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Incident heart failure is associated with lower whole-grain intake and greater high-fat dairy and egg intake in the Atherosclerosis Risk in Communities (ARIC) study.
J Am Diet Assoc 2008; 108(11):1881-7JA

Abstract

BACKGROUND

Prospective studies evaluating associations between food intake and risk of heart failure (HF) in diverse populations are needed.

OBJECTIVES

Relationships between incident HF (death or hospitalization) and intake of seven food categories (whole grains, fruits/vegetables, fish, nuts, high-fat dairy, eggs, red meat) were investigated in an observational cohort of 14,153 African-American and white adults, age 45 to 64 years, sampled from four US communities.

METHODS

Between baseline (1987-1989) and Exam 3 (1993-1995), dietary intake was based on responses to a 66-item food frequency questionnaire administered at baseline; thereafter, intake was based on averaged baseline and Exam 3 responses. Hazard ratios (HR [95% CI]) for HF were calculated per 1-daily serving difference in food group intake.

RESULTS

During a mean of 13 years, 1,140 HF hospitalizations were identified. After multivariable adjustment (energy intake, demographics, lifestyle factors, prevalent cardiovascular disease, diabetes, hypertension), HF risk was lower with greater whole-grain intake (0.93 [0.87, 0.99]), but HF risk was higher with greater intake of eggs (1.23 [1.08, 1.41]) and high-fat dairy (1.08 [1.01, 1.16]). These associations remained significant independent of intakes of the five other food categories, which were not associated with HF.

CONCLUSIONS

In this large, population-based sample of African-American and white adults, whole-grain intake was associated with lower HF risk, whereas intake of eggs and high-fat dairy were associated with greater HF risk after adjustment for several confounders.

Authors+Show Affiliations

Division of Epidemiology and Disease Control, University of Texas Health Sciences Center, Houston, 1200 Herman Pressler, RAS E-641, Houston, TX 70330, USA. Jennifer.A.Netteton@uth.tmc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

18954578

Citation

Nettleton, Jennifer A., et al. "Incident Heart Failure Is Associated With Lower Whole-grain Intake and Greater High-fat Dairy and Egg Intake in the Atherosclerosis Risk in Communities (ARIC) Study." Journal of the American Dietetic Association, vol. 108, no. 11, 2008, pp. 1881-7.
Nettleton JA, Steffen LM, Loehr LR, et al. Incident heart failure is associated with lower whole-grain intake and greater high-fat dairy and egg intake in the Atherosclerosis Risk in Communities (ARIC) study. J Am Diet Assoc. 2008;108(11):1881-7.
Nettleton, J. A., Steffen, L. M., Loehr, L. R., Rosamond, W. D., & Folsom, A. R. (2008). Incident heart failure is associated with lower whole-grain intake and greater high-fat dairy and egg intake in the Atherosclerosis Risk in Communities (ARIC) study. Journal of the American Dietetic Association, 108(11), pp. 1881-7. doi:10.1016/j.jada.2008.08.015.
Nettleton JA, et al. Incident Heart Failure Is Associated With Lower Whole-grain Intake and Greater High-fat Dairy and Egg Intake in the Atherosclerosis Risk in Communities (ARIC) Study. J Am Diet Assoc. 2008;108(11):1881-7. PubMed PMID: 18954578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incident heart failure is associated with lower whole-grain intake and greater high-fat dairy and egg intake in the Atherosclerosis Risk in Communities (ARIC) study. AU - Nettleton,Jennifer A, AU - Steffen,Lyn M, AU - Loehr,Laura R, AU - Rosamond,Wayne D, AU - Folsom,Aaron R, PY - 2008/01/24/received PY - 2008/04/11/accepted PY - 2008/10/29/pubmed PY - 2008/12/17/medline PY - 2008/10/29/entrez SP - 1881 EP - 7 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 108 IS - 11 N2 - BACKGROUND: Prospective studies evaluating associations between food intake and risk of heart failure (HF) in diverse populations are needed. OBJECTIVES: Relationships between incident HF (death or hospitalization) and intake of seven food categories (whole grains, fruits/vegetables, fish, nuts, high-fat dairy, eggs, red meat) were investigated in an observational cohort of 14,153 African-American and white adults, age 45 to 64 years, sampled from four US communities. METHODS: Between baseline (1987-1989) and Exam 3 (1993-1995), dietary intake was based on responses to a 66-item food frequency questionnaire administered at baseline; thereafter, intake was based on averaged baseline and Exam 3 responses. Hazard ratios (HR [95% CI]) for HF were calculated per 1-daily serving difference in food group intake. RESULTS: During a mean of 13 years, 1,140 HF hospitalizations were identified. After multivariable adjustment (energy intake, demographics, lifestyle factors, prevalent cardiovascular disease, diabetes, hypertension), HF risk was lower with greater whole-grain intake (0.93 [0.87, 0.99]), but HF risk was higher with greater intake of eggs (1.23 [1.08, 1.41]) and high-fat dairy (1.08 [1.01, 1.16]). These associations remained significant independent of intakes of the five other food categories, which were not associated with HF. CONCLUSIONS: In this large, population-based sample of African-American and white adults, whole-grain intake was associated with lower HF risk, whereas intake of eggs and high-fat dairy were associated with greater HF risk after adjustment for several confounders. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/18954578/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(08)01558-7 DB - PRIME DP - Unbound Medicine ER -