Journal article
Mediterranean and DASH diet scores and mortality in women with heart failure: The Women's Health Initiative
Circulation. Heart failure, Vol.6(6), pp.1116-1123
11/2013
DOI: 10.1161/CIRCHEARTFAILURE.113.000495
PMCID: PMC4564006
PMID: 24107587
Abstract
Current dietary recommendations for patients with heart failure (HF) are largely based on data from non-HF populations; evidence on associations of dietary patterns with outcomes in HF is limited. We therefore evaluated associations of Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diet scores with mortality among postmenopausal women with HF.
Women's Health Initiative participants were followed up from the date of HF hospitalization through the date of death or last participant contact before August 2009. Mediterranean and DASH diet scores were calculated from food-frequency questionnaires. Cox proportional hazards models adjusted for demographics, health behaviors, and health status were used to calculate hazard ratios and 95% confidence intervals (CI). For a median of 4.6 years of follow-up, 1385 of 3215 (43.1%) participants who experienced a HF hospitalization died. Multivariable-adjusted hazard ratios were 1 (reference), 1.05 (95% CI, 0.89-1.24), 0.97 (95% CI, 0.81-1.17), and 0.85 (95% CI, 0.70-1.02) across quartiles of the Mediterranean diet score (P trend=0.08) and 1 (reference), 1.04 (95% CI, 0.89-1.21), 0.83 (95% CI, 0.70-0.98), and 0.84 (95% CI, 0.70-1.00) across quartiles of the DASH diet score (P trend=0.01). Diet score components, vegetables, nuts, and whole grain intake, were inversely associated with mortality.
Higher DASH diet scores were associated with modestly lower mortality in women with HF, and there was a nonsignificant trend toward an inverse association with Mediterranean diet scores. These data provide support for the concept that dietary recommendations developed for other cardiovascular conditions or general populations may also be appropriate in patients with HF.
URL: http://www.clinicaltrials.gov. Unique identifier: NCT00000611.
Details
- Title: Subtitle
- Mediterranean and DASH diet scores and mortality in women with heart failure: The Women's Health Initiative
- Creators
- Emily B Levitan - University of Alabama at BirminghamCora E LewisLesley F TinkerCharles B EatonAli Ahmed - University of Alabama at BirminghamJoAnn E MansonLinda G SnetselaarLisa W MartinMaurizio TrevisanBarbara V HowardJames M Shikany
- Resource Type
- Journal article
- Publication Details
- Circulation. Heart failure, Vol.6(6), pp.1116-1123
- Publisher
- United States
- DOI
- 10.1161/CIRCHEARTFAILURE.113.000495
- PMID
- 24107587
- PMCID
- PMC4564006
- ISSN
- 1941-3289
- eISSN
- 1941-3297
- Grant note
- HHSN268201100002I / NHLBI NIH HHS HHSN271201100004C / NIA NIH HHS HHSN268201100046C / PHS HHS HHSN268201100001C / WHI NIH HHS HHSN268201100004I / NHLBI NIH HHS HHSN271201100004C / PHS HHS HHSN268201100003C / PHS HHS HHSN268201100004C / WHI NIH HHS HHSN268201100046C / NHLBI NIH HHS HHSN268201100002C / WHI NIH HHS HHSN268201100001I / NHLBI NIH HHS HHSN268201100004C / PHS HHS HHSN268201100002C / PHS HHS HHSN268201100003C / WHI NIH HHS HHSN268201100001C / PHS HHS
- Language
- English
- Date published
- 11/2013
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9983995150102771
Metrics
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