Cohort study2012Open access

Nut consumption and risk of atrial fibrillation in the Physicians' Health Study

Khawaja O, Gaziano JM, Djousse L

Nutrition journal · 9 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
Government
National Heart, Lung, and Blood Institute
Government
National Cancer Institute
Government
NCI NIH HHS
Government
NHLBI NIH HHS
Grants
National Heart, Lung, and Blood Institute (HL-34595); National Heart, Lung, and Blood Institute (HL 26490); National Cancer Institute (HL 26490); National Cancer Institute (CA 34944); National Cancer Institute (CA-097193); National Cancer Institute (HL-34595); National Cancer Institute (CA 40360); National Cancer Institute (R01CA097193)

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2012-03-21 · Nutr J · vol. 11 · issue 1 · p. 17
Publisher
BioMed Central
Cited
13 citations · more than 65% of similar papers · 0.4× the field average
References
32 works
Access
Open access (journal) · CC-BY
Research areas
Nuts composition and effects · Oral Health Pathology and Treatment · Botany, Ecology, and Taxonomy Studies
Keywords
Medicine, Atrial fibrillation, Hazard ratio, Body mass index, Internal medicine, Prospective cohort study, Nut, Incidence (geometry), Confidence interval, Cardiology, Demography
MeSH
humans, nuts, atrial fibrillation, body mass index, diet, incidence, multivariate analysis, proportional hazards models, odds ratio, risk factors, follow-up studies, prospective studies, health status, adult, aged, aged, 80 and over, middle aged, physicians, male, randomized controlled trials as topic, surveys and questionnaires

3 authors

From US

  • Owais A. Khawaja · correspondingBrigham and Women's Hospital; Harvard University
  • J Michael GazianoBrigham and Women's Hospital; Harvard University; Geriatric Research Education and Clinical Center
  • Luc DjousséBrigham and Women's Hospital; Harvard University; Geriatric Research Education and Clinical Center

Abstract

Background

Atrial Fibrillation is highly prevalent in clinical practice affecting approximately 2.3 million people in USA and 4.5 million people in European Union. The aim of the study was to examine the association between nut consumption and incident atrial fibrillation.

Methods

Prospective cohort of 21,054 male participants of Physicians' Health Study I. Nut consumption was estimated using food frequency questionnaire and incident atrial fibrillation was ascertained through yearly follow-up questionnaires. Cox regression was used to estimate relative risks of atrial fibrillation.

Results

The average age was 54.6 ± 9.5 years (40.7-87.1). During a mean follow up of 20 years (median 24 years), 3,317 cases of atrial fibrillation occurred. The crude incidence rate was 7.6, 7.4, 8.2, 7.9, and 6.8 cases/1000 person-years for people reporting nut consumption of rarely/never, 1-3/month, 1/per week, 2-6/week, and ≥ 7/week, respectively. Multivariable adjusted hazard ratios (95% CI) for incident atrial fibrillation were 1.00 (ref), 1.00 (0.90-1.11), 1.09 (0.97-1.21), 1.07 (0.95-1.21), and 0.91 (0.70-1.17) for nut consumption from the lowest to the highest category of nut consumption (p for trend 0.26). No statistically significant association between nut consumption and atrial fibrillation was found when stratified by body mass index (BMI < 25 vs ≥ 25 kg/m2) or age (< 65 vs. ≥ 65 years).

Conclusions

Our data did not show an association between nut consumption and incident atrial fibrillation among US male physicians.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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