Skip to main content
Top
Published in: BMC Cardiovascular Disorders 1/2021

Open Access 01-12-2021 | Research

Predicting the 10-year risk of cardiovascular diseases and its relation to healthy diet indicator in Iranian military personnel

Authors: Karim Parastouei, Mojtaba Sepandi, Eslam Eskandari

Published in: BMC Cardiovascular Disorders | Issue 1/2021

Login to get access

Abstract

Background

Epidemiological studies indicate increased prevalence of cardiovascular disease (CVD) among military personnel. Accordingly, identification of at-risk individuals and lifestyle modification such as improving diet quality can potentially inhibits the increasing trend of CVD mortality. The aim of this study was predicting the 10-year risk of CVD and its association with healthy diet indicator (HDI) among military personnel.

Methods

In this cross-sectional study, 400 male military personnel within the age range of 30–75 years were included. HDI score was calculated based on food frequency questionnaire, and the 10-year risk of CVD was evaluated using Framingham risk score (FRS). The FRS items include age, gender, total cholesterol, high density lipoprotein cholesterol (HDL-C), systolic blood pressure, status of diabetes and smoking. Partial correlation test was employed to investigate the relationship between Framingham risk score and HDI score.

Results

The mean age and body mass index (BMI) of participants were 38.67 ± 5.3 year and 25.28 ± 3.22 kg/m2, respectively. Prediction of FRS was as follows: 96.5% were low risk, 2% were moderate risk, and 1.5% were high risk. The mean HDI score of participants in this study was 5.98 ± 1.36. While HDI score did not show a significant correlation with FRS (r: − 0.009, p:0.860), increased dietary sodium intake had a significant positive correlation with FRS (r: 0.114, p:0.026).

