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Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study

The relationship between macronutrients and cardiovascular disease and mortality is controversial. Most available data are from European and North American populations where nutrition excess is more likely, so their applicability to other populations is unclear. The Prospective Urban Rural Epidemiol... Full description

Journal Title: The Lancet 04 November 2017, Vol.390(10107), pp.2050-2062
Main Author: Dehghan, Mahshid
Other Authors: Mente, Andrew , Zhang, Xiaohe , Swaminathan, Sumathi , Li, Wei , Mohan, Viswanathan , Iqbal, Romaina , Kumar, Rajesh , Wentzel-Viljoen, Edelweiss , Rosengren, Annika , Amma, Leela Itty , Avezum, Alvaro , Chifamba, Jephat , Diaz, Rafael , Khatib, Rasha , Lear, Scott , Lopez-Jaramillo, Patricio , Liu, Xiaoyun , Gupta, Rajeev , Mohammadifard, Noushin , Gao, Nan , Oguz, Aytekin , Ramli, Anis Safura , Seron, Pamela , Sun, Yi , Szuba, Andrzej , Tsolekile, Lungiswa , Wielgosz, Andreas , Yusuf, Rita , Hussein Yusufali, Afzal , Teo, Koon K , Rangarajan, Sumathy , Dagenais, Gilles , Bangdiwala, Shrikant I , Islam, Shofiqul , Anand, Sonia S , Yusuf, Salim , Diaz, R , Orlandini, A , Linetsky, B , Toscanelli, S , Casaccia, G , Cuneo, Jm Maini , Rahman, O , Yusuf, R , Azad, Ak , Rabbani, Ka , Cherry, HM , Mannan, A , Hassan, I , Talukdar, At , Tooheen, Rb , Khan, Mu , Sintaha, M , Choudhury, T , Haque, R , Parvin, S , Avezum, A , Oliveira, GB , Marcilio, CS , Mattos, Ac , Teo, K , Yusuf, S , Dejesus, J , Agapay, D , Tongana, T , Solano, R , Kay, I , Trottier, S , Rimac, J , Elsheikh, W , Heldman, L , Ramezani, E , Dagenais, G , Poirier, P , Turbide, G , Auger, D , De Bluts, A Leblanc , Proulx, MC , Cayer, M , Bonneville, N , Lear, S , Gasevic, D , Corber, E , de Jong, V , Vukmirovich, I , Wielgosz, A , Fodor, G , Pipe, A , Shane, A , Lanas, F , Seron, P , Martinez, S , Valdebenito, A , Oliveros, M , Wei, Li , Lisheng, Liu , Chunming, Chen , Xingyu, Wang , Wenhua, Zhao , Hongye, Zhang , Xuan, Jia , Bo, Hu , Yi, Sun , Jian, Bo , Xiuwen, Zhao , Xiaohong, Chang , Tao, Chen , Hui, Chen , Xiaohong, Chang , Qing, Deng , Xiaoru, Cheng , Qing, Deng , Xinye, He , Bo, Hu , Xuan, Jia , Jian, Li , Juan, Li , Xu, Liu , Bing, Ren , Yi, Sun , Wei, Wang , Yang, Wang , Jun, Yang , Yi, Zhai , Hongye, Zhang , Xiuwen, Zhao , Manlu, Zhu , Fanghong, Lu , Jianfang, Wu , Yindong, Li , Yan, Hou , Liangqing, Zhang , Baoxia, Guo , Xiaoyang, Liao , Shiying, Zhang , Rongwen, Bian , Xiuzhen, Tian , Dong, Li , Di, Chen , Jianguo, Wu , Yize, Xiao , Tianlu, Liu , Peng, Zhang , Changlin, Dong , Ning, Li , Xiaolan, Ma , Yuqing, Yang , Rensheng, Lei , Minfan, Fu , Jing, He , Yu, Liu , Xiaojie, Xing , Qiang, Zhou , Lopez-Jaramillo, P , Lopez, PA Camacho , Garcia, R , Jurado, Lja , Gómez-Arbeláez, D , Arguello, Jf , Dueñas, R , Silva, S , Pradilla, Lp , Ramirez, F , Molina, DI , Cure-Cure, C , Perez, M , Hernandez, E , Arcos, E , Fernandez, S , Narvaez, C , Paez, J , Sotomayor, A , Garcia, H , Sanchez, G , David, T , Rico, A , Mony, P , Vaz, M , Bharathi, A V , Swaminathan, S , Kurpad, K Shankar Av , Jayachitra, Kg , Kumar, N , Hospital, Hal , Mohan, V , Deepa, M , Parthiban, K , Anitha, M , Hemavathy, S , Rahulashankiruthiyayan, T , Anitha, D , Sridevi, K , Gupta, R , Panwar, Rb , Mohan, I , Rastogi, P , Rastogi, S , Bhargava, R , Kumar, R , Thakur, J S , Patro, B , Lakshmi, Pvm , Mahajan, R , Chaudary, P , Kutty, V Raman , Vijayakumar, K , Ajayan, K , Rajasree, G , Renjini, Ar , Deepu, A , Sandhya, B , Asha, S , Soumya, Hs , Kelishadi, R , Bahonar, A , Mohammadifard, N , Heidari, H , Yusoff, K , Ismail, Tst , Ng, Kk , Devi, A , Nasir, Nm , Yasin, MM , Miskan, M , Rahman, Ea , Arsad, Mkm , Ariffin, F , Razak, SA , Majid, FA , Bakar, Na , Yacob, My , Zainon, N , Salleh, R , Ramli, Mka , Halim, Na , Norlizan, Sr , Ghazali, Nm , Arshad, Mn , Razali, R , Ali, S , Othman, Hr , Hafar, Cwjcw , Pit, A , Danuri, N , Basir, F , Zahari, Sna , Abdullah, H , Arippin, MA , Zakaria, Na
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0140-6736 ; E-ISSN: 1474-547X ; DOI: 10.1016/S0140-6736(17)32252-3
Link: https://www.sciencedirect.com/science/article/pii/S0140673617322523
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recordid: elsevier_sdoi_10_1016_S0140_6736_17_32252_3
title: Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study
format: Article
creator:
  • Dehghan, Mahshid
  • Mente, Andrew
  • Zhang, Xiaohe
  • Swaminathan, Sumathi
  • Li, Wei
  • Mohan, Viswanathan
  • Iqbal, Romaina
  • Kumar, Rajesh
  • Wentzel-Viljoen, Edelweiss
  • Rosengren, Annika
  • Amma, Leela Itty
  • Avezum, Alvaro
  • Chifamba, Jephat
  • Diaz, Rafael
  • Khatib, Rasha
  • Lear, Scott
  • Lopez-Jaramillo, Patricio
  • Liu, Xiaoyun
  • Gupta, Rajeev
  • Mohammadifard, Noushin
  • Gao, Nan
  • Oguz, Aytekin
  • Ramli, Anis Safura
  • Seron, Pamela
  • Sun, Yi
  • Szuba, Andrzej
  • Tsolekile, Lungiswa
  • Wielgosz, Andreas
  • Yusuf, Rita
  • Hussein Yusufali, Afzal
  • Teo, Koon K
  • Rangarajan, Sumathy
  • Dagenais, Gilles
  • Bangdiwala, Shrikant I
  • Islam, Shofiqul
  • Anand, Sonia S
  • Yusuf, Salim
  • Diaz, R
  • Orlandini, A
  • Linetsky, B
  • Toscanelli, S
  • Casaccia, G
  • Cuneo, Jm Maini
  • Rahman, O
  • Yusuf, R
  • Azad, Ak
  • Rabbani, Ka
  • Cherry, HM
  • Mannan, A
  • Hassan, I
  • Talukdar, At
  • Tooheen, Rb
  • Khan, Mu
  • Sintaha, M
  • Choudhury, T
  • Haque, R
  • Parvin, S
  • Avezum, A
  • Oliveira, GB
  • Marcilio, CS
  • Mattos, Ac
  • Teo, K
  • Yusuf, S
  • Dejesus, J
  • Agapay, D
  • Tongana, T
  • Solano, R
  • Kay, I
  • Trottier, S
  • Rimac, J
  • Elsheikh, W
  • Heldman, L
  • Ramezani, E
