Dietary patterns predict heart attack risk in middl...( o had a family history of CVD those in...)

o had a family history of CVD, those in quintile 5 of the Western pattern were almost three times more at risk for CVD than those in quintile 5 of the prudent pattern. In all cases, CVD risks other than diet such as smoking, family history or overweight had more of a negative impact on subjects who followed a Western diet pattern than on those who followed a prudent pattern.

The study raises an ancillary interest in recent ecological observations connecting diet with rates of cardiovascular disease worldwide. The authors state that, "The Mediterranean and Asian diets have attracted considerable interest as alternatives to the Western diet because of the extremely low rates of CHD in Greece and Japan." These diets include increased consumption of whole grains, legumes, vegetables, fruit (Mediterranean countries) and fish. The considerable overlap among these two types of heart-healthy diets and the prudent diet pattern observed by the authors contributes to confidence in the prudent pattern as a sound regimen for the prevention of CVD. The authors maintain that an approach toward disease prevention which looks at overall dietary patterns rather than specific nutrients more closely parallels the situation in the real world, where dietary intakes consist of nutrients that occur together in common foods.

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Contact: Beth Wettergreen
bmwettergreen@ucdavis.edu
530-754-7528
American Journal of Clinical Nutrition
26-Sep-2000

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