TY - JOUR
T1 - Adherence to the Danish food-based dietary guidelines and risk of myocardial infarction
T2 - A cohort study
AU - Hansen, Camilla Plambeck
AU - Overvad, Kim
AU - Tetens, Inge
AU - Tjønneland, Anne
AU - Parner, Erik Thorlund
AU - Jakobsen, Marianne Uhre
AU - Dahm, Christina Catherine
N1 - CURIS 2018 NEXS 027
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Objective A direct way to evaluate food-based dietary guidelines is to assess if adherence is associated with development of non-communicable diseases. Thus, the objective was to develop an index to assess adherence to the 2013 Danish food-based dietary guidelines and to investigate the association between adherence to the index and risk of myocardial infarction (MI).Design Population-based cohort study with recruitment of participants in 1993-1997. Information on dietary intake was collected at baseline using an FFQ and an index ranging from 0 to 6 points was created to assess adherence to the 2013 Danish food-based dietary guidelines. MI cases were identified by record linkage to the Danish National Patient Register and the Causes of Death Register. Cox proportional hazards models were used to estimate hazard ratios (HR) of MI.Setting Greater areas of Aarhus and Copenhagen, Denmark.Subjects Men and women aged 50-64 years (n 55 021) from the Diet, Cancer and Health study.Results A total of 3046 participants were diagnosed with first-time MI during a median follow-up of 16·9 years. A higher Danish Dietary Guidelines Index score was associated with a lower risk of MI. After adjustment for potential confounders, the hazard of MI was 13 % lower among men with a score of 3-<4 (HR=0·87; 95 % CI 0·78, 0·96) compared with men with a score of <3. The corresponding HR among women was 0·76 (95 % CI 0·63, 0·93).Conclusions Adherence to the 2013 Danish food-based dietary guidelines was inversely associated with risk of MI.
AB - Objective A direct way to evaluate food-based dietary guidelines is to assess if adherence is associated with development of non-communicable diseases. Thus, the objective was to develop an index to assess adherence to the 2013 Danish food-based dietary guidelines and to investigate the association between adherence to the index and risk of myocardial infarction (MI).Design Population-based cohort study with recruitment of participants in 1993-1997. Information on dietary intake was collected at baseline using an FFQ and an index ranging from 0 to 6 points was created to assess adherence to the 2013 Danish food-based dietary guidelines. MI cases were identified by record linkage to the Danish National Patient Register and the Causes of Death Register. Cox proportional hazards models were used to estimate hazard ratios (HR) of MI.Setting Greater areas of Aarhus and Copenhagen, Denmark.Subjects Men and women aged 50-64 years (n 55 021) from the Diet, Cancer and Health study.Results A total of 3046 participants were diagnosed with first-time MI during a median follow-up of 16·9 years. A higher Danish Dietary Guidelines Index score was associated with a lower risk of MI. After adjustment for potential confounders, the hazard of MI was 13 % lower among men with a score of 3-<4 (HR=0·87; 95 % CI 0·78, 0·96) compared with men with a score of <3. The corresponding HR among women was 0·76 (95 % CI 0·63, 0·93).Conclusions Adherence to the 2013 Danish food-based dietary guidelines was inversely associated with risk of MI.
KW - Myocardial infarction
KW - Food-based dietary guidelines
KW - Diet index
KW - Diet quality
KW - Cohort
U2 - 10.1017/s1368980017003822
DO - 10.1017/s1368980017003822
M3 - Journal article
C2 - 29331164
SN - 1368-9800
VL - 21
SP - 1286
EP - 1296
JO - Public Health Nutrition
JF - Public Health Nutrition
IS - 7
ER -