  • Dagenais, G
  • Poirier, P
  • Turbide, G
  • Auger, D
  • De Bluts, A Leblanc
  • Proulx, MC
  • Cayer, M
  • Bonneville, N
  • Lear, S
  • Gasevic, D
  • Corber, E
  • de Jong, V
  • Vukmirovich, I
  • Wielgosz, A
  • Fodor, G
  • Pipe, A
  • Shane, A
  • Lanas, F
  • Seron, P
  • Martinez, S
  • Valdebenito, A
  • Oliveros, M
  • Wei, Li
  • Lisheng, Liu
  • Chunming, Chen
  • Xingyu, Wang
  • Wenhua, Zhao
  • Hongye, Zhang
  • Xuan, Jia
  • Bo, Hu
  • Yi, Sun
  • Jian, Bo
  • Xiuwen, Zhao
  • Xiaohong, Chang
  • Tao, Chen
  • Hui, Chen
  • Xiaohong, Chang
  • Qing, Deng
  • Xiaoru, Cheng
  • Qing, Deng
  • Xinye, He
  • Bo, Hu
  • Xuan, Jia
  • Jian, Li
  • Juan, Li
  • Xu, Liu
  • Bing, Ren
  • Yi, Sun
  • Wei, Wang
  • Yang, Wang
  • Jun, Yang
  • Yi, Zhai
  • Hongye, Zhang
  • Xiuwen, Zhao
  • Manlu, Zhu
  • Fanghong, Lu
  • Jianfang, Wu
  • Yindong, Li
  • Yan, Hou
  • Liangqing, Zhang
  • Baoxia, Guo
  • Xiaoyang, Liao
  • Shiying, Zhang
  • Rongwen, Bian
  • Xiuzhen, Tian
  • Dong, Li
  • Di, Chen
  • Jianguo, Wu
  • Yize, Xiao
  • Tianlu, Liu
  • Peng, Zhang
  • Changlin, Dong
  • Ning, Li
  • Xiaolan, Ma
  • Yuqing, Yang
  • Rensheng, Lei
  • Minfan, Fu
  • Jing, He
  • Yu, Liu
  • Xiaojie, Xing
  • Qiang, Zhou
  • Lopez-Jaramillo, P
  • Lopez, PA Camacho
  • Garcia, R
  • Jurado, Lja
  • Gómez-Arbeláez, D
  • Arguello, Jf
  • Dueñas, R
  • Silva, S
  • Pradilla, Lp
  • Ramirez, F
  • Molina, DI
  • Cure-Cure, C
  • Perez, M
  • Hernandez, E
  • Arcos, E
  • Fernandez, S
  • Narvaez, C
  • Paez, J
  • Sotomayor, A
  • Garcia, H
  • Sanchez, G
  • David, T
  • Rico, A
  • Mony, P
  • Vaz, M
  • Bharathi, A V
  • Swaminathan, S
  • Kurpad, K Shankar Av
  • Jayachitra, Kg
  • Kumar, N
  • Hospital, Hal
  • Mohan, V
  • Deepa, M
  • Parthiban, K
  • Anitha, M
  • Hemavathy, S
  • Rahulashankiruthiyayan, T
  • Anitha, D
  • Sridevi, K
  • Gupta, R
  • Panwar, Rb
  • Mohan, I
  • Rastogi, P
  • Rastogi, S
  • Bhargava, R
  • Kumar, R
  • Thakur, J S
  • Patro, B
  • Lakshmi, Pvm
  • Mahajan, R
  • Chaudary, P
  • Kutty, V Raman
  • Vijayakumar, K
  • Ajayan, K
  • Rajasree, G
  • Renjini, Ar
  • Deepu, A
  • Sandhya, B
  • Asha, S
  • Soumya, Hs
  • Kelishadi, R
  • Bahonar, A
  • Mohammadifard, N
  • Heidari, H
  • Yusoff, K
  • Ismail, Tst
  • Ng, Kk
  • Devi, A
  • Nasir, Nm
  • Yasin, MM
  • Miskan, M
  • Rahman, Ea
  • Arsad, Mkm
  • Ariffin, F
  • Razak, SA
  • Majid, FA
  • Bakar, Na
  • Yacob, My
  • Zainon, N
  • Salleh, R
  • Ramli, Mka
  • Halim, Na
  • Norlizan, Sr
  • Ghazali, Nm
  • Arshad, Mn
  • Razali, R
  • Ali, S
  • Othman, Hr
  • Hafar, Cwjcw
  • Pit, A
  • Danuri, N
  • Basir, F
  • Zahari, Sna
  • Abdullah, H
  • Arippin, MA
  • Zakaria, Na
subjects:
  • Medicine
ispartof: The Lancet, 04 November 2017, Vol.390(10107), pp.2050-2062
