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Adherence to a Healthy Nordic Diet and Risk of Stroke: A Danish Cohort Study.

https://arctichealth.org/en/permalink/ahliterature282576
Source
Stroke. 2017 Feb;48(2):259-264
Publication Type
Article
Date
Feb-2017
Author
Camilla Plambeck Hansen
Kim Overvad
Cecilie Kyrø
Anja Olsen
Anne Tjønneland
Søren Paaske Johnsen
Marianne Uhre Jakobsen
Christina Catherine Dahm
Source
Stroke. 2017 Feb;48(2):259-264
Date
Feb-2017
Language
English
Publication Type
Article
Keywords
Animals
Cohort Studies
Denmark - epidemiology
Diet, Mediterranean
Female
Fishes
Fruit
Health Promotion - methods
Healthy Diet - methods
Humans
Male
Middle Aged
Registries
Risk factors
Scandinavian and Nordic Countries - epidemiology
Stroke - diet therapy - epidemiology - prevention & control
Vegetables
Whole Grains
Abstract
Specific dietary patterns, including the Mediterranean diet, have been associated with stroke prevention. Our aim was to investigate whether adherence to a healthy Nordic diet, including fish, apples and pears, cabbages, root vegetables, rye bread, and oatmeal, was associated with risk of stroke.
Incident cases of stroke among 55?338 men and women from the Danish Diet, Cancer and Health cohort were identified from the Danish National Patient Register and verified by review of records. Cases of ischemic stroke were further subclassified based on etiology according to the TOAST classification system (Trial of Org 10172 in Acute Stroke Treatment). Information on diet was collected at baseline (1993-1997) using a semiquantitative food-frequency questionnaire. Cox proportional hazards models were used to estimate hazards ratios of total stroke and subtypes of ischemic and hemorrhagic stroke.
During a median follow-up of 13.5 years, 2283 cases of incident stroke were verified, including 1879 ischemic strokes. Adherence to a healthy Nordic diet, as reflected by a higher Healthy Nordic Food Index score, was associated with a lower risk of stroke. The hazards ratio comparing an index score of 4 to 6 (high adherence) with an index score of 0 to 1 (low adherence) was 0.86 (95% confidence interval 0.76-0.98) for total stroke. Inverse associations were observed for ischemic stroke, including large-artery atherosclerosis. No trend was observed for hemorrhagic stroke; however, a statistically insignificant trend was observed for intracerebral hemorrhage.
Our findings suggest that a healthy Nordic diet may be recommended for the prevention of stroke.
PubMed ID
28049735 View in PubMed
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Adherence to a Healthy Nordic Food Index Is Associated with a Lower Risk of Type-2 Diabetes--The Danish Diet, Cancer and Health Cohort Study.

https://arctichealth.org/en/permalink/ahliterature273886
Source
Nutrients. 2015 Oct;7(10):8633-44
Publication Type
Article
Date
Oct-2015
Author
Sandra Amalie Lacoppidan
Cecilie Kyrø
Steffen Loft
Anne Helnæs
Jane Christensen
Camilla Plambeck Hansen
Christina Catherine Dahm
Kim Overvad
Anne Tjønneland
Anja Olsen
Source
Nutrients. 2015 Oct;7(10):8633-44
Date
Oct-2015
Language
English
Publication Type
Article
Keywords
Denmark
Diabetes Mellitus, Type 2 - prevention & control
Diet - ethnology - standards
Female
Food Habits
Humans
Male
Middle Aged
Proportional Hazards Models
Prospective Studies
Risk factors
Sex Factors
Abstract
Type-2 diabetes (T2D) prevalence is rapidly increasing worldwide. Lifestyle factors, in particular obesity, diet, and physical activity play a significant role in the etiology of the disease. Of dietary patterns, particularly the Mediterranean diet has been studied, and generally a protective association has been identified. However, other regional diets are less explored.
The aim of the present study was to investigate the association between adherence to a healthy Nordic food index and the risk of T2D. The index consists of six food items: fish, cabbage, rye bread, oatmeal, apples and pears, and root vegetables.
Data was obtained from a prospective cohort study of 57,053 Danish men and women aged 50-64 years, at baseline, of whom 7366 developed T2D (median follow-up: 15.3 years). The Cox proportional hazards model was used to assess the association between the healthy Nordic food index and risk of T2D, adjusted for potential confounders.
Greater adherence to the healthy Nordic food index was significantly associated with lower risk of T2D after adjusting for potential confounders. An index score of 5-6 points (high adherence) was associated with a statistically significantly 25% lower T2D risk in women (HR: 0.75, 95%CI: 0.61-0.92) and 38% in men (HR: 0.62; 95%CI: 0.53-0.71) compared to those with an index score of 0 points (poor adherence).
Adherence to a healthy Nordic food index was found to be inversely associated with risk of T2D, suggesting that regional diets other than the Mediterranean may also be recommended for prevention of T2D.
Notes
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PubMed ID
26506373 View in PubMed
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Adherence to national food-based dietary guidelines and incidence of stroke: A cohort study of Danish men and women.

