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乳制品替代与中风风险:来自欧洲癌症与营养前瞻性调查-荷兰(EPIC-NL)队列的研究结果。

Substitutions between dairy products and risk of stroke: results from the European Investigation into Cancer and Nutrition-Netherlands (EPIC-NL) cohort.

机构信息

Research Unit for Epidemiology, Department of Public Health,Aarhus University,8000 Aarhus,Denmark.

Julius Center for Health Sciences and Primary Care,University Medical Center Utrecht, Utrecht University,3584 Utrecht,The Netherlands.

出版信息

Br J Nutr. 2019 Jun;121(12):1398-1404. doi: 10.1017/S0007114519000564. Epub 2019 Mar 14.

Abstract

The association between intake of different dairy products and the risk of stroke remains unclear. We therefore investigated substitutions between dairy product subgroups and risk of stroke. We included 36 886 Dutch men and women. Information about dairy product intake was collected through a FFQ. Dairy products were grouped as low-fat milk, whole-fat milk, buttermilk, low-fat yogurt, whole-fat yogurt, cheese and butter. Incident stroke cases were identified in national registers. We used Cox proportional hazards regression to calculate associations for substitutions between dairy products with the rate of stroke. During a median follow-up of 15·2 years we identified 884 stroke cases (503 ischaemic and 244 haemorrhagic). Median intake of total dairy products was four servings/d. Low-fat yogurt substituted for whole-fat yogurt was associated with a higher rate of ischaemic stroke (hazard ratio (HR) = 2·58 (95 % CI 1·11, 5·97)/serving per d). Whole-fat yogurt as a substitution for any other subgroup was associated with a lower rate of ischaemic stroke (HR between 0·33 and 0·36/serving per d). We did not observe any associations for haemorrhagic stroke. In conclusion, whole-fat yogurt as a substitution for low-fat yogurt, cheese, butter, buttermilk or milk, regardless of fat content, was associated with a lower rate of ischaemic stroke.

摘要

不同乳制品的摄入与中风风险之间的关联尚不清楚。因此,我们研究了乳制品亚组之间的替代与中风风险之间的关系。我们纳入了 36886 名荷兰男性和女性。通过 FFQ 收集了有关乳制品摄入量的信息。乳制品分为低脂牛奶、全脂牛奶、白脱牛奶、低脂酸奶、全脂酸奶、奶酪和黄油。通过国家登记册确定了中风事件病例。我们使用 Cox 比例风险回归来计算乳制品替代与中风发生率之间的关联。在中位随访 15.2 年期间,我们发现了 884 例中风病例(503 例缺血性和 244 例出血性)。总乳制品的中位数摄入量为 4 份/天。低脂酸奶替代全脂酸奶与缺血性中风的发生率较高相关(风险比 (HR) = 2.58 (95% CI 1.11, 5.97)/份/天)。全脂酸奶替代任何其他亚组与缺血性中风的发生率较低相关(HR 为 0.33 至 0.36/份/天)。我们未观察到出血性中风的任何关联。总之,全脂酸奶替代低脂酸奶、奶酪、黄油、白脱牛奶或牛奶(无论脂肪含量如何)与缺血性中风的发生率较低相关。

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