description: The relationship between macronutrients and cardiovascular disease and mortality is controversial. Most available data are from European and North American populations where nutrition excess is more likely, so their applicability to other populations is unclear. The Prospective Urban Rural Epidemiology (PURE) study is a large, epidemiological cohort study of individuals aged 35–70 years (enrolled between Jan 1, 2003, and March 31, 2013) in 18 countries with a median follow-up of 7·4 years (IQR 5·3–9·3). Dietary intake of 135 335 individuals was recorded using validated food frequency questionnaires. The primary outcomes were total mortality and major cardiovascular events (fatal cardiovascular disease, non-fatal myocardial infarction, stroke, and heart failure). Secondary outcomes were all myocardial infarctions, stroke, cardiovascular disease mortality, and non-cardiovascular disease mortality. Participants were categorised into quintiles of nutrient intake (carbohydrate, fats, and protein) based on percentage of energy provided by nutrients. We assessed the associations between consumption of carbohydrate, total fat, and each type of fat with cardiovascular disease and total mortality. We calculated hazard ratios (HRs) using a multivariable Cox frailty model with random intercepts to account for centre clustering. During follow-up, we documented 5796 deaths and 4784 major cardiovascular disease events. Higher carbohydrate intake was associated with an increased risk of total mortality (highest [quintile 5] lowest quintile [quintile 1] category, HR 1·28 [95% CI 1·12–1·46], p =0·0001) but not with the risk of cardiovascular disease or cardiovascular disease mortality. Intake of total fat and each type of fat was associated with lower risk of total mortality (quintile 5 quintile 1, total fat: HR 0·77 [95% CI 0·67–0·87], p
language: eng
source:
identifier: ISSN: 0140-6736 ; E-ISSN: 1474-547X ; DOI: 10.1016/S0140-6736(17)32252-3
fulltext: fulltext
issn:
  • 0140-6736
  • 01406736
  • 1474-547X
  • 1474547X
url: Link


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titleAssociations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study
creatorDehghan, Mahshid ; Mente, Andrew ; Zhang, Xiaohe ; Swaminathan, Sumathi ; Li, Wei ; Mohan, Viswanathan ; Iqbal, Romaina ; Kumar, Rajesh ; Wentzel-Viljoen, Edelweiss ; Rosengren, Annika ; Amma, Leela Itty ; Avezum, Alvaro ; Chifamba, Jephat ; Diaz, Rafael ; Khatib, Rasha ; Lear, Scott ; Lopez-Jaramillo, Patricio ; Liu, Xiaoyun ; Gupta, Rajeev ; Mohammadifard, Noushin ; Gao, Nan ; Oguz, Aytekin ; Ramli, Anis Safura ; Seron, Pamela ; Sun, Yi ; Szuba, Andrzej ; Tsolekile, Lungiswa ; Wielgosz, Andreas ; Yusuf, Rita ; Hussein Yusufali, Afzal ; Teo, Koon K ; Rangarajan, Sumathy ; Dagenais, Gilles ; Bangdiwala, Shrikant I ; Islam, Shofiqul ; Anand, Sonia S ; Yusuf, Salim ; Diaz, R ; Orlandini, A ; Linetsky, B ; Toscanelli, S ; Casaccia, G ; Cuneo, Jm Maini ; Rahman, O ; Yusuf, R ; Azad, Ak ; Rabbani, Ka ; Cherry, HM ; Mannan, A ; Hassan, I ; Talukdar, At ; Tooheen, Rb ; Khan, Mu ; Sintaha, M ; Choudhury, T ; Haque, R ; Parvin, S ; Avezum, A ; Oliveira, GB ; Marcilio, CS ; Mattos, Ac ; Teo, K ; Yusuf, S ; Dejesus, J ; Agapay, D ; Tongana, T ; Solano, R ; Kay, I ; Trottier, S ; Rimac, J ; Elsheikh, W ; Heldman, L ; Ramezani, E ; Dagenais, G ; Poirier, P ; Turbide, G ; Auger, D ; De Bluts, A Leblanc ; Proulx, MC ; Cayer, M ; Bonneville, N ; Lear, S ; Gasevic, D ; Corber, E ; de Jong, V ; Vukmirovich, I ; Wielgosz, A ; Fodor, G ; Pipe, A ; Shane, A ; Lanas, F ; Seron, P ; Martinez, S ; Valdebenito, A ; Oliveros, M ; Wei, Li ; Lisheng, Liu ; Chunming, Chen ; Xingyu, Wang ; Wenhua, Zhao ; Hongye, Zhang ; Xuan, Jia ; Bo, Hu ; Yi, Sun ; Jian, Bo ; Xiuwen, Zhao ; Xiaohong, Chang ; Tao, Chen ; Hui, Chen ; Xiaohong, Chang ; Qing, Deng ; Xiaoru, Cheng ; Qing, Deng ; Xinye, He ; Bo, Hu ; Xuan, Jia ; Jian, Li ; Juan, Li ; Xu, Liu ; Bing, Ren ; Yi, Sun ; Wei, Wang ; Yang, Wang ; Jun, Yang ; Yi, Zhai ; Hongye, Zhang ; Xiuwen, Zhao ; Manlu, Zhu ; Fanghong, Lu ; Jianfang, Wu ; Yindong, Li ; Yan, Hou ; Liangqing, Zhang ; Baoxia, Guo ; Xiaoyang, Liao ; Shiying, Zhang ; Rongwen, Bian ; Xiuzhen, Tian ; Dong, Li ; Di, Chen ; Jianguo, Wu ; Yize, Xiao ; Tianlu, Liu ; Peng, Zhang ; Changlin, Dong ; Ning, Li ; Xiaolan, Ma ; Yuqing, Yang ; Rensheng, Lei ; Minfan, Fu ; Jing, He ; Yu, Liu ; Xiaojie, Xing ; Qiang, Zhou ; Lopez-Jaramillo, P ; Lopez, PA Camacho ; Garcia, R ; Jurado, Lja ; Gómez-Arbeláez, D ; Arguello, Jf ; Dueñas, R ; Silva, S ; Pradilla, Lp ; Ramirez, F ; Molina, DI ; Cure-Cure, C ; Perez, M ; Hernandez, E ; Arcos, E ; Fernandez, S ; Narvaez, C ; Paez, J ; Sotomayor, A ; Garcia, H ; Sanchez, G ; David, T ; Rico, A ; Mony, P ; Vaz, M ; Bharathi, A V ; Swaminathan, S ; Kurpad, K Shankar Av ; Jayachitra, Kg ; Kumar, N ; Hospital, Hal ; Mohan, V ; Deepa, M ; Parthiban, K ; Anitha, M ; Hemavathy, S ; Rahulashankiruthiyayan, T ; Anitha, D ; Sridevi, K ; Gupta, R ; Panwar, Rb ; Mohan, I ; Rastogi, P ; Rastogi, S ; Bhargava, R ; Kumar, R ; Thakur, J S ; Patro, B ; Lakshmi, Pvm ; Mahajan, R ; Chaudary, P ; Kutty, V Raman ; Vijayakumar, K ; Ajayan, K ; Rajasree, G ; Renjini, Ar ; Deepu, A ; Sandhya, B ; Asha, S ; Soumya, Hs ; Kelishadi, R ; Bahonar, A ; Mohammadifard, N ; Heidari, H ; Yusoff, K ; Ismail, Tst ; Ng, Kk ; Devi, A ; Nasir, Nm ; Yasin, MM ; Miskan, M ; Rahman, Ea ; Arsad, Mkm ; Ariffin, F ; Razak, SA ; Majid, FA ; Bakar, Na ; Yacob, My ; Zainon, N ; Salleh, R ; Ramli, Mka ; Halim, Na ; Norlizan, Sr ; Ghazali, Nm ; Arshad, Mn ; Razali, R ; Ali, S ; Othman, Hr ; Hafar, Cwjcw ; Pit, A ; Danuri, N ; Basir, F ; Zahari, Sna ; Abdullah, H ; Arippin, MA ; Zakaria, Na
ispartofThe Lancet, 04 November 2017, Vol.390(10107), pp.2050-2062
