Change search
ReferencesLink to record
Permanent link

Direct link
Fruit and vegetable intake and cause-specific mortality in the EPIC study
Show others and affiliations
2014 (English)In: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 29, no 9, 639-652 p.Article in journal (Refereed) Published
Abstract [en]

Consumption of fruits and vegetables is associated with a lower overall mortality. The aim of this study was to identify causes of death through which this association is established. More than 450,000 participants from the European Prospective Investigation into Cancer and Nutrition study were included, of which 25,682 were reported deceased after 13 years of follow-up. Information on lifestyle, diet and vital status was collected through questionnaires and population registries. Hazard ratios (HR) with 95 % confidence intervals (95 % CI) for death from specific causes were calculated from Cox regression models, adjusted for potential confounders. Participants reporting consumption of more than 569 g/day of fruits and vegetables had lower risks of death from diseases of the circulatory (HR for upper fourth 0.85, 95 % CI 0.77-0.93), respiratory (HR for upper fourth 0.73, 95 % CI 0.59-0.91) and digestive system (HR for upper fourth 0.60, 95 % CI 0.46-0.79) when compared with participants consuming less than 249 g/day. In contrast, a positive association with death from diseases of the nervous system was observed. Inverse associations were generally observed for vegetable, but not for fruit consumption. Associations were more pronounced for raw vegetable consumption, when compared with cooked vegetable consumption. Raw vegetable consumption was additionally inversely associated with death from neoplasms and mental and behavioral disorders. The lower risk of death associated with a higher consumption of fruits and vegetables may be derived from inverse associations with diseases of the circulatory, respiratory and digestive system, and may depend on the preparation of vegetables and lifestyle factors.

Place, publisher, year, edition, pages
Springer, 2014. Vol. 29, no 9, 639-652 p.
Keyword [en]
Fruits and vegetables, Mortality, Nutrition, Cancer, Cardiovascular disease, Respiratory disease
National Category
URN: urn:nbn:se:umu:diva-94932DOI: 10.1007/s10654-014-9945-9ISI: 000341914800006OAI: diva2:762092
Available from: 2014-11-10 Created: 2014-10-20 Last updated: 2014-11-10Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Boshuizen, Hendriek C.Johansson, Ingegerd
By organisation
School of Dentistry
In the same journal
European Journal of Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 41 hits
ReferencesLink to record
Permanent link

Direct link