Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases--incidence: a systematic review and meta-analysis on observational prospective studies
- PMID: 23466047
- DOI: 10.1016/j.nut.2012.12.018
Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases--incidence: a systematic review and meta-analysis on observational prospective studies
Abstract
Background: Cardiovascular diseases (CVDs) are a group of disorders affecting heart and blood vessels. However, protective roles are proposed for Dietary Approaches to Stop Hypertension (DASH)-style diets.
Objective: The aim of this review was to summarize and if possible quantify the longitudinal effects of a DASH-style diet on the incidence of CVDs.
Design: Pubmed, ISI web of science, and EMBASE were searched and cohort studies that examined the DASH-style diet in relation to CVDs, coronary heart disease (CHD), stroke, and heart failure (HF) were selected. Cohort studies which included participants with specific CVD risk factors like diabetes mellitus, metabolic syndrome, obesity or hypertension were excluded from review. Relative risks (RRs) that were reported for fully adjusted models and their confidence intervals were extracted for meta-analysis.
Results: Regarding the adherence to the DASH diet and the incidence of CVDs, stroke, CHD, and HF, only 6 studies met our criteria to be included in this systematic review. Meta-analysis showed that imitating a DASH-like diet can significantly reduce CVDs (RR = 0.80; 95% confidence interval [CI], 0.74-0.86; P < 0.001), CHD (RR = 0.79; 95% CI, 0.71-0.88; P < 0.001), stroke (RR = 0.81, 95% CI, 0.72-0.92; P < 0.001), and HF (RR= 0.71, 95% CI, 0.58-0.88; P < 0.001) risk. A linear and negative association was obtained between DASH-style diet concordance and all CVDs, as well.
Conclusion: In conclusion, our results showed that a DASH-like diet can significantly protect against CVDs, CHD, stroke, and HF risk by 20%, 21%, 19% and 29%, respectively. Furthermore, there is a significant reverse linear association between DASH diet consumption and CVDs, CHD, stroke, and HF risk.
Copyright © 2013 Elsevier Inc. All rights reserved.
Similar articles
-
Associations between Dietary Pulses Alone or with Other Legumes and Cardiometabolic Disease Outcomes: An Umbrella Review and Updated Systematic Review and Meta-analysis of Prospective Cohort Studies.Adv Nutr. 2019 Nov 1;10(Suppl_4):S308-S319. doi: 10.1093/advances/nmz113. Adv Nutr. 2019. PMID: 31728500 Free PMC article.
-
Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women.Arch Intern Med. 2008 Apr 14;168(7):713-20. doi: 10.1001/archinte.168.7.713. Arch Intern Med. 2008. PMID: 18413553
-
Adherence to a healthy diet in relation to cardiovascular incidence and risk markers: evidence from the Caerphilly Prospective Study.Eur J Nutr. 2018 Apr;57(3):1245-1258. doi: 10.1007/s00394-017-1408-0. Epub 2017 Mar 14. Eur J Nutr. 2018. PMID: 28293738 Free PMC article.
-
Dietary Patterns and Cardiometabolic Outcomes in Diabetes: A Summary of Systematic Reviews and Meta-Analyses.Nutrients. 2019 Sep 13;11(9):2209. doi: 10.3390/nu11092209. Nutrients. 2019. PMID: 31540227 Free PMC article. Review.
-
Diet quality as assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension score, and health outcomes: a systematic review and meta-analysis of cohort studies.J Acad Nutr Diet. 2015 May;115(5):780-800.e5. doi: 10.1016/j.jand.2014.12.009. Epub 2015 Feb 11. J Acad Nutr Diet. 2015. PMID: 25680825 Review.
Cited by
-
Diets and Cellular-Derived Microparticles: Weighing a Plausible Link With Cerebral Small Vessel Disease.Front Cardiovasc Med. 2021 Feb 24;8:632131. doi: 10.3389/fcvm.2021.632131. eCollection 2021. Front Cardiovasc Med. 2021. PMID: 33718454 Free PMC article. Review.
-
Nutrition and Cardiovascular Disease: Finding the Perfect Recipe for Cardiovascular Health.Nutrients. 2016 Jun 14;8(6):363. doi: 10.3390/nu8060363. Nutrients. 2016. PMID: 27314382 Free PMC article. Review.
-
Dietary interventions and blood pressure in Latin America - systematic review and meta-analysis.Arq Bras Cardiol. 2014 Apr;102(4):345-54. doi: 10.5935/abc.20140037. Epub 2014 Mar 22. Arq Bras Cardiol. 2014. PMID: 24676220 Free PMC article. Review.
-
Effects of the Chinese Heart-Healthy Diet (Sichuan Cuisine Version) on the 10-year CVD risk and vascular age: a randomised controlled feeding trial.Br J Nutr. 2024 Mar 28;131(6):997-1006. doi: 10.1017/S0007114523002416. Epub 2023 Nov 6. Br J Nutr. 2024. PMID: 37926909 Free PMC article. Clinical Trial.
-
Impact of the Level of Adherence to the DASH Diet on Blood Pressure: A Systematic Review and Meta-Analysis.Metabolites. 2023 Aug 7;13(8):924. doi: 10.3390/metabo13080924. Metabolites. 2023. PMID: 37623868 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials
Miscellaneous