Diet Quality and Mortality Risk in Metabolically Obese Normal-Weight Adults

Park, Young Jun; Fung, Teresa T.; Steck, Susan E.; Zhang, Jiajia; Hazlett, Linda J.; Han, Kyungdo; Lee, Seung‐Hwan; Merchant, Anwar T.

doi:10.1016/j.mayocp.2016.06.022

Cited by 41 publications

(66 citation statements)

References 39 publications

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“…[17][18][19] Studies have also looked into the association between mortality risk and adherence to diets, such as DASH, Healthy Eating Index (HEI) and Mediterranean diet in patients with and without unfavorable metabolic dysfunctions. 20,21 These studies support the idea that healthy dietary patterns can be helpful for patients with metabolic risk factors. Recently published data have identified sex-based influence on NAFLD and therefore, NAFLD is a sexually dimorphic disease.…”

Section: Introductionsupporting

confidence: 58%

“…This is reflected in part by the development of various diet‐related scores, such as the Dietary Approaches to Stop Hypertension (DASH), which is associated with reduced risk of cardiovascular disease and diabetes mellitus, and studies evaluating associations between healthy dietary patterns and risk of chronic diseases . Studies have also looked into the association between mortality risk and adherence to diets, such as DASH, Healthy Eating Index (HEI) and Mediterranean diet in patients with and without unfavorable metabolic dysfunctions . These studies support the idea that healthy dietary patterns can be helpful for patients with metabolic risk factors.…”

Section: Introductionmentioning

confidence: 79%

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Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Yoo

Kim

Vazquez‐Montesino

et al. 2020

Liver International

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Background & Aims Healthy diet has been recommended for nonalcoholic fatty liver disease (NAFLD), although it is not clear whether improving diet quality can prevent mortality. We aim to assess the impact of quality of diet on NAFLD and mortality in subjects with and without NAFLD. Methods We performed cohort study using the Third National Health and Nutrition Examination Survey from 1988 to 1994 and linked mortality data through 2015. We used the Healthy Eating Index (HEI) scores to define diet quality, with higher HEI scores (Q4) indicating better adherence to dietary recommendations. NAFLD was defined as ultrasonographic hepatic steatosis. Results Multivariate analysis showed that subjects with higher diet quality were inversely associated with NAFLD in a dose‐dependent manner. During the median follow‐up of 23 years, having a higher diet quality was associated with reduction in risk of all‐cause mortality in the age, sex, Race/ethnicity‐adjusted hazard ratio (HR) (Q4, HR: 0.60, 95% CI: 0.52‐0.68) and the multivariate model (Q4, HR: 0.81, 95% CI: 0.71‐0.92). Higher diet quality was associated with a lower risk for all‐cause mortality in subjects without NAFLD; however, this protective association with diet quality was not noted in those with NAFLD. Furthermore, a high diet quality was associated with a lower risk for cancer‐related mortality in the total population and among those without NAFLD. This association was not noted in those with NAFLD. Conclusions High diet quality was inversely associated with NAFLD and was positively associated with a lower risk for cancer‐related and all‐cause mortality in those without NAFLD.

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Section: Introductionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 79%

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Yoo

Kim

Vazquez‐Montesino

et al. 2020

Liver International

View full text Add to dashboard Cite

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“…All dietary scoring methods were converted to the conventional DASH score [28]. For studies that reported the continuous association between DASH diet score, but did not use the traditional DASH diet scale (for example, reported the result for a unit increment in the DASH diet score, ranging from 0 to 8, or 0-9, or 0-70) [34,36,41], we recalculated the reported risk estimates to derive hazard ratios (HRs)/ relative risks (RRs) for 5-point increment in the traditional DASH diet score (ranging from 8 to 40). For studies that did not report the continuous association and only reported the risk estimates across categories of the DASH diet score, we used the method described by Greenland and Longnecker [45,46] to calculate study-specific HRs (linear slopes) and their corresponding 95% confidence intervals (CIs) from the natural logs of the extracted HRs (95% CIs) across adherence categories.…”

Section: Data Harmonization For Dose-response Meta-analysesmentioning

confidence: 99%

Adherence to the dietary approaches to stop hypertension (DASH) diet in relation to all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective cohort studies

Soltani

Arablou

Jayedi

et al. 2020

Nutr J

102

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Background: Although previous investigations have proposed an association between Dietary Approaches to Stop Hypertension (DASH)-style diet and lower mortality from chronic diseases, the exposure-response relationship is not clear. The present systematic review and meta-analysis aimed to explore the linear and non-linear doseresponse association between adherence to the DASH diet and all-cause and cause-specific mortality.Methods: Database search was performed in PubMed, Scopus, and EMBASE for prospective cohort studies investigating the association between adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of mortality. Summary hazard ratios (HRs) and 95% confidence intervals (CI) were estimated with the use of a random-effects model for the linear and nonlinear relationships. The two-stage hierarchical regression model was applied to test the potential non-linear dose-response associations. Results: The inclusion criteria were met by 17 studies (13 publications). The scores reported for adherence to the DASH diet in different studies were converted to a conventional scoring method in which the adherence score might range between 8 to 40. The linear analysis revealed that summary HRs were 0.95 (95% CI: 0.94-0.96, I 2 = 91.6%, n = 14) for all-cause, 0.96 (95% CI: 0.95-0.98, I 2 = 82.4%, n = 12) for CVD, 0.97 (95% CI: 0.96-0.98, I 2 = 0.00%, n = 2) for stroke, and 0.97 (95% CI: 0.95-0.98, I 2 = 63.7%, n = 12) for cancer mortality per each 5-point increment of adherence to the DASH diet. There was also evidence of non-linear associations between the DASH diet and allcause and cause-specific mortality as the associations became even more evident when the adherence scores were more than 20 points (P < 0.005).Conclusion: Even the modest adherence to the DASH diet is associated with a lower risk of all-cause and causespecific mortality. The higher adherence to the diet also strengthens the risk-reducing association.(Continued on next page)

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“…Participants fulfilling the goal for each component obtained 1 point, those who met an intermediate goal, defined as the midpoint between the DASH diet goal and the nutrient content of the DASH control diet obtained one-half of a point, and those who met neither goal obtained 0 points. The possible DASH score ranged from 0 to 9, with higher values of this DASH score demonstrating greater adherence to the DASH style diet [33].…”

Section: Assessment Of Dash Style Dietmentioning

confidence: 99%

Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults

et al. 2017

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Diet Quality and Mortality Risk in Metabolically Obese Normal-Weight Adults

Cited by 41 publications

References 39 publications

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Diet quality and its association with nonalcoholic fatty liver disease and all‐cause and cause‐specific mortality

Adherence to the dietary approaches to stop hypertension (DASH) diet in relation to all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective cohort studies

Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH) style diet, and metabolic health in U.S. adults

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