Dietary patterns within educational groups and their association with CHD and stroke in the European Prospective Investigation into Cancer and Nutrition-Netherlands cohort

The British Journal of Nutrition

Heidi P. Fransen^2¹  Saskia W. van den Berg^1²  Mirjam C. Kneepkens^1³  Sander Biesbroek^1⁴  Joline W. Beulens^3^4⁵ 

[1] Department of Epidemiology And Biostatistics,EMGO+ Institute for Health and Care Research,VU University Medical Center,De Boelelaan 1105,1081 HV Amsterdam,The Netherlands^4;Julius Center for Health Sciences and Primary Care,University Medical Center Utrecht,Universiteitsweg 100,3584 CG Utrecht,The Netherlands,^3;Julius Center for Health Sciences and Primary Care,University Medical Center Utrecht,Universiteitsweg 100,3584 CG Utrecht,The Netherlands^2;National Institute for Public Health and the Environment,Antonie van Leeuwenhoeklaan 9,3721 MA Bilthoven,The Netherlands^1;School of Public Health,Imperial College London,South Kensington Campus,London SW7 2AZ,UK^5

关键词: Socio-economic status;    Dietary patterns;    CVD;    Principal component analysis;    Education;   

DOI  :  10.1017/S0007114518000569

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

Higher-educated people often have healthier diets, but it is unclear whether specific dietary patterns exist within educational groups. We therefore aimed to derive dietary patterns in the total population and by educational level and to investigate whether these patterns differed in their composition and associations with the incidence of fatal and non-fatal CHD and stroke. Patterns were derived using principal components analysis in 36 418 participants of the European Prospective Investigation into Cancer and Nutrition-Netherlands cohort. Self-reported educational level was used to create three educational groups. Dietary intake was estimated using a validated semi-quantitative FFQ. Hazard ratios were estimated using Cox Proportional Hazard analysis after a mean follow-up of 16 years. In the three educational groups, similar ‘Western’, ‘prudent’ and ‘traditional’ patterns were derived as in the total population. However, with higher educational level a lower population-derived score for the ‘Western’ and ‘traditional’ patterns and a higher score on the ‘prudent’ pattern were observed. These differences in distribution of the factor scores illustrate the association between education and food consumption. After adjustments, no differences in associations between population-derived dietary patterns and the incidence of CHD or stroke were found between the educational groups (Pinteraction between 0·21 and 0·98). In conclusion, although in general population and educational groups-derived dietary patterns did not differ, small differences between educational groups existed in the consumption of food groups in participants considered adherent to the population-derived patterns (Q4). This did not result in different associations with incident CHD or stroke between educational groups.

【 授权许可】

CC BY