Vitamin C and the risk of developing inflammatory polyarthritis: prospective nested case-control study

作者: DJ Pattison , AJ Silman , NJ Goodson , M Lunt , D Bunn

DOI: 10.1136/ARD.2003.016097

关键词:

摘要: Objective: To investigate whether, there is an association between consumption of fruit and vegetables dietary antioxidants the risk developing inflammatory polyarthritis (IP). Methods: In a prospective, population based, nested case-control study residents Norfolk, UK, men women aged 45–74 years were recruited, 1993 1997 through general practice age-sex registers to Norfolk arm European Prospective Investigation Cancer (EPIC-Norfolk). Dietary intake was assessed at baseline using 7 day diet diaries. Seventy three participants who went on develop IP 2001 registered by Arthritis Register (NOAR) identified. Incident cases IP, practitioners, fulfilled criteria two or more swollen joints, persisting for minimum 4 weeks. Each case matched age sex with controls free IP. Results: Lower intakes vegetables, vitamin C associated increased Those in lowest category intake, compared highest, their than threefold, adjusted odds ratio (OR) 95% confidence intervals (CI) 3.3 (95% CI 1.4 7.9). Weak inverse associations E s-carotene found. Conclusion: Patients (cases) consumed less controls, which appeared increase The mechanism this effect uncertain. Thus similar studies are necessary confirm these results.

参考文章(25)
Frank C Arnett, None, Revised criteria for the classification of rheumatoid arthritis. Bulletin on The Rheumatic Diseases. ,vol. 38, pp. 1- 6 ,(1989)
Luben R, Welch A, Day N, Oakes S, Khaw Kt, Bingham S, Wareham N, EPIC-Norfolk: study design and characteristics of the cohort. European Prospective Investigation of Cancer. British Journal of Cancer. pp. 95- 103 ,(1999)
M Helgeland, E Svendsen, O Førre, M Haugen, Dietary intake and serum concentrations of antioxidants in children with juvenile arthritis. Clinical and Experimental Rheumatology. ,vol. 18, pp. 637- 641 ,(2000)
G Block, Epidemiologic evidence regarding vitamin C and cancer The American Journal of Clinical Nutrition. ,vol. 54, ,(1991) , 10.1093/AJCN/54.6.1310S
Robert McCance, Elsie M. Widdowson, The Composition of Foods ,(1960)
Deborah P. M. Symmons, Clare R. Bankhead, Beverley J. Harrison, Paul Brennan, Alan J. Silman, Elizabeth M. Barrett, David G. I. Scott, Blood transfusion, smoking, and obesity as risk factors for the development of rheumatoid arthritis. Results from a primary care‐based incident case‐control study in Norfolk, England Arthritis & Rheumatism. ,vol. 40, pp. 1955- 1961 ,(1997) , 10.1002/ART.1780401106
S. A. Bingham, A. Cassidy, T. J. Cole, A. Welch, S. A. Runswick, A. E. Black, D. Thurnham, C. Bates, K. T. Khaw, T. J. A. Key, N. E. Day, VALIDATION OF WEIGHED RECORDS AND OTHER METHODS OF DIETARY ASSESSMENT USING THE 24-H URINE NITROGEN TECHNIQUE AND OTHER BIOLOGICAL MARKERS British Journal of Nutrition. ,vol. 73, pp. 531- 550 ,(1995) , 10.1079/BJN19950057
Barry Halliwell, John M. C. Gutteridge, Free radicals in biology and medicine ,(1985)
Mary K Serdula, Tim Byers, Ali H Mokdad, Eduardo Simoes, James M Mendlein, Ralph J Coates, None, The Association between Fruit and Vegetable Intake and Chronic Disease Risk Factors Epidemiology. ,vol. 7, pp. 161- 165 ,(1996) , 10.1097/00001648-199603000-00010
S Welch, A., McTaggart, A., Mulligan, A., Luben, R., Walker, N., Khaw, K., Bingham, DINER (Data Into Nutrients for Epidemiological Research) – a new data-entry program for nutritional analysis in the EPIC–Norfolk cohort and the 7-day diary method Public Health Nutrition. ,vol. 4, pp. 1253- 1265 ,(2001) , 10.1079/PHN2001196