Dietary patterns and the risk of coronary heart disease among Jordanians: A case–control study

Dietary patterns and the risk of coronary heart disease among Jordanians: A case–control study

Dietary pattern and lifestyle have been reported to be significant risk factors in the development of coronary heart diseases (CHD). The contribution degree of these dietary risk factors in CHD development in non-westernized countries is unclear. This study aimed to evaluate several dietary choices...

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Bibliographic Details
Published in:Nutrition, metabolism, and cardiovascular diseases Vol. 28; no. 3; pp. 262 - 269
Main Authors: Tayyem, R.F., Al-Shudifat, A.E., Johannessen, A., Bawadi, H.A., AbuMweis, S.S., Agraib, L.M., Allhedan, S.S., Haj-Husein, I., Azab, M.
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01-03-2018
Subjects:
Case-Control Studies
Coronary Angiography
Coronary Disease - diagnostic imaging
Coronary Disease - epidemiology
Coronary Disease - prevention & control
Coronary heart disease
Diet, Western - adverse effects
Dietary Fiber - administration & dosage
Fabaceae
Feeding Behavior
Female
Fruit
Healthy Diet
Healthy dietary pattern
Humans
Jordan
Jordan - epidemiology
Male
Meat
Middle Aged
Middle East
Nutritive Value
Olive Oil
Protective Factors
Recommended Dietary Allowances
Risk Assessment
Risk Factors
Risk Reduction Behavior
Seafood
Vegetables
Western dietary pattern
Whole Grains
Jordan
Middle East
Western dietary pattern
Jordan
Coronary heart disease
Healthy dietary pattern
Risk factors
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Summary:Dietary pattern and lifestyle have been reported to be significant risk factors in the development of coronary heart diseases (CHD). The contribution degree of these dietary risk factors in CHD development in non-westernized countries is unclear. This study aimed to evaluate several dietary choices and their potential association with CHD. A case–control study was conducted at Prince Hamza Hospital, a referral center for coronary angiography in Amman, Jordan. Four-hundred patients referring for elective coronary angiography with clinical suspicion of coronary artery disease were enrolled. Data was collected using interview-based questionnaires. Dietary patterns were derived using Principal Component Analysis. Multivariate logistic regression was used to estimate the relationship between dietary choices and CHD. Three dietary patterns were identified. The “Healthy Dietary Pattern”, which presented a diet rich in olive oil, fruits, vegetables, legumes, whole grains, fish, and low meat intake, was associated with a significant decrease in the odds of CHD (OR = 0.53, 95% CI = 0.28–0.98). The “High-Fiber Pattern”, which is mainly composed of legumes and bulgur, significantly reduced the odd of CHD (OR = 0.55, 95% CI = 0.27–0.92) for the fourth quartile compared to the first one. No significant association was found between CHD and the “Western Dietary Pattern”, which is loaded with refined grains, sweets and deserts, sugary drinks, and deep fried foods. The “Healthy Dietary Pattern” and the “High-Fiber Pattern” were associated with a decrease in odds of CHD among Jordanians. •Adopting a Healthy Dietary Pattern could exert a protective effect against CHD among Jordanians.•Consuming foods rich in fiber could be associated with lower risk of developing CHD.•Following Western Dietary Pattern may not be associated with CHD development.
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ISSN:0939-4753
1590-3729
DOI:10.1016/j.numecd.2017.10.026