Document Detail


Adherence index based on the AHA 2006 diet and lifestyle recommendations is associated with select cardiovascular disease risk factors in older Puerto Ricans.
MedLine Citation:
PMID:  21270369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 2006, the AHA released diet and lifestyle recommendations (AHA-DLR) for cardiovascular disease (CVD) risk reduction. The effect of adherence to these recommendations on CVD risk is unknown. Our objective was to develop a unique diet and lifestyle score based on the AHA-DLR and to evaluate this score in relation to available CVD risk factors. In a cross-sectional study of Puerto Rican adults aged 45-75 y living in the greater Boston area, information was available for the following variables: diet (semiquantitative FFQ), blood pressure, waist circumference (WC), 10-y risk of coronary heart disease (CHD) (Framingham risk score), and fasting plasma lipids, serum glucose, insulin, and C-reactive protein (CRP) concentrations. We developed a diet and lifestyle score (AHA-DLS) based on the AHA-DLR. The AHA-DLS had both internal consistency and content validity. It was associated with plasma HDL cholesterol (P = 0.001), serum insulin (P = 0.0003), and CRP concentrations (P = 0.02), WC (P < 0.0001), and 10-y risk of CHD score (P = 0.01 in women). The AHA-DLS was inversely associated with serum glucose among those with a BMI < 25 (P = 0.01). Women and men in the highest quartile of the AHA-DLS had lower serum insulin (P-trend = 0.0003) and CRP concentrations (P-trend = 0.002), WC (P-trend = 0.0003), and higher HDL cholesterol (P-trend = 0.008). The AHA-DLS is a useful tool to measure adherence to the AHA-DLR and may be used to examine associations between diet and lifestyle behaviors and CVD risk.
Authors:
Shilpa N Bhupathiraju; Alice H Lichtenstein; Bess Dawson-Hughes; Katherine L Tucker
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-01-26
Journal Detail:
Title:  The Journal of nutrition     Volume:  141     ISSN:  1541-6100     ISO Abbreviation:  J. Nutr.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-21     Completed Date:  2011-04-20     Revised Date:  2012-03-01    
Medline Journal Info:
Nlm Unique ID:  0404243     Medline TA:  J Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  460-9     Citation Subset:  IM    
Affiliation:
Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA.
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MeSH Terms
Descriptor/Qualifier:
Acculturation
Aged
American Heart Association
Boston / epidemiology
Cardiovascular Diseases / epidemiology*,  prevention & control
Cross-Sectional Studies
Diet / adverse effects*,  ethnology
Female
Guidelines as Topic
Health Promotion
Humans
Life Style / ethnology*
Longitudinal Studies
Male
Middle Aged
Motor Activity
Patient Compliance
Puerto Rico / ethnology
Risk
United States
Grant Support
ID/Acronym/Agency:
P01 AG023394/AG/NIA NIH HHS; P50 HL105185/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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