Adherence to the dietary approaches to stop hypertension dietary pattern and risk of abdominal aortic aneurysm: Results from the ARIC study

Bernhard Haring, Elizabeth Selvin, Xintong He, Josef Coresh, Lyn M. Steffen, Aaron R. Folsom, Weihong Tang, Casey Rebholz

Research output: Contribution to journalArticle

Abstract

Background-The role of a healthy dietary pattern in the prevention of abdominal aortic aneurysms (AAA) is unknown. We aimed to evaluate the relationship between adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern and the risk of incident AAAs. Methods and Results-Dietary intake was assessed via a 66-item food frequency questionnaire at baseline (1987–1989) and at visit 3 (1993–1995) in 13 496 participants enrolled in the ARIC (Atherosclerosis Risk in Communities) study without clinical AAA (mean age, 54 years). A dietary scoring index based on food times was constructed to assess self-reported adherence to a dietary approaches to stop hypertension-style dietary pattern. Participants were followed for incident clinical AAAs using hospital discharge diagnoses, Medicare inpatient and outpatient diagnoses, or death certificates through December 31, 2011. Cox proportional hazards models with covariate adjustment were used to estimate hazard ratios with 95% confidence intervals. During a median follow-up of 23 years, there were 517 incident AAA cases. Individuals with a Dietary Approaches To Stop Hypertensionstyle diet score in the highest quintile had a 40% lower risk of hospitalization for AAA than those in the lowest quintile (hazard ratioQ5 vs Q1: 0.60; 95% confidence intervals: 0.44, 0.83; Ptrend=0.002). In detailed analyses, higher consumption of fruits, vegetables, whole grains, low-fat dairy, and nuts and legumes was related to a lower risk for AAA. Conclusions-Greater adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern was associated with lower risk for AAA. Higher consumption of fruits, vegetables, whole grains, low-fat dairy as well as nuts and legumes may help to decrease the burden of AAAs.

Original languageEnglish (US)
Article numbere009340
JournalJournal of the American Heart Association
Volume7
Issue number21
DOIs
StatePublished - Nov 1 2018

Fingerprint

Abdominal Aortic Aneurysm
Atherosclerosis
Hypertension
Nuts
Fabaceae
Vegetables
Fruit
Fats
Confidence Intervals
Food
Death Certificates
Medicare
Proportional Hazards Models
Inpatients
Hospitalization
Outpatients
Diet

Keywords

  • Aneurysm
  • Diet
  • Dietary approaches to stop hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Adherence to the dietary approaches to stop hypertension dietary pattern and risk of abdominal aortic aneurysm : Results from the ARIC study. / Haring, Bernhard; Selvin, Elizabeth; He, Xintong; Coresh, Josef; Steffen, Lyn M.; Folsom, Aaron R.; Tang, Weihong; Rebholz, Casey.

In: Journal of the American Heart Association, Vol. 7, No. 21, e009340, 01.11.2018.

Research output: Contribution to journalArticle

@article{140f55de79d849cfb138a495fad14d42,
title = "Adherence to the dietary approaches to stop hypertension dietary pattern and risk of abdominal aortic aneurysm: Results from the ARIC study",
abstract = "Background-The role of a healthy dietary pattern in the prevention of abdominal aortic aneurysms (AAA) is unknown. We aimed to evaluate the relationship between adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern and the risk of incident AAAs. Methods and Results-Dietary intake was assessed via a 66-item food frequency questionnaire at baseline (1987–1989) and at visit 3 (1993–1995) in 13 496 participants enrolled in the ARIC (Atherosclerosis Risk in Communities) study without clinical AAA (mean age, 54 years). A dietary scoring index based on food times was constructed to assess self-reported adherence to a dietary approaches to stop hypertension-style dietary pattern. Participants were followed for incident clinical AAAs using hospital discharge diagnoses, Medicare inpatient and outpatient diagnoses, or death certificates through December 31, 2011. Cox proportional hazards models with covariate adjustment were used to estimate hazard ratios with 95{\%} confidence intervals. During a median follow-up of 23 years, there were 517 incident AAA cases. Individuals with a Dietary Approaches To Stop Hypertensionstyle diet score in the highest quintile had a 40{\%} lower risk of hospitalization for AAA than those in the lowest quintile (hazard ratioQ5 vs Q1: 0.60; 95{\%} confidence intervals: 0.44, 0.83; Ptrend=0.002). In detailed analyses, higher consumption of fruits, vegetables, whole grains, low-fat dairy, and nuts and legumes was related to a lower risk for AAA. Conclusions-Greater adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern was associated with lower risk for AAA. Higher consumption of fruits, vegetables, whole grains, low-fat dairy as well as nuts and legumes may help to decrease the burden of AAAs.",
keywords = "Aneurysm, Diet, Dietary approaches to stop hypertension",
author = "Bernhard Haring and Elizabeth Selvin and Xintong He and Josef Coresh and Steffen, {Lyn M.} and Folsom, {Aaron R.} and Weihong Tang and Casey Rebholz",
year = "2018",
month = "11",
day = "1",
doi = "10.1161/JAHA.118.009340",
language = "English (US)",
volume = "7",
journal = "Journal of the American Heart Association",
issn = "2047-9980",
publisher = "Wiley-Blackwell",
number = "21",

