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. Author manuscript; available in PMC: 2022 Aug 17.
Published in final edited form as: J Am Coll Cardiol. 2021 Aug 17;78(7):666–678. doi: 10.1016/j.jacc.2021.05.049

Table 1.

Age-standardized characteristics of study participants at median follow-up.

Total lignans intake
Q1 Q2 Q3 Q4 Q5

Nurses’ Health Study (2000)
No of participants 14,153 14,154 14,153 14,154 14,154
Total lignans, μg/d1 173.4 (155.4,185.6) 213.7 (205.1,221.8) 246.4 (238.1,254.7) 284.1 (273.5,296.4) 352.6 (328.0,395.0)
Matairesinol, μg/d1 5.2 (4.3,6.4) 6.7 (5.5,8.3) 8.0 (6.4,10.2) 9.6 (7.4,12.8) 13.5 (9.2,19.5)
Secoisolariciresinol, μg/d1 60.0 (50.3,69.5) 74.1 (65.2,83.4) 82.9 (73.5,93.0) 91.1 (80.7,102.3) 103.9 (90.9,119.6)
Pinoresinol, μg/d1 36.2 (30.6,42.1) 46.6 (40.9,52.9) 55.1 (48.8,62.2) 65.7 (58.2,73.7) 87.3 (75.5,103.6)
Lariciresinol, μg/d1 66.1 (57.8,74.0) 84.1 (76.5,91.6) 98.4 (90.1,106.8) 115.8 (105.5,126.3) 149.2 (132.2,171.1)
Age (years)* 65.1 (7.3) 66.0 (7.1) 66.4 (7.1) 66.8 (7.0) 67.8 (6.9)
Body mass index (kg/m2) 25.6 (5.3) 25.1 (4.6) 25.0 (4.6) 24.7 (4.4) 24.2 (4.2)
Race
- White, % 97.3 97.8 98.1 97.9 97.6
- African American, % 1.7 1.3 1.0 1.1 1.2
- Asian, % 0.2 0.2 0.3 0.3 0.3
- Others, % 0.7 0.7 0.6 0.7 0.8
Physical activity(MET-h/wk) 6.5 (1.7,16.0) 8.4 (2.7,20.2) 10.2 (3.2,22.4) 11.7 (4.0,25.4) 15.2 (5.2,30.7)
Hypertension, % 50.8 48.9 47.2 45.7 44.0
High cholesterol, % 58.6 58.8 58.6 58.3 57.4
Smoking status
- Never smokers, % 48.9 46.5 45.1 43.0 41.7
- Past smokers, % 40.0 43.9 46.3 48.5 50.3
- Current smokers, % 11.0 9.6 8.6 8.5 8.0
Family history of MI, % 18.3 18.6 18.8 19.2 20.5
Multivitamin use, % 53.9 58.9 62.0 63.7 65.2
Oral contraceptive use, % 49.1 49.4 50.5 51.1 50.6
Hormone use
- premenopausal, % 2.7 2.5 2.1 2.5 2.0
- postmenopausal-never, % 27.3 25.0 23.3 22.6 22.5
- postmenopausal-current, % 41.9 44.5 46.4 47.3 46.0
- postmenopausal-past, % 28.1 28.0 28.2 27.7 29.5
Alcohol consumption (g/day) 0.9 (0.0,4.6) 1.8 (0.2,6.6) 2.2 (0.4,7.7) 2.9 (0.5,9.1) 3.0 (0.5,9.6)
Alternative healthy eating index 43.3 (7.7) 47.8 (7.4) 50.7 (7.4) 53.6 (7.6) 58.4 (8.9)
Total energy intake (Kcal/d) 1726.0 (542.2) 1743.1 (524.1) 1755.4 (534.2) 1737.6 (530.3) 1740.9 (538.9)

