Cent Eur J Public Health 2020, 28(3):208-218 | DOI: 10.21101/cejph.a6149
Fruit and vegetable consumption and cardiovascular diseases among Jordanians: a case-control study
- 1 Department of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Amman, Jordan
- 2 Department of Nutrition and Food Processing, Faculty of Agricultural Technology, Al-Balqa Applied University, Al-Salt, Jordan
- 3 Faculty of Medicine, Hashemite University, Zarqa, Jordan
- 4 Prince Hamza Hospital, Amman, Jordan
- 5 College of Health Sciences, QU-Health, Qatar University, Doha, Qatar
Objectives: Fruit and vegetable intake has been reported as one of the significant protective factors against the development of cardiovascular diseases (CVD). This study aimed to assess the possible preventive effect of fruit and vegetable consumption on developing CVD.
Methods: A total of 398 participants (205 cases and 193 controls) referred for elective coronary angiography with clinical suspicion of coronary artery disease to Prince Hamza Hospital in Amman were enrolled in this case-control study. Dietary data were collected separately from each patient using interview-based food frequency questionnaire.
Results: The findings of the present study revealed that a total consumption of 3 servings of vegetable per day decreased significantly the risk of CVD to about 54% (OR = 0.46, 95% CI: 0.22-0.97, p = 0.033). Consumption of banana was found to reduce the risk of CVD to about 44% and 62% when consuming 1-2 and 3-6 servings/week, respectively, with p-value for trend 0.004. For the vegetables, the consumption of grape leaves and stuffed vegetables in general was significantly associated with lower risk of CVD. Increasing cauliflower consumption of 1-2 servings per week decreased CVD risk to about 37% (OR = 0.63, 95% CI: 0.38-0.98). Consuming up to 3-6 servings per week of mixed vegetables (OR = 0.10, 95% CI: 0.01-0.83) and onion (OR = 0.42, 95% CI: 0.22-0.80) revealed an inverse association with CVD development.
Conclusions: Adding to the present evidence, consumption of some fruits and vegetables could be considered as preventive factor against developing CVD. However, the association of consuming vegetables with preventing CVD was higher than the fruit consumption.
Klíčová slova: fruits, vegetables, cardiovascular disease, case-control study
Vloženo: 21. únor 2020; Revidováno: 31. červenec 2020; Přijato: 31. červenec 2020; Zveřejněno: 30. září 2020 Zobrazit citaci
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
Reference
- World Health Organization. Monitoring health for the SDGs: sustainable development goals. Geneva: WHO; 2016.
- Roth GA, Huffman MD, Moran AE, Feigin V, Mensah GA, Naghavi M, et al. Global and regional patterns in cardiovascular mortality from 1990 to 2013. Circulation. 2015 Oct 27;132(17):1667-78.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Bhatnagar A. Environmental determinants of cardiovascular disease. Circ Res. 2017;121(2):162-80.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Dhungana RR, Thapa P, Devkota S, Banik PC, Gurung Y, Mumu SJ, et al. Prevalence of cardiovascular disease risk factors: A community-based cross-sectional study in a peri-urban community of Kathmandu, Nepal. Indian Heart J. 2018 Dec;70 Suppl 3:S20-7.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Alissa EM, Ferns GA. Dietary fruits and vegetables and cardiovascular diseases risk. Crit Rev Food Sci Nutr. 2017;57(9):1950-62.
- Mirmiran P, Noori N, Zavareh MB, Azizi F. Fruit and vegetable consumption and risk factors for cardiovascular disease. Metabolism. 2009;58(4):460-8.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Zhan J, Liu YJ, Cai LB, Xu FR, Xie T, He QQ. Fruit and vegetable consumption and risk of cardiovascular disease: a meta-analysis of prospective cohort studies. Crit Rev Food Sci Nutr. 2017;57(8):1650-63.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Buil-Cosiales P, Toledo E, Salas-Salvadó J, Zazpe I, Farràs M, Basterra-Gortari FJ, et al.; PREDIMED investigators. Association between dietary fibre intake and fruit, vegetable or whole-grain consumption and the risk of CVD: results from the PREvención con DIeta MEDiterránea (PREDIMED) trial. Br J Nutr. 2016 Aug;116(3):534-46.
Přejít k původnímu zdroji...
Přejít na PubMed...
- He FJ, Nowson CA, Lucas M, MacGregor GA. Increased consumption of fruit and vegetables is related to a reduced risk of coronary heart disease: meta-analysis of cohort studies. J Hum Hypertens. 2007 Sep;21(9):717-28.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Okuda N, Miura K, Okayama A, Okamura T, Abbott RD, Nishi N, et al.; NIPPON DATA80 Research Group. Fruit and vegetable intake and mortality from cardiovascular disease in Japan: a 24-year follow-up of the NIPPON DATA80 Study. Eur J Clin Nutr. 2015 Apr;69(4):482-8.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Crowe FL, Roddam AW, Key TJ, Appleby PN, Overvad K, Jakobsen MU, et al.; European Prospective Investigation into Cancer and Nutrition (EPIC)-Heart Study Collaborators. Fruit and vegetable intake and mortality from ischaemic heart disease: results from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Heart study. Eur Heart J. 2011 May;32(10):1235-43.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Oyebode O, Gordon-Dseagu V, Walker A, Mindell JS. Fruit and vegetable consumption and all-cause, cancer and CVD mortality: analysis of Health Survey for England data. J Epidemiol Community Health. 2014 Sep;68(9):856-62.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Bhupathiraju SN, Wedick NM, Pan A, Manson JE, Rexrode KM, Willett WC, et al. Quantity and variety in fruit and vegetable intake and risk of coronary heart disease. Am J Clin Nutr. 2013 Dec;98(6):1514-23.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Hu D, Huang J, Wang Y, Zhang D, Qu Y. Fruits and vegetables consumption and risk of stroke: a meta-analysis of prospective cohort studies. Stroke. 2014 Jun;45(6):1613-9.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Oude Griep LM, Verschuren WM, Kromhout D, Ocké MC, Geleijnse JM. Colors of fruit and vegetables and 10-year incidence of stroke. Stroke. 2011 Nov;42(11):3190-5.
