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The association between dairy product intake and cardiovascular disease mortality in Chinese adults.
Eur J Nutr. 2017 Oct; 56(7):2343-2352.EJ

Abstract

PURPOSE

To evaluate the relation of dairy intake with risk of CVD mortality in middle-aged and elderly Chinese in Singapore.

METHODS

The Singapore Chinese Health Study is a population-based cohort that recruited 63,257 Chinese adults aged 45-74 years from 1993 to 1998 in Singapore. A validated 165-item semiquantitative food-frequency questionnaire was used to assess usual diet at recruitment. Mortality information was obtained via registry linkage up to December 31, 2011. Cox proportional hazard models were used to calculate hazard ratios (HRs) and corresponding 95 % confidence intervals (95 % CIs) with adjustment for potential confounders, including socio-demographic, lifestyle, and other dietary factors.

RESULTS

Among those without prior history of CVD, the multivariate-adjusted HRs (95 % CIs) comparing the highest (median intake 252 g/d) with lowest (median intake 1.32 g/d) quartiles of total dairy intake were 0.95 (0.87-1.04; P-trend = 0.64) for CVD death, 0.99 (0.89-1.11; P-trend = 0.76) for coronary heart disease (CHD) death, and 0.82 (0.69-0.97; P-trend = 0.03) for stroke death. The significant inverse association with stroke mortality was stronger in men (comparing the highest with the lowest quartiles, HR = 0.71; 95 % CI 0.55-0.92; P-trend = 0.006) than in women (HR = 0.86; 0.65-1.12; P-trend = 0.23), and the interaction test was significant (P = 0.03). No statistically significant associations between total dairy intake and CVD mortality were observed in participants with prior history of CVD (all P-trend >0.40).

CONCLUSIONS

In a cohort of Chinese adults with generally low dairy consumption, higher intake of dairy products was associated with a decreased risk of stroke mortality, particularly in men.

Authors+Show Affiliations

Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. Duke-NUS Graduate Medical School, Singapore, Singapore.Division of Cancer Control and Population Sciences, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA. Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.MOE Key Laboratory of Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China. panan@hust.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27447793

Citation

Talaei, Mohammad, et al. "The Association Between Dairy Product Intake and Cardiovascular Disease Mortality in Chinese Adults." European Journal of Nutrition, vol. 56, no. 7, 2017, pp. 2343-2352.
Talaei M, Koh WP, Yuan JM, et al. The association between dairy product intake and cardiovascular disease mortality in Chinese adults. Eur J Nutr. 2017;56(7):2343-2352.
Talaei, M., Koh, W. P., Yuan, J. M., & Pan, A. (2017). The association between dairy product intake and cardiovascular disease mortality in Chinese adults. European Journal of Nutrition, 56(7), 2343-2352. https://doi.org/10.1007/s00394-016-1274-1
Talaei M, et al. The Association Between Dairy Product Intake and Cardiovascular Disease Mortality in Chinese Adults. Eur J Nutr. 2017;56(7):2343-2352. PubMed PMID: 27447793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between dairy product intake and cardiovascular disease mortality in Chinese adults. AU - Talaei,Mohammad, AU - Koh,Woon-Puay, AU - Yuan,Jian-Min, AU - Pan,An, Y1 - 2016/07/22/ PY - 2016/01/23/received PY - 2016/07/11/accepted PY - 2016/7/23/pubmed PY - 2018/8/7/medline PY - 2016/7/23/entrez KW - Cardiovascular disease KW - Chinese KW - Coronary heart disease KW - Dairy KW - Mortality KW - Stroke SP - 2343 EP - 2352 JF - European journal of nutrition JO - Eur J Nutr VL - 56 IS - 7 N2 - PURPOSE: To evaluate the relation of dairy intake with risk of CVD mortality in middle-aged and elderly Chinese in Singapore. METHODS: The Singapore Chinese Health Study is a population-based cohort that recruited 63,257 Chinese adults aged 45-74 years from 1993 to 1998 in Singapore. A validated 165-item semiquantitative food-frequency questionnaire was used to assess usual diet at recruitment. Mortality information was obtained via registry linkage up to December 31, 2011. Cox proportional hazard models were used to calculate hazard ratios (HRs) and corresponding 95 % confidence intervals (95 % CIs) with adjustment for potential confounders, including socio-demographic, lifestyle, and other dietary factors. RESULTS: Among those without prior history of CVD, the multivariate-adjusted HRs (95 % CIs) comparing the highest (median intake 252 g/d) with lowest (median intake 1.32 g/d) quartiles of total dairy intake were 0.95 (0.87-1.04; P-trend = 0.64) for CVD death, 0.99 (0.89-1.11; P-trend = 0.76) for coronary heart disease (CHD) death, and 0.82 (0.69-0.97; P-trend = 0.03) for stroke death. The significant inverse association with stroke mortality was stronger in men (comparing the highest with the lowest quartiles, HR = 0.71; 95 % CI 0.55-0.92; P-trend = 0.006) than in women (HR = 0.86; 0.65-1.12; P-trend = 0.23), and the interaction test was significant (P = 0.03). No statistically significant associations between total dairy intake and CVD mortality were observed in participants with prior history of CVD (all P-trend >0.40). CONCLUSIONS: In a cohort of Chinese adults with generally low dairy consumption, higher intake of dairy products was associated with a decreased risk of stroke mortality, particularly in men. SN - 1436-6215 UR - https://www.unboundmedicine.com/medline/citation/27447793/The_association_between_dairy_product_intake_and_cardiovascular_disease_mortality_in_Chinese_adults_ L2 - https://dx.doi.org/10.1007/s00394-016-1274-1 DB - PRIME DP - Unbound Medicine ER -