Associations between adherence to the Danish Food-Based Dietary Guidelines and cardiometabolic risk factors in a Danish adult population: the DIPI study: the DIPI study

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Associations between adherence to the Danish Food-Based Dietary Guidelines and cardiometabolic risk factors in a Danish adult population: the DIPI study : the DIPI study. / Arentoft, Johanne Louise; Hoppe, Camilla ; Andersen, Elisabeth Wreford; Overvad, Kim; Tetens, Inge.

In: British Journal of Nutrition, Vol. 119, No. 6, 2018, p. 664-673.

Research output: Contribution to journalJournal article – Annual report year: 2018Researchpeer-review

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@article{ebb75816676d46bc8cfb58df3833b541,
title = "Associations between adherence to the Danish Food-Based Dietary Guidelines and cardiometabolic risk factors in a Danish adult population: the DIPI study: the DIPI study",
abstract = "Diet is recognised as one modifiable lifestyle factor for ischaemic heart disease (IHD). We aimed at investigating the associations between adherence to the Danish Food-Based Dietary Guidelines (FBDG) indicated by a Dietary Quality Index (DQI) and selected cardiometabolic risk factors in a cross-sectional study with 219 Danish adult participants (59 {\%}women; age 31-65years) with a minimum of one self-rated risk marker of IHD. Information regarding diet was obtained using web-based dietary assessment software and adherence to the Danish FBDG was expressed by a DQI calculated from 5 food and nutrient indicators (whole grain, fish, fruit and vegetables, energy from saturated fat and from added sugar). Background information, blood samples and anthropometrics were collected and blood pressure was measured. Linear regression analyses were used to evaluate the association between DQI and cardiometabolic risk factors. DQI was inversely associated with LDL:HDL ratio and TAG (-0·089 per unit; 95 {\%} CI -0·177, -0·002 and -5 {\%} per unit; 95 {\%} CI -9, 0, respectively) and positively associated with HDL-cholesterol (0·047 mmol/l per unit; 95 {\%} CI 0·007, 0·088). For men, DQI was inversely associated with BMI (-3 {\%}per unit; 95 {\%} CI -5, -1), trunk fat (-1 {\%} per unit; 95 {\%} CI -2, -1), high-sensitivity C-reactive protein (-30 {\%} per unit; 95 {\%} CI -41, -16 {\%}), HbA1c (-0·09 {\%} per unit; 95 {\%} CI -0·14, -0·04), insulin (-13 {\%} per unit; 95 {\%} CI -19, -7) and homoeostatic model assessment-insulin resistance (-14 {\%} per unit; 95 {\%} CI -21, -7). In women, DQI was positively associated with systolic blood pressure (2·6 mmHg per unit; 95 {\%} CI 0·6, 4·6). In conclusion, higher adherence to the current Danish FBDG was associated with a more beneficial cardiometabolic risk profile in a Danish adult population with a minimum of one self-rated risk factor for IHD.",
keywords = "Dietary patterns, Diet quality, Diet index, Cardiovascular risk factors, Cross-Sectional Studies, BP blood pressure, DQI Dietary Quality Index, DQS Dietary Quality Score, E{\%} energy contribution, FBDG Food-Based Dietary Guidelines, HEI Healthy Eating Index, HOMA-IR homoeostatic model of insulin resistance, IHD ischaemic heart disease, OR over-reporters, UR under-reporters, WC waist circumference, hsCRP high-sensitivity C-reactive protein, Cross-sectional studies",
author = "Arentoft, {Johanne Louise} and Camilla Hoppe and Andersen, {Elisabeth Wreford} and Kim Overvad and Inge Tetens",
year = "2018",
doi = "10.1017/S0007114517003695",
language = "English",
volume = "119",
pages = "664--673",
journal = "British Journal of Nutrition",
issn = "0007-1145",
publisher = "Cambridge University Press",
number = "6",

}

RIS

TY - JOUR

T1 - Associations between adherence to the Danish Food-Based Dietary Guidelines and cardiometabolic risk factors in a Danish adult population: the DIPI study

