Risk of Hypertension among Women in the EPIC-Potsdam Study: Comparison of Relative Risk Estimates for Exploratory and Hypothesis-oriented Dietary Patterns
Analysis of dietary patterns is considered a useful approach to the examination of diet-disease associations. This study examined the risk of incident hypertension associated with dietary patterns in 8,552 women in the EPIC (European Prospective Investigation into Cancer and Nutrition)-Potsdam Study...
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| Published in: | American journal of epidemiology 2003-08, Vol.158 (4), p.365-373 |
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Risk of Hypertension among Women in the EPIC-Potsdam Study: Comparison of Relative Risk Estimates for Exploratory and Hypothesis-oriented Dietary Patterns |
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Schulze, Matthias B. Hoffmann, Kurt Kroke, Anja Boeing, Heiner |
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Adult DASH Diet Dietary Approaches to Stop Hypertension EPIC European Prospective Investigation into Cancer and Nutrition factor analysis Female FFQ Follow-Up Studies food frequency questionnaire food habits Germany - epidemiology Humans hypertension Hypertension - epidemiology Hypertension - etiology Life Style Male Middle Aged pattern recognition Proportional Hazards Models statistical |
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American journal of epidemiology, 2003-08, Vol.158 (4), p.365-373 |
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Analysis of dietary patterns is considered a useful approach to the examination of diet-disease associations. This study examined the risk of incident hypertension associated with dietary patterns in 8,552 women in the EPIC (European Prospective Investigation into Cancer and Nutrition)-Potsdam Study. The baseline examination was carried out between 1994 and 1998. During 2–4 years of follow-up (through May 15, 2002), 123 incident hypertension cases were verified by medical records. Two exploratory dietary patterns, a “traditional cooking” pattern (meat, cooked vegetables, sauce, potatoes, and poultry) and a “fruits and vegetables” pattern (fruits, raw vegetables, and vegetable oil), were identified by exploratory factor analysis and confirmed by confirmatory factor analysis. Additionally, a hypothesis-oriented pattern based on the Dietary Approaches to Stop Hypertension (DASH) Study was defined (fruits, vegetables, and milk products). Patterns’ associations with disease risk were estimated by Cox regression. While no significant associations were observed for the traditional cooking pattern or the fruits and vegetables pattern after adjustment for potential confounders, women in the third quartile of the DASH pattern were at lower risk than women in the lowest quartile (hazard rate ratio = 0.51, 95% confidence interval: 0.29, 0.89). These results suggest that this hypothesis-oriented pattern might play an important role in the risk of hypertension. |
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ISSN: 0002-9262 |
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This study examined the risk of incident hypertension associated with dietary patterns in 8,552 women in the EPIC (European Prospective Investigation into Cancer and Nutrition)-Potsdam Study. The baseline examination was carried out between 1994 and 1998. During 2–4 years of follow-up (through May 15, 2002), 123 incident hypertension cases were verified by medical records. Two exploratory dietary patterns, a “traditional cooking” pattern (meat, cooked vegetables, sauce, potatoes, and poultry) and a “fruits and vegetables” pattern (fruits, raw vegetables, and vegetable oil), were identified by exploratory factor analysis and confirmed by confirmatory factor analysis. Additionally, a hypothesis-oriented pattern based on the Dietary Approaches to Stop Hypertension (DASH) Study was defined (fruits, vegetables, and milk products). Patterns’ associations with disease risk were estimated by Cox regression. While no significant associations were observed for the traditional cooking pattern or the fruits and vegetables pattern after adjustment for potential confounders, women in the third quartile of the DASH pattern were at lower risk than women in the lowest quartile (hazard rate ratio = 0.51, 95% confidence interval: 0.29, 0.89). 