Nurses’ Health Study II (2003)
No of participants 18,536 18,523 18,533 18,530 18,517
Total lignans, μg/d1 151.2 (131.5,165.8) 198.4 (188.3,207.8) 236.2 (226.4,246.4) 281.3 (268.6,296.2) 365.1 (334.8,416.8)
Matairesinol, μg/d1 5.0 (3.9,6.6) 7.0 (5.3,9.0) 8.5 (6.4,10.9) 10.4 (7.8,14.0) 14.9 (10.5,22.6)
Secoisolariciresinol, μg/d1 45.1 (36.2,55) 62.7 (53.1,73) 74.1 (63.5,85.5) 85.1 (72.9,98) 103.6 (87.7,121.1)
Pinoresinol, μg/d1 33.8 (28.2,39.7) 45.2 (39.3,51.5) 54.3 (47.3,62) 66.3 (57.6,75.3) 90 (77,107.4)
Lariciresinol, μg/d1 60.8 (51.8,69.3) 80.9 (72.8,89.2) 97.2 (87.5,107) 117.8 (106.2,129.9) 159.5 (139.9,187.4)
Age (years)* 41.5 (4.8) 42.3 (4.6) 42.8 (4.6) 43.3 (4.5) 43.8 (4.4)
Body mass index (kg/m2) 25.4 (6.2) 24.8 (5.4) 24.6 (5.2) 24.5 (50) 24.0 (4.7)
Race
- White, % 95.3 96.5 96.8 96.9 96.4
- African American, % 0.3 0.5 0.5 0.5 0.6
- Asian, % 1.9 1.5 1.4 1.4 1.6
- Others, % 2.5 1.5 1.2 1.2 1.3
Physical activity(MET-h/wk) 10.3 (3.4,30.9) 11.9 (4.2,30.9) 13.4 (5.1,34) 15.7 (6.2,37.7) 20.4 (8.3,47.4)
Hypertension, % 12.2 11.0 10.0 9.8 8.9
High cholesterol, % 24.0 21.9 20.8 20.7 20.0
Smoking status
- Never smokers, % 72.8 67.5 64.7 61.7 59.8
- Past smokers, % 17.3 22.0 24.9 27.3 29.8
- Current smokers, % 9.9 10.5 10.5 11.0 10.4
Family history of MI, % 48.6 48.9 48.7 49.7 49.0
Multivitamin use, % 39.0 43.2 45.6 48.2 51.7
Oral contraceptive use, % 78.2 79.3 79.4 78.9 77.2
Hormone use
- premenopausal, % 89.2 89.2 89.4 89.8 89.1
- postmenopausal-never, % 1.7 1.8 1.8 1.7 1.8
- postmenopausal-current, % 8.1 8.0 8.0 7.4 8.0
- postmenopausal-past, % 1.0 1.0 0.8 1.0 1.2
Alcohol consumption (g/day) 0 (0,1.8) 0.9 (0,3) 1.4 (0,4.2) 1.7 (0,5.2) 1.9 (0,6)
Alternative healthy eating index 51.1 (5.3) 53.4 (5.4) 54.7 (5.5) 55.8 (5.6) 57.5 (5.8)
Total energy intake (Kcal/d) 1789 (518.8) 1811.9 (503.8) 1810.4 (496.5) 1803.1 (499.9) 1782.2 (503.8)

Health Professionals Follow-up Study (2000)
No of participants 7,578 7,579 7,579 7,579 7,578
Total lignans, μg/d1 194.2 (170.2,211) 249.8 (238.2,260.9) 296.1 (284.1,308.7) 351.6 (335.7,370.1) 458.2 (419.9,518.8)
Matairesinol, μg/d1 6 (4.9,7.7) 7.8 (6.2,10.2) 9.6 (7.2,13) 11.9 (8.6,17.5) 18.1 (10.7,28.8)
Secoisolariciresinol, μg/d1 63.4 (52.5,75.5) 81 (69.7,93.1) 91.5 (79.4,104.6) 101.9 (88.2,117.2) 116.6 (98.7,138.9)
Pinoresinol, μg/d1 41.5 (34,49.4) 57.5 (49.7,66.3) 70.8 (61.7,81) 88 (76.2,101.6) 124.8 (104.6,158.3)
Lariciresinol, μg/d1 75.3 (64.5,85.5) 99.9 (90.3,109.7) 119.7 (109,131.2) 144.5 (131,159.1) 192.9 (168.5,224.7)
Age (years)* 64.9 (9.2) 65.7 (9.1) 65.6 (9) 66.1 (8.9) 66.8 (8.9)
Body mass index (kg/m2) 26.5 (4) 26.4 (3.8) 26.3 (3.8) 26.1 (3.7) 25.7 (3.7)
Race
- White, % 94.2 95.5 94.9 95.4 94.9
- African American, % 2.4 2.0 2.3 2.0 2.4
- Asian, % 1.9 1.6 1.8 1.8 1.8
- Others, % 1.5 0.9 0.9 0.7 0.9
Physical activity(MET-h/wk) 15.2 (4.1,35.6) 18.9 (6.1,39.4) 21.3 (7.4,42.2) 24.2 (8.6,47.2) 26.1 (9.9,50.5)
Hypertension, % 42.1 42.2 40.8 40.3 40.4
High cholesterol, % 47.5 49.5 49.5 50.1 50.1
Smoking status
- Never smokers, % 50.6 45.2 44.7 43.9 43.0
- Past smokers, % 42.3 49.2 50.1 51.9 52.6
- Current smokers, % 7.0 5.6 5.2 4.2 4.4
Family history of MI, % 11.7 11.9 11.3 12.5 12.3
Multivitamin use, % 43.9 50.3 53.8 56.1 57.2
Alcohol consumption (g/day) 2.1 (0,8.1) 5.2 (1.0,12.8) 7.3 (1.8,15.2) 8.7 (2.6,17.1) 10.3 (2.8,23.2)
Alternative healthy eating index 49.5 (5.7) 52.4 (5.4) 54.4 (5.3) 56.6 (5.5) 60 (6)
Total energy intake (Kcal/d) 1980 (562) 1987 (541) 1990 (542) 1979 (527) 1971 (526)
*

Value is not age adjusted

1

Value is median (interquartile range).