2019年9月10日 星期二

素食者有較低的心臟病,但是有較高的腦中風機率

Vegetarian Diet Linked to Lower Heart Disease, But Higher Stroke Risks

Risks of ischaemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: results from the prospective EPIC-Oxford study
BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4897 (Published 04 September 2019)

- 48,000 adults in the U.K.  18-year follow-up

- Pescatarians and those who were vegetarian or vegan had lower risks for ischemic heart disease than meat eaters (hazard ratios, 0.87 for fish eaters, 0.78 for vegetarians).
- Vegetarians had higher rates of total stroke (HR, 1.20) and hemorrhagic stroke (HR, 1.43) than meat eaters.

- Vegetarians and vegans in the EPIC-Oxford cohort have lower circulating levels of several nutrients (eg, vitamin B12, vitamin D, essential amino acids, and long chain n-3 polyunsaturated fatty acids), and differences in some of these nutritional factors could contribute to the observed associations.

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