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Fruit and vegetable consumption with risk of abdominal aortic aneurysm.
Circulation. 2013 Aug 20; 128(8):795-802.Circ

Abstract

BACKGROUND

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.

METHODS AND RESULTS

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 (<0.7 servings/d), had a 25% (95% CI, 9%-38%) lower risk of AAA, and a 43% (95% CI, 11%-64%) lower risk of ruptured AAA, specifically. Consumption of 2 fruits per day was associated with 31% (95% CI, 11%-47%) lower risk of nonruptured AAA, and 39% (95% CI, 1%-63%) lower risk of ruptured AAA, in comparison with no consumption of fruit. No association was observed between vegetable consumption and AAA risk.

CONCLUSIONS

We observed an inverse association between consumption of fruit, but not vegetables, and the risk of AAA, with a more pronounced association with ruptured AAA.

Authors+Show Affiliations

Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. otto.stackelberg@ki.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23960255

Citation

Stackelberg, Otto, et al. "Fruit and Vegetable Consumption With Risk of Abdominal Aortic Aneurysm." Circulation, vol. 128, no. 8, 2013, pp. 795-802.
Stackelberg O, Björck M, Larsson SC, et al. Fruit and vegetable consumption with risk of abdominal aortic aneurysm. Circulation. 2013;128(8):795-802.
Stackelberg, O., Björck, M., Larsson, S. C., Orsini, N., & Wolk, A. (2013). Fruit and vegetable consumption with risk of abdominal aortic aneurysm. Circulation, 128(8), 795-802. https://doi.org/10.1161/CIRCULATIONAHA.112.000728
Stackelberg O, et al. Fruit and Vegetable Consumption With Risk of Abdominal Aortic Aneurysm. Circulation. 2013 Aug 20;128(8):795-802. PubMed PMID: 23960255.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fruit and vegetable consumption with risk of abdominal aortic aneurysm. AU - Stackelberg,Otto, AU - Björck,Martin, AU - Larsson,Susanna C, AU - Orsini,Nicola, AU - Wolk,Alicja, PY - 2013/8/21/entrez PY - 2013/8/21/pubmed PY - 2014/2/5/medline KW - abdominal KW - antioxidants KW - aortic aneurysm KW - diet KW - epidemiology KW - risk factors SP - 795 EP - 802 JF - Circulation JO - Circulation VL - 128 IS - 8 N2 - BACKGROUND: 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. METHODS AND RESULTS: 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 (<0.7 servings/d), had a 25% (95% CI, 9%-38%) lower risk of AAA, and a 43% (95% CI, 11%-64%) lower risk of ruptured AAA, specifically. Consumption of 2 fruits per day was associated with 31% (95% CI, 11%-47%) lower risk of nonruptured AAA, and 39% (95% CI, 1%-63%) lower risk of ruptured AAA, in comparison with no consumption of fruit. No association was observed between vegetable consumption and AAA risk. CONCLUSIONS: We observed an inverse association between consumption of fruit, but not vegetables, and the risk of AAA, with a more pronounced association with ruptured AAA. SN - 1524-4539 UR - https://www.unboundmedicine.com/medline/citation/23960255/Fruit_and_vegetable_consumption_with_risk_of_abdominal_aortic_aneurysm_ L2 - http://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.112.000728?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -