The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in Malaysian and Philippines populations

Tiong, Xun Ting; Shahirah, A. Nursara; Pun, Vivian C.; Wong, Kimberly; Fong, Alan Yean Yip; Sy, Rody G.; Castillo-Carandang, Nina T.; Nang, Ei Ei K.; Woodward, Mark; Dam, Rob M. van; Tai, E. Shyong; Venkataraman, Kavita

doi:10.1016/j.numecd.2018.04.014

Cited by 33 publications

(35 citation statements)

References 26 publications

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“…However, the cardioprotective effects of the DASH diet were more prominent in hypertensive than in normotensive individuals ( 96 ) and in individuals from ethnic minority backgrounds than in Caucasians ( 97 ). Moreover, the association of DASH score with CVD risk factors differed by country in which it was applied ( 65 ). The DASH dietary score does not apply a cutoff value for maximum intake, which may overestimate the final score.…”

Section: Country-specific Dietary Patterns and Associations With Cvdmentioning

confidence: 99%

Perspective: The Application of A Priori Diet Quality Scores to Cardiovascular Disease Risk—A Critical Evaluation of Current Scoring Systems

Aljuraiban

Gibson

Griep

et al. 2020

Advances in Nutrition

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Healthy dietary habits are the cornerstone of cardiovascular disease (CVD) prevention. Numerous researchers have developed diet quality indices to help evaluate and compare diet quality across and within various populations. The availability of these new indices raises questions regarding the best selection relevant to a given population. In this perspective, we critically evaluate a priori–defined dietary indices commonly applied in epidemiological studies of CVD risk and mortality. A systematic literature search identified 59 observational studies that applied a priori–defined diet quality indices to CVD risk factors and/or CVD incidence and/or CVD mortality. Among 31 different indices, these scores were categorized as follows: 1) those based on country-specific dietary patterns, 2) those adapted from distinct dietary guidelines, and 3) novel scores specific to key diet-related factors associated with CVD risk. The strengths and limitations of these indices are described according to index components, calculation methods, and the application of these indices to different population groups. Also, the importance of identifying methodological challenges faced by researchers when applying an index are considered, such as selection and weighting of food groups within a score, since food groups are not necessarily equivalent in their associations with CVD. The lack of absolute cutoff values, emphasis on increasing healthy food without limiting unhealthy food intake, and absence of validation of scores with biomarkers or other objective diet assessment methods further complicate decisions regarding the best indices to use. Future research should address these limitations, consider cross-cultural and other differences between population groups, and identify translational challenges inherent in attempting to apply a relevant diet quality index for use in CVD prevention at a population level.

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Section: Country-specific Dietary Patterns and Associations With Cvdmentioning

confidence: 99%

Perspective: The Application of A Priori Diet Quality Scores to Cardiovascular Disease Risk—A Critical Evaluation of Current Scoring Systems

Aljuraiban

Gibson

Griep

et al. 2020

Advances in Nutrition

View full text Add to dashboard Cite

show abstract

“…Second, meta-analysis of RCT studies reported that DASH diet can be more effective in hypertensive persons than in normotensive people (37,40); and third, the bene cial effect of a DASH diet on BP depends on its ability to restrict calorie intake and weight loss (37,40);however, in our study, energy intake increased with higher adherence to DASH diet. Fourth, the applied DASH eating pattern was not homogeneous in different studies, and the characteristic of DASH diet in our study may differ from other studies due to diversity of food groups eaten in different countries (41).Considering the above mentioned issues, it may be more effective to score dietary patterns based on recommended amount of local food groups to reduce the population risk effectively (41).…”

Section: Discussionmentioning

confidence: 74%

The association of priori and posteriori dietary patterns with the risk of incident hypertension: Tehran Lipid and Glucose Study

