Food choices and coronary heart disease: a population based cohort study of rural Swedish men with 12 years of follow-up.
Coronary heart disease is associated with diet. Nutritional recommendations are frequently provided, but few long term studies on the effect of food choices on heart disease are available. We followed coronary heart disease morbidity and mortality in a cohort of rural men (N = 1,752) participating in a prospective observational study. Dietary choices were assessed at baseline with a 15-item food questionnaire. 138 men were hospitalized or deceased owing to coronary heart disease during the 12 year follow-up. Daily intake of fruit and vegetables was associated with a lower risk of coronary heart disease when combined with a high dairy fat consumption (odds ratio 0.39, 95% CI 0.21-0.73), but not when combined with a low dairy fat consumption (odds ratio 1.70, 95% CI 0.97-2.98). Choosing wholemeal bread or eating fish at least twice a week showed no association with the outcome.
Holmberg
Sara
S
Research and Development Centre, Kronoberg County Council, Box 1223, SE-351 12 Växjö, Sweden. sara.holmberg@ltkronoberg.se
Thelin
Anders
A
Stiernström
Eva-Lena
EL
D000328:Adult; D016001:Confidence Intervals; D003324:Coronary Artery Disease / Q000453:epidemiology* / Q000401:mortality; D004041:Dietary Fats; D005247:Feeding Behavior; D005638:Fruit; D006801:Humans; D053208:Kaplan-Meier Estimate; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D009752:Nutritional Status; D016017:Odds Ratio; D011446:Prospective Studies; D018570:Risk Assessment; D012424:Rural Population / Q000706:statistics & numerical data*; D013548:Sweden / Q000453:epidemiology; D014675:Vegetables
D004041:Dietary Fats