Evidence map›Paper›PMID 33826695›Full record

ArticleThe American journal of clinical nutrition2021

Dairy consumption and mortality after myocardial infarction: a prospective analysis in the Alpha Omega Cohort.

Esther Cruijsen, Maria G Jacobo Cejudo, Leanne K Küpers, Maria C Busstra, Johanna M Geleijnse

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03192410 (Prospective Cohort Study of 4,837 Post-myocardial Infarction Patients), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03192410 active not recruitingnot on this map

Prospective Cohort Study of 4,837 Post-myocardial Infarction Patients (Alpha Omega Cohort)

TypeobservationalSponsorWageningen UniversityRan2002 to 2040Enrolled4,837ConditionsCardiovascular Diseases, Mortality, Type 2 Diabetes Mellitus, Cognitive DeclineArmsDietary intake, Lifestyle factors, Blood biomarkers, Health, DNA
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. The doseFrontiers in nutrition · 2026
    Pooled it
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  4. Article
  5. Review
  6. Article
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  9. Review
  10. Dairy Foods: Is Its Cardiovascular Risk Profile Changing?Current atherosclerosis reports · 2022
    Review
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Esther CruijsenDivision of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.
Maria G Jacobo CejudoDivision of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.
Leanne K KüpersDivision of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.
Maria C BusstraDivision of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.
Johanna M GeleijnseDivision of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.ORCID 0000-0001-7638-0589
Wageningen University & Research · NL

Funding

Alpha Omega TrialR01HL076200 · NHLBI · WAGENINGEN UNIVERSITY · PI KROMHOUT, DAAN · 2005 to 2008
$1.9M
NHLBI NIH HHS R01 HL076200
6 · The paper itself

Abstract

backgroundPopulation-based studies generally show neutral associations between dairy consumption and ischemic heart disease (IHD) mortality, whereas weak inverse associations were found for cardiovascular disease (CVD) and stroke mortality. Whether dairy consumption affects long-term survival after myocardial infarction (MI) is unknown.

objectivesWe studied types of dairy and long-term mortality risk in drug-treated post-MI patients.

methodsWe included 4365 Dutch patients from the Alpha Omega Cohort aged 60-80 y (21% women) with an MI ≤10 y before enrollment. Dietary data were collected at baseline (2002-2006) using a 203-item FFQ and patients were followed for cause-specific mortality through December 2018. HRs of CVD, IHD, stroke, and all-cause mortality for types of dairy were obtained from Cox models, adjusting for age, sex, energy intake, physical activity, smoking, alcohol intake, diabetes, obesity, and dietary factors.

resultsMost patients were Dutch, 24% were obese, 20% had diabetes, and 97% used cardiovascular medication. Median intakes were 39 g/d for plain yogurt, 88 g/d for total nonfermented milk, and 17 g/d for hard cheeses. Of the cohort, 10% consumed high-fat milk. During ∼12 y of follow-up (48,473 person-years) 2035 deaths occurred, including 903 from CVD, 558 from IHD, and 170 from stroke. Yogurt was linearly inversely associated with CVD mortality (HR: 0.96; 95% CI: 0.93, 0.99; per 25 g/d) and nonlinearly inversely associated with all-cause mortality. Milk was not associated with any of the outcomes (HRs: ∼1.0 per 100 g/d), except for a higher mortality risk in high-fat milk consumers (HR: 1.30; 95% CI: 1.13, 1.49). Other dairy groups were not associated with mortality risk.

conclusionsIn Dutch post-MI patients, yogurt consumption was inversely associated with CVD mortality and all-cause mortality. Associations for milk and other dairy products were neutral or inconsistent.This trial was registered at clinicaltrials.gov as NCT03192410.

Indexed as

AgedAged, 80 and overAnimalsCohort StudiesDairy ProductsDietary FatsFemaleHumansMaleMiddle AgedMilkMyocardial InfarctionMyocardial IschemiaNetherlandsProspective StudiesRisk FactorsDietary Fatsall-cause mortalitycardiovascular mortalitydairydietary intakeischemic heart diseasemilkmyocardial infarction patientsprospective cohort studystrokeyogurt

Identifiers

PMID33826695
PMCPMC8246616
OpenAlexW3141888139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.