Factors associated with diet quality among Brazilian individuals with cardiovascular diseases.

Brito, L; Sahade, V; Weber, B; Bersch-Ferreira, ÂC; Marcadenti, A; Torreglosa, C; Kovacs, C; Moreira, ASB; Torres, RDS; Marinho, H; Matos, C; Abib, R; Souza, GC; Shirmann, GDS; Nagano, FEZ; Ramos, MEM; Poloni, S; El Kik, RM; Feres, NH; Dutra, ES; Ferreira Carvalho, APP; David, MM; Galvão, I; Sousa, ACS; Dantas, CDF; Gonçalves, A; Pinheiro, JMF; Vasconcelos, SML; Penafort, A; de Oliveira Carlos, DM; Luna, A; Neto, JADF; Dias, L; Moriguchi, EH; Bruscato, N; Izar, MC; Lopes, S; Backes, LM; Bressan, J; Raimondi, S; Kumbier, M; Daltro, C

Factors associated with diet quality among Brazilian individuals with cardiovascular diseases.

Brito, L Sahade, V Weber, B Bersch-Ferreira, ÂC Marcadenti, A Torreglosa, C Kovacs, C Moreira, ASB Torres, RDS Marinho, H Matos, C Abib, R Souza, GC Shirmann, GDS Nagano, FEZ Ramos, MEM Poloni, S El Kik, RM Feres, NH Dutra, ES Ferreira Carvalho, APP David, MM Galvão, I Sousa, ACS Dantas, CDF Gonçalves, A Pinheiro, JMF Vasconcelos, SML Penafort, A de Oliveira Carlos, DM Luna, A Neto, JADF Dias, L Moriguchi, EH Bruscato, N Izar, MC Lopes, S Backes, LM Bressan, J Raimondi, S Kumbier, M Daltro, C

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: J Hum Nutr Diet, 2023, 36, (5), pp. 1713-1726
Issue Date:: 2023-10

