Advertisement

Relation of Consistency With the Dietary Approaches to Stop Hypertension Diet and Incidence of Heart Failure in Men Aged 45 to 79 Years

Published:September 28, 2009DOI:https://doi.org/10.1016/j.amjcard.2009.06.061
      The Dietary Approaches to Stop Hypertension (DASH) diet reduces blood pressure, and consistency with the DASH diet has been associated with lower rates of heart failure (HF) in women. We examined the association between consistency with the DASH diet and rates of HF hospitalization or mortality in 38,987 participants in the Cohort of Swedish Men aged 45 to 79 years. The diet was measured using food-frequency questionnaires, and scores were created to assess the consistency with DASH by ranking the intake of the DASH diet components. Cox models were used to calculate the rate ratios of HF (807 incident cases) determined through the Swedish in-patient and cause-of-death registers from January 1, 1998 to December 31, 2006. In multivariate-adjusted analyses, men in the greatest quartile of the DASH component score had a 22% lower rate of HF events than those in the lowest quartile (95% confidence interval 5% to 35%, p for trend = 0.006). In conclusion, greater consistency with the DASH diet was associated with lower rates HF events in men aged 45 to 79 years.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Schocken D.D.
        • Benjamin E.J.
        • Fonarow G.C.
        • Krumholz H.M.
        • Levy D.
        • Mensah G.A.
        • Narula J.
        • Shor E.S.
        • Young J.B.
        • Hong Y.
        Prevention of heart failure: a scientific statement from the American Heart Association Councils on Epidemiology and Prevention, Clinical Cardiology, Cardiovascular Nursing, and High Blood Pressure Research; Quality of Care and Outcomes Research Interdisciplinary Working Group; and Functional Genomics and Translational Biology Interdisciplinary Working Group.
        Circulation. 2008; 117: 2544-2565
        • Kozak L.J.
        • DeFrances C.J.
        • Hall M.J.
        Nation hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data.
        Vital Health Stat. 2006; 13: 1-209
        • Levitan E.B.
        • Wolk A.
        • Mittleman M.A.
        Consistency with the DASH diet and incidence of heart failure.
        Arch Intern Med. 2009; 169: 851-857
        • Folsom A.R.
        • Parker E.D.
        • Harnack L.J.
        Degree of concordance with DASH diet guidelines and incidence of hypertension and fatal cardiovascular disease.
        Am J Hypertens. 2007; 20: 225-232
        • Fung T.T.
        • Chiuve S.E.
        • McCullough M.L.
        • Rexrode K.M.
        • Logroscino G.
        • Hu F.B.
        Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women.
        Arch Intern Med. 2008; 168: 713-720
        • Parikh A.
        • Lipsitz S.R.
        • Natarajan S.
        Association between a DASH-like diet and mortality in adults with hypertension: findings from a population-based follow-up study.
        Am J Hypertens. 2009;
        • Larsson S.C.
        • Rutegard J.
        • Bergkvist L.
        • Wolk A.
        Physical activity, obesity, and risk of colon and rectal cancer in a cohort of Swedish men.
        Eur J Cancer. 2006; 42: 2590-2597
        • Pennington J.A.T.
        Bowes and Church's Food Values of Portions Commonly Used.
        15th ed. Harper & Row, New York1989
        • Bergström L.
        • Kylberg E.
        • Hagman U.
        • Erikson H.
        • Bruce Å.
        The food composition database Kost: the national administration's information system for nutritive values of food.
        Vår Föda. 1991; 43: 439-447
        • The Nation Board of Health and Welfare
        The Swedish Hospital Discharge Registry 1964–2003.
        Nation Board of Health and Welfare, Stockholm2005
        • Ingelsson E.
        • Arnlov J.
        • Sundstrom J.
        • Lind L.
        The validity of a diagnosis of heart failure in a hospital discharge register.
        Eur J Heart Fail. 2005; 7: 787-791
        • Schafer J.L.
        Analysis of Incomplete Multivariate Data.
        CRC Press, Boca Raton1997
        • Collett D.
        Modeling Survival Data in Medical Research.
        2nd ed. Chapman & Hall/CRC, Boca Raton2003
        • Dauchet L.
        • Kesse-Guyot E.
        • Czernichow S.
        • Bertrais S.
        • Estaquio C.
        • Peneau S.
        • Vergnaud A.C.
        • Chat-Yung S.
        • Castetbon K.
        • Deschamps V.
        • Brindel P.
        • Hercberg S.
        Dietary patterns and blood pressure change over 5-y follow-up in the Su.Vi.Max cohort.
        Am J Clin Nutr. 2007; 85: 1650-1656
        • Obarzanek E.
        • Vollmer W.M.
