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  • Association of fruit and vegetable intake with predicted 10-year cardiovascular disease risk among hypertensive patients in Addis Ababa, Ethiopia: a cross-sectional study

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Association of fruit and vegetable intake with predicted 10-year cardiovascular disease risk among hypertensive patients in Addis Ababa, Ethiopia: a cross-sectional study
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  • Published on: 12 January 2024
    RE: Association of fruit and vegetable intake with predicted 10-year cardiovascular disease risk among hypertensive patients in Addis Ababa, Ethiopia: a cross-sectional study

    Mekonene et al. assessed the 10-year cardiovascular disease (CVD) risk of hypertensive patients with special reference to fruits and vegetables (FV) consumption, salt intake and stress levels (1). Increase of FV intake from 120 to 450 g/day was significantly related to 11.1%-15.2% lower CVD risk in a dose-response manner. In addition, total fruit, but not total vegetable intake in the highest tertile, was significantly associated with decreased CVD risk. I present a comment with special reference to sex difference.

    Yu et al. conducted a prospective study to examined the associations of fruit and vegetable intake with coronary heart disease (CHD) incidence in Shanghai, China (2). The hazard ratio (HR) (95% confidence interval [CI]) of women in the highest quartile of total fruit and vegetable intake against those in the lowest quartile for CHD was 0.62 (0.38-1.02). In addition, the HR (95% CI) of women in the highest quartile of fruit intake against those in the lowest quartile for CHD was 0.62 (0.37-1.03). The risk reduction of CHD in women was attenuated in patients with a history of diabetes or hypertension. In contrast, there was no risk reduction of CHD in men by increased fruit and vegetable intake. Although there was no significant risk reduction of CHD by consuming fruit and vegetable, this study can lead to the recommendation of specific nutritional intervention in women. I suppose that higher prevalence of smoking habit in men than women may contribute to t...

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    Conflict of Interest:
    None declared.