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Spicy food consumption reduces the risk of ischaemic stroke: a prospective study

Published online by Cambridge University Press:  30 January 2024

Jiale Li
Affiliation:
School of Public Health of Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi, 530021, People’s Republic of China
Changping Xie
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Jian Lan
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Jinxue Tan
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Xiaoping Tan
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Ningyu Chen
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Liuping Wei
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Jiajia Liang
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Rong Pan
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Tingping Zhu
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
Pei Pei
Affiliation:
Peking University Center for Public Health and Epidemic Preparedness and Response, Beijing 100191, People’s Republic of China
Dianjianyi Sun
Affiliation:
Peking University Center for Public Health and Epidemic Preparedness and Response, Beijing 100191, People’s Republic of China Department of Epidemiology & Biostatistics, School of Public Health, Peking University, Xueyuan Road, Haidian District, Beijing 100191, People’s Republic of China
Li Su*
Affiliation:
School of Public Health of Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi, 530021, People’s Republic of China
Lifang Zhou
Affiliation:
Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, 545005, People’s Republic of China
*
*Corresponding author: Li Su, email suli2018@hotmail.com

Abstract

Previous studies revealed that consuming spicy food reduced mortality from CVD and lowered stroke risk. However, no studies reported the relationship between spicy food consumption, stroke types and dose–response. This study aimed to further explore the association between the frequency of spicy food intake and the risk of stroke in a large prospective cohort study. In this study, 50 174 participants aged 30–79 years were recruited. Spicy food consumption data were collected via a baseline survey questionnaire. Outcomes were incidence of any stroke, ischaemic stroke (IS) and haemorrhagic stroke (HS). Multivariable-adjusted Cox proportional hazard models estimated the association between the consumption of spicy food and incident stroke. Restricted cubic spline analysis was used to examine the dose–response relationship. During the median 10·7-year follow-up, 3967 strokes were recorded, including 3494 IS and 516 HS. Compared with those who never/rarely consumed spicy food, those who consumed spicy food monthly, 1–2 d/week and 3–5 d/week had hazard ratio (HR) of 0·914 (95 % CI 0·841, 0·995), 0·869 (95 % CI 0·758, 0·995) and 0·826 (95 % CI 0·714, 0·956) for overall stroke, respectively. For IS, the corresponding HR) were 0·909 (95 % CI 0·832, 0·994), 0·831 (95 % CI 0·718, 0·962) and 0·813 (95 % CI 0·696, 0·951), respectively. This protective effect showed a U-shaped dose–response relationship. For obese participants, consuming spicy food ≥ 3 d/week was negatively associated with the risk of IS. We found the consumption of spicy food was negatively associated with the risk of IS and had a U-shaped dose–response relationship with risk of IS. Individuals who consumed spicy food 3–5 d/week had a significantly lowest risk of IS.

Type
Research Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

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Footnotes

These authors contributed equally to this work.

