Better diet quality scores are associated with a lower risk of hypertension and non-fatal CVD in middle-aged Australian women over 15 years of follow-up.

Autor:	Jackson JK; Faculty of Health and Medicine, School of Health Sciences, Department of Nutrition and Dietetics, University of Newcastle, Callaghan, NSW 2308, Australia., MacDonald-Wicks LK; Faculty of Health and Medicine, School of Health Sciences, Department of Nutrition and Dietetics, University of Newcastle, Callaghan, NSW 2308, Australia.; Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia., McEvoy MA; Faculty of Health and Medicine, School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales, Australia., Forder PM; Research Centre for Generational Health and Ageing, Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales, Australia., Holder C; Clinical Research Design, Information Technology and Statistical Support Unit, Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales, Australia., Oldmeadow C; Clinical Research Design, Information Technology and Statistical Support Unit, Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales, Australia., Byles JE; Research Centre for Generational Health and Ageing, Hunter Medical Research Institute, University of Newcastle, New Lambton, New South Wales, Australia., Patterson AJ; Faculty of Health and Medicine, School of Health Sciences, Department of Nutrition and Dietetics, University of Newcastle, Callaghan, NSW 2308, Australia.; Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2020 Apr; Vol. 23 (5), pp. 882-893. Date of Electronic Publication: 2019 Oct 14.
DOI:	10.1017/S1368980019002842
Abstrakt:	Objective: To explore if better diet quality scores as a measure of adherence to the Australian Dietary Guidelines (ADG) and the Mediterranean diet (MedDiet) are associated with a lower incidence of hypertension and non-fatal CVD. Design: Prospective analysis of the 1946-1951 cohort of the Australian Longitudinal Study on Women's Health (ALSWH). The Australian Recommended Foods Score (ARFS) was calculated as an indicator of adherence to the ADG; the Mediterranean Diet Score (MDS) measured adherence to the MedDiet. Outcomes included hypertension and non-fatal CVD. Generalised estimating equations estimated OR and 95 % CI across quartiles of diet quality scores. Setting: Australia, 2001-2016. Participants: 1946-1951 cohort of the ALSWH (n 5324), without CVD, hypertension and diabetes at baseline (2001), with complete FFQ data. Results: There were 1342 new cases of hypertension and 629 new cases of non-fatal CVD over 15 years of follow-up. Multivariate analysis indicated that women reporting better adherence to the ARFS (≥38/74) had 15 % (95 % CI 1, 28 %; P = 0·05) lower odds of hypertension and 46 % (95 % CI 6, 66 %; P = 0·1) lower odds of non-fatal CVD. Women reporting better adherence to the MDS (≥8/17) had 27 % (95 % CI 15, 47 %; P = 0·0006) lower odds of hypertension and 30 % (95 % CI 2, 50 %; P = 0·03) lower odds of non-fatal CVD. Conclusions: Better adherence to diet quality scores is associated with lower risk of hypertension and non-fatal CVD. These results support the need for updated evidenced based on the ADG as well as public health nutrition policies in Australia.
Databáze:	MEDLINE
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