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Intake of fibre and plant foods and the risk of abdominal aortic aneurysm in a large prospective cohort study in Sweden

  • Sara Bergwall
  • Stefan Acosta
  • Emily Sonestedt
Publishing year: 2019-07-22
Language: English
Publication/Series: European Journal of Nutrition
Document type: Journal article
Publisher: Springer

Abstract english

Purpose: The purpose of this study was to investigate fibre, and plant foods, and its association with AAA risk. Methods: In this prospective cohort study, Malmö Diet and Cancer Study, baseline data collection was carried out 1991–1996. The study participants’ (n = 26,133) dietary habits were extensively recorded at baseline. The specific diagnosis of AAA in the in-hospital registry was found valid in 95%. The association between plant foods, such as cereals and types of vegetables, and AAA was assessed by using Cox regression analysis expressed as hazard ratios (HR) with 95% confidence intervals (CI). Results: A high intake of fibre was independently associated with AAA risk (HR per quintile 0.87, 95% CI 0.79–0.97). High intake of vegetables (HR 0.91, 95% CI 0.84–0.98), specifically leaf vegetables (HR 0.87, 95% CI 0.81–0.94), and fruits and berries (HR 0.89, 95% CI 0.82–0.96), citrus (HR 0.91, 95% CI 0.85–0.98) and non-citrus fruits (HR 0.87, 95% CI 0.81–0.95) were independently associated with a decreased AAA risk. Conclusions: A high intake of fruits and berries and vegetables, in particular leaf vegetables, are associated with a decreased risk of developing AAA.


  • Nutrition and Dietetics
  • Abdominal aortic aneurysm
  • Diet
  • Fibre
  • Fruits
  • Prospective study
  • Vegetables


  • Vascular Diseases - Clinical Research
  • Nutrition Epidemiology
  • ISSN: 1436-6207
Emily Sonestedt
E-mail: emily [dot] sonestedt [at] med [dot] lu [dot] se

Associate senior lecturer

Nutrition Epidemiology

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Jan Waldenströms gata 35, CRC 60:13, Malmö


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