Associations of dietary patterns, ultra-processed food and nutrient intake with incident atrial fibrillation

医学 心房颤动 体质指数 地中海饮食法 比例危险模型 破折号 入射(几何) 内科学 食品集团 四分位数 人口学 置信区间 环境卫生 社会学 物理 光学 操作系统 计算机科学
作者
Samuel J. Tu,Celine Gallagher,Adrian D. Elliott,Kathryn E. Bradbury,Gregory M. Marcus,Dominik Linz,Bradley M. Pitman,Melissa E. Middeldorp,Jeroen Hendriks,Dennis H. Lau,Prashanthan Sanders,Christopher X. Wong
出处
期刊:Heart [BMJ]
卷期号:109 (22): 1683-1689 被引量:7
标识
DOI:10.1136/heartjnl-2023-322412
摘要

To examine the associations between specific dietary patterns and incident atrial fibrillation (AF).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.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)).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.
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