Dietary Patterns and Incident Heart Failure in U.S. Adults Without Known Coronary Disease

Lara, Kyla M.; Levitan, Emily B.; Gutiérrez, Orlando M.; Shikany, James M.; Safford, Monika M.; Judd, Suzanne E.; Rosenson, Robert S.

doi:10.1016/j.jacc.2019.01.067

Cited by 90 publications

(64 citation statements)

References 48 publications

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“…However, this study did not exclude individuals with a history of CHD or stroke at baseline and did not adjust for these conditions as part of the analysis. In the current analysis, gout was associated with a higher risk for incident HF in a cohort of individuals without a history of CHD or stroke and after adjustment for relevant risk factors for HF, including hypertension [22,23], diabetes [23], cigarette smoking [23], obesity [24], high adherence to a southern dietary pattern [15], and use of NSAID [25]. These results support that the association of gout with incident HF is independent of a prior history of atherosclerosis disease or other well-known risk factors.…”

Section: Discussionmentioning

confidence: 69%

“…REGARDS study participants or proxy respondents were followed through biannual telephone contacts to identify deaths and hospitalizations related with HF, CHD, and stroke events [6,12]. Medical records for suspected events were retrieved, and hospitalizations for HF and myocardial infarctions (MI) were confirmed by trained clinicians following published guidelines [13][14][15]. Using hospital records from confirmed HF hospitalizations, the left ventricular ejection fraction (LVEF) was classified as reduced (LVEF < 50% or qualitative report of abnormal LVEF) or preserved (LVEF ≥ 50% or qualitative report of normal LVEF) [16].…”

Section: Outcomes Identificationmentioning

confidence: 99%

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Gout is associated with an increased risk for incident heart failure among older adults: the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort study

et al. 2020

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Background: Gout has been associated with a higher risk for coronary heart disease (CHD) and stroke in some prior studies. Few studies have assessed the association of gout with incident heart failure (HF). Methods: We analyzed data from 5713 black and white men and women ≥ 65.5 years of age in the populationbased REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort study who had Medicare coverage without a history of HF, CHD, or stroke at baseline between 2003 and 2007. Gout was defined by ≥ 1 hospitalization or ≥ 2 outpatient visits with a diagnosis code for gout in Medicare claims prior to each participant's baseline study examination. REGARDS study participants were followed for HF hospitalization, CHD, stroke, and all-cause mortality as separate outcomes through December 31, 2016. Analyses were replicated in a random sample of 839,059 patients ≥

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Section: Discussionmentioning

confidence: 69%

Section: Outcomes Identificationmentioning

confidence: 99%

Gout is associated with an increased risk for incident heart failure among older adults: the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort study

et al. 2020

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“…Prospective cohort studies support the beneficial impact of plant-based dietary patterns on incident HF [177][178][179]. In a study of 38,075 Finnish people over a median of 14.1 years, higher consumption of vegetables was associated with a lower incidence of HF in men, but not in women [180].…”

Section: Oxidative Medicine and Cellular Longevitymentioning

confidence: 97%

“…Similarly, among 20,900 healthy male physicians in the Physicians' Health Study I, a greater consumption of fruits and vegetables was associated with a decreased risk of HF [181]. In a subset of the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Cohort of 15,569 persons with no coronary artery disease or HF diagnosis patients with closer adherence to the plant-based dietary pattern had a lower risk of incident HF [179]. In a prospective cohort from Sweden of 34,319 women without cardiovascular disease and cancer at initial assessment, after 12.9 years, greater fruit and vegetable consumption was associated with a lower rate of HF [178].…”

Section: Oxidative Medicine and Cellular Longevitymentioning

confidence: 98%

Cardioprotective Effects of Dietary Phytochemicals on Oxidative Stress in Heart Failure by a Sex-Gender-Oriented Point of View

Komici

Conti

Davinelli

et al. 2020

Oxidative Medicine and Cellular Longevity

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Dietary phytochemicals are considered an innovative strategy that helps to reduce cardiovascular risk factors. Some phytochemicals have been shown to play a beneficial role in lipid metabolism, to improve endothelial function and to modify oxidative stress pathways in experimental and clinical models of cardiovascular impairment. Importantly, investigation on phytochemical effect on cardiac remodeling appears to be promising. Nowadays, drug therapy and implantation of devices have demonstrated to ameliorate survival. Of interest, sex-gender seems to influence the response to HF canonical therapies. In fact, starting by the evidence of the feminization of world population and the scarce efficacy and safety of the traditional drugs in women, the search of alternative therapeutic tools has become mandatory. The aim of this review is to summarize the possible role of dietary phytochemicals in HF therapy and the evidence of a different sex-gender-oriented response.

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“…In contrast, the greatest benefit was seen among participants who followed a more plant-based dietary pattern, which conferred a 29% lower stroke risk [128]. REGARDS data also showed reduced risk for acute coronary heart disease, as well as a 41% lower risk of heart failure with adherence to the plant-based pattern [129,130]. In contrast, the Southern pattern was associated with a 56% increased risk of acute coronary heart disease and a 72% increased risk of heart failure [129,130].…”

Section: Findings From the Regards Study And Othersmentioning

confidence: 99%

The Potential for Plant-Based Diets to Promote Health Among Blacks Living in the United States

Sterling

2019

Nutrients

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Plant-based diets are associated with reduced risks of various chronic diseases in the general population. However, it is unclear how these benefits translate to Blacks living in the United States, who are disproportionately burdened with heart disease, cancer, diabetes, obesity, and chronic kidney disease. The objectives of this study were to: (1) review the general evidence of plant-based diets and health outcomes; (2) discuss how this evidence translates to Blacks following a plant-based diet; and (3) provide recommendations and considerations for future studies in this area. Interestingly, although the evidence supporting plant-based diets in the general population is robust, little research has been done on Blacks specifically. However, the available data suggests that following a plant-based diet may reduce the risk of heart disease and possibly cancer in this population. More research is needed on cardiovascular disease risk factors, cancer subtypes, and other chronic diseases. Further, attention must be given to the unique individual, familial, communal, and environmental needs that Blacks who follow plant-based diets may have. Interventions must be culturally appropriate in order to achieve long-term success, and providing low-cost, flavorful, and nutritious options will be important.

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Dietary Patterns and Incident Heart Failure in U.S. Adults Without Known Coronary Disease

Cited by 90 publications

References 48 publications

Gout is associated with an increased risk for incident heart failure among older adults: the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort study

Gout is associated with an increased risk for incident heart failure among older adults: the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort study

Cardioprotective Effects of Dietary Phytochemicals on Oxidative Stress in Heart Failure by a Sex-Gender-Oriented Point of View

The Potential for Plant-Based Diets to Promote Health Among Blacks Living in the United States

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