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European Journal of Epidemiology
Published in: European Journal of Epidemiology 2/2018

Open Access 01-02-2018 | NUTRITIONAL EPIDEMIOLOGY

Accordance to the Dietary Approaches to Stop Hypertension diet pattern and cardiovascular disease in a British, population-based cohort

Authors: Nicholas R. V. Jones, Nita G. Forouhi, Kay-Tee Khaw, Nicholas J. Wareham, Pablo Monsivais

Published in: European Journal of Epidemiology | Issue 2/2018

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Abstract

The dietary approaches to stop hypertension (DASH) diet could be an important population-level strategy to reduce cardiovascular disease (CVD) in the UK, but there is little UK-based evidence on this diet pattern in relation to CVD risk. We tested whether dietary accordance with DASH was associated with risk of CVD in a population-based sample of 23,655 UK adults. This prospective analysis of the EPIC-Norfolk cohort study analysed dietary intake (assessed using a validated food frequency questionnaire) to measure accordance with DASH, based on intakes of eight food groups and nutrients, ranking the sample into quintiles. Cox proportional hazards regression models tested for association between DASH accordance and incident stroke, ischemic heart disease (IHD) and total incident CVD (stroke and IHD only), as well as CVD mortality, non-CVD mortality and total mortality. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated adjusting for age, sex, behavioral and clinical risk factors and socioeconomic status. Over an average of 12.4 years follow-up, we ascertained 4129 incident CVD events, of which stroke accounted for 1011. Compared to participants with the least DASH-accordant diets, those with the most DASH-accordant diets had 20% lower risk of incident stroke (HR, 95% CI 0.80, 0.65–0.99) and 13% lower risk of total incident CVD (0.88, 0.79–0.99) but no lower risk of CHD (0.90, 0.79–1.02). CVD-related mortality also showed strong inverse associations with DASH accordance (0.72, 0.60–0.85). This study provides evidence for the cardioprotective effects of DASH diet in a UK context.
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Metadata
Title
Accordance to the Dietary Approaches to Stop Hypertension diet pattern and cardiovascular disease in a British, population-based cohort
Authors
Nicholas R. V. Jones
Nita G. Forouhi
Kay-Tee Khaw
Nicholas J. Wareham
Pablo Monsivais
Publication date
01-02-2018
Publisher
Springer Netherlands
Published in
European Journal of Epidemiology / Issue 2/2018
Print ISSN: 0393-2990
Electronic ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-017-0354-8

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