![]() ![]() doi: 10.1016/S2214-109X(19)30318-3.Consensus is difficult to achieve on most topics in the field of nutrition and the target seems to be retreating. WHO Cvd Risk Chart Working Group World health organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. European society of cardiology: cardiovascular disease statistics 2019. Heart disease and stroke statistics-2016 update a report from the American heart association. Mozaffarian D, Benjamin EJ, Go AS, et al. *Adjusted for sex, age (deciles), and stratified by year entering the cohort, total energy intake, marital status (five categories), educational level, smoking (three categories), accumulated smoking habit, alcohol intake, physical activity, snacking between meals (yes/no), BMI, sitting time, weight gain in the previous 5 years before entering the cohort (< 3 kg and ≥ 3 kg), following a special diet at baseline, family history of CVD (yes/no), any diagnosis of diabetes (yes/no), hypertension (yes/no), hypercholesterolemia (yes/no), dyslipidemia (yes/no), depression (yes/no), cancer (yes/no), total carbohydrate intake, total fat intake, and total protein intake b Hazard ratios (HR) and confidence intervals (CI) for CVD risk according to the combined effect of the MQI categories and the grade of adherence to a provegetarian pattern in 18,418 participants of the SUN cohort*. In this Mediterranean cohort, we found a significant inverse relationship between a multidimensional MQI (expressing high-quality macronutrient intake) and a lower risk of CVD.ĬVD Cohort Macronutrient quality Mediterranean diet Provegetarian diet.Ī Hazard ratios (HR) and confidence intervals (CI) for CVD risk according to the combined effect of the MQI categories and the grade of adherence to the MedDiet in 18,418 participants of the SUN cohort*. A significant inverse association was found between the MQI and CVD risk with multivariable-adjusted HR for the highest vs. CVD was defined as new-onset stroke, myocardial infarction, or CVD death.Īfter a median follow-up time of 14 years (211,744 person-years), 171 cases of CVD were identified. Adherence to the Mediterranean diet (MedDiet) and Provegetarian Diet was evaluated using the Trichopoulou index and the score proposed by Martínez-González, respectively. The MQI (expressing high-quality macronutrient intake) was calculated based on three previously reported quality indices: the Carbohydrate Quality Index (CQI), the Fat Quality Index (FQI), and the Healthy Plate Protein source Quality Index (HPPQI). ![]() Dietary intake information was obtained through a validated semi-quantitative food-frequency questionnaire (FFQ). Prospective analyses among 18,418 participants (mean age 36 years, 60.8% women) of the Seguimiento Universidad de Navarra (SUN) cohort. assess the association between a multi-dimensional Macronutrient Quality Index (MQI) and the risk of cardiovascular disease (CVD) in a Mediterranean cohort. 8 Department of Nutrition, Harvard T.H Chan School of Public Health, Boston, MA, USA. 7 CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. 6 IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Navarra, Spain.
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