The DASH diet is associated with a lower risk of heart failure: a cohort study

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Ibsen, Daniel B.Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Nobels Vag 13, S-17177 Stockholm, Sweden.;Aarhus Univ, Dept Publ Hlth, Res Unit Epidemiol, Bartholins Alle 2, DK-8000 Aarhus C, Denmark. (author)

The DASH diet is associated with a lower risk of heart failure : a cohort study

Article/chapterEnglish2022

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2022-01-04
OXFORD UNIV PRESS,2022
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LIBRIS-ID:oai:DiVA.org:uu-477769
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-477769URI
https://doi.org/10.1093/eurjpc/zwac003DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:149687589URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Aims Trials demonstrate that following the DASH diet lowers blood pressure, which may prevent the development of heart failure (HF). We investigated the association between long-term adherence to the DASH diet and food substitutions within the DASH diet on the risk of HF. Methods and results Men and women aged 45-83 years without previous HF, ischaemic heart disease or cancer at baseline in 1998 from the Cohort of Swedish Men (n = 41 118) and the Swedish Mammography Cohort (n = 35 004) were studied. The DASH diet emphasizes intake of fruit, vegetables, whole grains, nuts and legumes, and low-fat dairy and deemphasizes red and processed meat, sugar-sweetened beverages, and sodium. DASH diet scores were calculated based on diet assessed by food frequency questionnaires in late 1997 and 2009. Incidence of HF was ascertained using the Swedish Patient Register. Multivariable Cox proportional hazards models were used to estimate hazard ratios (HRs) with 95% confidence intervals (CIs). During the median 22 years of follow-up (1998-2019), 12 164 participants developed HF. Those with the greatest adherence to the DASH diet had a lower risk of HF compared to those with the lowest adherence (HR 0.85, 95% CI: 0.80, 0.91 for baseline diet and HR 0.83, 95% CI: 0.78, 0.89 for long-term diet, comparing quintiles). Replacing 1 serving/day of red and processed meat with emphasized DASH diet foods was associated with an 8-12% lower risk of HF. Conclusion Long-term adherence to the DASH diet and relevant food substitutions within the DASH diet were associated with a lower risk of HF.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Näringslära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nutrition and Dietetics hsv//eng
Prospective study
Diet
Heart failure
Prevention

Added entries (persons, corporate bodies, meetings, titles ...)

Levitan, Emily B.Univ Alabama Birmingham, Dept Epidemiol, Ryals Publ Hlth Bldg RPHB,1665 Univ Blvd, Birmingham, AL 35233 USA. (author)
Akesson, AgnetaKarolinska Institutet (author)
Gigante, BrunaKarolinska Institutet (author)
Wolk, AlicjaUppsala universitet,Medicinsk epidemiologi,Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Nobels Vag 13, S-17177 Stockholm, Sweden.(Swepub:uu)alwol516 (author)
Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Nobels Vag 13, S-17177 Stockholm, Sweden.;Aarhus Univ, Dept Publ Hlth, Res Unit Epidemiol, Bartholins Alle 2, DK-8000 Aarhus C, Denmark.Univ Alabama Birmingham, Dept Epidemiol, Ryals Publ Hlth Bldg RPHB,1665 Univ Blvd, Birmingham, AL 35233 USA. (creator_code:org_t)

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In:European Journal of Preventive Cardiology: OXFORD UNIV PRESS29:7, s. 1114-11232047-48732047-4881

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By the author/editor: Ibsen, Daniel B.; Levitan, Emily B ...; Akesson, Agneta; Gigante, Bruna; Wolk, Alicja

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

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