Nutrition data collection in the Kuopio Ischaemic Heart Disease Risk Factor Study: Nutrient intake of middle-aged eastern finnish men

doi:10.1016/S0271-5317(89)80126-5

Nutrition Research

Volume 9, Issue 6, June 1989, Pages 597-604

https://doi.org/10.1016/S0271-5317(89)80126-5 Get rights and content

Abstract

The food consumption and nutrient intake of 1157 eastern Finnish men aged 54 years was investigated in the “Kuopio Ischaemic Heart Disease Risk Factor Study” (“KIHD”) in 1984–86. The consumption of vegetables and potatoes was low and the consumption of fats and coffee abundant. The average intake of energy and most nutrients met or exceeded the recommended dietary alloances (RDA) of the National Research Council of the USA with the exception of vitamin E, copper, selenium, fluoride and chromium. The four-day food recording by household measures proved a feasible and acceptable method of food data collection. It also appeared to give estimates of food consumption and nutrient intake that are comparable to earlier population surveys of food intake.

References (16)

ThompsonFE et al.
Weekend-weekday differences in reported dietary intake: the Nationwide Food Consumption Survey, 1977–78
Nutr Research
(1986)
KimppaS et al.
Inter- and intra-individual variation in the dietary intakes of Finnish children
Näringsforskning
(1985)
SemposCT et al.
Effects of intraindividual and interindividual variation in repeated dietary records
Am J Epidemiol
(1985)
MarrJW
Individual dietary surveys: purposes and methods
World Rev Nutr Diet
(1971)
MorganRW et al.
A comparison of dietary methods in epidemiologic studies
Am J Epidemiol
(1978)
BlockG
A review of validation of dietary assessment methods
Am J Epidemiol
(1982)
BinghamS
Aspects of dietary survey methodology
BNF Nutrition Bulletin
(1985)
CallmerE et al.
Selecting a method for a dietary survey
Näringsforkning
(1985)

There are more references available in the full text version of this article.

Cited by (39)

