The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
Fruit, Vegetable, and Antioxidant Intake and All-Cause, Cancer, and Cardiovascular Disease Mortality in a Community-dwelling Population in Washington County, Maryland
Abstract
Higher intake of fruits, vegetables, and antioxidants may help protect against oxidative damage, thus lowering cancer and cardiovascular disease risk. This Washington County, Maryland, prospective study examined the association of fruit, vegetable, and antioxidant intake with all-cause, cancer, and cardiovascular disease death. CLUE participants who donated a blood sample in 1974 and 1989 and completed a food frequency questionnaire in 1989 (N = 6,151) were included in the analysis. Participants were followed to date of death or January 1, 2002. Compared with those in the bottom fifth, participants in the highest fifth of fruit and vegetable intake had a lower risk of all-cause (cases = 910; hazard ratio (HR) = 0.63, 95% confidence interval (CI): 0.51, 0.78; p-trend = 0.0004), cancer (cases = 307; HR = 0.65, 95% CI: 0.45, 0.93; p-trend = 0.08), and cardiovascular disease (cases = 225; HR = 0.76, 95% CI: 0.54, 1.06; p-trend = 0.15) mortality. Higher intake of cruciferous vegetables was associated with lower risk of all-cause mortality (HR = 0.74, 95% CI: 0.60, 0.91; p-trend = 0.04). No statistically significant associations were observed between dietary vitamin C, vitamin E, and beta-carotene intake and mortality. Overall, greater intake of fruits and vegetables was associated with lower risk of all-cause, cancer, and cardiovascular disease death. These findings support the general health recommendation to consume multiple servings of fruits and vegetables (5-9/day).
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
“A diet enriched with fruits and vegetables or antioxidants in the form of supplements lowered the risk of incidence and mortality in patients suffering from cancer (Genkinger et al. 2004).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Genkinger et al. 2004
Citations
Cites
(1994) · New England Journal of Medicine · doi:10.1056/nejm199404143301501 · Cited by 4,737
The Causes of Cancer: Quantitative Estimates of Avoidable Risks of Cancer in the United States Today
Doll, R., & Peto, R. (1981) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/66.6.1192 · Cited by 3,927 · cited 1×
“Both diseases have risk factors in common; important among them are cigarette smoking, obesity, and suboptimal diet (2).”
BackgroundEffects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease
Omenn, G. S., Goodman, G. E., Thornquist, M. D., Balmes, J., Cullen, M. R., Glass, A., Keogh, J. P., Meyskens, F. L., Valanis, B., Williams, J. H., et al. (1996) · New England Journal of Medicine · doi:10.1056/nejm199605023341802 · Cited by 3,638
The Causes of Cancer: Quantitative Estimates of Avoidable Risks of Cancer in the United States Today
Peto, R. (1983) · Springer eBooks · doi:10.1007/978-1-4757-1117-2_30 · Cited by 3,504
Jemal, A., Murray, T., Samuels, A., Ghafoor, A., Ward, E., & Thun, M. J. (2003) · CA: A Cancer Journal for Clinicians · doi:10.3322/canjclin.53.1.5 · Cited by 3,275
Hennekens, C. H., Buring, J. E., Manson, J. E., Stampfer, M., Rosner, B., Cook, N. R., Belanger, C., LaMotte, F., Gaziano, J. M., Ridker, P. M., et al. (1996) · New England Journal of Medicine · doi:10.1056/nejm199605023341801 · Cited by 2,397
A DATA-BASED APPROACH TO DIET QUESTIONNAIRE DESIGN AND TESTING
Block, G., Hartman, A. M., DRESSER, C. M., Carroll, M. D., Gannon, J. G., & Gardner, L. B. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114416 · Cited by 2,150
Vitamin E Consumption and the Risk of Coronary Disease in Women
Stampfer, M. J., Hennekens, C. H., Manson, J. E., Colditz, G. A., ROSNER, B. A., & Willett, W. C. (1993) · New England Journal of Medicine · doi:10.1056/nejm199305203282003 · Cited by 2,085
Vitamin E Supplementation and Cardiovascular Events in High-Risk Patients
