饮食质量指数与动脉粥样硬化风险之间的关联：一项病例对照研究。

Association Between Dietary Quality Indices and Atherosclerosis Risk: A Case-Control Study.

作者信息

Samadani Mahsa, Mansoori Anahita, Haybar Habib, Haidari Fatemeh, Mohammadshahi Majid

机构信息

Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Nutr Metab Insights. 2022 Jul 19;15:11786388221111934. doi: 10.1177/11786388221111934. eCollection 2022.

DOI:10.1177/11786388221111934

PMID:35874271

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9301100/

Abstract

BACKGROUND

Several diet quality scores have been developed to evaluate the health benefits of individual diets such as Healthy Eating Index (HEI), Dietary Approach to Stop Hypertension (DASH), and Mediterranean diet score (Med). This study aims to determine the relationship between dominant dietary health scores with the risk of atherosclerosis in Iranian adults.

METHODS

This case-control study was conducted on 323 patients with atherosclerosis and 334 individuals without atherosclerosis as control group. Food Frequency Questionnaire was used for obtaining dietary intakes; then HEI, DASH score, and Med score was calculated. Logistic regression models were used to calculate Odds Ratios (OR) and 95% Confidence intervals (CI) between quartiles of the HEI, DASH and Med and atherosclerosis risk.

RESULTS

The results showed that total scores for HEI, DASH, and Med in control group was higher than the atherosclerosis group. The results also indicated that higher adherence to HEI (OR: 0.43; CI: [0.24, 0.76], -trend = .006), DASH (OR: 0.48; CI: [0.3, 0.78], -trend = .003), and Mediterranean pattern (OR: 0.4; CI: [0.21, 0.76]) decreased odds ratio of atherosclerosis.

CONCLUSION

Our findings suggest that adherence to HEI, DASH, and Mediterranean diet might be associated with a lower risk of Atherosclerosis and can have a positive effect on general health and prevention of chronic diseases in people.

摘要

背景

已经开发了几种饮食质量评分来评估个体饮食的健康益处，如健康饮食指数（HEI）、终止高血压饮食方法（DASH）和地中海饮食评分（Med）。本研究旨在确定伊朗成年人中主要饮食健康评分与动脉粥样硬化风险之间的关系。

方法

本病例对照研究对323例动脉粥样硬化患者和334例无动脉粥样硬化的个体作为对照组进行。使用食物频率问卷获取饮食摄入量；然后计算HEI、DASH评分和Med评分。使用逻辑回归模型计算HEI、DASH和Med四分位数与动脉粥样硬化风险之间的比值比（OR）和95%置信区间（CI）。

结果

结果显示，对照组的HEI、DASH和Med总分高于动脉粥样硬化组。结果还表明，更高的HEI依从性（OR：0.43；CI：[0.24，0.76]，-趋势=0.006）、DASH（OR：0.48；CI：[0.3，0.78]，-趋势=0.003）和地中海模式（OR：0.4；CI：[0.21，0.76]）降低了动脉粥样硬化的比值比。