ABSTRACT

One of the more consistent findings in nutritional epidemiology research is that

those who consume higher amounts of fruits and vegetables tend to have lower

rates of heart and vascular diseases, including coronary heart disease and

stroke (1-5). Data from short-term dietary intervention trials largely confirm

these findings, suggesting that diets emphasizing fruit and vegetable intake lead

to improvements in coronary risk factors and reduce cardiovascular mortality

(6-8). For example, use of the Dietary Approaches to Stop Hypertension

(DASH) diet, in part emphasizing increases in fruit and vegetable intake, resulted

in improvements in blood pressure (6) and possibly high-density lipoprotein

(HDL) cholesterol (9). The precise mechanisms for these apparent protective

effects are not entirely clear; however, much attention has been focused on the

notion that micronutrients with antioxidant properties might be responsible for

the associated lower rates of chronic diseases.