Childhood vegetable intake -lower risk stroke. Fish -higher risk

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Diet in childhood and adult cardiovascular and all cause mortality:

the Boyd Orr cohort.

Ness AR, Maynard M, el S, GD, Frobisher C, Leary SD, Emmett

PM, Gunnell D.

Unit of Paediatric and Perinatal Epidemiology, University of Bristol,

Bristol, UK. andy.ness@...

OBJECTIVE: To examine the association between childhood diet and

cardiovascular mortality. DESIGN: Historical cohort study. SETTING: 16

centres in England and Scotland. PARTICIPANTS: 4028 people (from 1234

families) who took part in Boyd Orr's survey of family diet and health

in Britain between 1937 and 1939 followed up through the National

Health Service central register. EXPOSURES STUDIED: Childhood intake

of fruit, vegetables, fish, oily fish, total fat, saturated fat,

carotene, vitamin C, and vitamin E estimated from household dietary

intake. MAIN OUTCOME MEASURES: Deaths from all causes and deaths

attributed to coronary heart disease and stroke. RESULTS: Higher

childhood intake of vegetables was associated with lower risk of

stroke. After controlling for age, sex, energy intake, and a range of

socioeconomic and other confounders the rate ratio between the highest

and lowest quartiles of intake was 0.40 (95% confidence interval 0.19

to 0.83, p for trend 0.01). Higher intake of fish was associated with

higher risk of stroke. The fully adjusted rate ratio between the

highest and lowest quartile of fish intake was 2.01 (95% confidence

interval 1.09 to 3.69, p for trend 0.01). Intake of any of the foods

and constituents considered was not associated with coronary

mortality. CONCLUSIONS: Aspects of childhood diet, but not antioxidant

intake, may affect adult cardiovascular risk.