2026-04-17T16:02:43Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/617232025-11-19T11:05:18Zcom_2072_1057col_2072_478917col_2072_478924

00925njm 22002777a 4500 dc Tresserra i Rimbau, Anna author Rimm, Eric B. author Medina Remón, Alexander author Martínez-González, Miguel Ángel, 1957- author López Sabater, María del Carmen author Covas Planells, María Isabel author Corella Piquer, Dolores author Salas Salvadó, Jordi author Gómez Gracia, Enrique author Lapetra, José author Arós, Fernando author Fiol Sala, Miguel author Ros Rahola, Emilio author Serra Majem, Lluís author Pintó Sala, Xavier author Muñoz Pérez, Miguel Ángel author Gea, Alfredo author Ruiz-Gutiérrez, Valentina author Estruch Riba, Ramon author Lamuela Raventós, Rosa Ma. author 2015-01-23T07:49:58Z 2015-01-23T07:49:58Z 2014-05-13 2015-01-23T07:49:59Z Background: Polyphenols may lower the risk of cardiovascular disease (CVD) and other chronic diseases due to their antioxidant and anti-inflammatory properties, as well as their beneficial effects on blood pressure, lipids and insulin resistance. However, no previous epidemiological studies have evaluated the relationship between the intake of total polyphenols intake and polyphenol subclasses with overall mortality. Our aim was to evaluate whether polyphenol intake is associated with all-cause mortality in subjects at high cardiovascular risk. Methods: We used data from the PREDIMED study, a 7,447-participant, parallel-group, randomized, multicenter, controlled five-year feeding trial aimed at assessing the effects of the Mediterranean Diet in primary prevention of cardiovascular disease. Polyphenol intake was calculated by matching food consumption data from repeated food frequency questionnaires (FFQ) with the Phenol-Explorer database on the polyphenol content of each reported food. Hazard ratios (HR) and 95% confidence intervals (CI) between polyphenol intake and mortality were estimated using time-dependent Cox proportional hazard models. Results: Over an average of 4.8 years of follow-up, we observed 327 deaths. After multivariate adjustment, we found a 37% relative reduction in all-cause mortality comparing the highest versus the lowest quintiles of total polyphenol intake (hazard ratio (HR) = 0.63; 95% CI 0.41 to 0.97; P for trend = 0.12). Among the polyphenol subclasses, stilbenes and lignans were significantly associated with reduced all-cause mortality (HR =0.48; 95% CI 0.25 to 0.91; P for trend = 0.04 and HR = 0.60; 95% CI 0.37 to 0.97; P for trend = 0.03, respectively), with no significant associations apparent in the rest (flavonoids or phenolic acids). Conclusions: Among high-risk subjects, those who reported a high polyphenol intake, especially of stilbenes and lignans, showed a reduced risk of overall mortality compared to those with lower intakes. These results may be useful to determine optimal polyphenol intake or specific food sources of polyphenols that may reduce the risk of all-cause mortality. Polifenols Cuina mediterrània Mortalitat Consum d'aliments Estadística mèdica Metabolisme Polyphenols Mediterranean cooking Mortality Food consumption Medical statistics Metabolism Polyphenol intake and mortality risk: a re-analysis of the PREDIMED trial