Mediterranean and Dietary Approaches to Stop Hypertension dietary patterns and risk of sudden cardiac death in postmenopausal women

被引:71
作者
Bertoia, Monica L. [1 ]
Triche, Elizabeth W. [1 ]
Michaud, Dominique S. [1 ]
Baylin, Ana [3 ]
Hogan, Joseph W. [2 ]
Neuhouser, Marian L. [4 ]
Tinker, Lesley F. [4 ]
Van Horn, Linda [5 ]
Waring, Molly E. [6 ]
Li, Wenjun [7 ]
Shikany, James M. [8 ]
Eaton, Charles B. [1 ,9 ]
机构
[1] Brown Univ, Sch Publ Hlth, Dept Epidemiol, Providence, RI 02912 USA
[2] Brown Univ, Sch Publ Hlth, Providence, RI 02912 USA
[3] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
[4] Fred Hutchinson Canc Res Ctr, Seattle, WA 98104 USA
[5] Northwestern Univ, Dept Prevent Med, Chicago, IL 60611 USA
[6] Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Worcester, MA USA
[7] Univ Massachusetts, Sch Med, Dept Med, Worcester, MA USA
[8] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA
[9] Mem Hosp, RI Ctr Primary Care & Prevent, Pawtucket, RI USA
关键词
CORONARY-HEART-DISEASE; FOOD FREQUENCY QUESTIONNAIRE; TOTAL-ENERGY-INTAKE; CARDIOVASCULAR-DISEASE; FATTY-ACIDS; LIFE-STYLE; DASH DIET; POPULATION; PREVENTION; ADHERENCE;
D O I
10.3945/ajcn.112.056135
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: The Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diets are characterized by higher intake of fruit, vegetables, whole grains, and unsaturated fatty acids. All of these foods and nutrients may affect cholesterol, inflammation, the development of atherosclerosis, and, therefore, risk of cardiac death. Objective: Our objective was to examine the association between the Mediterranean and DASH dietary patterns and risk of sudden cardiac death (SCD) in women. Design: We used a prospective cohort of 93,122 postmenopausal women enrolled in the Women's Health Initiative study between 1993 and 1998 and followed for an average of 10.5 y. Women completed a food-frequency questionnaire (FFQ) twice during follow-up. We scored their diets according to how closely the reported diet resembled each dietary pattern. SCD was defined as death that occurred within 1 h of symptom onset. Results: A higher Mediterranean diet score was associated with lower risk of SCD (FIR: 0.64; 95% CI: 0.43, 0.94) when women in the highest quintile were compared with women in the lowest quintile after adjustment for age, total energy, race, income, smoking, and physical activity. After adjustment for potential mediators, the association was similar (HR: 0.67; 95% CI: 0.46, 0.99). A higher DASH diet score was not associated with risk of SCD. However, sodium intake, which is a crucial component of the DASH dietary pattern, was not well characterized by the FFQ. Conclusion: The Mediterranean dietary pattern may be associated with lower risk of SCD in women.
引用
收藏
页码:344 / 351
页数:8
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