Fried-Food Consumption Does Not Increase the Risk of Stroke in the Spanish Cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC) Study.


Journal

The Journal of nutrition
ISSN: 1541-6100
Titre abrégé: J Nutr
Pays: United States
ID NLM: 0404243

Informations de publication

Date de publication:
10 12 2020
Historique:
received: 06 04 2020
revised: 05 05 2020
accepted: 13 08 2020
pubmed: 18 9 2020
medline: 28 1 2021
entrez: 17 9 2020
Statut: ppublish

Résumé

The nutritional determinants of stroke and, more specifically, the association of frying with the risk of incident stroke have rarely been studied. Our aim was to evaluate prospectively the association between the consumption of fried food and the risk of incident stroke in the European Prospective Investigation into Cancer and Nutrition study using the Spanish cohort. Participants included 40,328 healthy adults (62% women) aged 29-69 y at study entry who were enrolled between 1992 and 1996. Participants were followed up until 31 December, 2017, at which time incident stroke (the main outcome) was measured. The main exposure measure was the percentage of energy obtained from fried-food consumption. Sex-specific quintiles were calculated. During a follow-up period of 23.5 y, 975 cases of stroke occurred (750 ischemic, 185 hemorrhagic, and 40 undetermined). Compared with those in the first (lowest) quintile of fried-food consumption, the multivariate HRs (95% CIs) of incident stroke in the consecutive quintiles were 1.05 (0.86, 1.30), 1.11 (0.90, 1.36), 1.05 (0.84, 1.31), and 0.91 (0.72, 1.15; P-trend = 0.45). There were no differences identified when subtypes of stroke were considered. In this Spanish cohort, whose participants mainly used olive oil or sunflower oil when frying, the consumption of fried food was not associated with an increased risk of incident stroke.

Sections du résumé

BACKGROUND
The nutritional determinants of stroke and, more specifically, the association of frying with the risk of incident stroke have rarely been studied.
OBJECTIVES
Our aim was to evaluate prospectively the association between the consumption of fried food and the risk of incident stroke in the European Prospective Investigation into Cancer and Nutrition study using the Spanish cohort.
METHODS
Participants included 40,328 healthy adults (62% women) aged 29-69 y at study entry who were enrolled between 1992 and 1996. Participants were followed up until 31 December, 2017, at which time incident stroke (the main outcome) was measured. The main exposure measure was the percentage of energy obtained from fried-food consumption. Sex-specific quintiles were calculated.
RESULTS
During a follow-up period of 23.5 y, 975 cases of stroke occurred (750 ischemic, 185 hemorrhagic, and 40 undetermined). Compared with those in the first (lowest) quintile of fried-food consumption, the multivariate HRs (95% CIs) of incident stroke in the consecutive quintiles were 1.05 (0.86, 1.30), 1.11 (0.90, 1.36), 1.05 (0.84, 1.31), and 0.91 (0.72, 1.15; P-trend = 0.45). There were no differences identified when subtypes of stroke were considered.
CONCLUSIONS
In this Spanish cohort, whose participants mainly used olive oil or sunflower oil when frying, the consumption of fried food was not associated with an increased risk of incident stroke.

Identifiants

pubmed: 32939531
pii: S0022-3166(22)02392-6
doi: 10.1093/jn/nxaa272
doi:

Substances chimiques

Olive Oil 0
Sunflower Oil 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3241-3248

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of the American Society for Nutrition.

Auteurs

Jimena Rey-García (J)

Department of Preventive Medicine and Public Health, School of Medicine, Autonomous University of Madrid-IdiPaz, Madrid, Spain.
Internal Medicine Department, University Hospital Ramón y Cajal, Madrid, Spain.

Pilar Guallar-Castillón (P)

Department of Preventive Medicine and Public Health, School of Medicine, Autonomous University of Madrid-IdiPaz, Madrid, Spain.
IMDEA-Food Institute, Campus of International Excellence (CEI) UAM+CSIC, Madrid, Spain.
CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.

Carolina Donat-Vargas (C)

Department of Preventive Medicine and Public Health, School of Medicine, Autonomous University of Madrid-IdiPaz, Madrid, Spain.
Unit of Nutritional and Cardiovascular Epidemiology, Environmental Medicine Institute (IMM), Karolinska Institute, Stockholm, Sweden.

Conchi Moreno-Iribas (C)

Navarra Public Health Institute, IdiSNA, Pamplona, Spain.
REDISSEC, Health Services Research on Chronic Patients Network, Pamplona, Spain.

Aurelio Barricarte (A)

Navarra Public Health Institute, IdiSNA, Pamplona, Spain.
REDISSEC, Health Services Research on Chronic Patients Network, Pamplona, Spain.

Miguel Rodriguez-Barranco (M)

CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.
Andalusian School of Public Health (EASP), Granada, Spain.
Biosanitary Investigation Institute ibs.GRANADA, Granada, Spain.

Sandra Colorado-Yohar (S)

CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain.
Research Group on Demography and Health, National Faculty of Public Health, University of Antioquia, Medellín, Colombia.

José-María Huerta (JM)

CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain.

María-Dolores Chirlaque (MD)

CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain.
Department of Health and Social Sciences, Murcia University, Murcia, Spain.

Cristina Lasheras (C)

Functional Biology Department, School of Medicine, University of Oviedo, Asturias, Spain.

Pilar Amiano (P)

CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.
Public Health Division of Gipuzkoa, BioDonostia Research Institute, San-Sebastian-Donostia, Spain.

Liher Imaz (L)

Public Health Division of Gipuzkoa, BioDonostia Research Institute, San-Sebastian-Donostia, Spain.

Antonio Agudo (A)

Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO), Nutrition and Cancer Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

María-José Sánchez (MJ)

CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain.
Andalusian School of Public Health (EASP), Granada, Spain.
Biosanitary Investigation Institute ibs.GRANADA, Granada, Spain.
Department of Preventive Medicine and Public Health, School of Medicine, University of Granada (UGR), Granada, Spain.

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