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Vegetables, fruit and risk of non-gallstone-related acute pancreatitis: a population-based prospective cohort study.

https://arctichealth.org/en/permalink/ahliterature123038
Source
Gut. 2013 Aug;62(8):1187-92
Publication Type
Article
Date
Aug-2013
Author
Viktor Oskarsson
Omid Sadr-Azodi
Nicola Orsini
Åke Andrén-Sandberg
Alicja Wolk
Author Affiliation
Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, SE-171 76 Stockholm, Sweden. viktor.oskarsson@ki.se
Source
Gut. 2013 Aug;62(8):1187-92
Date
Aug-2013
Language
English
Publication Type
Article
Keywords
Acute Disease
Aged
Aged, 80 and over
Alcohol Drinking - adverse effects - epidemiology
Body mass index
Diet - statistics & numerical data
Epidemiologic Methods
Female
Food Habits
Fruit
Gallstones - complications
Humans
Male
Middle Aged
Pancreatitis - epidemiology - etiology - prevention & control
Smoking - adverse effects - epidemiology
Sweden - epidemiology
Vegetables
Abstract
To examine the association of vegetable and fruit consumption with the risk of non-gallstone-related acute pancreatitis.
A population-based prospective cohort of 80,019 women and men, aged 46-84 years, completed a food-frequency questionnaire at baseline and was followed up for incidence of non-gallstone-related acute pancreatitis from 1 January 1998 to 31 December 2009. Participants were categorised into quintiles according to consumption of vegetables and consumption of fruit. Cox proportional hazards models were used to estimate RRs and 95% CIs.
In total, 320 incident cases (216 men and 104 women) with non-gallstone-related acute pancreatitis were identified during 12 years of follow-up (891,136 person-years). After adjustment for potential confounders, the authors observed a significant inverse linear dose-response association between vegetable consumption and risk of non-gallstone-related acute pancreatitis; every two additional servings per day were associated with 17% risk reduction (RR=0.83; 95% CI 0.70 to 0.98; p=0.03). Among participants consuming >1 drink of alcohol per day and among those with body mass index =25 kg/m2, the RR for the highest compared with the lowest quintile of vegetable consumption was 0.29 (95% CI 0.13 to 0.67) and 0.49 (95% CI 0.29 to 0.85), respectively. Fruit consumption was not significantly associated with the risk of non-gallstone-related acute pancreatitis; the RR comparing extreme quintiles of consumption was 1.20 (95% CI 0.81 to 1.78).
Vegetable consumption, but not fruit consumption, may play a role in the prevention of non-gallstone-related acute pancreatitis.
PubMed ID
22740517 View in PubMed
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Assessing validity of a short food frequency questionnaire on present dietary intake of elderly Icelanders.

