Association Between Dietary Patterns and Carotid Intima-media Thickness: Cross-sectional Analysis of ELSA-Brasil Study

Overview

Journal Eur J Nutr

Specialty Nutritional Sciences

Date 2023 Feb 1

PMID 36725718

Authors

Leandro Teixeira Cacau

Jessica Levy

Mariane de Almeida Alves

Itamar de Souza Santos

Maria de Jesus Mendes Fonseca

Paulo Andrade Lotufo

Isabela Martins Bensenor

Dirce Maria Marchioni

Affiliations

Soon will be listed here.

Abstract

Purpose: We 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.

Methods: The 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.

Results: Three 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 (β 0.01; 95% CI 0.01: 0.02), while each increase in the prudent DP score was associated with decrease in the cIMT (β -0.01; -0.01; -0.01) in linear regression models.

Conclusions: Our 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.

Citing Articles

Adherence to a Healthy Diet and Risk of Multiple Carotid Atherosclerosis Subtypes: Insights from the China MJ Health Check-Up Cohort.

Fu J, Deng Y, Ma Y, Man S, Yang X, Yu C Nutrients. 2024; 16(14).

PMID: 39064782 PMC: 11280435. DOI: 10.3390/nu16142338.

References

Roth G, Mensah G, Johnson C, Addolorato G, Ammirati E, Baddour L . Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020; 76(25):2982-3021. PMC: 7755038. DOI: 10.1016/j.jacc.2020.11.010. View

Pignoli P, Tremoli E, Poli A, Oreste P, Paoletti R . Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging. Circulation. 1986; 74(6):1399-406. DOI: 10.1161/01.cir.74.6.1399. View

Bots M, Hoes A, Koudstaal P, Hofman A, Grobbee D . Common carotid intima-media thickness and risk of stroke and myocardial infarction: the Rotterdam Study. Circulation. 1997; 96(5):1432-7. DOI: 10.1161/01.cir.96.5.1432. View

Kanters S, Algra A, van Leeuwen M, Banga J . Reproducibility of in vivo carotid intima-media thickness measurements: a review. Stroke. 1997; 28(3):665-71. DOI: 10.1161/01.str.28.3.665. View

Nezu T, Hosomi N, Aoki S, Matsumoto M . Carotid Intima-Media Thickness for Atherosclerosis. J Atheroscler Thromb. 2015; 23(1):18-31. DOI: 10.5551/jat.31989. View

Stein J, Korcarz C, Hurst R, Lonn E, Kendall C, Mohler E . Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force. Endorsed by the Society for.... J Am Soc Echocardiogr. 2008; 21(2):93-111. DOI: 10.1016/j.echo.2007.11.011. View

Simon A, Megnien J, Chironi G . The value of carotid intima-media thickness for predicting cardiovascular risk. Arterioscler Thromb Vasc Biol. 2009; 30(2):182-5. DOI: 10.1161/ATVBAHA.109.196980. View

Lorenz M, Markus H, Bots M, Rosvall M, Sitzer M . Prediction of clinical cardiovascular events with carotid intima-media thickness: a systematic review and meta-analysis. Circulation. 2007; 115(4):459-67. DOI: 10.1161/CIRCULATIONAHA.106.628875. View

Jeng J, Sun Y, Lee J, Lin R, Chen C, Po H . The efficacy and safety of cilostazol in ischemic stroke patients with peripheral arterial disease (SPAD): protocol of a randomized, double-blind, placebo-controlled multicenter trial. Int J Stroke. 2014; 10(1):123-7. DOI: 10.1111/ijs.12384. View

10.

Yokoyama H, Katakami N, Yamasaki Y . Recent advances of intervention to inhibit progression of carotid intima-media thickness in patients with type 2 diabetes mellitus. Stroke. 2006; 37(9):2420-7. DOI: 10.1161/01.STR.0000236632.58323.cd. View

11.

Santos-Neto P, Sena-Santos E, Meireles D, Bittencourt M, Santos I, Bensenor I . Association of Carotid Plaques and Common Carotid Intima-media Thickness with Modifiable Cardiovascular Risk Factors. J Stroke Cerebrovasc Dis. 2021; 30(5):105671. DOI: 10.1016/j.jstrokecerebrovasdis.2021.105671. View

12.

Polak J, Pencina M, Meisner A, Pencina K, Brown L, Wolf P . Associations of carotid artery intima-media thickness (IMT) with risk factors and prevalent cardiovascular disease: comparison of mean common carotid artery IMT with maximum internal carotid artery IMT. J Ultrasound Med. 2010; 29(12):1759-68. PMC: 3186063. DOI: 10.7863/jum.2010.29.12.1759. View

13.

Wang H, Chen T, Jiang S, Liu Y, Tian J . Association of conventional risk factors for cardiovascular disease with IMT in middle-aged and elderly Chinese. Int J Cardiovasc Imaging. 2014; 30(4):759-68. DOI: 10.1007/s10554-014-0399-7. View

14.

Mozaffarian D, Wilson P, Kannel W . Beyond established and novel risk factors: lifestyle risk factors for cardiovascular disease. Circulation. 2008; 117(23):3031-8. DOI: 10.1161/CIRCULATIONAHA.107.738732. View

15.

Mente A, de Koning L, Shannon H, Anand S . A systematic review of the evidence supporting a causal link between dietary factors and coronary heart disease. Arch Intern Med. 2009; 169(7):659-69. DOI: 10.1001/archinternmed.2009.38. View

16.

Nettleton J, Schulze M, Jiang R, Jenny N, Burke G, Jacobs Jr D . A priori-defined dietary patterns and markers of cardiovascular disease risk in the Multi-Ethnic Study of Atherosclerosis (MESA). Am J Clin Nutr. 2008; 88(1):185-94. PMC: 2504029. DOI: 10.1093/ajcn/88.1.185. View

17.

Buil-Cosiales P, Irimia P, Ros E, Riverol M, Gilabert R, Martinez-Vila E . Dietary fibre intake is inversely associated with carotid intima-media thickness: a cross-sectional assessment in the PREDIMED study. Eur J Clin Nutr. 2009; 63(10):1213-9. DOI: 10.1038/ejcn.2009.45. View

18.

Yang S, Li X, Zhang W, Liu C, Zhang H, Lin J . Chinese lacto-vegetarian diet exerts favorable effects on metabolic parameters, intima-media thickness, and cardiovascular risks in healthy men. Nutr Clin Pract. 2012; 27(3):392-8. DOI: 10.1177/0884533611436173. View

19.

Yang S, Zhang H, Sun S, Wang L, Yan B, Liu C . Relationship of carotid intima-media thickness and duration of vegetarian diet in Chinese male vegetarians. Nutr Metab (Lond). 2011; 8(1):63. PMC: 3184257. DOI: 10.1186/1743-7075-8-63. View

20.

Gardener H, Wright C, Cabral D, Scarmeas N, Gu Y, Cheung K . Mediterranean diet and carotid atherosclerosis in the Northern Manhattan Study. Atherosclerosis. 2014; 234(2):303-10. PMC: 4370624. DOI: 10.1016/j.atherosclerosis.2014.03.011. View