}

TY - JOUR

T1 - Adherence to the dietary approaches to stop hypertension dietary pattern and risk of abdominal aortic aneurysm

T2 - Results from the ARIC study

AU - Haring, Bernhard

AU - Selvin, Elizabeth

AU - He, Xintong

AU - Coresh, Josef

AU - Steffen, Lyn M.

AU - Folsom, Aaron R.

AU - Tang, Weihong

AU - Rebholz, Casey

PY - 2018/11/1

Y1 - 2018/11/1

N2 - Background-The role of a healthy dietary pattern in the prevention of abdominal aortic aneurysms (AAA) is unknown. We aimed to evaluate the relationship between adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern and the risk of incident AAAs. Methods and Results-Dietary intake was assessed via a 66-item food frequency questionnaire at baseline (1987–1989) and at visit 3 (1993–1995) in 13 496 participants enrolled in the ARIC (Atherosclerosis Risk in Communities) study without clinical AAA (mean age, 54 years). A dietary scoring index based on food times was constructed to assess self-reported adherence to a dietary approaches to stop hypertension-style dietary pattern. Participants were followed for incident clinical AAAs using hospital discharge diagnoses, Medicare inpatient and outpatient diagnoses, or death certificates through December 31, 2011. Cox proportional hazards models with covariate adjustment were used to estimate hazard ratios with 95% confidence intervals. During a median follow-up of 23 years, there were 517 incident AAA cases. Individuals with a Dietary Approaches To Stop Hypertensionstyle diet score in the highest quintile had a 40% lower risk of hospitalization for AAA than those in the lowest quintile (hazard ratioQ5 vs Q1: 0.60; 95% confidence intervals: 0.44, 0.83; Ptrend=0.002). In detailed analyses, higher consumption of fruits, vegetables, whole grains, low-fat dairy, and nuts and legumes was related to a lower risk for AAA. Conclusions-Greater adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern was associated with lower risk for AAA. Higher consumption of fruits, vegetables, whole grains, low-fat dairy as well as nuts and legumes may help to decrease the burden of AAAs.

AB - Background-The role of a healthy dietary pattern in the prevention of abdominal aortic aneurysms (AAA) is unknown. We aimed to evaluate the relationship between adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern and the risk of incident AAAs. Methods and Results-Dietary intake was assessed via a 66-item food frequency questionnaire at baseline (1987–1989) and at visit 3 (1993–1995) in 13 496 participants enrolled in the ARIC (Atherosclerosis Risk in Communities) study without clinical AAA (mean age, 54 years). A dietary scoring index based on food times was constructed to assess self-reported adherence to a dietary approaches to stop hypertension-style dietary pattern. Participants were followed for incident clinical AAAs using hospital discharge diagnoses, Medicare inpatient and outpatient diagnoses, or death certificates through December 31, 2011. Cox proportional hazards models with covariate adjustment were used to estimate hazard ratios with 95% confidence intervals. During a median follow-up of 23 years, there were 517 incident AAA cases. Individuals with a Dietary Approaches To Stop Hypertensionstyle diet score in the highest quintile had a 40% lower risk of hospitalization for AAA than those in the lowest quintile (hazard ratioQ5 vs Q1: 0.60; 95% confidence intervals: 0.44, 0.83; Ptrend=0.002). In detailed analyses, higher consumption of fruits, vegetables, whole grains, low-fat dairy, and nuts and legumes was related to a lower risk for AAA. Conclusions-Greater adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern was associated with lower risk for AAA. Higher consumption of fruits, vegetables, whole grains, low-fat dairy as well as nuts and legumes may help to decrease the burden of AAAs.

KW - Aneurysm

KW - Diet

KW - Dietary approaches to stop hypertension

UR - http://www.scopus.com/inward/record.url?scp=85056818218&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056818218&partnerID=8YFLogxK

U2 - 10.1161/JAHA.118.009340

DO - 10.1161/JAHA.118.009340

M3 - Article

C2 - 30571386

AN - SCOPUS:85056818218

VL - 7

JO - Journal of the American Heart Association

JF - Journal of the American Heart Association

SN - 2047-9980

IS - 21

M1 - e009340

ER -