Vitamin K Intake and Atherosclerotic Cardiovascular Disease in the Danish Diet Cancer and Health Study
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Vitamin K Intake and Atherosclerotic Cardiovascular Disease in the Danish Diet Cancer and Health Study. / Bellinge, Jamie W.; Dalgaard, Frederik; Murray, Kevin; Connolly, Emma; Blekkenhorst, Lauren C.; Bondonno, Catherine P.; Lewis, Joshua R.; Sim, Marc; Croft, Kevin D.; Gislason, Gunnar; Torp-Pedersen, Christian; Tjønneland, Anne; Overvad, Kim; Hodgson, Jonathan M.; Schultz, Carl; Bondonno, Nicola P.
I: Journal of the American Heart Association, Bind 10, Nr. 16, 020551, 2021.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Vitamin K Intake and Atherosclerotic Cardiovascular Disease in the Danish Diet Cancer and Health Study
AU - Bellinge, Jamie W.
AU - Dalgaard, Frederik
AU - Murray, Kevin
AU - Connolly, Emma
AU - Blekkenhorst, Lauren C.
AU - Bondonno, Catherine P.
AU - Lewis, Joshua R.
AU - Sim, Marc
AU - Croft, Kevin D.
AU - Gislason, Gunnar
AU - Torp-Pedersen, Christian
AU - Tjønneland, Anne
AU - Overvad, Kim
AU - Hodgson, Jonathan M.
AU - Schultz, Carl
AU - Bondonno, Nicola P.
PY - 2021
Y1 - 2021
N2 - Background Dietary vitamin K (K-1 and K-2) may reduce atherosclerotic cardiovascular disease (ASCVD) risk via several mechanisms. However, studies linking vitamin K intake with incident ASCVD are limited. We aimed to determine the relationship between dietary vitamin K intake and ASCVD hospitalizations. Methods and Results In this prospective cohort study, participants from the Danish Diet, Cancer, and Health Study, with no prior ASCVD, completed a food-frequency questionnaire at baseline and were followed up for hospital admissions of ASCVD; ischemic heart disease, ischemic stroke, or peripheral artery disease. Intakes of vitamin K-1 and vitamin K-2 were estimated from the food-frequency questionnaire, and their relationship with ASCVD hospitalizations was determined using Cox proportional hazards models. Among 53 372 Danish citizens with a median (interquartile range) age of 56 (52-60) years, 8726 individuals were hospitalized for any ASCVD during 21 (17-22) years of follow-up. Compared with participants with the lowest vitamin K-1 intakes, participants with the highest intakes had a 21% lower risk of an ASCVD-related hospitalization (hazard ratio, 0.79; 95% CI: 0.74-0.84), after multivariable adjustments for relevant demographic covariates. Likewise for vitamin K-2, the risk of an ASCVD-related hospitalization for participants with the highest intakes was 14% lower than participants with the lowest vitamin K-2 intake (hazard ratio, 0.86; 95% CI, 0.81-0.91). Conclusions Risk of ASCVD was inversely associated with diets high in vitamin K-1 or K-2. The similar inverse associations with both vitamin K-1 and K-2, despite very different dietary sources, highlight the potential importance of vitamin K for ASCVD prevention.
AB - Background Dietary vitamin K (K-1 and K-2) may reduce atherosclerotic cardiovascular disease (ASCVD) risk via several mechanisms. However, studies linking vitamin K intake with incident ASCVD are limited. We aimed to determine the relationship between dietary vitamin K intake and ASCVD hospitalizations. Methods and Results In this prospective cohort study, participants from the Danish Diet, Cancer, and Health Study, with no prior ASCVD, completed a food-frequency questionnaire at baseline and were followed up for hospital admissions of ASCVD; ischemic heart disease, ischemic stroke, or peripheral artery disease. Intakes of vitamin K-1 and vitamin K-2 were estimated from the food-frequency questionnaire, and their relationship with ASCVD hospitalizations was determined using Cox proportional hazards models. Among 53 372 Danish citizens with a median (interquartile range) age of 56 (52-60) years, 8726 individuals were hospitalized for any ASCVD during 21 (17-22) years of follow-up. Compared with participants with the lowest vitamin K-1 intakes, participants with the highest intakes had a 21% lower risk of an ASCVD-related hospitalization (hazard ratio, 0.79; 95% CI: 0.74-0.84), after multivariable adjustments for relevant demographic covariates. Likewise for vitamin K-2, the risk of an ASCVD-related hospitalization for participants with the highest intakes was 14% lower than participants with the lowest vitamin K-2 intake (hazard ratio, 0.86; 95% CI, 0.81-0.91). Conclusions Risk of ASCVD was inversely associated with diets high in vitamin K-1 or K-2. The similar inverse associations with both vitamin K-1 and K-2, despite very different dietary sources, highlight the potential importance of vitamin K for ASCVD prevention.
KW - atherosclerotic cardiovascular disease
KW - dietary vitamin K
KW - phylloquinone
KW - menaquinone
KW - primary prevention
KW - prospective cohort study
KW - CORONARY-HEART-DISEASE
KW - MATRIX GLA PROTEIN
KW - FOOD FREQUENCY QUESTIONNAIRE
KW - PHYLLOQUINONE INTAKE
KW - ARTERY CALCIUM
KW - OLDER MEN
KW - RISK
KW - SUPPLEMENTATION
KW - MENAQUINONES
KW - DIAGNOSES
U2 - 10.1161/JAHA.120.020551
DO - 10.1161/JAHA.120.020551
M3 - Journal article
C2 - 34369182
VL - 10
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
SN - 2047-9980
IS - 16
M1 - 020551
ER -
ID: 276944782