized Controlled Trials as Topic</topic><topic>relative risk</topic><topic>Reproducibility of Results</topic><topic>Risk Factors</topic><topic>risk reduction</topic><topic>Stroke</topic><topic>Stroke - epidemiology</topic><topic>Stroke - prevention & control</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez-González, Miguel A.</creatorcontrib><creatorcontrib>Dominguez, Ligia J.</creatorcontrib><creatorcontrib>Delgado-Rodríguez, Miguel</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>British journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez-González, Miguel A.</au><au>Dominguez, Ligia J.</au><au>Delgado-Rodríguez, Miguel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case–control, cohort and intervention studies</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2014-07-28</date><risdate>2014</risdate><volume>112</volume><issue>2</issue><spage>248</spage><epage>259</epage><pages>248-259</pages><issn>0007-1145</issn><issn>1475-2662</issn><eissn>1475-2662</eissn><coden>BJNUAV</coden><abstract>Increasing evidence suggests that the Mediterranean diet can reduce the risk of CVD. Olive oil is the hallmark of this dietary pattern. We conducted a meta-analysis of case–control, prospective cohort studies and a randomised controlled trial investigating the specific association between olive oil consumption and the risk of CHD (101 460 participants) or stroke (38 673 participants). The results of all observational studies were adjusted for total energy intake. The random-effects model assessing CHD as an outcome showed a relative risk (RR) of 0·73 (95 % CI 0·44, 1·21) in case–control studies and 0·96 (95 % CI 0·78, 1·18) in cohort studies for a 25 g increase in olive oil consumption. In cohort studies, the random-effects model assessing stroke showed a RR of 0·74 (95 % CI 0·60, 0·92). The random-effects model combining all cardiovascular events (CHD and stroke) showed a RR of 0·82 (95 % CI 0·70, 0·96). Evidence of heterogeneity was apparent for CHD, but not for stroke. Both the Egger test (P= 0·06) and the funnel plot suggested small-study effects. Available studies support an inverse association of olive oil consumption with stroke (and with stroke and CHD combined), but no significant association with CHD. This finding is in agreement with the recent successful results of the PREDIMED randomised controlled trial.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>24775425</pmid><doi>10.1017/S0007114514000713</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Biological and medical sciences Cardiology. Vascular system Cardiovascular disease Case-Control Studies Cohort Studies Coronary Disease - epidemiology Coronary Disease - prevention & control Coronary heart disease Diet Diet, Mediterranean Dietary Surveys and Nutritional Epidemiology eating habits energy intake Evidence-Based Medicine Feeding. Feeding behavior Fruit - chemistry Fundamental and applied biological sciences. Psychology Heart Heterogeneity Humans Incidence Medical sciences Mediterranean diet Meta-analysis Myocarditis. Cardiomyopathies Neurology Nutrition research Observational studies Olea - chemistry Olive Oil Plant Oils - therapeutic use randomized clinical trials Randomized Controlled Trials as Topic relative risk Reproducibility of Results Risk Factors risk reduction Stroke Stroke - epidemiology Stroke - prevention & control Vascular diseases and vascular malformations of the nervous system Vertebrates: anatomy and physiology, studies on body, several organs or systems |
title | Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case–control, cohort and intervention studies |
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