Journal Article

DKFZ-2020-01174

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Glycemic index, glycemic load, and risk of coronary heart disease: a pan-European cohort study.

Sieri, S. ; Agnoli, C. ; Grioni, S. ; Weiderpass, E. ; Mattiello, A. ; Sluijs, I. ; Sanchez, M. J. ; Jakobsen, M. U. ; Sweeting, M. ; van der Schouw, Y. T. ; Nilsson, L. M. ; Wennberg, P. ; Katzke, V. A.DKFZ* ; Kühn, T.DKFZ* ; Overvad, K. ; Tong, T. Y. N. ; Conchi, M.-I. ; Quirós, J. R. ; García-Torrecillas, J. M. ; Mokoroa, O. ; Gómez, J.-H. ; Tjønneland, A. ; Sonestedt, E. ; Trichopoulou, A. ; Karakatsani, A. ; Valanou, E. ; Boer, J. M. A. ; Verschuren, W. M. M. ; Boutron-Ruault, M.-C. ; Fagherazzi, G. ; Madika, A.-L. ; Bergmann, M. M. ; Schulze, M. B. ; Ferrari, P. ; Freisling, H. ; Lennon, H. ; Sacerdote, C. ; Masala, G. ; Tumino, R. ; Riboli, E. ; Wareham, N. J. ; Danesh, J. ; Forouhi, N. G. ; Butterworth, A. S. ; Krogh, V.

2020
Oxford University Press Oxford

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Please use a persistent id in citations: doi:10.1093/ajcn/nqaa157

Abstract: High carbohydrate intake raises blood triglycerides, glucose, and insulin; reduces HDLs; and may increase risk of coronary heart disease (CHD). Epidemiological studies indicate that high dietary glycemic index (GI) and glycemic load (GL) are associated with increased CHD risk.The aim of this study was to determine whether dietary GI, GL, and available carbohydrates are associated with CHD risk in both sexes.This large prospective study-the European Prospective Investigation into Cancer and Nutrition-consisted of 338,325 participants who completed a dietary questionnaire. HRs with 95% CIs for a CHD event, in relation to intake of GI, GL, and carbohydrates, were estimated using covariate-adjusted Cox proportional hazard models.After 12.8 y (median), 6378 participants had experienced a CHD event. High GL was associated with greater CHD risk [HR 1.16 (95% CI: 1.02, 1.31) highest vs. lowest quintile, p-trend 0.035; HR 1.18 (95% CI: 1.07, 1.29) per 50 g/day of GL intake]. The association between GL and CHD risk was evident in subjects with BMI (in kg/m2) ≥25 [HR: 1.22 (95% CI: 1.11, 1.35) per 50 g/d] but not in those with BMI <25 [HR: 1.09 (95% CI: 0.98, 1.22) per 50 g/d) (P-interaction = 0.022). The GL-CHD association did not differ between men [HR: 1.19 (95% CI: 1.08, 1.30) per 50 g/d] and women [HR: 1.22 (95% CI: 1.07, 1.40) per 50 g/d] (test for interaction not significant). GI was associated with CHD risk only in the continuous model [HR: 1.04 (95% CI: 1.00, 1.08) per 5 units/d]. High available carbohydrate was associated with greater CHD risk [HR: 1.11 (95% CI: 1.03, 1.18) per 50 g/d]. High sugar intake was associated with greater CHD risk [HR: 1.09 (95% CI: 1.02, 1.17) per 50 g/d].This large pan-European study provides robust additional support for the hypothesis that a diet that induces a high glucose response is associated with greater CHD risk.

Note: 2020 Sep 1;112(3):631-643

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Contributing Institute(s):

1. C020 Epidemiologie von Krebs (C020)

Research Program(s):

1. 313 - Cancer risk factors and prevention (POF3-313) (POF3-313)

Appears in the scientific report 2020

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Database coverage:
; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Life Sciences ; Essential Science Indicators ; IF >= 5 ; JCR ; NCBI Molecular Biology Database ; PubMed Central ; SCOPUS ; Science Citation Index ; Science Citation Index Expanded ; Web of Science Core Collection

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