PMID- 25063538 OWN - NLM STAT- MEDLINE DCOM- 20150819 LR - 20151119 IS - 1590-3729 (Electronic) IS - 0939-4753 (Linking) VI - 24 IP - 11 DP - 2014 Nov TI - Dietary non-enzymatic antioxidant capacity and the risk of myocardial infarction: a case-control study in Italy. PG - 1246-51 LID - S0939-4753(14)00204-X [pii] LID - 10.1016/j.numecd.2014.06.007 [doi] AB - BACKGROUND AND AIMS: Oxidative processes have been related to atherosclerosis, but there is scanty information on the role of dietary antioxidants in the prevention of acute myocardial infarction (AMI). METHODS AND RESULTS: The relationship between non-enzymatic antioxidant capacity (NEAC) and the risk of nonfatal AMI was investigated in a case-control study conducted in Milan, Italy, between 1995 and 2003. Cases were 760 patients below 75 years with a first episode of AMI and controls were 682 patients admitted to hospitals for acute conditions, who completed an interviewer-administered food frequency questionnaire, tested for validity and reproducibility. NEAC (excluding coffee) was measured using Italian food composition tables in terms of ferric reducing-antioxidant power (FRAP), Trolox equivalent antioxidant capacity (TEAC) and total radical-trapping antioxidant parameter (TRAP). The odds ratios (OR) of AMI, and the corresponding 95% confidence intervals (CI), were obtained by multiple logistic regression models including terms for main risk factors of AMI and total energy intake. NEAC was inversely related with the risk of AMI. The ORs for the highest quintile compared with the lowest one were 0.41 (95% CI, 0.27-0.63) for FRAP, 0.42 (95% CI, 0.27-0.65) for TEAC and 0.41 (95% CI, 0.27-0.62) for TRAP, with significant trends in risk. The inverse relationship was apparently stronger in women and in subjects aged >/= 60 years. CONCLUSIONS: Our results support a favorable role of dietary NEAC in the prevention of AMI, and encourage a high consumption of fruit and vegetables and a moderate consumption of wine and whole cereals. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Rossi, M AU - Rossi M AD - Department of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy; Department of Clinical Sciences and Community Health, Universita degli Studi di Milano, Milan, Italy. FAU - Praud, D AU - Praud D AD - Department of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy; Department of Clinical Sciences and Community Health, Universita degli Studi di Milano, Milan, Italy. FAU - Monzio Compagnoni, M AU - Monzio Compagnoni M AD - Department of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy. FAU - Bellocco, R AU - Bellocco R AD - Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden. FAU - Serafini, M AU - Serafini M AD - Functional Food and Metabolic Stress Prevention Laboratory, Agricolture Research Council, CRA-NUT, Rome, Italy. FAU - Parpinel, M AU - Parpinel M AD - Unit of Hygiene and Epidemiology, Department of Biological and Medical Sciences, University of Udine, Udine, Italy. FAU - La Vecchia, C AU - La Vecchia C AD - Department of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy; Department of Clinical Sciences and Community Health, Universita degli Studi di Milano, Milan, Italy. Electronic address: carlo.lavecchia@marionegri.it. FAU - Tavani, A AU - Tavani A AD - Department of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy. LA - eng PT - Journal Article DEP - 20140626 PL - Netherlands TA - Nutr Metab Cardiovasc Dis JT - Nutrition, metabolism, and cardiovascular diseases : NMCD JID - 9111474 RN - 0 (Antioxidants) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antioxidants/*administration & dosage MH - Case-Control Studies MH - *Diet MH - Edible Grain MH - Female MH - Fruit MH - Humans MH - Italy/epidemiology MH - Male MH - Middle Aged MH - Myocardial Infarction/*epidemiology MH - Reproducibility of Results MH - Risk Factors MH - Surveys and Questionnaires MH - Vegetables MH - Wine MH - Young Adult OTO - NOTNLM OT - Antioxidants OT - Case-control study OT - Diet OT - Myocardial infarction OT - Non-enzymatic antioxidant capacity OT - Risk factors OT - Total antioxidant capacity EDAT- 2014/07/27 06:00 MHDA- 2015/08/20 06:00 CRDT- 2014/07/27 06:00 PHST- 2013/11/11 00:00 [received] PHST- 2014/05/26 00:00 [revised] PHST- 2014/06/15 00:00 [accepted] PHST- 2014/07/27 06:00 [entrez] PHST- 2014/07/27 06:00 [pubmed] PHST- 2015/08/20 06:00 [medline] AID - S0939-4753(14)00204-X [pii] AID - 10.1016/j.numecd.2014.06.007 [doi] PST - ppublish SO - Nutr Metab Cardiovasc Dis. 2014 Nov;24(11):1246-51. doi: 10.1016/j.numecd.2014.06.007. Epub 2014 Jun 26.