2.Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study
Andrew SMYTH ; Graeme J. HANKEY ; Albertino DAMASCENO ; Helle Klingenberg IVERSEN ; Shahram OVEISGHARAN ; Fawaz ALHUSSAIN ; Peter LANGHORNE ; Dennis XAVIER ; Patricio Lopez JARAMILLO ; Aytekin OGUZ ; Clodagh MCDERMOTT ; Anna CZLONKOWSKA ; Fernando LANAS ; Danuta RYGLEWICZ ; Catriona REDDIN ; Xingyu WANG ; Annika ROSENGREN ; Salim YUSUF ; Martin O’DONNELL
Journal of Stroke 2024;26(3):391-402
Background:
and Purpose Cold beverage intake (carbonated drinks, fruit juice/drinks, and water) may be important population-level exposures relevant to stroke risk and prevention. We sought to explore the association between intake of these beverages and stroke.
Methods:
INTERSTROKE is an international matched case-control study of first stroke. Participants reported beverage intake using food frequency questionnaires or were asked “How many cups do you drink each day of water?” Multivariable conditional logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for associations with stroke.
Results:
We include 13,462 cases and 13,488 controls; mean age was 61.7±13.4 years and 59.6% (n=16,010) were male. After multivariable adjustment, carbonated beverages were linearly associated with ischemic stroke (OR 2.39 [95% CI 1.64–3.49]); only consumption once/day was associated with intracerebral hemorrhage (ICH) (OR 1.58 [95% CI 1.23–2.03]). There was no association between fruit juice/drinks and ischemic stroke, but increased odds of ICH for once/day (OR 1.37 [95% CI 1.08–1.75)] or twice/day (OR 3.18 [95% CI 1.69–5.97]). High water intake (>7 cups/day) was associated ischemic stroke (OR 0.82 [95% CI 0.68–0.99]) but not ICH. Associations differed by Eugeographical region—increased odds for carbonated beverages in some regions only; opposing directions of association of fruit juices/drinks with stroke in selected regions.
Conclusion
Carbonated beverages were associated with increased odds of ischemic stroke and ICH, fruit juice/drinks were associated with increased odds of ICH, and high water consumption was associated with reduced odds of ischemic stroke, with important regional differences. Our findings suggest optimizing water intake, minimizing fruit juice/drinks, and avoiding carbonated beverages.
3.Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study
Andrew SMYTH ; Graeme J. HANKEY ; Albertino DAMASCENO ; Helle Klingenberg IVERSEN ; Shahram OVEISGHARAN ; Fawaz ALHUSSAIN ; Peter LANGHORNE ; Dennis XAVIER ; Patricio Lopez JARAMILLO ; Aytekin OGUZ ; Clodagh MCDERMOTT ; Anna CZLONKOWSKA ; Fernando LANAS ; Danuta RYGLEWICZ ; Catriona REDDIN ; Xingyu WANG ; Annika ROSENGREN ; Salim YUSUF ; Martin O’DONNELL
Journal of Stroke 2024;26(3):391-402
Background:
and Purpose Cold beverage intake (carbonated drinks, fruit juice/drinks, and water) may be important population-level exposures relevant to stroke risk and prevention. We sought to explore the association between intake of these beverages and stroke.
Methods:
INTERSTROKE is an international matched case-control study of first stroke. Participants reported beverage intake using food frequency questionnaires or were asked “How many cups do you drink each day of water?” Multivariable conditional logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for associations with stroke.
Results:
We include 13,462 cases and 13,488 controls; mean age was 61.7±13.4 years and 59.6% (n=16,010) were male. After multivariable adjustment, carbonated beverages were linearly associated with ischemic stroke (OR 2.39 [95% CI 1.64–3.49]); only consumption once/day was associated with intracerebral hemorrhage (ICH) (OR 1.58 [95% CI 1.23–2.03]). There was no association between fruit juice/drinks and ischemic stroke, but increased odds of ICH for once/day (OR 1.37 [95% CI 1.08–1.75)] or twice/day (OR 3.18 [95% CI 1.69–5.97]). High water intake (>7 cups/day) was associated ischemic stroke (OR 0.82 [95% CI 0.68–0.99]) but not ICH. Associations differed by Eugeographical region—increased odds for carbonated beverages in some regions only; opposing directions of association of fruit juices/drinks with stroke in selected regions.
Conclusion
Carbonated beverages were associated with increased odds of ischemic stroke and ICH, fruit juice/drinks were associated with increased odds of ICH, and high water consumption was associated with reduced odds of ischemic stroke, with important regional differences. Our findings suggest optimizing water intake, minimizing fruit juice/drinks, and avoiding carbonated beverages.
4.Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study
Andrew SMYTH ; Graeme J. HANKEY ; Albertino DAMASCENO ; Helle Klingenberg IVERSEN ; Shahram OVEISGHARAN ; Fawaz ALHUSSAIN ; Peter LANGHORNE ; Dennis XAVIER ; Patricio Lopez JARAMILLO ; Aytekin OGUZ ; Clodagh MCDERMOTT ; Anna CZLONKOWSKA ; Fernando LANAS ; Danuta RYGLEWICZ ; Catriona REDDIN ; Xingyu WANG ; Annika ROSENGREN ; Salim YUSUF ; Martin O’DONNELL
Journal of Stroke 2024;26(3):391-402
Background:
and Purpose Cold beverage intake (carbonated drinks, fruit juice/drinks, and water) may be important population-level exposures relevant to stroke risk and prevention. We sought to explore the association between intake of these beverages and stroke.
