2018
DOI: 10.1161/jaha.117.008078
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Dietary Patterns and Mediterranean Diet Score and Hazard of Recurrent Coronary Heart Disease Events and All‐Cause Mortality in the REGARDS Study

Abstract: BackgroundPreviously, we reported on associations between dietary patterns and incident acute coronary heart disease (CHD) in the REGARDS (Reasons for Geographic and Racial Differences in Stroke) study. Here, we investigated the associations of dietary patterns and a dietary index with recurrent CHD events and all‐cause mortality in REGARDS participants with existing CHD.Methods and ResultsWe included data from 3562 participants with existing CHD in REGARDS. We used Cox proportional hazards regression to exami… Show more

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Cited by 32 publications
(35 citation statements)
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“…Regional differences in DPs revealed in this study indicate a significant determinism of eating habits depending on specific local living conditions and, possibly, eating traditions. Numerous studies in other countries, especially in geographically and ethnically heterogeneous ones, have also shown at times significant differences in the dietary structure of the population of different regions [33,44,73]. At the same time, the analysis of regional features in this study mostly reflects only the fact of their presence.…”
Section: Discussionmentioning
confidence: 64%
See 1 more Smart Citation
“…Regional differences in DPs revealed in this study indicate a significant determinism of eating habits depending on specific local living conditions and, possibly, eating traditions. Numerous studies in other countries, especially in geographically and ethnically heterogeneous ones, have also shown at times significant differences in the dietary structure of the population of different regions [33,44,73]. At the same time, the analysis of regional features in this study mostly reflects only the fact of their presence.…”
Section: Discussionmentioning
confidence: 64%
“…Taking into account food products included in specified DPs, the "Rational" and "Mixed" DPs seem to be the most favorable, especially the former. The "Rational" DP includes a fairly diverse set of healthy foods (cereals and pasta, fruit and vegetables, dairy products) which are part of many DPs that are a posteriori defined as "Healthy" in many countries [33,[42][43][44][45].…”
Section: Discussionmentioning
confidence: 99%
“…After adjustment for confounders, for each point of increase in the MED adherence score, there was an increase of 1.17 points in the mental component value (p < 0.01). It is well documented that MDP is potentially able to protect against numerous chronic disease including cardiovascular events [57,58] metabolic syndrome [59] and diabetes [60]. Also, from mental component summary point of view, MED could potentially decrease the risk of depression [61] cognitive decline and dementia [62,63].…”
Section: Table 4 Newcastle-ottawa Quality Assessment Scale (Nos) For mentioning
confidence: 99%
“…To associate the MedDiet adherence scenarios (step 1) with the reduction in CVD incidence, step 2 of this model employed data from five cohorts studies (21, 2629), reporting adjusted hazard ratios (HRs) or relative risks (RRs) with corresponding 95% confidence intervals (CIs) (Table 2). These studies estimated the CVD reduction that followed upward shifts in the MedDiet consumption levels, from lowest to medium and from medium to highest intakes.…”
Section: Methodsmentioning
confidence: 99%