Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study

Digital

Autores:
Dehghan, Mahshid
Raj, John Michael
Thomas, Tinku
Rangarajan, Sumathy
Jenkins, David
Mony, Prem
Mohan, Viswanathan
Lear, Scott A.
Avezum, Alvaro
Lopez-Jaramillo, Patricio
Rosengren, Annika
Lanas, Fernando
AlHabib, Khalid F.
Dans, Antonio
Keskinler, Mirac Vural
Puoane, Thandi
Soman, Biju
Wei, Li
Zatonska, Katarzyna
Diaz, Rafael
Ismail, Noorhassim
Chifamba, Jephat
Kelishadi, Roya
Yusufali, Afzalhussein
Khatib, Rasha
Xiaoyun, Liu
Bo, Hu
Iqbal, Romaina
Yusuf, Rita
Yeates, Karen
Teo, Koon
Yusuf, Salim
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/6031
Acceso en línea:
http://dx.doi.org/10.1136/bmj.m4948
https://repositorio.udes.edu.co/handle/001/6031
Palabra clave:
Rights
openAccess
License
Copyrights The Authors, BMJ, 2021
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dc.title.spa.fl_str_mv Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
dc.title.alternative.spa.fl_str_mv Prospective cohort study
title Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
spellingShingle Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
title_short Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
title_full Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
title_fullStr Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
title_full_unstemmed Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
title_sort Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study
dc.creator.fl_str_mv Dehghan, Mahshid
Raj, John Michael
Thomas, Tinku
Rangarajan, Sumathy
Jenkins, David
Mony, Prem
Mohan, Viswanathan
Lear, Scott A.
Avezum, Alvaro
Lopez-Jaramillo, Patricio
Rosengren, Annika
Lanas, Fernando
AlHabib, Khalid F.
Dans, Antonio
Keskinler, Mirac Vural
Puoane, Thandi
Soman, Biju
Wei, Li
Zatonska, Katarzyna
Diaz, Rafael
Ismail, Noorhassim
Chifamba, Jephat
Kelishadi, Roya
Yusufali, Afzalhussein
Khatib, Rasha
Xiaoyun, Liu
Bo, Hu
Iqbal, Romaina
Yusuf, Rita
Yeates, Karen
Teo, Koon
Yusuf, Salim
dc.contributor.author.none.fl_str_mv Dehghan, Mahshid
Raj, John Michael
Thomas, Tinku
Rangarajan, Sumathy
Jenkins, David
Mony, Prem
Mohan, Viswanathan
Lear, Scott A.
Avezum, Alvaro
Lopez-Jaramillo, Patricio
Rosengren, Annika
Lanas, Fernando
AlHabib, Khalid F.
Dans, Antonio
Keskinler, Mirac Vural
Puoane, Thandi
Soman, Biju
Wei, Li
Zatonska, Katarzyna
Diaz, Rafael
Ismail, Noorhassim
Chifamba, Jephat
Kelishadi, Roya
Yusufali, Afzalhussein
Khatib, Rasha
Xiaoyun, Liu
Bo, Hu
Iqbal, Romaina
Yusuf, Rita
Yeates, Karen
Teo, Koon
Yusuf, Salim
dc.contributor.researchgroup.spa.fl_str_mv Masira
description Digital
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-02-03
dc.date.accessioned.none.fl_str_mv 2022-02-17T15:58:44Z
dc.date.available.none.fl_str_mv 2022-02-17T15:58:44Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.uri.none.fl_str_mv https://repositorio.udes.edu.co/handle/001/6031
url http://dx.doi.org/10.1136/bmj.m4948
https://repositorio.udes.edu.co/handle/001/6031
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationendpage.spa.fl_str_mv 16
dc.relation.citationissue.spa.fl_str_mv 4948
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.cites.none.fl_str_mv BMJ 2021;372:m4948
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv The BMJ
dc.rights.spa.fl_str_mv Copyrights The Authors, BMJ, 2021
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.creativecommons.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv Copyrights The Authors, BMJ, 2021
Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
https://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 16 p
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv BMJ
dc.publisher.place.spa.fl_str_mv Reino Unido
dc.source.spa.fl_str_mv https://www.bmj.com/content/bmj/372/bmj.m4948.full.pdf
institution Universidad de Santander
