Document Detail


Prospective study of dietary patterns and chronic obstructive pulmonary disease among US women.
MedLine Citation:
PMID:  17684223     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although many foods and nutrients are associated with lung function or symptoms of chronic obstructive pulmonary disease (COPD), the relation between overall diet and newly diagnosed COPD is not known.
OBJECTIVE: We assessed the relation between dietary patterns and newly diagnosed COPD in women.
DESIGN: Data were collected from a large prospective cohort of US women (Nurses' Health Study). Between 1984 and 2000, 754 self-reported confirmed cases of newly diagnosed COPD were identified among 72 043 women. With the use of principal component analysis, 2 dietary patterns were identified: a prudent pattern (fruit, vegetables, fish, whole-grain products) and a Western pattern (refined grains, cured and red meats, desserts, French fries). Patterns were categorized into quintiles, and the risk of COPD was compared between quintiles (lowest as reference) with the use of Cox proportional hazard models.
RESULTS: After adjustments for 14 potential confounders, the prudent pattern was negatively associated with risk of newly diagnosed COPD [relative risk (RR) for highest compared with lowest quintile: 0.75; 95% CI: 0.58, 0.98; P for trend = 0.02] whereas the Western pattern was positively associated with risk of COPD (RR for highest compared with lowest quintile: 1.31; 95% CI: 0.94, 1.82; P for trend = 0.02). In contrast with findings for COPD, dietary patterns were not associated with the risk of adult-onset asthma.
CONCLUSION: In women, a negative association was found between a diet rich in fruit, vegetables, and fish and the risk of COPD, whereas a positive association was found between a diet rich in refined grains, cured and red meats, desserts, and French fries and the risk of COPD.
Authors:
Raphaëlle Varraso; Teresa T Fung; R Graham Barr; Frank B Hu; Walter Willett; Carlos A Camargo
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  86     ISSN:  0002-9165     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-08     Completed Date:  2007-09-25     Revised Date:  2014-09-18    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  488-95     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Asthma / epidemiology
Body Mass Index
Cohort Studies
Diet*
Female
Food Habits*
Forced Expiratory Volume
Humans
Middle Aged
Pulmonary Disease, Chronic Obstructive / epidemiology*
Questionnaires
Smoke / adverse effects
Smoking / epidemiology
United States / epidemiology
Grant Support
ID/Acronym/Agency:
AI-52338/AI/NIAID NIH HHS; CA-87969/CA/NCI NIH HHS; HL-075476/HL/NHLBI NIH HHS; HL-077612/HL/NHLBI NIH HHS; HL-60712/HL/NHLBI NIH HHS; HL-63841/HL/NHLBI NIH HHS; P30 DK040561/DK/NIDDK NIH HHS; P30 DK040561-12/DK/NIDDK NIH HHS; R01 HL075476/HL/NHLBI NIH HHS; R01 HL075476-01/HL/NHLBI NIH HHS; R01 HL077612/HL/NHLBI NIH HHS; R01 HL077612-04/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Smoke
Comments/Corrections

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