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

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  • Sara Holmberg

    (Research and Development Centre, Kronoberg County Council, Box 1223, SE-351 12 Växjö, Sweden
    Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Sections, Uppsala University, Box 564, SE-751 22 Uppsala, Sweden)

  • Anders Thelin

    (Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Sections, Uppsala University, Box 564, SE-751 22 Uppsala, Sweden)

  • Eva-Lena Stiernström

    (Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Sections, Uppsala University, Box 564, SE-751 22 Uppsala, Sweden)

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.

Suggested Citation

  • Sara Holmberg & Anders Thelin & 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," IJERPH, MDPI, vol. 6(10), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:6:y:2009:i:10:p:2626-2638:d:5912
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    References listed on IDEAS

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    1. Thelin, Anders, 1991. "Morbidity in Swedish farmers, 1978-1983, according to national hospital records," Social Science & Medicine, Elsevier, vol. 32(3), pages 305-309, January.
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