2006
DOI: 10.1038/sj.ejcn.1602381
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Dietary patterns and risk of nonfatal acute myocardial infarction in Costa Rican adults

Abstract: Objective: To investigate the association between dietary patterns and risk of a first nonfatal acute myocardial infarction (MI) in Costa Rican adults. Design: Population-based case-control study. Subjects: A total of 496 incident MI cases and 518 population-based randomly selected controls matched to the cases by age (75 years), gender, and county of residence. Subjects were interviewed with a validated food frequency questionnaire. Dietary patterns were identified by factor analysis. Odds ratios (OR) and 95%… Show more

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Cited by 41 publications
(43 citation statements)
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References 39 publications
(48 reference statements)
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“…Significant trends were observed for higher HDL cholesterol (P-trend = 0.001) and for lower systolic BP (P-trend = 0.020), diastolic BP (P-trend = 0.015), and plasma triglycerides (P-trend = 0.010) with increasing ratios of beans to white rice, after adjustment for potential confounders, including BMI. Subjects who consumed a ratio of 2 servings of beans to 1 serving of white rice had lower plasma triglycerides than did those who consumed 1:1, 1:2, and 1:3 servings of beans to white rice [154 (21,24) compared with 185 (12,12), 188 (13,14), and 201 (17,18), respectively]. Compared with subjects who consumed a ratio of one serving of beans to one serving of white rice, those who consumed a 1:3 ratio had a significantly higher diastolic BP [80 (0.1) compared with 78 (0.7)] but a lower HDL cholesterol concentration [41 (0.8) compared with 43 (0.6)]; no significant differences were observed against the highest ratio.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Significant trends were observed for higher HDL cholesterol (P-trend = 0.001) and for lower systolic BP (P-trend = 0.020), diastolic BP (P-trend = 0.015), and plasma triglycerides (P-trend = 0.010) with increasing ratios of beans to white rice, after adjustment for potential confounders, including BMI. Subjects who consumed a ratio of 2 servings of beans to 1 serving of white rice had lower plasma triglycerides than did those who consumed 1:1, 1:2, and 1:3 servings of beans to white rice [154 (21,24) compared with 185 (12,12), 188 (13,14), and 201 (17,18), respectively]. Compared with subjects who consumed a ratio of one serving of beans to one serving of white rice, those who consumed a 1:3 ratio had a significantly higher diastolic BP [80 (0.1) compared with 78 (0.7)] but a lower HDL cholesterol concentration [41 (0.8) compared with 43 (0.6)]; no significant differences were observed against the highest ratio.…”
Section: Resultsmentioning
confidence: 99%
“…A staple dietary pattern that included white rice and beans was identified in Costa Rican adults (12). Whereas white rice represents the main source of energy in Costa Ricans (13,14), and beans are a major source of protein, the intake of beans has been declining with urbanization (15).…”
Section: Introductionmentioning
confidence: 99%
“…Among Costa Rican adults, white rice (herein referred to as rice throughout) and beans represent the primary sources of energy and protein intake respectively [2-4]. Between 1995 and 1999, Costa Rica experienced the second highest growth rate (12%) in rice consumption among countries with similarly high rice intake [5], while bean intake has decreased by 46% over the last 30 years [6, 7].…”
Section: Introductionmentioning
confidence: 99%
“…Factor analysis, a data‐driven exploratory method, assesses eating patterns in specified groups without preconceived judgments about which foods commonly are consumed together and has been used in previous studies to derive dietary patterns that subsequently were related to CHD risk 8, 9, 10, 11, 12, 13, 14, 15, 16. In a previous analysis, we derived dietary patterns with factor analysis within the REGARDS (Reasons for Geographic and Racial Differences in Stroke) study, a national, population‐based, longitudinal cohort 17.…”
Section: Introductionmentioning
confidence: 99%