Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort

BACKGROUND: Diet is known to play a key role in atherogenesis and in the development of cardiovascular events. Dietary factors may mediate these processes acting as potential modulators of inflammation. Potential Links between inflammatory properties of diet and the occurrence of cardiovascular even...

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Autores: Ramallal, R. (Raul)|||/items/f956c97d-efb5-4df8-9115-b0a770fb2782, Toledo-Atucha, E. (Estefanía)|||/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0, Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7, Hernandez-Hernandez, A. (Aitor)|||/items/a9dcb96d-265e-4e9b-b5fb-f5a88039c189, Garcia-Arellano, A. (Ana)|||/items/b617b8f4-1560-4373-9ceb-6aff54d2e497, Shivappa, N. (Nitin)|||/items/bf543366-9205-4d81-a346-f799af38db17, Hebert, J.R. (James R.)|||/items/17b5bdcb-8e09-4860-a2f9-086cbc15a619, Ruiz-Canela, M. (Miguel)|||/items/e333fb32-07a9-4253-a095-1cea0db0f7e9
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/39020
Acceso en línea:https://hdl.handle.net/10171/39020
Access Level:acceso abierto
Palabra clave:SUN cohort
Diet
Inflammatory biomarkers
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spelling Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohortRamallal, R. (Raul)|||/items/f956c97d-efb5-4df8-9115-b0a770fb2782Toledo-Atucha, E. (Estefanía)|||/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7Hernandez-Hernandez, A. (Aitor)|||/items/a9dcb96d-265e-4e9b-b5fb-f5a88039c189Garcia-Arellano, A. (Ana)|||/items/b617b8f4-1560-4373-9ceb-6aff54d2e497Shivappa, N. (Nitin)|||/items/bf543366-9205-4d81-a346-f799af38db17Hebert, J.R. (James R.)|||/items/17b5bdcb-8e09-4860-a2f9-086cbc15a619Ruiz-Canela, M. (Miguel)|||/items/e333fb32-07a9-4253-a095-1cea0db0f7e9SUN cohortDietInflammatory biomarkersBACKGROUND: Diet is known to play a key role in atherogenesis and in the development of cardiovascular events. Dietary factors may mediate these processes acting as potential modulators of inflammation. Potential Links between inflammatory properties of diet and the occurrence of cardiovascular events have not been tested previously. OBJECTIVE: We aimed to assess the association between the dietary inflammatory index (DII), a method to assess the inflammatory potential of the diet, and incident cardiovascular disease. METHODS: In the prospective, dynamic SUN cohort, 18,794 middle-aged, Spanish university graduates were followed up for 8.9 years (median). A validated 136-item food-frequency questionnaire was used to calculate the DII. The DII is based on scientific evidence about the relationship between diet and inflammatory biomarkers (C-reactive protein, IL-1β, IL-4, IL-6, IL-10 and TNF-α). Cox proportional hazard models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for the association between the DII and incident cardiovascular disease (myocardial infarction, stroke or cardiovascular death). RESULTS: The risk for cardiovascular events progressively increased with each increasing quartile of DII (ptrend = 0.017). The multivariable-adjusted HR for participants in the highest (most pro-inflammatory) vs. the lowest quartile of the DII was 2.03 (95% CI 1.06-3.88). CONCLUSIONS: A pro-inflammatory diet was associated with a significantly higher risk for developing cardiovascular events.Public Library of ScienceDadun. Depósito Académico Digital Universidad de Navarra20152015-09-1620152015-01-0120152015-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/39020reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/390202026-06-21T12:47:57Z
dc.title.none.fl_str_mv Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
title Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
spellingShingle Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
Ramallal, R. (Raul)|||/items/f956c97d-efb5-4df8-9115-b0a770fb2782
SUN cohort
Diet
Inflammatory biomarkers
title_short Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
