The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke: a prospective study of 418 329 participants in the EPIC cohort across nine European countries

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The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke : a prospective study of 418 329 participants in the EPIC cohort across nine European countries. / Tong, Tammy Y. N.; Appleby, Paul N.; Key, Timothy J.; Dahm, Christina C.; Overvad, Kim; Olsen, Anja; Tjønneland, Anne; Katzke, Verena; Kuhn, Tilman; Boeing, Heiner; Karakatsani, Anna; Peppa, Eleni; Trichopoulou, Antonia; Weiderpass, Elisabete; Masala, Giovanna; Grioni, Sara; Panico, Salvatore; Tumino, Rosario; Boer, Jolanda M. A.; Verschuren, W. M. Monique; Quiros, J. Ramon; Agudo, Antonio; Rodriguez-Barranco, Miguel; Imaz, Liher; Chirlaque, Maria-Dolores; Moreno-Iribas, Conchi; Engstrom, Gunnar; Sonestedt, Emily; Lind, Marcus; Otten, Julia; Khaw, Kay-Tee; Aune, Dagfinn; Riboli, Elio; Wareham, Nicholas J.; Imamura, Fumiaki; Forouhi, Nita G.; di Angelantonio, Emanuele; Wood, Angela M.; Butterworth, Adam S.; Perez-Cornago, Aurora.

In: European Heart Journal, Vol. 41, No. 28, 2020, p. 2632-2640.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Tong, TYN, Appleby, PN, Key, TJ, Dahm, CC, Overvad, K, Olsen, A, Tjønneland, A, Katzke, V, Kuhn, T, Boeing, H, Karakatsani, A, Peppa, E, Trichopoulou, A, Weiderpass, E, Masala, G, Grioni, S, Panico, S, Tumino, R, Boer, JMA, Verschuren, WMM, Quiros, JR, Agudo, A, Rodriguez-Barranco, M, Imaz, L, Chirlaque, M-D, Moreno-Iribas, C, Engstrom, G, Sonestedt, E, Lind, M, Otten, J, Khaw, K-T, Aune, D, Riboli, E, Wareham, NJ, Imamura, F, Forouhi, NG, di Angelantonio, E, Wood, AM, Butterworth, AS & Perez-Cornago, A 2020, 'The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke: a prospective study of 418 329 participants in the EPIC cohort across nine European countries', European Heart Journal, vol. 41, no. 28, pp. 2632-2640. https://doi.org/10.1093/eurheartj/ehaa007

APA

Tong, T. Y. N., Appleby, P. N., Key, T. J., Dahm, C. C., Overvad, K., Olsen, A., Tjønneland, A., Katzke, V., Kuhn, T., Boeing, H., Karakatsani, A., Peppa, E., Trichopoulou, A., Weiderpass, E., Masala, G., Grioni, S., Panico, S., Tumino, R., Boer, J. M. A., ... Perez-Cornago, A. (2020). The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke: a prospective study of 418 329 participants in the EPIC cohort across nine European countries. European Heart Journal, 41(28), 2632-2640. https://doi.org/10.1093/eurheartj/ehaa007

Vancouver

Tong TYN, Appleby PN, Key TJ, Dahm CC, Overvad K, Olsen A et al. The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke: a prospective study of 418 329 participants in the EPIC cohort across nine European countries. European Heart Journal. 2020;41(28):2632-2640. https://doi.org/10.1093/eurheartj/ehaa007

Author

Tong, Tammy Y. N. ; Appleby, Paul N. ; Key, Timothy J. ; Dahm, Christina C. ; Overvad, Kim ; Olsen, Anja ; Tjønneland, Anne ; Katzke, Verena ; Kuhn, Tilman ; Boeing, Heiner ; Karakatsani, Anna ; Peppa, Eleni ; Trichopoulou, Antonia ; Weiderpass, Elisabete ; Masala, Giovanna ; Grioni, Sara ; Panico, Salvatore ; Tumino, Rosario ; Boer, Jolanda M. A. ; Verschuren, W. M. Monique ; Quiros, J. Ramon ; Agudo, Antonio ; Rodriguez-Barranco, Miguel ; Imaz, Liher ; Chirlaque, Maria-Dolores ; Moreno-Iribas, Conchi ; Engstrom, Gunnar ; Sonestedt, Emily ; Lind, Marcus ; Otten, Julia ; Khaw, Kay-Tee ; Aune, Dagfinn ; Riboli, Elio ; Wareham, Nicholas J. ; Imamura, Fumiaki ; Forouhi, Nita G. ; di Angelantonio, Emanuele ; Wood, Angela M. ; Butterworth, Adam S. ; Perez-Cornago, Aurora. / The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke : a prospective study of 418 329 participants in the EPIC cohort across nine European countries. In: European Heart Journal. 2020 ; Vol. 41, No. 28. pp. 2632-2640.