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Field	Value	Language
dc.contributor.author	Brito, L
dc.contributor.author	Sahade, V
dc.contributor.author	Weber, B
dc.contributor.author	Bersch-Ferreira, ÂC
dc.contributor.author	Marcadenti, A
dc.contributor.author	Torreglosa, C
dc.contributor.author	Kovacs, C
dc.contributor.author	Moreira, ASB
dc.contributor.author	Torres, RDS
dc.contributor.author	Marinho, H
dc.contributor.author	Matos, C
dc.contributor.author	Abib, R
dc.contributor.author	Souza, GC
dc.contributor.author	Shirmann, GDS
dc.contributor.author	Nagano, FEZ
dc.contributor.author	Ramos, MEM
dc.contributor.author	Poloni, S
dc.contributor.author	El Kik, RM
dc.contributor.author	Feres, NH
dc.contributor.author	Dutra, ES
dc.contributor.author	Ferreira Carvalho, APP
dc.contributor.author	David, MM
dc.contributor.author	Galvão, I
dc.contributor.author	Sousa, ACS
dc.contributor.author	Dantas, CDF
dc.contributor.author	Gonçalves, A
dc.contributor.author	Pinheiro, JMF
dc.contributor.author	Vasconcelos, SML
dc.contributor.author	Penafort, A
dc.contributor.author	de Oliveira Carlos, DM
dc.contributor.author	Luna, A
dc.contributor.author	Neto, JADF
dc.contributor.author	Dias, L
dc.contributor.author	Moriguchi, EH
dc.contributor.author	Bruscato, N
dc.contributor.author	Izar, MC
dc.contributor.author	Lopes, S
dc.contributor.author	Backes, LM
dc.contributor.author	Bressan, J
dc.contributor.author	Raimondi, S
dc.contributor.author	Kumbier, M
dc.contributor.author	Daltro, C
dc.date.accessioned	2024-03-25T05:00:52Z
dc.date.available	2023-05-04
dc.date.available	2024-03-25T05:00:52Z
dc.date.issued	2023-10
dc.identifier.citation	J Hum Nutr Diet, 2023, 36, (5), pp. 1713-1726
dc.identifier.issn	0952-3871
dc.identifier.issn	1365-277X
dc.identifier.uri	http://hdl.handle.net/10453/177097
dc.description.abstract	BACKGROUND: An individual's dietary pattern contributes in different ways to the prevention and control of recurrent cardiovascular events. However, the quality of the diet is influenced by several factors. The present study aimed to evaluate the quality of the diet of individuals with cardiovascular diseases and determine whether there is an association between sociodemographic and lifestyle factors. METHODS: This is a cross-sectional study carried out with individuals with atherosclerosis (coronary artery disease, cerebrovascular disease or peripheral arterial disease) recruited from 35 reference centres for the treatment of cardiovascular disease in Brazil. Diet quality was assessed according to the Modified Alternative Healthy Eating Index (mAHEI) and stratified into tertiles. For comparing two groups, the Mann-Whitney or Pearson's chi-squared tests were used. However, for comparing three or more groups, analysis of variance or Kruskal-Wallis was used. For the confounding analysis, a multinomial regression model was used. p < 0.05 was considered statistically significant. RESULTS: In total, 2360 individuals were evaluated: 58.5% male and 64.2% elderly. The median (interquartile range [IQR]) of the mAHEI was 24.0 (20.0-30.0), ranging from 0.4 to 56.0 points. When comparing the odds ratios (ORs) for the low (first tertile) and medium (second tertile) diet quality groups with the high-quality group (third tertile), it was observed that there was an association between diet quality with a family income of 1.885 (95% confidence intervals [CI] = 1.302-2.729) and 1.566 (95% CI = 1.097-2.235), as well as physical activity of 1.391 (95% CI = 1.107-1.749) and 1.346 (95% CI = 1.086-1.667), respectively. In addition, associations were observed between diet quality and region of residence. CONCLUSIONS: A low-quality diet was associated with family income, sedentarism and geographical area. These data are extremely relevant to assist in coping with cardiovascular disease because they enable an assessment of the distribution of these factors in different regions of the country.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	J Hum Nutr Diet
dc.relation.isbasedon	10.1111/jhn.13184
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	0601 Biochemistry and Cell Biology, 1111 Nutrition and Dietetics
dc.subject.classification	Nutrition & Dietetics
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	3210 Nutrition and dietetics
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Aged
dc.subject.mesh	Female
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Brazil
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Diet
dc.subject.mesh	Diet, Healthy
dc.subject.mesh	Humans
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Diet
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Aged
dc.subject.mesh	Brazil
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Diet, Healthy
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Aged
dc.subject.mesh	Female
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Brazil
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Diet
dc.subject.mesh	Diet, Healthy
dc.title	Factors associated with diet quality among Brazilian individuals with cardiovascular diseases.
dc.type	Journal Article
utslib.citation.volume	36
utslib.location.activity	England
utslib.for	0601 Biochemistry and Cell Biology
utslib.for	1111 Nutrition and Dietetics
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Science
pubs.organisational-group	University of Technology Sydney/Faculty of Science/School of Life Sciences
utslib.copyright.status	closed_access	*
dc.date.updated	2024-03-25T05:00:51Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	36
utslib.citation.issue	5

Abstract:

BACKGROUND: An individual's dietary pattern contributes in different ways to the prevention and control of recurrent cardiovascular events. However, the quality of the diet is influenced by several factors. The present study aimed to evaluate the quality of the diet of individuals with cardiovascular diseases and determine whether there is an association between sociodemographic and lifestyle factors. METHODS: This is a cross-sectional study carried out with individuals with atherosclerosis (coronary artery disease, cerebrovascular disease or peripheral arterial disease) recruited from 35 reference centres for the treatment of cardiovascular disease in Brazil. Diet quality was assessed according to the Modified Alternative Healthy Eating Index (mAHEI) and stratified into tertiles. For comparing two groups, the Mann-Whitney or Pearson's chi-squared tests were used. However, for comparing three or more groups, analysis of variance or Kruskal-Wallis was used. For the confounding analysis, a multinomial regression model was used. p < 0.05 was considered statistically significant. RESULTS: In total, 2360 individuals were evaluated: 58.5% male and 64.2% elderly. The median (interquartile range [IQR]) of the mAHEI was 24.0 (20.0-30.0), ranging from 0.4 to 56.0 points. When comparing the odds ratios (ORs) for the low (first tertile) and medium (second tertile) diet quality groups with the high-quality group (third tertile), it was observed that there was an association between diet quality with a family income of 1.885 (95% confidence intervals [CI] = 1.302-2.729) and 1.566 (95% CI = 1.097-2.235), as well as physical activity of 1.391 (95% CI = 1.107-1.749) and 1.346 (95% CI = 1.086-1.667), respectively. In addition, associations were observed between diet quality and region of residence. CONCLUSIONS: A low-quality diet was associated with family income, sedentarism and geographical area. These data are extremely relevant to assist in coping with cardiovascular disease because they enable an assessment of the distribution of these factors in different regions of the country.

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http://hdl.handle.net/10453/177097