Přejít k původnímu zdroji...
Přejít na PubMed...
- World Health Organization. Noncommunicable Diseases (NCD) Country Profiles. Geneva: WHO; 2014.
- Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, et al. Physical activity assessment methodology in the Five-City Project. Am J Epidemiol. 1985;121(1):91-106.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Bradley SM, Maddox TM, Stanislawski MA, O'Donnell CI, Grunwald GK, Tsai TT, et al. Normal coronary rates for elective angiography in the Veterans Affairs Healthcare System: insights from the VA CART program (veterans affairs clinical assessment reporting and tracking). J Am Coll Cardiol. 2014,63(5):417-26.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Maddox TM, Stanislawski MA, Grunwald GK, Bradley SM, Ho PM, Tsai TT, et al. Nonobstructive coronary artery disease and risk of myocardial infarction. JAMA. 2014;312(17):1754-63
Přejít k původnímu zdroji...
Přejít na PubMed...
- Tayyem RF, Abu-Mweis SS, Bawadi HA, Agraib L, Bani-Hani K. Validation of a food frequency questionnaire to assess macronutrient and micronutrient intake among Jordanians. J Acad Nutr Diet. 2014;114(7):1046-52.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Oppert JM, Thomas F, Charles MA, Benetos A, Basdevant A, Simon C. Leisure-time and occupational physical activity in relation to cardiovascular risk factors and eating habits in French adults. Public Health Nutr. 2006;9(6):746-54.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Yu D, Zhang X, Gao YT, Li H, Yang G, Huang J, et al. Fruit and vegetable intake and risk of CHD: results from prospective cohort studies of Chinese adults in Shanghai. Br J Nutr. 2014;111(2):353-62.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Affret A, Severi G, Dow C, Mancini FR, Rey G, Delpierre C, et al. Socio-economic factors associated with an increase in fruit and vegetable consumption: a 12-year study in women from the E3N-EPIC study. Public Health Nutr. 2018;21(4):740-55.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Hodgson JM, Prince RL, Woodman RJ, Bondonno CP, Ivey KL, Bondonno N, et al. Apple intake is inversely associated with all-cause and disease-specific mortality in elderly women. Br J Nutr 2016;115(5):860-7.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Bondonno NP, Lewis JR, Prince RL, Lim WH, Wong G, Schousboe JT, et al. Fruit intake and abdominal aortic calcification in elderly women: a prospective cohort study. Nutrients. 2016;8(3):159-71.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Oude Griep LM, Stamler J, Chan Q, Van Horn L, Steffen LM, Miura K, et al. Association of raw fruit and fruit juice consumption with blood pressure: the INTERMAP Study. Am J Clin Nutr 2013;97(5):1083-91.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Rimm EB, Ascherio A, Giovannucci E, Spiegelman D, Stampfer MJ, Willett WC. Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. JAMA. 1996;275(6):447-51.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Satija A, Hu FB. Cardiovascular benefits of dietary fiber. Curr Atheroscler Rep. 2012;14(6):505-14.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Armah CN, Traka MH, Dainty JR, Defernez M, Janssens A, Leung W, et al. A diet rich in high-glucoraphanin broccoli interacts with genotype to reduce discordance in plasma metabolite profiles by modulating mitochondrial function. Am J Clin Nutr. 2013;98(3):712-22.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Armah CN, Traka MH, Dainty JR, Doleman JF, Potter JF, Mithen RF. Effect of a high glucoraphanin broccoli diet on blood pressure and the cardiovascular risk profile of an at risk group: a randomised controlled study. J Hypertens. 2012 Sep;30 Suppl 1:e123. doi: 10.1097/01.hjh.0000420271.89131.02.
Přejít k původnímu zdroji...
- Sesso HD, Gaziano JM, Liu S, Buring JE. Flavonoid intake and the risk of cardiovascular disease in women. Am J Clin Nutr. 2003;77(6):1400-8.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Slavin JL, Lloyd B. Health benefits of fruits and vegetables. Adv Nutr. 2012 Jul;3(4):506-16.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Grosso G, Micek A, Godos J, Pajak A, Sciacca S, Galvano F, et al. Dietary flavonoid and lignan intake and mortality in prospective cohort studies: systematic review and dose-response meta-analysis. Am J Epidemiol. 2017 Jun 15;185(12):1304-16.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Adolphe JL, Whiting SJ, Juurlink BH, Thorpe LU, Alcorn J. Health effects with consumption of the flax lignan secoisolariciresinol diglucoside. Br J Nutr. 2010 Apr;103(7):929-38.
Přejít k původnímu zdroji...
Přejít na PubMed...