Adoption of American Heart Association 2020 Ideal Healthy Diet Recommendations Prevents Weight Gain in Young Adults

Forget, Geneviève; Doyon, Myriam; Lacerte, Guillaume; Labonté, Mélissa; Brown, Christine; Carpentier, André C.; Langlois, Marie‐France; Hivert, Marie‐France

doi:10.1016/j.jand.2013.06.346

Cited by 12 publications

(9 citation statements)

References 19 publications

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“…Diet quality was more problematic in this sample than physical activity. Our findings are similar to others (Forget et al, 2013;Kulshreshtha et al, 2013) who found a small percentage of participants with ideal LS7 healthy diet scores. Attaining an ideal dietary quality rating is difficult, but even small improvements in the dietary components can lower risk of stroke (Kulshreshtha et al, 2013).…”

Section: Discussionsupporting

confidence: 93%

Reducing Stroke Risk Among Young Adult African Americans: A Feasibility Study

Aycock

Clark

Hayat

2016

Research in Nursing & Health

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African Americans are disproportionately affected by stroke and its modifiable risk factors, and strategies are needed to help African Americans adopt healthy lifestyles early in life. The purpose of this study was to assess the feasibility of the Stroke Counseling for Risk Reduction (SCORRE) intervention, a tailored, theory-based intervention consisting of a motivational video of young African American stroke survivors, the American Heart Association's Life's Simple 7® (LS7) risk assessment and education tool, and a 6-week behavioral risk reduction diary. Feasibility and changes in theoretical variables were evaluated over 6 weeks. In four months, 30 participants were enrolled and randomized and 29 (97%) completed the study. Participants averaged 23 years old, most were female university students, and they had an average of 2.1 out of 7 risk factors for stroke. Only 7% had missing items on questionnaires, and 17% had missing daily diary entries. Although statistical significance of differences was not assessed, both intervention and control groups had improvements in knowledge scores following the initial session, and larger improvements in accuracy of perceived stroke risk and in health behaviors (physical activity and diet quality) were observed among participants receiving SCORRE. An exit survey indicated the majority of participants receiving SCORRE were motivated to achieve better health; enjoyed the video, LS7 and diary; and felt the program length was appropriate. Results suggest that SCORRE is feasible and acceptable, and with additional refinement and further testing has potential for reducing stroke risk among African Americans. © 2016 Wiley Periodicals, Inc.

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Section: Discussionsupporting

confidence: 93%

Reducing Stroke Risk Among Young Adult African Americans: A Feasibility Study

Aycock

Clark

Hayat

2016

Research in Nursing & Health

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“…Consistent with JHS data, sodium was the item least likely to be met in the Young Finns study (~4%) 25 or Spanish cohort (<10%) 31 . Other investigators have reported prevalences of ideal diet score from 0% to 5% 32,33 .…”

Section: Discussionmentioning

confidence: 94%

Prevalence and changes over time of ideal cardiovascular health metrics among African–Americans: The Jackson Heart Study

Djoussé

Petrone

Blackshear

et al. 2015

Preventive Medicine

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Objectives To assess the prevalence and changes over time of ideal Life’s Simple Seven (LSS) in African-Americans. Methods Prospective cohort of 5301 African-Americans from the Jackson Heart Study (JHS) from 2000 to 2013. Each of the LSS metrics was categorized as poor, intermediate, or ideal. Results Among men, the prevalence of having 0, 1, 2, 3, 4, 5, 6, and 7 ideal LSS was 3.3%, 23.0%, 33.5%, 24.7%, 11.6%, 3.6%, 0.3%, and 0%, respectively. Corresponding values for women were 1.7%, 26.3%, 33.1%, 22.8%, 11.9%, 3.7%, 0.6%, and 0%. Prevalence of ideal diet was 0.9%. The proportions of those meeting LSS ideal recommendations for cholesterol and fasting glucose declined from the first through third JHS visits across all age groups, whereas prevalence of ideal BMI declined only in participants <40 years at a given visit. Prevalence of ideal blood pressure did not change over time and being ideal on physical activity improved from the first [18.3% (95% CI: 17.3% to 19.3%)] to third visit [24.8% (95% CI: 23.3% to 26.3%)]. Conclusions Our data show a low prevalence of ideal LSS (especially diet, physical activity, and obesity) in the JHS and a slight improvement in adherence to physical activity recommendations over time.

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“…CAD indicates coronary artery disease; DASH, dietary approach to stop hypertension. Median DASH score (IQR) 15 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16) 18 (17)(18)(19) 21 (20)(21)(22) 24 (23)(24)(25) 28 (26)(27)(28)(29)(30)(31)(32)(33)(34)(35) Age 24 Furthermore, a more-recent meta-analysis of 11 prospective studies reported similar effect size for the incidence of cardiovascular disease or cardiovascular mortality (pooled relative risk=0.80 [95% CI, 0.78-0.85]) with limited heterogeneity (I 2 =30%). 25 Not all studies have reported inverse relation between DASH diet and incidence of CAD.…”

Section: Discussionmentioning

confidence: 97%

DASH Score and Subsequent Risk of Coronary Artery Disease: The Findings From Million Veteran Program

Djoussé

Nguyen

et al. 2018

JAHA

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BackgroundWhile adherence to healthful dietary patterns has been associated with a lower risk of coronary artery disease (CAD) in the general population, limited data are available among US veterans. We tested the hypothesis that adherence to Dietary Approach to Stop Hypertension (DASH) food pattern is associated with a lower risk of developing CAD among veterans.Methods and ResultsWe analyzed data on 153 802 participants of the Million Veteran Program enrolled between 2011 and 2016. Information on dietary habits was obtained using a food frequency questionnaire at enrollment. We used electronic health records to assess the development of CAD during follow‐up. Of the 153 802 veterans who provided information on diet and were free of CAD at baseline, the mean age was 64.0 (SD=11.8) years and 90.4% were men. During a mean follow‐up of 2.8 years, 5451 CAD cases occurred. The crude incidence rate of CAD was 14.0, 13.1, 12.6, 12.3, and 11.1 cases per 1000 person‐years across consecutive quintiles of Dietary Approach to Stop Hypertension score. Hazard ratios (95% confidence interval) for CAD were 1.0 (ref), 0.91 (0.84–0.99), 0.87 (0.80–0.95), 0.86 (0.79–0.94), and 0.80 (0.73–0.87) from the lowest to highest quintile of Dietary Approach to Stop Hypertension score controlling for age, sex, body mass index, race, smoking, exercise, alcohol intake, and statin use (P linear trend, <0.0001).ConclusionsOur data are consistent with an inverse association between Dietary Approach to Stop Hypertension diet score and incidence of CAD among US veterans.

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Adoption of American Heart Association 2020 Ideal Healthy Diet Recommendations Prevents Weight Gain in Young Adults

Cited by 12 publications

References 19 publications

Reducing Stroke Risk Among Young Adult African Americans: A Feasibility Study

Reducing Stroke Risk Among Young Adult African Americans: A Feasibility Study

Prevalence and changes over time of ideal cardiovascular health metrics among African–Americans: The Jackson Heart Study

DASH Score and Subsequent Risk of Coronary Artery Disease: The Findings From Million Veteran Program

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