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Mediterranean, DASH, and Alternate Healthy Eating Index Dietary Patterns and Risk of Death in the Physicians' Health Study.
Nutrients. 2021 May 31; 13(6)N

Abstract

OBJECTIVE

Our primary objective was to examine the associations of the Mediterranean (MED), the Dietary Approaches to Stop Hypertension (DASH), and the Alternate Healthy Eating Index (AHEI) diet with total mortality. Our secondary objective was to examine the association of these three dietary patterns with cardiovascular disease (CVD) and cancer mortality.

RESEARCH

Design and Methods: We prospectively studied 15,768 men from the Physicians' Health Study who completed a semi-quantitative food-frequency questionnaire. Scores from each dietary pattern were divided into quintiles. Multivariable Cox regression models were used to estimate hazard ratio's (95% confidence intervals) of mortality.

RESULTS

At baseline, average age was 65.9 ± 8.9 years. There were 1763 deaths, including 488 CVD deaths and 589 cancer deaths. All diet scores were inversely associated with risk for all-cause mortality: Hazard ratios (95% CI) of all-cause mortality from lowest to highest quintile for MED diet were 1.0 (reference), 0.85 (0.73-0.98), 0.80 (0.69-0.93), 0.77 (0.66-0.90), and 0.68 (0.58-0.79); corresponding values were 1.0 (reference), 0.96 (0.82-1.12), 0.95 (0.82-1.11), 0.88 (0.75-1.04), and 0.83 (0.71-0.99) for DASH diet and 1.0 (reference), 0.88 (0.77-1.02), 0.82 (0.71-0.95), 0.69 (0.59, 0.81), and 0.56 (0.47-0.67) for AHEI diet, after adjusting for age, energy, smoking, exercise, BMI, hypertension, coronary heart disease, congestive heart failure, diabetes, and atrial fibrillation. For cause-specific mortality, MED and AHEI scores were inversely associated with lower risk for CVD mortality, whereas AHEI and MED scores were inversely associated with lower risk for cancer mortality.

CONCLUSION

Within this cohort of male physicians, AHEI, MED, and DASH scores were each inversely associated with mortality from all causes.

Authors+Show Affiliations

Lifespan Cardiovascular Institute, Warren Alpert Medical School at Brown University, Providence, RI 02903, USA. Department of Medicine, Division of Aging, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA.Department of Medicine, Division of Aging, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA.Department of Medicine, Division of Aging, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA. Massachusetts Veterans Epidemiology and Research Information Center (MAVERIC) and Geriatric Research, Education and Clinical Research Center (GRECC), Boston Veterans Affairs Healthcare System, Boston, MA 02120, USA.Department of Medicine, Division of Aging, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA. Massachusetts Veterans Epidemiology and Research Information Center (MAVERIC) and Geriatric Research, Education and Clinical Research Center (GRECC), Boston Veterans Affairs Healthcare System, Boston, MA 02120, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34072912

Citation

Patel, Yash R., et al. "Mediterranean, DASH, and Alternate Healthy Eating Index Dietary Patterns and Risk of Death in the Physicians' Health Study." Nutrients, vol. 13, no. 6, 2021.
Patel YR, Robbins JM, Gaziano JM, et al. Mediterranean, DASH, and Alternate Healthy Eating Index Dietary Patterns and Risk of Death in the Physicians' Health Study. Nutrients. 2021;13(6).
Patel, Y. R., Robbins, J. M., Gaziano, J. M., & Djoussé, L. (2021). Mediterranean, DASH, and Alternate Healthy Eating Index Dietary Patterns and Risk of Death in the Physicians' Health Study. Nutrients, 13(6). https://doi.org/10.3390/nu13061893
Patel YR, et al. Mediterranean, DASH, and Alternate Healthy Eating Index Dietary Patterns and Risk of Death in the Physicians' Health Study. Nutrients. 2021 May 31;13(6) PubMed PMID: 34072912.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mediterranean, DASH, and Alternate Healthy Eating Index Dietary Patterns and Risk of Death in the Physicians' Health Study. AU - Patel,Yash R, AU - Robbins,Jeremy M, AU - Gaziano,J Michael, AU - Djoussé,Luc, Y1 - 2021/05/31/ PY - 2021/04/28/received PY - 2021/05/27/revised PY - 2021/05/28/accepted PY - 2021/6/2/entrez PY - 2021/6/3/pubmed PY - 2021/7/30/medline KW - DASH KW - Mediterranean KW - alternate healthy eating index KW - diet patterns KW - mortality JF - Nutrients JO - Nutrients VL - 13 IS - 6 N2 - OBJECTIVE: Our primary objective was to examine the associations of the Mediterranean (MED), the Dietary Approaches to Stop Hypertension (DASH), and the Alternate Healthy Eating Index (AHEI) diet with total mortality. Our secondary objective was to examine the association of these three dietary patterns with cardiovascular disease (CVD) and cancer mortality. RESEARCH: Design and Methods: We prospectively studied 15,768 men from the Physicians' Health Study who completed a semi-quantitative food-frequency questionnaire. Scores from each dietary pattern were divided into quintiles. Multivariable Cox regression models were used to estimate hazard ratio's (95% confidence intervals) of mortality. RESULTS: At baseline, average age was 65.9 ± 8.9 years. There were 1763 deaths, including 488 CVD deaths and 589 cancer deaths. All diet scores were inversely associated with risk for all-cause mortality: Hazard ratios (95% CI) of all-cause mortality from lowest to highest quintile for MED diet were 1.0 (reference), 0.85 (0.73-0.98), 0.80 (0.69-0.93), 0.77 (0.66-0.90), and 0.68 (0.58-0.79); corresponding values were 1.0 (reference), 0.96 (0.82-1.12), 0.95 (0.82-1.11), 0.88 (0.75-1.04), and 0.83 (0.71-0.99) for DASH diet and 1.0 (reference), 0.88 (0.77-1.02), 0.82 (0.71-0.95), 0.69 (0.59, 0.81), and 0.56 (0.47-0.67) for AHEI diet, after adjusting for age, energy, smoking, exercise, BMI, hypertension, coronary heart disease, congestive heart failure, diabetes, and atrial fibrillation. For cause-specific mortality, MED and AHEI scores were inversely associated with lower risk for CVD mortality, whereas AHEI and MED scores were inversely associated with lower risk for cancer mortality. CONCLUSION: Within this cohort of male physicians, AHEI, MED, and DASH scores were each inversely associated with mortality from all causes. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/34072912/Mediterranean_DASH_and_Alternate_Healthy_Eating_Index_Dietary_Patterns_and_Risk_of_Death_in_the_Physicians'_Health_Study_ L2 - https://www.mdpi.com/resolver?pii=nu13061893 DB - PRIME DP - Unbound Medicine ER -