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Vegetable nitrate intake, blood pressure and incident cardiovascular disease: Danish Diet, Cancer, and Health Study

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Bondonno, CP, Dalgaard, F, Blekkenhorst, LC, Murray, K, Lewis, JR, Croft, KD, Kyrø, C, Torp-Pedersen, C, Gislason, G, Tjønneland, A, Overvad, K, Bondonno, NP & Hodgson, JM 2021, 'Vegetable nitrate intake, blood pressure and incident cardiovascular disease: Danish Diet, Cancer, and Health Study', European Journal of Epidemiology, vol. 36, no. 8, pp. 813-825. https://doi.org/10.1007/s10654-021-00747-3

APA

Bondonno, C. P., Dalgaard, F., Blekkenhorst, L. C., Murray, K., Lewis, J. R., Croft, K. D., Kyrø, C., Torp-Pedersen, C., Gislason, G., Tjønneland, A., Overvad, K., Bondonno, N. P., & Hodgson, J. M. (2021). Vegetable nitrate intake, blood pressure and incident cardiovascular disease: Danish Diet, Cancer, and Health Study. European Journal of Epidemiology, 36(8), 813-825. https://doi.org/10.1007/s10654-021-00747-3

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Author

Bondonno, Catherine P ; Dalgaard, Frederik ; Blekkenhorst, Lauren C ; Murray, Kevin ; Lewis, Joshua R ; Croft, Kevin D ; Kyrø, Cecilie ; Torp-Pedersen, Christian ; Gislason, Gunnar ; Tjønneland, Anne ; Overvad, Kim ; Bondonno, Nicola P ; Hodgson, Jonathan M. / Vegetable nitrate intake, blood pressure and incident cardiovascular disease : Danish Diet, Cancer, and Health Study. In: European Journal of Epidemiology. 2021 ; Vol. 36, No. 8. pp. 813-825.

Bibtex

@article{c7c6ab3bcbe449468ccb5de3b7581925,
title = "Vegetable nitrate intake, blood pressure and incident cardiovascular disease: Danish Diet, Cancer, and Health Study",
abstract = "Whether the vascular effects of inorganic nitrate, observed in clinical trials, translate to a reduction in cardiovascular disease (CVD) with habitual dietary nitrate intake in prospective studies warrants investigation. We aimed to determine if vegetable nitrate, the major dietary nitrate source, is associated with lower blood pressure (BP) and lower risk of incident CVD. Among 53,150 participants of the Danish Diet, Cancer, and Health Study, without CVD at baseline, vegetable nitrate intake was assessed using a comprehensive vegetable nitrate database. Hazard ratios (HRs) were calculated using restricted cubic splines based on multivariable-adjusted Cox proportional hazards models. During 23 years of follow-up, 14,088 cases of incident CVD were recorded. Participants in the highest vegetable nitrate intake quintile (median, 141 mg/day) had 2.58 mmHg lower baseline systolic BP (95%CI - 3.12, - 2.05) and 1.38 mmHg lower diastolic BP (95%CI - 1.66, - 1.10), compared with participants in the lowest quintile. Vegetable nitrate intake was inversely associated with CVD plateauing at moderate intakes (~ 60 mg/day); this appeared to be mediated by systolic BP (21.9%). Compared to participants in the lowest intake quintile (median, 23 mg/day), a moderate vegetable nitrate intake (median, 59 mg/day) was associated with 15% lower risk of CVD [HR (95% CI) 0.85 (0.82, 0.89)]. Moderate vegetable nitrate intake was associated with 12%, 15%, 17% and 26% lower risk of ischemic heart disease, heart failure, ischemic stroke and peripheral artery disease hospitalizations respectively. Consumption of at least ~ 60 mg/day of vegetable nitrate (~ 1 cup of green leafy vegetables) may mitigate risk of CVD.",
keywords = "Blood pressure, Cardiovascular disease, Nitrate, Nitric oxide, Vegetables",
author = "Bondonno, {Catherine P} and Frederik Dalgaard and Blekkenhorst, {Lauren C} and Kevin Murray and Lewis, {Joshua R} and Croft, {Kevin D} and Cecilie Kyr{\o} and Christian Torp-Pedersen and Gunnar Gislason and Anne Tj{\o}nneland and Kim Overvad and Bondonno, {Nicola P} and Hodgson, {Jonathan M}",
year = "2021",
month = aug,
doi = "10.1007/s10654-021-00747-3",
language = "English",
volume = "36",
pages = "813--825",
journal = "European Journal of Epidemiology",
issn = "0393-2990",
publisher = "Springer Netherlands",
number = "8",

}

RIS

TY - JOUR

T1 - Vegetable nitrate intake, blood pressure and incident cardiovascular disease

