Changes in Diet Quality Scores and Risk of Cardiovascular Disease Among US Men and Women

Adherence to several diet quality scores, including the Alternative Healthy Eating Index, Alternative Mediterranean Diet score, and Dietary Approach to Stop Hypertension, has been associated with lower risk of cardiovascular disease (CVD), but little is known about how changes in these scores over t...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2015-12, Vol.132 (23), p.2212-2219
Main Authors: Sotos-Prieto, Mercedes, Bhupathiraju, Shilpa N, Mattei, Josiemer, Fung, Teresa T, Li, Yanping, Pan, An, Willett, Walter C, Rimm, Eric B, Hu, Frank B
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Diet, Mediterranean
Feeding Behavior - physiology
Female
Follow-Up Studies
Health Personnel - trends
Humans
Male
Middle Aged
Prospective Studies
Risk Factors
United States - epidemiology
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Summary:Adherence to several diet quality scores, including the Alternative Healthy Eating Index, Alternative Mediterranean Diet score, and Dietary Approach to Stop Hypertension, has been associated with lower risk of cardiovascular disease (CVD), but little is known about how changes in these scores over time influence subsequent CVD risk. We analyzed the association between 4-year changes in the 3 diet quality scores (Alternative Healthy Eating Index, Alternative Mediterranean Diet score, and Dietary Approach to Stop Hypertension) and subsequent cardiovascular disease (CVD) risk among 29 343 men in the Health Professionals Follow-up Study and 51 195 women in the Nurses' Health Study (1986-2010). During 1 394 702 person-years of follow-up, we documented 11 793 CVD cases. Compared with participants whose diet quality remained relatively stable in each 4-year period, those with the greatest improvement in diet quality scores had a 7% to 8% lower CVD risk in the subsequent 4-year period (pooled hazard ratio, 0.92 [95% confidence interval (CI), 0.87-0.99] for the Alternative Healthy Eating Index; 0.93 [95% CI, 0.85-1.02] for the Alternative Mediterranean Diet score; and 0.93 [95% CI, 0.87-0.99] for the Dietary Approach to Stop Hypertension; all P for trend
ISSN:0009-7322
1524-4539
DOI:10.1161/circulationaha.115.017158