Eating Pattern Response to a Low-Fat Diet Intervention and Cardiovascular Outcomes in Normotensive Women: The Women's Health Initiative.

cardiovascular outcomes food choices low-fat diet normotensive women self-selected dietary change vegetable protein

Journal

Current developments in nutrition
ISSN: 2475-2991
Titre abrégé: Curr Dev Nutr
Pays: United States
ID NLM: 101717957

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 08 01 2020
revised: 04 02 2020
accepted: 06 02 2020
entrez: 12 3 2020
pubmed: 12 3 2020
medline: 12 3 2020
Statut: epublish

Résumé

Women without cardiovascular disease (CVD) or hypertension at baseline assigned to intervention in the Women's Health Initiative Dietary Modification (DM) trial experienced 30% lower risk of coronary heart disease (CHD), whereas results in women with hypertension or prior CVD could have been confounded by postrandomization use of statins. Intervention participants reported various self-selected changes to achieve the 20% total fat goals. Reviewed are intervention compared with comparison group HRs for CHD, stroke, and total CVD in relation to specific dietary changes in normotensive participants. Dietary change was assessed by comparing baseline with year 1 FFQ data in women ( Intervention participants self-reported compensating reduced energy intake from total fat by increasing carbohydrate and protein. Specifically they increased plant protein, with those in the upper quartile (increased total protein by ≥3.3% of energy) having a CHD HR of 0.39 (95% CI: 0.22, 0.71), compared with 0.92 (95% CI: 0.57, 1.48) for those in the lower quartile of change (decreased total protein ≥0.6% of energy), with Intervention group total fat reduction replaced with increased carbohydrate and some protein, especially plant-based protein, was related to lower CHD risk in normotensive women without CVD who reported high baseline total fat intake. This trial was registered at clinicaltrials.gov as NCT00000611. Link to the WHI trial protocol: https://www.whi.org/about/SitePages/Dietary%20Trial.aspx.

Sections du résumé

BACKGROUND BACKGROUND
Women without cardiovascular disease (CVD) or hypertension at baseline assigned to intervention in the Women's Health Initiative Dietary Modification (DM) trial experienced 30% lower risk of coronary heart disease (CHD), whereas results in women with hypertension or prior CVD could have been confounded by postrandomization use of statins.
OBJECTIVES OBJECTIVE
Intervention participants reported various self-selected changes to achieve the 20% total fat goals. Reviewed are intervention compared with comparison group HRs for CHD, stroke, and total CVD in relation to specific dietary changes in normotensive participants.
METHODS METHODS
Dietary change was assessed by comparing baseline with year 1 FFQ data in women (
RESULTS RESULTS
Intervention participants self-reported compensating reduced energy intake from total fat by increasing carbohydrate and protein. Specifically they increased plant protein, with those in the upper quartile (increased total protein by ≥3.3% of energy) having a CHD HR of 0.39 (95% CI: 0.22, 0.71), compared with 0.92 (95% CI: 0.57, 1.48) for those in the lower quartile of change (decreased total protein ≥0.6% of energy), with
CONCLUSIONS CONCLUSIONS
Intervention group total fat reduction replaced with increased carbohydrate and some protein, especially plant-based protein, was related to lower CHD risk in normotensive women without CVD who reported high baseline total fat intake. This trial was registered at clinicaltrials.gov as NCT00000611. Link to the WHI trial protocol: https://www.whi.org/about/SitePages/Dietary%20Trial.aspx.

Identifiants

pubmed: 32159070
doi: 10.1093/cdn/nzaa021
pii: nzaa021
pmc: PMC7056819
doi:

Banques de données

ClinicalTrials.gov
['NCT00000611']

Types de publication

Journal Article

Langues

eng

Pagination

nzaa021

Subventions

Organisme : NIDDK NIH HHS
ID : P30 DK020541
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK111022
Pays : United States
Organisme : NIDDK NIH HHS
ID : P60 DK020541
Pays : United States

Informations de copyright

Copyright © The Author(s) 2020.

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Auteurs

Linda Van Horn (L)

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Aaron K Aragaki (AK)

Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Barbara V Howard (BV)

Center for Study of Sex Differences in Health, Aging, & Disease, Georgetown University, Washington, DC, USA.

Matthew A Allison (MA)

Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA, USA.

Carmen R Isasi (CR)

Department of Epidemiology & Population Health, and Department of Pediatrics, Albert Einstein College of Medicine, New York, NY, USA.

JoAnn E Manson (JE)

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Marian L Neuhouser (ML)

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Yasmin Mossavar-Rahmani (Y)

Department of Epidemiology & Population Health, Albert Einstein College of Medicine, New York, NY, USA.

Cynthia A Thomson (CA)

Department of Health Promotion Sciences, University of Arizona Mel & Enid Zuckerman College of Public Health, Tucson, AZ, USA.

Mara Z Vitolin (MZ)

Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Robert B Wallace (RB)

Department of Epidemiology, The University of Iowa, Iowa City, IA, USA.

Ross L Prentice (RL)

Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Classifications MeSH