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丹麦病例队列研究中从不吸烟者的饮食矿物质与心血管事件结局的关系。

Dietary Minerals and Incident Cardiovascular Outcomes among Never-Smokers in a Danish Case-Cohort Study.

机构信息

Department of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.

Program in Public Health, Department of Family, Population, & Preventive Medicine, Stony Brook University, Stony Brook, NY 11794, USA.

出版信息

Int J Environ Res Public Health. 2024 Jul 17;21(7):932. doi: 10.3390/ijerph21070932.

Abstract

Diet is known to impact cardiovascular disease (CVD) risk, but evidence for the essential minerals of magnesium (Mg), calcium (Ca), and potassium (K) is inconsistent. We conducted a case-cohort study within a non-smoking subgroup of the Danish Diet, Cancer and Health cohort, a prospective study of 50-64-year-olds recruited between 1993-1997. We identified incident heart failure (HF), acute myocardial infarction (AMI) and stroke cases through 2015 with an 1135-member subcohort. We measured the dietary intake of minerals, also known as elements, and calculated a combined dietary intake (CDI) score based on joint Ca, Mg and K intakes (mg/d) from Food Frequency Questionnaires. We estimated adjusted hazard ratios (HRs) with Cox proportional hazard models. Most HRs examining associations between CDI score and CVD were null. However, the third quartile of CDI was associated with a lower risk for heart failure (HR: 0.89; 95% CI: 0.67, 1.17), AMI (HR: 0.79; 95% CI: 0.60, 1.04), and stroke (HR: 0.63; 95% CI: 0.44, 0.88). We did not find consistent evidence to suggest that higher levels of essential minerals are associated with incident HF, AMI, and stroke, though results suggest a potential U-shaped relationship between select minerals and CVD outcomes.

摘要

饮食被认为会影响心血管疾病(CVD)的风险,但关于镁(Mg)、钙(Ca)和钾(K)这三种必需矿物质的证据并不一致。我们在丹麦饮食、癌症与健康队列的不吸烟亚组中进行了一项病例-对照研究,该队列是一项对 50-64 岁人群进行的前瞻性研究,招募时间为 1993 年至 1997 年。我们通过 2015 年的一次随访,确定了心力衰竭(HF)、急性心肌梗死(AMI)和中风病例,并通过 1135 名成员的子队列进行了识别。我们通过食物频率问卷测量了矿物质的饮食摄入量,也称为元素,并根据联合 Ca、Mg 和 K 的摄入量(mg/d)计算了一个综合饮食摄入量(CDI)评分。我们使用 Cox 比例风险模型估计了调整后的风险比(HR)。大多数研究 CDI 评分与 CVD 之间关联的 HR 结果为零。然而,CDI 的第三四分位数与心力衰竭(HR:0.89;95%CI:0.67,1.17)、AMI(HR:0.79;95%CI:0.60,1.04)和中风(HR:0.63;95%CI:0.44,0.88)的风险降低相关。我们没有发现一致的证据表明,必需矿物质水平较高与心力衰竭、AMI 和中风的发生有关,尽管结果表明某些矿物质与 CVD 结局之间可能存在 U 形关系。

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