Diet Quality and Cardiovascular Disease Risk in Postmenopausal Women With Type 2 Diabetes Mellitus: The Women's Health Initiative

Hirahatake, Kristin M.; Jiang, Luohua; Wong, Nathan D.; Shikany, James M.; Eaton, Charles B.; Allison, Matthew; Martin, Lisa W.; Garcı́a, Lorena; Zaslavsky, Oleg; Odegaard, Andrew O.

doi:10.1161/jaha.119.013249

Cited by 26 publications

(19 citation statements)

References 42 publications

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“…The Paleolithic diet consists of the intake of proteins (e.g., lean meat, fish, and eggs) and food from uncultivated plant sources, and excludes food unavailable before humans started to cultivate plants such as dairy products, grains, legumes, salt, refined sugar, and processed oils. Although no association was observed in postmenopausal women with T2DM between the paleolithic score and the risk of CVD [30], most studies concluded that this diet has benefits for patients with diabetes and an increased cardiovascular risk [208]. In this respect, the paleolithic diet has proved to lower BMI, CRP levels, and systolic and diastolic blood pressure [209] as well as myocardial triglyceride levels [210] and all-cause and cause-specific mortality [211], while improving left ventricle remodeling [208], leptin levels, insulin sensitivity, and glycemic control [212,213].…”

Section: Dietary Patterns For the Management Of Patients With Cvd And Dmmentioning

confidence: 88%

“…The current situation of cardiometabolic patients could probably be improved or even reversed by nutritional intervention, which consists of an adequate nutrition by adapting dietary patterns and reducing calorie intake [24] as it has been successfully proven in some conditions such as cancer [25], neurodegenerative diseases [26], or heart failure [27]. However, the role of nutritional intervention in patients with CVD and T2DM is scant [28][29][30][31] and should be well-described and updated from time to time since it would allow learning to identify each food group correctly as well as establishing better diets as a fundamental part of the treatment for those patients. For these reasons, and due to the link that obesity has with multiple metabolic dysfunctions that increase the risk of CVD, the aim of this review was to examine the importance of nutrition in patients with both type 2 diabetes mellitus (T2DM) and CVD.…”

Section: Introductionmentioning

confidence: 99%

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Nutrients and Dietary Approaches in Patients with Type 2 Diabetes Mellitus and Cardiovascular Disease: A Narrative Review

et al. 2021

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Cardiovascular disease (CVD) is the most common cause of morbidity and mortality in developed countries. The prevalence of CVD is much higher in patients with type 2 diabetes mellitus (T2DM), who may benefit from lifestyle changes, which include adapted diets. In this review, we provide the role of different groups of nutrients in patients with T2DM and CVD, as well as dietary approaches that have been associated with better and worse outcomes in those patients. Many different diets and supplements have proved to be beneficial in T2DM and CVD, but further studies, guidelines, and dietary recommendations are particularly required for patients with both diseases.

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Section: Dietary Patterns For the Management Of Patients With Cvd And Dmmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Nutrients and Dietary Approaches in Patients with Type 2 Diabetes Mellitus and Cardiovascular Disease: A Narrative Review

et al. 2021

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“…In the Nurses' Health Study, the highest AMED quintile had lower risk of CHD (RR 0.71, 95% CI 0.62-0.82), fatal CHD (RR 0.58, 95% CI 0.45-0.75), and non-fatal CHD (RR 0.78, 95% CI 0.66-0.93) compared to the lowest quintile. Similar reductions in the risk of CVD (HR 0.77, 95% CI 0.65-0.93), CHD (HR 0.69, 95% CI 0.53-0.91), and stroke (HR 0.67, 0.0.47-0.96) were observed in a prospective analysis of women with type 2 diabetes participating in the Women's Health Initiative when the highest diet quality assessed by the AMED (quintile 5) was compared with the lowest diet quality (quintile 1) [23]. A number of other Mediterranean-diet-based indices have been developed that are used in research [24].…”

Section: Indices Based On Foods or Dietary Patterns Associated With Risk Of Chronic Diseasementioning

confidence: 99%

Diet Quality Assessment and the Relationship between Diet Quality and Cardiovascular Disease Risk

