Dietary patterns, food groups, and incidence of aortic valve stenosis: A prospective cohort study

Larsson, Susanna C.; Wolk, Alicja; Bäck, Magnus

doi:10.1016/j.ijcard.2018.11.007

Cited by 9 publications

(4 citation statements)

References 47 publications

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“…However, the lack of association found in this study is supported by a prospective population-based cohort of 401 women where no observation was found between fiber intake and aortic calcification or carotid plaque, which have been shown to be associated with risk of incident aortic stenosis [24e26]. Further, Larsson et al found no association between incident aortic stenosis and dietary patterns high in fruit, vegetables and whole grains, in a large Swedish population-based cohort with 74,401 participants [27].…”

Section: Discussionsupporting

confidence: 53%

Association between dietary fiber intake and risk of incident aortic stenosis

Janzi

Dias

Martinsson

et al. 2020

Nutrition, Metabolism and Cardiovascular Diseases

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Background and aims: Although aortic stenosis is the most common valvular heart disease requiring intervention in Europe, the role that diet plays in development of the disease is largely unknown. The pathophysiology of aortic stenosis is however similar to other cardiovascular diseases that fiber intake has been associated with. The aim of this study was consequently to investigate the association between dietary fiber intake as well as the main food sources of fiber, i.e. fruit and vegetables and whole grains, and risk of incident aortic stenosis. Methods and results: The Malmö Diet and Cancer Study is a Swedish prospective populationbased cohort study with baseline data collection performed between year 1991e1996. Dietary habits were recorded through seven-day food diaries, 168-item diet questionnaires, and interviews, and data on incident aortic stenosis was collected through national registers. Among the 26,063 participants, 672 cases were ascertained during a mean follow-up period of 20 years. Cox regression was used to estimate the association between dietary intakes and incident aortic stenosis. No associations were found between incident aortic stenosis and intake of dietary fiber (HR for the highest vs lowest quintile: 0.93; 95% CI: 0.72e1.24), fruit and vegetables (HR: 0.98; 95% CI: 0.76e1.28), or whole grains (HR: 1.00; 95% CI: 0.79e1.26) in the main model. Conclusion: The findings of this study do not indicate that consumption of dietary fiber or fiber rich foods are associated with incident aortic stenosis.

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Section: Discussionsupporting

confidence: 53%

Association between dietary fiber intake and risk of incident aortic stenosis

Janzi

Dias

Martinsson

et al. 2020

Nutrition, Metabolism and Cardiovascular Diseases

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“…This tendency might be due to the different etiologies of the studied diseases, highlighting the importance of taking comorbidity into consideration. For example, aortic stenosis has previously not been associated with dietary factors otherwise strongly associated with many cardiovascular diseases, such as dietary fiber intake or dietary patterns recommended for CVD prevention (33).…”

Section: Discussionmentioning

confidence: 99%

Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study

et al. 2020

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Aims: Although diet is one of the main modifiable risk factors of cardiovascular disease, few studies have investigated the association between added sugar intake and cardiovascular disease risk. This study aims to investigate the associations between intake of total added sugar, different sugar-sweetened foods and beverages, and the risks of stroke, coronary events, atrial fibrillation and aortic stenosis.Methods: The study population consists of 25,877 individuals from the Malmö Diet and Cancer Study, a Swedish population-based prospective cohort. Dietary data were collected using a modified diet history method. National registers were used for outcome ascertainment.Results: During the mean follow-up of 19.5 years, there were 2,580 stroke cases, 2,840 coronary events, 4,241 atrial fibrillation cases, and 669 aortic stenosis cases. Added sugar intakes above 20 energy percentage were associated with increased risk of coronary events compared to the lowest intake category (HR: 1.39; 95% CI: 1.09–1.78), and increased stroke risk compared to intakes between 7.5 and 10 energy percentage (HR: 1.31; 95% CI: 1.03 and 1.66). Subjects in the lowest intake group for added sugar had the highest risk of atrial fibrillation and aortic stenosis. More than 8 servings/week of sugar-sweetened beverages were associated with increased stroke risk, while ≤2 servings/week of treats were associated with the highest risks of stroke, coronary events and atrial fibrillation.Conclusion: The results indicate that the associations between different added sugar sources and cardiovascular diseases vary. These findings emphasize the complexity of the studied associations and the importance of considering different added sugar sources when investigating health outcomes.

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“…Forty‐two studies 25,27–67 reported cardiovascular disease incidence as a relative risk (95% CI) comparing the highest versus lowest diet quality and were included in a meta‐analysis. The characteristics of these studies are described in Table S13.…”

Section: Resultsmentioning

confidence: 99%

Diet quality and cardiovascular outcomes: A systematic review and meta‐analysis of cohort studies

Taylor,

Haslam,

Herbert

et al. 2023

Nutrition & Dietetics

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AimsTo evaluate relationships between diet quality and cardiovascular outcomes.MethodsSix databases were searched for studies published between January 2007 and October 2021. Eligible studies included cohort studies that assessed the relationship between a priori diet quality and cardiovascular disease mortality and morbidity in adults. The Academy of Nutrition and Dietetics Checklist was used to assess the risk of bias. Study characteristics and outcomes were extracted from eligible studies using standardised processes. Data were summarised using risk ratios for cardiovascular disease incidence and mortality with difference compared for highest versus lowest diet quality synthesised in meta‐analyses using a random effects model.ResultsOf the 4780 studies identified, 159 studies (n = 6 272 676 adults) were included. Meta‐analyses identified a significantly lower cardiovascular disease incidence (n = 42 studies, relative risk 0.83, 95% CI 0.82–0.84, p < 0.001) and mortality risk (n = 49 studies, relative risk 0.83, 95% CI 0.82–0.84, p < 0.001) among those with highest versus lowest diet quality. In sensitivity analyses of a high number of pooled studies (≥13 studies) the Mediterranean style diet patterns and adherence to the heart healthy diet guidelines were significantly associated with a risk reduction of 15% and 14% for cardiovascular disease incidence and 17% and 20% for cardiovascular disease mortality respectively (p < 0.05).ConclusionsHigher diet quality is associated with lower incidence and risk of mortality for cardiovascular disease however, significant study heterogeneity was identified for these relationships.

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Dietary patterns, food groups, and incidence of aortic valve stenosis: A prospective cohort study

Cited by 9 publications

References 47 publications

Association between dietary fiber intake and risk of incident aortic stenosis

Association between dietary fiber intake and risk of incident aortic stenosis

Associations Between Added Sugar Intake and Risk of Four Different Cardiovascular Diseases in a Swedish Population-Based Prospective Cohort Study

Diet quality and cardiovascular outcomes: A systematic review and meta‐analysis of cohort studies

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