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Published on: September 18, 2018
Dietary cholesterol intake and stroke risk: a meta-analysis
Pengfei Cheng1,2,3,4, Junxi Pan2,3,5, Jinjun Xia2,3,5
1Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Dietary cholesterol intake does not appear to increase overall stroke risk. However, higher cholesterol consumption may elevate stroke risk in older females with a higher body mass index.
Area of Science:
- Nutrition Science
- Epidemiology
- Cardiovascular Health
Background:
- The link between dietary cholesterol and stroke risk is a long-standing area of debate.
- Previous research has yielded conflicting results regarding this association.
Purpose of the Study:
- To conduct a meta-analysis evaluating the relationship between dietary cholesterol consumption and the risk of stroke.
- To clarify the controversial association between dietary cholesterol and stroke incidence.
Main Methods:
- A systematic literature search was performed across major databases (PubMed, Medline, Embase, Web of Knowledge, Google Scholar) up to September 2017.
- Seven prospective cohort studies involving 269,777 participants and 4,604 stroke events were included in the meta-analysis.
- Relative risk (RR) and 95% confidence intervals (CI) were calculated to quantify the association.
Main Results:
- Overall, higher dietary cholesterol intake (over 300 mg/day) showed no significant association with stroke risk (RR: 0.98, 95% CI: 0.90-1.07).
- A statistically significant increased risk of stroke was observed in females aged 60 years or older, or with a body mass index (BMI) of 24 kg/m² or higher, consuming over 300 mg/day of dietary cholesterol (RR: 1.18, 95% CI: 1.02-1.36).
Conclusions:
- Higher dietary cholesterol intake is not associated with overall stroke risk.
- Factors such as age and body mass index significantly modify the relationship between dietary cholesterol and stroke risk.
- The association between elevated dietary cholesterol and stroke risk in males requires further investigation.
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