(2000) · New England Journal of Medicine · doi:10.1056/nejm200001203420302 · Cited by 1,957
The Effect of Fruit and Vegetable Intake on Risk for Coronary Heart Disease
Joshipura, K. J., Hu, F. B., Manson, J. E., Stampfer, M. J., Rimm, E. B., Speizer, F. E., Colditz, G., Ascherio, A., Rosner, B., Spiegelman, D., et al. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-12-200106190-00010 · Cited by 1,396
Validation of a self-administered diet history questionnaire using multiple diet records
Block, G., Woods, M., Potosky, A., & Clifford, C. (1990) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(90)90099-b · Cited by 1,197
Bazzano, L. A., He, J., Ogden, L. G., Loria, C. M., Vupputuri, S., Myers, L., & Whelton, P. K. (2002) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.1.93 · Cited by 1,035
Fruit and vegetable intake and risk of cardiovascular disease: The women’s health study
Liu, S., Manson, J. E., Lee, I.-M., Cole, S. R., Hennekens, C. H., Willett, W. C., & Buring, J. E. (2000) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.4.922 · Cited by 917
A reduced dietary questionnaire: development and validation
Block, G., Hartman, A. M., & Naughton, D. (1990) · Epidemiology · doi:10.1097/00001648-199001000-00013 · Cited by 711
Antioxidant Vitamin Intake and Coronary Mortality in a Longitudinal Population Study
Knekt, P., Reunanen, A., Jävinen, R., Seppänen, R., Heliövaara, M., & Aromaa, A. J. (1994) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116964 · Cited by 635
Phytochemicals from Cruciferous Plants Protect against Cancer by Modulating Carcinogen Metabolism
Talalay, P., & Fahey, J. W. (2001) · Journal of Nutrition · doi:10.1093/jn/131.11.3027s · Cited by 613
Vitamin C Intake and Mortality among a Sample of the United States Population
Enstrom, J., Kanim, L., & Klein, M. A. (1992) · Epidemiology · doi:10.1097/00001648-199205000-00003 · Cited by 580
Conaway, C. C., Yang, Y., & Chung, F. (2002) · Current Drug Metabolism · doi:10.2174/1389200023337496 · Cited by 407
Losonczy, K. G., Harris, T. B., & Havlik, R. J. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/64.2.190 · Cited by 402
Jha, P., Flather, M., Lonn, E., Farkouh, M., & Yusuf, S. (1995) · Annals of Internal Medicine · doi:10.7326/0003-4819-123-11-199512010-00009 · Cited by 399
Albanes, D., Heinonen, O., Huttunen, J., Taylor, P., Virtamo, J., Edwards, B., Haapakoski, J., Rautalahti, M., Hartman, A., & Palmgren, J. (1995) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.6.1427s · Cited by 379
Gaziano, J. M., Manson, J. E., Branch, L. G., Colditz, G. A., Willett, W. C., & Buring, J. E. (1995) · Annals of Epidemiology · doi:10.1016/1047-2797(94)00090-g · Cited by 371
The influence of cigarette smoking on circulating concentrations of antioxidant micronutrients
Alberg, A. J. (2002) · Toxicology · doi:10.1016/s0300-483x(02)00386-4 · Cited by 356
Vitamin C and risk of death from stroke and coronary heart disease in cohort of elderly people
Gale, C., Martyn, C., Winter, P., & Cooper, C. (1995) · British medical journal · doi:10.1136/bmj.310.6994.1563 · Cited by 316
Key, T. J. A., Thorogood, M., Appleby, P. N., & Burr, M. L. (1996) · BMJ · doi:10.1136/bmj.313.7060.775 · Cited by 305
Increased green and yellow vegetable intake and lowered cancer deaths in an elderly population
Colditz, G. A., Branch, L. G., LIPNICK, R. J., Willett, W. C., ROSNER, B. A., Posner, B. M., & Hennekens, C. H. (1985) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/41.1.32 · Cited by 277
Rissanen, T. H., Voutilainen, S., Virtanen, J. K., Venho, B., Vanharanta, M., Mursu, J., & Salonen, J. T. (2003) · The Journal of Nutrition · doi:10.1093/jn/133.1.199 · Cited by 260
Kok, F. J., de Bruijn, A. M., Vermeeren, R., Albert Hofman, D., Laar, A. V. '., de Bruin, M., Hermus, R. J. J., & Valkenburg, H. A. (1987) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/45.2.462 · Cited by 247
Carotenoids, vitamins C and E, and mortality in an elderly population.