Bibtex

@article{41c0181a40e54076be01254efce28c51,
title = "The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke: a prospective study of 418 329 participants in the EPIC cohort across nine European countries",
abstract = "Aim To investigate the associations between major foods and dietary fibre with subtypes of stroke in a large prospective cohort.Methods and results We analysed data on 418 329 men and women from nine European countries, with an average of 12.7years of follow-up. Diet was assessed using validated country-specific questionnaires which asked about habitual intake over the past year, calibrated using 24-h recalls. Multivariable-adjusted Cox regressions were used to estimate hazard ratios (HRs) for ischaemic and haemorrhagic stroke associated with consumption of red and processed meat, poultry, fish, dairy foods, eggs, cereals, fruit and vegetables, legumes, nuts and seeds, and dietary fibre. For ischaemic stroke (4281 cases), lower risks were observed with higher consumption of fruit and vegetables combined (HR; 95% CI per 200g/day higher intake, 0.87; 0.82-0.93, P-trendConclusion Risk of ischaemic stroke was inversely associated with consumption of fruit and vegetables, dietary fibre, and dairy foods, while risk of haemorrhagic stroke was positively associated with egg consumption. The apparent differences in the associations highlight the importance of examining ischaemic and haemorrhagic stroke subtypes separately.",
keywords = "Diet, Fruit, Vegetables, Fibre, Ischaemic stroke, Haemorrhagic stroke, DOSE-RESPONSE METAANALYSIS, PROCESSED MEAT CONSUMPTION, CORONARY-HEART-DISEASE, CARDIOVASCULAR-DISEASE, BLOOD-PRESSURE, DIETARY FIBER, DAIRY CONSUMPTION, FISH CONSUMPTION, GRAIN CONSUMPTION, EGG CONSUMPTION",
author = "Tong, {Tammy Y. N.} and Appleby, {Paul N.} and Key, {Timothy J.} and Dahm, {Christina C.} and Kim Overvad and Anja Olsen and Anne Tj{\o}nneland and Verena Katzke and Tilman Kuhn and Heiner Boeing and Anna Karakatsani and Eleni Peppa and Antonia Trichopoulou and Elisabete Weiderpass and Giovanna Masala and Sara Grioni and Salvatore Panico and Rosario Tumino and Boer, {Jolanda M. A.} and Verschuren, {W. M. Monique} and Quiros, {J. Ramon} and Antonio Agudo and Miguel Rodriguez-Barranco and Liher Imaz and Maria-Dolores Chirlaque and Conchi Moreno-Iribas and Gunnar Engstrom and Emily Sonestedt and Marcus Lind and Julia Otten and Kay-Tee Khaw and Dagfinn Aune and Elio Riboli and Wareham, {Nicholas J.} and Fumiaki Imamura and Forouhi, {Nita G.} and {di Angelantonio}, Emanuele and Wood, {Angela M.} and Butterworth, {Adam S.} and Aurora Perez-Cornago",
year = "2020",
doi = "10.1093/eurheartj/ehaa007",
language = "English",
volume = "41",
pages = "2632--2640",
journal = "European Heart Journal",
issn = "0195-668X",
publisher = "Oxford University Press",
number = "28",

}

RIS

TY - JOUR

T1 - The associations of major foods and fibre with risks of ischaemic and haemorrhagic stroke

T2 - a prospective study of 418 329 participants in the EPIC cohort across nine European countries

AU - Tong, Tammy Y. N.

AU - Appleby, Paul N.

AU - Key, Timothy J.

AU - Dahm, Christina C.

