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- Title
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.
- Authors
Jackson, Jacklyn K; MacDonald-Wicks, Lesley K; McEvoy, Mark A; Forder, Peta M; Holder, Carl; Oldmeadow, Christopher; Byles, Julie E; Patterson, Amanda J
- Abstract
<bold>Objective: </bold>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.<bold>Design: </bold>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.<bold>Setting: </bold>Australia, 2001-2016.<bold>Participants: </bold>1946-1951 cohort of the ALSWH (n 5324), without CVD, hypertension and diabetes at baseline (2001), with complete FFQ data.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
AUSTRALIA; MEDITERRANEAN diet; AUSTRALIANS; MIDDLE-aged women; HYPERTENSION; DIET; WOMEN'S health; HYPERTENSION epidemiology; FOOD habits; RESEARCH; RESEARCH methodology; CARDIOVASCULAR diseases; DISEASE incidence; MEDICAL cooperation; EVALUATION research; COMPARATIVE studies; NUTRITION policy; LONGITUDINAL method; NUTRITIONAL status
- Publication
Public Health Nutrition, 2020, Vol 23, Issue 4, p882
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980019002842