Dietary patterns and premature coronary artery disease: result from the Iran premature coronary artery disease (IPAD) study.

IF 2 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

BMC Cardiovascular Disorders Pub Date : 2024-11-27 DOI:10.1186/s12872-024-04333-9

Ghazal Ghasempour Dabaghi, Ehsan Zarepur, Mehrdad Rabiee Rad, Noushin Mohammadifard, Fahimeh Haghighatdoost, Alireza Khosravi, Nahid Azdaki, Nahid Salehi, Masoud Lotfizadeh, Samad Ghaffari, Arsalan Salari, Mostafa Cheraghi, Ahmadreza Assareh, Nizal Sarrafzadegan

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引用次数: 0

Abstract

Background: Premature coronary artery disease (PCAD) is one of the major health concerns leading to considerable death and disabilities. This study aimed to evaluate the relationship of dietary patterns with risk of PCAD.

Methods: Iran premature coronary diseases (IPAD) is a case-control study consists of 3159 participants. Obstructive CAD in ≥ 75% of at least one coronary artery or ≥ 50% in the left main artery based on coronary angiography in women under 70 and men under 60 years old was considered PCAD. The habitual dietary intake of participants was collected using a semi-quantitative validated food frequency questionnaire (SFFQ). Principal Component Analysis (PCA) was used to extract dietary patterns.

Results: Three main dietary patterns including healthy, Western and high-fat, high-sugar were identified. Patients categorized in the last tertile of the healthy dietary pattern had a decreased risk of PCAD (OR = 0.77, 95% CI: 0.64-0.93), while those in the top tertile of Western (OR = 2.38, 95 CI:1.97-2.86) and High-fat simple carbohydrate (HFSC) (OR = 3.10, 95% CI:2.57-3.75) diets had increased risk of PCAD.

Conclusions: A healthy dietary pattern was significantly related to a decreased risk of PCAD presence, whereas Western and HFSC diets were connected to a higher risk of PCAD.

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饮食模式与早发冠状动脉疾病：伊朗早发冠状动脉疾病（IPAD）研究结果。

背景：早发性冠状动脉疾病（PCAD）是导致大量死亡和残疾的主要健康问题之一。本研究旨在评估饮食模式与 PCAD 风险之间的关系：伊朗早发冠状动脉疾病（IPAD）是一项病例对照研究，共有 3159 人参加。根据冠状动脉造影检查，70 岁以下女性和 60 岁以下男性至少有一条冠状动脉的阻塞性 CAD≥75% 或左主干动脉的阻塞性 CAD≥50% 即为 PCAD。采用半定量有效食物频率问卷（SFFQ）收集参与者的习惯性饮食摄入量。采用主成分分析法（PCA）提取饮食模式：结果：确定了三种主要饮食模式，包括健康饮食模式、西式饮食模式和高脂高糖饮食模式。被归类为健康饮食模式最后三等分的患者罹患 PCAD 的风险降低（OR = 0.77，95% CI：0.64-0.93），而被归类为西式饮食（OR = 2.38，95% CI：1.97-2.86）和高脂简单碳水化合物（HFSC）饮食（OR = 3.10，95% CI：2.57-3.75）最高三等分的患者罹患 PCAD 的风险增加：结论：健康的饮食模式与 PCAD 发生风险的降低密切相关，而西式饮食和高脂简单碳水化合物饮食则与 PCAD 发生风险的升高有关。

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

BMC Cardiovascular Disorders CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

3.50

自引率

0.00%

发文量

480

审稿时长

1 months

期刊介绍： BMC Cardiovascular Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the heart and circulatory system, as well as related molecular and cell biology, genetics, pathophysiology, epidemiology, and controlled trials.