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Fruit and vegetable intake and rate of heart failure: a population-based prospective cohort of women.

Abstract

AIMS

Although numerous studies have investigated fruit and vegetable consumption in association with cardiovascular diseases (CVD) such as coronary heart disease and stroke, a limited number of studies have investigated the association with heart failure. The aim of this study was to assess the association between fruit and vegetable intake and the incidence of heart failure among women.

METHODS AND RESULTS

In September 1997, a total of 34,319 women (aged 49-83 years) from the Swedish Mammography Cohort, free of cancer and CVD at baseline, completed a food-frequency questionnaire. Women were followed for incident heart failure (diagnosis as primary or secondary cause) through December 2011 using administrative health registries. Over 12.9 years of follow-up (442,348 person-years), we identified 3051 incident cases of heart failure. Total fruit and vegetable consumption was inversely associated with the rate of heart failure {the multivariable-adjusted rate ratio (RR) in the highest quintile compared with the lowest was 0.80 [95% confidence interval (CI) 0.70-0.90]}. Fruit (mutually adjusted for vegetables) were not significantly associated with rate of heart failure (RR 0.94; 95% CI 0.83-1.07), whereas vegetables showed an inverse association (RR 0.83; 95% CI 0.73-0.95). When investigating the shape of association, we found evidence of a non-linear association (P = 0.01), and the lowest rates of heart failure were observed among women consuming ≥5 servings/day of fruit and vegetables, without further decrease with increasing intake.

CONCLUSIONS

In this population-based prospective cohort study of women, higher total consumption of fruit and vegetables was inversely associated with the incidence of heart failure.

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  • Authors+Show Affiliations

    ,

    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

    , ,

    Source

    European journal of heart failure 17:1 2015 Jan pg 20-6

    MeSH

    Aged
    Aged, 80 and over
    Cohort Studies
    Diet
    Female
    Fruit
    Heart Failure
    Humans
    Incidence
    Middle Aged
    Odds Ratio
    Prospective Studies
    Surveys and Questionnaires
    Sweden
    Vegetables

    Pub Type(s)

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

    Language

    eng

    PubMed ID

    25382356

    Citation

    Rautiainen, Susanne, et al. "Fruit and Vegetable Intake and Rate of Heart Failure: a Population-based Prospective Cohort of Women." European Journal of Heart Failure, vol. 17, no. 1, 2015, pp. 20-6.
    Rautiainen S, Levitan EB, Mittleman MA, et al. Fruit and vegetable intake and rate of heart failure: a population-based prospective cohort of women. Eur J Heart Fail. 2015;17(1):20-6.
    Rautiainen, S., Levitan, E. B., Mittleman, M. A., & Wolk, A. (2015). Fruit and vegetable intake and rate of heart failure: a population-based prospective cohort of women. European Journal of Heart Failure, 17(1), pp. 20-6. doi:10.1002/ejhf.191.
    Rautiainen S, et al. Fruit and Vegetable Intake and Rate of Heart Failure: a Population-based Prospective Cohort of Women. Eur J Heart Fail. 2015;17(1):20-6. PubMed PMID: 25382356.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Fruit and vegetable intake and rate of heart failure: a population-based prospective cohort of women. AU - Rautiainen,Susanne, AU - Levitan,Emily B, AU - Mittleman,Murray A, AU - Wolk,Alicja, Y1 - 2014/11/08/ PY - 2014/07/18/received PY - 2014/09/28/revised PY - 2014/10/03/accepted PY - 2014/11/11/entrez PY - 2014/11/11/pubmed PY - 2015/9/15/medline KW - Cohort KW - Diet KW - Epidemiology KW - Heart failure SP - 20 EP - 6 JF - European journal of heart failure JO - Eur. J. Heart Fail. VL - 17 IS - 1 N2 - AIMS: Although numerous studies have investigated fruit and vegetable consumption in association with cardiovascular diseases (CVD) such as coronary heart disease and stroke, a limited number of studies have investigated the association with heart failure. The aim of this study was to assess the association between fruit and vegetable intake and the incidence of heart failure among women. METHODS AND RESULTS: In September 1997, a total of 34,319 women (aged 49-83 years) from the Swedish Mammography Cohort, free of cancer and CVD at baseline, completed a food-frequency questionnaire. Women were followed for incident heart failure (diagnosis as primary or secondary cause) through December 2011 using administrative health registries. Over 12.9 years of follow-up (442,348 person-years), we identified 3051 incident cases of heart failure. Total fruit and vegetable consumption was inversely associated with the rate of heart failure {the multivariable-adjusted rate ratio (RR) in the highest quintile compared with the lowest was 0.80 [95% confidence interval (CI) 0.70-0.90]}. Fruit (mutually adjusted for vegetables) were not significantly associated with rate of heart failure (RR 0.94; 95% CI 0.83-1.07), whereas vegetables showed an inverse association (RR 0.83; 95% CI 0.73-0.95). When investigating the shape of association, we found evidence of a non-linear association (P = 0.01), and the lowest rates of heart failure were observed among women consuming ≥5 servings/day of fruit and vegetables, without further decrease with increasing intake. CONCLUSIONS: In this population-based prospective cohort study of women, higher total consumption of fruit and vegetables was inversely associated with the incidence of heart failure. SN - 1879-0844 UR - https://www.unboundmedicine.com/medline/citation/25382356/full_citation L2 - https://doi.org/10.1002/ejhf.191 DB - PRIME DP - Unbound Medicine ER -