Relation of consistency with the dietary approaches to stop hypertension diet and incidence of heart failure in men aged 45 to 79 years.

Relation of consistency with the dietary approaches to stop hypertension diet and incidence of heart failure in men aged 45 to 79 years.
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DOI:
10.1016/j.amjcard.2009.06.061
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发表时间:
2009-11-15
影响因子:
2.8
通讯作者:
Mittleman, Murray A.
Mittleman, Murray A.
中科院分区:
医学3区
文献类型:
--
作者:
Levitan, Emily B.;Wolk, Alicja;Mittleman, Murray A.

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终止高血压膳食疗法(DASH)饮食可降低血压,并且女性对DASH饮食的坚持程度与较低的心力衰竭(HF)发生率相关。作者在38987名年龄在45至79岁的瑞典男性队列参与者中,研究了对DASH饮食的坚持程度与心力衰竭住院或死亡发生率之间的关联。通过食物频率问卷对饮食进行评估,并通过对DASH饮食成分的摄入量进行排名来创建分数以评估对DASH饮食的坚持程度。使用考克斯模型计算1998年1月1日至2006年12月31日期间通过瑞典住院患者和死因登记确定的心力衰竭(807例发病病例)发生率比值。在多变量调整分析中,DASH成分评分处于最高四分位数的男性,其心力衰竭事件发生率比处于最低四分位数的男性低22%(95%置信区间:5%,35%,趋势p值 = 0.006)。总之,在45至79岁的男性中,对DASH饮食的坚持程度越高,心力衰竭事件发生率越低。
The Dietary Approaches to Stop Hypertension (DASH) diet reduces blood pressure, and consistency with the DASH diet has been associated with lower rates of heart failure (HF) in women. The authors examined the association between consistency with DASH and rates of HF hospitalization or mortality in 38,987 participants in the Cohort of Swedish Men aged 45 to 79 years. Diet was measured using food-frequency questionnaires, and scores were created to assess consistency with DASH by ranking intake of DASH diet components. Cox models were used to calculate rate ratios of HF (807 incident cases) determined through the Swedish inpatient and cause-of-death registers between January 1, 1998 and December 31, 2006. In multivariable-adjusted analyses, men in the highest quartile of the DASH component score had a 22% lower rate of HF events then those in the lowest quartile (95% confidence interval: 5%, 35%, p for trend = 0.006). In conclusion, greater consistency with the DASH diet was associated with lower rates HF events in men aged 45 to 79 years.
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