Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases—Incidence: A systematic review and meta-analysis on observational prospective studies

Salehi‐Abargouei, Amin; Maghsoudi, Zahra; Shirani, Fatemeh; Azadbakht, Leila

doi:10.1016/j.nut.2012.12.018

Cited by 357 publications

(215 citation statements)

References 46 publications

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“…Later it was shown that adherence to the DASH dietary pattern may also be successful in decreasing the risk of CVD, CHD, stroke and heart failure in several studies among middle-aged and older people (69) .…”

Section: Cardiometabolic Diseasementioning

confidence: 99%

“…Although, several indices of MD patterns as well as adherence to the DASH diet and other healthy diet scores are associated with a lower risk of stroke, CHD and CVD in numerous prospective cohort studies in different populations (69,(80)(81)(82)(83)(84) , residual confounding by other lifestyle and socioeconomic factors remains a major challenge in determining causality. While a trial of the DASH diet has demonstrated that adherence to DASH can reduce numerous cardiovascular risk factors (85) the causal effects on mortality and on other age-related end points are unknown.…”

Section: From Observation To Intervention?mentioning

confidence: 99%

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Nutrition and healthy ageing: the key ingredients

2014

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Healthy longevity is a tangible possibility for many individuals and populations, with nutritional and other lifestyle factors playing a key role in modulating the likelihood of healthy ageing. Nevertheless, studies of effects of nutrients or single foods on ageing often show inconsistent results and ignore the overall framework of dietary habits. Therefore, the use of dietary patterns (e.g. a Mediterranean dietary pattern) and the specific dietary recommendations (e.g. dietary approaches to stop hypertension, Polymeal and the American Healthy Eating Index) are becoming more widespread in promoting lifelong health. A posteriori defined dietary patterns are described frequently in relation to age-related diseases but their generalisability is often a challenge since these are developed specifically for the population under study. Conversely, the dietary guidelines are often developed based on prevention of disease or nutrient deficiency, but often less attention is paid to how well these dietary guidelines promote health outcomes. In the present paper, we provide an overview of the state of the art of dietary patterns and dietary recommendations in relation to life expectancy and the risk of age-related disorders (with emphasis on cardiometabolic diseases and cognitive outcomes). According to both a posteriori and a priori dietary patterns, some key 'ingredients' can be identified that are associated consistently with longevity and better cardiometabolic and cognitive health. These include high intake of fruit, vegetables, fish, (whole) grains and legumes/pulses and potatoes, whereas dietary patterns rich in red meat and sugar-rich foods have been associated with an increased risk of mortality and cardiometabolic outcomes.

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Section: Cardiometabolic Diseasementioning

confidence: 99%

Section: From Observation To Intervention?mentioning

confidence: 99%

Nutrition and healthy ageing: the key ingredients

2014

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“…Also, inverse associations between adherence to the DASH diet and diabetes or CVD have been reported (12) . Since both hypertension and depression share numerous risk factors, and due to the potential benefits of the DASH diet on diabetes, CVD and low-grade inflammation, it is of interest to determine whether the dietary treatment for hypertension may be associated with depression risk.…”

mentioning

confidence: 99%

Relationship between adherence to Dietary Approaches to Stop Hypertension (DASH) diet indices and incidence of depression during up to 8 years of follow-up

Pérez-Cornago

Sánchez‐Villegas

Bes–Rastrollo

et al. 2016

Public Health Nutr.

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Objective: Our aim was to evaluate the relationship between adherence to different Dietary Approaches to Stop Hypertension (DASH) diet indices and the risk of depression. Design: In a prospective study we assessed 14 051 participants of a dynamic (permanently ongoing recruitment) prospective cohort (the Seguimiento Universidad de Navarra (SUN) Project), initially free of depression. At baseline, a validated FFQ was used to assess adherence to four previously proposed DASH indices (Dixon, Mellen, Fung and Günther). To define the outcome we applied two definitions of depression: a less conservative definition including only self-reported physician-diagnosed depression (410 incident cases) and a more conservative definition that required both clinical diagnosis of depression and use of antidepressants (113 incident cases). Cox regression and restricted cubic splines analyses were performed. Results: After a median follow-up period of 8 years, the multiple-adjusted model showed an inverse association with the Fung DASH score (hazard ratio (HR) = 0·76; 95 % CI 0·61, 0·94) when we used the less conservative definition of depression, and also under the more conservative definition (HR = 0·63; 95 % CI 0·41, 0·95). We observed a weak inverse association with the Mellen DASH score, but no statistically significant association was found for the other definitions. The restricted cubic splines analyses suggested that these associations were nonlinear (U-shaped). Conclusions: Moderate adherence to the DASH diet as operationalized by Fung and Mellen was related to lower depression risk. Since these associations were non-linear, additional prospective studies are required before the results can be generalized and clinical recommendations can be given.

