Adherence to dietary guidelines is associated with a lower risk of long-term cardiovascular mortality after myocardial infarction: a prospective analysis in the Alpha Omega Cohort.

ABSTRACT:

Aims

Dietary guidelines specifically for patients with atherosclerotic cardiovascular disease (CVD) were investigated in relation to long-term mortality after myocardial infarction (MI).

Methods

We included 4365 MI patients of the prospective Dutch Alpha Omega Cohort (60-80 years, 80 % male). We created the Dutch Healthy Diet-Cardiovascular Disease (DHD-CVD) index, based on the 2023 Dutch dietary guidelines for CVD patients with dietary data from a validated 203-item questionnaire. Hazard Ratios (HRs) for CVD-related and all-cause mortality across quartiles of the DHD-CVD index (ref=Q1, low diet quality) and per 1-SD increment were estimated using multivariable Cox regression models. Effect modification by health determinants was examined through stratification. Numbers need

SUBMITTER: Cruijsen E 

PROVIDER: S-EPMC12275230 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature