Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases

Abstract Adherence to plant‐based diets is recommended to prevent and control chronic diseases. However, not all plant‐based foods are healthy for this purpose. This study investigated the relationship between plant‐based diets and risk factors for cardiovascular diseases (CVDs) in adults with chron...

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Main Authors: Mostafa Lotfi, Mehran Nouri, Abduladheem Turki Jalil, Abbas Rezaianzadeh, Siavash Babajafari, Masoumeh Ghoddusi Johari, Shiva Faghih
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Food Science & Nutrition
Subjects:
Online Access:https://doi.org/10.1002/fsn3.3164
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author Mostafa Lotfi
Mehran Nouri
Abduladheem Turki Jalil
Abbas Rezaianzadeh
Siavash Babajafari
Masoumeh Ghoddusi Johari
Shiva Faghih
author_facet Mostafa Lotfi
Mehran Nouri
Abduladheem Turki Jalil
Abbas Rezaianzadeh
Siavash Babajafari
Masoumeh Ghoddusi Johari
Shiva Faghih
author_sort Mostafa Lotfi
collection DOAJ
description Abstract Adherence to plant‐based diets is recommended to prevent and control chronic diseases. However, not all plant‐based foods are healthy for this purpose. This study investigated the relationship between plant‐based diets and risk factors for cardiovascular diseases (CVDs) in adults with chronic diseases. This cross‐sectional study was performed on 3678 males and females (age range: 40–70 years) with chronic diseases who participated in the Kharameh cohort study. A validated semiquantitative food‐frequency questionnaire was used to calculate the plant‐based diet index (PDI), healthy plant‐based diet index (hPDI), and unhealthy plant‐based diet index (uPDI). Lipid profile, fasting blood sugar (FBS), blood pressure, and anthropometric indices were measured. Multivariable‐adjusted logistic regression analysis was performed to determine the association between plant‐based diets and CVDs risk factors. Higher adherence to the PDI was inversely associated with the level of FBS (odds ratio [OR] = 0.42; 95% confidence interval [CI]: 0.33–0.53; p < .001). A significant decrease was observed for total cholesterol in those with higher adherence to hPDI (OR = 0.80; 95% CI: 0.65–0.98; p = .035). Additionally, the score of uPDI was positively related to FBS (OR = 1.23; 95% CI: 1.00–1.53; p = .01), total cholesterol (OR = 1.23; 95% CI: 1.01–1.49; p = .061), and low‐density lipoprotein (OR = 1.39; 95% CI: 1.13–1.71; p = .009). It was concluded that adherence to PDI and hPDI was related to a lower level of FBS and total cholesterol, respectively. Moreover, the findings suggested that regular intake of the uPDI was correlated with some risk factors for CVDs in adults with chronic diseases.
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spelling doaj.art-c622ab8887624b7681ce7da0727a87942023-03-10T17:16:14ZengWileyFood Science & Nutrition2048-71772023-03-011131297130810.1002/fsn3.3164Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseasesMostafa Lotfi0Mehran Nouri1Abduladheem Turki Jalil2Abbas Rezaianzadeh3Siavash Babajafari4Masoumeh Ghoddusi Johari5Shiva Faghih6Department of Community Nutrition, School of Nutrition and Food Science Shiraz University of Medical Sciences Shiraz IranHealth Policy Research Center, Institute of Health Shiraz University of Medical Sciences Shiraz IranMedical Laboratories Techniques Department Al‐Mustaqbal University College, Babylon Hilla IraqDepartment of Epidemiology, School of Health and Nutrition Shiraz University of Medical Sciences Shiraz IranNutrition research center, Department of Clinical Nutrition School of Nutrition and Food Science, Shiraz University of Medical Sciences Shiraz IranBreast Diseases Research Center Shiraz University of Medical Sciences Shiraz IranDepartment of Community Nutrition, School of Nutrition and Food Science Shiraz University of Medical Sciences Shiraz IranAbstract Adherence to plant‐based diets is recommended to prevent and control chronic diseases. However, not all plant‐based foods are healthy for this purpose. This study investigated the relationship between plant‐based diets and risk factors for cardiovascular diseases (CVDs) in adults with chronic diseases. This cross‐sectional study was performed on 3678 males and females (age range: 40–70 years) with chronic diseases who participated in the Kharameh cohort study. A validated semiquantitative food‐frequency questionnaire was used to calculate the plant‐based diet index (PDI), healthy plant‐based diet index (hPDI), and unhealthy plant‐based diet index (uPDI). Lipid profile, fasting blood sugar (FBS), blood pressure, and anthropometric indices were measured. Multivariable‐adjusted logistic regression analysis was performed to determine the association between plant‐based diets and CVDs risk factors. Higher adherence to the PDI was inversely associated with the level of FBS (odds ratio [OR] = 0.42; 95% confidence interval [CI]: 0.33–0.53; p < .001). A significant decrease was observed for total cholesterol in those with higher adherence to hPDI (OR = 0.80; 95% CI: 0.65–0.98; p = .035). Additionally, the score of uPDI was positively related to FBS (OR = 1.23; 95% CI: 1.00–1.53; p = .01), total cholesterol (OR = 1.23; 95% CI: 1.01–1.49; p = .061), and low‐density lipoprotein (OR = 1.39; 95% CI: 1.13–1.71; p = .009). It was concluded that adherence to PDI and hPDI was related to a lower level of FBS and total cholesterol, respectively. Moreover, the findings suggested that regular intake of the uPDI was correlated with some risk factors for CVDs in adults with chronic diseases.https://doi.org/10.1002/fsn3.3164cardiovascular disease risk factorsdietary patternplant‐based diet
spellingShingle Mostafa Lotfi
Mehran Nouri
Abduladheem Turki Jalil
Abbas Rezaianzadeh
Siavash Babajafari
Masoumeh Ghoddusi Johari
Shiva Faghih
Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
Food Science & Nutrition
cardiovascular disease risk factors
dietary pattern
plant‐based diet
title Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
title_full Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
title_fullStr Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
title_full_unstemmed Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
title_short Plant‐based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
title_sort plant based diets could ameliorate the risk factors of cardiovascular diseases in adults with chronic diseases
topic cardiovascular disease risk factors
dietary pattern
plant‐based diet
url https://doi.org/10.1002/fsn3.3164
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