Repositorio UFRO · Omeka S

Diet, cardiovascular disease, and mortality in 80 countries

Primer Autor	Mente, Andrew
Co-autores	Dehghan, Mahshid Rangarajan, Sumathy O'Donnell, Martin Hu, Weihong Dagenais, Gilles Wielgosz, Andreas Lear, Scott A. Wei, Li Diaz, Rafael Avezum, Alvaro Lopez-Jaramillo, Patricio Lanas, Fernando Swaminathan, Sumathi Kaur, Manmeet Vijayakumar, K. Mohan, Viswanathan Gupta, Rajeev Szuba, Andrzej Iqbal, Romaina Yusuf, Rita Mohammadifard, Noushin Khatib, Rasha Nasir, Nafiza Mat Karsidag, Kubilay Rosengren, Annika Yusufali, Afzalhussein Wentzel-Viljoen, Edelweiss Chifamba, Jephat Dans, Antonio Alhabib, Khalid F. Yeates, Karen Teo, Koon Gerstein, Hertzel C. Yusuf, Salim
Título	Diet, cardiovascular disease, and mortality in 80 countries
Editorial	OXFORD UNIV PRESS
Revista	EUROPEAN HEART JOURNAL
Lenguaje	en
Resumen	Aims To develop a healthy diet score that is associated with health outcomes and is globally applicable using data from the Prospective Urban Rural Epidemiology (PURE) study and replicate it in five independent studies on a total of 245 000 people from 80 countries. Methods and results A healthy diet score was developed in 147 642 people from the general population, from 21 countries in the PURE study, and the consistency of the associations of the score with events was examined in five large independent studies from 70 countries. The healthy diet score was developed based on six foods each of which has been associated with a significantly lower risk of mortality [i.e. fruit, vegetables, nuts, legumes, fish, and dairy (mainly whole-fat), range of scores, 0-6]. The main outcome measures were all-cause mortality and major cardiovascular events [cardiovascular disease (CVD)]. During a median follow-up of 9.3 years in PURE, compared with a diet score of & LE,1 points, a diet score of & GE,5 points was associated with a lower risk of mortality [hazard ratio (HR) 0.70, 95% confidence interval (CI) 0.63-0.77)], CVD (HR 0.82, 0.75-0.91), myocardial infarction (HR 0.86, 0.75-0.99), and stroke (HR 0.81, 0.71-0.93). In three independent studies in vascular patients, similar results were found, with a higher diet score being associated with lower mortality (HR 0.73, 0.66-0.81), CVD (HR 0.79, 0.72-0.87), myocardial infarction (HR 0.85, 0.71-0.99), and a non-statistically significant lower risk of stroke (HR 0.87, 0.73-1.03). Additionally, in two case-control studies, a higher diet score was associated with lower first myocardial infarction [odds ratio (OR) 0.72, 0.65-0.80] and stroke (OR 0.57, 0.50-0.65). A higher diet score was associated with a significantly lower risk of death or CVD in regions with lower than with higher gross national incomes (P for heterogeneity <0.0001). The PURE score showed slightly stronger associations with death or CVD than several other common diet scores (P < 0.001 for each comparison). Conclusion A diet comprised of higher amounts of fruit, vegetables, nuts, legumes, fish, and whole-fat dairy is associated with lower CVD and mortality in all world regions, especially in countries with lower income where consumption of these foods is low.
Fecha Publicación	2023
Tipo de Recurso	artículo original
doi	10.1093/eurheartj/ehad269
Formato Recurso	PDF
Palabras Claves	Diet quality Dietary patterns Cardiovascular events Mortality Diverse populations Global
Ubicación del archivo	http://dx.doi.org/10.1093/eurheartj/ehad269
Categoría OCDE	Sistema cardiovascular y cardiología
Materias	Calidad de la dieta Patrones dietéticos Eventos cardiovasculares Mortalidad Poblaciones diversas Global
Versión del recurso (Recomendado-único)	versión publicada
Tipo de ruta	hibrida verde
Access Rights	acceso abierto
Derechos de acceso	acceso abierto
Id de Web of Science	WOS:001023511900001
Página de inicio (Recomendado-único)	2560.0
Página final (Recomendado-único)	2579
Identificador del recurso (Mandatado-único)	artículo original
License	CC BY-NC 4.0
Condición de la licencia (Recomendado-repetible)	CC BY-NC 4.0
ISSN	0195-668X
Categoría WOS	Sistema cardiovascular y cardiología
Referencia del Financiador (Mandatado si es aplicable-repetible)	HSFO