TY - JOUR
T1 - Dietary Fiber and Risk of Coronary Heart Disease
T2 - A Pooled Analysis of Cohort Studies
AU - Pereira, Mark A.
AU - O'Reilly, Eilis
AU - Augustsson, Katarina
AU - Fraser, Gary E.
AU - Goldbourt, Uri
AU - Heitmann, Berit L.
AU - Hallmans, Goran
AU - Knekt, Paul
AU - Liu, Simin
AU - Pietinen, Pirjo
AU - Spiegelman, Donna
AU - Stevens, June
AU - Virtamo, Jarmo
AU - Willett, Walter C.
AU - Ascherio, Alberto
PY - 2004/2/23
Y1 - 2004/2/23
N2 - Background: Few epidemiologic studies of dietary fiber intake and risk of coronary heart disease have compared fiber types (cereal, fruit, and vegetable) or included sex-specific results. The purpose of this study was to conduct a pooled analysis of dietary fiber and its subtypes and risk of coronary heart disease. Methods: We analyzed the original data from 10 prospective cohort studies from the United States and Europe to estimate the association between dietary fiber intake and the risk of coronary heart disease. Results: Over 6 to 10 years of follow-up, 5249 incident total coronary cases and 2011 coronary deaths occurred among 91058 men and 245186 women. After adjustment for demographics, body mass index, and lifestyle factors, each 10-g/d increment of energy-adjusted and measurement error-corrected total dietary fiber was associated with a 14% (relative risk [RR], 0.86; 95% confidence interval [CI], 0.78-0.96) decrease in risk of all coronary events and a 27% (RR, 0.73; 95% CI, 0.61-0.87) decrease in risk of coronary death. For cereal, fruit, and vegetable fiber intake (not error corrected), RRs corresponding to 10-g/d increments were 0.90 (95% CI, 0.77-1.07), 0.84 (95% CI, 0.70-0.99), and 1.00 (95% CI, 0.88-1.13), respectively, for all coronary events and 0.75 (95% CI, 0.63-0.91), 0.70 (95% CI, 0.55-0.89), and 1.00 (95% CI, 0.82-1.23), respectively, for deaths. Results were similar for men and women. Conclusion: Consumption of dietary fiber from cereals and fruits is inversely associated with risk of coronary heart disease.
AB - Background: Few epidemiologic studies of dietary fiber intake and risk of coronary heart disease have compared fiber types (cereal, fruit, and vegetable) or included sex-specific results. The purpose of this study was to conduct a pooled analysis of dietary fiber and its subtypes and risk of coronary heart disease. Methods: We analyzed the original data from 10 prospective cohort studies from the United States and Europe to estimate the association between dietary fiber intake and the risk of coronary heart disease. Results: Over 6 to 10 years of follow-up, 5249 incident total coronary cases and 2011 coronary deaths occurred among 91058 men and 245186 women. After adjustment for demographics, body mass index, and lifestyle factors, each 10-g/d increment of energy-adjusted and measurement error-corrected total dietary fiber was associated with a 14% (relative risk [RR], 0.86; 95% confidence interval [CI], 0.78-0.96) decrease in risk of all coronary events and a 27% (RR, 0.73; 95% CI, 0.61-0.87) decrease in risk of coronary death. For cereal, fruit, and vegetable fiber intake (not error corrected), RRs corresponding to 10-g/d increments were 0.90 (95% CI, 0.77-1.07), 0.84 (95% CI, 0.70-0.99), and 1.00 (95% CI, 0.88-1.13), respectively, for all coronary events and 0.75 (95% CI, 0.63-0.91), 0.70 (95% CI, 0.55-0.89), and 1.00 (95% CI, 0.82-1.23), respectively, for deaths. Results were similar for men and women. Conclusion: Consumption of dietary fiber from cereals and fruits is inversely associated with risk of coronary heart disease.
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U2 - 10.1001/archinte.164.4.370
DO - 10.1001/archinte.164.4.370
M3 - Article
C2 - 14980987
AN - SCOPUS:10744233457
SN - 0003-9926
VL - 164
SP - 370
EP - 376
JO - Archives of Internal Medicine
JF - Archives of Internal Medicine
IS - 4
ER -