Loneliness and social isolation increase cancer incidence in a cohort of Finnish middle-aged men. A longitudinal study
2021, Psychiatry Research
Citation Excerpt :
A subject was defined as a smoker if he had ever smoked (cigarettes, cigars, or a pipe) on a regular basis (Salonen et al., 1992). Alcohol consumption was assessed by using a structured quantity–frequency method involving a drinking behavior questionnaire covering the previous 12 months and was measured in grams per week (Ihanainen et al., 1989). The energy expenditure resulting from conditioning leisure time physical activities was assessed by using a 12-month history modified from the Minnesota Leisure Time Physical Activity Questionnaire.
Globally, cancer is the second leading cause of death. Loneliness has been suggested as a risk factor for cancer mortality. However, connections between loneliness, social isolation, and cancer are poorly understood. In our longitudinal study (mean follow-up: 20.44 years) of 2570 middle-aged men, loneliness, social isolation, and health-related factors were measured at baseline. Cox proportional hazards analysis was used to examine the association between cancer incidence, loneliness, and social isolation. The effect of relationship status on cancer mortality among cancer patients was tested with the Kaplan-Meier method. Loneliness was associated with total cancer incidence after adjustments for tested lifestyle and health-related covariates. Social Isolation was associated with total cancer incidence, except when adjusted for lifestyle, diet, or Human Population Laboratory (HPL) Depression Scale scores. Loneliness was associated with lung cancer incidence, except when adjusted for HPL Depression Scale scores. There was no significant association between social isolation and lung cancer. Neither loneliness nor social isolation were connected with prostate or colorectal cancer. Being single at baseline was associated with worse survival outcomes for cancer patients. Our findings suggest that regardless of the social network size, loneliness among middle-aged men is associated with an increased likelihood of cancer.
Socioeconomic position, John Henryism, and incidence of acute myocardial infarction in Finnish men
2017, Social Science and Medicine
Citation Excerpt :
Type A behavior, which shares a strong achievement orientation with John Henryism (Everson et al., 1997a) was measured by the Jenkins Activity Survey (Lakka et al., 1994). Hopelessness, which in prior work (Ihanainen et al., 1989) predicted carotid atherosclerosis progression in the KIHD cohort, was measured by the 2 item Hopelessness Scale. Work-place demands, a predictor of AMI and cardiovascular as well as all-cause mortality in previous work (Everson et al., 1997b) on the KIHD cohort, was measured by 11 items denoting physical (i.e. heavy physical work, repetitive straining of muscles, exposure to noise) as well as mental demands of the job.
Previous cross-sectional studies examining whether John Henryism (JH), or high-effort coping with socioeconomic adversity, potentiates the inverse association between socioeconomic position (SEP) and cardiovascular health have focused mainly on hypertension in African Americans. We conducted the first longitudinal test of this hypothesis on incident acute myocardial infarction (AMI) using data from the Kuopio Ischemic Heart Disease Risk Factor Study in Finland (N = 1405 men, 42–60 years). We hypothesized that the expected inverse gradient between SEP and AMI risk would be stronger for men scoring high on JH than for those scoring low. John Henryism was measured by a Finnish version of the JH Scale for Active Coping. Four different measures of SEP were used: childhood SEP, education, income, and occupation. AMI hazard ratios (HR) by SEP and JH were estimated using COX proportional hazard models, before and after adjustment for study covariates. 205 cases of AMI occurred over a median of 14.9 years. Men employed in lower rank (farmer, blue-collar) occupations who scored high on JH had significantly higher age-adjusted risks of AMI than men in higher rank (white-collar) occupations (HR = 3.14, 95% CI: 1.65–5.98 for blue collar; HR = 2.33, 95% CI: 1.04–5.22 for farmers) who also scored high on JH. No socioeconomic differences in AMI were observed for men who scored low on JH (HR = 1.36, 95% CI: 0.74–2.47 for blue collar; HR = 0.93, 95% CI: 0.59–1.48 for farmers; p = 0.002 for the SEP × JH interaction). These findings persisted after adjustment for sociodemographic, behavioral, and biological factors. Results for other SEP measures were in the same direction, but did not reach statistical significance. Repetitive high-effort coping with adversity (John Henryism) was independently associated with increased risk for AMI in Finnish men, underscoring the potential relevance of the John Henryism hypothesis to CVD outcomes other than hypertension and to populations other than African Americans.
Mercury accumulation and accelerated progression of carotid atherosclerosis: A population-based prospective 4-year follow-up study in men in eastern Finland
2000, Atherosclerosis