https://arctichealth.org/en/permalink/ahliterature126210
Source
Nutr J. 2012;11:12
Publication Type
Article
Date
2012
Author
Tinna Eysteinsdottir
Inga Thorsdottir
Ingibjorg Gunnarsdottir
Laufey Steingrimsdottir
Author Affiliation
Unit for Nutrition Research, University of Iceland and Landspitali National-University Hospital, Reykjavik, Iceland. tinnaey@landspitali.is
Source
Nutr J. 2012;11:12
Date
2012
Language
English
Publication Type
Article
Keywords
Aged
Animals
Cod Liver Oil
Coffee
Dairy Products
Diet - statistics & numerical data
Diet Records
Diet Surveys
Energy intake
Female
Food Habits
Fruit
Geriatric Assessment
Humans
Iceland
Interviews as Topic
Male
Meat
Nutrition Assessment
Questionnaires - standards
Sex Factors
Tea
Vegetables
Abstract
Few studies exist on the validity of food frequency questionnaires (FFQs) administered to elderly people. The aim of this study was to assess the validity of a short FFQ on present dietary intake, developed specially for the AGES-Reykjavik Study, which includes 5,764 elderly individuals. Assessing the validity of FFQs is essential before they are used in studies on diet-related disease risk and health outcomes.
128 healthy elderly participants (74 y ± 5.7; 58.6% female) answered the AGES-FFQ, and subsequently filled out a 3-day weighed food record. Validity of the AGES-FFQ was assessed by comparing its answers to the dietary data obtained from the weighed food records, using Spearman's rank correlation, Chi-Square/Kendall's tau, and a Jonckheere-Terpstra test for trend.
For men a correlation = 0.4 was found for potatoes, fresh fruits, oatmeal/muesli, cakes/cookies, candy, dairy products, milk, pure fruit juice, cod liver oil, coffee, tea and sugar in coffee/tea (r = 0.40-0.71). A lower, but acceptable, correlation was also found for raw vegetables (r = 0.33). The highest correlation for women was found for consumption of rye bread, oatmeal/muesli, raw vegetables, candy, dairy products, milk, pure fruit juice, cod liver oil, coffee and tea (r = 0.40-0.61). An acceptable correlation was also found for fish topping/salad, fresh fruit, blood/liver sausage, whole-wheat bread, and sugar in coffee/tea (r = 0.28-0.37). Questions on meat/fish meals, cooked vegetables and soft drinks did not show a significant correlation to the reference method. Pearson Chi-Square and Kendall's tau showed similar results, as did the Jonckheere-Terpstra trend test.
A majority of the questions in the AGES-FFQ had an acceptable correlation and may be used to rank individuals according to their level of intake of several important foods/food groups. The AGES-FFQ on present diet may therefore be used to study the relationship between consumption of several specific foods/food groups and various health-related endpoints gathered in the AGES-Reykjavik Study.
Notes
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PubMed ID
22413931 View in PubMed
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Fruit and vegetable consumption with risk of abdominal aortic aneurysm.

https://arctichealth.org/en/permalink/ahliterature107937
Source
Circulation. 2013 Aug 20;128(8):795-802
Publication Type
Article
Date
Aug-20-2013
Author
Otto Stackelberg
Martin Björck
Susanna C Larsson
Nicola Orsini
Alicja Wolk
Author Affiliation
Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. otto.stackelberg@ki.se
Source
Circulation. 2013 Aug 20;128(8):795-802
Date
Aug-20-2013
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal - epidemiology
Cohort Studies
Diet
Female
Follow-Up Studies
Fruit
Humans
Longitudinal Studies
Male
Middle Aged
Proportional Hazards Models
Prospective Studies
Questionnaires
Registries
Risk factors
Sweden - epidemiology
Vegetables
Abstract
Dietary factors affecting the risk of developing abdominal aortic aneurysm (AAA) are scarcely investigated. The aim of this study was to investigate the associations of fruit and vegetable consumption with the risk to develop AAA.
The prospective Cohort of Swedish Men and the Swedish Mammography Cohort, consisting of 44,317 men and 36,109 women, 46 to 84 years of age at the start of the 13-year follow-up (1998-2010), were used. Fruit and vegetable consumption was assessed at baseline with a 96-item food-frequency questionnaire. By linkage to the Swedish Inpatient Register and the Swedish Vascular Registry (Swedvasc), 1086 primary cases of AAA (222 ruptured) were identified. Cox proportional hazards models were used to estimate hazard ratios with 95% confidence intervals (CIs). Those in the highest quartile of fruit consumption (>2.0 servings/d), in comparison with those in the lowest quartile (
PubMed ID
23960255 View in PubMed
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Fruit and vegetable consumption and all-cause mortality: a dose-response analysis.