https://arctichealth.org/en/permalink/ahliterature299135
Source
PLoS One. 2018; 13(10):e0206242
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
2018
Author
Sine Hammer Hansen
Kim Overvad
Camilla Plambeck Hansen
Christina Catherine Dahm
Author Affiliation
Department of Public Health, Aarhus University, Aarhus, Denmark.
Source
PLoS One. 2018; 13(10):e0206242
Date
2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Cohort Studies
Denmark - epidemiology
Diet Surveys - methods - statistics & numerical data
Female
Food
Guideline Adherence
Humans
Incidence
Male
Middle Aged
Nutrition Policy
Proportional Hazards Models
Risk factors
Stroke - epidemiology - prevention & control
Abstract
National dietary guidelines are intended to promote primary prevention of lifestyle-related diseases, but little is known about their effectiveness in prevention of stroke.
We used the Danish cohort Diet, Cancer and Health (n = 57 053) to investigate whether adherence to the Danish food-based dietary guidelines was associated with risk of stroke. Adherence was assessed by the Danish Dietary Guidelines Index, score 0 [no adherence] to 6 [complete adherence]. Cox proportional hazards models were used to estimate adjusted hazard ratios and 95% confidence intervals for stroke and subtypes of stroke in men and women separately.
Incident stroke was determined in 1357 men and 900 women during follow-up (median 12.5 years and 13.0 years, respectively). A higher Danish Dietary Guidelines Index score was inversely associated with total stroke in men but not in women. In men, a high Index score (=4) was also inversely associated with total ischemic stroke (hazard ratio 0.75, 95% confidence interval 0.65-0.86), large-artery atherosclerosis (hazard ratio 0.63, 95% confidence interval 0.44-0.92) and small artery occlusion (hazard ratio 0.68, 95% confidence interval 0.54-0.84) compared to a low Index score (
PubMed ID
30356304 View in PubMed
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Adherence to the Danish food-based dietary guidelines and risk of myocardial infarction: a cohort study.

https://arctichealth.org/en/permalink/ahliterature299380
Source
Public Health Nutr. 2018 05; 21(7):1286-1296
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
05-2018
Author
Camilla Plambeck Hansen
Kim Overvad
Inge Tetens
Anne Tjønneland
Erik Thorlund Parner
Marianne Uhre Jakobsen
Christina Catherine Dahm
Author Affiliation
1Section for Epidemiology,Department of Public Health,Aarhus University,Bartholins Allé 2,DK-8000 Aarhus C,Denmark.
Source
Public Health Nutr. 2018 05; 21(7):1286-1296
Date
05-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Aged
Cohort Studies
Denmark - epidemiology
Diet - statistics & numerical data
Humans
Middle Aged
Myocardial Infarction - epidemiology
Nutrition Policy
Nutritive Value
Patient Compliance - statistics & numerical data
Abstract
A direct way to evaluate food-based dietary guidelines is to assess if adherence is associated with development of non-communicable diseases. Thus, the objective was to develop an index to assess adherence to the 2013 Danish food-based dietary guidelines and to investigate the association between adherence to the index and risk of myocardial infarction (MI).
Population-based cohort study with recruitment of participants in 1993-1997. Information on dietary intake was collected at baseline using an FFQ and an index ranging from 0 to 6 points was created to assess adherence to the 2013 Danish food-based dietary guidelines. MI cases were identified by record linkage to the Danish National Patient Register and the Causes of Death Register. Cox proportional hazards models were used to estimate hazard ratios (HR) of MI.
Greater areas of Aarhus and Copenhagen, Denmark.
Men and women aged 50-64 years (n 55 021) from the Diet, Cancer and Health study.
A total of 3046 participants were diagnosed with first-time MI during a median follow-up of 16·9 years. A higher Danish Dietary Guidelines Index score was associated with a lower risk of MI. After adjustment for potential confounders, the hazard of MI was 13 % lower among men with a score of 3-
PubMed ID
29331164 View in PubMed
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