Restricted accessResearch articleFirst published online 2018-7
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.
Design:
Cross-sectional.
Setting:
National Health and Nutrition Examination Survey 2003 to 2006.
Participants:
A total of 2362 adults aged 40 to 79 years.
Measures:
The ASCVD was assessed via the pooled cohort equations, with the Healthy Eating Index calculated from self-reported dietary behavior.
Analysis:
Multivariable linear and logistic regression.
Results:
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).
Conclusion:
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.
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