Journal article
Adherence to Recommended Eating Patterns Is Associated With Lower Risk of Peripheral Arterial Disease: Results From the Women’s Health Initiative
Hypertension (Dallas, Tex. 1979), Vol.78(2), pp.447-455
08/2021
DOI: 10.1161/HYPERTENSIONAHA.121.17432
PMCID: PMC8581996
PMID: 34176290
Abstract
The potential role of nutritional factors in the development of peripheral arterial disease (PAD) remains poorly understood. We evaluated multiple recommended eating patterns as reflected by predefined diet quality indices in relation to long-term risk of PAD. We included 138 506 US postmenopausal women in the Women’s Health Initiative who had no known PAD at baseline (1993–1998). Four diet quality indices, including alternate Mediterranean diet index, alternate Healthy Eating Index-2010, Dietary Approaches to Stop Hypertension diet index, and Healthy Eating Index-2015, were derived using dietary information collected by a validated food frequency questionnaire at baseline. Incident cases of symptomatic PAD in the lower extremities were ascertained and adjudicated through March 2019 via medical record review. During a median 18.6 years of follow-up, 1036 incident PAD cases were identified. After multivariable adjustment, all diet quality scores were significantly and inversely associated with 21% (for alternate Healthy Eating Index 2010) to 34% (for Dietary Approaches to Stop Hypertension index) lower risk of PAD when comparing the highest with the lowest quartiles (all P -for-trend values ≤0.010). Among contributing food groups and nutrients, intakes of legumes, dietary fiber, and vegetable protein were associated lower risk of PAD, while intakes of unprocessed red meat, processed meat, and regular soft drinks were associated with higher risk. In a broad sample of US postmenopausal women, adhering to different recommended eating patterns is associated with lower risk of PAD. Our findings suggest that current clinical and public health strategies that recommend healthful eating patterns may also be applicable to PAD prevention.
Details
- Title: Subtitle
- Adherence to Recommended Eating Patterns Is Associated With Lower Risk of Peripheral Arterial Disease: Results From the Women’s Health Initiative
- Creators
- Guo-Chong Chen - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)Rhonda Arthur - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)Yasmin Mossavar-Rahmani - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)Xiaonan Xue - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)Bernhard Haring - Department of Cardiology, University Heart Center Graz, Medical University of Graz, Austria (B.H.)Aladdin H Shadyab - Department of Family Medicine and Public Health, University of California, San Diego, School of Medicine, La Jolla (A.H.S., M.A.A.)Matthew A Allison - Department of Family Medicine and Public Health, University of California, San Diego, School of Medicine, La Jolla (A.H.S., M.A.A.)Simin Liu - Center for Global Cardiometabolic Health and Departments of Epidemiology, Medicine, and Surgery, Brown University, Providence, RI (S.L.)Lesley F Tinker - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA (L.F.T., M.L.N.)Nazmus Saquib - College of Medicine, Sulaiman AlRajhi University, Al Bukayriah, Saudi Arabia (N.S.)Mace Coday - Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN (M.C.)James M Shikany - Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham (J.M.S.)Marian L Neuhouser - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA (L.F.T., M.L.N.)Linda G Snetselaar - Department of Epidemiology, College of Public Health, University of Iowa (L.G.S.)Linda Van Horn - Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.V.H.)Thomas E Rohan - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)Sylvia Wassertheil-Smoller - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)Robert C Kaplan - Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA (R.C.K.)Qibin Qi - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (G.-C.C., R.A., Y.M.-R., X.X., T.E.R., S.W.-S., R.C.K., Q.Q.)., Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA (Q.Q.)
- Resource Type
- Journal article
- Publication Details
- Hypertension (Dallas, Tex. 1979), Vol.78(2), pp.447-455
- DOI
- 10.1161/HYPERTENSIONAHA.121.17432
- PMID
- 34176290
- PMCID
- PMC8581996
- NLM abbreviation
- Hypertension
- ISSN
- 0194-911X
- eISSN
- 1524-4563
- Language
- English
- Date published
- 08/2021
- Academic Unit
- Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
- Record Identifier
- 9984215139202771
Metrics
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