Methods:
INTERSTROKE is an international matched case-control study of first stroke. Participants reported beverage intake using food frequency questionnaires or were asked “How many cups do you drink each day of water?” Multivariable conditional logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for associations with stroke.
Results:
We include 13,462 cases and 13,488 controls; mean age was 61.7±13.4 years and 59.6% (n=16,010) were male. After multivariable adjustment, carbonated beverages were linearly associated with ischemic stroke (OR 2.39 [95% CI 1.64–3.49]); only consumption once/day was associated with intracerebral hemorrhage (ICH) (OR 1.58 [95% CI 1.23–2.03]). There was no association between fruit juice/drinks and ischemic stroke, but increased odds of ICH for once/day (OR 1.37 [95% CI 1.08–1.75)] or twice/day (OR 3.18 [95% CI 1.69–5.97]). High water intake (>7 cups/day) was associated ischemic stroke (OR 0.82 [95% CI 0.68–0.99]) but not ICH. Associations differed by Eugeographical region—increased odds for carbonated beverages in some regions only; opposing directions of association of fruit juices/drinks with stroke in selected regions.
Conclusion
Carbonated beverages were associated with increased odds of ischemic stroke and ICH, fruit juice/drinks were associated with increased odds of ICH, and high water consumption was associated with reduced odds of ischemic stroke, with important regional differences. Our findings suggest optimizing water intake, minimizing fruit juice/drinks, and avoiding carbonated beverages.
5.Carbonated Beverage, Fruit Drink, and Water Consumption and Risk of Acute Stroke: the INTERSTROKE Case-Control Study
Andrew SMYTH ; Graeme J. HANKEY ; Albertino DAMASCENO ; Helle Klingenberg IVERSEN ; Shahram OVEISGHARAN ; Fawaz ALHUSSAIN ; Peter LANGHORNE ; Dennis XAVIER ; Patricio Lopez JARAMILLO ; Aytekin OGUZ ; Clodagh MCDERMOTT ; Anna CZLONKOWSKA ; Fernando LANAS ; Danuta RYGLEWICZ ; Catriona REDDIN ; Xingyu WANG ; Annika ROSENGREN ; Salim YUSUF ; Martin O’DONNELL
Journal of Stroke 2024;26(3):391-402
Background:
and Purpose Cold beverage intake (carbonated drinks, fruit juice/drinks, and water) may be important population-level exposures relevant to stroke risk and prevention. We sought to explore the association between intake of these beverages and stroke.
Methods:
INTERSTROKE is an international matched case-control study of first stroke. Participants reported beverage intake using food frequency questionnaires or were asked “How many cups do you drink each day of water?” Multivariable conditional logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for associations with stroke.
Results:
We include 13,462 cases and 13,488 controls; mean age was 61.7±13.4 years and 59.6% (n=16,010) were male. After multivariable adjustment, carbonated beverages were linearly associated with ischemic stroke (OR 2.39 [95% CI 1.64–3.49]); only consumption once/day was associated with intracerebral hemorrhage (ICH) (OR 1.58 [95% CI 1.23–2.03]). There was no association between fruit juice/drinks and ischemic stroke, but increased odds of ICH for once/day (OR 1.37 [95% CI 1.08–1.75)] or twice/day (OR 3.18 [95% CI 1.69–5.97]). High water intake (>7 cups/day) was associated ischemic stroke (OR 0.82 [95% CI 0.68–0.99]) but not ICH. Associations differed by Eugeographical region—increased odds for carbonated beverages in some regions only; opposing directions of association of fruit juices/drinks with stroke in selected regions.
Conclusion
Carbonated beverages were associated with increased odds of ischemic stroke and ICH, fruit juice/drinks were associated with increased odds of ICH, and high water consumption was associated with reduced odds of ischemic stroke, with important regional differences. Our findings suggest optimizing water intake, minimizing fruit juice/drinks, and avoiding carbonated beverages.
6.Trend Analysis of Cancer Mortality in the Jinchang Cohort, China, 2001-2010.
Hong Mei QU ; Ya Na BAI ; Ning CHENG ; Min DAI ; Tong Zhang ZHENG ; Dennis WANG ; Hai Yan LI ; Xiao Bin HU ; Juan Sheng LI ; Xiao Wei REN ; Hui SHANG
Biomedical and Environmental Sciences 2015;28(5):364-369
OBJECTIVETo describe the baseline data of cancers in the Jinchang Cohort, this paper examined trends in cancer mortality among adults investigated in Jinchang, Gansu province from 2001 to 2010.
METHODSMortality data were collected from company departments through administrative documents, death certificates, etc. Trend analyses of cancer mortality were performed on the basis of 925 cancer deaths between 2001 and 2010.
RESULTSThe crude mortality rate of cancer continuously increased from 161.86 per 100,000 in 2001 to 315.32 per 100,000 in 2010, with an average increase of 7.69% per year in the Jinchang Cohort (16.41% in females compared to 6.04% in males), but the age-standardized mortality rate increased only in females. Thirteen leading cancers accounted for 92.10% of all cancer deaths. The five leading causes of cancer mortality in males were lung, gastric, liver, esophageal, and colorectal cancer, whereas those in females were lung, liver, gastric, breast, and esophageal cancer.
CONCLUSIONThe overall cancer mortality rate increased from 2001 to 2010 in the Jinchang Cohort, with greater rate of increase in females than in males. Lung, breast, and gastric cancer, in that order, were the leading causes of increased cancer mortality in females.
Adult ; China ; epidemiology ; Cohort Studies ; Female ; Humans ; Male ; Neoplasms ; epidemiology ; mortality ; Retrospective Studies ; Time Factors