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Impact of whole grain consumption on arterial stiffness. Results of the Corinthian cross-sectional survey

Session Poster Session 7

Speaker Evangelos Oikonomou

Event : ESC Congress 2019

  • Topic : preventive cardiology
  • Sub-topic : Nutrition, Malnutrition and Heart Disease
  • Session type : Poster Session

Authors : G Vavouranaki (Athens,GR), E Oikonomou (Athens,GR), G Vogiatzi (Athens,GR), G Lazaros (Athens,GR), S Tsalamandris (Athens,GR), G Siasos (Athens,GR), C Chasikidis (Athens,GR), P Theofilis (Athens,GR), CV Mistakidi (Athens,GR), M Anastasiou (Athens,GR), N Galiastatos (Athens,GR), M Santouri (Athens,GR), D Tousoulis (Athens,GR)

G. Vavouranaki1 , E. Oikonomou1 , G. Vogiatzi1 , G. Lazaros1 , S. Tsalamandris1 , G. Siasos1 , C. Chasikidis1 , P. Theofilis1 , C.V. Mistakidi1 , M. Anastasiou1 , N. Galiastatos1 , M. Santouri1 , D. Tousoulis1 , 1Hippokration Hospital, University of Athens, 1st Department of Cardiology - Athens - Greece ,

European Heart Journal ( 2019 ) 40 ( Supplement ), 3861

Introduction: The benefits of certain dietary patterns on cardiovascular diseases has been questioned over the last years. Whole grain consumption has been one of the controversial issues regarding the effect on cardiovascular disease. In Greek rural population consumptions of bread is part of the daily meal and a possible source of whole grain.

Purpose: To investigated the effect of whole grain bread consumption on arterial stiffness in Mediterranean population.

Methods: In a cross-sectional survey (Corinthia study) volunteers subjects completed a food frequency questioner (FFQ), including a question of consumption of bread on regular basis, whole grain (group I) or not (group II). Medical history, lifestyle habits, anthropometric and vital signs, as well as, laboratory blood test were performed. All patients underwent carotid-femoral pulse wave velocity (C-F PWV) measurements which were obtained noninvasively by SphygmoCor devise.

Results: Among the 2043 volunteers 1389 patients had adequate quality of pulse wave velocity recordings and were regular consumers of bread. Whole grain bread was consumed by 473 subjects (male 37%, female 63%,) but 916 (male 43.1%, female 56.9%) did not consume. Subjects consuming whole grain bread were younger compare to those who were not (group I: 62±11 years vs. group II: 64±12 years, p=0.02), have lower C-F PWV (group I: 9.04±2.93 m/sec vs. group II: 9.57±2.76 m/sec, p=0.01) but no other statistical difference were observe among other parameters (i.e. hypertension, diabetes mellitus, BMI, smoking etc). Hierarchical multiple regression showed that whole grain consumption predicted pulse wave velocity statistically significantly (b=−0.33, 95% CI: −0.62, −0.17, p=0.03) in addition to age (b=0.09, 95% CI 0.08–0.10, p<0.001), systolic blood pressure (b=0.02, 95% CI 0.01, 0.03, p<0.001) beta=0.157) and diabetes mellitus (b=0.75, 95% CI 0.40, 1.09, p<0.001).

Conclusion: Whole grain bread consumption has a beneficial effect on arterial stiffness as detected by better carotid femoral pulse wave velocity. This may have a positively effect on cardiovascular diseases.

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