References

Feigin, VL, Stark, BA, Johnson, CO, et al. (2021) Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol 20, 795820.CrossRefGoogle Scholar
Roth, GA, Mensah, GA, Johnson, CO, et al. (2020) Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol 76, 29823021.CrossRefGoogle ScholarPubMed
Ma, Q, Li, R, Wang, L, et al. (2021) Temporal trend and attributable risk factors of stroke burden in China, 1990–2019: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health 6, e897e906.CrossRefGoogle Scholar
Wang, W, Jiang, B, Sun, H, et al. (2017) Prevalence, incidence and mortality of stroke in China: results from a nationwide population-based survey of 480 687 adults. Circulation 135, 759771.CrossRefGoogle Scholar
Feigin, VL, Nichols, E, Alam, T, et al. (2019) Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 18, 459480.CrossRefGoogle Scholar
Jiang, TA (2019) Health benefits of culinary herbs and spices. J AOAC Int 102, 395411.CrossRefGoogle ScholarPubMed
O’Neill, J, Brock, C, Olesen, AE, et al. (2012) Unravelling the mystery of capsaicin: a tool to understand and treat pain. Pharmacol Rev 64, 939971.CrossRefGoogle ScholarPubMed
Chan, WC, Millwood, IY, Kartsonaki, C, et al. (2021) Spicy food consumption and risk of gastrointestinal-tract cancers: findings from the China Kadoorie Biobank. Int J Epidemiol 50, 199211.CrossRefGoogle ScholarPubMed
Li, Q, Cui, Y, Jin, R, et al. (2017) Enjoyment of spicy flavor enhances central salty-taste perception and reduces salt intake and blood pressure. Hypertension 70, 12911299.CrossRefGoogle ScholarPubMed
Singh, N, Rao, AS, Nandal, A, et al. (2021) Phytochemical and pharmacological review of Cinnamomum verum J. Presl-a versatile spice used in food and nutrition. Food Chem 338, 127773.CrossRefGoogle ScholarPubMed
Nilius, B & Appendino, G (2013) Spices: the savory and beneficial science of pungency. Rev Physiol Biochem Pharmacol 164, 176.CrossRefGoogle ScholarPubMed
Shi, Z, Riley, M, Taylor, AW, et al. (2017) Chilli consumption and the incidence of overweight and obesity in a Chinese adult population. Int J Obes (Lond) 41, 10741079.CrossRefGoogle Scholar
Wang, H, Chen, L, Shen, D, et al. (2021) Association between frequency of spicy food consumption and hypertension: a cross-sectional study in Zhejiang Province, China. Nutr Metab (Lond) 18, 70.CrossRefGoogle ScholarPubMed
Zhao, Z, Li, M, Li, C, et al. (2020) Dietary preferences and diabetic risk in China: a large-scale nationwide internet data-based study. J Diabetes 12, 270278.CrossRefGoogle Scholar
Xue, Y, He, T, Yu, K, et al. (2017) Association between spicy food consumption and lipid profiles in adults: a nationwide population-based study. Br J Nutr 118, 144153.CrossRefGoogle ScholarPubMed
Lv, J, Qi, L, Yu, C, et al. (2015) Consumption of spicy foods and total and cause specific mortality: population based cohort study. BMJ 351, h3942.CrossRefGoogle ScholarPubMed
Yang, L, Sun, J, Zhao, M, et al. (2022) Chili pepper intake and all-cause and disease-specific mortality. Int J Vitam Nutr Res 93(4), 378384.CrossRefGoogle ScholarPubMed
Spence, JD (2019) Chili pepper consumption and cardiovascular mortality. J Am Coll Cardiol 74, 31503152.CrossRefGoogle ScholarPubMed
Bonaccio, M, Di Castelnuovo, A, Costanzo, S, et al. (2019) Chili pepper consumption and mortality in Italian adults. J Am Coll Cardiol 74, 31393149.CrossRefGoogle ScholarPubMed
Chen, L, Tang, W, Wu, X, et al. (2023) Eating spicy food, Dietary Approaches to Stop Hypertension (DASH) Score, and their interaction on incident stroke in Southwestern Chinese aged 30–79: a prospective cohort study. Nutrients 15, 1222.CrossRefGoogle ScholarPubMed
Li, Q, Chang, M, Lai, R, et al. (2023) Potential benefits of spicy food consumption on cardiovascular outcomes in patients with diabetes: a cohort study of the China Kadoorie Biobank. Nutrition 112, 112062.CrossRefGoogle ScholarPubMed
Chen, Z, Chen, J, Collins, R, et al. (2011) China Kadoorie Biobank of 0·5 million people: survey methods, baseline characteristics and long-term follow-up. Int J Epidemiol 40, 16521666.CrossRefGoogle ScholarPubMed
Li, LM, Lv, J, Guo, Y, et al. (2012) The China Kadoorie Biobank: related methodology and baseline characteristics of the participants. Zhonghua Liu Xing Bing Xue Za Zhi 33, 249255.Google ScholarPubMed
Hou, L, Li, S, Zhu, S, et al. (2023) Lifetime cumulative effect of reproductive factors on stroke and its subtypes in postmenopausal Chinese women: a prospective cohort study. Neurology 100, e1574e1586.CrossRefGoogle ScholarPubMed
Chen, Z, Lee, L, Chen, J, et al. (2005) Cohort profile: the Kadoorie Study of Chronic Disease in China (KSCDC). Int J Epidemiol 34, 12431249.CrossRefGoogle Scholar
