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前瞻性队列研究中饮食脂肪摄入与心血管事件的纵向关联。

Longitudinal association of dietary fat intake with cardiovascular events in a prospective cohort study in Eastern Mediterranean region.

机构信息

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Food Sci Nutr. 2021 Dec;72(8):1095-1104. doi: 10.1080/09637486.2021.1895725. Epub 2021 Mar 9.

Abstract

We examined the association of dietary fats intake with the 13-year risk of cardiovascular disease (CVD) among Iranian population. Totally 5432 participants of Isfahan Cohort Study (ICS) aged ≥ 35 years were included in the current study. The frequency of dietary fats including hydrogenated vegetables oil (HVO), non-hydrogenated vegetables oil (nHVO), olive oil, ghee, and animal fats during the preceding year were assessed using a validated food frequency questionnaire. After adjustment for potential confounders, individuals in the top quartile of HVO tended to have 68% greater risk for myocardial infarction compared with those in the first quartile (95% CI: 1.02, 2.78; P = 0.058). No association was found for other dietary fat sources with ischaemic heart disease, stroke, all-cause and CVD mortality after adjustment for all potential confounders. Higher consumption of HVO was associated with increased risk of myocardial infarction.

摘要

我们研究了伊朗人群饮食脂肪摄入与 13 年心血管疾病(CVD)风险的相关性。当前研究共纳入了 5432 名年龄≥35 岁的伊斯法罕队列研究(ICS)参与者。使用经过验证的食物频率问卷评估了过去一年中包括氢化植物油(HVO)、非氢化植物油(nHVO)、橄榄油、酥油和动物脂肪在内的饮食脂肪的频率。在调整潜在混杂因素后,与第一四分位相比,HVO 摄入量最高四分位数的个体发生心肌梗死的风险增加了 68%(95%CI:1.02,2.78;P=0.058)。调整所有潜在混杂因素后,其他饮食脂肪来源与缺血性心脏病、中风、全因和 CVD 死亡率之间无关联。HVO 的高摄入量与心肌梗死风险增加有关。

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