Laursen Anne Sofie D, Thomsen Anne L, Beck Anne, Overvad Kim, Jakobsen Marianne U
Department of Public Health, Aarhus University, Aarhus, Denmark.
Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
Br J Nutr. 2022 May 28;127(10):1557-1566. doi: 10.1017/S0007114521002464. Epub 2021 Jul 22.
A daily intake of dairy products is recommended in many countries in order to maintain optimal health throughout life. However, evidence regarding the association between intake of individual dairy products and mortality is limited. We therfore, explored associations between intake of different dairy products and all-cause and cause-specific mortality using specified theoretical substitution analyses. We analysed data from 55 775 Danish men and women aged 50-64 years between 1993 and 1997. Information about dairy product intake at baseline was collected using a validated food frequency questionnaire. Information about vital status and causes of death was obtained through national registers. Measures of associations were calculated using Cox proportional hazards regression. During a median follow-up of 19·0 years, 11 586 participants died. For all-cause mortality, we observed that the intake of low-fat milk, whole-fat milk or low-fat yogurt products in place of cheese was associated with a higher rate of death (hazard ratios between 1·03 and 1·12 per serving/d substituted). The same pattern was present for CVD mortality. For cancer mortality, whole-fat milk and low-fat yogurt products in place of cheese were also associated with a higher rate of death for men while for women, whole-fat milk in place of buttermilk was associated with a higher cancer mortality rate. The results appeared robust in several sensitivity analyses. Our results suggest that intake of low-fat milk, whole-fat milk or low-fat yogurt products in place of cheese is associated with a higher rate of all-cause and cause-specific mortality.
许多国家建议每日摄入乳制品,以维持一生的最佳健康状态。然而,关于个体乳制品摄入量与死亡率之间关联的证据有限。因此,我们使用特定的理论替代分析方法,探讨了不同乳制品摄入量与全因死亡率和特定病因死亡率之间的关联。我们分析了1993年至1997年间55775名年龄在50 - 64岁之间的丹麦男性和女性的数据。通过一份经过验证的食物频率问卷收集了基线时乳制品摄入量的信息。通过国家登记处获取了生命状态和死亡原因的信息。使用Cox比例风险回归计算关联度量。在中位随访19.0年期间,有11586名参与者死亡。对于全因死亡率,我们观察到用低脂牛奶、全脂牛奶或低脂酸奶制品替代奶酪摄入与更高的死亡率相关(每替代一份/天的风险比在1.03至1.12之间)。心血管疾病死亡率也呈现相同模式。对于癌症死亡率,男性用全脂牛奶和低脂酸奶制品替代奶酪摄入也与更高的死亡率相关,而对于女性,用全脂牛奶替代酪乳与更高的癌症死亡率相关。在多项敏感性分析中,结果似乎很稳健。我们的结果表明,用低脂牛奶、全脂牛奶或低脂酸奶制品替代奶酪摄入与更高的全因死亡率和特定病因死亡率相关。