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논문 기본 정보

자료유형
학술저널
저자정보
Andrew Smyth (Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada ,HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health S) Graeme J. Hankey (Medical School, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia, Australia) Albertino Damasceno (Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique) Helle Klingenberg Iversen (Stroke Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark) Shahram Oveisgharan (Rush Alzheimer Disease Research Center, Rush University Medical Center, Chicago, IL, USA) Fawaz Alhussain (King Saud University, Riyadh, Saudi Arabia) Peter Langhorne (Academic Section of Geriatric Medicine, Glasgow Royal Infirmary, University of Glasgow, Glasgow, UK) Dennis Xavier (St John’s Medical College and Research Institute, Bangalore, India) Patricio Lopez Jaramillo (Masira Research Institute, Universidad de Santander, Bucaramanga, Colombia Eugenio Espejo Medical School, Universidad UTE, Quito, Ecuador) Aytekin Oguz (Cardiometabolic Health Foundation, Yumurtaci Abdi Bey Cad, Istanbul, Turkey) Clodagh McDermott (HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland) Anna Czlonkowska (Institute of Psychiatry and Neurology, Warsaw, Poland) Fernando Lanas (Faculty of Medicine, Universidad de La Frontera, Temuco, Chile) Danuta Ryglewicz (Military Institute of Aviation Medicine, Warsaw, Poland) Catriona Reddin (HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland) Xingyu Wang (Beijing Hypertension League Institute, Beijing, China) Annika Rosengren (Sahlgrenska University Hospital and Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden) Salim Yusuf (Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada) Martin O’Donnell (Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada HRB Clinical Research Facility Galway, College of Medicine, Nursing and Health Sc)
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발행연도
2024.9
수록면
391 - 402 (12page)

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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.
#Stroke #Carbonated beverages #Fruit juice #Water #Diet

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