80个国家的饮食,心血管疾病和死亡率
Andrew Mente1,2, Mahshid Dehghan1, Sumathy Rangarajan1
1Population Health Research Institute, Hamilton Health Sciences and McMaster University, 2nd Floor, Room C2-105, 237 Barton St East, Hamilton, Ontario L8L 2X2, Canada.
European heart journal
|July 6, 2023
概括
基于水果,蔬菜,坚果,豆类,鱼类和乳制品的新健康饮食评分与全球降低死亡率和心血管疾病有关. 这一分数在低收入国家尤其有利.
科学领域:
- 营养流行病学 营养流行病学
- 全球公共卫生全球公共卫生
- 心血管疾病的研究研究.
背景情况:
- 开发一种普遍适用的健康饮食评分对于全球健康研究至关重要.
- 以前的饮食评估工具在全球适用性和与健康结果相关性方面存在局限性.
研究的目的:
- 使用前城市农村流行病学 (PURE) 研究数据开发和验证健康饮食评分.
- 评估该得分与全球不同人口的死亡率和心血管事件的关联.
主要方法:
- 根据六个食物组的消费量创建了一个健康饮食得分:水果,蔬菜,坚果,豆类,鱼和乳制品.
- 该分数的预测有效性在PURE研究 (147,642名参与者) 和五项独立研究 (245,000名参与者在80个国家) 中进行了测试.
- 结果包括全因死亡率和主要心血管事件 (心血管疾病,心肌梗塞,中风).
主要成果:
- 在PURE研究中,较高的健康饮食得分 (≥5分) 与较低的得分 (≤1分) 相比,与死亡率 (HR 0.70) 和心血管疾病 (HR 0.82) 的风险显著降低有关.
- 在独立研究中观察到一致的关联,包括血管患者和病例对照研究.
- 在低收入地区,健康饮食得分与减少死亡或心血管疾病的相关性更强.
结论:
- 富含水果,蔬菜,坚果,豆类,鱼类和全脂乳制品的饮食与全世界心血管疾病和死亡率的减少有关.
- 开发的健康饮食评分在全球范围内适用,在低收入国家尤其具有影响力.
- 这一分数为旨在改善饮食习惯和减少全球非传染性疾病负担的公共卫生倡议提供了宝贵的工具.
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