Top

European Journal of Nutrition

Published in:

Open Access 01-08-2020 | Abdominal Aortic Aneurysm | Original Contribution

Intake of fibre and plant foods and the risk of abdominal aortic aneurysm in a large prospective cohort study in Sweden

Authors: Sara Bergwall, Stefan Acosta, Emily Sonestedt

Published in: European Journal of Nutrition | Issue 5/2020

Abstract

Purpose

The purpose of this study was to investigate fibre, and plant foods, and its association with AAA risk.

Methods

In this prospective cohort study, Malmö Diet and Cancer Study, baseline data collection was carried out 1991–1996. The study participants’ (n = 26,133) dietary habits were extensively recorded at baseline. The specific diagnosis of AAA in the in-hospital registry was found valid in 95%. The association between plant foods, such as cereals and types of vegetables, and AAA was assessed by using Cox regression analysis expressed as hazard ratios (HR) with 95% confidence intervals (CI).

Results

A high intake of fibre was independently associated with AAA risk (HR per quintile 0.87, 95% CI 0.79–0.97). High intake of vegetables (HR 0.91, 95% CI 0.84–0.98), specifically leaf vegetables (HR 0.87, 95% CI 0.81–0.94), and fruits and berries (HR 0.89, 95% CI 0.82–0.96), citrus (HR 0.91, 95% CI 0.85–0.98) and non-citrus fruits (HR 0.87, 95% CI 0.81–0.95) were independently associated with a decreased AAA risk.

Conclusions

A high intake of fruits and berries and vegetables, in particular leaf vegetables, are associated with a decreased risk of developing AAA.

Available only for authorised users

Kent KC (2014) Clinical practice. Abdominal aortic aneurysms. N Engl J Med 371(22):2101–2108. https://doi.org/10.1056/nejmcp1401430 CrossRefPubMed

Aune D, Schlesinger S, Norat T, Riboli E (2018) Tobacco smoking and the risk of abdominal aortic aneurysm: a systematic review and meta-analysis of prospective studies. Sci Rep 8(1):14786. https://doi.org/10.1038/s41598-018-32100-2 CrossRefPubMedPubMedCentral

Spencer SM, Trower AJ, Jia X, Scott DJA, Greenwood DC (2017) Meta-analysis of the association between alcohol consumption and abdominal aortic aneurysm. Br J Surg 104(13):1756–1764. https://doi.org/10.1002/bjs.10674 CrossRefPubMed

Hernesniemi JA, Vanni V, Hakala T (2015) The prevalence of abdominal aortic aneurysm is consistently high among patients with coronary artery disease. J Vasc Surg 62(1):232–240. https://doi.org/10.1016/j.jvs.2015.02.037(e233) CrossRefPubMed

Avdic T, Franzen S, Zarrouk M, Acosta S, Nilsson P, Gottsater A, Svensson AM, Gudbjornsdottir S, Eliasson B (2018) Reduced long-term risk of aortic aneurysm and aortic dissection among individuals with type 2 diabetes mellitus: a nationwide observational study. J Am Heart Assoc. https://doi.org/10.1161/jaha.117.007618 CrossRefPubMedPubMedCentral

Kent KC, Zwolak RM, Egorova NN, Riles TS, Manganaro A, Moskowitz AJ, Gelijns AC, Greco G (2010) Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg 52(3):539–548. https://doi.org/10.1016/j.jvs.2010.05.090 CrossRefPubMed

Li X, Zhao G, Zhang J, Duan Z, Xin S (2013) Prevalence and trends of the abdominal aortic aneurysms epidemic in general population–a meta-analysis. PLoS One 8(12):e81260. https://doi.org/10.1371/journal.pone.0081260 CrossRefPubMedPubMedCentral

Wanhainen A, Hultgren R, Linne A, Holst J, Gottsater A, Langenskiold M, Smidfelt K, Bjorck M, Svensjo S (2016) Outcome of the Swedish nationwide abdominal aortic aneurysm screening program. Circulation 134(16):1141–1148. https://doi.org/10.1161/circulationaha.116.022305 CrossRefPubMed

Park SY, Boushey CJ, Wilkens LR, Haiman CA, Le Marchand L (2017) High-quality diets associate with reduced risk of colorectal cancer: analyses of diet quality indexes in the multiethnic cohort. Gastroenterology 153(2):386–394.e382. https://doi.org/10.1053/j.gastro.2017.04.004 CrossRefPubMedPubMedCentral

10.

