Fruit and vegetable intake and cause-specific mortality in the EPIC study.

Consumption of fruits and vegetables is associated with a lower overall mortality. The aim of this study was to identify causes of death through which this association is established. More than 450,000 participants from the European Prospective Investigation into Cancer and Nutrition study were incl...

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Автори: Leenders, M, Boshuizen, H, Ferrari, P, Siersema, P, Overvad, K, Tjønneland, A, Olsen, A, Boutron-Ruault, M, Dossus, L, Dartois, L, Kaaks, R, Li, K, Boeing, H, Bergmann, M, Trichopoulou, A, Lagiou, P, Trichopoulos, D, Palli, D, Krogh, V, Panico, S, Tumino, R, Vineis, P, Peeters, P, Weiderpass, E, Engeset, D
Формат: Journal article
Мова:English
Опубліковано: 2014
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author Leenders, M
Boshuizen, H
Ferrari, P
Siersema, P
Overvad, K
Tjønneland, A
Olsen, A
Boutron-Ruault, M
Dossus, L
Dartois, L
Kaaks, R
Li, K
Boeing, H
Bergmann, M
Trichopoulou, A
Lagiou, P
Trichopoulos, D
Palli, D
Krogh, V
Panico, S
Tumino, R
Vineis, P
Peeters, P
Weiderpass, E
Engeset, D
author_facet Leenders, M
Boshuizen, H
Ferrari, P
Siersema, P
Overvad, K
Tjønneland, A
Olsen, A
Boutron-Ruault, M
Dossus, L
Dartois, L
Kaaks, R
Li, K
Boeing, H
Bergmann, M
Trichopoulou, A
Lagiou, P
Trichopoulos, D
Palli, D
Krogh, V
Panico, S
Tumino, R
Vineis, P
Peeters, P
Weiderpass, E
Engeset, D
author_sort Leenders, M
collection OXFORD
description Consumption of fruits and vegetables is associated with a lower overall mortality. The aim of this study was to identify causes of death through which this association is established. More than 450,000 participants from the European Prospective Investigation into Cancer and Nutrition study were included, of which 25,682 were reported deceased after 13 years of follow-up. Information on lifestyle, diet and vital status was collected through questionnaires and population registries. Hazard ratios (HR) with 95% confidence intervals (95% CI) for death from specific causes were calculated from Cox regression models, adjusted for potential confounders. Participants reporting consumption of more than 569 g/day of fruits and vegetables had lower risks of death from diseases of the circulatory (HR for upper fourth 0.85, 95% CI 0.77-0.93), respiratory (HR for upper fourth 0.73, 95% CI 0.59-0.91) and digestive system (HR for upper fourth 0.60, 95% CI 0.46-0.79) when compared with participants consuming less than 249 g/day. In contrast, a positive association with death from diseases of the nervous system was observed. Inverse associations were generally observed for vegetable, but not for fruit consumption. Associations were more pronounced for raw vegetable consumption, when compared with cooked vegetable consumption. Raw vegetable consumption was additionally inversely associated with death from neoplasms and mental and behavioral disorders. The lower risk of death associated with a higher consumption of fruits and vegetables may be derived from inverse associations with diseases of the circulatory, respiratory and digestive system, and may depend on the preparation of vegetables and lifestyle factors.
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spelling oxford-uuid:01f59531-e8f9-449c-9845-dbac9d355f132022-03-26T08:37:56ZFruit and vegetable intake and cause-specific mortality in the EPIC study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:01f59531-e8f9-449c-9845-dbac9d355f13EnglishSymplectic Elements at Oxford2014Leenders, MBoshuizen, HFerrari, PSiersema, POvervad, KTjønneland, AOlsen, ABoutron-Ruault, MDossus, LDartois, LKaaks, RLi, KBoeing, HBergmann, MTrichopoulou, ALagiou, PTrichopoulos, DPalli, DKrogh, VPanico, STumino, RVineis, PPeeters, PWeiderpass, EEngeset, DConsumption of fruits and vegetables is associated with a lower overall mortality. The aim of this study was to identify causes of death through which this association is established. More than 450,000 participants from the European Prospective Investigation into Cancer and Nutrition study were included, of which 25,682 were reported deceased after 13 years of follow-up. Information on lifestyle, diet and vital status was collected through questionnaires and population registries. Hazard ratios (HR) with 95% confidence intervals (95% CI) for death from specific causes were calculated from Cox regression models, adjusted for potential confounders. Participants reporting consumption of more than 569 g/day of fruits and vegetables had lower risks of death from diseases of the circulatory (HR for upper fourth 0.85, 95% CI 0.77-0.93), respiratory (HR for upper fourth 0.73, 95% CI 0.59-0.91) and digestive system (HR for upper fourth 0.60, 95% CI 0.46-0.79) when compared with participants consuming less than 249 g/day. In contrast, a positive association with death from diseases of the nervous system was observed. Inverse associations were generally observed for vegetable, but not for fruit consumption. Associations were more pronounced for raw vegetable consumption, when compared with cooked vegetable consumption. Raw vegetable consumption was additionally inversely associated with death from neoplasms and mental and behavioral disorders. The lower risk of death associated with a higher consumption of fruits and vegetables may be derived from inverse associations with diseases of the circulatory, respiratory and digestive system, and may depend on the preparation of vegetables and lifestyle factors.
spellingShingle Leenders, M
Boshuizen, H
Ferrari, P
Siersema, P
Overvad, K
Tjønneland, A
Olsen, A
Boutron-Ruault, M
Dossus, L
Dartois, L
Kaaks, R
Li, K
Boeing, H
Bergmann, M
Trichopoulou, A
Lagiou, P
Trichopoulos, D
Palli, D
Krogh, V
Panico, S
Tumino, R
Vineis, P
Peeters, P
Weiderpass, E
Engeset, D
Fruit and vegetable intake and cause-specific mortality in the EPIC study.
title Fruit and vegetable intake and cause-specific mortality in the EPIC study.
title_full Fruit and vegetable intake and cause-specific mortality in the EPIC study.
title_fullStr Fruit and vegetable intake and cause-specific mortality in the EPIC study.
title_full_unstemmed Fruit and vegetable intake and cause-specific mortality in the EPIC study.
title_short Fruit and vegetable intake and cause-specific mortality in the EPIC study.
title_sort fruit and vegetable intake and cause specific mortality in the epic study
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