No Evidence of Increased Risk of Stroke with Consumption of Refined Grains: A Meta-analysis of Prospective Cohort Studies

Wu, Demo; Guan, Yixiang; Lv, Shujun; Wang, Haibo; Li, Jun

doi:10.1016/j.jstrokecerebrovasdis.2015.08.004

Cited by 18 publications

(12 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…148 A second meta-analysis of 8 prospective studies (n=468 887) revealed that a diet containing greater amounts of legumes was not associated with a lower risk of stroke; however, a diet with greater amounts of nuts was associated with lower risk of stroke (summary RR, 0.90; 95% CI, 0.81–0.99). Sex significantly modified the effects of nut consumption on stroke risk, and high nut intake was associated with reduced risk of stroke in women (SRR, 0.85; 95% CI, 0.75–0.97) but not in men (SRR, 0.95; 95% CI, 0.82–1.11).…”

Section: Stroke (Cerebrovascular Disease)mentioning

confidence: 99%

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Benjamin¹,

Blaha²,

Chiuve³

et al. 2017

Circulation

7,722

5,040

View full text Add to dashboard Cite

Section: Stroke (Cerebrovascular Disease)mentioning

confidence: 99%

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Benjamin¹,

Blaha²,

Chiuve³

et al. 2017

Circulation

7,722

5,040

View full text Add to dashboard Cite

“…One review reported on the relationship between refined grains and risk of stroke. Wu et al(15) searched the MEDLINE (from 1 January 1966) and EMBASE (from 1 January 1974) databases up to 30 November 2014. Eight prospective studies consisting of 410 821 subjects with 8284 stroke cases were included in the meta-analysis.…”

mentioning

confidence: 99%

Stroke and food groups: an overview of systematic reviews and meta-analyses

Deng

Gong

et al. 2017

Public Health Nutr.

View full text Add to dashboard Cite

ObjectiveNumerous systematic reviews of prospective studies on the association of stroke risk with the consumption of various food groups have been published. A review of the evidence across the existing systematic reviews and meta-analyses of prospective studies was conducted to provide an overview of the range and validity of the reported associations of food groups with stroke risk.DesignThe PubMed, EMBASE and Cochrane Library databases were searched for articles published up to September 2015 to identify systematic reviews of prospective studies.ResultsA total of eighteen studies published from 2008 to 2015 were eligible for analysis. Overall, thirteen specific foods were studied for an association with stroke outcome, including nuts, legumes, fruits and vegetables, refined grains, whole grains, dairy products, eggs, chocolate, red and/or processed meat, fish, tea, sugar-sweetened beverages and coffee. Whereas a high consumption of nuts, fruits, vegetables, dairy foods, fish and tea, and moderate consumption of coffee and chocolate demonstrated a protective effect, a high consumption of red and/or processed meat was associated with increased stroke risk. Refined grain, sugar-sweetened beverage, legume, egg and whole grain intake showed no effect on stroke outcome.ConclusionsThe current overview provided a high level of evidence to support the beneficial effect of specific foods on stroke outcome. Clinicians and policy makers could inform clinical practice and policy based on this overview.

show abstract

“…En cuanto al consumo de arroz, a diferencia de la asociación de riesgo identificada en el presente estudio, la literatura reporta relaciones inconsistentes en estudios de cohortes prospectivas. En el metaanálisis de Wu et al (36) se encontró que un mayor consumo de arroz no está asociado con el aumento del riesgo de ACV (RR=1.01; IC95%: 0.93-1.11). Contrario a esto, Muraki et al (37) obtuvieron evidencia heterogénea al comparar el alto consumo de arroz (5 porciones/semana) con el bajo consumo (1 porción/semana) (HR=0.98; IC95%: 0.84-1.14) respecto a la mortalidad.…”

Section: Discussionunclassified

Consumo de alimentos y ataque cerebrovascular isquémico agudo. Estudio multicéntrico de casos y controles

et al. 2019

View full text Add to dashboard Cite

Correspondencia: Federico Arturo Silva-Sieger. Instituto de Investigaciones, Fundación Cardiovascular de Colombia. Calle 155A No. 23-58, tercer piso. Teléfono: +57 7 6399292, ext.: 308-345. Floridablanca, Colombia. Correo electrónico: federicosilva@fcv.org. DOI: http://dx.doi.org/10.15446/revfacmed.v67n2.67014 INVESTIGACIÓN ORIGINAL | Resumen |Introducción. La dieta es uno de los factores asociados al ataque cerebrovascular (ACV) con un impacto particular sobre las diferentes poblaciones.Objetivo. Evaluar la asociación entre el consumo de alimentos y el ACV isquémico en una muestra de pacientes adultos en Colombia.Materiales y métodos. Estudio de casos (n=357) y controles (n=348) con casos incidentes de ACV isquémico agudo. El consumo de alimentos fue evaluado mediante un cuestionario de frecuencia de consumo. Se calculó el odds ratio (OR) con sus respectivos intervalos de confianza (IC) del 95% mediante modelos de regresión logística.Resultados. Se identificaron 10 alimentos asociados con el ACV isquémico agudo. Según la escala propuesta (número de modelos con asociación significativa), un solo alimento se ubicó en la categoría de evidencia fuerte de asociación (gallina), cuatro en categoría débil (chocolate, harina de trigo, manteca, aguacate) y cinco en la categoría sospechosa (pollo con piel, pollo sin piel, arroz, arracacha, yuca).Conclusiones. El consumo de chocolate de mesa (preparado en leche con una composición de 70% azúcar y 30% cacao), aguacate y pollo sin piel podría sugerir un efecto protector, mientras la alta ingesta de harina de trigo, gallina, manteca, atún en agua, arroz, pollo con piel, arracacha y yuca podría aumentar el riesgo de presentar ACV isquémico agudo. Palabras clave: Accidente cerebrovascular; Estudios de casos y controles; Consumo de alimentos; Dieta (DeCS). López-Romero LA, Gamboa-Delgado EM, Herrán OF, Martínez-Contreras LX, Silva-Sierger FA. Consumo de alimentos y ataque cerebrovascular isquémico agudo. Estudio multicéntrico de casos y controles. Rev. Fac. Med. 2019;67(2):265-72. Spanish. doi: http://dx.doi.org/10.15446/revfacmed.v67n2.67014. | Abstract |Introduction: Diet is one of the factors associated to stroke, with a particular impact on different populations.Objective: To assess the association between food intake and ischemic strokes in a sample of adult patients in Colombia. Materials and methods:Case (n=357) and controls (n=348) study, with incident cases of acute ischemic stroke. Food intake was assessed using a food frequency questionnaire. Odds ratios (OR) were calculated with their corresponding 95% confidence intervals (CI) using logistic regression models.Results: Ten foods associated with acute ischemic stroke were identified. According to the proposed scale (number of models with significant association), only one food was placed in the strong association category (hen), four in the weak association category (chocolate, wheat flour, lard, avocado) and five in the suspected association category (chicken with skin, skinless chicken, rice, arracacha, cassava). Con...

show abstract

No Evidence of Increased Risk of Stroke with Consumption of Refined Grains: A Meta-analysis of Prospective Cohort Studies

Cited by 18 publications

References 35 publications

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Stroke and food groups: an overview of systematic reviews and meta-analyses

Consumo de alimentos y ataque cerebrovascular isquémico agudo. Estudio multicéntrico de casos y controles

Contact Info

Product

Resources

About