Cohort study2017Open access

Cruciferous and Allium Vegetable Intakes are Inversely Associated With 15-Year Atherosclerotic Vascular Disease Deaths in Older Adult Women

Blekkenhorst LC, Bondonno CP, Lewis JR, Devine A, Zhu K, Lim WH, Woodman RJ, Beilin LJ, Prince RL, Hodgson JM

Journal of the American Heart Association · 44 citations

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
Not stated

Who paid for it

Funding
Independent funding
Government
Healthway
Government
Medical Research Council
Government
National Health and Medical Research Council
Grants
National Health and Medical Research Council (572604); National Health and Medical Research Council (1084922); National Health and Medical Research Council (254627, 303169 and 572604); National Health and Medical Research Council (303169); Healthway (572604); Healthway (254627); Healthway (303169); National Health and Medical Research Council (254627)

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2017-10-11 · J Am Heart Assoc · vol. 6 · issue 10
Publisher
Wiley
Cited
57 citations · more than 97% of similar papers · 7.0× the field average
Impact
Top 10% most cited in its field
References
55 works
Access
Open access (journal) · CC-BY-NC
Research areas
Nutritional Studies and Diet · Garlic and Onion Studies · Antioxidant Activity and Oxidative Stress
Keywords
Cruciferous vegetables, Medicine, Disease, Gerontology, Internal medicine, Cancer
MeSH
humans, brassicaceae, allium, vegetables, prognosis, multivariate analysis, proportional hazards models, risk factors, chi-square distribution, longitudinal studies, prospective studies, risk reduction behavior, age factors, sex factors, nutritional status, nutritive value, time factors, aged, western australia, female, atherosclerosis, phytochemicals, recommended dietary allowances, protective factors, diet, healthy

10 authors

From AU

  • Lauren C. BlekkenhorstThe University of Western Australia; Royal Perth Hospital
  • Catherine P. BondonnoEdith Cowan University; The University of Western Australia; Royal Perth Hospital
  • Joshua Richard LewisThe University of Sydney; The University of Western Australia; Children's Hospital at Westmead; Queen Elizabeth II Medical Centre
  • Amanda DevineEdith Cowan University
  • Kun ZhuThe University of Western Australia; Sir Charles Gairdner Hospital; Queen Elizabeth II Medical Centre
  • Wai H. LimThe University of Western Australia; Sir Charles Gairdner Hospital; Queen Elizabeth II Medical Centre

Abstract

Background

Higher vegetable intake is consistently associated with lower atherosclerotic vascular disease (ASVD) events. However, the components responsible and mechanisms involved are uncertain. Nonnutritive phytochemicals may be involved. The objective of this study was to investigate the associations of total vegetable intake and types of vegetables grouped according to phytochemical constituents with ASVD mortality.

Methods and results

The cohort consisted of 1226 Australian women aged 70 years and older without clinical ASVD or diabetes mellitus at baseline (1998). Vegetable intakes were calculated per serving (75 g/d) and were also classified into prespecified types relating to phytochemical constituents. ASVD-related deaths were ascertained from linked mortality data. During 15 years (15 947 person-years) of follow-up, 238 ASVD-related deaths occurred. A 1-serving increment of vegetable intake was associated with a 20% lower hazard of ASVD-related death (multivariable-adjusted hazard ratio, 0.80; 95% confidence interval, 0.69-0.94 [P=0.005]). In multivariable-adjusted models for vegetable types, cruciferous (per 10-g/d increase: hazard ratio, 0.87; 95% confidence interval, 0.81-0.94 [PP=0.003]) vegetables were inversely associated with ASVD-related deaths. The inclusion of other vegetable types, as well as lifestyle and cardiovascular risk factors, did not alter these associations. Yellow/orange/red (P=0.463), leafy green (P=0.063), and legume (P=0.379) vegetables were not significant.

Conclusions

Consistent with current evidence, higher cruciferous and allium vegetable intakes were associated with a lower risk of ASVD mortality. In addition, cruciferous and allium vegetables are recognized to be a good source of several nonnutritive phytochemicals such as organosulfur compounds.

Clinical trial registration

URL: http://www.anzctr.org.au. Unique identifier: ACTRN12617000640303.

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

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