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Titolo:
Food intake patterns and 25-year mortality from coronary heart disease: Cross-cultural correlations in the Seven Countries Study
Autore:
Menotti, A; Kromhout, D; Blackburn, H; Fidanza, F; Buzina, R; Nissinen, A;
Indirizzi:
Univ Minnesota, Sch Publ Hlth, Div Epidemiol, Minneapolis, MN 55455 USA Univ Minnesota Minneapolis MN USA 55455 demiol, Minneapolis, MN 55455 USA
Titolo Testata:
EUROPEAN JOURNAL OF EPIDEMIOLOGY
fascicolo: 6, volume: 15, anno: 1999,
pagine: 507 - 515
SICI:
0393-2990(199907)15:6<507:FIPA2M>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
20 YEAR MORTALITY; 7 COUNTRIES; 20-YEAR MORTALITY; DIETARY-INTAKE; CONTEMPORARY KNOWLEDGE; MYOCARDIAL-INFARCTION; MEDITERRANEAN DIETS; HEALTH IMPLICATIONS; FISH CONSUMPTION; FATTY-ACIDS;
Keywords:
coronary heart disease; diet; food-groups;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Menotti, A Cardioric, Via Adda 87, I-00198 Rome, Italy Cardioric Via Adda 87 Rome Italy I-00198 , I-00198 Rome, Italy
Citazione:
A. Menotti et al., "Food intake patterns and 25-year mortality from coronary heart disease: Cross-cultural correlations in the Seven Countries Study", EUR J EPID, 15(6), 1999, pp. 507-515

Abstract

In the Seven Countries Study, associations between the intake of food-groups and 25-year mortality from coronary heart disease (CHD, defined as sudden coronary death or fatal myocardial infarction) were investigated. Baseline surveys were carried out between 1958 and 1964. A number of individual characteristics were measured in 12,763 middle-aged men belonging to 16 cohorts in seven countries (USA, Finland, The Netherlands, Italy, former Yugoslavia, Greece and Japan). Dietary information was collected in sub-samples using the weighed record method. Vital status of all participants was verified at regular intervals during 25 years of follow-up and the underlying cause of death was adjudicated. Eighteen different food-groups and combinationswere considered for comparison among cohorts. Large differences in food-group consumption were seen, with high consumption of dairy products in Northern Europe, meat in the USA, vegetables, legumes, fish, and wine in Southern Europe, and cereals, soy products, and fish in Japan. Population death rates from CHD showed large differences, ranging from 268 per 1000 in East Finland to 25 per 1000 in Crete, Greece. Animal food-groups were directly correlated, and vegetable food-groups (except potatoes) as well as fish and alcohol were inversely correlated with CHD mortality. Univariate analysis showed significant positive correlation coefficients for butter (R = 0.887), meat (R = 0.645), pastries (R = 0.752), and milk (R = 0.600) consumption, and significant negative correlation coefficients for legumes (R = -0.822), oils (R = -0.571), and alcohol (R = -0.609) consumption. Combined vegetable foods (excluding alcohol) were inversely correlated (R = -0.519), whereas combined animal foods (excluding fish) were directly correlated (R = 0.798) with CHD death rates. Multivariate stepwise analysis selected butter, lard+margarine and meat as significant predictors and produced an R-2 of 0.922. These findings were confirmed by factor analysis. These cross-cultural analyses are consistent with the hypothesis that dietary patterns are importantdeterminants of differences in population CHD death rates, and confirm theopposite effects on apparent risk of animal and vegetable foods.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 07:03:07