identifier
subjectMedicine
descriptionThe relationship between macronutrients and cardiovascular disease and mortality is controversial. Most available data are from European and North American populations where nutrition excess is more likely, so their applicability to other populations is unclear. The Prospective Urban Rural Epidemiology (PURE) study is a large, epidemiological cohort study of individuals aged 35–70 years (enrolled between Jan 1, 2003, and March 31, 2013) in 18 countries with a median follow-up of 7·4 years (IQR 5·3–9·3). Dietary intake of 135 335 individuals was recorded using validated food frequency questionnaires. The primary outcomes were total mortality and major cardiovascular events (fatal cardiovascular disease, non-fatal myocardial infarction, stroke, and heart failure). Secondary outcomes were all myocardial infarctions, stroke, cardiovascular disease mortality, and non-cardiovascular disease mortality. Participants were categorised into quintiles of nutrient intake (carbohydrate, fats, and protein) based on percentage of energy provided by nutrients. We assessed the associations between consumption of carbohydrate, total fat, and each type of fat with cardiovascular disease and total mortality. We calculated hazard ratios (HRs) using a multivariable Cox frailty model with random intercepts to account for centre clustering. During follow-up, we documented 5796 deaths and 4784 major cardiovascular disease events. Higher carbohydrate intake was associated with an increased risk of total mortality (highest [quintile 5] lowest quintile [quintile 1] category, HR 1·28 [95% CI 1·12–1·46], p =0·0001) but not with the risk of cardiovascular disease or cardiovascular disease mortality. Intake of total fat and each type of fat was associated with lower risk of total mortality (quintile 5 quintile 1, total fat: HR 0·77 [95% CI 0·67–0·87], p <0·0001; saturated fat, HR 0·86 [0·76–0·99], p =0·0088; monounsaturated fat: HR 0·81 [0·71–0·92], p <0·0001; and polyunsaturated fat: HR 0·80 [0·71–0·89], p <0·0001). Higher saturated fat intake was associated with lower risk of stroke (quintile 5 quintile 1, HR 0·79 [95% CI 0·64–0·98], p =0·0498). Total fat and saturated and unsaturated fats were not significantly associated with risk of myocardial infarction or cardiovascular disease mortality. High carbohydrate intake was associated with higher risk of total mortality, whereas total fat and individual types of fat were related to lower total mortality. Total fat and types of fat were not associated with cardiovascular disease, myocardial infarction, or cardiovascular disease mortality, whereas saturated fat had an inverse association with stroke. Global dietary guidelines should be reconsidered in light of these findings. Full funding sources listed at the end of the paper (see Acknowledgments).
