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Dietary patterns and CVD: a systematic review and meta-analysis of observational studies.
Br J Nutr. 2015 Nov 14; 114(9):1341-59.BJ

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.

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Publisher Full Text (DOI)

Authors+Show Affiliations

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

MeSH

Cardiovascular DiseasesDiet, WesternEmpirical ResearchFeeding BehaviorHumansObservational Studies as TopicRisk Factors

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), 1341-59. https://doi.org/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_ DB - PRIME DP - Unbound Medicine ER -