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Intake of vegetables, legumes, and fruit, and risk for all-cause, cardiovascular, and cancer mortality in a European diabetic population

Authors :
Nothlings, Ute
Schulze, Matthias B.
Weikert, Cornelia
Boeing, Heiner
van der Schouw, Yvonne T.
Bamia, Christina
Benetou, Vasiliki
Lagiou, Pagona
Krogh, Vittorio
Beulens, Joline W.J.
Peeters, Petra H.M.
Halkjaer, Jytte
Tjonneland, Anne
Tumino, Rosario
Panico, Salvatore
Masala, Giovanna
Clavel-Chapelon, Francoise
Lauzon, Blandine de
Boutron-Ruault, Marie-Christine
Vercambre, Marie-Noel
Kaaks, Rudolf
Linseisen, Jakob
Overvad, Kim
Arriola, Larraitz
Ardanaz, Eva
Gonzalez, Carlos A.
Tormo, Marie-Jose
Bingham, Sheila
Khaw, Kay-Tee
Key, Tim J.A.
Vineis, Paolo
Riboli, Elio
Ferrari, Pietro
Boffetta, Paolo
Bueno-de-Mesquita, H. Bas
van der A, Daphne L.
Berglund, Goran
Wirfalt, Elisabet
Hallmans, Goran
Johansson, Ingegerd
Lund, Eiliv
Trichopoulo, Antonia
Source :
The Journal of Nutrition. April, 2008, Vol. 138 Issue 4, p775, 7 p.
Publication Year :
2008

Abstract

We examined the associations of intake of vegetables, legumes and fruit with all-cause and cause-specific morality in a population with prevalent diabetes in Europe. A cohort of 10,449 participants with self-reported diabetes within the European Prospective Investigation into Cancer and Nutrition study was followed for a mean of 9 y. Intakes of vegetables, legumes, and fruit were assessed at baseline between 1992 and 2000 using validated country-specific questionnaires. A total of 1346 deaths occurred. Multivariate relative risks (RR) for all-cause mortality were estimated in Cox regression models and RR for causespecific mortality were derived in a competing risk model. An increment in intake of total vegetables, legumes, and fruit of 80 g/d was associated with a RR of death from all causes of 0.94 [95% CI 0.9043.98]. Analyzed separately, vegetables and legumes were associated with a significantly reduced risk, whereas nonsignificant inverse associations for fruit intake were observed. Cardiovascular disease (CVD) mortality and mortality due to non-CVD/non-cancer causes were significantly inversely associated with intake of total vegetables, legumes, and fruit (RR 0.88 [95% CI 0.81-0.95] and 0.90 [0.82-0.99], respectively) but not cancer mortality (1.08 [0.99-1.17]). Intake of vegetables, legumes, and fruit was associated with reduced risks of allcause and CVD mortality in a diabetic population. The findings support the current state of evidence from general population studies that the protective potential of vegetable and fruit intake is larger for CVD than for cancer and suggest that diabetes patients may benefit from a diet high in vegetables and fruits.

Details

Language :
English
ISSN :
00223166
Volume :
138
Issue :
4
Database :
Gale General OneFile
Journal :
The Journal of Nutrition
Publication Type :
Academic Journal
Accession number :
edsgcl.177720537