Sahyoun, N. R., Jacques, P. F., & Russell, R. M. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a008957 · Cited by 212
Dietary antioxidants and risk of myocardial infarction in the elderly: the Rotterdam Study
Klipstein‐Grobusch, K., Geleijnse, J. M., den Breeijen, J. H., Boeing, H., Albert Hofman, D., Grobbee, D. E., & Witteman, J. C. M. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.2.261 · Cited by 198
Dietary Vitamin C and β-Carotene and Risk of Death in Middle-aged Men
Pandey, D. K., Shekelle, R. B., Selwyn, B. J., Tangney, C., & Stamler, J. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117594 · Cited by 172
Intake of antioxidant vitamins and risk of death from stroke in postmenopausal women
Yochum, L., Folsom, A. R., & Kushi, L. H. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.2.476 · Cited by 168
Li, R., Serdula, M. K., Bland, S. D., Mokdad, A. H., Bowman, B. A., & Nelson, D. E. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.5.777 · Cited by 167
Antioxidant Vitamins and Cardiovascular Disease
Buring, J. E., & Gaziano, J. M. (1997) · Humana Press eBooks · doi:10.1007/978-1-4757-6242-6_9 · Cited by 160
Thompson, B., Demark‐Wahnefried, W., Taylor, G., McClelland, J. W., Stables, G., HAVAS, S., Feng, Z., Topor, M. A., Heimendinger, J., Reynolds, K. D., et al. (1999) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(99)00306-5 · Cited by 145
Fruit and vegetable consumption and cancer mortality in the Caerphilly Study.
Hertog, M. G. L., Bueno-de-Mesquita, H. B., FEHILY, A. M., Sweetnam, P. M., Elwood, P. C., & Kromhout, D. (1996) · PubMed · Cited by 137
Diet and Overall Survival in a Cohort of Very Elderly People
Fortes, C., Forastiere, F., Farchi, S., Rapiti, E., Pastori, G., & Perucci, C. A. (2000) · Epidemiology · doi:10.1097/00001648-200007000-00013 · Cited by 91
Strandhagen, E., Hansson, P. O., Bosaeus, I. G., Isaksson, B., & Eriksson, H. (2000) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600959 · Cited by 84
Eichholzer, M., Stähelin, H. B., & GEY, K. F. (1992) · Birkhäuser Basel eBooks · doi:10.1007/978-3-0348-7460-1_38 · Cited by 74
Beta-carotene: the controversy continues.
