RT Journal Article T1 Glycemic index, glycemic load, and risk of coronary heart disease: a pan-European cohort study. A1 Sieri, Sabina A1 Agnoli, Claudia A1 Grioni, Sara A1 Weiderpass, Elisabete A1 Mattiello, Amalia A1 Sluijs, Ivonne A1 Sanchez-Perez, Maria-Jose A1 Jakobsen, Marianne Uhre A1 Sweeting, Michael A1 van der Schouw, Yvonne T A1 Nilsson, Lena Maria A1 Wennberg, Patrik A1 Katzke, Verena A A1 Kühn, Tilman A1 Overvad, Kim A1 Tong, Tammy Y N A1 Conchi, Moreno-Iribas A1 Quirós, José Ramón A1 García-Torrecillas, Juan Manuel A1 Mokoroa, Olatz A1 Gómez, Jesús-Humberto A1 Tjønneland, Anne A1 Sonestedt, Emiliy A1 Trichopoulou, Antonia A1 Karakatsani, Anna A1 Valanou, Elissavet A1 Boer, Jolanda M A A1 Verschuren, W M Monique A1 Boutron-Ruault, Marie-Christine A1 Fagherazzi, Guy A1 Madika, Anne-Laure A1 Bergmann, Manuela M A1 Schulze, Matthias B A1 Ferrari, Pietro A1 Freisling, Heinz A1 Lennon, Hannah A1 Sacerdote, Carlotta A1 Masala, Giovanna A1 Tumino, Rosario A1 Riboli, Elio A1 Wareham, Nicholas J A1 Danesh, John A1 Forouhi, Nita G A1 Butterworth, Adam S A1 Krogh, Vittorio K1 EPIC study K1 EPIC-CVD study K1 cohort study K1 coronary heart disease K1 glycemic index K1 glycemic load AB High carbohydrate intake raises blood triglycerides, glucose, and insulin; reduces HDLs; and may increase risk of coronary heart disease (CHD). Epidemiological studies indicate that high dietary glycemic index (GI) and glycemic load (GL) are associated with increased CHD risk. The aim of this study was to determine whether dietary GI, GL, and available carbohydrates are associated with CHD risk in both sexes. This large prospective study-the European Prospective Investigation into Cancer and Nutrition-consisted of 338,325 participants who completed a dietary questionnaire. HRs with 95% CIs for a CHD event, in relation to intake of GI, GL, and carbohydrates, were estimated using covariate-adjusted Cox proportional hazard models. After 12.8 y (median), 6378 participants had experienced a CHD event. High GL was associated with greater CHD risk [HR 1.16 (95% CI: 1.02, 1.31) highest vs. lowest quintile, p-trend 0.035; HR 1.18 (95% CI: 1.07, 1.29) per 50 g/day of GL intake]. The association between GL and CHD risk was evident in subjects with BMI (in kg/m2) ≥25 [HR: 1.22 (95% CI: 1.11, 1.35) per 50 g/d] but not in those with BMI This large pan-European study provides robust additional support for the hypothesis that a diet that induces a high glucose response is associated with greater CHD risk. YR 2020 FD 2020 LK http://hdl.handle.net/10668/15869 UL http://hdl.handle.net/10668/15869 LA en DS RISalud RD Apr 11, 2025