Amount, type, and sources of carbohydrates in relation to ischemic heart disease mortality in a Chinese population: a prospective cohort study1234
Identifieur interne : 003F63 ( Main/Exploration ); précédent : 003F62; suivant : 003F64Amount, type, and sources of carbohydrates in relation to ischemic heart disease mortality in a Chinese population: a prospective cohort study1234
Auteurs : Salome A. Rebello ; Hiromi Koh ; Cynthia Chen ; Nasheen Naidoo ; Andrew O. Odegaard ; Woon-Puay Koh ; Lesley M. Butler ; Jian-Min Yuan ; Rob M. Van DamSource :
- The American Journal of Clinical Nutrition [ 0002-9165 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Comportement alimentaire, Enquêtes et questionnaires, Facteurs de risque, Femelle, Fruit, Grains comestibles, Humains, Hydrates de carbone alimentaires (administration et posologie), Hydrates de carbone alimentaires (effets indésirables), Indice de masse corporelle, Ischémie myocardique (mortalité), Légumes, Modèles de hasards proportionnels, Mâle, Population d'origine asiatique, Régime alimentaire, Singapour (épidémiologie), Sujet âgé, Études de suivi, Études prospectives, Évaluation de l'état nutritionnel.
- MESH :
- administration et posologie : Hydrates de carbone alimentaires.
- effets indésirables : Hydrates de carbone alimentaires.
- mortalité : Ischémie myocardique.
- épidémiologie : Singapour.
- Adulte d'âge moyen, Comportement alimentaire, Enquêtes et questionnaires, Facteurs de risque, Femelle, Fruit, Grains comestibles, Humains, Indice de masse corporelle, Légumes, Modèles de hasards proportionnels, Mâle, Population d'origine asiatique, Régime alimentaire, Sujet âgé, Études de suivi, Études prospectives, Évaluation de l'état nutritionnel.
English descriptors
- KwdEn :
- Aged, Asian Continental Ancestry Group, Body Mass Index, Diet, Dietary Carbohydrates (administration & dosage), Dietary Carbohydrates (adverse effects), Edible Grain, Feeding Behavior, Female, Follow-Up Studies, Fruit, Humans, Male, Middle Aged, Myocardial Ischemia (mortality), Nutrition Assessment, Proportional Hazards Models, Prospective Studies, Risk Factors, Singapore (epidemiology), Surveys and Questionnaires, Vegetables.
- MESH :
- chemical , administration & dosage : Dietary Carbohydrates.
- chemical , adverse effects : Dietary Carbohydrates.
- epidemiology : Singapore.
- mortality : Myocardial Ischemia.
- Aged, Asian Continental Ancestry Group, Body Mass Index, Diet, Edible Grain, Feeding Behavior, Female, Follow-Up Studies, Fruit, Humans, Male, Middle Aged, Nutrition Assessment, Proportional Hazards Models, Prospective Studies, Risk Factors, Surveys and Questionnaires, Vegetables.
Abstract
Url:
DOI: 10.3945/ajcn.113.076273
PubMed: 24787492
PubMed Central: 4144114
Affiliations:
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Le document en format XML
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<author><name sortKey="Chen, Cynthia" sort="Chen, Cynthia" uniqKey="Chen C" first="Cynthia" last="Chen">Cynthia Chen</name>
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<author><name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name>
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<series><title level="j">The American Journal of Clinical Nutrition</title>
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<term>Asian Continental Ancestry Group</term>
<term>Body Mass Index</term>
<term>Diet</term>
<term>Dietary Carbohydrates (administration & dosage)</term>
<term>Dietary Carbohydrates (adverse effects)</term>
<term>Edible Grain</term>
<term>Feeding Behavior</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Fruit</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Myocardial Ischemia (mortality)</term>
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<term>Singapore (epidemiology)</term>
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<term>Comportement alimentaire</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Fruit</term>
<term>Grains comestibles</term>
<term>Humains</term>
<term>Hydrates de carbone alimentaires (administration et posologie)</term>
<term>Hydrates de carbone alimentaires (effets indésirables)</term>
<term>Indice de masse corporelle</term>
<term>Ischémie myocardique (mortalité)</term>
<term>Légumes</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Population d'origine asiatique</term>
<term>Régime alimentaire</term>
<term>Singapour (épidémiologie)</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
