Dietary patterns are associated with central adiposity and carotid intima-media thickness in children and adolescents with congenital heart disease

Honicky, Michele; Souza, Juliana Nicolodi; Cardoso, Silvia Meyer; Back, Isabela de Carlos; Vieira, Francilene Gracieli Kunradi; Hinnig, Patrícia de Fragas; Moreno, Yara Maria Franco

doi:10.1007/s00394-021-02586-0

Cited by 8 publications

(7 citation statements)

References 48 publications

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“…As for the PCA, the optimal structure was achieved by using orthogonal rotation, and the Kaiser–Meyer–Olkin (KMO) test was performed to measure sample adequacy. The number of dietary patterns was identified by three aspects, including the eigenvalues >1.5, scree plot, and interpretability of these factors [ 29 ]. In RRR and PLS analysis, the response variables were biomarkers of serum lipids (log-transformed values), including triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C).…”

Section: Methodsmentioning

confidence: 99%

Using Multiple Statistical Methods to Derive Dietary Patterns Associated with Cardiovascular Disease in Patients with Type 2 Diabetes: Results from a Multiethnic Population-Based Study

Qiao

Zhao

Luo

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. There are few reports on the relationship between dietary patterns and cardiovascular disease (CVD) risk in patients with type 2 diabetes (T2D). This study aimed to explore relationships between dietary patterns and CVD risk in the T2D population using multiple statistical analysis methods. Methods. A total of 2,984 patients with T2D from the Xinjiang Multi-Ethnic Cohort, 555 of whom were suffering from CVD, were enrolled in this study. Participants’ dietary intake was measured by the semiquantitative food frequency questionnaire (FFQ). Three statistical methods were used to construct dietary patterns, including principal component analysis (PCA) method, reduced-rank regressions (RRR) method, and partial least-squares regression (PLS) method. Then, the association between dietary patterns and CVD risk in T2D patients was analyzed by logistic regression. After excluding participants with CVD, the associations between dietary patterns and 10-year CVD risk scores were subsequently evaluated to reduce reverse causality. Results. In this study, four dietary patterns were identified by three methods. Adjustment for confounding factors, subjects with the highest scores on the “high-protein and high-carbohydrate” patterns derived from PCA, RRR, and PLS had higher odds of CVD than those with the lowest scores (OR: 2.89, 95% CI: 2.11–3.96, P t r e n d < 0.001 ; OR: 2.96, 95% CI: 2.17–4.03, P t r e n d < 0.001 ; OR: 2.01, 95% CI: 1.50–2.70, P t r e n d < 0.001 , respectively). However, the dietary pattern of PCA-prudent was not significantly related to the odds of having CVD in T2D patients (adjusted ORQ4vsQ1: 0.93, 95% CI: 0.70–1.24, P t r e n d = 0.474 ). Interestingly, we also found significant associations between “high-protein and high-carbohydrate” patterns and the elevated predicted 10-year CVD risk in T2D patients (all P t r e n d < 0.05 ). Conclusion. The positive correlation between “high-protein and high-carbohydrate” patterns and CVD risk in T2D patients was robust across all three data-driven approaches. These findings may have public health significance, encouraging an emphasis on food choices in the usual diet and promoting nutritional interventions for patients with T2D to prevent CVD.

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Section: Methodsmentioning

confidence: 99%

Using Multiple Statistical Methods to Derive Dietary Patterns Associated with Cardiovascular Disease in Patients with Type 2 Diabetes: Results from a Multiethnic Population-Based Study

Qiao

Zhao

Luo

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…This might be due to a combination of reduced atherosclerotic risk factors such as lower blood pressure, lower total cholesterol levels, higher bilirubin levels and lower thrombocyte levels ( 76 – 78 ). Another study argued that children and adolescents with cyanotic CHD have subclinical atherosclerosis as indicated by cross sectional assessment of carotid intima-media thickness ( 79 ).…”

Section: Evidence Of Age-related Comorbiditymentioning

confidence: 99%

Accelerated Cardiac Aging in Patients With Congenital Heart Disease

Iacobazzi

Alvino

Caputo

et al. 2022

Front. Cardiovasc. Med.

