You're going to have an even harder time convincing your doctor you know how to handle this.
http://www.ncbi.nlm.nih.gov/pubmed/26644246
Abstract
BACKGROUND:
Adherence
to several diet quality scores, including the Alternative Healthy
Eating Index, Alternative Mediterranean Diet score, and Dietary Approach
to Stop Hypertension, has been associated with lower risk of
cardiovascular disease (CVD), but little is known about how changes in
these scores over time influence subsequent CVD risk.
METHODS AND RESULTS:
We
analyzed the association between 4-year changes in the 3 diet quality
scores (Alternative Healthy Eating Index, Alternative Mediterranean Diet
score, and Dietary Approach to Stop Hypertension) and subsequent
cardiovascular disease (CVD) risk among 29 343 men in the Health
Professionals Follow-up Study and 51 195 women in the Nurses' Health
Study (1986-2010). During 1 394 702 person-years of follow-up, we
documented 11 793 CVD cases. Compared with participants whose diet
quality remained relatively stable in each 4-year period, those with the
greatest improvement in diet quality scores had a 7% to 8% lower CVD
risk in the subsequent 4-year period (pooled hazard ratio, 0.92 [95%
confidence interval (CI), 0.87-0.99] for the Alternative Healthy Eating
Index; 0.93 [95% CI, 0.85-1.02] for the Alternative Mediterranean Diet
score; and 0.93 [95% CI, 0.87-0.99] for the Dietary Approach to Stop
Hypertension; all P for trend <0.05). In the long term, increasing
the diet scores from baseline to the first 4-year follow-up was
associated with lower CVD risk during the next 20 years (7% [95% CI,
1-12] for the Alternative Healthy Eating Index, and 9% [95% CI, 3-14]
for the Alternative Mediterranean Diet score). A decrease in diet
quality scores was associated with significantly elevated risk of CVD in
subsequent time periods.
CONCLUSIONS:
Improving
adherence to diet quality scores over time is associated with
significantly lower CVD risk in both the short term and long term.
No comments:
Post a Comment