TY - JOUR
T1 - Adherence to the Dutch dietary guidelines and 15-year incidence of heart failure in the EPIC-NL cohort
AU - Harbers, Marjolein C
AU - de Kroon, A Marleen
AU - Boer, Jolanda M A
AU - Asselbergs, Folkert W
AU - Geleijnse, Johanna M
AU - Verschuren, W M Monique
AU - van der Schouw, Yvonne T
AU - Sluijs, Ivonne
N1 - Funding Information:
Folkert Asselbergs is supported by University College London (UCL) Hospitals National Institute for Health Research (NIHR) Biomedical Research Centre. Marjolein C. Harbers and Ivonne Sluijs were supported by the Netherlands Cardiovascular Research Initiative, an initiative with support of the Dutch Heart Foundation (CVON2016-04) and the Netherlands Organisation for Health Research and Development (531003001) in the context of the Supreme Nudge project. The EPIC-NL study was funded by ?European Commission: Public Health and Consumer Protection Directorate 1993?2004; Research Directory-General 2005?; Dutch Ministry of Public Health, Welfare and Sports (WVS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), and World Cancer Research Fund (WCRF) (The Netherlands).
Funding Information:
Folkert Asselbergs is supported by University College London (UCL) Hospitals National Institute for Health Research (NIHR) Biomedical Research Centre. Marjolein C. Harbers and Ivonne Sluijs were supported by the Netherlands Cardiovascular Research Initiative, an initiative with support of the Dutch Heart Foundation (CVON2016-04) and the Netherlands Organisation for Health Research and Development (531003001) in the context of the Supreme Nudge project. The EPIC-NL study was funded by “European Commission: Public Health and Consumer Protection Directorate 1993–2004; Research Directory-General 2005”; Dutch Ministry of Public Health, Welfare and Sports (WVS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), and World Cancer Research Fund (WCRF) (The Netherlands).
Publisher Copyright:
© 2020, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2020/12
Y1 - 2020/12
N2 - PURPOSE: A healthy diet may contribute to the primary prevention of heart failure (HF), but evidence is still inconclusive. We aimed to study the association between adherence to the Dutch dietary guidelines and incidence of HF.METHODS: We studied 37,468 participants aged 20-70 years and free of HF at baseline from the EPIC-NL cohort. At baseline (1993-1997), data were collected on demographics, lifestyle, and presence of chronic diseases. Dietary intake was assessed using a 178-item validated food frequency questionnaire. Dietary intake data were used to calculate scores on the Dutch Healthy Diet 2015 Index (DHD15-index) measuring adherence to the Dutch dietary guidelines. The DHD15-index is based on the average daily intake of 14 food groups resulting in a total score ranging between 0 and 140, with higher scores indicating better adherence. HF morbidity and mortality during follow-up were ascertained through linkage with national registries. Cox proportional hazards analysis was used to estimate hazard ratios (HRs) and 95% confidence intervals (95% CIs) for the association between DHD15 adherence and HF risk, adjusting for sociodemographic and lifestyle characteristics.RESULTS: The average score on the DHD15-index was 71 (SD = 15). During a median follow-up of 15.2 years (IQR 14.1-16.5), 674 HF events occurred. After adjustment for demographic and lifestyle characteristics, higher scores on the DHD15-index were associated with lower risk of HF (HRQ4vsQ1 0.73; 95% CI 0.58-0.93; Ptrend 0.001).CONCLUSION: In a large Dutch population of middle-aged adults, higher adherence to the Dutch dietary guidelines was associated with lower risk of HF.
AB - PURPOSE: A healthy diet may contribute to the primary prevention of heart failure (HF), but evidence is still inconclusive. We aimed to study the association between adherence to the Dutch dietary guidelines and incidence of HF.METHODS: We studied 37,468 participants aged 20-70 years and free of HF at baseline from the EPIC-NL cohort. At baseline (1993-1997), data were collected on demographics, lifestyle, and presence of chronic diseases. Dietary intake was assessed using a 178-item validated food frequency questionnaire. Dietary intake data were used to calculate scores on the Dutch Healthy Diet 2015 Index (DHD15-index) measuring adherence to the Dutch dietary guidelines. The DHD15-index is based on the average daily intake of 14 food groups resulting in a total score ranging between 0 and 140, with higher scores indicating better adherence. HF morbidity and mortality during follow-up were ascertained through linkage with national registries. Cox proportional hazards analysis was used to estimate hazard ratios (HRs) and 95% confidence intervals (95% CIs) for the association between DHD15 adherence and HF risk, adjusting for sociodemographic and lifestyle characteristics.RESULTS: The average score on the DHD15-index was 71 (SD = 15). During a median follow-up of 15.2 years (IQR 14.1-16.5), 674 HF events occurred. After adjustment for demographic and lifestyle characteristics, higher scores on the DHD15-index were associated with lower risk of HF (HRQ4vsQ1 0.73; 95% CI 0.58-0.93; Ptrend 0.001).CONCLUSION: In a large Dutch population of middle-aged adults, higher adherence to the Dutch dietary guidelines was associated with lower risk of HF.
KW - Dietary patterns
KW - Dutch Healthy Diet 2015 Index
KW - Dutch dietary guidelines
KW - Heart failure
UR - http://www.scopus.com/inward/record.url?scp=85077619780&partnerID=8YFLogxK
U2 - 10.1007/s00394-019-02170-7
DO - 10.1007/s00394-019-02170-7
M3 - Article
C2 - 31912232
SN - 1436-6207
VL - 59
SP - 3405
EP - 3413
JO - European Journal of Nutrition
JF - European Journal of Nutrition
IS - 8
ER -