Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden
OBJECTIVES: Assess the effects of diets varying in nutrient density and climate impact on risk of myocardial infarction (MI). METHODS: Dietary data from 39 927 women and 37 390 men 35–65 years in the population-based prospective study Västerbotten Intervention Programme (Sweden) between the years 19...
Published in: | Current Developments in Nutrition |
---|---|
Main Authors: | , , , , |
Format: | Text |
Language: | English |
Published: |
Oxford University Press
2021
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181304/ https://doi.org/10.1093/cdn/nzab053_088 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:8181304 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:8181304 2023-05-15T17:45:05+02:00 Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden Strid, Anna Johansson, Ingegerd Lindahl, Bernt Hallström, Elinor Winkvist, Anna 2021-06-07 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181304/ https://doi.org/10.1093/cdn/nzab053_088 en eng Oxford University Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181304/ http://dx.doi.org/10.1093/cdn/nzab053_088 Copyright © The Author(s) on behalf of the American Society for Nutrition 2021. https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_modelThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) Curr Dev Nutr Nutritional Epidemiology Text 2021 ftpubmed https://doi.org/10.1093/cdn/nzab053_088 2021-06-13T00:36:04Z OBJECTIVES: Assess the effects of diets varying in nutrient density and climate impact on risk of myocardial infarction (MI). METHODS: Dietary data from 39 927 women and 37 390 men 35–65 years in the population-based prospective study Västerbotten Intervention Programme (Sweden) between the years 1990–2016 were used to characterize dietary quality and dietary climate impact. Nutrient density was estimated by the Sweden-adapted Nutrient Rich Foods index NRF11.3, based on 11 nutrients (protein, dietary fiber, iron, folate, vitamins A, C, D, E, magnesium, calcium, potassium) to be encouraged and three nutrients (saturated fat, added sugar, sodium) to be limited. Dietary climate impact was estimated using data from life cycle assessments. Information on MI diagnosis was obtained from registers at the National Board of Health and Welfare in Sweden using personal identification numbers. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated using multivariable Cox proportional hazards regression for four groups of women and men, respectively higher nutrient density, lower climate impact; higher nutrient density, higher climate impact; lower nutrient density, lower climate impact; and lower nutrient density, higher climate impact (reference group). Potential confounders were adjusted for. RESULTS: Median follow-up times from recruitment to MI diagnosis for women were 15.8 years and for men 12.8 years, during which time 962 and 2 607 first-time events occurred, respectively. For men a significantly increased risk of MI was found for the group with lower nutrient density and lower climate impact [HR 1.20 (95% CI: 1.06, 1.34); P = 0.003] compared to the group with lower nutrient density and higher climate impact. No significant association was found between the groups of nutrient density and dietary climate impact and MI in women, although a similar trend as that for men was found. CONCLUSIONS: A lower compared with a higher dietary climate impact was associated with a higher risk of MI in men when diet ... Text Northern Sweden PubMed Central (PMC) Current Developments in Nutrition 5 Supplement_2 1095 1095 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Nutritional Epidemiology |
spellingShingle |
Nutritional Epidemiology Strid, Anna Johansson, Ingegerd Lindahl, Bernt Hallström, Elinor Winkvist, Anna Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden |
topic_facet |
Nutritional Epidemiology |
description |
OBJECTIVES: Assess the effects of diets varying in nutrient density and climate impact on risk of myocardial infarction (MI). METHODS: Dietary data from 39 927 women and 37 390 men 35–65 years in the population-based prospective study Västerbotten Intervention Programme (Sweden) between the years 1990–2016 were used to characterize dietary quality and dietary climate impact. Nutrient density was estimated by the Sweden-adapted Nutrient Rich Foods index NRF11.3, based on 11 nutrients (protein, dietary fiber, iron, folate, vitamins A, C, D, E, magnesium, calcium, potassium) to be encouraged and three nutrients (saturated fat, added sugar, sodium) to be limited. Dietary climate impact was estimated using data from life cycle assessments. Information on MI diagnosis was obtained from registers at the National Board of Health and Welfare in Sweden using personal identification numbers. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated using multivariable Cox proportional hazards regression for four groups of women and men, respectively higher nutrient density, lower climate impact; higher nutrient density, higher climate impact; lower nutrient density, lower climate impact; and lower nutrient density, higher climate impact (reference group). Potential confounders were adjusted for. RESULTS: Median follow-up times from recruitment to MI diagnosis for women were 15.8 years and for men 12.8 years, during which time 962 and 2 607 first-time events occurred, respectively. For men a significantly increased risk of MI was found for the group with lower nutrient density and lower climate impact [HR 1.20 (95% CI: 1.06, 1.34); P = 0.003] compared to the group with lower nutrient density and higher climate impact. No significant association was found between the groups of nutrient density and dietary climate impact and MI in women, although a similar trend as that for men was found. CONCLUSIONS: A lower compared with a higher dietary climate impact was associated with a higher risk of MI in men when diet ... |
format |
Text |
author |
Strid, Anna Johansson, Ingegerd Lindahl, Bernt Hallström, Elinor Winkvist, Anna |
author_facet |
Strid, Anna Johansson, Ingegerd Lindahl, Bernt Hallström, Elinor Winkvist, Anna |
author_sort |
Strid, Anna |
title |
Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden |
title_short |
Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden |
title_full |
Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden |
title_fullStr |
Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden |
title_full_unstemmed |
Diets Varying in Nutrient Density and Climate Impact and Their Association With Risk of Myocardial Infarction in Northern Sweden |
title_sort |
diets varying in nutrient density and climate impact and their association with risk of myocardial infarction in northern sweden |
publisher |
Oxford University Press |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181304/ https://doi.org/10.1093/cdn/nzab053_088 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Curr Dev Nutr |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181304/ http://dx.doi.org/10.1093/cdn/nzab053_088 |
op_rights |
Copyright © The Author(s) on behalf of the American Society for Nutrition 2021. https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_modelThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) |
op_doi |
https://doi.org/10.1093/cdn/nzab053_088 |
container_title |
Current Developments in Nutrition |
container_volume |
5 |
container_issue |
Supplement_2 |
container_start_page |
1095 |
op_container_end_page |
1095 |
_version_ |
1766147817811738624 |