Conclusion

The most of participants (96.5%) had in low risk of CVD development in the next 10 years. Meanwhile, the FRS showed no significant relationship with HDI score. Further researches are required to confirm the results of the present study.
Literature
1.
go back to reference Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low-and middle-income countries. Curr Probl Cardiol. 2010;35(2):72–115.CrossRef Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low-and middle-income countries. Curr Probl Cardiol. 2010;35(2):72–115.CrossRef
2.
go back to reference Shih C-C, Shih Y-L, Chen J-Y. The association between homocysteine levels and cardiovascular disease risk among middle-aged and elderly adults in Taiwan. BMC Cardiovasc Disord. 2021;21(1):1–8.CrossRef Shih C-C, Shih Y-L, Chen J-Y. The association between homocysteine levels and cardiovascular disease risk among middle-aged and elderly adults in Taiwan. BMC Cardiovasc Disord. 2021;21(1):1–8.CrossRef
3.
go back to reference Kaptoge S, Pennells L, De Bacquer D, Cooney MT, Kavousi M, Stevens G, et al. World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. Lancet Glob Health. 2019;7(10):e1332–45.CrossRef Kaptoge S, Pennells L, De Bacquer D, Cooney MT, Kavousi M, Stevens G, et al. World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. Lancet Glob Health. 2019;7(10):e1332–45.CrossRef
4.
go back to reference Hariri N, Nasseri E, Houshiar-Rad A, Zayeri F, Bondarianzadeh D. Association between Alternative Healthy Eating Index and 10-year risk of cardiovascular diseases in male-employees in the public sector in Tehran, 1391. Iran J Nutr Sci Food Technol. 2013;8(2):41–50. Hariri N, Nasseri E, Houshiar-Rad A, Zayeri F, Bondarianzadeh D. Association between Alternative Healthy Eating Index and 10-year risk of cardiovascular diseases in male-employees in the public sector in Tehran, 1391. Iran J Nutr Sci Food Technol. 2013;8(2):41–50.
5.
go back to reference Imanipour M, Bassampour S, Haghani H. Relationship between preventive behaviors and knowledge regarding cardiovascular diseases. Hayat. 2008;14(2). Imanipour M, Bassampour S, Haghani H. Relationship between preventive behaviors and knowledge regarding cardiovascular diseases. Hayat. 2008;14(2).
6.
go back to reference Saeed A, Gulati M. Cardiovascular disease prevention in women. ASPC Manual of Preventive Cardiology. Berlin: Springer; 2021. p. 441–61.CrossRef Saeed A, Gulati M. Cardiovascular disease prevention in women. ASPC Manual of Preventive Cardiology. Berlin: Springer; 2021. p. 441–61.CrossRef
7.
go back to reference Jalali Z, Khademalhosseini M, Soltani N, Nadimi AE. Smoking, alcohol and opioids effect on coronary microcirculation: an update overview. BMC Cardiovasc Disord. 2021;21(1):1–17.CrossRef Jalali Z, Khademalhosseini M, Soltani N, Nadimi AE. Smoking, alcohol and opioids effect on coronary microcirculation: an update overview. BMC Cardiovasc Disord. 2021;21(1):1–17.CrossRef
8.
go back to reference Lin C-Y, Lin C-M. Occupational assessments of risk factors for cardiovascular diseases in labors: an application of metabolic syndrome scoring Index. Int J Environ Res Public Health. 2020;17(20):7539.CrossRef Lin C-Y, Lin C-M. Occupational assessments of risk factors for cardiovascular diseases in labors: an application of metabolic syndrome scoring Index. Int J Environ Res Public Health. 2020;17(20):7539.CrossRef
9.
go back to reference Khoshdel A, Seyed JSM, Heydari ST, Abtahi F, Ardekani A, Jabbary LF. The prevalence of cardiovascular disease risk factors, and metabolic syndrome among iranian military parachutists. Int Cardiovasc Res J. 2012;6(2):51–5. Khoshdel A, Seyed JSM, Heydari ST, Abtahi F, Ardekani A, Jabbary LF. The prevalence of cardiovascular disease risk factors, and metabolic syndrome among iranian military parachutists. Int Cardiovasc Res J. 2012;6(2):51–5.
10.
go back to reference Nock MK, Deming CA, Fullerton CS, Gilman SE, Goldenberg M, Kessler RC, et al. Suicide among soldiers: a review of psychosocial risk and protective factors. Psychiatry Interperson Biol Process. 2013;76(2):97–125.CrossRef Nock MK, Deming CA, Fullerton CS, Gilman SE, Goldenberg M, Kessler RC, et al. Suicide among soldiers: a review of psychosocial risk and protective factors. Psychiatry Interperson Biol Process. 2013;76(2):97–125.CrossRef
11.
go back to reference Heydari ST, Khoushdel A, Sabayan B, Abtahi F, Zamirian M, Sedaghat S. Prevalence of cardiovascular risk factors among military personnel in southern Iran. Age. 2010;4(1):e67653. Heydari ST, Khoushdel A, Sabayan B, Abtahi F, Zamirian M, Sedaghat S. Prevalence of cardiovascular risk factors among military personnel in southern Iran. Age. 2010;4(1):e67653.
12.
go back to reference Baygi F, Herttua K, Jensen OC, Djalalinia S, Ghorabi AM, Asayesh H, et al. Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis. BMC Endocr Disord. 2020;20(1):1–17.CrossRef Baygi F, Herttua K, Jensen OC, Djalalinia S, Ghorabi AM, Asayesh H, et al. Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis. BMC Endocr Disord. 2020;20(1):1–17.CrossRef
13.
go back to reference Xu Z, Steffen LM, Selvin E, Rebholz CM. Diet quality, change in diet quality and risk of incident CVD and diabetes. Public Health Nutr. 2020;23(2):329–38.CrossRef Xu Z, Steffen LM, Selvin E, Rebholz CM. Diet quality, change in diet quality and risk of incident CVD and diabetes. Public Health Nutr. 2020;23(2):329–38.CrossRef
14.
go back to reference Subhan FB, Chan CB. Diet quality and risk factors for cardiovascular disease among South Asians in Alberta. Appl Physiol Nutr Metab. 2019;44(8):886–93.CrossRef Subhan FB, Chan CB. Diet quality and risk factors for cardiovascular disease among South Asians in Alberta. Appl Physiol Nutr Metab. 2019;44(8):886–93.CrossRef
15.