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creatorcontrib
0Dehghan, Mahshid
1Mente, Andrew
2Zhang, Xiaohe
3Swaminathan, Sumathi
4Li, Wei
5Mohan, Viswanathan
6Iqbal, Romaina
7Kumar, Rajesh
8Wentzel-Viljoen, Edelweiss
9Rosengren, Annika
10Amma, Leela Itty
11Avezum, Alvaro
12Chifamba, Jephat
13Diaz, Rafael
14Khatib, Rasha
15Lear, Scott
16Lopez-Jaramillo, Patricio
17Liu, Xiaoyun
18Gupta, Rajeev
19Mohammadifard, Noushin
20Gao, Nan
21Oguz, Aytekin
22Ramli, Anis Safura
23Seron, Pamela
24Sun, Yi
25Szuba, Andrzej
26Tsolekile, Lungiswa
27Wielgosz, Andreas
28Yusuf, Rita
29Hussein Yusufali, Afzal
30Teo, Koon K
31Rangarajan, Sumathy
32Dagenais, Gilles
33Bangdiwala, Shrikant I
34Islam, Shofiqul
35Anand, Sonia S
36Yusuf, Salim
37Diaz, R
38Orlandini, A
39Linetsky, B
40Toscanelli, S
41Casaccia, G
42Cuneo, Jm Maini
43Rahman, O
44Yusuf, R
45Azad, Ak
46Rabbani, Ka
47Cherry, HM
48Mannan, A
49Hassan, I
50Talukdar, At
51Tooheen, Rb
52Khan, Mu
53Sintaha, M
54Choudhury, T
55Haque, R
56Parvin, S
57Avezum, A
58Oliveira, GB
59Marcilio, CS
60Mattos, Ac
61Teo, K
62Yusuf, S
63Dejesus, J
64Agapay, D
65Tongana, T
66Solano, R
67Kay, I
68Trottier, S
69Rimac, J
70Elsheikh, W
71Heldman, L
72Ramezani, E
73Dagenais, G
74Poirier, P
75Turbide, G
76Auger, D
77De Bluts, A Leblanc
78Proulx, MC
79Cayer, M
80Bonneville, N
81Lear, S
82Gasevic, D
83Corber, E
84de Jong, V
85Vukmirovich, I
86Wielgosz, A
87Fodor, G
88Pipe, A
89Shane, A
90Lanas, F
91Seron, P
92Martinez, S
93Valdebenito, A
94Oliveros, M
95Wei, Li
96Lisheng, Liu
97Chunming, Chen
98Xingyu, Wang
99Wenhua, Zhao
100...
titleAssociations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study
description
subjectMedicine
general
0English
1Elsevier Ltd
210.1016/S0140-6736(17)32252-3
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lsr40The Lancet, 04 November 2017, Vol.390 (10107), pp.2050-2062
doi10.1016/S0140-6736(17)32252-3
citationpf 2050 pt 2062 vol 390 issue 10107
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titleAssociations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study
authorDehghan, Mahshid ; Mente, Andrew ; Zhang, Xiaohe ; Swaminathan, Sumathi ; Li, Wei ; Mohan, Viswanathan ; Iqbal, Romaina ; Kumar, Rajesh ; Wentzel-Viljoen, Edelweiss ; Rosengren, Annika ; Amma, Leela Itty ; Avezum, Alvaro ; Chifamba, Jephat ; Diaz, Rafael ; Khatib, Rasha ; Lear, Scott ; Lopez-Jaramillo, Patricio ; Liu, Xiaoyun ; Gupta, Rajeev ; Mohammadifard, Noushin ; Gao, Nan ; Oguz, Aytekin ; Ramli, Anis Safura ; Seron, Pamela ; Sun, Yi ; Szuba, Andrzej ; Tsolekile, Lungiswa ; Wielgosz, Andreas ; Yusuf, Rita ; Hussein Yusufali, Afzal ; Teo, Koon K ; Rangarajan, Sumathy ; Dagenais, Gilles ; Bangdiwala, Shrikant I ; Islam, Shofiqul ; Anand, Sonia S ; Yusuf, Salim ; Diaz, R ; Orlandini, A ; Linetsky, B ; Toscanelli, S ; Casaccia, G ; Cuneo, Jm Maini ; Rahman, O ; Yusuf, R ; Azad, Ak ; Rabbani, Ka ; Cherry, HM ; Mannan, A ; Hassan, I ; Talukdar, At ; Tooheen, Rb ; Khan, Mu ; Sintaha, M ; Choudhury, T ; Haque, R ; Parvin, S ; Avezum, A ; Oliveira, GB ; Marcilio, CS ; Mattos, Ac ; Teo, K ; Yusuf, S ; Dejesus, J ; Agapay, D ; Tongana, T ; Solano, R ; Kay, I ; Trottier, S ; Rimac, J ; Elsheikh, W ; Heldman, L ; Ramezani, E ; Dagenais, G ; Poirier, P ; Turbide, G ; Auger, D ; De Bluts, A Leblanc ; Proulx, MC ; Cayer, M ; Bonneville, N ; Lear, S ; Gasevic, D ; Corber, E ; de Jong, V ; Vukmirovich, I ; Wielgosz, A ; Fodor, G ; Pipe, A ; Shane, A ; Lanas, F ; Seron, P ; Martinez, S ; Valdebenito, A ; Oliveros, M ; Wei, Li ; Lisheng, Liu ; Chunming, Chen ; Xingyu, Wang ; Wenhua, Zhao ; Hongye, Zhang ; Xuan, Jia ; Bo, Hu ; Yi, Sun ; Jian, Bo ; Xiuwen, Zhao ; Xiaohong, Chang ; Tao, Chen ; Hui, Chen ; Xiaohong, Chang ; Qing, Deng ; Xiaoru, Cheng ; Qing, Deng ; Xinye, He ; Bo, Hu ; Xuan, Jia ; Jian, Li ; Juan, Li ; Xu, Liu ; Bing, Ren ; Yi, Sun ; Wei, Wang ; Yang, Wang ; Jun, Yang ; Yi, Zhai ; Hongye, Zhang ; Xiuwen, Zhao ; Manlu, Zhu ; Fanghong, Lu ; Jianfang, Wu ; Yindong, Li ; Yan, Hou ; Liangqing, Zhang ; Baoxia, Guo ; Xiaoyang, Liao ; Shiying, Zhang ; Rongwen, Bian ; Xiuzhen, Tian ; Dong, Li ; Di, Chen ; Jianguo, Wu ; Yize, Xiao ; Tianlu, Liu ; Peng, Zhang ; Changlin, Dong ; Ning, Li ; Xiaolan, Ma ; Yuqing, Yang ; Rensheng, Lei ; Minfan, Fu ; Jing, He ; Yu, Liu ; Xiaojie, Xing ; Qiang, Zhou ; Lopez-Jaramillo, P ; Lopez, PA Camacho ; Garcia, R ; Jurado, Lja ; Gómez-Arbeláez, D ; Arguello, Jf ; Dueñas, R ; Silva, S ; Pradilla, Lp ; Ramirez, F ; Molina, DI ; Cure-Cure, C ; Perez, M ; Hernandez, E ; Arcos, E ; Fernandez, S ; Narvaez, C ; Paez, J ; Sotomayor, A ; Garcia, H ; Sanchez, G ; David, T ; Rico, A ; Mony, P ; Vaz, M ; Bharathi, A V ; Swaminathan, S ; Kurpad, K Shankar Av ; Jayachitra, Kg ; Kumar, N ; Hospital, Hal ; Mohan, V ; Deepa, M ; Parthiban, K ; Anitha, M ; Hemavathy, S ; Rahulashankiruthiyayan, T ; Anitha, D ; Sridevi, K ; Gupta, R ; Panwar, Rb ; Mohan, I ; Rastogi, P ; Rastogi, S ; Bhargava, R ; Kumar, R ; Thakur, J S ; Patro, B ; Lakshmi, Pvm ; Mahajan, R ; Chaudary, P ; Kutty, V Raman ; Vijayakumar, K ; Ajayan, K ; Rajasree, G ; Renjini, Ar ; Deepu, A ; Sandhya, B ; Asha, S ; Soumya, Hs ; Kelishadi, R ; Bahonar, A ; Mohammadifard, N ; Heidari, H ; Yusoff, K ; Ismail, Tst ; Ng, Kk ; Devi, A ; Nasir, Nm ; Yasin, MM ; Miskan, M ; Rahman, Ea ; Arsad, Mkm ; Ariffin, F ; Razak, SA ; Majid, FA ; Bakar, Na ; Yacob, My ; Zainon, N ; Salleh, R ; Ramli, Mka ; Halim, Na ; Norlizan, Sr ; Ghazali, Nm ; Arshad, Mn ; Razali, R ; Ali, S ; Othman, Hr ; Hafar, Cwjcw ; Pit, A ; Danuri, N ; Basir, F ; Zahari, Sna ; Abdullah, H ; Arippin, MA ; Zakaria, Na
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95Wei, Li
96Lisheng, Liu
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98Xingyu, Wang
99Wenhua, Zhao
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atitleAssociations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study
jtitleThe Lancet
risdate20171104
volume390
issue10107
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pages2050-2062
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abstract
pubElsevier Ltd
doi10.1016/S0140-6736(17)32252-3
lad01The Lancet
date2017-11-04