T2 - Danish Diet, Cancer, and Health Study

AU - Bondonno, Catherine P

AU - Dalgaard, Frederik

AU - Blekkenhorst, Lauren C

AU - Murray, Kevin

AU - Lewis, Joshua R

AU - Croft, Kevin D

AU - Kyrø, Cecilie

AU - Torp-Pedersen, Christian

AU - Gislason, Gunnar

AU - Tjønneland, Anne

AU - Overvad, Kim

AU - Bondonno, Nicola P

AU - Hodgson, Jonathan M

PY - 2021/8

Y1 - 2021/8

N2 - Whether the vascular effects of inorganic nitrate, observed in clinical trials, translate to a reduction in cardiovascular disease (CVD) with habitual dietary nitrate intake in prospective studies warrants investigation. We aimed to determine if vegetable nitrate, the major dietary nitrate source, is associated with lower blood pressure (BP) and lower risk of incident CVD. Among 53,150 participants of the Danish Diet, Cancer, and Health Study, without CVD at baseline, vegetable nitrate intake was assessed using a comprehensive vegetable nitrate database. Hazard ratios (HRs) were calculated using restricted cubic splines based on multivariable-adjusted Cox proportional hazards models. During 23 years of follow-up, 14,088 cases of incident CVD were recorded. Participants in the highest vegetable nitrate intake quintile (median, 141 mg/day) had 2.58 mmHg lower baseline systolic BP (95%CI - 3.12, - 2.05) and 1.38 mmHg lower diastolic BP (95%CI - 1.66, - 1.10), compared with participants in the lowest quintile. Vegetable nitrate intake was inversely associated with CVD plateauing at moderate intakes (~ 60 mg/day); this appeared to be mediated by systolic BP (21.9%). Compared to participants in the lowest intake quintile (median, 23 mg/day), a moderate vegetable nitrate intake (median, 59 mg/day) was associated with 15% lower risk of CVD [HR (95% CI) 0.85 (0.82, 0.89)]. Moderate vegetable nitrate intake was associated with 12%, 15%, 17% and 26% lower risk of ischemic heart disease, heart failure, ischemic stroke and peripheral artery disease hospitalizations respectively. Consumption of at least ~ 60 mg/day of vegetable nitrate (~ 1 cup of green leafy vegetables) may mitigate risk of CVD.

AB - Whether the vascular effects of inorganic nitrate, observed in clinical trials, translate to a reduction in cardiovascular disease (CVD) with habitual dietary nitrate intake in prospective studies warrants investigation. We aimed to determine if vegetable nitrate, the major dietary nitrate source, is associated with lower blood pressure (BP) and lower risk of incident CVD. Among 53,150 participants of the Danish Diet, Cancer, and Health Study, without CVD at baseline, vegetable nitrate intake was assessed using a comprehensive vegetable nitrate database. Hazard ratios (HRs) were calculated using restricted cubic splines based on multivariable-adjusted Cox proportional hazards models. During 23 years of follow-up, 14,088 cases of incident CVD were recorded. Participants in the highest vegetable nitrate intake quintile (median, 141 mg/day) had 2.58 mmHg lower baseline systolic BP (95%CI - 3.12, - 2.05) and 1.38 mmHg lower diastolic BP (95%CI - 1.66, - 1.10), compared with participants in the lowest quintile. Vegetable nitrate intake was inversely associated with CVD plateauing at moderate intakes (~ 60 mg/day); this appeared to be mediated by systolic BP (21.9%). Compared to participants in the lowest intake quintile (median, 23 mg/day), a moderate vegetable nitrate intake (median, 59 mg/day) was associated with 15% lower risk of CVD [HR (95% CI) 0.85 (0.82, 0.89)]. Moderate vegetable nitrate intake was associated with 12%, 15%, 17% and 26% lower risk of ischemic heart disease, heart failure, ischemic stroke and peripheral artery disease hospitalizations respectively. Consumption of at least ~ 60 mg/day of vegetable nitrate (~ 1 cup of green leafy vegetables) may mitigate risk of CVD.

KW - Blood pressure

KW - Cardiovascular disease

KW - Nitrate

KW - Nitric oxide

KW - Vegetables

UR - http://www.scopus.com/inward/record.url?scp=85105016270&partnerID=8YFLogxK

U2 - 10.1007/s10654-021-00747-3

DO - 10.1007/s10654-021-00747-3

M3 - Journal article

C2 - 33884541

VL - 36

SP - 813

EP - 825

JO - European Journal of Epidemiology

JF - European Journal of Epidemiology

SN - 0393-2990

IS - 8

ER -

ID: 65156940