Basic research and our previous studies have suggested that mercury exposure enhances lipid peroxidation and the risk of myocardial infarction, but there are no studies concerning the association between mercury accumulation and atherosclerosis. We therefore investigated whether high hair mercury content is associated with accelerated progression of carotid atherosclerosis, determined by ultrasonographic assessment of common carotid intima-media thickness (IMT), in a prospective study among 1014 men aged 42–60 years. In a linear regression model adjusting for other atherosclerotic risk factors, high hair mercury content was one of the strongest predictors of the 4-year increase in the mean IMT (P=0.0007). On the average, for each μg/g increase in hair mercury content, there was an increment of 8 μm (7.3% of the mean) in the 4-year IMT increase. Men with hair mercury content of <0.49, 0.49–0.91, 0.92–1.49, 1.50–2.81 and >2.81 μg/g (fifths) had an IMT increase of 0.105, 0.102, 0.113, 0.107 and 0.140 mm/4 years, respectively (P=0.041 for heterogeneity between groups). The IMT increase was 0.034 mm/4 years (31.9%) greater in the highest fifth than in the other fifths (P<0.05 for the difference). These findings suggest that mercury accumulation in the human body is associated with accelerated progression of carotid atherosclerosis.
Risk of acute coronary events according to serum concentrations of enterolactone: A prospective population-based case-control study
1999, Lancet
The lignan enterolactone, produced by the intestinal microflora from dietary precursors, has been implicated in protection against cancer. We investigated the association of serum enterolactone concentration with the risk of acute coronary events in a prospective nested case-control study in middle-aged men from eastern Finland.
Enterolactone was measured by time-resolved fluoroimmunoassay in serum from 167 men who had an average 7·7 years of follow-up to an acute coronary event and from 167 control men. Both cases and controls were from a cohort of 2005 men who had no clinical coronary heart disease (CHD) at baseline. The controls were matched for age, examination year, and residence. Acute coronary events were registered prospectively.
The mean baseline serum enterolactone concentration was lower among the cases than the controls (18·2 [SD 21·1] vs 23·5 [18·2] nmol/L, p=0·001). The men in the highest quarter of the enterolactone distribution (>30·1 nmol/L) had a 58·8% (95% CI 24·1–77·6, p=0·005) lower risk of acute coronary events than men in the lowest quarter. After adjustment for the nine most strongly predictive risk factors, men in the highest enterolactone quarter had a 65·3% (11·9–86·3, p=0·03) lower risk than men in the lowest quarter.
Healthy men with high serum concentrations of enterolactone had a lower risk of acute coronary events than men with lower concentrations. These findings support the hypothesis that plant-dominated fibre-rich food lowers the risk of CHD.
Determinants of plasma coenzyme Q<inf>10</inf> in humans
1999, FEBS Letters
In the present study, we assessed the strongest determinants of plasma coenzyme Q₁₀ (Q₁₀) in 518 men and women (aged 45–70 years) with a stepwise multivariate regression model. Male gender (P<0.001), serum cholesterol (P<0.001), serum γ-glutamyltransferase (P<0.001), serum triglycerides (P<0.001), age (P=0.017) and 4-day alcohol consumption (P=0.03) were the most important factors which were directly associated with plasma Q₁₀. The intensity of conditioning exercise (P=0.03) and use of statins (P<0.05) showed an inverse association with plasma Q₁₀. None of the assessed nutrients increased plasma Q₁₀ levels significantly. Our results suggest that many confounding factors, in addition to serum cholesterol and triglycerides, should be taken into account when the role of plasma Q₁₀ is examined in epidemiological research.
Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse
1997, Social Science and Medicine
Attempts to explain socioeconomic inequalities in health have often made reference to the observation that poor health behaviours and psychosocial characteristics cluster in low socioeconomic status (SES) groups. Causal interpretation of the association between SES, health behaviour, psychosocial orientations, and health inequalities has been hampered because these factors and SES have usually been measured at the same point in time. Data from the Kuopio Ischaemic Heart Disease Risk Factor Study were used to examine the associations between measures of SES reflecting different stages of the lifecourse, health behaviours, and psychosocial characteristics in adulthood in a population-based study of 2674 middle-aged Finnish men. Results show that many adult behaviours and psychosocial dispositions detrimental to health are consistently related to poor childhood conditions, low levels of education, and blue-collar employment. Poor adult health behaviours and psychosocial characteristics were more prevalent among men whose parents were poor. Increases in income inequality which place children into low SES conditions may well produce a negative behavioural and psychosocial health dividend to be reaped in the future. Understanding that adult health behaviour and psychosocial orientations are associated with socioeconomic conditions throughout the lifecourse implies that efforts to reduce socioeconomic inequalities in health must recognize that economic policy is public health policy.

View all citing articles on Scopus

View full text

Nutrition data collection in the Kuopio Ischaemic Heart Disease Risk Factor Study: Nutrient intake of middle-aged eastern finnish men

Abstract

Nutr Research

Inter- and intra-individual variation in the dietary intakes of Finnish children

Näringsforskning

Effects of intraindividual and interindividual variation in repeated dietary records

Am J Epidemiol

Individual dietary surveys: purposes and methods

World Rev Nutr Diet

A comparison of dietary methods in epidemiologic studies

Am J Epidemiol

A review of validation of dietary assessment methods

Am J Epidemiol

Aspects of dietary survey methodology

BNF Nutrition Bulletin

Selecting a method for a dietary survey

Näringsforkning