Association between dietary patterns and carotid intima-media thickness: cross-sectional analysis of ELSA-Brasil study

Author(s)

Cacau, Leandro Teixeira ; Levy, Jessica ; Alves, Mariane de Almeida ; Santos, Itamar de Souza ; Fonseca, Maria de Jesus Mendes ; Lotufo, Paulo Andrade ; Bensenor, Isabela Martins ; Marchioni, Dirce Maria

• Document type: Journal article
• Source: EUROPEAN JOURNAL OF NUTRITION; v. N/A, p. 11-pg., 2023-02-02.

Abstract

PurposeWe aimed to perform a cross-sectional evaluation of the association between dietary patterns and carotid intima-media thickness (cIMT), using baseline data from the Brazilian Longitudinal Study of Adult Health.MethodsThe participants with measurement of the cIMT were included (n = 9,624). cIMT was evaluated in a continuous way and categorized as < 75th and >= 75th and <= 0.9 mm and > 0.9 mm. Dietary patterns (DPs) were identified by principal component factor analysis. Linear and logistic regression models were used to evaluate the association between cIMT and DPs.ResultsThree DPs were derived. For each unit increase in the convenience DP score, the odds for cIMT >= 75th increased by 13% (OR 1.13; 95% CI 1.05: 1.22) and for cIMT > 0.9 mm increased by 14% (OR 1.14; 95% CI 1.07: 1.22) in the fully adjusted model. In contrast, each unit increase in the prudent DP score decreased by 8% the odds of having cIMT >= 75th (OR 0.92; 95% CI 0.86: 0.98) and by 11% of cIMT > 0.9 mm (OR 0.89; 95% CI 0.84: 0.95). Furthermore, each increase in the convenience DP score was associated with increase in the cIMT (beta 0.01; 95% CI 0.01: 0.02), while each increase in the prudent DP score was associated with decrease in the cIMT (beta -0.01; -0.01; -0.01) in linear regression models.ConclusionsOur results demonstrate that those individuals with adherence to the convenience dietary pattern are more likely to have high cIMT, while those with adherence to a prudent dietary pattern have lower odds for this characteristic. (AU)

• FAPESP's process: 11/12256-4 - Calcium score and coronary atherosclerosis in an adult cohort
• Grantee: Paulo Andrade Lotufo
• Support Opportunities: Regular Research Grants
• FAPESP's process: 18/08319-0 - Estimation of the error of energy intake measurement: validation of the Brazilian version of GloboDiet software
• Grantee: Jéssica Levy
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
• FAPESP's process: 19/13424-0 - Progression of subclinical Atherosclerosis markers and a priori eating patterns: an analysis to the longitudinal study in adult health (ELSA-Brazil)
• Grantee: Leandro Teixeira Cacau
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
• FAPESP's process: 19/13486-5 - Anthropometric trajectory and dietary patterns: analysis of the Longitudinal Study of Adult Health (ELSA-Brazil)
• Grantee: Mariane de Almeida Alves
• Support Opportunities: Scholarships in Brazil - Doctorate