Patrick, L. (2000) · PubMed · Cited by 71
Kromhout, D., Bloemberg, B. P. M., Feskens, E. J. M., Menotti, A., & Nissinen, A. M. (2000) · International Journal of Epidemiology · doi:10.1093/ije/29.2.260 · Cited by 69
Enstrom, J. E., Kanim, L. E. A., & Breslow, L. (1986) · American Journal of Public Health · doi:10.2105/ajph.76.9.1124 · Cited by 65
Dietary questions as determinants of mortality: the OXCHECK experience
Whiteman, D. C., Muir, J., Jones, L., Murphy, M., & Key, T. J. (1999) · Public Health Nutrition · doi:10.1017/s136898009900066x · Cited by 54
Beta-carotene did not work: aftermath of the ATBC study
Rautalahti, M. T., Albanes, D., Virtamo, J. R. K., Taylor, P. R., Huttunen, J. K., & Heinonen, O. P. (1997) · Cancer Letters · doi:10.1016/s0304-3835(97)04672-7 · Cited by 44
Vitamin E and heart disease: a case study
Kushi, L. H. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.6.1322s · Cited by 29
Antioxidants and Coronary Heart Disease: Observational Studies
Rexrode, K. M., & Manson, J. E. (1996) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1177/174182679600300405 · Cited by 27
Sinzinger, H. F., Kaliman, J., & Oguogho, A. (2000) · PubMed · Cited by 16
Antioxidants and coronary heart disease
Rexrode, K. M., & Manson, J. E. (1996) · Journal of Cardiovascular Risk · doi:10.1097/00043798-199608000-00005 · Cited by 5
Flagged first, then by citations
Research works printed but not linked: 4
- Hertog, 1996, Cancer Epidemiology Biomarkers & Prevention, 5, 673
- 1995, The American Journal of Clinical Nutrition, 62(suppl), 1427s
- Patrick, 2000, Alternative medicine review : a journal of clinical therapeutic, 5, 530
- Sinzinger, 2000, Lymphology, 33, 24
Cited by
Sorted by citations
Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging
Jomova, K., Raptova, R., Alomar, S. Y., Alwasel, S. H., Nepovimova, E., Kuca, K., & Valko, M. (2023) · Archives of Toxicology · doi:10.1007/s00204-023-03562-9 · Cited by 2,638
Aune, D., Giovannucci, E., Boffetta, P., Fadnes, L. T., Keum, N., Norat, T., Greenwood, D. C., Riboli, E., Vatten, L. J., & Tonstad, S. (2017) · International Journal of Epidemiology · doi:10.1093/ije/dyw319 · Cited by 2,419
Wang, X., Ouyang, Y., Liu, J., Zhu, M., Zhao, G., Bao, W., & Hu, F. B. (2014) · BMJ · doi:10.1136/bmj.g4490 · Cited by 1,596
Arem, H., Moore, S. C., Patel, A., Hartge, P., Berrington de Gonzalez, A., Visvanathan, K., Campbell, P. T., Freedman, M., Weiderpass, E., Adami, H. O., et al. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.0533 · Cited by 1,498
Health-promoting components of fruits and vegetables in the diet.
Liu, R. H. (2013) · Advances in Nutrition · doi:10.3945/an.112.003517 · Cited by 1,310
Metadata
- Authors
- Genkinger, J. M., Platz, E. A., Hoffman, S. C., Comstock, G. W., & Helzlsouer, K. J.
- Affiliations
- Johns Hopkins University (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-12-06
- Volume
- 160
- Issue
- 12
- Pages
- 1223-1233
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2122872164
- Cited by
- 351
- References
- 48
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 14 · 2021: 22 · 2020: 10 · 2019: 18 · 2018: 12 · 2017: 20 · 2016: 22 · 2015: 21 · 2014: 23 · 2013: 27 · 2012: 20
- FWCI
- 13.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- New York City Department of Health and Mental Hygiene
- National Institute on Aging (U01AG018033, 1U01AG18033)
- National Heart, Lung, and Blood Institute (K06HL021670, HL 21670)
- National Cancer Institute (1U01 CA 86308, U01CA086308)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Biochemistry (medical) › Phytochemicals and Antioxidant Activities
- Keywords
- fruit and vegetable intake, antioxidant intake, dietary antioxidants, cancer mortality, cardiovascular mortality, all-cause mortality, cruciferous vegetables, vitamin C, vitamin E, beta-carotene, dietary recommendations, Washington County, Maryland
- MeSH terms
- Adult, Aged, Aged, 80 and over, Antioxidants, Ascorbic Acid, Cardiovascular Diseases, Cause of Death, Diet, Female, Fruit, Humans, Male, Maryland, Middle Aged, Neoplasms, Smoking, Vegetables, Cohort Studies, Body Mass Index, beta Carotene, alpha-Tocopherol
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