Ramezankhani

Hosseini-Esfahani

Mirmiran

et al. 2020

Preprint

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Background: The aim of this study was to investigate the association of dietary patterns with incident hypertension.Materials/methods: This prospective study was conducted on 4793 individuals of Tehran lipid and glucose study participants, aged ≥18 years who were followed for a median of 6.3 years from 2008-11 to 2016-18. A valid and reliable semi-quantitative food frequency questionnaire was used to assess usual dietary intakes. Anthropometrics and blood pressure were assessed at baseline and during follow up examinations. Dietary patterns were derived using principal component analysis (PCA). Healthy eating index (HEI) and dietary approach to stop hypertension (DASH) score were measured based on dietary recommendations. Time-dependent Cox models adjusting for confounders were used to examine the association between dietary patterns and the risk of hypertension.Results: During follow-up, a total of 727 incident cases of hypertension were identified. The mean±SD age at baseline was 40.3±13.5 and 37.9±12.1 years in men and women, respectively. Two dietary patterns (the healthy and unhealthy) were extracted by PCA. Compared with participants in the first quartile, a 23% (HR: 1.23; 95%CI: 1.00-1.53; P trend: 0.056) increased risk of hypertension was found in the fourth quartile of HEI score. This association was disappeared after further adjustment for confounders. Increasing DASH score, the healthy and unhealthy dietary pattern were not associated with risk of hypertension.Conclusion: Based on our findings, higher adherence to the posteriori- and priori-dietary patterns was not associated with risk of hypertension.

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“…First, we computed DASH score by scoring quintiles of intakes of the eight main components; and it is possible that in our study the average of fruit and vegetable intake in the top quintile was not in consistent with other studies. It may be more effective to score DASH diet based on recommended amount of local food patterns to reduce population risk (35). Second, meta-analysis of RCT studies reported that DASH diet can be more effective in hypertensive persons than in normotensive people (32,36); and third, the bene cial effect of a DASH diet on blood pressure depends on its ability to restrict calorie intake and weight reducing impact (32,36); however, in our study, energy intake increased with higher adherence to DASH diet.…”

Section: Discussionmentioning

confidence: 99%

The association of priori and posteriori dietary patterns with the risk of incident hypertension: Tehran Lipid and Glucose Study

Ramezankhani

Hosseini-Esfahani

Mirmiran

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: The aim of this study was to investigate the association of dietary patterns with incident hypertension.Materials/methods: This prospective study was conducted on 4793 individuals of Tehran lipid and glucose study participants, aged ≥18 years who were followed for a median of 6.3 years from 2008-11 to 2016-18. A valid and reliable semi-quantitative food frequency questionnaire was used to assess usual dietary intakes. Anthropometrics and blood pressure were assessed at baseline and during follow up examinations. Dietary patterns were derived using principal component analysis (PCA). Healthy eating index (HEI) and dietary approach to stop hypertension (DASH) score were measured based on dietary recommendations. Time-dependent Cox models adjusting for confounders were used to examine the association between dietary patterns and the risk of hypertension.Results: During follow-up, a total of 727 incident cases of hypertension were identified. The mean±SD age at baseline was 40.3±13.5 and 37.9±12.1 years in men and women, respectively. Two dietary patterns (the healthy and unhealthy) were extracted by PCA. Compared with participants in the first quartile, a 23% (HR: 1.23; 95%CI: 1.00-1.53; P trend: 0.056) increased risk of hypertension was found in the fourth quartile of HEI score. This association was disappeared after further adjustment for confounders. Increasing DASH score, the healthy and unhealthy dietary pattern were not associated with risk of hypertension.Conclusion: Our findings showed that higher adherences to the posteriori- and priori-dietary patterns were not associated with risk of hypertension in this population.

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The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in Malaysian and Philippines populations

Abstract: Differential associations of DASH diet and dietary components with cardio-metabolic risk factors by country suggest the need for country-specific tailoring of dietary interventions to improve cardio-metabolic risk profiles.

Cited by 33 publications

References 26 publications

Perspective: The Application of A Priori Diet Quality Scores to Cardiovascular Disease Risk—A Critical Evaluation of Current Scoring Systems

Perspective: The Application of A Priori Diet Quality Scores to Cardiovascular Disease Risk—A Critical Evaluation of Current Scoring Systems

The association of priori and posteriori dietary patterns with the risk of incident hypertension: Tehran Lipid and Glucose Study

The association of priori and posteriori dietary patterns with the risk of incident hypertension: Tehran Lipid and Glucose Study

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