Pure fruit juice and fruit consumption and the risk of CVD: the European Prospective Investigation into Cancer and Nutrition–Netherlands (EPIC-NL) study
| العنوان: | Pure fruit juice and fruit consumption and the risk of CVD: the European Prospective Investigation into Cancer and Nutrition–Netherlands (EPIC-NL) study |
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| المؤلفون: | 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 |
| المصدر: | British Journal of Nutrition, 121(3), 351. Cambridge University Press The British Journal of Nutrition |
| بيانات النشر: | Cambridge University Press (CUP), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| وصف الملف: | image/pdf |
| تدمد: | 1475-2662 0007-1145 |
| DOI: | 10.1017/s0007114518003380 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a56b278b2cb8c14bc301e221a5402e0 https://doi.org/10.1017/s0007114518003380 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1a56b278b2cb8c14bc301e221a5402e0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14752662 00071145 |
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| DOI: | 10.1017/s0007114518003380 |