Bennett, DA, Du, H, Bragg, F, et al. (2019) Physical activity, sedentary leisure-time and risk of incident type 2 diabetes: a prospective study of 512 000 Chinese adults. BMJ Open Diabetes Res Care 7, e000835.CrossRefGoogle Scholar
Chen, C & Lu, FC (2004) The guidelines for prevention and control of overweight and obesity in Chinese adults. Biomed Environ Sci 17, 136.Google Scholar
Sun, D, Lv, J, Chen, W, et al. (2014) Spicy food consumption is associated with adiposity measures among half a million Chinese people: the China Kadoorie Biobank study. BMC Public Health 14, 1293.CrossRefGoogle Scholar
Wang, S, Cheng, L, He, S, et al. (2019) Regional pungency degree in China and its correlation with typical climate factors. J Food Sci 84, 3137.CrossRefGoogle Scholar
Ofori-Asenso, R, Mohsenpour, MA, Nouri, M, et al. (2021) Association of spicy chilli food consumption with cardiovascular and all-cause mortality: a meta-analysis of prospective cohort studies. Angiology 72, 625632.CrossRefGoogle ScholarPubMed
Reyes-Escogido Mde, L, Gonzalez-Mondragon, EG & Vazquez-Tzompantzi, E (2011) Chemical and pharmacological aspects of capsaicin. Molecules 16, 12531270.CrossRefGoogle ScholarPubMed
Li, BH, Yin, YW, Liu, Y, et al. (2014) TRPV1 activation impedes foam cell formation by inducing autophagy in oxLDL-treated vascular smooth muscle cells. Cell Death Dis 5, e1182.CrossRefGoogle ScholarPubMed
Randhawa, PK & Jaggi, AS (2017) TRPV(1) channels in cardiovascular system: a double edged sword? Int J Cardiol 228, 103113.CrossRefGoogle ScholarPubMed
Wang, Y, Cui, L, Xu, H, et al. (2017) TRPV1 agonism inhibits endothelial cell inflammation via activation of eNOS/NO pathway. Atherosclerosis 260, 1319.CrossRefGoogle ScholarPubMed
Hollis, M & Wang, DH (2013) Transient receptor potential vanilloid in blood pressure regulation. Curr Opin Nephrol Hypertens 22, 170176.CrossRefGoogle ScholarPubMed
Zhang, MJ, Zhou, Y, Chen, L, et al. (2016) Impaired SIRT1 promotes the migration of vascular smooth muscle cell-derived foam cells. Histochem Cell Biol 146, 3343.CrossRefGoogle ScholarPubMed
Munjuluri, S, Wilkerson, DA, Sooch, G, et al. (2021) Capsaicin and TRPV1 channels in the cardiovascular system: the role of inflammation. Cells 11, 18.CrossRefGoogle ScholarPubMed
Ma, L, Zhong, J, Zhao, Z, et al. (2011) Activation of TRPV1 reduces vascular lipid accumulation and attenuates atherosclerosis. Cardiovasc Res 92, 504513.CrossRefGoogle ScholarPubMed
Mohapatra, DP & Nau, C (2005) Regulation of Ca2+-dependent desensitization in the vanilloid receptor TRPV1 by calcineurin and cAMP-dependent protein kinase. J Biol Chem 280, 1342413432.CrossRefGoogle ScholarPubMed
Iftinca, M, Defaye, M & Altier, C (2021) TRPV1-targeted drugs in development for human pain conditions. Drugs 81, 727.CrossRefGoogle ScholarPubMed
Bolego, C, Cignarella, A, Staels, B, et al. (2013) Macrophage function and polarization in cardiovascular disease: a role of estrogen signaling? Arterioscler Thromb Vasc Biol 33, 11271134.CrossRefGoogle ScholarPubMed
Gasbarrino, K, Di Iorio, D & Daskalopoulou, SS (2022) Importance of sex and gender in ischaemic stroke and carotid atherosclerotic disease. Eur Heart J 43, 460473.CrossRefGoogle ScholarPubMed
Pontzer, H, Yamada, Y, Sagayama, H, et al. (2021) Daily energy expenditure through the human life course. Science 373, 808812.CrossRefGoogle ScholarPubMed
Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration (BMI Mediated Effects), Lu, Y, Hajifathalian, K, et al. (2014) Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1·8 million participants. Lancet 383, 970983.Google ScholarPubMed
Lu, Y, Hajifathalian, K, Ezzati, M, et al. (2014) Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1·8 million participants. Lancet 383, 970983.Google ScholarPubMed
Lovren, F, Teoh, H & Verma, S (2015) Obesity and atherosclerosis: mechanistic insights. Can J Cardiol 31, 177183.CrossRefGoogle ScholarPubMed
Zhang, LL, Yan Liu, D, Ma, LQ, et al. (2007) Activation of transient receptor potential vanilloid type-1 channel prevents adipogenesis and obesity. Circ Res 100, 10631070.CrossRefGoogle ScholarPubMed
Hsu, CL & Yen, GC (2007) Effects of capsaicin on induction of apoptosis and inhibition of adipogenesis in 3T3-L1 Cells. J Agric Food Chem 55, 17301736.CrossRefGoogle Scholar
Whiting, S, Derbyshire, E & Tiwari, BK (2012) Capsaicinoids and capsinoids. A potential role for weight management? A systematic review of the evidence. Appetite 59, 341348.CrossRefGoogle ScholarPubMed
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