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spelling Dehghan, Mahshid24c90dd8-52a1-41e0-8c9a-52ee9ce29532-1Raj, John Michael5dcfe54e-9be8-4aef-b2c7-b393a74f4563-1Thomas, Tinku3ad0db65-50e5-45ad-89f6-0bd8b4bddda2-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Jenkins, David13cdd7e0-6a97-46b4-af94-9050bdaf1f83-1Mony, Premab6dbf82-20a0-4744-abfd-8a723db46c4d-1Mohan, Viswanathane7246d73-7de3-4d86-9c7b-b9ca011e618b-1Lear, Scott A.dc924e5a-246b-40a8-b08f-59610fa89be1-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Lanas, Fernandod22b7fe4-9f1f-4028-a22b-be782ef03d3c-1AlHabib, Khalid F.75e3b6dd-0c18-4b53-b86b-eb66c03b5e80-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Keskinler, Mirac Vural87b1c897-7f7c-415f-b8b5-349d6a30b15c-1Puoane, Thandi0bb642d7-486f-4e70-bebc-8f2b69ec182f-1Soman, Bijuf3321f5a-43bf-4982-9286-738b5a21f21a-1Wei, Li9ce9792c-a35b-44fd-9eff-3b6b86002adb-1Zatonska, Katarzyna6d84170f-b69c-462b-9d93-3f363491580a-1Diaz, Rafaelf2be4a74-501a-4e63-8bbd-965cbcf8c57b-1Ismail, Noorhassim1101b3a5-610e-458d-87ec-bde747adae7c-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Kelishadi, Roya4cdb25d6-6e41-4905-a399-c9d53f250b42-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1Xiaoyun, Liu5a199b9e-9919-4a0a-a781-8d3639f35393-1Bo, Hufac47230-40af-4a68-aa8a-f40c8912f599-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Yusuf, Rita73629390-dae0-4d21-aca0-90da88bd2808-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Teo, Koon60475883-56ab-4acc-833d-b027ad828534-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1Masira2022-02-17T15:58:44Z2022-02-17T15:58:44Z2021-02-03DigitalObjective. To evaluate the association between intakes of refined grains, whole grains, and white rice with cardiovascular disease, total mortality, blood lipids, and blood pressure in the Prospective Urban and Rural Epidemiology (PURE) study. Design. Prospective cohort study. Setting PURE study in 21 countries. Participants 148858 participants with median follow-up of 9.5 years. Exposures Country specific validated food frequency questionnaires were used to assess intakes of refined grains, whole grains, and white rice. Main outcome measure Composite of mortality or major cardiovascular events (defined as death from cardiovascular causes, nonfatal myocardial infarction, stroke, or heart failure). Hazard ratios were estimated for associations of grain intakes with mortality, major cardiovascular events, and their composite by using multivariable Cox frailty models with random intercepts to account for clustering by centre. Results Analyses were based on 137130 participants after exclusion of those with baseline cardiovascular disease. During follow-up, 9.2% (n=12668) of these participants had a composite outcome event. The highest category of intake of refined grains (≥350 g/day or about 7 servings/day) was associated with higher risk of total mortality (hazard ratio 1.27, 95% confidence interval 1.11 to 1.46; P for trend=0.004), major cardiovascular disease events (1.33, 1.16 to 1.52; P for trend<0.001), and their composite (1.28, 1.15 to 1.42; P for trend<0.001) compared with the lowest category of intake (<50 g/day). Higher intakes of refined grains were associated with higher systolic blood pressure. No significant associations were found between intakes of whole grains or white rice and health outcomes. Conclusion High intake of refined grains was associated with higher risk of mortality and major cardiovascular disease events. Globally, lower consumption of refined grains should be considered.Ciencias Médicas y de la Salud16 papplication/pdfhttp://dx.doi.org/10.1136/bmj.m4948https://repositorio.udes.edu.co/handle/001/6031engBMJReino Unido1649481BMJ 2021;372:m4948ScopusThe BMJCopyrights The Authors, BMJ, 2021info:eu-repo/semantics/openAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)https://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2https://www.bmj.com/content/bmj/372/bmj.m4948.full.pdfAssociations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology studyProspective cohort studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALAssociations of cereal grains intake with cardiovascular disease and mortality across 21 countries in prospective urban and rural epidemiology study. 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