Association of dietary patterns and risk of cardiovascular disease events in the <scp>MASHAD</scp> cohort study

Asadi, Zahra; Shafiee, Mojtaba; Sadabadi, Fatemeh; Heidari‐Bakavoli, Alireza; Moohebati, Mohsen; Khorrami, Mohammad Sadegh; Darroudi, Susan; Heidari, Shahin; Hoori, T.; Tayefi, Maryam; Mohammadi, Fariba; Esmaeily, Habibollah; Safarian, Mohammad; Ghayour‐Mobarhan, Majid; Ferns, Gordon A.

doi:10.1111/jhn.12669

Cited by 24 publications

(39 citation statements)

References 54 publications

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“…Additionally, these results showed that several genetic variants (ESR‐1, LPL, and APO E) could be considered as predictive genetic risk factors for obesity‐related metabolic disorders in healthy adults . We also found that adherence to western pattern was associated with higher BMI …”

Section: Discussionsupporting

confidence: 51%

Association between obesity categories with cardiovascular disease and its related risk factors in the MASHAD cohort study population

Ghazizadeh

Mirinezhad

Asadi

et al. 2019

Clinical Laboratory Analysis

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. AbstractBackground: Cardiovascular disease (CVD) is a significant cause of morbidity and mortality globally. Obesity is an important CVD risk factor and is increasing in prevalence. Methods:In this study, 3829 men and 5720 women (35-65 years) were enrolled as part of the MASHAD cohort study. Four categories were identified according to body mass index and waist circumference that was defined by the World Health Organization. Logistic regression analysis was used to determine the adjusted odds ratio (OR) for the occurrence of CVD, and Cox regression model was used to evaluate the association of obesity with CVD incidence. Results:We found that the higher risk groups defined by categories of adiposity were significantly related to a higher prevalence of a high serum total cholesterol (TC), and triglycerides (TG), and lower high-density lipoprotein cholesterol (HDL), and higher fasting blood glucose (FBG) in both genders and a higher low-density lipoprotein cholesterol (LDL) in women (P < .001). Additionally, a high percentage of participants with dyslipidemia, high LDL, high TC, and low HDL and a high percentage of participants with metabolic syndrome, diabetes, hypertension, and a high serum TG were observed across obesity categories (P < .001). Moreover, women with the very high degrees of obesity had a greater risk of CVD (HR: 1.91, 95% CI: 1.06-3.43, P = .03). Conclusion:Obesity strongly predicts several CVD risk factors. Following 6 years of follow-up, in individuals within increasing degrees of obesity, there was a corresponding significant increase in CVD events, rising to approximately a twofold higher risk of cardiovascular events in women compared with men.

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Section: Discussionsupporting

confidence: 51%

Association between obesity categories with cardiovascular disease and its related risk factors in the MASHAD cohort study population

Ghazizadeh

Mirinezhad

Asadi

et al. 2019

Clinical Laboratory Analysis

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“…Most previous epidemiological studies which focused on dietary patterns, have analyzed the relation of dietary pattern with risk of chronic diseases [16][17][18][19][20][21], and only a few of them have investigated the secular trend of dietary patterns over time [9,10,22,23]; mostly three common dietary patterns have been identified throughout these investigations. The Healthy or Prudent dietary pattern which is mostly based on fruit, vegetables, dairy products, and liquid oil, Unhealthy or Westernized dietary pattern, mostly characterized by solid fat, snack, soda, and meat; however, the third one, mostly named as modified, new or mixed dietary pattern, differ in each study with different factor loading and food items.…”

Section: Discussionmentioning

confidence: 99%

Secular trend in dietary patterns of Iranian adults from 2006 to 2017: Tehran lipid and glucose study

