Journal
JOURNAL OF NUTRITION
Volume 146, Issue 1, Pages 90-97Publisher
ELSEVIER SCIENCE INC
DOI: 10.3945/jn.115.217539
Keywords
predicted cardiovascular disease risk; dietary patterns; factor analysis; adult population; Mexico; Health Workers Cohort Study
Categories
Funding
- National Council for Science and Technology (CONACyT), Mexico City [87783, 7876]
Ask authors/readers for more resources
Background: Dietary patterns may predict cardiovascular disease (CVD) risk more accurately than does consumption of specific nutrients or foods. Objective: We evaluated the association between Mexican adults' dietary patterns and development of a >10% risk of 10-y CVD (using the Framingham risk score) over 7 y of follow-up. Methods: This prospective cohort study included 1196 men and women aged 20-80 y with a 10-y predicted risk <10% and without a CVD diagnosis at baseline in 2004-2007. Data on sociodemographic, lifestyle, and medical history factors were collected with a self-administered questionnaire. Dietary intake was evaluated by using a semiquantitative food-frequency questionnaire. The relations between dietary patterns and predicted CVD were analyzed by using pooled logistic regression models. Results: With the use of factor analysis, we identified 3 major dietary patterns in participants' dietary data. The prudent pattern was characterized by high positive loadings for the consumption of fresh fruit, vegetables, and whole grains. The meat/fish pattern showed positive loadings for the consumption of red meat, processed meat, eggs, fats, fish, and poultry. Finally, the refined foods pattern featured positive loadings for corn tortillas, refined grains, soft drinks, and alcohol. After adjustment for potential confounders, compared with participants in the lowest quintile of the prudent pattern, those in the highest quintile had a lower RR of 10-y CVD (RR: 0.40; 95% Cl: 0.20, 0.79; P-trend = 0.006). In contrast, participants in the highest quintile of the refined-foods pattern had a greater risk of elevated 10-y CVD (RR: 2.98; 95% Cl: 1.46, 6.10; P-trend = 0.020) than did those in the lowest quintile. Finally, the meat/fish dietary pattern was not significantly associated with 10-y CVD. Conclusion: Our data suggest that the prudent pattern is associated with a reduced risk of 10-y CVD, whereas the refined-foods pattern may increase 10-y CVD in Mexican adults.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available