Hlebowicz J, Drake I, Gullberg B, Sonestedt E, Wallstrom P, Persson M, Nilsson J, Hedblad B, Wirfalt E (2013) A high diet quality is associated with lower incidence of cardiovascular events in the Malmo diet and cancer cohort. PLoS One 8(8):e71095. https://doi.org/10.1371/journal.pone.0071095 CrossRefPubMedPubMedCentral

11.

Yu E, Rimm E, Qi L, Rexrode K, Albert CM, Sun Q, Willett WC, Hu FB, Manson JE (2016) Diet, lifestyle, biomarkers, genetic factors, and risk of cardiovascular disease in the nurses’ health studies. Am J Public Health 106(9):1616–1623. https://doi.org/10.2105/AJPH.2016.303316 CrossRefPubMedPubMedCentral

12.

Nordkvist S, Sonestedt E, Acosta S (2018) Adherence to diet recommendations and risk of abdominal aortic aneurysm in the Malmo Diet and Cancer Study. Sci Rep 8(1):2017. https://doi.org/10.1038/s41598-018-20415-z CrossRefPubMedPubMedCentral

13.

Stackelberg O, Bjorck M, Larsson SC, Orsini N, Wolk A (2013) Fruit and vegetable consumption with risk of abdominal aortic aneurysm. Circulation 128(8):795–802. https://doi.org/10.1161/CIRCULATIONAHA.112.000728 CrossRefPubMed

14.

EFSA (2017) Dietary Reference Values for nutrients: Summary report. EFSA supporting publication

15.

Vulcan A, Brandstedt J, Manjer J, Jirstrom K, Ohlsson B, Ericson U (2015) Fibre intake and incident colorectal cancer depending on fibre source, sex, tumour location and tumour, node, metastasis stage. Br J Nutr 114(6):959–969. https://doi.org/10.1017/S0007114515002743 CrossRefPubMed

16.

Consortium TI (2015) Dietary fibre and incidence of type 2 diabetes in eight European countries: the EPIC-InterAct Study and a meta-analysis of prospective studies. Diabetologia 58(7):1394–1408. https://doi.org/10.1007/s00125-015-3585-9 CrossRef

17.

Stephen AM, Champ MM, Cloran SJ, Fleith M, van Lieshout L, Mejborn H, Burley VJ (2017) Dietary fibre in Europe: current state of knowledge on definitions, sources, recommendations, intakes and relationships to health. Nutr Res Rev 30(2):149–190. https://doi.org/10.1017/s095442241700004x CrossRefPubMed

18.

Stather PW, Sidloff DA, Dattani N, Gokani VJ, Choke E, Sayers RD, Bown MJ (2014) Meta-analysis and meta-regression analysis of biomarkers for abdominal aortic aneurysm. Br J Surg 101(11):1358–1372. https://doi.org/10.1002/bjs.9593 CrossRefPubMed

19.

Ohrlander T, Merlo J, Ohlsson H, Sonesson B, Acosta S (2012) Socioeconomic position, comorbidity, and mortality in aortic aneurysms: a 13-year prospective cohort study. Ann Vasc Surg 26(3):312–321. https://doi.org/10.1016/j.avsg.2011.08.003 CrossRefPubMed

20.

Manjer J, Elmstahl S, Janzon L, Berglund G (2002) Invitation to a population-based cohort study: differences between subjects recruited using various strategies. Scand J Public Health 30(2):103–112. https://doi.org/10.1080/14034940210133771 CrossRefPubMed

21.

Drake I, Gullberg B, Ericson U, Sonestedt E, Nilsson J, Wallstrom P, Hedblad B, Wirfalt E (2011) Development of a diet quality index assessing adherence to the Swedish nutrition recommendations and dietary guidelines in the Malmo Diet and Cancer cohort. Public Health Nutr 14(5):835–845. https://doi.org/10.1017/S1368980010003848 CrossRefPubMed

22.

Wirfalt E, Mattisson I, Johansson U, Gullberg B, Wallstrom P, Berglund G (2002) A methodological report from the Malmo Diet and Cancer study: development and evaluation of altered routines in dietary data processing. Nutr J 1:3CrossRef

23.

Sonestedt E, Hellstrand S, Drake I, Schulz CA, Ericson U, Hlebowicz J, Persson MM, Gullberg B, Hedblad B, Engstrom G, Orho-Melander M (2016) Diet quality and change in blood lipids during 16 years of follow-up and their interaction with genetic risk for dyslipidemia. Nutrients. https://doi.org/10.3390/nu8050274 CrossRefPubMedPubMedCentral

24.