Aghayan

Asghari

Yuzbashian

et al. 2020

Nutr J

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Background Based on data regarding nutrition transition in the Middle East and North Africa, this study aim to investigate the general structure and secular trend of dietary patterns reported from the Tehran Lipid and Glucose Study (TLGS) and adherence to these dietary patterns among Iranian population from 2006 till 2017. Methods We investigated on four examination waves of TLGS, including wave 1 (2006–2008), wave 2 (2009–2011), wave 3 (2012–2014), and wave 4 (2015–2017), using a validated and reliable food frequency questionnaire. Generalized Estimating Equations was used to assess secular trends in anthropometric, biochemical, and dietary variables across the study period. To identify general structure and secular trend of dietary patterns during each waves, principle component analysis (PCA) and K-mean cluster analysis were used, respectively. Results After adjusting for potential confounders including age, sex, body mass index, and total energy intake, the carbohydrate and protein intake gradually increased and the total fat intake decreased during study period (P-value< 0.001), although total energy intake remained stable. During the study period, participants consumed noticeably less refined grains, solid fat, dairy products, and simple sugars. Snack and dessert consumption increased and meat intakes showed no significant changes during a decade (all P-values< 0.001). Three dietary patterns extracted using PCA, included: Healthy dietary pattern characterized by higher intakes of vegetable, fruit, dairy products, liquid oil, nuts and seeds, and honey and jam; Western dietary pattern featured by refined grain, solid fat, meat, snack and dessert, potato, and soft drink, and the Mixed dietary pattern, highlighted by tea and coffee, and simple sugar. Based on cluster analysis, 27.8% of participants in wave 4 followed a Western dietary pattern, and 34.1% followed the Mixed dietary pattern. The Healthy dietary pattern was stable among the study population during the last decade. Conclusions The structure and the type of foods that participants preferred to eat changed since 2006, a new secular trend in dietary patterns, including a stability of Healthy dietary pattern, a decline of the Western dietary pattern and an increase in the Mixed dietary pattern was obsereved in our investigation.

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“…The questionnaire used for assessing physical activity was based on the James and Schofield human energy requirements equations and was completed by all subjects. Questions were divided into three parts that included activities in work time, non-work time, and in bed [37][38][39].…”

Section: Assessment Of Physical Activity Level (Pal)mentioning

confidence: 99%

Dyslipidemia and cardiovascular disease risk among the MASHAD study population

et al. 2020

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Introduction: Dyslipidemia may be defined as increased levels of serum total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), or a decreased serum high-density lipoprotein cholesterol (HDL-C) concentration. Dyslipidemia is an established risk factor for cardiovascular disease (CVD). We aimed to investigate the association of dyslipidemia and CVD events among a population sample from Mashhad, in northeastern Iran. Material and methods: This prospective cohort study comprised a population of 8698 men and women aged 35-65 years who were recruited from the Mashhad Stroke and Heart Atherosclerotic Disorder (MASHAD) study. Socioeconomic and demographic status, anthropometric parameters, laboratory evaluations, lifestyle factors, and medical history were gathered through a comprehensive questionnaire and laboratory and clinical assessment for all participants. Cox regression model and 95% confidence interval (CI) were used to evaluate the association of dyslipidemia and its components with CVD incidence. Results: After 6 years of follow-up, 233 cases of CVD (including 119 cases of unstable angina [US], 74 cases of stable angina [SA], and 40 cases of myocardial infarction [MI]) were identified in the study population. Unadjusted baseline serum LDL-C, TC, and TG levels were positively associated with the risk of total CVD events among the entire population (HR: 1.54, 95% CI: 1.19-2; P-value< 0.01; HR: 1.53; 95% CI: 1.18-1.98; P < 0.01; HR: 1.57; 95% CI: 1.27-2.03; P < 0.01, respectively). However, after adjusting for confounding factors (age, body mass index [BMI], family history of CVD, smoking status [non-smoker, ex-smoker and current smoker], lipid lowering drug treatment, antihypertensive drug treatment, hypertension, healthy eating index [HEI], total energy intake, and presence of diabetes mellitus), a significant direct association only remained between TC and MI risk in men (HR: 2.71; 95%CI: 1.12-6.57; P-value< 0.05). Conclusion:In the present study, TC baseline level was significantly associated with the risk of MI among men.

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Association of dietary patterns and risk of cardiovascular disease events in the MASHAD cohort study

Cited by 24 publications

References 54 publications

Association between obesity categories with cardiovascular disease and its related risk factors in the MASHAD cohort study population

Association between obesity categories with cardiovascular disease and its related risk factors in the MASHAD cohort study population

Secular trend in dietary patterns of Iranian adults from 2006 to 2017: Tehran lipid and glucose study

Dyslipidemia and cardiovascular disease risk among the MASHAD study population

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