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11.12.2022 | Original Contribution

Cereal intake and mortality in older Chinese: a 15-year follow-up of a prospective cohort study

verfasst von: Ce Sun, Wei Sen Zhang, Chao Qiang Jiang, Ya Li Jin, Xue Qing Deng, G. Neil Thomas, Jean Woo, Kar Keung Cheng, Tai Hing Lam, Lin Xu

Erschienen in: European Journal of Nutrition | Ausgabe 3/2023

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Abstract

Purpose

We examined the association between whole grain and refined grain intake with all-cause, cancer and cardiovascular disease (CVD) mortality using the data from the Guangzhou Biobank Cohort Study.

Methods

19,597 participants aged 50+ years were recruited from 2003 to 2006 and followed-up until April 2021. Multivariable Cox regression was used to calculate hazard radios (HRs) and 95% confidence intervals (CIs). Substitution analysis was used to replace a serving (50 g/day) of whole grain with a serving of refined grain.

Results

During 286,821 person-years of follow-up, 4385 deaths occurred, including 1450 from cancer, 1678 from CVD and 1257 from other causes. Compared with never whole grain intake, the highest intake category of whole grain (> 300 g/week) was associated with lower risk of all-cause (HR 0.90, 95% CI 0.82–0.98) and CVD mortality (HR 0.85, 0.74–0.98). Compared with the low-intake category of refined grain (< 500 g/day), the highest intake category (> 900 g/week) was associated with a lower risk of cancer mortality (HR 0.76, 0.62–0.95), but a higher risk of CVD mortality (HR 1.25, 1.03–1.51). No significant associations were found between whole grain intake and cancer mortality nor refined grain and all-cause mortality. The HRs of all-cause, cancer and CVD mortality substituting a serving of whole grain for refined grain were 0.96 (0.94–0.99), 1.01 (0.99–1.02) and 0.95 (0.90–0.99), respectively.

Conclusion

We have first shown that in older Chinese, whole grain intake was associated with lower risk of all-cause and CVD mortality. Our results suggest that intake of whole grain of at least 300 g/week and refined grain of ≤ 900 g/day might be suitable for older Asian. Substituting 50 g/day of whole grain for refined grain was associated with a 4–5% lower risk of all-cause and CVD mortality.

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Titel: Cereal intake and mortality in older Chinese: a 15-year follow-up of a prospective cohort study
verfasst von: Ce Sun
Wei Sen Zhang
Chao Qiang Jiang
Ya Li Jin
Xue Qing Deng
G. Neil Thomas
Jean Woo
Kar Keung Cheng
Tai Hing Lam
Lin Xu
Publikationsdatum: 11.12.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 3/2023
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-022-03067-8

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Cereal intake and mortality in older Chinese: a 15-year follow-up of a prospective cohort study