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Dietary patterns and CVD: a systematic review and meta-analysis of observational studies.
Br J Nutr 2015; 114(9):1341-59BJ

Abstract

Epidemiological studies show that diet is linked to the risk of developing CVD. The objective of this meta-analysis was to estimate the association between empirically derived dietary patterns and CVD. PubMed was searched for observational studies of data-driven dietary patterns that reported outcomes of cardiovascular events. The association between dietary patterns and CVD was estimated using a random-effects meta-analysis with 95 % CI. Totally, twenty-two observational studies met the inclusion criteria. The pooled relative risk (RR) for CVD, CHD and stroke in a comparison of the highest to the lowest category of prudent/healthy dietary patterns in cohort studies was 0·69 (95% CI 0·60, 0·78; I 2=0%), 0·83 (95% CI 0·75, 0·92; I 2=44·6%) and 0·86 (95% CI 0·74, 1·01; I 2=59·5%), respectively. The pooled RR of CHD in a case-control comparison of the highest to the lowest category of prudent/healthy dietary patterns was 0·71 (95% CI 0·63, 0·80; I 2=0%). The pooled RR for CVD, CHD and stroke in a comparison of the highest to the lowest category of western dietary patterns in cohort studies was 1·14 (95% CI 0·92, 1·42; I 2=56·9%), 1·03 (95% CI 0·90, 1·17; I 2=59·4%) and 1·05 (95% CI 0·91, 1·22; I 2=27·6%), respectively; in case-control studies, there was evidence of increased CHD risk. Our results support the evidence of the prudent/healthy pattern as a protective factor for CVD.

Authors+Show Affiliations

1Blanquerna School of Health Science, Facultat de Ciències de la Salut Blanquerna,Universitat Ramon Llull,Barcelona 08025,Spain.2Research Support Unit for Tarragona-Reus,Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol),43202 Tarragona,Spain.1Blanquerna School of Health Science, Facultat de Ciències de la Salut Blanquerna,Universitat Ramon Llull,Barcelona 08025,Spain.

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

26344504

Citation

Rodríguez-Monforte, Míriam, et al. "Dietary Patterns and CVD: a Systematic Review and Meta-analysis of Observational Studies." The British Journal of Nutrition, vol. 114, no. 9, 2015, pp. 1341-59.
Rodríguez-Monforte M, Flores-Mateo G, Sánchez E. Dietary patterns and CVD: a systematic review and meta-analysis of observational studies. Br J Nutr. 2015;114(9):1341-59.
Rodríguez-Monforte, M., Flores-Mateo, G., & Sánchez, E. (2015). Dietary patterns and CVD: a systematic review and meta-analysis of observational studies. The British Journal of Nutrition, 114(9), pp. 1341-59. doi:10.1017/S0007114515003177.
Rodríguez-Monforte M, Flores-Mateo G, Sánchez E. Dietary Patterns and CVD: a Systematic Review and Meta-analysis of Observational Studies. Br J Nutr. 2015 Nov 14;114(9):1341-59. PubMed PMID: 26344504.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and CVD: a systematic review and meta-analysis of observational studies. AU - Rodríguez-Monforte,Míriam, AU - Flores-Mateo,Gemma, AU - Sánchez,Emília, Y1 - 2015/09/07/ PY - 2015/9/8/entrez PY - 2015/9/8/pubmed PY - 2016/1/27/medline KW - CVD KW - Dietary patterns KW - Meta-analyses KW - RR relative risk KW - Systematic reviews SP - 1341 EP - 59 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 114 IS - 9 N2 - Epidemiological studies show that diet is linked to the risk of developing CVD. The objective of this meta-analysis was to estimate the association between empirically derived dietary patterns and CVD. PubMed was searched for observational studies of data-driven dietary patterns that reported outcomes of cardiovascular events. The association between dietary patterns and CVD was estimated using a random-effects meta-analysis with 95 % CI. Totally, twenty-two observational studies met the inclusion criteria. The pooled relative risk (RR) for CVD, CHD and stroke in a comparison of the highest to the lowest category of prudent/healthy dietary patterns in cohort studies was 0·69 (95% CI 0·60, 0·78; I 2=0%), 0·83 (95% CI 0·75, 0·92; I 2=44·6%) and 0·86 (95% CI 0·74, 1·01; I 2=59·5%), respectively. The pooled RR of CHD in a case-control comparison of the highest to the lowest category of prudent/healthy dietary patterns was 0·71 (95% CI 0·63, 0·80; I 2=0%). The pooled RR for CVD, CHD and stroke in a comparison of the highest to the lowest category of western dietary patterns in cohort studies was 1·14 (95% CI 0·92, 1·42; I 2=56·9%), 1·03 (95% CI 0·90, 1·17; I 2=59·4%) and 1·05 (95% CI 0·91, 1·22; I 2=27·6%), respectively; in case-control studies, there was evidence of increased CHD risk. Our results support the evidence of the prudent/healthy pattern as a protective factor for CVD. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/26344504/Dietary_patterns_and_CVD:_a_systematic_review_and_meta_analysis_of_observational_studies_ L2 - https://www.cambridge.org/core/product/identifier/S0007114515003177/type/journal_article DB - PRIME DP - Unbound Medicine ER -