AU - Overvad, Kim

AU - Olsen, Anja

AU - Tjønneland, Anne

AU - Katzke, Verena

AU - Kuhn, Tilman

AU - Boeing, Heiner

AU - Karakatsani, Anna

AU - Peppa, Eleni

AU - Trichopoulou, Antonia

AU - Weiderpass, Elisabete

AU - Masala, Giovanna

AU - Grioni, Sara

AU - Panico, Salvatore

AU - Tumino, Rosario

AU - Boer, Jolanda M. A.

AU - Verschuren, W. M. Monique

AU - Quiros, J. Ramon

AU - Agudo, Antonio

AU - Rodriguez-Barranco, Miguel

AU - Imaz, Liher

AU - Chirlaque, Maria-Dolores

AU - Moreno-Iribas, Conchi

AU - Engstrom, Gunnar

AU - Sonestedt, Emily

AU - Lind, Marcus

AU - Otten, Julia

AU - Khaw, Kay-Tee

AU - Aune, Dagfinn

AU - Riboli, Elio

AU - Wareham, Nicholas J.

AU - Imamura, Fumiaki

AU - Forouhi, Nita G.

AU - di Angelantonio, Emanuele

AU - Wood, Angela M.

AU - Butterworth, Adam S.

AU - Perez-Cornago, Aurora

PY - 2020

Y1 - 2020

N2 - Aim To investigate the associations between major foods and dietary fibre with subtypes of stroke in a large prospective cohort.Methods and results We analysed data on 418 329 men and women from nine European countries, with an average of 12.7years of follow-up. Diet was assessed using validated country-specific questionnaires which asked about habitual intake over the past year, calibrated using 24-h recalls. Multivariable-adjusted Cox regressions were used to estimate hazard ratios (HRs) for ischaemic and haemorrhagic stroke associated with consumption of red and processed meat, poultry, fish, dairy foods, eggs, cereals, fruit and vegetables, legumes, nuts and seeds, and dietary fibre. For ischaemic stroke (4281 cases), lower risks were observed with higher consumption of fruit and vegetables combined (HR; 95% CI per 200g/day higher intake, 0.87; 0.82-0.93, P-trendConclusion Risk of ischaemic stroke was inversely associated with consumption of fruit and vegetables, dietary fibre, and dairy foods, while risk of haemorrhagic stroke was positively associated with egg consumption. The apparent differences in the associations highlight the importance of examining ischaemic and haemorrhagic stroke subtypes separately.

AB - Aim To investigate the associations between major foods and dietary fibre with subtypes of stroke in a large prospective cohort.Methods and results We analysed data on 418 329 men and women from nine European countries, with an average of 12.7years of follow-up. Diet was assessed using validated country-specific questionnaires which asked about habitual intake over the past year, calibrated using 24-h recalls. Multivariable-adjusted Cox regressions were used to estimate hazard ratios (HRs) for ischaemic and haemorrhagic stroke associated with consumption of red and processed meat, poultry, fish, dairy foods, eggs, cereals, fruit and vegetables, legumes, nuts and seeds, and dietary fibre. For ischaemic stroke (4281 cases), lower risks were observed with higher consumption of fruit and vegetables combined (HR; 95% CI per 200g/day higher intake, 0.87; 0.82-0.93, P-trendConclusion Risk of ischaemic stroke was inversely associated with consumption of fruit and vegetables, dietary fibre, and dairy foods, while risk of haemorrhagic stroke was positively associated with egg consumption. The apparent differences in the associations highlight the importance of examining ischaemic and haemorrhagic stroke subtypes separately.

KW - Diet

KW - Fruit

KW - Vegetables

KW - Fibre

KW - Ischaemic stroke

KW - Haemorrhagic stroke

KW - DOSE-RESPONSE METAANALYSIS

KW - PROCESSED MEAT CONSUMPTION

KW - CORONARY-HEART-DISEASE

KW - CARDIOVASCULAR-DISEASE

KW - BLOOD-PRESSURE

KW - DIETARY FIBER

KW - DAIRY CONSUMPTION

KW - FISH CONSUMPTION

KW - GRAIN CONSUMPTION

KW - EGG CONSUMPTION

U2 - 10.1093/eurheartj/ehaa007

DO - 10.1093/eurheartj/ehaa007

M3 - Journal article

C2 - 32090257

VL - 41

SP - 2632

EP - 2640

JO - European Heart Journal

JF - European Heart Journal

SN - 0195-668X

IS - 28

ER -

ID: 251177158