Petersen

Kris‐Etherton

2021

Nutrients

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Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality in the U.S. and globally. Dietary risk factors contribute to over half of all CVD deaths and CVD-related disability. The aim of this narrative review is to describe methods used to assess diet quality and the current state of evidence on the relationship between diet quality and risk of CVD. The findings of the review will be discussed in the context of current population intake patterns and dietary recommendations. Several methods are used to calculate diet quality: (1) a priori indices based on dietary recommendations; (2) a priori indices based on foods or dietary patterns associated with risk of chronic disease; (3) exploratory data-driven methods. Substantial evidence from prospective cohort studies shows that higher diet quality, regardless of the a priori index used, is associated with a 14–29% lower risk of CVD and 0.5–2.2 years greater CVD-free survival time. Limited evidence is available from randomized controlled trials, although evidence shows healthy dietary patterns improve risk factors for CVD and lower CVD risk. Current dietary guidance for general health and CVD prevention and management focuses on following a healthy dietary pattern throughout the lifespan. High diet quality is a unifying component of all dietary recommendations and should be the focus of national food policies and health promotion.

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“…Similarly, higher intake of fruits, vegetables, high unsaturated-to-saturated fat ratio, which were reflected in the DASH and Mediterranean diet and evaluated by AHEI-P, was associated with a lower risk of NCDs [29,30]. Interaction of these food components would provide a better sodium-to-potassium ratio affecting plasma renin activity and lead to an increase of sodium excretion by the kidneys [31].…”

Section: Plos Onementioning

confidence: 99%

Associations between diet quality, blood pressure, and glucose levels among pregnant women in the Asian megacity of Jakarta

et al. 2020

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Background The prevalence of gestational hypertension and diabetes in pregnancy is increasing worldwide. Diet is a modifiable factor that may influence these conditions, but few studies have examined the association between diet quality and blood pressure and glucose profiles among pregnant women. Data are especially scarce for women in low- and middle-income countries (LMICs), where 90% of global pregnancies occur, and in urban settings. We, therefore, assessed these associations among 174 pregnant women in the Asian megacity of Jakarta in a cross-sectional study of the Brain Probiotic and LC-PUFA Intervention for Optimum Early Life (BRAVE) project. Methods Trained field-enumerators collected socio-demographic characteristics, measured Mid-Upper Arm Circumference (MUAC), and assessed diet by two 24-hour recalls, which were used to calculate the Alternate Healthy Eating Index for Pregnancy (AHEI-P). Blood pressure was measured by automated sphygmomanometer, and fasting blood glucose by capillary glucometer. General linear models were used to identify associations. Results The median AHEI-P score was 47.4 (IQR 19.1–76.6). The middle tertile of the AHEI-P score (39.59–56.58) was associated with a 0.4 SD (standardized effect size, 95% CI -0.7 to -0.06; p = 0.02) lower diastolic blood pressure compared with the lowest tertile (<39.59), after adjustment for level of education, smoking status, MUAC, gestational age, history of hypertension, and family history of hypertension. However, no associations were found between the AHEI-P score and systolic blood pressure and blood glucose. Conclusion Higher diet quality was associated with lower diastolic blood pressure among pregnant women in an urban LMIC community, but not with systolic blood pressure and blood glucose. A behavioral change intervention trial would be warranted to confirm the influence of diet quality on blood pressure and glucose levels and among pregnant women, and even before pregnancy.

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Diet Quality and Cardiovascular Disease Risk in Postmenopausal Women With Type 2 Diabetes Mellitus: The Women's Health Initiative

Cited by 26 publications

References 42 publications

Nutrients and Dietary Approaches in Patients with Type 2 Diabetes Mellitus and Cardiovascular Disease: A Narrative Review

Nutrients and Dietary Approaches in Patients with Type 2 Diabetes Mellitus and Cardiovascular Disease: A Narrative Review

Diet Quality Assessment and the Relationship between Diet Quality and Cardiovascular Disease Risk

Associations between diet quality, blood pressure, and glucose levels among pregnant women in the Asian megacity of Jakarta

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