Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease
<h4>Objectives</h4> <p>To assess the associations of fresh fruit consumption and total physical activity with all-cause and cardiovascular mortality among Chinese adults who have been diagnosed with cardiovascular disease (CVD) or hypertension.</p> <h4>Methods</h4&g...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Published: |
Public Library of Science
2017
|
| _version_ | 1797092671930499072 |
|---|---|
| author | Du, H Tian, X Li, L Bennett, D Gao, R Li, S Wang, S Guo, Y Bian, Z Yang, L Chen, Y Chen, J Gao, Y Weng, M Pang, Z Jiang, B Chen, Z |
| author_facet | Du, H Tian, X Li, L Bennett, D Gao, R Li, S Wang, S Guo, Y Bian, Z Yang, L Chen, Y Chen, J Gao, Y Weng, M Pang, Z Jiang, B Chen, Z |
| author_sort | Du, H |
| collection | OXFORD |
| description | <h4>Objectives</h4> <p>To assess the associations of fresh fruit consumption and total physical activity with all-cause and cardiovascular mortality among Chinese adults who have been diagnosed with cardiovascular disease (CVD) or hypertension.</p> <h4>Methods</h4> <p>During 2004-08, the China Kadoorie Biobank study recruited 70,047 adults, aged 30-79 years, with physician-diagnosed stroke or transient ischaemic attack, ischemic heart disease, or hypertension. Information on diet and physical activity was collected using an interviewer administered electronic questionnaire. Cox regression was used to yield hazard ratios (HRs) for the independent and joint associations of fresh fruit consumption and total physical activity with mortality.</p> <h4>Results</h4> <p>At baseline, 32.9% of participants consumed fresh fruit regularly (i.e. >3 days/week) and the mean total physical activity were 15.8 (SD=11.8) MET-hr/day. During ~7-years follow-up, 6569 deaths occurred with 3563 from CVD. Compared to participants with <1 day/week fruit consumption, regular consumers had HR (95% CI) of 0.84 (0.79-0.89) for all-cause mortality and 0.79 (0.73-0.86) for CVD mortality. The HRs for the top vs bottom tertile of physical activity were 0.68 (0.64-0.72) and 0.65 (0.60-0.71), respectively, with no clear evidence of reverse causality. After correcting for regression dilution, each 100 g/day usual consumption of fresh fruit or 10 MET-hr/day usual levels of physical activity was associated with 23-29% lower mortality. The combination of regular fruit consumption with top 3rd of physical activity (>16.53 MET-hr/day) was associated with about 40% lower mortality.</p> <h4>Conclusion</h4> <p>Among Chinese adults with pre-existing vascular disease, higher physical activity and fruit consumption were both independently and jointly associated with lower mortality.</p> |
| first_indexed | 2024-03-07T03:49:22Z |
| format | Journal article |
| id | oxford-uuid:c0ac4c4d-90a5-47e6-bea9-06b1789c683a |
| institution | University of Oxford |
| last_indexed | 2024-03-07T03:49:22Z |
| publishDate | 2017 |
| publisher | Public Library of Science |
| record_format | dspace |
| spelling | oxford-uuid:c0ac4c4d-90a5-47e6-bea9-06b1789c683a2022-03-27T05:56:14ZFruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular diseaseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c0ac4c4d-90a5-47e6-bea9-06b1789c683aSymplectic Elements at OxfordPublic Library of Science2017Du, HTian, XLi, LBennett, DGao, RLi, SWang, SGuo, YBian, ZYang, LChen, YChen, JGao, YWeng, MPang, ZJiang, BChen, Z <h4>Objectives</h4> <p>To assess the associations of fresh fruit consumption and total physical activity with all-cause and cardiovascular mortality among Chinese adults who have been diagnosed with cardiovascular disease (CVD) or hypertension.</p> <h4>Methods</h4> <p>During 2004-08, the China Kadoorie Biobank study recruited 70,047 adults, aged 30-79 years, with physician-diagnosed stroke or transient ischaemic attack, ischemic heart disease, or hypertension. Information on diet and physical activity was collected using an interviewer administered electronic questionnaire. Cox regression was used to yield hazard ratios (HRs) for the independent and joint associations of fresh fruit consumption and total physical activity with mortality.</p> <h4>Results</h4> <p>At baseline, 32.9% of participants consumed fresh fruit regularly (i.e. >3 days/week) and the mean total physical activity were 15.8 (SD=11.8) MET-hr/day. During ~7-years follow-up, 6569 deaths occurred with 3563 from CVD. Compared to participants with <1 day/week fruit consumption, regular consumers had HR (95% CI) of 0.84 (0.79-0.89) for all-cause mortality and 0.79 (0.73-0.86) for CVD mortality. The HRs for the top vs bottom tertile of physical activity were 0.68 (0.64-0.72) and 0.65 (0.60-0.71), respectively, with no clear evidence of reverse causality. After correcting for regression dilution, each 100 g/day usual consumption of fresh fruit or 10 MET-hr/day usual levels of physical activity was associated with 23-29% lower mortality. The combination of regular fruit consumption with top 3rd of physical activity (>16.53 MET-hr/day) was associated with about 40% lower mortality.</p> <h4>Conclusion</h4> <p>Among Chinese adults with pre-existing vascular disease, higher physical activity and fruit consumption were both independently and jointly associated with lower mortality.</p> |
| spellingShingle | Du, H Tian, X Li, L Bennett, D Gao, R Li, S Wang, S Guo, Y Bian, Z Yang, L Chen, Y Chen, J Gao, Y Weng, M Pang, Z Jiang, B Chen, Z Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease |
| title | Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease |
| title_full | Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease |
| title_fullStr | Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease |
| title_full_unstemmed | Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease |
| title_short | Fruit consumption and physical activity in relation to all-cause and cardiovascular mortality among 70,000 Chinese adults with pre-existing vascular disease |
| title_sort | fruit consumption and physical activity in relation to all cause and cardiovascular mortality among 70 000 chinese adults with pre existing vascular disease |
| work_keys_str_mv | AT duh fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT tianx fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT lil fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT bennettd fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT gaor fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT lis fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT wangs fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT guoy fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT bianz fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT yangl fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT cheny fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT chenj fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT gaoy fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT wengm fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT pangz fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT jiangb fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease AT chenz fruitconsumptionandphysicalactivityinrelationtoallcauseandcardiovascularmortalityamong70000chineseadultswithpreexistingvasculardisease |