Dietary Patterns, Alcohol Consumption and Risk of Coronary Heart Disease in Adults: A Meta-Analysis

Zhang, Xiaoyan; Shu, Long; Si, Caijuan; Yu, Xiaohong; Liao, Dan; Gao, Wei; Zhang, Lun; Zheng, Pei-Fen

doi:10.3390/nu7085300

Cited by 45 publications

(33 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding alcohol intake among our population, the highest quintile of the Alcohol pattern represents an average of 1 cup/d for women and 2 cups/d for men. Our results are similar to those of the literature that observed an association between moderate alcohol consumption (1 cup/d for women and 2 cups/d for men) and lower CHD risk (9,10) . For example, the Health Professionals Follow-up Study reported that men who consumed alcohol daily, regardless of the type of drink, had a lower CHD risk (32) .…”

Section: Discussionsupporting

confidence: 92%

“…There is a need to identify lifestyle patterns that may help to reduce CHD risk in our population, such as beverage consumption patterns (7) . Previous studies suggest that moderate alcohol intake is inversely associated with CHD (8)(9)(10) . The cardio-protective effect of moderate alcohol consumption may be related to changes in lipoprotein profiles, inflammatory cytokines (IL 6, C-reactive protein and TNF-α) and insulin resistance (8,11) .…”

mentioning

confidence: 95%

See 1 more Smart Citation

Patterns of beverage consumption and risk of CHD among Mexican adults

et al. 2018

View full text Add to dashboard Cite

CHD is becoming an increasing priority worldwide, as it is one of the main causes of death in low- and middle-income countries lately. This study aims to evaluate the association between beverage consumption patterns and the risk of CHD among Mexican adult population. We performed a cross-sectional analysis using data from 6640 adults participating in the Health Workers' Cohort Study. Factor analysis was performed to identify beverage patterns using sex-specific Framingham prediction algorithms to estimate CHD risk. The prevalence of moderate to high CHD risk was 17·8 %. We identified four major beverage consumption patterns, which were categorised as alcohol, coffee/tea, soft drinks and low-fat milk. We observed a lower risk of CHD (OR=0·61; 95 % CI 0·46, 0·80; and OR=0·58; 95 % CI 0·43, 0·79, respectively) among participants in the upper quintile of alcohol or low-fat milk consumption compared with those in the bottom quintile. In contrast, a higher consumption of soft drinks was positively associated with CHD risk (OR=1·64; 95 % CI 1·21, 2·20) when compared with other extreme quintiles. Finally, coffee/tea consumption was not significantly associated with CHD risk. Our findings suggest that a beverage pattern characterised by a higher intake of sugar-sweetened beverages may be associated with an increased risk of CHD among the Mexican adult population, whereas patterns of moderate alcohol intake and low-fat milk may be associated with a reduced risk.

show abstract

Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 95%

Patterns of beverage consumption and risk of CHD among Mexican adults

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In a meta-analysis, a low-sodium diet, emphasizing the intake of vegetables, fruits, whole grains, lean meats, and low-fat dairy, revealed a profitable reducing effect on both the systolic and the diastolic blood pressure [16]. In another metaanalysis, adherence to a healthy/prudent dietary pattern was associated with reduced risk of coronary heart disease, while an increased risk was related to a Western diet pattern [9]. Some studies have associated high intake of fruits and vegetables [17] or interventions with plant-derived compounds [18] with reduced levels of arterial stiffness.…”

Section: Discussionmentioning

confidence: 99%

“…Here, Mediterranean diet interventions, for example, have been shown to improve endothelial function [7] and reduce the incidence of major cardiovascular events [8]. Instead, Western type of diet, high in carbohydrates, fats, and red meat, but low in fruits and vegetables, has typically proven more detrimental to the vasculature [9]. Finally, along with the renaissance of the Atkins' ideology and increase in the popularity of the low-carbohydrate high-fat diets, there has also been some interest in the role of macronutrient distribution on vascular health.…”

Section: Introductionmentioning

confidence: 99%

Association between diet and measures of arterial stiffness in type 1 diabetes – Focus on dietary patterns and macronutrient substitutions

Ahola

Gordin

Forsblom

et al. 2018

Nutrition, Metabolism and Cardiovascular Diseases

View full text Add to dashboard Cite

Background and aims: Increased arterial stiffness contributes to diabetic vascular complications. We identified dietary factors related to arterial stiffness in individuals with type 1 diabetes, a population with high risk of cardiovascular disease. Methods and results: Altogether, 612 participants (40% men, mean AE standard deviation age 45 AE 13 years) completed a validated diet questionnaire and underwent measurements of arterial stiffness. Of these, 470 additionally completed a food record. Exploratory factor analysis was applied to identify dietary patterns from the diet questionnaires, and nutrient intakes were calculated from food record entries. Arterial stiffness was measured by applanation tonometry. Of the seven dietary factors formed, the factor scores of "Full-fat cheese and eggs" and "Sweet" patterns were negatively associated with measures of arterial stiffness. In the multivariable macronutrient substitution models, favouring carbohydrates over fats was associated with higher aortic mean arterial pressure and aortic pulse wave velocity. When carbohydrates were consumed in place of proteins, higher aortic pulse pressure, aortic mean arterial pressure, and augmentation index were recorded. Replacing energy from alcohol with proteins, was associated with lower aortic pulse pressure, aortic mean arterial pressure, and augmentation index. Relative distributions of dietary fatty acids were neutral with respect to the measures of arterial stiffness. Conclusion: The macronutrient distribution of the diet is likely to affect the resilience of the arteries. Our observations suggest that reducing energy intake from carbohydrates and alcohol may be beneficial. These observations, especially those dealing with dietary patterns, need to be confirmed in a longitudinal study.

show abstract

“…In a pooled analysis of prospective studies, abstainers had a higher risk of coronary heart disease than moderate drinkers (Hvidtfeldt et al., ). Other meta‐analyses have revealed that moderate drinkers had a lower risk of coronary heart disease and light drinkers have a lower risk of ischemic stroke than the nondrinking category (Zhang et al., , ). Therefore, current findings of higher 10‐year CVD risk scores in nondrinkers compared with those who drink at risk level are consistent with those of previous studies.…”

Section: Discussionmentioning

confidence: 99%