Dietary haem iron and coronary heart disease in women

Daphne L van der A1, Petra H M Peeters, Diederick E Grobbee

  • 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, HP Str.6.131, PO Box 85500, 3508 GA Utrecht, The Netherlands.

European Heart Journal
|December 25, 2004
PubMed

Insights

High dietary heme iron intake is linked to increased coronary heart disease (CHD) risk in middle-aged women. This finding suggests dietary iron may play a significant role in cardiovascular health.

Area of Science:

  • Cardiovascular Science
  • Nutritional Epidemiology
  • Iron Metabolism

Background:

  • In vitro and in vivo studies suggest a role for iron in ischaemic heart disease risk.
  • Dietary iron, particularly heme iron, is a key nutrient with potential cardiovascular implications.
  • Understanding the association between dietary heme iron and coronary heart disease (CHD) is crucial for public health.

Purpose of the Study:

  • To investigate the association between dietary heme iron intake and the risk of developing coronary heart disease (CHD).
  • To examine this relationship in a large population-based cohort of middle-aged women.

Main Methods:

  • Utilized data from 16,136 women aged 49-70 years, with follow-up until January 1, 2000.
  • Employed Cox proportional hazards analysis to estimate CHD risk across quartiles of heme iron intake.
  • Adjusted for cardiovascular and nutritional risk factors, and explored potential effect modification.

Main Results:

  • A high dietary heme iron intake was associated with a 65% increase in CHD risk (HR=1.65; 95% CI: 1.07-2.53).
  • This association remained significant after adjusting for cardiovascular and nutritional risk factors.
  • No significant modification of risk was observed based on additional cardiovascular risk factors, menstrual status, or antioxidant intake.

Conclusions:

  • Middle-aged women with relatively high dietary heme iron intake face an elevated risk of coronary heart disease (CHD).
  • Dietary heme iron is a potential modifiable risk factor for CHD in women.
Abstract

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