The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
Increased consumption of fruit and vegetables is related to a reduced risk of coronary heart disease: meta-analysis of cohort studies
Abstract
Increased consumption of fruit and vegetables has been shown to be associated with a reduced risk of coronary heart disease (CHD) in many epidemiological studies, however, the extent of the association is uncertain. We quantitatively assessed the relation between fruit and vegetable intake and incidence of CHD by carrying out a meta-analysis of cohort studies. Studies were included if they reported relative risks (RRs) and corresponding 95% confidence interval (CI) of CHD with respect to frequency of fruit and vegetable intake. Twelve studies, consisting of 13 independent cohorts, met the inclusion criteria. There were 278,459 individuals (9143 CHD events) with a median follow-up of 11 years. Compared with individuals who had less than 3 servings/day of fruit and vegetables, the pooled RR of CHD was 0.93 (95% CI: 0.86-1.00, P=0.06) for those with 3-5 servings/day and 0.83 (0.77-0.89, P<0.0001) for those with more than 5 servings/day. Subgroup analyses showed that both fruits and vegetables had a significant protective effect on CHD. Our meta-analysis of prospective cohort studies demonstrates that increased consumption of fruit and vegetables from less than 3 to more than 5 servings/day is related to a 17% reduction in CHD risk, whereas increased intake to 3-5 servings/day is associated with a smaller and borderline significant reduction in CHD risk. These results provide strong support for the recommendations to consume more than 5 servings/day of fruit and vegetables.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Our meta-analysis is in general consistent with previous meta-analyses of fruit and vegetable intake and coronary heart disease,3 stroke4 and mortality,41”
Citations
Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Yusuf, S., Hawken, S., Ôunpuu, S., Dans, T., Avezum, A., Lanas, F., McQueen, M., Budaj, A., Pais, P., Varigos, J., et al. (2004) · The Lancet · doi:10.1016/s0140-6736(04)17018-9 · Cited by 12,026
A Clinical Trial of the Effects of Dietary Patterns on Blood Pressure
Appel, L. J., Moore, T. J., Obarzanek, E., Vollmer, W. M., Svetkey, L. P., Sacks, F. M., Bray, G. A., Vogt, T. M., Cutler, J. A., Windhauser, M. M., et al. (1997) · New England Journal of Medicine · doi:10.1056/nejm199704173361601 · Cited by 5,981
Swinburn, B., Baba, N. H., Belhadj, M., Deurenberg‐Yap, M., Djazayery, A., Forrester, T., Galuska, D. A., Herman, S. T., James, W. P. T., Kabangu, J. R. M., et al. (2003) · World Health Organization eBooks · Cited by 3,453
de Lorgeril, M., Salen, P., Martin, J.-L., Monjaud, I., Delaye, J., & Mamelle, N. (1999) · Circulation · doi:10.1161/01.cir.99.6.779 · Cited by 2,910
Grundy, S. M., Benjamin, I. J., Burke, G. L., Chait, A., Eckel, R. H., Howard, B. V., Mitch, W., Smith, S. C., & Sowers, J. R. (1999) · Circulation · doi:10.1161/01.cir.100.10.1134 · Cited by 2,698
Investigating and dealing with publication and other biases in meta-analysis
Sterne, J. A. C., Egger, M., & Smith, G. D. (2001) · BMJ · doi:10.1136/bmj.323.7304.101 · Cited by 2,225
Homocysteine and Risk of Ischemic Heart Disease and Stroke: A Meta-analysis
Homocysteine Studies Collaboration (2002) · JAMA · doi:10.1001/jama.288.16.2015 · Cited by 2,059
Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis
Wald, D. S., Law, M., & Morris, J. K. (2002) · BMJ · doi:10.1136/bmj.325.7374.1202 · Cited by 1,945
Research works printed but not linked: 1
- Report of the Cardiovascular Review Group Committee on Medical Aspects of Food Policy. Nutritional Aspects of Cardiovascular Disease. 1994. London: HMSO.
