Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up

The health benefits of plant-based diets have been reported. Plant-based diets found in Spain and other Mediterranean countries differ from typical diets in other countries. In the Mediterranean diet, a high intake of phenolic compounds through olives, olive oil, and red wine may play an important r...

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Main Authors: Zenaida Vázquez-Ruiz, Estefanía Toledo, Facundo Vitelli-Storelli, Leticia Goni, Víctor de la O, Maira Bes-Rastrollo, Miguel Ángel Martínez-González
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/11/4/783
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author Zenaida Vázquez-Ruiz
Estefanía Toledo
Facundo Vitelli-Storelli
Leticia Goni
Víctor de la O
Maira Bes-Rastrollo
Miguel Ángel Martínez-González
author_facet Zenaida Vázquez-Ruiz
Estefanía Toledo
Facundo Vitelli-Storelli
Leticia Goni
Víctor de la O
Maira Bes-Rastrollo
Miguel Ángel Martínez-González
author_sort Zenaida Vázquez-Ruiz
collection DOAJ
description The health benefits of plant-based diets have been reported. Plant-based diets found in Spain and other Mediterranean countries differ from typical diets in other countries. In the Mediterranean diet, a high intake of phenolic compounds through olives, olive oil, and red wine may play an important role in cardiovascular prevention. Prospective studies carried out in Mediterranean countries may provide interesting insights. A relatively young Mediterranean cohort of 16,147 Spanish participants free of cardiovascular disease (CVD) was followed (61% women, mean (SD) age 37(12) years at baseline) for a median of 12.2 years. Dietary intake was repeatedly assessed using a 136-item validated food frequency questionnaire, and (poly)phenol intake was obtained using the Phenol-Explorer database. Participants were classified as incident cases of CVD if a medical diagnosis of myocardial infarction, stroke, or cardiovascular death was medically confirmed. Time-dependent Cox regression models were used to assess the relationship between (poly)phenol intake and the incidence of major CVD. A suboptimal intake of phenolic compounds was independently associated with a higher risk of CVD, multivariable-adjusted hazard ratio for the lowest versus top 4 quintiles: 1.85 (95% CI: 1.09–3.16). A moderate-to-high dietary intake of phenolic compounds, especially flavonoids, is likely to reduce CVD incidence in the context of a Mediterranean dietary pattern.
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spelling doaj.art-438a93117f304fd3b5016a20ab9b7c572023-12-01T00:36:50ZengMDPI AGAntioxidants2076-39212022-04-0111478310.3390/antiox11040783Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-UpZenaida Vázquez-Ruiz0Estefanía Toledo1Facundo Vitelli-Storelli2Leticia Goni3Víctor de la O4Maira Bes-Rastrollo5Miguel Ángel Martínez-González6Department of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), University of Navarra, 31008 Pamplona, SpainGrupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS), Instituto de Biomedicina (IBIOMED), Universidad de León, 24071 León, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), University of Navarra, 31008 Pamplona, SpainThe health benefits of plant-based diets have been reported. Plant-based diets found in Spain and other Mediterranean countries differ from typical diets in other countries. In the Mediterranean diet, a high intake of phenolic compounds through olives, olive oil, and red wine may play an important role in cardiovascular prevention. Prospective studies carried out in Mediterranean countries may provide interesting insights. A relatively young Mediterranean cohort of 16,147 Spanish participants free of cardiovascular disease (CVD) was followed (61% women, mean (SD) age 37(12) years at baseline) for a median of 12.2 years. Dietary intake was repeatedly assessed using a 136-item validated food frequency questionnaire, and (poly)phenol intake was obtained using the Phenol-Explorer database. Participants were classified as incident cases of CVD if a medical diagnosis of myocardial infarction, stroke, or cardiovascular death was medically confirmed. Time-dependent Cox regression models were used to assess the relationship between (poly)phenol intake and the incidence of major CVD. A suboptimal intake of phenolic compounds was independently associated with a higher risk of CVD, multivariable-adjusted hazard ratio for the lowest versus top 4 quintiles: 1.85 (95% CI: 1.09–3.16). A moderate-to-high dietary intake of phenolic compounds, especially flavonoids, is likely to reduce CVD incidence in the context of a Mediterranean dietary pattern.https://www.mdpi.com/2076-3921/11/4/783(poly)phenolsflavonoidscardiovascular diseasecardioprotectiveSUN cohort
spellingShingle Zenaida Vázquez-Ruiz
Estefanía Toledo
Facundo Vitelli-Storelli
Leticia Goni
Víctor de la O
Maira Bes-Rastrollo
Miguel Ángel Martínez-González
Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up
Antioxidants
(poly)phenols
flavonoids
cardiovascular disease
cardioprotective
SUN cohort
title Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up
title_full Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up
title_fullStr Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up
title_full_unstemmed Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up
title_short Effect of Dietary Phenolic Compounds on Incidence of Cardiovascular Disease in the SUN Project; 10 Years of Follow-Up
title_sort effect of dietary phenolic compounds on incidence of cardiovascular disease in the sun project 10 years of follow up
topic (poly)phenols
flavonoids
cardiovascular disease
cardioprotective
SUN cohort
url https://www.mdpi.com/2076-3921/11/4/783
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