Dietary patterns and cardiovascular disease in Australian adults: Findings from the 2011-12 Australian Health Survey |
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| Institution: | 1. School of Professional and Continuing Education, University of Hong Kong, Hong Kong, China;2. School of Life and Environmental Sciences and Charles Perkins Centre, University of Sydney, Sydney, Australia;3. School of Biological Sciences, Faculty of Science, University of Hong Kong, Hong Kong, China;1. EPIUnit - Instituto de Saúde Pública, Universidade do Porto [Institute of Public Health, University of Porto], Porto, Portugal;2. Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal;1. Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain;2. CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and PREDIMED Network (RD 06/0045), Instituto de Salud Carlos III (ISCIII) Spanish Government, Spain;3. Department of Nutrition and Food Sciences and Physiology, University of Navarra, Pamplona, Spain;4. Department of Preventive Medicine, University of Valencia, Valencia, Spain;5. Human Nutrition Department, IISPV, Universitat Rovira i Virgili, Reus, Spain;6. Institut d''Investigacions Biomediques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain;7. Unitat de Suport a la Recerca, División de Atención Primaria de Salud, Institut Català de la Salut e IDIAP-Jordi Gol, Barcelona, Spain;8. Departamento de Pediatría, Obstetricia, Ginecología y Medicina Preventiva, Universitat Autònoma de Barcelona, Barcelona, Spain;9. Department of Cardiology, University Hospital of Alava, Vitoria, Spain;10. Department of Preventive Medicine, University of Malaga, Malaga, Spain;11. Instituto de Investigación Sanitaria de Palma (IdISPa), Hospital Son Espases, Palma de Mallorca, Spain;12. Department of Family Medicine, Primary Care Division of Sevilla, San Pablo Health Center, Sevilla, Spain;13. Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain;14. Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain;15. Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain;p. Cardiovascular and Nutrition Research Group, Institut de Recerca Hospital del Mar-IMIM, Barcelona, Spain;q. CIBER Epidemiologia y Salud Pública (CIBERESP), Spain;r. Department of Fundamental Biology & Health Sciences, University of Balearic Islands, Spain;s. Department of Nutrition and Food Science, School of Pharmacy, XaRTA, INSA, University of Barcelona, Barcelona, Spain |
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| Abstract: | Background and aimsGreat discrepancies exist in results from studies examining the association between dietary patterns and cardiovascular disease (CVD) in different populations. The aim of this study is to examine the relationship between the Australian Dietary Guidelines (ADG) 2013, Mediterranean-DASH diet Intervention for Neurodegenerative Delay (MIND), Paleolithic and Okinawan dietary patterns and CVD respectively.Methods and resultsIn this cross-sectional secondary analysis of the 2011-12 Australian Health Survey, adults who self-reported physician-diagnosed CVD, completed two multiple-pass 24 h recalls and had no missing data on all confounders were analysed (weighted n = 5376; 295 CVD cases). Dietary intake was transformed to represent usual intake by the multiple source method. The score of Healthy Eating Index for Australian Adults (HEIFA-2013) was adopted for ADG 2013, while the scores of MIND, Paleolithic and Okinawan dietary patterns were constructed by separating the intake of each predefined food and nutrient into quintiles. The associations between the dietary patterns (as tertiles of scores) and CVD were examined using binary logistic regression adjusted for significant cardiovascular risk factors. Higher adherence to the Okinawan diet pattern was significantly associated with a reduced prevalence of ischemic heart disease (IHD) (OR per unit increase in dietary pattern score: 0.94, 95%CI: 0.90–0.98). Comparing its extreme tertiles, the OR was 0.49 (95%CI: 0.29–0.82; ptrend < 0.01). The associations between HEIFA-2013, MIND and Paleolithic diet patterns and CVD were insignificant.ConclusionThe findings suggested an inverse association between adherence to Okinawan dietary pattern and prevalence of IHD in Australian adults. |
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| Keywords: | Cardiovascular disease Dietary pattern Healthy diet MIND diet Paleolithic diet Okinawan diet Australian healthy survey Australian |
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