Cited by
Sorted by citations
Items 601–700 of 738
Raw Vegan Diet in the Context of SARS-CoV-2 Infection
Kezele, T. G., Gulić, T., & Zagorac, G. B. (2024) · Medicina Fluminensis · doi:10.21860/medflum2024_313681 · Cited by 1
Development of traditional gardening to improve household food and Nutrition security: A Review
Chandravanshi, D., Khaparde, M., Sahu, E., Singh, I., Sinha, A. K., & Verma, S. (2024) · International Journal of Research in Agronomy · doi:10.33545/2618060x.2024.v7.i6a.783 · Cited by 1
Manyangu, G. J., Khan, S., Wajanga, B. M. K., Desderius, B., Willkens, M. A., Chillo, P., Kalokola, F., PrayGod, G., Kalluvya, S. E., Kisigo, G., et al. (2025) · AIDS Care · doi:10.1080/09540121.2024.2445198 · Cited by 1
Labeling Requirements for Plant Protein Sources
Rifky, M. (2025) · Springer eBooks · doi:10.1007/978-981-96-4190-1_8 · Cited by 1
Tsukada, Y. T., Aoki‐Kamiya, C., Mizuno, A., Nakayama, A., Ide, T., Aoyama, R., Honye, J., Hoshina, K., Ikegame, T., Inoue, K., et al. (2025) · Journal of Cardiology · doi:10.1016/j.jjcc.2025.03.002 · Cited by 2
Uzuner, H., Yuruk, A., & İşoğlu, İ. A. (2025) · Biomedical Materials · doi:10.1088/1748-605x/ae19b7 · Cited by 2
Fruit and Glycemic Control in Type 2 Diabetes
Christensen, A. S., Viggers, L., & Gregersen, S. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-800093-9.00017-x · Cited by 1
Dietary guidelines: Scientific substantiation and public health impact
Murphy, M. (2014) · Nutrition Bulletin · doi:10.1111/nbu.12105 · Cited by 1
Mayonnaise Increases the Relative Bioavailability of Fat-Soluble (Non)-Nutrients from a Salad
Martins, F. D. O. (2015) · International Journal of Nutrition and Food Sciences · doi:10.11648/j.ijnfs.20150406.17 · Cited by 1
De, S., Das, D. C., & Mandal, T. (2017) · International Research Journal of Pharmacy · doi:10.7897/2230-8407.080223 · Cited by 1
Global Trends in the Promotion of Fruit and Vegetable Consumption for Better Nutrition and Health
Yang, R.-Y., Lee, M., Wahlqvist, M. L., & Holmer, R. (2015) · Cited by 1
Retail Strategies to Support Healthy Eating
Moran, A. J., & Roberto, C. A. (2021) · MDPI eBooks · doi:10.3390/books978-3-0365-0053-9 · Cited by 1
ФОРМУВАННЯ ФОНДУ ВІТАМІНУ С У ПЛОДАХ ЧЕРЕШНІ ПІД ВПЛИВОМ ПОГОДНИХ ЧИННИКІВ
Ivanova, I., Сердюк, М. Є., Тymoshchuk, T., & Маренич, М. М. (2021) · Вісник Полтавської державної аграрної академії · doi:10.31210/visnyk2021.02.07 · Cited by 1
Saleem, M. M. N. M. (2019) · Iraqi journal of Medical Sciences · doi:10.22578/ijms.16.2.2 · Cited by 1
Capurso, A., Crepaldi, G., & Capurso, C. A. (2018) · Practical issues in geriatrics · doi:10.1007/978-3-319-78084-9_9 · Cited by 1
Machida, D. (2022) · Nutrients · doi:10.3390/nu14142884 · Cited by 1
Bak kostrådene: Forsker på frukt og grønt for å fremme folkehelsen
Bøhn, S. K. (2013) · Norsk tidsskrift for ernæring · doi:10.18261/ntfe.11.3.7 · Cited by 1
Population Level Divergence from the Mediterranean Diet and the Risk of Cancer and Metabolic Disease
Pounis, G., Bonaccio, M., Tuohy, K. M., Donati, M. B., de Gaetano, G., & Iacoviello, L. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-407825-3.00014-9 · Cited by 1
Marrocco, A. T. (2015) · E-Health Telecommunication Systems and Networks · doi:10.4236/etsn.2015.42003 · Cited by 1
The Role of Diet in Cancer Development and Prevention
