Healthy dietary patterns and risk of cardiovascular disease in US Hispanics/Latinos: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

被引:17
作者
Chen, Yi-Yun [1 ]
Chen, Guo-Chong [2 ]
Abittan, Nathaniel [1 ]
Xing, Jiaqian [2 ]
Mossavar-Rahmani, Yasmin [2 ]
Sotres-Alvarez, Daniela [3 ]
Mattei, Josiemer [4 ]
Daviglus, Martha [5 ]
Isasi, Carmen R. [2 ]
Hu, Frank B. [4 ,6 ,7 ,8 ]
Kaplan, Robert [2 ,9 ]
Qi, Qibin [2 ,4 ]
机构
[1] Albert Einstein Coll Med, Jacobi Med Ctr, Bronx, NY 10467 USA
[2] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA
[3] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Biostat, Chapel Hill, NC 27515 USA
[4] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
[5] Univ Illinois, Inst Minor Hlth Res, Chicago, IL USA
[6] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[7] Brigham & Womens Hosp, Dept Med, Channing Div Network Med, 75 Francis St, Boston, MA 02115 USA
[8] Harvard Med Sch, Boston, MA 02115 USA
[9] Fred Hutchinson Canc Res Ctr, Publ Hlth Sci Div, 1124 Columbia St, Seattle, WA 98104 USA
关键词
cardiovascular disease; dietary guidelines; dietary patterns; immigrant generations; US Hispanics; Latinos; UNITED-STATES; QUALITY; MORTALITY; ACCULTURATION; BACKGROUNDS; INDEXES; CANCER; UPDATE; COHORT; STROKE;
D O I
10.1093/ajcn/nqac199
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 Multiple dietary patterns have been recommended by the 2015-2020 Dietary Guidelines for Americans for the prevention of cardiovascular disease (CVD). The adherence to these patterns and its relation with risk of CVD remain unclear in the US Hispanic/Latino population. Objectives We aimed to evaluate 3 healthy eating patterns measured by 3 dietary pattern scores [the Alternate Mediterranean diet (aMED), the Healthy Eating Index (HEI)-2015, and the healthful Plant-based Diet Index (hPDI)] across different Hispanic/Latino backgrounds and generations. We further examined the associations of these dietary scores with incident CVD in US Hispanics/Latinos. Methods We included 10,293 adult participants of US Hispanics/Latinos of 6 backgrounds (Mexican, Puerto Rican, Cuban, Dominican, Central American, and South American), free of CVD or cancer at baseline, in the Hispanic Community Health Study/Study of Latinos. Dietary pattern scores were derived at the baseline visit using two 24-h dietary recalls. The primary outcome was major incident CVD (n = 232), comprised of coronary heart disease and stroke, during an average 6-y follow-up. Results Mean levels of all 3 dietary scores were significantly different across the 6 Hispanic/Latino background groups (all P < 0.001), with the highest (i.e., healthiest) in those of Mexican background and lowest in those of Puerto Rican background. Compared with non-mainland-US-born Hispanics/Latinos, mainland-US-born Hispanics/Latinos had significantly lower dietary scores (P < 0.001). Differences in dietary scores between mainland-US-born and non-mainland-US-born Hispanics/Latinos were majorly driven by differences in dietary intakes of healthy plant-based foods. After adjusting for multiple covariates, significantly lower risk ratios (95% CI) of CVD were observed for 1-SD increments of the dietary scores, with 0.74 (0.60, 0.91) for aMED, 0.80 (0.63, 1.00) for HEI-2015, and 0.74 (0.60, 0.93) for hPDI. Conclusions Although adherence to healthy eating patterns varied by Hispanic/Latino backgrounds and generations, greater adherence to these eating patterns was associated with lower risk of CVD across diverse US Hispanics/Latinos.
引用
收藏
页码:920 / 927
页数:8
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