T2 - the DIPI study

AU - Arentoft, Johanne Louise

AU - Hoppe, Camilla

AU - Andersen, Elisabeth Wreford

AU - Overvad, Kim

AU - Tetens, Inge

PY - 2018

Y1 - 2018

N2 - Diet is recognised as one modifiable lifestyle factor for ischaemic heart disease (IHD). We aimed at investigating the associations between adherence to the Danish Food-Based Dietary Guidelines (FBDG) indicated by a Dietary Quality Index (DQI) and selected cardiometabolic risk factors in a cross-sectional study with 219 Danish adult participants (59 %women; age 31-65years) with a minimum of one self-rated risk marker of IHD. Information regarding diet was obtained using web-based dietary assessment software and adherence to the Danish FBDG was expressed by a DQI calculated from 5 food and nutrient indicators (whole grain, fish, fruit and vegetables, energy from saturated fat and from added sugar). Background information, blood samples and anthropometrics were collected and blood pressure was measured. Linear regression analyses were used to evaluate the association between DQI and cardiometabolic risk factors. DQI was inversely associated with LDL:HDL ratio and TAG (-0·089 per unit; 95 % CI -0·177, -0·002 and -5 % per unit; 95 % CI -9, 0, respectively) and positively associated with HDL-cholesterol (0·047 mmol/l per unit; 95 % CI 0·007, 0·088). For men, DQI was inversely associated with BMI (-3 %per unit; 95 % CI -5, -1), trunk fat (-1 % per unit; 95 % CI -2, -1), high-sensitivity C-reactive protein (-30 % per unit; 95 % CI -41, -16 %), HbA1c (-0·09 % per unit; 95 % CI -0·14, -0·04), insulin (-13 % per unit; 95 % CI -19, -7) and homoeostatic model assessment-insulin resistance (-14 % per unit; 95 % CI -21, -7). In women, DQI was positively associated with systolic blood pressure (2·6 mmHg per unit; 95 % CI 0·6, 4·6). In conclusion, higher adherence to the current Danish FBDG was associated with a more beneficial cardiometabolic risk profile in a Danish adult population with a minimum of one self-rated risk factor for IHD.

AB - Diet is recognised as one modifiable lifestyle factor for ischaemic heart disease (IHD). We aimed at investigating the associations between adherence to the Danish Food-Based Dietary Guidelines (FBDG) indicated by a Dietary Quality Index (DQI) and selected cardiometabolic risk factors in a cross-sectional study with 219 Danish adult participants (59 %women; age 31-65years) with a minimum of one self-rated risk marker of IHD. Information regarding diet was obtained using web-based dietary assessment software and adherence to the Danish FBDG was expressed by a DQI calculated from 5 food and nutrient indicators (whole grain, fish, fruit and vegetables, energy from saturated fat and from added sugar). Background information, blood samples and anthropometrics were collected and blood pressure was measured. Linear regression analyses were used to evaluate the association between DQI and cardiometabolic risk factors. DQI was inversely associated with LDL:HDL ratio and TAG (-0·089 per unit; 95 % CI -0·177, -0·002 and -5 % per unit; 95 % CI -9, 0, respectively) and positively associated with HDL-cholesterol (0·047 mmol/l per unit; 95 % CI 0·007, 0·088). For men, DQI was inversely associated with BMI (-3 %per unit; 95 % CI -5, -1), trunk fat (-1 % per unit; 95 % CI -2, -1), high-sensitivity C-reactive protein (-30 % per unit; 95 % CI -41, -16 %), HbA1c (-0·09 % per unit; 95 % CI -0·14, -0·04), insulin (-13 % per unit; 95 % CI -19, -7) and homoeostatic model assessment-insulin resistance (-14 % per unit; 95 % CI -21, -7). In women, DQI was positively associated with systolic blood pressure (2·6 mmHg per unit; 95 % CI 0·6, 4·6). In conclusion, higher adherence to the current Danish FBDG was associated with a more beneficial cardiometabolic risk profile in a Danish adult population with a minimum of one self-rated risk factor for IHD.

KW - Dietary patterns

KW - Diet quality

KW - Diet index

KW - Cardiovascular risk factors

KW - Cross-Sectional Studies

KW - BP blood pressure

KW - DQI Dietary Quality Index

KW - DQS Dietary Quality Score

KW - E% energy contribution

KW - FBDG Food-Based Dietary Guidelines

KW - HEI Healthy Eating Index

KW - HOMA-IR homoeostatic model of insulin resistance

KW - IHD ischaemic heart disease

KW - OR over-reporters

KW - UR under-reporters

KW - WC waist circumference

KW - hsCRP high-sensitivity C-reactive protein

KW - Cross-sectional studies

U2 - 10.1017/S0007114517003695

DO - 10.1017/S0007114517003695

M3 - Journal article

VL - 119

SP - 664

EP - 673

JO - British Journal of Nutrition

JF - British Journal of Nutrition

SN - 0007-1145

IS - 6

ER -