Dietary Approaches to Stop Hypertension Diet Concordance and Incident Heart Failure: The Multi-Ethnic Study of Atherosclerosis
- PMID: 31003810
- PMCID: PMC6527445
- DOI: 10.1016/j.amepre.2018.11.022
Dietary Approaches to Stop Hypertension Diet Concordance and Incident Heart Failure: The Multi-Ethnic Study of Atherosclerosis
Abstract (VSports手机版)
Introduction: In observational studies, the association between the Dietary Approaches to Stop Hypertension (DASH) diet and incident heart failure has been inconsistent VSports手机版. It was hypothesized that higher DASH diet concordance has a protective effect on heart failure in a multi-ethnic cohort. .
Methods: The Multi-Ethnic Study of Atherosclerosis cohort includes men and women of multiple ethnicities who were aged 45-84 years and free of clinical cardiovascular disease at baseline. Participants were recruited between 2000 and 2002 from six U. S. communities and followed for incident cardiovascular health events through 2015 for the purpose of this data set. Diet was measured using food-frequency questionnaires. Cox proportional hazards analysis was used to investigate the associations of the DASH diet concordance with incident heart failure in 2017-2018 V体育安卓版. .
Results: During a median 13 years of follow-up, 179 of 4,478 participants developed heart failure, corresponding to a rate of 3. 4 per 1,000 person years. Heart failure incidence rates did not vary significantly by DASH quintile for the population as a whole. In participants younger than 75 years, highest DASH concordance was associated with a lower risk of incident heart failure compared with those in the lowest quintile (hazard ratio=0. 4, 95% CI=0. 2, 0. 9 vs all participants hazard ratio=1. 0, 95% CI=0 V体育ios版. 2, 0. 9) after adjusting for demographics, energy consumption, and known cardiovascular confounders. .
Conclusions: This study supports the hypothesis that DASH is beneficial in heart failure prevention within the individuals aged less than 75 years subgroup, an idea that to date was substantiated only by much smaller studies or in less diverse patient populations. VSports最新版本.
Copyright © 2019 American Journal of Preventive Medicine V体育平台登录. Published by Elsevier Inc. All rights reserved. .
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References (V体育平台登录)
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- National Heart, Lung, and Blood Institute, NIH. Your Guide to Lowering Your Blood Pressure with DASH Rockville, MD: HHS; 2006.
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- Appel LJ, Champagne CM, Harsha DW, et al. Effects of comprehensive lifestyle modification on blood pressure: control main results of the PREMIER clinical trial. JAMA 2003;289(16):2083–2093. 10.1001/jama.289.16.2083. - DOI (VSports在线直播) - PubMed
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- Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (vol 129, pg S76, 2014). Circulation 2015;131(4):E326. - "VSports在线直播" PubMed
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