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Association Between a Social-Business Eating Pattern and Early Asymptomatic Atherosclerosis.
- Source :
-
Journal of the American College of Cardiology (JACC) . Aug2016, Vol. 68 Issue 8, p805-814. 10p. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>The importance of a healthy diet in relation to cardiovascular health promotion is widely recognized. Identifying specific dietary patterns related to early atherosclerosis would contribute greatly to inform effective primary prevention strategies.<bold>Objectives: </bold>This study sought to quantify the association between specific dietary patterns and presence and extent of subclinical atherosclerosis in a population of asymptomatic middle-aged adults.<bold>Methods: </bold>The PESA (Progression of Early Subclinical Atherosclerosis) study enrolled 4,082 asymptomatic participants 40 to 54 years of age (mean age 45.8 years; 63% male) to evaluate the presence of subclinical atherosclerosis in multiple vascular territories. A fundamental objective of this cohort study was to evaluate the life-style-related determinants, including diet, on atherosclerosis onset and development. We conducted a cross-sectional analysis of baseline data, including detailed information on dietary habits obtained as part of the overall life-style and risk factor assessment, as well as a complete vascular imaging study that was performed blinded to the clinical information.<bold>Results: </bold>Most PESA participants follow a Mediterranean (40% of participants) or a Western (41%) dietary pattern. A new pattern, identified among 19% of participants, was labeled as a social-business eating pattern, characterized by a high consumption of red meat, pre-made foods, snacks, alcohol, and sugar-sweetened beverages and frequent eating-out behavior. Participants following this pattern presented a significantly worse cardiovascular risk profile and, after adjustment for risk factors, increased odds of presenting subclinical atherosclerosis (odds ratio: 1.31; 95% confidence interval: 1.06 to 1.63) compared with participants following a Mediterranean diet.<bold>Conclusions: </bold>A new social-business eating pattern, characterized by high consumption of red and processed meat, alcohol, and sugar-sweetened beverages, and by frequent snacking and eating out as part of an overall unhealthy life-style, is associated with an increased prevalence, burden, and multisite presence of subclinical atherosclerosis. (Progression of Early Subclinical Atherosclerosis [PESA]; NCT01410318). [ABSTRACT FROM AUTHOR]
- Subjects :
- *ATHEROSCLEROSIS prevention
*EATING disorders
*CARDIOVASCULAR fitness
*ELEMENTAL diet
*DISEASE prevalence
*PROCESSED foods
*ATHEROSCLEROSIS
*COMPARATIVE studies
*DIET
*DISEASES
*FOOD habits
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*PREVENTIVE health services
*RESEARCH
*TIME
*SYMPTOMS
*EVALUATION research
*LIFESTYLES
*CROSS-sectional method
Subjects
Details
- Language :
- English
- ISSN :
- 07351097
- Volume :
- 68
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Journal of the American College of Cardiology (JACC)
- Publication Type :
- Academic Journal
- Accession number :
- 117292176
- Full Text :
- https://doi.org/10.1016/j.jacc.2016.05.080