Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/139166
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Tu, S.J. | - |
dc.contributor.author | Gallagher, C. | - |
dc.contributor.author | Elliott, A.D. | - |
dc.contributor.author | Bradbury, K.E. | - |
dc.contributor.author | Marcus, G.M. | - |
dc.contributor.author | Linz, D. | - |
dc.contributor.author | Pitman, B.M. | - |
dc.contributor.author | Middeldorp, M.E. | - |
dc.contributor.author | Hendriks, J.M. | - |
dc.contributor.author | Lau, D.H. | - |
dc.contributor.author | Sanders, P. | - |
dc.contributor.author | Wong, C.X. | - |
dc.date.issued | 2023 | - |
dc.identifier.citation | Heart, 2023; 109(22):1683-1689 | - |
dc.identifier.issn | 1355-6037 | - |
dc.identifier.issn | 1468-201X | - |
dc.identifier.uri | https://hdl.handle.net/2440/139166 | - |
dc.description | Published Online First 17 July 2023 | - |
dc.description.abstract | OBJECTIVE: To examine the associations between specific dietary patterns and incident atrial fibrillation (AF). METHODS: Using data from the UK Biobank, dietary intakes were calculated from 24-hour diet recall questionnaires. Indices representing adherence to dietary patterns (Mediterranean-style, Dietary Approaches to Stop Hypertension (DASH) and plant-based diets) were scored, and ultra-processed food consumption was studied as a percentage of total food mass consumed. Incident AF hospitalisations were assessed in Cox regression models. RESULTS: A total of 121 300 individuals were included, with 4 579 incident AF cases over a median follow-up of 8.8 years. Adherence to Mediterranean-style or DASH diets was associated with a lower incidence of AF in minimally adjusted analyses (HR for highest vs lowest quintile 0.87 (95% CI 0.80-0.96) and HR 0.78 (95% CI 0.71-0.86), respectively). However, associations were no longer significant after accounting for lifestyle factors (HR 0.95 (95% CI 0.87-1.04) and 0.94 (95% CI 0.86-1.04) respectively), with adjustment for body mass index responsible for approximately three-quarters of the effect size attenuation. Plant-based diets were not associated with AF risk in any models. Greatest ultra-processed food consumption was associated with a significant increase in AF risk even in fully adjusted models (HR 1.13 (95% CI 1.02-1.24)), and a 10% increase in absolute intake of ultra-processed food was associated with a 5% increase in AF risk (HR 1.05 (95% CI 1.01-1.08)). CONCLUSION: With the possible exception of reducing ultra-processed food consumption, these findings suggest that attention to other modifiable risk factors, particularly obesity, may be more important than specific dietary patterns for the primary prevention of AF. | - |
dc.description.statementofresponsibility | Samuel J Tu, Celine Gallagher, Adrian D Elliott, Kathryn E Bradbury, Gregory M Marcus, Dominik Linz, Bradley M Pitman, Melissa E Middeldorp, Jeroen M Hendriks, Dennis H Lau, Prashanthan Sanders, Christopher X Wong | - |
dc.language.iso | en | - |
dc.publisher | BMJ | - |
dc.rights | © Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ. | - |
dc.source.uri | http://dx.doi.org/10.1136/heartjnl-2023-322412 | - |
dc.subject | atrial fibrillation | - |
dc.subject | epidemiology | - |
dc.subject | risk factors | - |
dc.title | Associations of dietary patterns, ultra-processed food and nutrient intake with incident atrial fibrillation | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1136/heartjnl-2023-322412 | - |
dc.relation.grant | NHMRC | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Tu, S.J. [0000-0003-4137-1978] | - |
dc.identifier.orcid | Gallagher, C. [0000-0002-5114-400X] | - |
dc.identifier.orcid | Elliott, A.D. [0000-0002-5951-4239] | - |
dc.identifier.orcid | Linz, D. [0000-0003-4893-0824] | - |
dc.identifier.orcid | Middeldorp, M.E. [0000-0002-4106-9771] | - |
dc.identifier.orcid | Hendriks, J.M. [0000-0003-4326-9256] | - |
dc.identifier.orcid | Lau, D.H. [0000-0001-7753-1318] | - |
dc.identifier.orcid | Sanders, P. [0000-0003-3803-8429] | - |
dc.identifier.orcid | Wong, C.X. [0000-0002-1913-6675] | - |
Appears in Collections: | Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.