Role of fibre and fruit in the Mediterranean diet to protect against myocardial infarction: a case–control study in Spain

Autor: Manuel Serrano-Martínez, C Brugarolas-Brufau, E Martínez-Losa, Miguel Ángel Martínez-González, Elena Fernández-Jarne, M Prado-Santamaría
Rok vydání: 2002
Předmět:
Zdroj: European Journal of Clinical Nutrition. 56:715-722
ISSN: 1476-5640
0954-3007
DOI: 10.1038/sj.ejcn.1601382
Popis: To assess the association between a first acute myocardial infarction and the consumption of fibre and fruit.Hospital-based case-control study with incident cases. A validated semi-quantitative food frequency questionnaire (136 items) was used to assess food intake.Three third-level university hospitals in Pamplona (Spain).Cases were subjects aged under 80, newly diagnosed with acute myocardial infarction. Each case patient (n=171) was matched to a control subject of the same gender and age (5 y bands) admitted to the same hospital.An inverse association was apparent for the three upper quintiles of fibre intake. After adjustment for non-dietary and dietary confounders, an inverse linear trend was clearly significant, showing the highest relative reduction of risk (86%) for the fifth quintile (OR=0.14, 95% confidence interval: 0.03-0.67). An inverse association was also apparent for fruit intake, but not for vegetables or legumes.Our data suggest that a substantial part of the postulated benefits of the Mediterranean diet on coronary risk might be attributed to a high intake of fibre and fruit.
Databáze: OpenAIRE