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Major dietary patterns and carotid intima-media thickness in Bangladesh

  • Tyler R McClintock (a1) (a2), Faruque Parvez (a3), Fen Wu (a1), Tariqul Islam (a4), Alauddin Ahmed (a4), Rina Rani Paul (a4), Ishrat Shaheen (a4), Golam Sarwar (a4), Tatjana Rundek (a5), Ryan T Demmer (a6), Moise Desvarieux (a6) (a7) (a8), Habibul Ahsan (a9) and Yu Chen (a1)...

Abstract

Objective

Carotid intima-media thickness (IMT) is a validated surrogate marker of preclinical atherosclerosis and is predictive of cardiovascular morbidity and mortality. Research on the association between IMT and diet, however, is lacking, especially in low-income countries or low-BMI populations.

Design

Cross-sectional analysis. Dietary intakes were measured using a validated, thirty-nine-item FFQ at baseline cohort recruitment. IMT measurements were obtained from 2010–2011.

Setting

Rural Bangladesh.

Subjects

Participants (n 1149) randomly selected from the Health Effects of Arsenic Longitudinal Study, an ongoing, population-based, prospective cohort study established in 2000. Average age at IMT measurement was 45·5 years.

Results

Principal component analysis of reported food items yielded a ‘balanced’ diet, an ‘animal protein’ diet and a ‘gourd and root vegetable’ diet. We observed a positive association between the gourd/root vegetable diet and IMT, as each 1 sd increase in pattern adherence was related to a difference of 7·74 (95 % CI 2·86, 12·62) μm in IMT (P<0·01), controlling for age, sex, total energy intake, smoking status, BMI, systolic blood pressure and diabetes mellitus diagnoses. The balanced pattern was associated with lower IMT (−4·95 (95 % CI −9·78, −0·11) μm for each 1sd increase of adherence; P=0·045).

Conclusions

A gourd/root vegetable diet in this Bangladeshi population positively correlated with carotid IMT, while a balanced diet was associated with decreased IMT.

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Copyright

Corresponding author

* Corresponding authors: Email yu.chen@nyumc.org, habib@uchicago.edu

References

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