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DRAFT Australian Dietary Guidelines - Eat For Health

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vegetable intake and cancer has focused more on investigating the health effects of consuming<br />

different subgroups of vegetables on site-specific cancers than the effect of total vegetable intake.<br />

There is strengthened evidence of the beneficial effects of intake of various non-starchy vegetables<br />

in reducing risk of some site-specific cancers. High dietary intakes of starchy vegetables may help<br />

explain the weaker association between total vegetable intake and many site-specific cancers.<br />

There is also greater clarity on the quantity of vegetables to produce beneficial health effects, plus<br />

increasing evidence of a protective effect against a number of chronic diseases for consumption of<br />

vegetables and fruit when considered together (see Appendix 5).<br />

The evidence statements and gradings (A- convincing association, B- probable association, C-<br />

suggestive association) from the Evidence Report (literature from years 2002 – 2009) are<br />

presented in the table below. This does not include evidence from other sources, such as the 2003<br />

<strong>Dietary</strong> <strong>Guidelines</strong> (where evidence was classified as level I, II or III in which individual studies<br />

were classified according to their design but overall grades for relationships were not derived),<br />

although these sources have been used to inform the <strong>Guidelines</strong>.<br />

Evidence Statement Grade<br />

Consumption of each additional daily serve of vegetables is associated with a reduced<br />

risk of coronary heart disease.<br />

Consumption of vegetables is associated with reduced risk of stroke.<br />

Consumption of vegetables is associated with reduced risk of weight gain<br />

Consumption of vegetables is associated with a reduced risk of oral and nasopharyngeal<br />

cancers.<br />

Consumption of preserved vegetables is associated with increased risk of oral and<br />

nasopharyngeal cancer.<br />

Consumption of 1-2 serves per day of tomato is associated with a reduced risk of<br />

prostate cancer.<br />

Consumption of more than 1 serving per week of spinach is associated with reduced<br />

risk of colorectal cancer.<br />

Consumption of cruciferous vegetables is associated with reduced risk of lung cancer.<br />

Although serving sizes of vegetables differed between studies considered in the Evidence Report<br />

[14], Evidence Statements presented below are based on the <strong>Australian</strong> standard serve size of 75g.<br />

<strong>DRAFT</strong> <strong>Australian</strong> <strong>Dietary</strong> <strong>Guidelines</strong>- December 2011 33<br />

B<br />

B<br />

C<br />

C<br />

C<br />

C<br />

C<br />

C

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