Cantwell, M. M. (2012) · Current Nutrition Reports · doi:10.1007/s13668-011-0002-y · Cited by 1
Clark, E. (2012) · Public Health Reports · doi:10.1177/003335491212700502 · Cited by 1
Agah, B., Aghamolaei, T., Davoodi, S. H., & Ghanbarnejad, A. (2019) · Bimonthly Journal of Hormozgan University of Medical Sciences · doi:10.5812/hmj.88427 · Cited by 1
Bahall, M. U. (2019) · Journal of Health and Medical Sciences · doi:10.31014/aior.1994.02.03.49 · Cited by 1
Rola warzyw i owoców w diecie osób starszych
Szmidt, M. K., Granda, D., Broda, A., & Brzozowska, A. (2019) · Kosmos · doi:10.36921/kos.2019_2536 · Cited by 1
Al Sharif, S. (2018) · CentAUR (University of Reading) · doi:10.48683/1926.00084848 · Cited by 1
Zacharias, E. (2012) · Springer eBooks · doi:10.1007/978-1-4614-3326-2_12 · Cited by 1
Zoppolo, R., & Colnago, P. (2022) · Agrociencia Uruguay · doi:10.31285/agro.25.982 · Cited by 1
Potential Cardioprotective Effects of Functional Foods
Alissa, E. M., & Ferns, G. A. (2014) · Wiley eBooks · doi:10.1002/9781118227800.ch17 · Cited by 1
Singh, R. B., Rastogi, S., Goyal, R. K., Vajpayee, S., Fedačko, J., Pella, D., & Meester, F. D. (2010) · Humana Press eBooks · doi:10.1007/978-1-60327-571-2_3 · Cited by 1
A Survey of Journalism Schools' Online Publication of Student Content
Moore, S. (2013) · doi:10.33915/etd.6251 · Cited by 1
Physicochemical Characteristics and Phenolic Antioxidants of Selected Fruits of Family Rosaceae
Manzoor, M. (2012) · HEC National Digital Library · Cited by 1
Orlando, R., Pennant, M. E., Rooney, S., Khogali, S., Bayliss, S. E., Hassan, A. I., Moore, D. B., & Barton, P. S. (2013) · Cited by 1
Vitamin E intake and cardiovascular diseases in the EPIC-Potsdam Study
Gonzalez, Z. C. (2011) · DepositOnce · doi:10.14279/depositonce-2799 · Cited by 1
Towards microbial safety of fresh vegetables in Rwanda
Ssemanda, J. N. (2018) · doi:10.18174/452828
Harte, S. M. (2019) · Queensland University of Technology · doi:10.5204/thesis.eprints.125542 · Cited by 1
Fruits and Vegetable Functional Foods
Gasparre, N., & Rosell, C. M. (2022) · doi:10.1002/9781119776345.ch6 · Cited by 1
Kennedy, A. (2014) · Arrow@dit (Dublin Institute of Technology) · Cited by 1
Racial Differences in the Impact of a Worksite Wellness Program on Cardiovascular Biomarkers
Griffith, C. J. (2015) · ScholarWorks (Walden University) · Cited by 1
Mensah, C. E. (2013) · Cited by 1
McCartney, D. M. A. (2008) · Arrow - TU Dublin (Technological University Dublin) · doi:10.21427/d75014
Konkin, D. J. F. (2013) · University Library - University of Saskatchewan (University of Saskatchewan)
Kaufeld, A.-M. (2015) · Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver · doi:10.17169/refubium-6558
Antioxidant activity: from model to man
Balk, J. M. (2010) · doi:10.26481/dis.20100520jb
Effect of Diet Supplementation with Some Food Industry by- products on Cholesterol Levels of Rats
Sulieman, A. M. E., Babiker, W. A. M., Elhardallou, S. B., & Elkhalifa, E. A. (2015) · Food and public health
An Examination of Diet, Acculturation, and Risk Factors for Heart Disease among Jamaican Immigrants
Oladele, C. (2011) · Digital Commons - University of South Florida (University of South Florida)
Hansen, C. A. (2021) · Digital Commons - USU (Utah State University) · doi:10.26076/6b59-ba0d
Harrison, M. (2014) · Texas ScholarWorks (Texas Digital Library)
