Dietary Patterns Associated with Lower 10-Year Atherosclerotic Cardiovascular Disease Risk among Urban African-American and White Adults Consuming Western Diets.

Dietary Patterns Associated with Lower 10-Year Atherosclerotic Cardiovascular Disease Risk among Urban African-American and White Adults Consuming Western Diets.
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DOI:
10.3390/nu10020158
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发表时间:
2018-01-31
期刊:
影响因子:
5.9
通讯作者:
Evans MK
Evans MK
中科院分区:
医学2区
文献类型:
--
作者:
Fanelli Kuczmarski M;Bodt BA;Stave Shupe E;Zonderman AB;Evans MK

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该研究的目的是确定2013年美国心脏病学会/美国心脏协会10年动脉粥样硬化性心血管疾病(ASCVD)风险的变化是否与食物消费和饮食质量的差异相关。2004-2009年的健康老龄化在整个生命周期中的多样性社区(HANDLS)研究的基线波的结果显示,参与者食用西方饮食。饮食质量指标,特别是健康饮食指数(HEI)-2010,饮食方法停止高血压(DASH)饮食和平均肥胖率(MAR),基于2009-2013年随访HANDLS研究期间收集的两次24小时召回。报告的食物被分配到27组。在这项横断面分析中,参与者(n = 2140)根据其10年ASCVD风险分为三分位数。上三分位数和下三分位数用于确定食物组之间显著不同的消耗率。10组被用于分层的情况下聚类生成四个饮食模式(DP)的基础上组的能量贡献。HEI-2010得分最高的DP包括三明治沿着蔬菜和奶酪/酸奶。与其余两种DP(肉类/三明治和三明治/烘焙产品)相比,该DP(沿着披萨/三明治DP)具有显著较高的DASH和MAR评分以及较低的10年ASCVD风险;因此,西方饮食模式与不同水平的ASCVD 10年风险相关。
The study’s objective was to determine whether variations in the 2013 American College of Cardiology/American Heart Association 10-year risk for atherosclerotic cardiovascular disease (ASCVD) were associated with differences in food consumption and diet quality. Findings from the baseline wave of Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study 2004–2009, revealed participants consumed a Western diet. Diet quality measures, specifically the Healthy Eating Index (HEI)-2010, Dietary Approaches to Stop Hypertension (DASH) diet and the Mean Adequacy Ratio (MAR), based on two 24-h recalls collected during follow-up HANDLS studies from 2009–2013, were used. Reported foods were assigned to 27 groups. In this cross-sectional analysis, the participants (n = 2140) were categorized into tertiles based on their 10-year ASCVD risk. Lower and upper tertiles were used to determine significantly different consumption rates among the food groups. Ten groups were used in hierarchical case clustering to generate four dietary patterns (DPs) based on group energy contribution. The DP with the highest HEI-2010 score included sandwiches along with vegetables and cheese/yogurt. This DP, along with the pizza/sandwiches DP, had significantly higher DASH and MAR scores and a lower 10-year ASCVD risk, compared to the remaining two DPs–meats/sandwiches and sandwiches/bakery products; thus, Western dietary patterns were associated with different levels of ASCVD 10-year risk.
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