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Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study

We evaluated the associations among different types of plant-based diet indices, risk of dyslipidemia, and individual lipid disorders in Asian populations with different dietary patterns from Western populations. Participants included 4507 Korean adults aged ≥40 years without dyslipidemia and relate...

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Autores principales: Lee, Kyueun, Kim, Hyunju, Rebholz, Casey M., Kim, Jihye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828805/
https://www.ncbi.nlm.nih.gov/pubmed/33466664
http://dx.doi.org/10.3390/nu13010220
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author Lee, Kyueun
Kim, Hyunju
Rebholz, Casey M.
Kim, Jihye
author_facet Lee, Kyueun
Kim, Hyunju
Rebholz, Casey M.
Kim, Jihye
author_sort Lee, Kyueun
collection PubMed
description We evaluated the associations among different types of plant-based diet indices, risk of dyslipidemia, and individual lipid disorders in Asian populations with different dietary patterns from Western populations. Participants included 4507 Korean adults aged ≥40 years without dyslipidemia and related chronic diseases at baseline (2001–2002). Dietary intakes were assessed using an average of validated food frequency questionnaires measured twice. We calculated three plant-based diet indices: overall plant-based diet index (PDI), healthful plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI). During a follow-up of 14 years, 2995 incident dyslipidemia cases occurred. Comparing the highest with lowest quintiles, the multivariable-adjusted hazard ratios (HRs) for incident dyslipidemia were 0.78 (95% CI, 0.69–0.88) for PDI, 0.63 (95% CI, 0.56–0.70) for hPDI, and 1.48 (95% CI, 1.30–1.69) for uPDI (P-trend < 0.0001 for all). Associations between PDI and individual lipid disorders differed by sex. The PDI was inversely associated with risk of developing hypertriglyceridemia in men and with risk of developing low high-density lipoprotein cholesterol in women. The hPDI was inversely associated with risk of all lipid disorders, whereas the uPDI was positively associated with individual lipid disorders. The quality of plant foods is important for prevention of dyslipidemia in a population that consumes diets high in plant foods.
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spelling pubmed-78288052021-01-25 Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study Lee, Kyueun Kim, Hyunju Rebholz, Casey M. Kim, Jihye Nutrients Article We evaluated the associations among different types of plant-based diet indices, risk of dyslipidemia, and individual lipid disorders in Asian populations with different dietary patterns from Western populations. Participants included 4507 Korean adults aged ≥40 years without dyslipidemia and related chronic diseases at baseline (2001–2002). Dietary intakes were assessed using an average of validated food frequency questionnaires measured twice. We calculated three plant-based diet indices: overall plant-based diet index (PDI), healthful plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI). During a follow-up of 14 years, 2995 incident dyslipidemia cases occurred. Comparing the highest with lowest quintiles, the multivariable-adjusted hazard ratios (HRs) for incident dyslipidemia were 0.78 (95% CI, 0.69–0.88) for PDI, 0.63 (95% CI, 0.56–0.70) for hPDI, and 1.48 (95% CI, 1.30–1.69) for uPDI (P-trend < 0.0001 for all). Associations between PDI and individual lipid disorders differed by sex. The PDI was inversely associated with risk of developing hypertriglyceridemia in men and with risk of developing low high-density lipoprotein cholesterol in women. The hPDI was inversely associated with risk of all lipid disorders, whereas the uPDI was positively associated with individual lipid disorders. The quality of plant foods is important for prevention of dyslipidemia in a population that consumes diets high in plant foods. MDPI 2021-01-14 /pmc/articles/PMC7828805/ /pubmed/33466664 http://dx.doi.org/10.3390/nu13010220 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Kyueun
Kim, Hyunju
Rebholz, Casey M.
Kim, Jihye
Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study
title Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study
title_full Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study
title_fullStr Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study
title_full_unstemmed Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study
title_short Association between Different Types of Plant-Based Diets and Risk of Dyslipidemia: A Prospective Cohort Study
title_sort association between different types of plant-based diets and risk of dyslipidemia: a prospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828805/
https://www.ncbi.nlm.nih.gov/pubmed/33466664
http://dx.doi.org/10.3390/nu13010220
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