https://arctichealth.org/en/permalink/ahliterature112745
Source
Am J Clin Nutr. 2013 Aug;98(2):454-9
Publication Type
Article
Date
Aug-2013
Author
Andrea Bellavia
Susanna C Larsson
Matteo Bottai
Alicja Wolk
Nicola Orsini
Author Affiliation
Units of Nutritional Epidemiology and Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Source
Am J Clin Nutr. 2013 Aug;98(2):454-9
Date
Aug-2013
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Female
Follow-Up Studies
Food Habits
Fruit
Humans
Male
Middle Aged
Mortality
Nutrition Assessment
Proportional Hazards Models
Prospective Studies
Risk factors
Sweden - epidemiology
Vegetables
Abstract
The association between fruit and vegetable (FV) consumption and overall mortality has seldom been investigated in large cohort studies. Findings from the few available studies are inconsistent.
The objective was to examine the dose-response relation between FV consumption and mortality, in terms of both time and rate, in a large prospective cohort of Swedish men and women.
FV consumption was assessed through a self-administrated questionnaire in a population-based cohort of 71,706 participants (38,221 men and 33,485 women) aged 45-83 y. We performed a dose-response analysis to evaluate 10th survival percentile differences (PDs) by using Laplace regression and estimated HRs by using Cox regression.
During 13 y of follow-up, 11,439 deaths (6803 men and 4636 women) occurred in the cohort. In comparison with 5 servings FV/d, a lower consumption was progressively associated with shorter survival and higher mortality rates. Those who never consumed FV lived 3 y shorter (PD: -37 mo; 95% CI: -58, -16 mo) and had a 53% higher mortality rate (HR: 1.53; 95% CI: 1.19, 1.99) than did those who consumed 5 servings FV/d. Consideration of fruit and vegetables separately showed that those who never consumed fruit lived 19 mo shorter (PD: -19 mo; 95% CI: -29, -10 mo) than did those who ate 1 fruit/d. Participants who consumed 3 vegetables/d lived 32 mo longer than did those who never consumed vegetables (PD: 32 mo; 96% CI: 13, 51 mo).
FV consumption
PubMed ID
23803880 View in PubMed
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Total antioxidant capacity from diet and risk of myocardial infarction: a prospective cohort of women.

https://arctichealth.org/en/permalink/ahliterature120472
Source
Am J Med. 2012 Oct;125(10):974-80
Publication Type
Article
Date
Oct-2012
Author
Susanne Rautiainen
Emily B Levitan
Nicola Orsini
Agneta Åkesson
Ralf Morgenstern
Murray A Mittleman
Alicja Wolk
Author Affiliation
Division of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. susanne.rautiainen@ki.se
Source
Am J Med. 2012 Oct;125(10):974-80
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Antioxidants
Cereals
Coffee
Cohort Studies
Diet
Diet Surveys
Female
Fruit
Humans
Middle Aged
Multivariate Analysis
Myocardial Infarction - etiology - prevention & control
Proportional Hazards Models
Prospective Studies
Questionnaires
Registries
Sweden
Vegetables
Abstract
There are no previous studies investigating the effect of all dietary antioxidants in relation to myocardial infarction. The total antioxidant capacity of diet takes into account all antioxidants and synergistic effects between them. The aim of this study was to examine how total antioxidant capacity of diet and antioxidant-containing foods were associated with incident myocardial infarction among middle-aged and elderly women.
In the population-based prospective Swedish Mammography Cohort of 49-83-year-old women, 32,561 were cardiovascular disease-free at baseline. Women completed a food-frequency questionnaire, and dietary total antioxidant capacity was calculated using oxygen radical absorbance capacity values. Information on myocardial infarction was identified from the Swedish Hospital Discharge and the Cause of Death registries. Hazard ratios (HR) and 95% confidence intervals (CI) were calculated using Cox proportional hazard models.
During the follow-up (September 1997-December 2007), we identified 1114 incident cases of myocardial infarction (321,434 person-years). In multivariable-adjusted analysis, the HR for women comparing the highest quintile of dietary total antioxidant capacity to the lowest was 0.80 (95% CI, 0.67-0.97; P for trend=0.02). Servings of fruit and vegetables and whole grains were nonsignificantly inversely associated with myocardial infarction.
These data suggest that dietary total antioxidant capacity, based on fruits, vegetables, coffee, and whole grains, is of importance in the prevention of myocardial infarction.
PubMed ID
22998880 View in PubMed
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Changes in fruit, vegetable and juice consumption after the diagnosis of type 2 diabetes: a prospective study in men.

