Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women
Background Primary prevention of cardiovascular disease (CVD) focuses on treatment of risk factors, including hypercholesterolemia, hypertension, and type 2 diabetes mellitus. We investigated whether a healthy diet in adolescence prevents development of clinical risk factors or incidence of CVD in a...
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Wiley
2016-12-01
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| श्रृंखला: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| विषय: | |
| ऑनलाइन पहुंच: | https://www.ahajournals.org/doi/10.1161/JAHA.116.003583 |
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| _version_ | 1839639831279304704 |
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| author | Christina C. Dahm Andrea K. Chomistek Marianne Uhre Jakobsen Kenneth J. Mukamal A. Heather Eliassen Howard D. Sesso Kim Overvad Walter C. Willett Eric B. Rimm Stephanie E. Chiuve |
| author_facet | Christina C. Dahm Andrea K. Chomistek Marianne Uhre Jakobsen Kenneth J. Mukamal A. Heather Eliassen Howard D. Sesso Kim Overvad Walter C. Willett Eric B. Rimm Stephanie E. Chiuve |
| author_sort | Christina C. Dahm |
| collection | DOAJ |
| description | Background Primary prevention of cardiovascular disease (CVD) focuses on treatment of risk factors, including hypercholesterolemia, hypertension, and type 2 diabetes mellitus. We investigated whether a healthy diet in adolescence prevents development of clinical risk factors or incidence of CVD in adulthood. Methods and Results We examined the time to the first development of ≥1 clinical risk factor (hypercholesterolemia, hypertension, or type 2 diabetes mellitus) or CVD in relation to a high school Alternative Healthy Eating Index (HS‐AHEI) within the Nurses’ Health Study II. Among those who completed a food frequency questionnaire about their high school diet and adult diet (mean age 42 years), 27 406 women free of clinical risk factors and 42 112 women free of CVD in 1998 were followed to June 2011. Hazard ratios (HRs) and 95% CIs were adjusted for potential confounders in high school and adulthood. We documented 11 542 first diagnoses of clinical risk factors and 423 CVD events. The HS‐AHEI was associated with a lower rate of risk factors (HR highest versus lowest quintiles 0.82; 95% CI, 0.77–0.87 [P trend <0.001]), was inversely associated with risk of developing ≥1 clinical risk factor in women with a low, medium, and high AHEI score during adulthood (HR high HS‐AHEI/high adult AHEI versus low/low 0.79 [95% CI, 0.74–0.85]), but was not statistically significantly associated with incident CVD. Conclusions A healthy diet during adolescence is associated with lower risk of developing CVD risk factors. As diet tracks throughout life, and adult diet prevents CVD, healthy dietary habits that begin early are important for primordial prevention of CVD. |
| format | Article |
| id | doaj-art-65eefd4685b4428e9ea0e4c68ede9e64 |
| institution | Matheson Library |
| issn | 2047-9980 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-65eefd4685b4428e9ea0e4c68ede9e642025-07-04T05:15:13ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802016-12-0151210.1161/JAHA.116.003583Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged WomenChristina C. Dahm0Andrea K. Chomistek1Marianne Uhre Jakobsen2Kenneth J. Mukamal3A. Heather Eliassen4Howard D. Sesso5Kim Overvad6Walter C. Willett7Eric B. Rimm8Stephanie E. Chiuve9Section for Epidemiology Department of Public Health Aarhus University Aarhus DenmarkDepartment of Epidemiology and Biostatistics School of Public Health Indiana University Bloomington INSection for Epidemiology Department of Public Health Aarhus University Aarhus DenmarkDepartment of Medicine Beth Israel Deaconess Medical Center Boston MADepartment of Epidemiology Harvard T.H. Chan School of Public Health Boston MADepartment of Epidemiology Harvard T.H. Chan School of Public Health Boston MASection for Epidemiology Department of Public Health Aarhus University Aarhus DenmarkDepartment of Nutrition Harvard T.H. Chan School of Public Health Boston MADepartment of Nutrition Harvard T.H. Chan School of Public Health Boston MADepartment of Nutrition Harvard T.H. Chan School of Public Health Boston MABackground Primary prevention of cardiovascular disease (CVD) focuses on treatment of risk factors, including hypercholesterolemia, hypertension, and type 2 diabetes mellitus. We investigated whether a healthy diet in adolescence prevents development of clinical risk factors or incidence of CVD in adulthood. Methods and Results We examined the time to the first development of ≥1 clinical risk factor (hypercholesterolemia, hypertension, or type 2 diabetes mellitus) or CVD in relation to a high school Alternative Healthy Eating Index (HS‐AHEI) within the Nurses’ Health Study II. Among those who completed a food frequency questionnaire about their high school diet and adult diet (mean age 42 years), 27 406 women free of clinical risk factors and 42 112 women free of CVD in 1998 were followed to June 2011. Hazard ratios (HRs) and 95% CIs were adjusted for potential confounders in high school and adulthood. We documented 11 542 first diagnoses of clinical risk factors and 423 CVD events. The HS‐AHEI was associated with a lower rate of risk factors (HR highest versus lowest quintiles 0.82; 95% CI, 0.77–0.87 [P trend <0.001]), was inversely associated with risk of developing ≥1 clinical risk factor in women with a low, medium, and high AHEI score during adulthood (HR high HS‐AHEI/high adult AHEI versus low/low 0.79 [95% CI, 0.74–0.85]), but was not statistically significantly associated with incident CVD. Conclusions A healthy diet during adolescence is associated with lower risk of developing CVD risk factors. As diet tracks throughout life, and adult diet prevents CVD, healthy dietary habits that begin early are important for primordial prevention of CVD.https://www.ahajournals.org/doi/10.1161/JAHA.116.003583dietpreventionrisk factor |
| spellingShingle | Christina C. Dahm Andrea K. Chomistek Marianne Uhre Jakobsen Kenneth J. Mukamal A. Heather Eliassen Howard D. Sesso Kim Overvad Walter C. Willett Eric B. Rimm Stephanie E. Chiuve Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease diet prevention risk factor |
| title | Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women |
| title_full | Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women |
| title_fullStr | Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women |
| title_full_unstemmed | Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women |
| title_short | Adolescent Diet Quality and Cardiovascular Disease Risk Factors and Incident Cardiovascular Disease in Middle‐Aged Women |
| title_sort | adolescent diet quality and cardiovascular disease risk factors and incident cardiovascular disease in middle aged women |
| topic | diet prevention risk factor |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.116.003583 |
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