go back to reference Rahmani J, Milajerdi A, Dorosty-Motlagh A. Association of the Alternative Healthy Eating Index (AHEI-2010) with depression, stress and anxiety among Iranian military personnel. BMJ Military Health. 2018;164(2):87–91. Rahmani J, Milajerdi A, Dorosty-Motlagh A. Association of the Alternative Healthy Eating Index (AHEI-2010) with depression, stress and anxiety among Iranian military personnel. BMJ Military Health. 2018;164(2):87–91.
16.
go back to reference Stefler D, Pikhart H, Jankovic N, Kubinova R, Pajak A, Malyutina S, et al. Healthy diet indicator and mortality in Eastern European populations: prospective evidence from the HAPIEE cohort. Eur J Clin Nutr. 2014;68(12):1346–52.CrossRef Stefler D, Pikhart H, Jankovic N, Kubinova R, Pajak A, Malyutina S, et al. Healthy diet indicator and mortality in Eastern European populations: prospective evidence from the HAPIEE cohort. Eur J Clin Nutr. 2014;68(12):1346–52.CrossRef
17.
go back to reference Berentzen NE, Beulens JW, Hoevenaar-Blom MP, Kampman E, Bueno-de-Mesquita HB, Romaguera-Bosch D, et al. Adherence to the WHO’s healthy diet indicator and overall cancer risk in the EPIC-NL cohort. PLoS ONE. 2013;8(8):e70535.CrossRef Berentzen NE, Beulens JW, Hoevenaar-Blom MP, Kampman E, Bueno-de-Mesquita HB, Romaguera-Bosch D, et al. Adherence to the WHO’s healthy diet indicator and overall cancer risk in the EPIC-NL cohort. PLoS ONE. 2013;8(8):e70535.CrossRef
18.
go back to reference Gernaat SA, Boer JM, van den Bongard DH, Maas AH, van der Pol CC, Bijlsma RM, et al. The risk of cardiovascular disease following breast cancer by Framingham risk score. Breast Cancer Res Treat. 2018;170(1):119–27.CrossRef Gernaat SA, Boer JM, van den Bongard DH, Maas AH, van der Pol CC, Bijlsma RM, et al. The risk of cardiovascular disease following breast cancer by Framingham risk score. Breast Cancer Res Treat. 2018;170(1):119–27.CrossRef
19.
go back to reference Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010;20(2):150–8.CrossRef Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010;20(2):150–8.CrossRef
20.
go back to reference Herforth AW, Wiesmann D, Martínez-Steele E, Andrade G, Monteiro CA. Introducing a suite of low-burden diet quality indicators that reflect healthy diet patterns at population level. Curr Dev Nutr 2020;4(12):nzaa168. Herforth AW, Wiesmann D, Martínez-Steele E, Andrade G, Monteiro CA. Introducing a suite of low-burden diet quality indicators that reflect healthy diet patterns at population level. Curr Dev Nutr 2020;4(12):nzaa168.
21.
go back to reference D’agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care. Circulation. 2008;117(6):743–53. D’agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care. Circulation. 2008;117(6):743–53.
22.
go back to reference Al-Dahi S, Al-Khashan H, Al Madeer MAM, Al-Saif K, Al-Amri MDS, Al-Ghamdi O, et al. Assessment of Framingham cardiovascular disease risk among militaries in the Kingdom of Saudi Arabia. Mil Med. 2013;178(3):299–305.CrossRef Al-Dahi S, Al-Khashan H, Al Madeer MAM, Al-Saif K, Al-Amri MDS, Al-Ghamdi O, et al. Assessment of Framingham cardiovascular disease risk among militaries in the Kingdom of Saudi Arabia. Mil Med. 2013;178(3):299–305.CrossRef
23.
go back to reference Mullie P, Clarys P, Hulens M, Vansant G. Distribution of cardiovascular risk factors in Belgian army men. Arch Environ Occup Health. 2010;65(3):135–9.CrossRef Mullie P, Clarys P, Hulens M, Vansant G. Distribution of cardiovascular risk factors in Belgian army men. Arch Environ Occup Health. 2010;65(3):135–9.CrossRef
24.
go back to reference Grósz A, Tóth E, Péter I. A 10-year follow-up of ischemic heart disease risk factors in military pilots. Mil Med. 2007;172(2):214–9.CrossRef Grósz A, Tóth E, Péter I. A 10-year follow-up of ischemic heart disease risk factors in military pilots. Mil Med. 2007;172(2):214–9.CrossRef
25.
go back to reference Mertens E, Markey O, Geleijnse JM, Lovegrove JA, Givens DI. Adherence to a healthy diet in relation to cardiovascular incidence and risk markers: evidence from the Caerphilly Prospective Study. Eur J Nutr. 2018;57(3):1245–58.CrossRef Mertens E, Markey O, Geleijnse JM, Lovegrove JA, Givens DI. Adherence to a healthy diet in relation to cardiovascular incidence and risk markers: evidence from the Caerphilly Prospective Study. Eur J Nutr. 2018;57(3):1245–58.CrossRef
26.
go back to reference Struijk EA, May AM, Wezenbeek NL, Fransen HP, Soedamah-Muthu SS, Geelen A, et al. Adherence to dietary guidelines and cardiovascular disease risk in the EPIC-NL cohort. Int J Cardiol. 2014;176(2):354–9.CrossRef Struijk EA, May AM, Wezenbeek NL, Fransen HP, Soedamah-Muthu SS, Geelen A, et al. Adherence to dietary guidelines and cardiovascular disease risk in the EPIC-NL cohort. Int J Cardiol. 2014;176(2):354–9.CrossRef
27.
go back to reference Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. High diet quality is associated with a lower risk of cardiovascular disease and all-cause mortality in older men. J Nutr. 2014;144(5):673–80.CrossRef Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. High diet quality is associated with a lower risk of cardiovascular disease and all-cause mortality in older men. J Nutr. 2014;144(5):673–80.CrossRef
28.
go back to reference Knoops K, Fidanza F, Alberti-Fidanza A, Kromhout D, Van Staveren W. Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project. Eur J Clin Nutr. 2006;60(6):746–55.CrossRef Knoops K, Fidanza F, Alberti-Fidanza A, Kromhout D, Van Staveren W. Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project. Eur J Clin Nutr. 2006;60(6):746–55.CrossRef
Metadata
Title
Predicting the 10-year risk of cardiovascular diseases and its relation to healthy diet indicator in Iranian military personnel
Authors
Karim Parastouei
Mojtaba Sepandi
Eslam Eskandari
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2021
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-021-02231-y

Other articles of this Issue 1/2021

BMC Cardiovascular Disorders 1/2021 Go to the issue