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Dietary patterns and the risk of coronary heart disease in women.
Arch Intern Med. 2001 Aug 13-27; 161(15):1857-62.AI

Abstract

BACKGROUND

Although substantial information on individual nutrients or foods and risk of coronary heart disease (CHD) is available, little is known about the role of overall eating pattern.

METHODS

Using dietary information from a food frequency questionnaire in 1984 from the Nurses' Health Study, we conducted factor analysis and identified 2 major dietary patterns-"prudent" and "Western"-and calculated factor scores of each pattern for individuals in the cohort. We used logistic regression to examine prospectively the associations between dietary patterns and CHD risk among 69 017 women aged 38 to 63 years in 1984 without history of major chronic diseases.

RESULTS

The prudent pattern was characterized by higher intakes of fruits, vegetables, legumes, fish, poultry, and whole grains, while the Western pattern was characterized by higher intakes of red and processed meats, sweets and desserts, french fries, and refined grains. Between 1984 and 1996, we documented 821 CHD cases. After adjusting for coronary risk factors, the prudent diet score was associated with a relative risk (RR) of 0.76 (95% confidence interval (CI), 0.60-0.98; P for trend test,.03) comparing the highest with lowest quintile. Extreme quintile comparison yielded an RR of 1.46 (95% CI, 1.07-1.99; P for trend test,.02) for the Western pattern. Those who were jointly in the highest prudent diet quintile and lowest Western diet quintile had an RR of 0.64 (95% CI, 0.44-0.92) compared with those with the opposite pattern profile.

CONCLUSION

A diet high in fruits, vegetables, whole grains, legumes, poultry, and fish and low in refined grains, potatoes, and red and processed meats may lower risk of CHD.

Authors+Show Affiliations

Department of Nutrition, Harvard School of Public Health, Boston, MA, USA. teresa.fung@simmons.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11493127

Citation

Fung, T T., et al. "Dietary Patterns and the Risk of Coronary Heart Disease in Women." Archives of Internal Medicine, vol. 161, no. 15, 2001, pp. 1857-62.
Fung TT, Willett WC, Stampfer MJ, et al. Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med. 2001;161(15):1857-62.
Fung, T. T., Willett, W. C., Stampfer, M. J., Manson, J. E., & Hu, F. B. (2001). Dietary patterns and the risk of coronary heart disease in women. Archives of Internal Medicine, 161(15), 1857-62.
Fung TT, et al. Dietary Patterns and the Risk of Coronary Heart Disease in Women. Arch Intern Med. 2001 Aug 13-27;161(15):1857-62. PubMed PMID: 11493127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and the risk of coronary heart disease in women. AU - Fung,T T, AU - Willett,W C, AU - Stampfer,M J, AU - Manson,J E, AU - Hu,F B, PY - 2001/8/30/pubmed PY - 2001/8/31/medline PY - 2001/8/30/entrez SP - 1857 EP - 62 JF - Archives of internal medicine JO - Arch Intern Med VL - 161 IS - 15 N2 - BACKGROUND: Although substantial information on individual nutrients or foods and risk of coronary heart disease (CHD) is available, little is known about the role of overall eating pattern. METHODS: Using dietary information from a food frequency questionnaire in 1984 from the Nurses' Health Study, we conducted factor analysis and identified 2 major dietary patterns-"prudent" and "Western"-and calculated factor scores of each pattern for individuals in the cohort. We used logistic regression to examine prospectively the associations between dietary patterns and CHD risk among 69 017 women aged 38 to 63 years in 1984 without history of major chronic diseases. RESULTS: The prudent pattern was characterized by higher intakes of fruits, vegetables, legumes, fish, poultry, and whole grains, while the Western pattern was characterized by higher intakes of red and processed meats, sweets and desserts, french fries, and refined grains. Between 1984 and 1996, we documented 821 CHD cases. After adjusting for coronary risk factors, the prudent diet score was associated with a relative risk (RR) of 0.76 (95% confidence interval (CI), 0.60-0.98; P for trend test,.03) comparing the highest with lowest quintile. Extreme quintile comparison yielded an RR of 1.46 (95% CI, 1.07-1.99; P for trend test,.02) for the Western pattern. Those who were jointly in the highest prudent diet quintile and lowest Western diet quintile had an RR of 0.64 (95% CI, 0.44-0.92) compared with those with the opposite pattern profile. CONCLUSION: A diet high in fruits, vegetables, whole grains, legumes, poultry, and fish and low in refined grains, potatoes, and red and processed meats may lower risk of CHD. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/11493127/Dietary_patterns_and_the_risk_of_coronary_heart_disease_in_women_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/161/pg/1857 DB - PRIME DP - Unbound Medicine ER -