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Dairy Product Intake and Cardiometabolic Diseases in Northern Sweden: A 33-Year Prospective Cohort Study
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0002-9227-8434
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0002-4430-8125
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. Department of Public Health and Clinical Medicine, Research Unit Skellefteå, Umeå University, 90187 Umeå, Sweden. .
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2019 (English)In: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 11, no 284Article in journal (Refereed) Published
Abstract [en]

Dairy products are important constituents of most diets, and their association with adverse health outcomes remains a focus. We characterized dairy food intake and examined associations with the incidence of type 2 diabetes (T2D), myocardial infarction (MI) or stroke among 108,065 Swedish men and women. Hazard ratios (HRs) and 95% CIs were estimated using the multivariable Cox proportional hazards models in a population characterized by high milk tolerance. During a mean follow-up of 14.2 years, 11,641 first-time events occurred. Non-fermented milk intake decreased, whereas butter intake increased over the period. For high intake of non-fermented milk, the HR (95% CI) for developing T2D and MI was 1.17 (1.03, 1.34) and 1.23 (1.10, 1.37), respectively, in men. A greater intake of butter, fermented milk, and cheese tended to be associated with a reduced risk of T2D and/or MI. Non-consumers and those who chose low-fat variants of the targeted dairy products had increased risk for T2D, MI, or stroke compared to those in the non-case group. Generally, effect-sizes were small. This prospective study found that non-fermented milk was associated with an increased risk for developing T2D and MI and that subjects abstaining from dairy products or choosing low-fat variants were at greater risk. However, the overall cardiometabolic risk of non-fermented milk intake was judged as low, since the effect sizes were small.

Place, publisher, year, edition, pages
MDPI, 2019. Vol. 11, no 284
Keywords [en]
dairy products, milk, cardiovascular disease, myocardial infarction, stroke, type 2 diabetes
National Category
Cardiac and Cardiovascular Systems Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-156027DOI: 10.3390/nu11020284ISI: 000460829700075PubMedID: 30696081Scopus ID: 2-s2.0-85060813708OAI: oai:DiVA.org:umu-156027DiVA, id: diva2:1284796
Available from: 2019-02-01 Created: 2019-02-01 Last updated: 2019-04-04Bibliographically approved

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Johansson, IngegerdEsberg, AndersNilsson, Lena MariaJansson, Jan-HåkanWennberg, Patrik

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Johansson, IngegerdEsberg, AndersNilsson, Lena MariaJansson, Jan-HåkanWennberg, Patrik
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