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Citrus Fruit Linked to Lower Risk of Ischemic Stroke

Aedín Cassidy, Ph.D., from the Norwich Medical School in the United Kingdom, and colleagues conducted a prospective study among 69,622 women from the Nurses' Health Study. Total flavonoid and subclass intakes were calculated from semiquantitative food-frequency questionnaires collected every four years.

The researchers found that, over 14 years of follow-up, 1,803 strokes were confirmed. After adjusting for other variables, women in the highest quintile of flavanone intake had a relative risk (RR) of ischemic stroke of 0.81 (95 percent confidence interval [CI], 0.66 to 0.99), compared with the lowest quintile. Consumption of citrus fruits and juices, the main dietary source of flavanones, tended to be associated with a reduced risk for ischemic stroke (RR, 0.90; 95 percent CI, 0.77 to 1.05) when comparing the highest and lowest quintiles.

"Total flavonoid intake was not inversely associated with risk of stroke; however, increased intake of the flavanone subclass was associated with a reduction in the risk of ischemic stroke," the authors write.

Two authors disclosed receiving funding from Unilever Research and GlaxoSmithKline for flavonoid research.

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Further Reading
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For patients with acute ischemic stroke, the keys to limiting associated morbidity and mortality include the recognition of stroke, early diagnosis and treatment, and hospital care, according to updated guidelines published online Jan. 31 in Stroke.
Use of lean process improvement methodology can reduce the time to stroke care without compromising patient safety, according to a study published online Nov. 8 in Stroke.
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