Chen Shanshan, Hu Shiyun, Shen Sijie, Zhang Jialin, Xu Xiaohui, Yu Ming, Xia Yu, Cai Qiang, Yu Wei, Lu Anni, Li Ziqi Mia, Gunarathne Rasika, Lu Jun
Yangtze Delta Region Institute of Tsinghua University, Zhejiang, 314006, China.
Zhejiang Provincial Center for Cardiovascular Disease Control and Prevention, Zhejiang Hospital, Hangzhou, 310013, China.
Curr Res Food Sci. 2024 Dec 16;10:100960. doi: 10.1016/j.crfs.2024.100960. eCollection 2025.
This study aims to investigate the dietary patterns of Chinese individuals aged 35 years and older who are at high risk of cardiovascular disease (CVD) and to explore the correlation between these dietary patterns and the risk of CVD. A total of 28,747 high-risk participants in China PEACE in Zhejiang Province from 2014 to 2019 were included in the analysis Dietary data were obtained using the Food Frequency Questionnaire, and dietary patterns were extracted through factor analysis. Cox regression was used to examine the relationship between the dietary patterns and CVD risk in the high-risk groups. Four dietary patterns were identified. The "Bean, egg, milk and pickle" dietary pattern was associated with an increased risk of CVD (HR = 1.29; 95% confidence interval (CI):1.09, 1.54; p＜0.05), after adjusting for confounders. In contrast, the "Seafood and animal meat", "Wheat and coarse cereals", and "Rice and vegetable" dietary patterns did not show a significant impact on CVD risk. These findings provide valuable insights for dietary guidance in high-risk groups and have significant implications for the prevention and management of CVD.
本研究旨在调查35岁及以上心血管疾病（CVD）高危中国人群的饮食模式，并探讨这些饮食模式与CVD风险之间的相关性。分析纳入了2014年至2019年浙江省中国慢性病前瞻性研究项目（China PEACE）的28747名高危参与者。使用食物频率问卷获取饮食数据，并通过因子分析提取饮食模式。采用Cox回归分析高危人群饮食模式与CVD风险之间的关系。共识别出四种饮食模式。调整混杂因素后，“豆类、蛋类、奶类和腌菜”饮食模式与CVD风险增加相关（风险比[HR]=1.29；95%置信区间[CI]：1.09，1.54；P＜0.05）。相比之下，“海鲜和畜肉”、“小麦和粗粮”以及“大米和蔬菜”饮食模式对CVD风险未显示出显著影响。这些发现为高危人群的饮食指导提供了有价值的见解，对CVD的预防和管理具有重要意义。
