Association between nutrition and the evolution of multimorbidity: The importance of fruits and vegetables and whole grain products

Ruel, Guillaume; Shi, Zumin; Zhen, Shiqi; Zuo, Hui; Kröger, Edeltraut; Sirois, Caroline; Lévesque, Jean‐Frédéric; Taylor, Anne

doi:10.1016/j.clnu.2013.07.009

Cited by 95 publications

(105 citation statements)

References 29 publications

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“…A recent study using the Jiangsu Longitudinal Nutrition Study from China showed a statistically significant association between high levels of fruit/vegetable intake and healthier stages in the evolution of multimorbidity. 13 Previous studies have also reported differences in the association of fruit/vegetable intake and chronic conditions and mortality by gender. A population-based study from Japan found a reduced risk of cardiovascular mortality associated with vegetable intake in women but not men.…”

Section: Comparison With Current Literaturementioning

confidence: 99%

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Dhalwani

Zaccardi

O’Donovan

et al. 2016

GERONA

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• This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Gerontology Series A following peer review. Methods:We used data from wave 4, 5 and 6 of the English Longitudinal Study of Ageing.Data on smoking, alcohol consumption, physical activity, fruit and vegetable consumption and BMI were extracted and combined to generate a sum of unhealthy lifestyle factors for each individual. We examined whether these lifestyle factors individually or in combination predicted during the subsequent wave. We used marginal structural Cox proportional hazard models, adjusted for both time-constant and time-varying factors.Results: A total of 5,476 participants contributed 232,749 person-months of follow-up during which 1,156 cases of incident multimorbidity were recorded. Physical inactivity increased the risk of multimorbidity by 33% (adjusted Hazard Ratio (aHR) 1.33, 95% CI 1.03- 1.73).The risk was about two-three times higher when inactivity was combined with obesity (aHR 2.87, 95% CI 1.55-5.31) or smoking (aHR 2.35, 95% CI 1.36-4.08) and about four times when combined with both (aHR 3.98, 95% CI 1.02-17.00). Any combination of 2, 3 and 4 or more unhealthy lifestyle factors significantly increased the multimorbidity hazard, compared to none, from 42% to 114%. Conclusion:This study provides evidence of a temporal association between combinations of different unhealthy lifestyle factors with multimorbidity. Population level interventions should include reinforcing positive lifestyle changes in the population to reduce the risk of developing multimorbidity.3

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Section: Comparison With Current Literaturementioning

confidence: 99%

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Dhalwani

Zaccardi

O’Donovan

et al. 2016

GERONA

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“…It has also been shown that regular consumption of FV facilitate the prevention of asthma, iron deficiency anaemia 6 and mental disorders 7,8 .…”

Section: Introductionmentioning

confidence: 99%

The role of emotional states in fruit and vegetable consumption in Brazilian adults

Rower¹,

Olinto²,

Gonçalves³

et al. 2017

Ciênc. saúde coletiva

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“…Several studies focused on the phenomenon which demonstrated that, the decrease in fruits and vegetables intake is positively correlated with an increase in NCDs incidence (Ruel et al, 2014;Negi et al, 2016;Gostin et al, 2017). Since, it's proved that fibers and vitamins present only in fruits and vegetables protect against vascular diseases, equilibrate blood sugar and enhance antioxidant system in the organism.…”

Section: Discussionmentioning

confidence: 99%

Metabolic syndrome within freshman students; Case study in Jazan Kingdom of Saudi Arabia (KSA)

Mahmoud¹,

El-Blooni²,

Abdalla³

et al. 2017

Int. J. Nutr. Metab.

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As well as many countries, in Kingdom of Saudi Arabia (KSA), non-communicable diseases are becoming an epidemic health problem. Scientific studies prove that these diseases are related to the nutritional types adopted in the last decades and which could be predicted by control of metabolic biomarkers during lifespan. Saudi Arabia has experienced marked nutritional changes and rapid urbanization in recent decades and in parallel incidence of health problems such as diabetes, obesity, hypertension, and cancers increases. This research was carried out to study the influence of canteen food on some metabolic biomarkers within freshman students in Jazan. For that, students were asked to answer questionnaires about their consumption from the canteen, socio and economic status, frequency and quality of their meals and some daily habits. Also, some metabolic biomarkers; body mass index (BMI); total cholesterol, low density lipoprotein (LDL), high density lipoprotein (HDL), total protein (TP), albumin (Alb), triglyceride (TG), fasting blood glucose (FBG), uric acid (UA) and hemoglobin (Hb) levels were checked twice, at the first week of the first semester then again 14 weeks after. The results showed that these students eat regularly French fries, pizza and pasta. Sweets were consumed frequently and at high rates. However, vegetables and fruits were rarely consumed. For metabolic biomarkers, BMI and LD increased significantly. However, FBG, Alb, TP and HDL decreased significantly. As conclusion, our results proved that during freshman year, students' health could be influenced and some health biomarkers could be changed.

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Association between nutrition and the evolution of multimorbidity: The importance of fruits and vegetables and whole grain products

Abstract: This study provides the first evidence of an association between nutrition and evolution towards multimorbidity. More precisely, greater consumption of fruits and vegetable and whole grain products consumption appear to lower the risk of multimorbidity.

Cited by 95 publications

References 29 publications

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

The role of emotional states in fruit and vegetable consumption in Brazilian adults

Metabolic syndrome within freshman students; Case study in Jazan Kingdom of Saudi Arabia (KSA)

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