Development of a Concise Healthy Diet Score for Cardiovascular Disease among Japanese; The Japan Collaborative Cohort Study.

IF 3 2区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Journal of atherosclerosis and thrombosis Pub Date : 2024-10-01 Epub Date: 2024-05-11 DOI:10.5551/jat.64629
Junko Nohara, Isao Muraki, Tomotaka Sobue, Akiko Tamakoshi, Hiroyasu Iso
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引用次数: 0

Abstract

Aims: Several diet quality indicators have been developed primarily for cardiovascular disease (CVD) prevention in Western countries. However, those previous indicators are complicated and less feasible in clinical and health-promoting settings. Therefore, we aimed to develop a concise dietary risk score for CVD prevention in Japanese.

Methods: Using the self-administered food frequency questionnaire with 35 food items, we developed a concise healthy diet score (cHDS) ranging from 0 to 5 points. We examined the association of cHDS with risks of all-cause and cause-specific mortality among 23,115 men and 35,557 women who were free of CVD and cancer.

Results: During 19.2 years of median follow-up, 6,291 men and 5,365 women died. In men, the multivariable hazard ratios (95% confidence intervals) for the highest cHDS (5 points) compared to the lowest (0-1 points) were 0.74 (0.60-0.91, P-trend=0.008) for CVD and 0.86 (0.77-0.95, P-trend=0.05) for all causes. No significant associations were found for stroke, coronary heart disease, and other causes in men. The corresponding hazard ratio in women was 0.65 (0.52-0.81, P-trend<0.001) for CVD, 0.63 (0.45-0.88, P-trend<0.001) for stroke, 0.48 (0.30-0.78, P-trend=0.008) for coronary heart disease, 0.67 (0.54-0.84, P-trend<0.001) for other causes, and 0.75 (0.66-0.85, P-trend<0.001) for all causes.

Conclusion: We developed a concise diet quality score named cHDS in the Japanese population and found the inverse association of cHDS with mortality from CVD and all causes for both men and women.

制定日本人心血管疾病简明健康饮食评分标准;日本合作队列研究。
目的:西方国家已经制定了多项饮食质量指标,主要用于预防心血管疾病(CVD)。然而,以前的这些指标比较复杂,在临床和促进健康的环境中可行性较低。因此,我们的目标是为日本人的心血管疾病预防开发一个简明的膳食风险评分:方法:我们使用包含 35 种食物的自填式食物频率调查问卷,制定了 0 至 5 分的简明健康饮食评分(cHDS)。我们对 23115 名男性和 35557 名女性的全因和特定原因死亡风险进行了研究:在 19.2 年的中位随访期间,有 6291 名男性和 5365 名女性死亡。在男性中,cHDS最高(5分)与最低(0-1分)相比,心血管疾病的多变量危险比(95%置信区间)为0.74(0.60-0.91,P-趋势=0.008),所有病因的多变量危险比(95%置信区间)为0.86(0.77-0.95,P-趋势=0.05)。在男性中,中风、冠心病和其他病因没有发现明显的相关性。女性心血管疾病的相应危险比为 0.65(0.52-0.81,P-趋势<0.001),中风为 0.63(0.45-0.88,P-趋势<0.001),冠心病为 0.48(0.30-0.78,P-趋势=0.008),冠心病为 0.67(0.54-0.84,P-趋势<0.001),其他原因为 0.75(0.66-0.85,P-趋势<0.001):结论:我们在日本人群中开发了一种名为 cHDS 的简明饮食质量评分,并发现 cHDS 与男性和女性心血管疾病死亡率及所有原因的死亡率呈负相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.60
自引率
15.90%
发文量
271
审稿时长
1 months
期刊介绍: JAT publishes articles focused on all aspects of research on atherosclerosis, vascular biology, thrombosis, lipid and metabolism.
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