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Tytuł:
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Dairy consumption and subclinical atherosclerosis: A cross-sectional study among middle-aged Mexican women.
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Autorzy:
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Cortés-Valencia A; Center for Research on Population Health, National Institute of Public Health, Mexico City, Mexico.
Monge A; Center for Research on Population Health, National Institute of Public Health, Mexico City, Mexico.
Tamayo-Ortiz M; Occupational Health Resarch Unit, Mexican Social Security Institute, Mexico City, Mexico.
Lopez-Ridaura R; National Center for Preventive Programs and Disease Control, Ministry of Health, Mexico.
Rodriguez BL; School of Medicine, Department of Geriatric Medicine, University of Hawaii at Manoa, Honolulu, HI, USA; Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Nuevo Leon, Mexico.
Cantú-Brito C; Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Nuevo Leon, Mexico; Department of Neurology and Psychiatry, National Institute of Medical Sciences and Nutrition, Mexico City, Mexico.
Catzin-Kuhlmann A; Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Nuevo Leon, Mexico; Department of Medicine, National Institute of Medical Sciences and Nutrition, Mexico City, Mexico.
Lajous M; Center for Research on Population Health, National Institute of Public Health, Mexico City, Mexico; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: .
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Źródło:
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Nutrition, metabolism, and cardiovascular diseases : NMCD [Nutr Metab Cardiovasc Dis] 2021 Jun 07; Vol. 31 (6), pp. 1747-1755. Date of Electronic Publication: 2021 Mar 02.
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Typ publikacji:
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Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: 2005- : Amsterdam : Elsevier
Original Publication: [Heidelberg] : Springer International, c1991-
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MeSH Terms:
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Carotid Artery Diseases/*epidemiology
Dairy Products/*adverse effects
Diet/*adverse effects
Dietary Sugars/*adverse effects
Adult ; Aged ; Aged, 80 and over ; Asymptomatic Diseases ; Carotid Artery Diseases/diagnostic imaging ; Carotid Intima-Media Thickness ; Cross-Sectional Studies ; Diet, Fat-Restricted ; Disease Progression ; Female ; Humans ; Mexico/epidemiology ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Risk Assessment ; Risk Factors ; Sex Factors ; Yogurt/adverse effects
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Contributed Indexing:
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Keywords: Carotid atherosclerosis; Dairy; Intima-media thickness; Milk; Subclinical atherosclerosis; Yogurt
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Substance Nomenclature:
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0 (Dietary Sugars)
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Entry Date(s):
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Date Created: 20210509 Date Completed: 20210628 Latest Revision: 20210628
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Update Code:
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20240105
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DOI:
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10.1016/j.numecd.2021.02.024
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PMID:
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33965300
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Background and Aims: Many dietary guidelines encourage low-fat dairy products; however, recent studies have found null and inverse associations between high-fat dairy intake and cardiovascular disease (CVD) risk. We examined the association between the intake of total dairy and different types of dairy and carotid intima-media thickness (IMT), a marker of subclinical atherosclerosis, in Mexican women.
Methods and Results: Dairy consumption was assessed using a validated food-frequency questionnaire (FFQ) in 1759 women in the Mexican Teachers' Cohort (MTC) study who were free of CVD or cancer. We categorized participants according to total dairy intake and consumption of four mutually exclusive dairy groups: high-fat, low-fat, yogurt, and dairy with added sugars. IMT and atherosclerotic plaque were measured by B-mode ultrasonography. Subclinical atherosclerosis was defined as an IMT ≥0.8 mm and/or the presence of plaque. Multivariable linear regression and logistic regression models were used to respectively assess the mean percentage difference of mean IMT and odds ratios (OR) for subclinical atherosclerosis across quantiles of dairy consumption. Mean (±SD) age was 45.4 ± 5.0 years and the median (interquartile range: IQR) total dairy consumption was 11.0 (6.6, 17.1) servings/week. After adjusting for lifestyle, clinical, and dietary factors, comparing the highest category of consumption, to the lowest, total dairy was associated with increased IMT (2.6%, 95% confidence interval (CI): 0.6, 4.3; p-trend<0.01). Moreover, yogurt consumption was associated with lower odds of subclinical atherosclerosis (OR = 0.65, 95% CI: 0.47, 0.91; p-trend = 0.01).
Conclusions: While total dairy consumption was associated with carotid wall thickening, yogurt consumption was related to lower subclinical atherosclerosis.
Competing Interests: Declaration of competing interest R. López-Ridaura and M. Lajous received a nonrestricted investigator-initiated grant from AstraZeneca and limited salary support from Bloomberg Philanthropies through an institutional grant to the National Institute of Public Health in Mexico. The remaining authors have no disclosures to report.
(Copyright © 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.)
