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dc.contributor.authorBoateng, Daniel; orcid: 0000-0001-7568-7298
dc.contributor.authorGalbete, Cecilia; orcid: 0000-0002-2497-6791
dc.contributor.authorNicolaou, Mary; orcid: 0000-0002-0419-5816
dc.contributor.authorMeeks, Karlijn; orcid: 0000-0003-3032-405X
dc.contributor.authorBeune, Erik
dc.contributor.authorSmeeth, Liam
dc.contributor.authorOsei-Kwasi, Hibbah Araba
dc.contributor.authorBahendeka, Silver; orcid: 0000-0001-8080-7872
dc.contributor.authorAgyei-Baffour, Peter
dc.contributor.authorMockenhaupt, Frank P; orcid: 0000-0002-8117-5421
dc.contributor.authorSpranger, Joachim
dc.contributor.authorGrobbee, Diederick E
dc.contributor.authorSchulze, Matthias B
dc.contributor.authorStronks, Karien
dc.contributor.authorAgyemang, Charles
dc.contributor.authorDanquah, Ina
dc.contributor.authorKlipstein-Grobusch, Kerstin; orcid: 0000-0002-5462-9889
dc.date.accessioned2019-07-11T00:31:00Z
dc.date.available2019-07-11T00:31:00Z
dc.date.issued2019-04-24
dc.identifierdoi: 10.1093/jn/nxz002
dc.identifier.citationThe Journal of Nutrition, volume 149, issue 5, page 755-769
dc.identifier.urihttp://hdl.handle.net/10034/622412
dc.descriptionFrom Crossref via Jisc Publications Router
dc.descriptionHistory: epub 2019-04-24, issued 2019-04-24, ppub 2019-05-01
dc.descriptionArticle version: VoR
dc.description.abstractABSTRACT Background Sub-Saharan African populations are disproportionately affected by cardiovascular disease (CVD). Although diet is an important lifestyle factor associated with CVD, evidence on the relation between dietary patterns (DPs) and CVD risk among sub-Saharan African populations is limited. Objective We assessed the associations of DPs with estimated 10-y atherosclerotic cardiovascular disease (ASCVD) risk in Ghanaian adults in Ghana and Europe. Methods Three DPs (‘mixed’; ‘rice, pasta, meat, and fish’; and ‘roots, tubers, and plantain’) were derived by principal component analysis (PCA) based on intake frequencies obtained by a self-administered Food Propensity Questionnaire in the multi-center, cross-sectional RODAM (Research on Obesity and Diabetes among African Migrants) study. The 10-y ASCVD risk was estimated using the Pooled Cohort Equations (PCE) for 2976 subjects, aged 40–70 y; a risk score ≥7.5% was defined as ‘elevated’ ASCVD risk. The associations of DPs with 10-y ASCVD risk were determined using Poisson regression with robust variance. Results Stronger adherence to a ‘mixed’ DP was associated with a lower predicted 10-y ASCVD in urban and rural Ghana and a higher 10-y ASCVD in Europe. The observed associations were attenuated after adjustment for possible confounders with the exception of urban Ghana (prevalence ratio [PR] for Quintile 5 compared with 1: 0.70; 95% CI: 0.53, 0.93, P-trend = 0.013). The ‘rice, pasta, meat, and fish’ DP was inversely associated with 10-y ASCVD across all study sites, with the adjusted effect being significant only in urban Ghana. A ‘roots, tubers, and plantain’ DP was directly associated with increased 10-y ASCVD risk. Conclusions Adherence to ‘mixed’ and ‘rice, pasta, meat, and fish’ DPs appears to reduce predicted 10-y ASCVD risk in adults in urban Ghana. Further investigations are needed to understand the underlying contextual-level mechanisms that influence dietary habits and to support context-specific dietary recommendations for CVD prevention among sub-Saharan African populations.
dc.publisherOxford University Press (OUP)
dc.rightsLicence for VoR version of this article starting on 2019-04-24: https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
dc.sourcepissn: 0022-3166
dc.sourceeissn: 1541-6100
dc.subjectNutrition and Dietetics
dc.subjectMedicine (miscellaneous)
dc.titleDietary Patterns Are Associated with Predicted 10-Year Risk of Cardiovascular Disease Among Ghanaian Populations: the Research on Obesity and Diabetes in African Migrants (RODAM) Study
dc.typearticle
dc.date.updated2019-07-11T00:31:00Z


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