The authors investigated the association between dietary iron intake a
nd risk Of coronary heart disease by means of a case-control study con
ducted in Athens, Greece, in January 1990 to April 1991,The case serie
s comprised 329 patients with electrocardiographically confirmed first
coronary infarct, or a first positive coronary arteriogram, or both,
while the controls were 570 patients from the same study base who pres
ented with minor conditions believed to be unrelated to diet. After ad
justment by logistic regression for 14 potentially confounding variabl
es of sociodemographic, life-style and nutritional nature, dietary iro
n intake was found to be positively associated with risk for coronary
disease among men aged 60 years or older (odds ratio (OR) for a monthl
y increment of 50 mg of iron = 1.47, with 95% confidence interval (CI)
1.02-2.12) and particularly women aged 60 years or older (OR for a si
milar increment of iron = 3.61, with 95% CI 1.45-9.01). Additional adj
ustment for blood cholesterol, as well as systolic blood pressure and
blood glucose level, reduced the iron regression coefficient among old
er men from 1.47 to 1.36, and among older women from 3.61 to 3.51; how
ever, it is not clear whether the change reflects control of residual
confounding or blocking of an intermediate pathway, These data are com
patible with the hypothesis that excess dietary iron intake increases
the risk of coronary heart disease, particularly among older women and
men.