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Longitudinal 10-year changes in dietary intake and associations with cardio-metabolic risk factors in the Northern Sweden Health and Disease Study.

https://arctichealth.org/en/permalink/ahliterature286527
Source
Nutr J. 2017 Mar 28;16(1):20
Publication Type
Article
Date
Mar-28-2017
Author
Anna Winkvist
Sofia Klingberg
Lena Maria Nilsson
Maria Wennberg
Frida Renström
Göran Hallmans
Kurt Boman
Ingegerd Johansson
Source
Nutr J. 2017 Mar 28;16(1):20
Date
Mar-28-2017
Language
English
Publication Type
Article
Keywords
Adult
Blood pressure
Body mass index
Cardiovascular Diseases - epidemiology - prevention & control
Cholesterol - blood
Exercise
Female
Follow-Up Studies
Healthy Diet
Humans
Life Style
Longitudinal Studies
Male
Metabolic Syndrome X - epidemiology - prevention & control
Middle Aged
Risk factors
Socioeconomic Factors
Surveys and Questionnaires
Sweden - epidemiology
Triglycerides - blood
Abstract
Dietary risks today constitute the largest proportion of disability-adjusted life years (DALYs) globally and in Sweden. An increasing number of people today consume highly processed foods high in saturated fat, refined sugar and salt and low in dietary fiber, vitamins and minerals. It is important that dietary trends over time are monitored to predict changes in disease risk.
In total, 15,995 individuals with two visits 10 (±1) years apart in the population-based Västerbotten Intervention Programme 1996-2014 were included. Dietary intake was captured with a 64-item food frequency questionnaire. Percent changes in intake of dietary components, Healthy Diet Score and Dietary Inflammatory Index were calculated and related to body mass index (BMI), serum cholesterol and triglyceride levels and blood pressure at the second visit in multivariable regression analyses.
For both sexes, on group level, proportion of energy intake (E%) from carbohydrates and sucrose decreased (largest carbohydrate decrease among 40 year-olds) and E% protein and total fat as well as saturated and poly-unsaturated fatty acids (PUFA) increased (highest protein increase among 30 year-olds and highest fat increase among 60 year-olds) over the 10-year period. Also, E% trans-fatty acids decreased. On individual basis, for both sexes decreases in intake of cholesterol and trans-fatty acids were associated with lower BMI and serum cholesterol at second visit (all P?
Notes
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PubMed ID
28351404 View in PubMed
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Dietary inflammatory index and risk of first myocardial infarction; a prospective population-based study.

https://arctichealth.org/en/permalink/ahliterature286526
Source
Nutr J. 2017 Apr 04;16(1):21
Publication Type
Article
Date
Apr-04-2017
Author
Stina Bodén
Maria Wennberg
Bethany Van Guelpen
Ingegerd Johansson
Bernt Lindahl
Jonas Andersson
Nitin Shivappa
James R Hebert
Lena Maria Nilsson
Source
Nutr J. 2017 Apr 04;16(1):21
Date
Apr-04-2017
Language
English
Publication Type
Article
Keywords
Biomarkers - blood
Body mass index
C-Reactive Protein - metabolism
Case-Control Studies
Diet
Exercise
Female
Follow-Up Studies
Humans
Inflammation - blood - epidemiology
Interleukin-6 - blood
Logistic Models
Male
Middle Aged
Myocardial Infarction - blood - epidemiology
Nutrition Assessment
Prospective Studies
Risk factors
Surveys and Questionnaires
Sweden - epidemiology
Abstract
Chronic, low-grade inflammation is an established risk factor for cardiovascular disease. The inflammatory impact of diet can be reflected by concentrations of inflammatory markers in the bloodstream and the inflammatory potential of diet can be estimated by the dietary inflammatory index (DII(TM)), which has been associated with cardiovascular disease risk in some previous studies. We aimed to examine the association between the DII and the risk of first myocardial infarction (MI) in a population-based study with long follow-up.
We conducted a prospective case-control study of 1389 verified cases of first MI and 5555 matched controls nested within the population-based cohorts of the Northern Sweden Health and Disease Study (NSHDS), of which the largest is the ongoing Västerbotten Intervention Programme (VIP) with nearly 100 000 participants during the study period. Median follow-up from recruitment to MI diagnosis was 6.4 years (6.2 for men and 7.2 for women). DII scores were derived from a validated food frequency questionnaire (FFQ) administered in 1986-2006. Multivariable conditional logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI), using quartile 1 (most anti-inflammatory diet) as the reference category. For validation, general linear models were used to estimate the association between the DII scores and two inflammatory markers, high-sensitivity C-reactive protein (hsCRP) and interleukin 6 (IL-6) in a subset (n?=?605) of the study population.
Male participants with the most pro-inflammatory DII scores had an increased risk of MI [ORQ4vsQ1?=?1.57 (95% CI 1.21-2.02) P trend?=?0.02], which was essentially unchanged after adjustment for potential confounders, including cardiovascular risk factors [ORQ4vsQ1?=?1.50 (95% CI 1.14-1.99), P trend?=?0.10]. No association was found between DII and MI in women. An increase of one DII score unit was associated with 9% higher hsCRP (95% CI 0.03-0.14) and 6% higher IL-6 (95% CI 0.02-0.11) in 605 controls with biomarker data available.
A pro-inflammatory diet was associated with an elevated risk of first myocardial infarction in men; whereas for women the relationship was null. Consideration of the inflammatory impact of diet could improve prevention of cardiovascular disease.
Notes
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PubMed ID
28376792 View in PubMed
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