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Compliance with expert population-based dietary guidelines and lower odds of carotid atherosclerosis in women: the Framingham Nutrition Studies.

Publication ,  Journal Article
Millen, BE; Quatromoni, PA; Nam, B-H; Pencina, MJ; Polak, JF; Kimokoti, RW; Ordovas, JM; D'Agostino, RB
Published in: Am J Clin Nutr
July 2005

BACKGROUND: Carotid stenosis, an indicator of subclinical atherosclerosis, predicts future coronary artery disease (CAD) and stroke and provides a noninvasive method to identify candidates for primary prevention. The relation between diet and stenosis is relatively unexplored, particularly in women. OBJECTIVE: We evaluated in women the association between nutrient intakes that were consistent with expert population-based dietary guidelines and carotid stenosis. DESIGN: We used prospective logistic regression analyses to evaluate relations between baseline nutrient intake and the presence of carotid stenosis at 4-y follow-up in 1123 women from the Framingham Offspring-Spouse study, after control for multiple CAD risk factors. We also developed multivariate models that were stratified by compliance with expert population-based dietary guidelines and smoking status. RESULTS: Baseline nutrient and risk factor profiles differed by women's compliance and smoking status. Dietary noncompliance and smoking were each associated with odds for stenosis that were 2.5-fold those of dietary compliance and nonsmoking. Odds were highest for dietary noncompliance in combination with smoking (odds ratio: 3.49; 95% CI: 1.67, 7.27). CONCLUSIONS: Nutrient intake consistent with current expert population-based dietary guidelines and smoking abstinence are associated with lower odds of carotid atherosclerosis in women. Unique dietary and risk factor profiles of at-risk women suggest areas for targeted primary CAD prevention.

Duke Scholars

Published In

Am J Clin Nutr

DOI

ISSN

0002-9165

Publication Date

July 2005

Volume

82

Issue

1

Start / End Page

174 / 180

Location

United States

Related Subject Headings

  • Smoking
  • Risk Factors
  • Patient Compliance
  • Nutrition & Dietetics
  • Middle Aged
  • Humans
  • Guidelines as Topic
  • Female
  • Diet Surveys
  • Diet
 

Citation

APA
Chicago
ICMJE
MLA
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Millen, B. E., Quatromoni, P. A., Nam, B.-H., Pencina, M. J., Polak, J. F., Kimokoti, R. W., … D’Agostino, R. B. (2005). Compliance with expert population-based dietary guidelines and lower odds of carotid atherosclerosis in women: the Framingham Nutrition Studies. Am J Clin Nutr, 82(1), 174–180. https://doi.org/10.1093/ajcn.82.1.174
Millen, Barbara E., Paula A. Quatromoni, Byung-Ho Nam, Michael J. Pencina, Joseph F. Polak, Ruth W. Kimokoti, Jose M. Ordovas, and Ralph B. D’Agostino. “Compliance with expert population-based dietary guidelines and lower odds of carotid atherosclerosis in women: the Framingham Nutrition Studies.Am J Clin Nutr 82, no. 1 (July 2005): 174–80. https://doi.org/10.1093/ajcn.82.1.174.
Millen BE, Quatromoni PA, Nam B-H, Pencina MJ, Polak JF, Kimokoti RW, et al. Compliance with expert population-based dietary guidelines and lower odds of carotid atherosclerosis in women: the Framingham Nutrition Studies. Am J Clin Nutr. 2005 Jul;82(1):174–80.
Millen, Barbara E., et al. “Compliance with expert population-based dietary guidelines and lower odds of carotid atherosclerosis in women: the Framingham Nutrition Studies.Am J Clin Nutr, vol. 82, no. 1, July 2005, pp. 174–80. Pubmed, doi:10.1093/ajcn.82.1.174.
Millen BE, Quatromoni PA, Nam B-H, Pencina MJ, Polak JF, Kimokoti RW, Ordovas JM, D’Agostino RB. Compliance with expert population-based dietary guidelines and lower odds of carotid atherosclerosis in women: the Framingham Nutrition Studies. Am J Clin Nutr. 2005 Jul;82(1):174–180.

Published In

Am J Clin Nutr

DOI

ISSN

0002-9165

Publication Date

July 2005

Volume

82

Issue

1

Start / End Page

174 / 180

Location

United States

Related Subject Headings

  • Smoking
  • Risk Factors
  • Patient Compliance
  • Nutrition & Dietetics
  • Middle Aged
  • Humans
  • Guidelines as Topic
  • Female
  • Diet Surveys
  • Diet