https://arctichealth.org/en/permalink/ahliterature281910
Source
Br J Nutr. 2017 Mar;117(5):712-719
Publication Type
Article
Date
Mar-2017
Author
Camilla Olofsson
Andrea Discacciati
Agneta Åkesson
Nicola Orsini
Kerstin Brismar
Alicja Wolk
Source
Br J Nutr. 2017 Mar;117(5):712-719
Date
Mar-2017
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Beverages
Body mass index
Citrus paradisi
Citrus sinensis
Cohort Studies
Diabetes Mellitus, Type 2 - diagnosis - diet therapy - epidemiology
Diet
Educational Status
Exercise
Fruit
Humans
Life Style
Male
Middle Aged
Prospective Studies
Smoking - epidemiology
Surveys and Questionnaires
Sweden - epidemiology
Vegetables
Abstract
Given the importance of prevention of complications in type 2 diabetes (T2D), we aimed to examine changes over time in consumption of fruits, vegetables and juice among men who were diagnosed with T2D in comparison with men without diabetes. The prospective Cohort of Swedish Men, aged 45-79 years in 1997, was used to examine changes in diet after diagnosis of T2D. Dietary intake was assessed using FFQ in 1997 and 2009. In all, 23 953 men who were diabetes free at baseline (1997) and completed both FFQ were eligible to participate in the study. Diagnosis of T2D was reported by subjects and ascertained through registers. Multivariable linear mixed models were used to examine changes in mean servings/week over time. In total, 1741 men developed T2D during the study period. Increased consumption of vegetables and fruits was observed among those who developed T2D (equivalent to 1·6 servings/week, 95 % CI 1·08, 2·03) and men who remained diabetes free (0·7 servings/week, 95 % CI 0·54, 0·84). Consumption of juice decreased by 0·6 servings/week (95 % CI -0·71, -0·39) among those who developed T2D and increased by 0·1 servings/week (95 % CI 0·05, 0·15) in those who were diabetes free. Changes over time and between groups were statistically significant. Although improvements in diet were observed, only 36 % of those with T2D and 35 % of those without diabetes consumed =5 servings of fruits and vegetables/d in 2009.
PubMed ID
27409648 View in PubMed
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Fruit and vegetable intake and risk of hip fracture: a cohort study of Swedish men and women.

https://arctichealth.org/en/permalink/ahliterature271214
Source
J Bone Miner Res. 2015 Jun;30(6):976-84
Publication Type
Article
Date
Jun-2015
Author
Liisa Byberg
Andrea Bellavia
Nicola Orsini
Alicja Wolk
Karl Michaëlsson
Source
J Bone Miner Res. 2015 Jun;30(6):976-84
Date
Jun-2015
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Eating
Fruit
Hip Fractures - epidemiology
Humans
Male
Middle Aged
Risk factors
Surveys and Questionnaires
Sweden - epidemiology
Vegetables
Abstract
Dietary guidelines recommend a daily intake of 5 servings of fruits and vegetables. Whether such intakes are associated with a lower risk of hip fracture is at present unclear. The aim of the present study was to investigate the dose-response association between habitual fruit and vegetable intake and hip fracture in a cohort study based on 40,644 men from the Cohort of Swedish Men (COSM) and 34,947 women from the Swedish Mammography Cohort (SMC) (total n?=?75,591), free from cardiovascular disease and cancer, who answered lifestyle questionnaires in 1997 (age 45 to 83 years). Intake of fruits and vegetables (servings/day) was assessed by food frequency questionnaire and incident hip fractures were retrieved from the Swedish Patient Register (1998 to 2010). The mean follow-up time was 14.2 years. One-third of the participants reported an intake of fruits and vegetables of >5 servings/day, one-third reported >3 to =5 servings/day, 28% reported >1 to =3 servings/day, and 6% reported =1 serving/day. During 1,037,645 person-years we observed 3644 hip fractures (2266 or 62% in women). The dose-response association was found to be strongly nonlinear (p
PubMed ID
25294687 View in PubMed
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Fruit and vegetable consumption and risk of COPD: a prospective cohort study of men.