Reduction of Obesity-Associated Oxidative Stress by Low-Fat Yogurt Consumption
DiMarco, D. M. (2014) · OpenCommons at University of Connecticut (University of Connecticut)
“Health education” as matter in the educational process
Drăgoescu, A. (2015) · Journal Plus Education
Nieman, D. C. (2006) · ACSMʼs Health & Fitness Journal · doi:10.1249/01.fit.0000244886.24748.4f
Naud, L. M., Goulart, A. C., Santos, I. S., Benesenor, I. J. M., & Lotufo, P. A. (2020) · Nutrição Brasil · doi:10.33233/nb.v19i1.3934
Johnson, A. M. (2010) · KU ScholarWorks (University of Kansas)
Fruit and vegetable consumption and the risk of cardiovascular diseases
Griep, L. M. O. (2011) · doi:10.18174/179659
CHARACTERISATION OF bla-TEM PROMOTER SEQUENCE FROM Enterobacter cloacae
Xian, K. Z. (2013)
da Rocha, M. A., & Garcés (2010)
Wellness, wellbeing and food choice: a study of consumer and dietitian perspectives
McMahon, A. (2013) · Research Online (University of Wollongong)
Spożycie warzyw i owoców a prawidłowość sposobu żywienia pacjentów z chorobami sercowo-naczyniowymi
Anyżewska, A., Wawrzyniak, A., Woźniak, A., Krótki, M., & Górnicka, M. (2015) · Zdrowie Publiczne i Zarządzanie · doi:10.4467/20842627oz.15.022.4325
James, J. E. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-802812-4.00014-x
Ergashev, A., & Ergashev, A. (2013) · RePEc: Research Papers in Economics · doi:10.22004/ag.econ.159123
Mariane Lutz, R., Barraza, R., & Henríquez, C. (2015) · PubMed
Wine Polyphenols and Vascular Protective Effects
Auger, C., & Schini‐Kerth, V. B. (2013) · Springer eBooks · doi:10.1007/978-3-642-22144-6_79
Coronary Heart Disease: Nutritional Interventions for Prevention and Therapy
Woodside, J. V., McEvoy, C. T., & Temple, N. J. (2009) · Humana Press eBooks · doi:10.1007/978-1-60327-431-9_25
Nejatinamini, S., Ataie‐Jafari, A., Ghasemian, A., Kelishadi, R., Khajavi, A., Kasaeian, A., Djalalinia, S., Saqib, F., Majidi, S., Abdolmaleki, R., et al. (2016) · PubMed Central
Santiago, R., & Xavier, F. (2015) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Dryden, G. W. (2016) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/2374
McNeal, L. (2016) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/2411
Can.Fruit.and.Vegetable.Consumption.Oppose.the.Negative.. Health.Effects.of.Tobacco?
WATSON, R. R. (2008) · CRC Press eBooks · doi:10.1201/9781420059724-28
Biological, Chemical, and Nutritional Aspects of Vegetable Production
(2015) · Food science and technology · doi:10.1201/b19252-2
Effect of Fruit and Vegetable Intake on cvd Risk Factors in Humans
Dragsted, L. O. (2013) · CRC Press eBooks · doi:10.1201/b14663-32
Righter, A., & Wasserman, A. (2015) · Journal of Agricultural Science and Technology B · doi:10.17265/2161-6264/2015.08.008
Pignotti, P., & Giselle, A. (2013)
Sebze Püresi ile Üretilen Yoğurtlarin Tekstürel ve Duyusal Özelliklerinin Belirlenmesi
Kelimeler, A., & Yazar, S. (2016)
Early life factors among the many influences of child fruit and vegetable consumption
Chaffee, B. W. (2014) · Jornal de Pediatria (Versão em Português) · doi:10.1016/j.jpedp.2014.06.002
Santhirasegaram, V. (2015) · University of Malaya Students Repository
Kern, D. M., & Auchincloss, A. H. (2016) · iDEA - Drexel University Institutional Repository · doi:10.17918/etd-7109
ROSENBERG, E. B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-812502-1.00017-2
