Edwards Meghan K, Crush Elizabeth, Loprinzi Paul D
1 Physical Activity Epidemiology Laboratory, Department of Health, Exercise Science and Recreation Management, School of Applied Sciences, The University of Mississippi, Oxford, MS, USA.
Am J Health Promot. 2018 Jul;32(6):1447-1451. doi: 10.1177/0890117116667159. Epub 2016 Sep 7.
The pooled cohort equations were developed in 2013 by the American College of Cardiology/American Heart Association Task Force to predict an individual's 10-year risk of an atherosclerotic cardiovascular disease (ASCVD) event. The purpose of the present study was to evaluate how predicted 10-year ASCVD event risk varies as a function of daily dietary behavior.
Cross-sectional.
National Health and Nutrition Examination Survey 2003 to 2006.
A total of 2362 adults aged 40 to 79 years.
The ASCVD was assessed via the pooled cohort equations, with the Healthy Eating Index calculated from self-reported dietary behavior.
Multivariable linear and logistic regression.
Adults in the United States consuming a healthy diet (vs those not consuming a healthy diet) had an 88% increased odds of being at low risk for a future ASCVD event within the next 10 years (odds ratio [OR] = 1.88; 95% confidence interval [CI]: 1.35-2.68; P < .001). Similarly, those eating a healthy diet had a 44% reduced odds of being at high risk for a future ASCVD event within the next 10 years (OR = 0.56; 95% CI: 0.34-0.93; P = .02).
Among adults who were free of cardiovascular disease, those with a healthy diet had reduced odds of being at high risk for a 10-year ASCVD event.
美国心脏病学会/美国心脏协会工作组于2013年制定了汇总队列方程，以预测个体发生动脉粥样硬化性心血管疾病（ASCVD）事件的10年风险。本研究的目的是评估预测的10年ASCVD事件风险如何随日常饮食行为而变化。
横断面研究。
2003年至2006年全国健康与营养检查调查。
共有2362名40至79岁的成年人。
通过汇总队列方程评估ASCVD，并根据自我报告的饮食行为计算健康饮食指数。
多变量线性和逻辑回归。
在美国，饮食健康的成年人（与饮食不健康的成年人相比）在未来10年内发生ASCVD事件低风险的几率增加了88%（优势比[OR]=1.88；95%置信区间[CI]：1.35 - 2.68；P<.001）。同样，饮食健康的成年人在未来10年内发生ASCVD事件高风险的几率降低了44%（OR = 0.56；95% CI：0.34 - 0.93；P = .02）。
在无心血管疾病的成年人中，饮食健康的人发生10年ASCVD事件高风险的几率降低。