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An increasing number of patients with congenital heart disease (CHD) survive into adulthood but develop long-term complications including heart failure (HF). Cellular senescence, classically defined as stable cell cycle arrest, is implicated in biological processes such as embryogenesis, wound healing, and aging. Senescent cells have a complex senescence-associated secretory phenotype (SASP), involving a range of pro-inflammatory factors with important paracrine and autocrine effects on cell and tissue biology. While senescence has been mainly considered as a cause of diseases in the adulthood, it may be also implicated in some of the poor outcomes seen in patients with complex CHD. We propose that patients with CHD suffer from multiple repeated stress from an early stage of the life, which wear out homeostatic mechanisms and cause premature cardiac aging, with this term referring to the time-related irreversible deterioration of the organ physiological functions and integrity. In this review article, we gathered evidence from the literature indicating that growing up with CHD leads to abnormal inflammatory response, loss of proteostasis, and precocious age in cardiac cells. Novel research on this topic may inspire new therapies preventing HF in adult CHD patients.

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“…The first 24 h recall was applied at the time of data collection, and the next two were obtained via telephone, with an interval between recalls of 7.3 weeks (SD 3.21). Details on the collection and processing of recalls are available in previous studies [ 22 , 23 ].…”

Section: Methodsmentioning

confidence: 99%

“…In children and adolescents with CHD, as far as we know, there has been only one study carried out in Brazil, which identified six DPs of the global diet and observed that an unhealthy DP (poultry, red meat, cold cuts, and processed meats, soft drinks and sweetened beverages) was associated with a higher risk of central adiposity, a healthy DP (fish, eggs, bread, beans, tubers and roots, fruits and fruit juice) was associated with a decreased risk of central adiposity, and a low dairy DP (milk and dairy products with low-fat content, mixed dishes, ultra-processed bread, sweets, and chocolate) was inversely associated with carotid intima-media thickness [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Consumption and Breakfast Patterns in Children and Adolescents with Congenital Heart Disease

Maraschim

Honicky

Moreno

et al. 2023

IJERPH

Self Cite

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Little is known about skipping breakfast and breakfast patterns (BP) and their evaluation according to sociodemographic, clinical, lifestyle, cardiometabolic and nutritional data in children and adolescents with congenital heart disease (CHD). This cross-sectional study with 232 children and adolescents with CHD identified the prevalence and patterns of the breakfast, described these according to sociodemographic, clinical and lifestyle characteristics, and assessed their association with cardiometabolic and nutritional markers. Breakfast patterns were identified by principal components, and bivariate and linear regression analysis were applied. Breakfast consumption was observed in 73% of participants. Four BP were identified: pattern 1 “milk, ultra-processed bread, and chocolate milk”, pattern 2 “margarine and processed bread”, pattern 3 “cold meats/sausages, cheeses and butter/cream” and pattern 4 “fruits/fruit juices, breakfast cereals, yogurts, and homemade cakes/pies and sweet snacks”. Family history for obesity and acyanotic CHD were associated with breakfast skipping. Younger participants and greater maternal education were associated with greater adherence to pattern 1 and pattern 4. Older participants and longer post-operative time showed greater adherence to pattern 3. No association between skipping breakfast or BP and cardiometabolic and nutritional markers was observed. Nonetheless, the findings reinforce the need for nutritional guidance for healthy breakfast, aiming to reduce the consumption of ultra-processed foods and to prioritize fresh and minimally processed foods.

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Dietary patterns are associated with central adiposity and carotid intima-media thickness in children and adolescents with congenital heart disease

Cited by 8 publications

References 48 publications

Using Multiple Statistical Methods to Derive Dietary Patterns Associated with Cardiovascular Disease in Patients with Type 2 Diabetes: Results from a Multiethnic Population-Based Study

Using Multiple Statistical Methods to Derive Dietary Patterns Associated with Cardiovascular Disease in Patients with Type 2 Diabetes: Results from a Multiethnic Population-Based Study

Accelerated Cardiac Aging in Patients With Congenital Heart Disease

Consumption and Breakfast Patterns in Children and Adolescents with Congenital Heart Disease

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