Rb, S., Сингх, Р. С., Chibisov, S. M., Михайлович, Ч. С., Фролов, В. А., Алексеевич, Ф. В., Shastun, S., & Антонович, Ш. С. (2012) · DOAJ (DOAJ: Directory of Open Access Journals)
Genetic Variation in Bitter Taste Perception, Food Preference and Dietary Intake
Asik, C. (2012) · TSpace (University of Toronto)
Grapefruit Juice: Potential Functional Drink for Improved Antioxidant Capacity in Adults
Dept. of Human Sciences, M. 1., Deyhim, F., Foroudi, S., Potter, A. S., Deyhim, N., Vandyousefi, S., Faraji, B., Stamatikos, A., & Patil, B. S. (2017) · International Journal of Food and Nutritional Science · doi:10.15436/2377-0619.17.1285
Whole Plant Foods and Coronary Heart Disease
Dreher, M. L. (2018) · Springer eBooks · doi:10.1007/978-3-319-59180-3_12
Cheema, A. (2018) · The Atrium (University of Guelph)
Norm effects on eating behaviour: the role of social identity
Liu, J. (2018) · University of Birmingham Institutional Research Archive (University of Birmingham)
Waghe, S., Deshmukh, S. P., Agrawal, K., & Thakre, P. P. (2019) · National Journal of Research in Ayurved Science · doi:10.52482/ayurlog.v7i01.281
Chesney, K., & Minich, D. M. (2019) · Alternative and Complementary Therapies · doi:10.1089/act.2019.29207.kch
Lee, K.-A., & Choe, E. (2018) · 한국식품조리과학회지 · doi:10.9724/kfcs.2018.34.5.527
Umuerri, E. M. (2019) · Research Journal of Health Sciences · doi:10.4314/rejhs.v7i2.3
Alick, C. L. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/43gv-d160
Bhattacharya, M. (2020) · International Journal of Engineering Research and · doi:10.17577/ijertv9is010007
野菜・果物摂取量に関する心理社会的要因の性・年齢階級別の特徴
直子, 森., 道子, 小., 式部, 山., わか子, 藤., 上田, 伸., 裕人, 本., 久雄, 鈴., 典芳, 益., & 達紘, 汪. (2020) · 日本栄養士会雑誌 · doi:10.11379/jjda.63.191
Cinética de fermentación láctica natural de col blanca (Brassica olerácea L. capitata)
Zúñiga-García, D., Montaleza-Auquilla, M., Andrade, D., León-Vizñay, J., Ramírez, P., Criollo-Ayala, A., Astudillo, S., Loja, M., & Andrade, S. (2020) · MASKANA · doi:10.18537/mskn.11.01.05
Singh, M. C. S. P., & Patel, C. R. (2021) · International Journal of Current Microbiology and Applied Sciences · doi:10.20546/ijcmas.2021.1002.116
Kugathasan, T. A., Lecot, F., Laberge, S., Tremblay, J., & Mathieu, M.-E. (2021) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000002306
Metadata
- Authors
- He, F. J., Nowson, C. A., Lucas, M., & MacGregor, G. A.
- Affiliations
- St George's, University of London (GB)
- Deakin University (AU)
- Corresponding author
- He, F J
- Venue
- Journal of Human Hypertension
- Published
- 2007-04-19
- Volume
- 21
- Issue
- 9
- Pages
- 717-728
- ISSN
- 0950-9240 (ISSN-L)
- 1476-5527
- OpenAlex
- W1999386633
- Cited by
- 741
- References
- 49
- Citations by year
- 2026: 5 · 2025: 15 · 2024: 19 · 2023: 23 · 2022: 30 · 2021: 38 · 2020: 44 · 2019: 44 · 2018: 41 · 2017: 52 · 2016: 56 · 2015: 83 · 2014: 65 · 2013: 64 · 2012: 56
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- 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
- Health Sciences › Medicine › Biochemistry (medical) › Phytochemicals and Antioxidant Activities
- Keywords
- fruit and vegetable intake, coronary artery disease, dietary intake, cardiovascular risk reduction, dietary recommendations, prospective cohort
- MeSH terms
- Coronary Disease, Fruit, Humans, Vegetables, Cohort Studies, Risk Reduction Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review