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Alternate Healthy Eating Index 2010 and risk of chronic obstructive pulmonary disease among US women and men: prospective study.

Abstract

OBJECTIVE

To investigate the association between the Alternate Healthy Eating Index 2010 (AHEI-2010)--a measure of diet quality--and the risk of chronic obstructive pulmonary disease (COPD).

DESIGN

Prospective cohort study.

SETTING

Participants in the Nurses' Health Study and the Health Professionals Follow-up Study, United States.

PARTICIPANTS

73,228 female nurses from 1984 to 2000 and 47,026 men from 1986 to 1998, who completed biennial questionnaires.

MAIN OUTCOME MEASURES

The primary outcome was the self report of newly diagnosed COPD. Multivariable Cox proportional hazards models were adjusted for age, physical activity, body mass index, total energy intake, smoking, second hand tobacco exposure (only in the Nurses' Health Study), race/ethnicity, physician visits, US region, spouse's highest educational attainment (only in the Nurses' Health Study), and menopausal status (only in the Nurses' Health Study).

RESULTS

Over the study period, 723 cases of newly diagnosed COPD occurred in women and 167 in men. In the pooled analysis, a significant negative association was seen between the risk of newly diagnosed COPD and fifths of the AHEI-2010: hazard ratios were 0.81 (95% confidence interval 0.51 to 1.29) for the second fifth, 0.98 (0.80 to 1.18) for the third fifth, 0.74 (0.59 to 0.92) for the fourth fifth, and 0.67 (0.53 to 0.85) for participants who ate the healthiest diet according to the AHEI-2010 (that is, were in the highest fifth), compared with those who ate the less healthy diet (participants in the lowest fifth). Similar findings were observed among ex-smokers and current smokers.

CONCLUSIONS

A higher AHEI-2010 diet score (reflecting high intakes of whole grains, polyunsaturated fatty acids, nuts, and long chain omega-3 fats and low intakes of red/processed meats, refined grains, and sugar sweetened drinks) was associated with a lower risk of COPD in both women and men. These findings support the importance of a healthy diet in multi-interventional programs to prevent COPD.

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  • Authors+Show Affiliations

    ,

    INSERM U1168, VIMA (Aging and chronic diseases. Epidemiological and public health approaches), 16 avenue Paul Vaillant Couturier, 94 807 Villejuif, France UVSQ, UMR-S 1168, Université Versailles St-Quentin-en-Yvelines, France raphaelle.varraso@inserm.fr.

    ,

    Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02215, USA Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA.

    ,

    Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA Department of Nutrition, Simmons College, Boston, MA 02115, USA.

    ,

    Division of General Medicine, Department of Medicine, and Department of Epidemiology, Columbia University Medical Center, New York, NY 10032, USA.

    ,

    Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA.

    ,

    Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA.

    Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.

    Source

    BMJ (Clinical research ed.) 350: 2015 Feb 03 pg h286

    MeSH

    Adult
    Aged
    Asthma
    Diet
    Feeding Behavior
    Female
    Humans
    Incidence
    Male
    Middle Aged
    Proportional Hazards Models
    Prospective Studies
    Pulmonary Disease, Chronic Obstructive
    Risk Factors
    Surveys and Questionnaires
    United States

    Pub Type(s)

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

    Language

    eng

    PubMed ID

    25649042

    Citation

    Varraso, Raphaëlle, et al. "Alternate Healthy Eating Index 2010 and Risk of Chronic Obstructive Pulmonary Disease Among US Women and Men: Prospective Study." BMJ (Clinical Research Ed.), vol. 350, 2015, pp. h286.
    Varraso R, Chiuve SE, Fung TT, et al. Alternate Healthy Eating Index 2010 and risk of chronic obstructive pulmonary disease among US women and men: prospective study. BMJ. 2015;350:h286.
    Varraso, R., Chiuve, S. E., Fung, T. T., Barr, R. G., Hu, F. B., Willett, W. C., & Camargo, C. A. (2015). Alternate Healthy Eating Index 2010 and risk of chronic obstructive pulmonary disease among US women and men: prospective study. BMJ (Clinical Research Ed.), 350, pp. h286. doi:10.1136/bmj.h286.
    Varraso R, et al. Alternate Healthy Eating Index 2010 and Risk of Chronic Obstructive Pulmonary Disease Among US Women and Men: Prospective Study. BMJ. 2015 Feb 3;350:h286. PubMed PMID: 25649042.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Alternate Healthy Eating Index 2010 and risk of chronic obstructive pulmonary disease among US women and men: prospective study. AU - Varraso,Raphaëlle, AU - Chiuve,Stephanie E, AU - Fung,Teresa T, AU - Barr,R Graham, AU - Hu,Frank B, AU - Willett,Walter C, AU - Camargo,Carlos A, Y1 - 2015/02/03/ PY - 2015/2/5/entrez PY - 2015/2/5/pubmed PY - 2015/3/27/medline SP - h286 EP - h286 JF - BMJ (Clinical research ed.) JO - BMJ VL - 350 N2 - OBJECTIVE: To investigate the association between the Alternate Healthy Eating Index 2010 (AHEI-2010)--a measure of diet quality--and the risk of chronic obstructive pulmonary disease (COPD). DESIGN: Prospective cohort study. SETTING: Participants in the Nurses' Health Study and the Health Professionals Follow-up Study, United States. PARTICIPANTS: 73,228 female nurses from 1984 to 2000 and 47,026 men from 1986 to 1998, who completed biennial questionnaires. MAIN OUTCOME MEASURES: The primary outcome was the self report of newly diagnosed COPD. Multivariable Cox proportional hazards models were adjusted for age, physical activity, body mass index, total energy intake, smoking, second hand tobacco exposure (only in the Nurses' Health Study), race/ethnicity, physician visits, US region, spouse's highest educational attainment (only in the Nurses' Health Study), and menopausal status (only in the Nurses' Health Study). RESULTS: Over the study period, 723 cases of newly diagnosed COPD occurred in women and 167 in men. In the pooled analysis, a significant negative association was seen between the risk of newly diagnosed COPD and fifths of the AHEI-2010: hazard ratios were 0.81 (95% confidence interval 0.51 to 1.29) for the second fifth, 0.98 (0.80 to 1.18) for the third fifth, 0.74 (0.59 to 0.92) for the fourth fifth, and 0.67 (0.53 to 0.85) for participants who ate the healthiest diet according to the AHEI-2010 (that is, were in the highest fifth), compared with those who ate the less healthy diet (participants in the lowest fifth). Similar findings were observed among ex-smokers and current smokers. CONCLUSIONS: A higher AHEI-2010 diet score (reflecting high intakes of whole grains, polyunsaturated fatty acids, nuts, and long chain omega-3 fats and low intakes of red/processed meats, refined grains, and sugar sweetened drinks) was associated with a lower risk of COPD in both women and men. These findings support the importance of a healthy diet in multi-interventional programs to prevent COPD. SN - 1756-1833 UR - https://www.unboundmedicine.com/medline/citation/25649042/full_citation L2 - http://www.bmj.com/cgi/pmidlookup?view=long&pmid=25649042 DB - PRIME DP - Unbound Medicine ER -