Cited by 171Nutritional Studies and DietCardiovascular Health and Risk FactorsProbiotics and Fermented Foods

Dairy products and its association with incidence of cardiovascular disease: The Malmö diet and cancer cohort

Sonestedt, Emily, Wirfält, Elisabet, Wallström, Peter, Gullberg, Bo, Orho-Melander, Marju, Hedblad, Bo·2011·European Journal of Epidemiology

Abstract

It is unclear whether specific dairy products are associated with risk of cardiovascular disease (CVD). The aim of this project was therefore to examine the association between intake of milk, cheese, cream and butter, and incidence of CVD in the Swedish Malmö Diet and Cancer cohort. Milk was separated into fermented (yoghurt and cultured sour milk) versus non-fermented milk, and low-fat versus high-fat milk. Among 26,445 individuals without a history of myocardial infarction, stroke and diabetes (44-74 years; 62% females), 2,520 CVD cases (coronary and stroke events) were identified during a mean follow-up time of 12 years. Dietary data was collected using a modified diet history method. Overall consumption of dairy products was inversely associated with risk of CVD (P (trend) = 0.05). Among the specific dairy products, a statistically significant inverse relationship was observed only for fermented milk. The highest versus lowest intake category of fermented milk was associated with 15% (95% CI: 5-24%; P (trend) = 0.003) decreased incidence of CVD. We observed a statistically significant interaction between sex and cheese intake (P = 0.046). Cheese intake was significantly associated with decreased CVD risk in women (P (trend) = 0.03), but not in men (P (trend) = 0.98). The main finding was that a high intake of fermented milk may reduce the risk of CVD. This study suggests that it is important to examine dairy products separately when investigating their health effects.

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Crossref · 10.1007/s10654-011-9589-y

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Authors
Sonestedt, E., Wirfält, E., Wallström, P., Gullberg, B., Orho-Melander, M., & Hedblad, B.
Affiliations
Lund University (SE)
Corresponding author
Sonestedt, Emily
Venue
European Journal of Epidemiology
Published
2011-06-10
Volume
26
Issue
8
Pages
609-618
ISSN
  • 0393-2990 (ISSN-L)
  • 1573-7284
OpenAlex
W1974119523
Cited by
171
References
38
Citations by year
2026: 1 · 2025: 3 · 2024: 7 · 2023: 9 · 2022: 9 · 2021: 11 · 2020: 16 · 2019: 9 · 2018: 10 · 2017: 18 · 2016: 15 · 2015: 21 · 2014: 15 · 2013: 11 · 2012: 11
FWCI
11.93
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
  • Hospital Research Foundation
  • Lunds Universitet
  • Hjärt-Lungfonden
  • Direktör Albert Påhlssons Stiftelse
  • Skånes universitetssjukhus
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Keywords
dairy products, cardiovascular disease, fermented milk, yogurt, cheese, milk, butter, cream, sex differences, coronary artery disease, stroke, Malmö Diet and Cancer Study
MeSH terms
Adult, Aged, Blood Pressure, Cardiovascular Diseases, Dairy Products, Diet, Dietary Fats, Female, Humans, Male, Middle Aged, Neoplasms, Risk Factors, Sex Factors, Sweden, Cohort Studies, Biomarkers, Incidence, Proportional Hazards Models

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