Articles producció científica> Bioquímica i Biotecnologia

Association between dietary fibre intake and fruit, vegetable or whole-grain consumption and the risk of CVD: results from the PREvención con DIeta MEDiterránea (PREDIMED) trial

  • Identification data

    Identifier: imarina:2165638
    Authors:
    Buil-Cosiales, PilarToledo, EstefaniaSalas-Salvado, JordiZazpe, ItziarFarras, MartaJavier Basterra-Gortari, FranciscoDiez-Espino, JavierEstruch, RamonCorella, DoloresRos, EmilioMarti, AmeliaGomez-Gracia, EnriqueOrtega-Calvo, ManuelAros, FernandoMonino, ManuelSerra-Majem, LluisPinto, XavierMaria Lamuela-Raventos, RosaBabio, NancyGonzalez, Jose I.Fito, MontserratMartinez-Gonzalez, Miguel A.PREDIMED Investigators
    Abstract:
    Prospective studies assessing the association between fibre intake or fibre-rich food consumption and the risk of CVD have often been limited by baseline assessment of diet. Thus far, no study has used yearly repeated measurements of dietary changes during follow-up. Moreover, previous studies included healthy and selected participants who did not represent subjects at high cardiovascular risk. We used yearly repeated measurements of diet to investigate the association between fibre intake and CVD in a Mediterranean cohort of elderly adults at high cardiovascular risk. We followed-up 7216 men (55-80 years) and women (60-80 years) initially free of CVD for up to 7 years in the PREvención con DIeta MEDiterránea study (registered as ISRCTN35739639). A 137-item validated FFQ was repeated yearly to assess diet. The primary end point, confirmed by a blinded ad hoc Event Adjudication Committee, was a composite of cardiovascular death, myocardial infarction and stroke. Time-dependent Cox's regression models were used to estimate the risk of CVD according to baseline dietary exposures and to their yearly updated changes. We found a significant inverse association for fibre (P for trend=0·020) and fruits (P for trend=0·024) in age-sex adjusted models, but the statistical significance was lost in fully adjusted models. However, we found a significant inverse association with CVD incidence for the sum of fruit and vegetable consumption. Participants who consumed in total nine or more servings/d of fruits plus vegetables had a hazard ratio 0·60 (95 % CI 0·40, 0·96) of CVD in comparison with those consuming <5 servings/d.
  • Others:

    Author, as appears in the article.: Buil-Cosiales, Pilar; Toledo, Estefania; Salas-Salvado, Jordi; Zazpe, Itziar; Farras, Marta; Javier Basterra-Gortari, Francisco; Diez-Espino, Javier; Estruch, Ramon; Corella, Dolores; Ros, Emilio; Marti, Amelia; Gomez-Gracia, Enrique; Ortega-Calvo, Manuel; Aros, Fernando; Monino, Manuel; Serra-Majem, Lluis; Pinto, Xavier; Maria Lamuela-Raventos, Rosa; Babio, Nancy; Gonzalez, Jose I.; Fito, Montserrat; Martinez-Gonzalez, Miguel A.;PREDIMED Investigators
    Department: Bioquímica i Biotecnologia
    URV's Author/s: Babio Sánchez, Nancy Elvira / Salas Salvadó, Jorge
    Keywords: Vegetables T2d type 2 diabetes Primary prevention Predimed prevención con dieta mediterránea Mi myocardial infarction Hr hazard ratios Fruits Fc fruit consumption Dietary fibre Df dietary fibre Cvd t2d type 2 diabetes primary prevention predimed prevención con dieta mediterránea mi myocardial infarction hr hazard ratios fruits fc fruit consumption dietary fibre df dietary fibre cvd
    Abstract: Prospective studies assessing the association between fibre intake or fibre-rich food consumption and the risk of CVD have often been limited by baseline assessment of diet. Thus far, no study has used yearly repeated measurements of dietary changes during follow-up. Moreover, previous studies included healthy and selected participants who did not represent subjects at high cardiovascular risk. We used yearly repeated measurements of diet to investigate the association between fibre intake and CVD in a Mediterranean cohort of elderly adults at high cardiovascular risk. We followed-up 7216 men (55-80 years) and women (60-80 years) initially free of CVD for up to 7 years in the PREvención con DIeta MEDiterránea study (registered as ISRCTN35739639). A 137-item validated FFQ was repeated yearly to assess diet. The primary end point, confirmed by a blinded ad hoc Event Adjudication Committee, was a composite of cardiovascular death, myocardial infarction and stroke. Time-dependent Cox's regression models were used to estimate the risk of CVD according to baseline dietary exposures and to their yearly updated changes. We found a significant inverse association for fibre (P for trend=0·020) and fruits (P for trend=0·024) in age-sex adjusted models, but the statistical significance was lost in fully adjusted models. However, we found a significant inverse association with CVD incidence for the sum of fruit and vegetable consumption. Participants who consumed in total nine or more servings/d of fruits plus vegetables had a hazard ratio 0·60 (95 % CI 0·40, 0·96) of CVD in comparison with those consuming <5 servings/d.
    Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Odontología Nutrition and dietetics Nutrition & dietetics Nutrição Medicine (miscellaneous) Medicina veterinaria Medicina iii Medicina ii Medicina i Matemática / probabilidade e estatística Interdisciplinar General medicine Farmacia Engenharias iv Engenharias ii Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência de alimentos Biotecnología Biodiversidade Administração pública e de empresas, ciências contábeis e turismo
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 14752662
    Author's mail: jordi.salas@urv.cat nancy.babio@urv.cat
    Author identifier: 0000-0003-2700-7459 0000-0003-3527-5277
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/association-between-dietary-fibre-intake-and-fruit-vegetable-or-wholegrain-consumption-and-the-risk-of-cvd-results-from-the-prevencion-con-dieta-mediterranea-predimed-trial/83311EFA2A13F2655590B6EF6ADA47EA
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: British Journal Of Nutrition. 116 (3): 534-546
    APA: Buil-Cosiales, Pilar; Toledo, Estefania; Salas-Salvado, Jordi; Zazpe, Itziar; Farras, Marta; Javier Basterra-Gortari, Francisco; Diez-Espino, Javier; (2016). Association between dietary fibre intake and fruit, vegetable or whole-grain consumption and the risk of CVD: results from the PREvención con DIeta MEDiterránea (PREDIMED) trial. British Journal Of Nutrition, 116(3), 534-546. DOI: 10.1017/S0007114516002099
    Article's DOI: 10.1017/S0007114516002099
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2016
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Nutrition & Dietetics,Nutrition and Dietetics
    Vegetables
    T2d type 2 diabetes
    Primary prevention
    Predimed prevención con dieta mediterránea
    Mi myocardial infarction
    Hr hazard ratios
    Fruits
    Fc fruit consumption
    Dietary fibre
    Df dietary fibre
    Cvd
    t2d type 2 diabetes
    primary prevention
    predimed prevención con dieta mediterránea
    mi myocardial infarction
    hr hazard ratios
    fruits
    fc fruit consumption
    dietary fibre
    df dietary fibre
    cvd
    Zootecnia / recursos pesqueiros
    Saúde coletiva
    Química
    Odontología
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicine (miscellaneous)
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Matemática / probabilidade e estatística
    Interdisciplinar
    General medicine
    Farmacia
    Engenharias iv
    Engenharias ii
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência de alimentos
    Biotecnología
    Biodiversidade
    Administração pública e de empresas, ciências contábeis e turismo
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