Major dietary patterns and carotid intima-media thickness in Bangladesh.

Abstract:

OBJECTIVE:Carotid intima-media thickness (IMT) is a validated surrogate marker of preclinical atherosclerosis and is predictive of cardiovascular morbidity and mortality. Research on the association between IMT and diet, however, is lacking, especially in low-income countries or low-BMI populations. DESIGN:Cross-sectional analysis. Dietary intakes were measured using a validated, thirty-nine-item FFQ at baseline cohort recruitment. IMT measurements were obtained from 2010-2011. SETTING:Rural Bangladesh. SUBJECTS:Participants (n 1149) randomly selected from the Health Effects of Arsenic Longitudinal Study, an ongoing, population-based, prospective cohort study established in 2000. Average age at IMT measurement was 45·5 years. RESULTS:Principal component analysis of reported food items yielded a 'balanced' diet, an 'animal protein' diet and a 'gourd and root vegetable' diet. We observed a positive association between the gourd/root vegetable diet and IMT, as each 1 sd increase in pattern adherence was related to a difference of 7·74 (95 % CI 2·86, 12·62) μm in IMT (P<0·01), controlling for age, sex, total energy intake, smoking status, BMI, systolic blood pressure and diabetes mellitus diagnoses. The balanced pattern was associated with lower IMT (-4·95 (95 % CI -9·78, -0·11) μm for each 1sd increase of adherence; P=0·045). CONCLUSIONS:A gourd/root vegetable diet in this Bangladeshi population positively correlated with carotid IMT, while a balanced diet was associated with decreased IMT.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

McClintock TR,Parvez F,Wu F,Islam T,Ahmed A,Rani Paul R,Shaheen I,Sarwar G,Rundek T,Demmer RT,Desvarieux M,Ahsan H,Chen Y

doi

10.1017/S136898001500124X

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

218-29

issue

2

eissn

1368-9800

issn

1475-2727

pii

S136898001500124X

journal_volume

19

pub_type

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