Abstract
OBJECTIVES: This study assessed the association of dietary folate, vitamin B6, and vitamin B12 with cardiovascular mortality. METHODS: Poisson regression analyses assessed coronary/cerebrovascular mortality rates via nutrient data obtained from the National Nutrition Survey, which recorded 7-day food intakes from a national sample of 21,155 households. RESULTS: In regard to coronary mortality, male and female rate ratios (highest vs lowest quintile) were 0.83 (95% confidence interval [CI] = 0.77, 0.91) and 0.95 (95% CI = 0.86, 1.05), respectively, for folate and 0.74 (95% CI = 0.65, 0.84) and 0.86 (95% CI = 0.73, 0.99), respectively, for B12. Intake of folate and B6 (but not B12) was significantly associated with cerebrovascular mortality. CONCLUSIONS: B vitamins are associated with cardiovascular mortality in the general population.
Full Text
The Full Text of this article is available as a PDF (77.2 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barrado Lanzarote M. J., Medrano Albero M. J., Almazán Isla J. Mortalidad por cardiopatía isquémica en España: tendencia y distribución geográfica. Rev Esp Cardiol. 1995 Feb;48(2):106–114. [PubMed] [Google Scholar]
- Barrado-Lanzarote M. J., Almazan-Isla J., Medrano-Albero M. J., de Pedro-Cuesta J. Spatial distribution of stroke mortality in Spain, 1975-1986. Neuroepidemiology. 1995;14(4):165–173. doi: 10.1159/000109792. [DOI] [PubMed] [Google Scholar]
- Benavides F. G., Bolumar F., Peris R. Quality of death certificates in Valencia, Spain. Am J Public Health. 1989 Oct;79(10):1352–1354. doi: 10.2105/ajph.79.10.1352. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Folsom A. R., Nieto F. J., McGovern P. G., Tsai M. Y., Malinow M. R., Eckfeldt J. H., Hess D. L., Davis C. E. Prospective study of coronary heart disease incidence in relation to fasting total homocysteine, related genetic polymorphisms, and B vitamins: the Atherosclerosis Risk in Communities (ARIC) study. Circulation. 1998 Jul 21;98(3):204–210. doi: 10.1161/01.cir.98.3.204. [DOI] [PubMed] [Google Scholar]
- Greenland S., Robins J. Invited commentary: ecologic studies--biases, misconceptions, and counterexamples. Am J Epidemiol. 1994 Apr 15;139(8):747–760. doi: 10.1093/oxfordjournals.aje.a117069. [DOI] [PubMed] [Google Scholar]
- Joshipura K. J., Ascherio A., Manson J. E., Stampfer M. J., Rimm E. B., Speizer F. E., Hennekens C. H., Spiegelman D., Willett W. C. Fruit and vegetable intake in relation to risk of ischemic stroke. JAMA. 1999 Oct 6;282(13):1233–1239. doi: 10.1001/jama.282.13.1233. [DOI] [PubMed] [Google Scholar]
- Morgenstern H. Ecologic studies in epidemiology: concepts, principles, and methods. Annu Rev Public Health. 1995;16:61–81. doi: 10.1146/annurev.pu.16.050195.000425. [DOI] [PubMed] [Google Scholar]
- Rimm E. B., Willett W. C., Hu F. B., Sampson L., Colditz G. A., Manson J. E., Hennekens C., Stampfer M. J. Folate and vitamin B6 from diet and supplements in relation to risk of coronary heart disease among women. JAMA. 1998 Feb 4;279(5):359–364. doi: 10.1001/jama.279.5.359. [DOI] [PubMed] [Google Scholar]
- Selhub J., Jacques P. F., Bostom A. G., D'Agostino R. B., Wilson P. W., Belanger A. J., O'Leary D. H., Wolf P. A., Schaefer E. J., Rosenberg I. H. Association between plasma homocysteine concentrations and extracranial carotid-artery stenosis. N Engl J Med. 1995 Feb 2;332(5):286–291. doi: 10.1056/NEJM199502023320502. [DOI] [PubMed] [Google Scholar]
- Susser M. The logic in ecological: I. The logic of analysis. Am J Public Health. 1994 May;84(5):825–829. doi: 10.2105/ajph.84.5.825. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Susser M. The logic in ecological: II. The logic of design. Am J Public Health. 1994 May;84(5):830–835. doi: 10.2105/ajph.84.5.830. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Verhoef P., Stampfer M. J., Buring J. E., Gaziano J. M., Allen R. H., Stabler S. P., Reynolds R. D., Kok F. J., Hennekens C. H., Willett W. C. Homocysteine metabolism and risk of myocardial infarction: relation with vitamins B6, B12, and folate. Am J Epidemiol. 1996 May 1;143(9):845–859. doi: 10.1093/oxfordjournals.aje.a008828. [DOI] [PubMed] [Google Scholar]
- Welch G. N., Loscalzo J. Homocysteine and atherothrombosis. N Engl J Med. 1998 Apr 9;338(15):1042–1050. doi: 10.1056/NEJM199804093381507. [DOI] [PubMed] [Google Scholar]
- Willett W., Stampfer M. J. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol. 1986 Jul;124(1):17–27. doi: 10.1093/oxfordjournals.aje.a114366. [DOI] [PubMed] [Google Scholar]