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02-02-2023 | Arterial Occlusive Disease | Original Contribution

Association between dietary patterns and carotid intima-media thickness: cross-sectional analysis of ELSA-Brasil study

Authors: Leandro Teixeira Cacau, Jéssica Levy, Mariane de Almeida Alves, Itamar de Souza Santos, Maria de Jesus Mendes Fonseca, Paulo Andrade Lotufo, Isabela Martins Benseñor, Dirce Maria Marchioni

Published in: European Journal of Nutrition | Issue 4/2023

Abstract

Purpose

We aimed to perform a cross-sectional evaluation of the association between dietary patterns and carotid intima-media thickness (cIMT), using baseline data from the Brazilian Longitudinal Study of Adult Health.

Methods

The participants with measurement of the cIMT were included (n = 9,624). cIMT was evaluated in a continuous way and categorized as < 75th and ≥ 75th and ≤ 0.9 mm and > 0.9 mm. Dietary patterns (DPs) were identified by principal component factor analysis. Linear and logistic regression models were used to evaluate the association between cIMT and DPs.

Results

Three DPs were derived. For each unit increase in the convenience DP score, the odds for cIMT ≥ 75th increased by 13% (OR 1.13; 95% CI 1.05: 1.22) and for cIMT > 0.9 mm increased by 14% (OR 1.14; 95% CI 1.07: 1.22) in the fully adjusted model. In contrast, each unit increase in the prudent DP score decreased by 8% the odds of having cIMT ≥ 75th (OR 0.92; 95% CI 0.86: 0.98) and by 11% of cIMT > 0.9 mm (OR 0.89; 95% CI 0.84: 0.95). Furthermore, each increase in the convenience DP score was associated with increase in the cIMT (β 0.01; 95% CI 0.01: 0.02), while each increase in the prudent DP score was associated with decrease in the cIMT (β –0.01; –0.01; –0.01) in linear regression models.

Conclusions

Our results demonstrate that those individuals with adherence to the convenience dietary pattern are more likely to have high cIMT, while those with adherence to a prudent dietary pattern have lower odds for this characteristic.

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Title: Association between dietary patterns and carotid intima-media thickness: cross-sectional analysis of ELSA-Brasil study
Authors: Leandro Teixeira Cacau
Jéssica Levy
Mariane de Almeida Alves
Itamar de Souza Santos
Maria de Jesus Mendes Fonseca
Paulo Andrade Lotufo
Isabela Martins Benseñor
Dirce Maria Marchioni
Publication date: 02-02-2023
Publisher: Springer Berlin Heidelberg
Keyword: Arterial Occlusive Disease
Published in: European Journal of Nutrition / Issue 4/2023
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-023-03097-w

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