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“…Another diet associated with a reduced risk of developing CAD by 21%, according to a meta-analysis published in 2013, is the Dietary Approaches to Stop Hypertension (DASH) diet, designed to normalize blood pressure in patients with hypertension. This diet is also rich in fruits, vegetables and low fat dairy products; it incorporates grains, poultry, fish and nuts and limits saturated fat, beef, sweets and sugar-containing drinks (18) . In the present study, over 50% of the sample consumed fruits, raw leaves, fresh fish, olive oil, braised leaves and white cheese, which would be consistent with the recommendations of the aforementioned protective diets.…”

Section: Discussionmentioning

confidence: 99%

Consumo alimentar e estresse em pacientes com síndrome coronariana aguda

et al. 2015

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Objective: to assess whether dietary intake of patients with acute coronary syndrome (ACS) meets national and international recommendations and whether there is a relationship with the levels of stress. Method: a cross-sectional study with 150 patients with ACS, who were interviewed with the Food Frequency Questionnaire and the Perceived Stress Scale-10. Results: daily intake above the recommendations: cholesterol (92%), fi ber (42.7%) and protein (68%); intake below the recommendations: potassium (88%) and carbohydrates (68.7%); intake according to the recommendations: sodium (53.3%) and lipids (53.3%). Most patients with inadequate dietary intake (54%) were stressed or highly stressed. There was a signifi cant association between a lower stress level and a higher fi ber intake. Conclusion: in patients with ACS, dietary intake did not meet the guideline recommendations, and a lower fi ber intake occurs concomitantly with higher stress levels. Educational efforts can support patients in dietary intake adequacy and stress control. Key words: Feeding; Stress, Psychological; Acute Coronary Syndrome. RESUMO Objetivo: Avaliar se o consumo alimentar de pacientes com síndrome coronariana aguda (SCA) segue as recomendações nacionais e internacionais e se existe relação com níveis de estresse Método: Estudo transversal com 150 pacientes com SCA que foram entrevistados utilizando-se os Questionários de Frequência Alimentar e Escala de Estresse Percebido-10. Resultados: Consumo diário acima das recomendações: colesterol (92%), fi bras (42,7%) e proteínas (68%); consumo abaixo das recomendações: potássio (88%) e carboidratos (68,7%); consumo conforme recomendações: sódio (53,3%) e lípides (53,3%). A maioria (54%) com consumo alimentar inadequado era estressada ou altamente estressada. Houve associação estatisticamente signifi cante entre menor nível de estresse e maior consumo de fi bras. Conclusão: Em pacientes com SCA, o consumo alimentar esteve fora do recomendado pelas diretrizes e o menor consumo de fi bras ocorre concomitantemente com maior estresse. Esforços educativos podem instrumentalizar os pacientes na adequação do consumo alimentar e no controle do estresse. Descritores: Alimentação; Estresse Psicológico; Síndrome Coronariana Aguda. RESUMENObjetivo: evaluar si la ingesta de alimentos de pacientes con síndrome coronario agudo (SCA) sigue las recomendaciones nacionales e internacionales y si hay relación con los niveles de estrés. Método: estudio transversal con 150 pacientes con SCA, que fueron entrevistados con los cuestionarios de Frecuencia Alimentar y Escala de Estrés Percibido-10. Resultados: consumo diario mayor que las recomendaciones: colesterol (92%), fi bra (42,7%) y proteínas (68%); consumo debajo de las recomendaciones: potasio (88%) y carbohidratos (68,7%); consumo recomendado: sodio (53,3%) y lípidos (53,3%). La mayoría (54%) con consumo alimentar inadecuado era estresada o muy estresada. Hubo asociación signifi cativa entre bajo nivel de estrés y mayor ingesta de fi bras. Conclusión: en p...

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Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases—Incidence: A systematic review and meta-analysis on observational prospective studies

Cited by 357 publications

References 46 publications

Nutrition and healthy ageing: the key ingredients

Nutrition and healthy ageing: the key ingredients

Relationship between adherence to Dietary Approaches to Stop Hypertension (DASH) diet indices and incidence of depression during up to 8 years of follow-up

Consumo alimentar e estresse em pacientes com síndrome coronariana aguda

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