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Article

Food Choices and Coronary Heart Disease: A Population Based Cohort Study of Rural Swedish Men with 12 Years of Follow-up

by
Sara Holmberg
1,2,*,
Anders Thelin
2 and
Eva-Lena Stiernström
2
1
Research and Development Centre, Kronoberg County Council, Box 1223, SE-351 12 Växjö, Sweden
2
Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Sections, Uppsala University, Box 564, SE-751 22 Uppsala, Sweden
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2009, 6(10), 2626-2638; https://doi.org/10.3390/ijerph6102626
Submission received: 18 August 2009 / Accepted: 30 September 2009 / Published: 12 October 2009

Abstract

Coronary heart disease is associated with diet. Nutritional recommendations are frequently provided, but few long term studies on the effect of food choices on heart disease are available. We followed coronary heart disease morbidity and mortality in a cohort of rural men (N = 1,752) participating in a prospective observational study. Dietary choices were assessed at baseline with a 15-item food questionnaire. 138 men were hospitalized or deceased owing to coronary heart disease during the 12 year follow-up. Daily intake of fruit and vegetables was associated with a lower risk of coronary heart disease when combined with a high dairy fat consumption (odds ratio 0.39, 95% CI 0.21-0.73), but not when combined with a low dairy fat consumption (odds ratio 1.70, 95% CI 0.97-2.98). Choosing wholemeal bread or eating fish at least twice a week showed no association with the outcome.
Keywords: cardiovascular disease; diet; nutrition; fruit and vegetables; dairy fat; prospective cohort study; farmers; Nordic nutritional recommendations cardiovascular disease; diet; nutrition; fruit and vegetables; dairy fat; prospective cohort study; farmers; Nordic nutritional recommendations

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MDPI and ACS Style

Holmberg, S.; Thelin, A.; Stiernström, E.-L. Food Choices and Coronary Heart Disease: A Population Based Cohort Study of Rural Swedish Men with 12 Years of Follow-up. Int. J. Environ. Res. Public Health 2009, 6, 2626-2638. https://doi.org/10.3390/ijerph6102626

AMA Style

Holmberg S, Thelin A, Stiernström E-L. Food Choices and Coronary Heart Disease: A Population Based Cohort Study of Rural Swedish Men with 12 Years of Follow-up. International Journal of Environmental Research and Public Health. 2009; 6(10):2626-2638. https://doi.org/10.3390/ijerph6102626

Chicago/Turabian Style

Holmberg, Sara, Anders Thelin, and Eva-Lena Stiernström. 2009. "Food Choices and Coronary Heart Disease: A Population Based Cohort Study of Rural Swedish Men with 12 Years of Follow-up" International Journal of Environmental Research and Public Health 6, no. 10: 2626-2638. https://doi.org/10.3390/ijerph6102626

APA Style

Holmberg, S., Thelin, A., & Stiernström, E.-L. (2009). Food Choices and Coronary Heart Disease: A Population Based Cohort Study of Rural Swedish Men with 12 Years of Follow-up. International Journal of Environmental Research and Public Health, 6(10), 2626-2638. https://doi.org/10.3390/ijerph6102626

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