Pure fruit juice and fruit consumption and the risk of CVD: the European Prospective Investigation into Cancer and Nutrition–Netherlands (EPIC-NL) study
| Autor: | W M Monique Verschuren, Yvonne T. van der Schouw, Henriette A. Smit, Jolanda M. A. Boer, Floor R. Scheffers, Ivonne Sluijs, Martijn Verheus, Alet H. Wijga |
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| Rok vydání: | 2018 |
| Předmět: |
Male
TC total cholesterol 0301 basic medicine Medicine (miscellaneous) MORGEN Monitoring Project on Chronic Disease Risk Factors European prospective investigation into cancer and nutrition-Netherlands ICD International Classification of Diseases European Prospective Investigation into Cancer and Nutrition–Netherlands Nutrition Policy Toxicology 0302 clinical medicine Risk Factors Pure fruit juice Medicine Prospective Studies Prospective cohort study Netherlands 2. Zero hunger Nutrition and Dietetics Incidence Incidence (epidemiology) Hazard ratio Dietary Surveys and Nutritional Epidemiology food and beverages Full Papers Middle Aged CVD 3. Good health European Prospective Investigation into Cancer and Nutrition Fruit and Vegetable Juices Stroke Dietary guidelines Cardiovascular Diseases Female Fruit juice HR hazard ratio Adult DHD15-index Dutch Healthy Diet index 2015 030209 endocrinology & metabolism Lower risk Diet Surveys Young Adult 03 medical and health sciences Humans Aged Proportional Hazards Models Consumption (economics) 030109 nutrition & dietetics Proportional hazards model business.industry Feeding Behavior EPIC-NL European Prospective Investigation into Cancer and Nutrition–Netherlands CHD Fruit business Risk Reduction Behavior |
| Zdroj: | British Journal of Nutrition, 121(3), 351. Cambridge University Press The British Journal of Nutrition |
| ISSN: | 1475-2662 0007-1145 |
| Popis: | Dietary guidelines for pure fruit juice consumption differ between countries, regarding the question whether pure fruit juice is an acceptable alternative for fruit. Currently, little is known about pure fruit juice consumption and the risk of CVD. In this prospective cohort study, we studied the association of pure fruit juice and fruit consumption with the incidence of fatal and non-fatal CVD, CHD and stroke and investigated the differences in association with pure fruit juice consumption between low and high fruit consumers. A validated FFQ was used to estimate dietary intake of 34 560 participants (26·0 % men and 74·0 % women) aged 20–69 years from the European Prospective Investigation into Cancer and Nutrition–Netherlands study. Adjusted hazard ratios (HR) were estimated using Cox regression after average follow-up of 14·6 years. Compared with no consumption, pure fruit juice consumption up to 7 glasses/week – but not consumption of ≥8 glasses – was significantly associated with reduced risk of CVD and CHD, with HR from 0·83 (95 % CI 0·73, 0·95) to 0·88 (95 % CI 0·80, 0·97). Consumption of 1–4 and 4–8 glasses/week was significantly associated with lower risk of stroke with HR of 0·80 (95 % CI 0·64, 0·99) and 0·76 (95 % CI 0·61, 0·94), respectively. Associations did not differ considerably between low and high fruit consumers. The highest three quintiles of fruit consumption (≥121 g/d) were significantly associated with lower incidence of CVD, with HR of 0·87 (95 % CI 0·78, 0·97) and 0·88 (95 % CI 0·80, 0·98). In conclusion, although we observed favourable associations of moderate pure fruit juice consumption with CVD, for now consumption of whole fruit should be preferred because the evidence of the health benefits of fruit is more conclusive. |
| Databáze: | OpenAIRE |
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