Golledge J, Norman PE (2010) Atherosclerosis and abdominal aortic aneurysm: cause, response, or common risk factors? Arterioscler Thromb Vasc Biol 30(6):1075–1077. https://doi.org/10.1161/atvbaha.110.206573 CrossRefPubMedPubMedCentral

25.

Sonestedt E, Hellstrand S, Schulz CA, Wallstrom P, Drake I, Ericson U, Gullberg B, Hedblad B, Orho-Melander M (2015) The association between carbohydrate-rich foods and risk of cardiovascular disease is not modified by genetic susceptibility to dyslipidemia as determined by 80 validated variants. PLoS One 10(4):e0126104. https://doi.org/10.1371/journal.pone.0126104 CrossRefPubMedPubMedCentral

26.

Haring B, Selvin E, He X, Coresh J, Steffen LM, Folsom AR, Tang W, Rebholz CM (2018) Adherence to the dietary approaches to stop hypertension dietary pattern and risk of abdominal aortic aneurysm: results from the ARIC study. J Am Heart Assoc 7(21):e009340. https://doi.org/10.1161/jaha.118.009340 CrossRefPubMedPubMedCentral

27.

Jackson JK, Patterson AJ, MacDonald-Wicks LK, Oldmeadow C, McEvoy MA (2018) The role of inorganic nitrate and nitrite in cardiovascular disease risk factors: a systematic review and meta-analysis of human evidence. Nutr Rev 76(5):348–371. https://doi.org/10.1093/nutrit/nuy005 CrossRefPubMed

28.

McCormick ML, Gavrila D, Weintraub NL (2007) Role of oxidative stress in the pathogenesis of abdominal aortic aneurysms. Arterioscler Thromb Vasc Biol 27(3):461–469. https://doi.org/10.1161/01.atv.0000257552.94483.14 CrossRefPubMed

29.

Rabkin SW (2016) The effect of nicotine and tobacco on aortic matrix metalloproteinases in the production of aortic aneurysm. Curr Vasc Pharmacol 14(6):514–522CrossRef

30.

Liu PH, Cao Y, Keeley BR, Tam I, Wu K, Strate LL, Giovannucci EL, Chan AT (2017) Adherence to a healthy lifestyle is associated with a lower risk of diverticulitis among men. Am J Gastroenterol 112(12):1868–1876. https://doi.org/10.1038/ajg.2017.398 CrossRefPubMedPubMedCentral

31.

Drott C, Arfvidsson B, Ortenwall P, Lundholm K (1991) Confusion of concepts and erroneous coding of aortic rupture. Surprisingly low precision in registering cause of death. Lakartidningen 88(23):2137–2139PubMed

32.

Elmstahl S, Riboli E, Lindgarde F, Gullberg B, Saracci R (1996) The Malmo Food Study: the relative validity of a modified diet history method and an extensive food frequency questionnaire for measuring food intake. Eur J Clin Nutr 50(3):143–151PubMed

33.

Yusufov M, Paiva AL, Redding CA, Lipschitz JM, Gokbayrak NS, Greene G, Rossi JS, Blissmer B, Velicer WF, Prochaska JO (2016) Fat reduction efforts: a 24-month longitudinal comparison of a large sample of maintainers, relapsers, and non-changers. Health promot Pract 17(1):116–126. https://doi.org/10.1177/1524839915606423 CrossRefPubMed

Title: Intake of fibre and plant foods and the risk of abdominal aortic aneurysm in a large prospective cohort study in Sweden
Authors: Sara Bergwall
Stefan Acosta
Emily Sonestedt
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keywords: Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm
Published in: European Journal of Nutrition / Issue 5/2020
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-019-02054-w

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 5/2020

Pre-meal protein intake alters postprandial plasma metabolome in subjects with metabolic syndrome

Daily intake of wheat germ-enriched bread may promote a healthy gut bacterial microbiota: a randomised controlled trial

Energy replacement diminishes the postprandial triglyceride-lowering effect from accumulated walking in older women

The effect of zinc supplementation on blood pressure: a systematic review and dose–response meta-analysis of randomized-controlled trials

Is Bacillus coagulans supplementation plus low FODMAP diet superior to low FODMAP diet in irritable bowel syndrome management?

Estimation and consumption pattern of free sugar intake in 3-year-old Irish preschool children

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials