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Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)

BACKGROUND: We examined whether the risk of incident atrial fibrillation (AF) in a large, biracial, prospective cohort is lower in participants who adhere to heart-healthy dietary patterns and higher in participants who adhere to less heart-healthy diets. METHODS: Between 2003 and 2007, the REasons...

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Autores principales: Garg, Parveen K., Wilson, Nicole, Levitan, Emily B., Shikany, James M., Howard, Virginia J., Newby, P. K., Judd, Suzanne, Howard, George, Cushman, Mary, Soliman, Elsayed Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421757/
https://www.ncbi.nlm.nih.gov/pubmed/37119297
http://dx.doi.org/10.1007/s00394-023-03159-z
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author Garg, Parveen K.
Wilson, Nicole
Levitan, Emily B.
Shikany, James M.
Howard, Virginia J.
Newby, P. K.
Judd, Suzanne
Howard, George
Cushman, Mary
Soliman, Elsayed Z.
author_facet Garg, Parveen K.
Wilson, Nicole
Levitan, Emily B.
Shikany, James M.
Howard, Virginia J.
Newby, P. K.
Judd, Suzanne
Howard, George
Cushman, Mary
Soliman, Elsayed Z.
author_sort Garg, Parveen K.
collection PubMed
description BACKGROUND: We examined whether the risk of incident atrial fibrillation (AF) in a large, biracial, prospective cohort is lower in participants who adhere to heart-healthy dietary patterns and higher in participants who adhere to less heart-healthy diets. METHODS: Between 2003 and 2007, the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study enrolled 30,239 Black and White Americans aged 45 years or older. Dietary patterns (convenience, plant-based, sweets, Southern, and alcohol and salads) and the Mediterranean diet score (MDS) were derived based on food frequency questionnaire data. The primary outcome was incident AF at the follow-up visit 2013–2016, defined by either electrocardiogram or self-reported medical history of a physician diagnosis. RESULTS: This study included 8977 participants (mean age 63 ± 8.3 years; 56% women; 30% Black) free of AF at baseline who completed the follow-up exam an average of 9.4 years later. A total of 782 incident AF cases were detected. In multivariable logistic regression analyses, neither the MDS score (odds ratio (OR) per SD increment = 1.03; 95% confidence interval (CI) 0.95–1.11) or the plant-based dietary pattern (OR per SD increment = 1.03; 95% CI 0.94–1.12) were associated with AF risk. Additionally, an increased AF risk was not associated with any of the less-healthy dietary patterns. CONCLUSIONS: While specific dietary patterns have been associated with AF risk factors, our findings fail to show an association between diet patterns and AF development. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00394-023-03159-z.
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spelling pubmed-104217572023-08-13 Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS) Garg, Parveen K. Wilson, Nicole Levitan, Emily B. Shikany, James M. Howard, Virginia J. Newby, P. K. Judd, Suzanne Howard, George Cushman, Mary Soliman, Elsayed Z. Eur J Nutr Original Contribution BACKGROUND: We examined whether the risk of incident atrial fibrillation (AF) in a large, biracial, prospective cohort is lower in participants who adhere to heart-healthy dietary patterns and higher in participants who adhere to less heart-healthy diets. METHODS: Between 2003 and 2007, the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study enrolled 30,239 Black and White Americans aged 45 years or older. Dietary patterns (convenience, plant-based, sweets, Southern, and alcohol and salads) and the Mediterranean diet score (MDS) were derived based on food frequency questionnaire data. The primary outcome was incident AF at the follow-up visit 2013–2016, defined by either electrocardiogram or self-reported medical history of a physician diagnosis. RESULTS: This study included 8977 participants (mean age 63 ± 8.3 years; 56% women; 30% Black) free of AF at baseline who completed the follow-up exam an average of 9.4 years later. A total of 782 incident AF cases were detected. In multivariable logistic regression analyses, neither the MDS score (odds ratio (OR) per SD increment = 1.03; 95% confidence interval (CI) 0.95–1.11) or the plant-based dietary pattern (OR per SD increment = 1.03; 95% CI 0.94–1.12) were associated with AF risk. Additionally, an increased AF risk was not associated with any of the less-healthy dietary patterns. CONCLUSIONS: While specific dietary patterns have been associated with AF risk factors, our findings fail to show an association between diet patterns and AF development. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00394-023-03159-z. Springer Berlin Heidelberg 2023-04-29 2023 /pmc/articles/PMC10421757/ /pubmed/37119297 http://dx.doi.org/10.1007/s00394-023-03159-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Contribution
Garg, Parveen K.
Wilson, Nicole
Levitan, Emily B.
Shikany, James M.
Howard, Virginia J.
Newby, P. K.
Judd, Suzanne
Howard, George
Cushman, Mary
Soliman, Elsayed Z.
Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)
title Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)
title_full Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)
title_fullStr Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)
title_full_unstemmed Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)
title_short Associations of dietary patterns with risk of incident atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS)
title_sort associations of dietary patterns with risk of incident atrial fibrillation in the reasons for geographic and racial differences in stroke (regards)
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421757/
https://www.ncbi.nlm.nih.gov/pubmed/37119297
http://dx.doi.org/10.1007/s00394-023-03159-z
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