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J. Epidemiol</addtitle><description>Analysis of dietary patterns is considered a useful approach to the examination of diet-disease associations. This study examined the risk of incident hypertension associated with dietary patterns in 8,552 women in the EPIC (European Prospective Investigation into Cancer and Nutrition)-Potsdam Study. The baseline examination was carried out between 1994 and 1998. During 2–4 years of follow-up (through May 15, 2002), 123 incident hypertension cases were verified by medical records. Two exploratory dietary patterns, a “traditional cooking” pattern (meat, cooked vegetables, sauce, potatoes, and poultry) and a “fruits and vegetables” pattern (fruits, raw vegetables, and vegetable oil), were identified by exploratory factor analysis and confirmed by confirmatory factor analysis. Additionally, a hypothesis-oriented pattern based on the Dietary Approaches to Stop Hypertension (DASH) Study was defined (fruits, vegetables, and milk products). Patterns’ associations with disease risk were estimated by Cox regression. While no significant associations were observed for the traditional cooking pattern or the fruits and vegetables pattern after adjustment for potential confounders, women in the third quartile of the DASH pattern were at lower risk than women in the lowest quartile (hazard rate ratio = 0.51, 95% confidence interval: 0.29, 0.89). These results suggest that this hypothesis-oriented pattern might play an important role in the risk of hypertension.</description><subject>Adult</subject><subject>DASH</subject><subject>Diet</subject><subject>Dietary Approaches to Stop Hypertension</subject><subject>EPIC</subject><subject>European Prospective Investigation into Cancer and Nutrition</subject><subject>factor analysis</subject><subject>Female</subject><subject>FFQ</subject><subject>Follow-Up Studies</subject><subject>food frequency questionnaire</subject><subject>food habits</subject><subject>Germany - epidemiology</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - etiology</subject><subject>Life Style</subject><subject>Male</subject><subject>Middle Aged</subject><subject>pattern recognition</subject><subject>Proportional Hazards Models</subject><subject>statistical</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpdkc9u1DAQhyMEokvhwgMgiwMHpFD_ie2YW7Xdsq1WsBQQqBfLSSbFu0kcbKd0X4WnxWVXIHGaw3zzzWh-Wfac4DcEK3ZiNnCy_XlDuHiQzUghRS4oFw-zGcaY5ooKepQ9CWGDMSGK48fZEaGKcI7pLPt1ZcMWuRYtdyP4CEOwbkCmd8MN-up6GJAdUPwOaLG-mOdrF0NjevQpTs3uLZq7fjTehjSRDFfQmWhvAf1RLkK0vYkQUOs8WtyNnfMmOr9DZmjut7lkDTbkzlsYIjTozEI0qb82MYIfwtPsUWu6AM8O9Tj7cr74PF_mqw_vLuanq7wuOI55KZmpeVXWStRcqUKotoCKUNaWuCg5gBDEKKlKimvWtBwbWaeXFJxXlFaVZMfZq7139O7HBCHq3oYaus4M4KagJeOcFZIm8OV_4MZNfki3acq4koSVPEGv91DtXQgeWj369Ai_0wTr-7h0ikvv40rwi4Nxqnpo_qGHfBKQ7wEbItz97Ru_1UIyyfXy27V-f3lJPi7PrvWK_QbwmaIA</recordid><startdate>20030815</startdate><enddate>20030815</enddate><creator>Schulze, Matthias B.</creator><creator>Hoffmann, Kurt</creator><creator>Kroke, Anja</creator><creator>Boeing, Heiner</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20030815</creationdate><title>Risk of Hypertension among Women in the EPIC-Potsdam Study: Comparison of Relative Risk Estimates for Exploratory and Hypothesis-oriented Dietary Patterns</title><author>Schulze, Matthias B. ; 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J. Epidemiol</addtitle><date>2003-08-15</date><risdate>2003</risdate><volume>158</volume><issue>4</issue><spage>365</spage><epage>373</epage><pages>365-373</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><notes>local:kwg156</notes><notes>istex:F03A7535EB5C0863186F49EF59E6061E99A568B5</notes><notes>ark:/67375/HXZ-NJJ1QHDZ-L</notes><notes>Received for publication November 14, 2002; accepted for publication February 20, 2003.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Analysis of dietary patterns is considered a useful approach to the examination of diet-disease associations. This study examined the risk of incident hypertension associated with dietary patterns in 8,552 women in the EPIC (European Prospective Investigation into Cancer and Nutrition)-Potsdam Study. The baseline examination was carried out between 1994 and 1998. During 2–4 years of follow-up (through May 15, 2002), 123 incident hypertension cases were verified by medical records. Two exploratory dietary patterns, a “traditional cooking” pattern (meat, cooked vegetables, sauce, potatoes, and poultry) and a “fruits and vegetables” pattern (fruits, raw vegetables, and vegetable oil), were identified by exploratory factor analysis and confirmed by confirmatory factor analysis. Additionally, a hypothesis-oriented pattern based on the Dietary Approaches to Stop Hypertension (DASH) Study was defined (fruits, vegetables, and milk products). Patterns’ associations with disease risk were estimated by Cox regression. While no significant associations were observed for the traditional cooking pattern or the fruits and vegetables pattern after adjustment for potential confounders, women in the third quartile of the DASH pattern were at lower risk than women in the lowest quartile (hazard rate ratio = 0.51, 95% confidence interval: 0.29, 0.89). These results suggest that this hypothesis-oriented pattern might play an important role in the risk of hypertension.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>12915502</pmid><doi>10.1093/aje/kwg156</doi><oa>free_for_read</oa></addata></record> |