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Nutrients 2018, 10(2), 158; doi:10.3390/nu10020158

Dietary Patterns Associated with Lower 10-Year Atherosclerotic Cardiovascular Disease Risk among Urban African-American and White Adults Consuming Western Diets

Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE 19716, USA
College of Health Sciences, STAR, University of Delaware, Newark, DE 19716, USA
Laboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institute of Health, Baltimore, MD 21224, USA
Author to whom correspondence should be addressed.
Received: 30 November 2017 / Revised: 9 January 2018 / Accepted: 28 January 2018 / Published: 31 January 2018
(This article belongs to the Special Issue Dietary Patterns, Diet Quality and Human Health)
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The study’s objective was to determine whether variations in the 2013 American College of Cardiology/American Heart Association 10-year risk for atherosclerotic cardiovascular disease (ASCVD) were associated with differences in food consumption and diet quality. Findings from the baseline wave of Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study 2004–2009, revealed participants consumed a Western diet. Diet quality measures, specifically the Healthy Eating Index (HEI)-2010, Dietary Approaches to Stop Hypertension (DASH) diet and the Mean Adequacy Ratio (MAR), based on two 24-h recalls collected during follow-up HANDLS studies from 2009–2013, were used. Reported foods were assigned to 27 groups. In this cross-sectional analysis, the participants (n = 2140) were categorized into tertiles based on their 10-year ASCVD risk. Lower and upper tertiles were used to determine significantly different consumption rates among the food groups. Ten groups were used in hierarchical case clustering to generate four dietary patterns (DPs) based on group energy contribution. The DP with the highest HEI-2010 score included sandwiches along with vegetables and cheese/yogurt. This DP, along with the pizza/sandwiches DP, had significantly higher DASH and MAR scores and a lower 10-year ASCVD risk, compared to the remaining two DPs–meats/sandwiches and sandwiches/bakery products; thus, Western dietary patterns were associated with different levels of ASCVD 10-year risk. View Full-Text
Keywords: diet; dietary patterns; diet quality; cardiovascular disease risk diet; dietary patterns; diet quality; cardiovascular disease risk

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Fanelli Kuczmarski, M.; Bodt, B.A.; Stave Shupe, E.; Zonderman, A.B.; Evans, M.K. Dietary Patterns Associated with Lower 10-Year Atherosclerotic Cardiovascular Disease Risk among Urban African-American and White Adults Consuming Western Diets. Nutrients 2018, 10, 158.

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