Prevention & lipids

Long-term dietary iron intake and risk of non-fatal cardiovascular diseases in the China Health and Nutrition Survey

Eur J Prev CardiolPublished Prospective cohort study

Authors' conclusion

Moderate dietary iron intake may protect against non-fatal CVDs and stroke, especially in Chinese men consuming plant-based diets.

Study context

Population
Chinese adults aged 18–80 years with predominantly plant-based diets, China Health and Nutrition Survey 1989–20158,569 men · 8,538 women
Participants
17,107 adults
Exposure
Quintiles of total dietary iron intake
  • Menn = 8,569
  • Womenn = 8,538
Outcome
Non-fatal CVD
Follow-up
Median 11.1 years
Methodological detailsDiet assessed repeatedly by three consecutive 24-h dietary recalls; Cox proportional hazard models
  • Diet assessed repeatedly by three consecutive 24-h dietary recalls; Cox proportional hazard models

Main finding

As reported in the abstract

Non-fatal CVD, men
Men
Adjusted hazard ratio (95% CI)
Q2vs Q1
0.65(0.46–0.93)
Q3vs Q1
0.54(0.37–0.78)
Q4vs Q1
0.66(0.46–0.94)
Q5vs Q1
0.69(0.47–1.03)

Observational data: associations, not effects.

Further findings

Stroke and myocardial infarction (MI)

Similar associations for stroke risk, but not for MI risk

Dose-response: total and non-heme iron with non-fatal CVD and stroke

Reverse J-shape only in men
P-non-linearity <0.05
Heme iron: reverse J-shape in both men and women
P-non-linearity <0.05

Original publication

Long-term dietary iron intake and risk of non-fatal cardiovascular diseases in the China Health and Nutrition Survey. Eur J Prev Cardiol. Published 26 July 2023. doi:10.1093/eurjpc/zwad244

Composed by AI from the published abstract and checked against it. How Briefs are made →

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