https://arctichealth.org/en/permalink/ahliterature284731
Source
Thorax. 2017 Jun;72(6):500-509
Publication Type
Article
Date
Jun-2017
Author
Joanna Kaluza
Susanna C Larsson
Nicola Orsini
Anders Linden
Alicja Wolk
Source
Thorax. 2017 Jun;72(6):500-509
Date
Jun-2017
Language
English
Publication Type
Article
Keywords
Aged
Diet Surveys
Feeding Behavior
Follow-Up Studies
Fruit
Humans
Incidence
Male
Middle Aged
Prospective Studies
Pulmonary Disease, Chronic Obstructive - epidemiology - prevention & control
Risk Assessment - methods
Smoking - adverse effects - epidemiology
Sweden - epidemiology
Vegetables
Abstract
Antioxidants present in fruits and vegetables may protect the lung from oxidative damage and prevent COPD.
To determine the association between fruit and vegetable consumption and risk of COPD by smoking status in men.
The population-based prospective Cohort of Swedish Men included 44 335 men, aged 45-79 years, with no history of COPD at baseline. Fruit and vegetable consumption was assessed with a self-administered questionnaire.
During a mean follow-up of 13.2 years, 1918 incident cases of COPD were ascertained. A strong inverse association between total fruit and vegetable consumption and COPD was observed in smokers but not in never-smokers (p-interaction=0.02). The age-standardised incidence rate per 100 000 person-years in the lowest quintile (
PubMed ID
28228486 View in PubMed
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Quantifying the benefits of Mediterranean diet in terms of survival.

https://arctichealth.org/en/permalink/ahliterature285592
Source
Eur J Epidemiol. 2016 May;31(5):527-30
Publication Type
Article
Date
May-2016
Author
Andrea Bellavia
Thanasis G Tektonidis
Nicola Orsini
Alicja Wolk
Susanna C Larsson
Source
Eur J Epidemiol. 2016 May;31(5):527-30
Date
May-2016
Language
English
Publication Type
Article
Keywords
Adult
Aged
Cohort Studies
Diet, Mediterranean
Dietary Fiber
Female
Follow-Up Studies
Fruit
Humans
Life Style
Male
Middle Aged
Mortality
Nuts
Outcome Assessment (Health Care)
Proportional Hazards Models
Survival Rate
Sweden - epidemiology
Vegetables
Abstract
Beneficial effects of Mediterranean diet (MD) have been consistently documented. However, to fully understand the public health implications of MD adherence, an informative step is to quantify these effects in terms of survival time differences. The aim of this study was to evaluate the impact of MD on survival, presenting results in terms of differences in median age at death. We used data from 71,333 participants from a large population-based cohort of Swedish men and women, followed-up between January 1, 1998, and December 31, 2012. A total score of MD, ranging from 0 to 8, was calculated by including information on vegetables and fruits consumption, legumes and nuts, non-refined/high fiber grains, fermented dairy products, fish, red meat, use of olive oil/rapeseed oil, and moderate alcohol intake. Multivariable-adjusted differences in median age at death were estimated with Laplace regression and presented as a function of the MD score. During 15 years of follow-up we documented 14,697 deaths. We observed a linear dose-response association between the MD score and median age at death, with higher score associated with longer survival. The difference in median age at death between participants with the extreme scores (0 vs 8) of MD was up to 2 years (23 months, 95 % CI: 16-29). In this study we documented that adherence to MD may accrue benefits up to 2 years of longer survival.
PubMed ID
26848763 View in PubMed
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9 records – page 1 of 1.