Dietary Behavior and Predicted 10-Year Risk for a First Atherosclerotic Cardiovascular Disease Event Using the Pooled Cohort Risk Equations Among US Adults.
The pooled cohort equations were developed in 2013 by the American College of Cardiology/American Heart Association Task Force to predict an individual's 10-year risk of an atherosclerotic cardiovascular disease (ASCVD) event. The purpose of the present study was to evaluate how predicted 10-year ASCVD event risk varies as a function of daily dietary behavior.



Cross-sectional.



National Health and Nutrition Examination Survey 2003 to 2006.



A total of 2362 adults aged 40 to 79 years.



The ASCVD was assessed via the pooled cohort equations, with the Healthy Eating Index calculated from self-reported dietary behavior.



Multivariable linear and logistic regression.



Adults in the United States consuming a healthy diet (vs those not consuming a healthy diet) had an 88% increased odds of being at low risk for a future ASCVD event within the next 10 years (odds ratio [OR] = 1.88; 95% confidence interval [CI]: 1.35-2.68; P < .001). Similarly, those eating a healthy diet had a 44% reduced odds of being at high risk for a future ASCVD event within the next 10 years (OR = 0.56; 95% CI: 0.34-0.93; P = .02).



Among adults who were free of cardiovascular disease, those with a healthy diet had reduced odds of being at high risk for a 10-year ASCVD event.
1 Physical Activity Epidemiology Laboratory, Department of Health, Exercise Science and Recreation Management, School of Applied Sciences, The University of Mississippi, Oxford, MS, USA.
Meghan K
MK
Edwards
1 Physical Activity Epidemiology Laboratory, Department of Health, Exercise Science and Recreation Management, School of Applied Sciences, The University of Mississippi, Oxford, MS, USA.
Elizabeth
E
Crush
1 Physical Activity Epidemiology Laboratory, Department of Health, Exercise Science and Recreation Management, School of Applied Sciences, The University of Mississippi, Oxford, MS, USA.
Paul D
PD
Loprinzi
D000328:Adult; D000368:Aged; D050197:Atherosclerosis / Q000453:epidemiology*; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D000072001:Diet, Healthy / Q000706:statistics & numerical data* / Q000639:trends*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D018570:Risk Assessment / Q000706:statistics & numerical data* / Q000639:trends*; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
cardiovascular disease; diet; epidemiology