Legume consumption and risk of all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies
Author(s)
Type
Journal Article
Abstract
There is an equivocal and inconsistent association between legume consumption and health outcomes and longevity. The purpose of this study was to examine and quantify the potential dose–response relationship between legume consumption and all-cause and cause-specific mortality in the general population. We conducted a systematic literature search on PubMed/Medline, Scopus, ISI Web of Science, and Embase from inception to September 2022, as well as reference lists of relevant original papers and key journals. A random-effects model was used to calculate summary HRs and their 95% CIs for the highest and lowest categories, as well as for a 50 g/d increment. We also modeled curvilinear associations using a 1-stage linear mixed-effects meta-analysis. Thirty-two cohorts (31 publications) involving 1,141,793 participants and 93,373 deaths from all causes were included. Higher intakes of legumes, compared with lower intakes, were associated with a reduced risk of mortality from all causes (HR: 0.94; 95% CI: 0.91, 0.98; n = 27) and stroke (HR: 0.91; 95% CI: 0.84, 0.99; n = 5). There was no significant association for CVD mortality (HR: 0.99; 95% CI: 0.91, 1.09; n =11), CHD mortality (HR: 0.93; 95% CI: 0.78, 1.09; n = 5), or cancer mortality (HR: 0.85; 95% CI: 0.72, 1.01; n = 5). In the linear dose–response analysis, a 50 g/d increase in legume intake was associated with a 6% reduction in the risk of all-cause mortality (HR: 0.94; 95% CI: 0.89, 0.99; n = 19), but no significant association was observed for the remaining outcomes. The certainty of evidence was judged from low to moderate. A higher legume intake was associated with lower mortality from all causes and stroke, but no association was observed for CVD, CHD, and cancer mortality. These results support dietary recommendations to increase the consumption of legumes.
Date Issued
2023-01
Date Acceptance
2022-10-28
Citation
Advances in Nutrition, 2023, 14 (1), pp.64-76
ISSN
2161-8313
Publisher
Oxford University Press (OUP)
Start Page
64
End Page
76
Journal / Book Title
Advances in Nutrition
Volume
14
Issue
1
Copyright Statement
© 2022 The Author(s). Published by Elsevier Inc. on behalf of American Society for Nutrition. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000944260000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
all-cause mortality
cancer
cardiovascular disease
CARDIOVASCULAR-DISEASE
CHINESE ADULTS
DIETARY-PROTEIN SOURCES
FOOD GROUPS
GLOBAL BURDEN
legume
Life Sciences & Biomedicine
LIFE-STYLE FACTORS
MEDITERRANEAN DIET
mortality
Nutrition & Dietetics
NUTRITIONAL-VALUE
Science & Technology
stroke
SURVIVAL
TREND ESTIMATION
Publication Status
Published
Date Publish Online
2023-01-05