        • Lin P.H.
        • Cooper L.S.
        • Young D.R.
        • Ard J.D.
        • Stevens V.J.
        • Simons-Morton D.G.
        • Svetkey L.P.
        • Harsha D.W.
        • Elmer P.J.
        • Appel L.J.
        Effects of individual components of multiple behavior changes: the PREMIER trial.
        Am J Health Behav. 2007; 31: 545-560
        • Mellen P.B.
        • Gao S.K.
        • Vitolins M.Z.
        • Goff Jr, D.C.
        Deteriorating dietary habits among adults with hypertension: DASH dietary accordance, NHANES 1988–1994 and 1999–2004.
        Arch Intern Med. 2008; 168: 308-314
        • Appel L.J.
        • Moore T.J.
        • Obarzanek E.
        • Vollmer W.M.
        • Svetkey L.P.
        • Sacks F.M.
        • Bray G.A.
        • Vogt T.M.
        • Cutler J.A.
        • Windhauser M.M.
        • Lin P.H.
        • Karanja N.
        • DASH Collaborative Research Group
        A clinical trial of the effects of dietary patterns on blood pressure.
        N Engl J Med. 1997; 336: 1117-1124
        • Sacks F.M.
        • Svetkey L.P.
        • Vollmer W.M.
        • Appel L.J.
        • Bray G.A.
        • Harsha D.
        • Obarzanek E.
        • Conlin P.R.
        • Miller III, E.R.
        • Simons-Morton D.G.
        • Karanja N.
        • Lin P.H.
        • DASH-Sodium Collaborative Research Group
        Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet.
        N Engl J Med. 2001; 344: 3-10
        • Obarzanek E.
        • Sacks F.M.
        • Vollmer W.M.
        • Bray G.A.
        • Miller III, E.R.
        • Lin P.H.
        • Karanja N.M.
        • Most-Windhauser M.M.
        • Moore T.J.
        • Swain J.F.
        • Bales C.W.
        • Proschan M.A.
        Effects on blood lipids of a blood pressure-lowering diet: the Dietary Approaches to Stop Hypertension (DASH) trial.
        Am J Clin Nutr. 2001; 74: 80-89
        • Haider A.W.
        • Larson M.G.
        • Franklin S.S.
        • Levy D.
        Systolic blood pressure, diastolic blood pressure, and pulse pressure as predictors of risk for congestive heart failure in the Framingham Heart Study.
        Ann Intern Med. 2003; 138: 10-16
        • Konhilas J.P.
        • Leinwand L.A.
        The effects of biological sex and diet on the development of heart failure.
        Circulation. 2007; 116: 2747-2759
        • Most M.M.
        Estimated phytochemical content of the Dietary Approaches to Stop Hypertension (DASH) diet is higher than in the control study diet.
        J Am Diet Assoc. 2004; 104: 1725-1727
        • Lopes H.F.
        • Martin K.L.
        • Nashar K.
        • Morrow J.D.
        • Goodfriend T.L.
        • Egan B.M.
        DASH diet lowers blood pressure and lipid-induced oxidative stress in obesity.
        Hypertension. 2003; 41: 422-430
        • Chess D.J.
        • Stanley W.C.
        Role of diet and fuel overabundance in the development and progression of heart failure.
        Cardiovasc Res. 2008; 79: 269-278
        • McCullough P.A.
        • Philbin E.F.
        • Spertus J.A.
        • Kaatz S.
        • Sandberg K.R.
        • Weaver W.D.
        Confirmation of a heart failure epidemic: findings from the resource utilization among congestive heart failure (REACH) study.
        J Am Coll Cardiol. 2002; 39: 60-69
        • Larsson S.C.
        • Hakansson N.
        • Naslund I.
        • Bergkvist L.
        • Wolk A.
        Fruit and vegetable consumption in relation to pancreatic cancer risk: a prospective study.
        Cancer Epidemiol Biomarkers Prev. 2006; 15: 301-305
        • Larsson S.C.
        • Giovannucci E.
        • Bergkvist L.
        • Wolk A.
        Whole grain consumption and risk of colorectal cancer: a population-based cohort of 60,000 women.
        Br J Cancer. 2005; 92: 1803-1807
        • Larsson S.C.
        • Bergkvist L.
        • Wolk A.
        Milk and lactose intakes and ovarian cancer risk in the Swedish mammography cohort.
        Am J Clin Nutr. 2004; 80: 1353-1357
        • Larsson S.C.
        • Bergkvist L.
        • Wolk A.
        Consumption of sugar and sugar-sweetened foods and the risk of pancreatic cancer in a prospective study.
        Am J Clin Nutr. 2006; 84: 1171-1176