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Association between vegetarian diets and cardiovascular risk factors in non-Hispanic white participants of the Adventist Health Study-2.
J Nutr Sci 2019; 8:e6JN

Abstract

The association between dietary patterns and CVD risk factors among non-Hispanic whites has not been fully studied. Data from 650 non-Hispanic white adults who participated in one of two clinical sub-studies (about 2 years after the baseline) of the Adventist Health Study-2 (AHS-2) were analysed. Four dietary patters were identified using a validated 204-item semi-quantitative FFQ completed at enrolment into AHS-2: vegans (8·3 %), lacto-ovo-vegetarians (44·3 %), pesco-vegetarians (10·6 %) and non-vegetarians (NV) (37·3 %). Dietary pattern-specific prevalence ratios (PR) of CVD risk factors were assessed adjusting for confounders with or without BMI as an additional covariable. The adjusted PR for hypertension, high total cholesterol and high LDL-cholesterol were lower in all three vegetarian groups. Among the lacto-ovo-vegetarians the PR were 0·57 (95 % CI 0·45, 0·73), 0·72 (95 % CI 0·59, 0·88) and 0·72 (95 % CI 0·58, 0·89), respectively, which remained significant after additionally adjusting for BMI. The vegans and the pesco-vegetarians had similar PR for hypertension at 0·46 (95 % CI 0·25, 0·83) and 0·62 (95 % CI 0·42, 0·91), respectively, but estimates were attenuated and marginally significant after adjustment for BMI. Compared with NV, the PR of obesity and abdominal adiposity, as well as other CVD risk factors, were significantly lower among the vegetarian groups. Similar results were found when limiting analyses to participants not being treated for CVD risk factors, with the vegans having the lowest mean BMI and waist circumference. Thus, compared with the diet of NV, vegetarian diets were associated with significantly lower levels of CVD risk factors among the non-Hispanic whites.

Authors+Show Affiliations

Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA. Adventist Health Study-2, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA. Adventist Health Study-2, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.Adventist Health Study-2, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA. Adventist Health Study-2, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA.

Pub Type(s)

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

Language

eng

PubMed ID

30828449

Citation

Matsumoto, Seiji, et al. "Association Between Vegetarian Diets and Cardiovascular Risk Factors in non-Hispanic White Participants of the Adventist Health Study-2." Journal of Nutritional Science, vol. 8, 2019, pp. e6.
Matsumoto S, Beeson WL, Shavlik DJ, et al. Association between vegetarian diets and cardiovascular risk factors in non-Hispanic white participants of the Adventist Health Study-2. J Nutr Sci. 2019;8:e6.
Matsumoto, S., Beeson, W. L., Shavlik, D. J., Siapco, G., Jaceldo-Siegl, K., Fraser, G., & Knutsen, S. F. (2019). Association between vegetarian diets and cardiovascular risk factors in non-Hispanic white participants of the Adventist Health Study-2. Journal of Nutritional Science, 8, pp. e6. doi:10.1017/jns.2019.1.
Matsumoto S, et al. Association Between Vegetarian Diets and Cardiovascular Risk Factors in non-Hispanic White Participants of the Adventist Health Study-2. J Nutr Sci. 2019;8:e6. PubMed PMID: 30828449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between vegetarian diets and cardiovascular risk factors in non-Hispanic white participants of the Adventist Health Study-2. AU - Matsumoto,Seiji, AU - Beeson,W Lawrence, AU - Shavlik,David J, AU - Siapco,Gina, AU - Jaceldo-Siegl,Karen, AU - Fraser,Gary, AU - Knutsen,Synnove F, Y1 - 2019/02/21/ PY - 2018/09/25/received PY - 2018/12/11/revised PY - 2019/01/03/accepted PY - 2019/3/5/entrez PY - 2019/3/5/pubmed PY - 2019/3/5/medline KW - AHS-2, Adventist Health Study-2 KW - Adventist Health Study-2 KW - BP, blood pressure KW - Bio-MRS, Biologic Manifestations of Religion Study KW - Cardiovascular risk factors KW - DBP, diastolic blood pressure KW - DM, diabetes mellitus KW - Diets KW - Disease prevalence KW - EPIC, European Prospective Investigation into Cancer and Nutrition KW - FBG, fasting blood glucose KW - HDL-C, HDL-cholesterol KW - HR, hazard ratio KW - LDL-C, LDL-cholesterol KW - LOV, lacto-ovo-vegetarian KW - Lipids KW - MDS, Mediterranean Diet Score KW - NV, non-vegetarian KW - PR, prevalence ratio KW - PV, pesco-vegetarian KW - SBP, systolic blood pressure KW - TC, total cholesterol KW - VG, vegan KW - Vegetarian dietary patterns KW - WC, waist circumference SP - e6 EP - e6 JF - Journal of nutritional science JO - J Nutr Sci VL - 8 N2 - The association between dietary patterns and CVD risk factors among non-Hispanic whites has not been fully studied. Data from 650 non-Hispanic white adults who participated in one of two clinical sub-studies (about 2 years after the baseline) of the Adventist Health Study-2 (AHS-2) were analysed. Four dietary patters were identified using a validated 204-item semi-quantitative FFQ completed at enrolment into AHS-2: vegans (8·3 %), lacto-ovo-vegetarians (44·3 %), pesco-vegetarians (10·6 %) and non-vegetarians (NV) (37·3 %). Dietary pattern-specific prevalence ratios (PR) of CVD risk factors were assessed adjusting for confounders with or without BMI as an additional covariable. The adjusted PR for hypertension, high total cholesterol and high LDL-cholesterol were lower in all three vegetarian groups. Among the lacto-ovo-vegetarians the PR were 0·57 (95 % CI 0·45, 0·73), 0·72 (95 % CI 0·59, 0·88) and 0·72 (95 % CI 0·58, 0·89), respectively, which remained significant after additionally adjusting for BMI. The vegans and the pesco-vegetarians had similar PR for hypertension at 0·46 (95 % CI 0·25, 0·83) and 0·62 (95 % CI 0·42, 0·91), respectively, but estimates were attenuated and marginally significant after adjustment for BMI. Compared with NV, the PR of obesity and abdominal adiposity, as well as other CVD risk factors, were significantly lower among the vegetarian groups. Similar results were found when limiting analyses to participants not being treated for CVD risk factors, with the vegans having the lowest mean BMI and waist circumference. Thus, compared with the diet of NV, vegetarian diets were associated with significantly lower levels of CVD risk factors among the non-Hispanic whites. SN - 2048-6790 UR - https://www.unboundmedicine.com/medline/citation/30828449/Association_between_vegetarian_diets_and_cardiovascular_risk_factors_in_non_Hispanic_white_participants_of_the_Adventist_Health_Study_2_ L2 - https://www.cambridge.org/core/product/identifier/00001/type/journal_article DB - PRIME DP - Unbound Medicine ER -