<term>Évaluation de l'état nutritionnel</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dietary Carbohydrates</term>
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<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Ischémie myocardique</term>
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<term>Asian Continental Ancestry Group</term>
<term>Body Mass Index</term>
<term>Diet</term>
<term>Edible Grain</term>
<term>Feeding Behavior</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Fruit</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nutrition Assessment</term>
<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
<term>Risk Factors</term>
<term>Surveys and Questionnaires</term>
<term>Vegetables</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Comportement alimentaire</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Fruit</term>
<term>Grains comestibles</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Légumes</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Population d'origine asiatique</term>
<term>Régime alimentaire</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en"><p><bold>Background: </bold>
The relation between carbohydrate intake and risk of ischemic heart disease (IHD) has not been fully explored in Asian populations known to have high-carbohydrate diets.</p>
<p><bold>Objective:</bold>
We assessed whether intakes of total carbohydrates, different types of carbohydrates, and their food sources were associated with IHD mortality in a Chinese population.</p>
<p><bold>Design:</bold>
We prospectively examined the association of carbohydrate intake and IHD mortality in 53,469 participants in the Singapore Chinese Health Study with an average follow-up of 15 y. Diet was assessed by using a semiquantitative food-frequency questionnaire. HRs and 95% CIs were calculated by using a Cox proportional hazards analysis.</p>
<p><bold>Results: </bold>
We documented 1660 IHD deaths during 804,433 person-years of follow-up. Total carbohydrate intake was not associated with IHD mortality risk [men: HR per 5% of energy, 0.97 (95% CI: 0.92, 1.03); women: 1.06 (95% CI: 0.99, 1.14)]. When types of carbohydrates were analyzed individually, starch intake was associated with higher risk [men: 1.03 (95% CI: 0.99, 1.08); women: 1.08, (95% CI: 1.02, 1.14)] and fiber intake with lower risk of IHD mortality [men: 0.94 (95% CI: 0.82, 1.08); women: 0.71 (95% CI: 0.60, 0.84)], with stronger associations in women than men (both <italic>P</italic>
-interaction < 0.01). In substitution analyses, the replacement of one daily serving of rice with one daily serving of noodles was associated with higher risk (difference in HR: 26.11%; 95% CI: 10.98%, 43.30%). In contrast, replacing one daily serving of rice with one of vegetables (−23.81%; 95% CI: −33.12%, −13.20%), fruit (−11.94%; 95% CI: −17.49%, −6.00%), or whole-wheat bread (−19.46%; 95% CI: −34.28%, −1.29%) was associated with lower risk of IHD death.</p>
<p><bold>Conclusions: </bold>
In this Asian population with high carbohydrate intake, the total amount of carbohydrates consumed was not substantially associated with IHD mortality. In contrast, the shifting of food sources of carbohydrates toward a higher consumption of fruit, vegetables, and whole grains was associated with lower risk of IHD death.</p>
</div>
</front>
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<tree><noCountry><name sortKey="Butler, Lesley M" sort="Butler, Lesley M" uniqKey="Butler L" first="Lesley M" last="Butler">Lesley M. Butler</name>
<name sortKey="Chen, Cynthia" sort="Chen, Cynthia" uniqKey="Chen C" first="Cynthia" last="Chen">Cynthia Chen</name>
<name sortKey="Koh, Hiromi" sort="Koh, Hiromi" uniqKey="Koh H" first="Hiromi" last="Koh">Hiromi Koh</name>
<name sortKey="Koh, Woon Puay" sort="Koh, Woon Puay" uniqKey="Koh W" first="Woon-Puay" last="Koh">Woon-Puay Koh</name>
<name sortKey="Naidoo, Nasheen" sort="Naidoo, Nasheen" uniqKey="Naidoo N" first="Nasheen" last="Naidoo">Nasheen Naidoo</name>
<name sortKey="Odegaard, Andrew O" sort="Odegaard, Andrew O" uniqKey="Odegaard A" first="Andrew O" last="Odegaard">Andrew O. Odegaard</name>
<name sortKey="Rebello, Salome A" sort="Rebello, Salome A" uniqKey="Rebello S" first="Salome A" last="Rebello">Salome A. Rebello</name>
<name sortKey="Van Dam, Rob M" sort="Van Dam, Rob M" uniqKey="Van Dam R" first="Rob M" last="Van Dam">Rob M. Van Dam</name>
<name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name>
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