title_full Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
title_fullStr Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
title_full_unstemmed Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
title_sort Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort
dc.creator.none.fl_str_mv Ramallal, R. (Raul)|||/items/f956c97d-efb5-4df8-9115-b0a770fb2782
Toledo-Atucha, E. (Estefanía)|||/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0
Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
Hernandez-Hernandez, A. (Aitor)|||/items/a9dcb96d-265e-4e9b-b5fb-f5a88039c189
Garcia-Arellano, A. (Ana)|||/items/b617b8f4-1560-4373-9ceb-6aff54d2e497
Shivappa, N. (Nitin)|||/items/bf543366-9205-4d81-a346-f799af38db17
Hebert, J.R. (James R.)|||/items/17b5bdcb-8e09-4860-a2f9-086cbc15a619
Ruiz-Canela, M. (Miguel)|||/items/e333fb32-07a9-4253-a095-1cea0db0f7e9
author Ramallal, R. (Raul)|||/items/f956c97d-efb5-4df8-9115-b0a770fb2782
author_facet Ramallal, R. (Raul)|||/items/f956c97d-efb5-4df8-9115-b0a770fb2782
Toledo-Atucha, E. (Estefanía)|||/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0
Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
Hernandez-Hernandez, A. (Aitor)|||/items/a9dcb96d-265e-4e9b-b5fb-f5a88039c189
Garcia-Arellano, A. (Ana)|||/items/b617b8f4-1560-4373-9ceb-6aff54d2e497
Shivappa, N. (Nitin)|||/items/bf543366-9205-4d81-a346-f799af38db17
Hebert, J.R. (James R.)|||/items/17b5bdcb-8e09-4860-a2f9-086cbc15a619
Ruiz-Canela, M. (Miguel)|||/items/e333fb32-07a9-4253-a095-1cea0db0f7e9
author_role author
author2 Toledo-Atucha, E. (Estefanía)|||/items/a67de95c-b88e-4c23-8fb9-6482b0f9fba0
Martínez-González, M.A. (Miguel Ángel)|||/items/8b591471-4165-4697-8534-cfa0ad5eb1b7
Hernandez-Hernandez, A. (Aitor)|||/items/a9dcb96d-265e-4e9b-b5fb-f5a88039c189
Garcia-Arellano, A. (Ana)|||/items/b617b8f4-1560-4373-9ceb-6aff54d2e497
Shivappa, N. (Nitin)|||/items/bf543366-9205-4d81-a346-f799af38db17
Hebert, J.R. (James R.)|||/items/17b5bdcb-8e09-4860-a2f9-086cbc15a619
Ruiz-Canela, M. (Miguel)|||/items/e333fb32-07a9-4253-a095-1cea0db0f7e9
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv SUN cohort
Diet
Inflammatory biomarkers
topic SUN cohort
Diet
Inflammatory biomarkers
description BACKGROUND: Diet is known to play a key role in atherogenesis and in the development of cardiovascular events. Dietary factors may mediate these processes acting as potential modulators of inflammation. Potential Links between inflammatory properties of diet and the occurrence of cardiovascular events have not been tested previously. OBJECTIVE: We aimed to assess the association between the dietary inflammatory index (DII), a method to assess the inflammatory potential of the diet, and incident cardiovascular disease. METHODS: In the prospective, dynamic SUN cohort, 18,794 middle-aged, Spanish university graduates were followed up for 8.9 years (median). A validated 136-item food-frequency questionnaire was used to calculate the DII. The DII is based on scientific evidence about the relationship between diet and inflammatory biomarkers (C-reactive protein, IL-1β, IL-4, IL-6, IL-10 and TNF-α). Cox proportional hazard models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for the association between the DII and incident cardiovascular disease (myocardial infarction, stroke or cardiovascular death). RESULTS: The risk for cardiovascular events progressively increased with each increasing quartile of DII (ptrend = 0.017). The multivariable-adjusted HR for participants in the highest (most pro-inflammatory) vs. the lowest quartile of the DII was 2.03 (95% CI 1.06-3.88). CONCLUSIONS: A pro-inflammatory diet was associated with a significantly higher risk for developing cardiovascular events.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-09-16
2015
2015-01-01
2015
2015-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/39020
url https://hdl.handle.net/10171/39020
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
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