ArticleEuropean journal of clinical nutrition2018
Low diet quality and the risk of stroke mortality: the multiethnic cohort study.
Article in European journal of clinical nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- The role of the Mediterranean diet in reducing the risk of cognitive impairement, dementia, and Alzheimer's disease: a meta-analysis.GeroScience · 2025Pooled it
- Impact of adherence to the Mediterranean diet on stroke risk.GeroScience · 2025Pooled it
- Adherence to the dietary approaches to stop hypertension (DASH) diet in relation to all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective cohort studies.Nutrition journal · 2020Pooled it
- Perspective: The Application of A Priori Diet Quality Scores to Cardiovascular Disease Risk-A Critical Evaluation of Current Scoring Systems.Advances in nutrition (Bethesda, Md.) · 2020Pooled it
- Adherence to the Mediterranean diet and risk of stroke and stroke subtypes.European journal of epidemiology · 2019Pooled it
- Adherence to the dietary approaches to stop hypertension diet and risk of stroke: A meta-analysis of prospective studies.Medicine · 2018Pooled it
- Application of the Total Nutrient Index as a Precision Nutrition Tool to Address Dietary Recommendations Across the Life Course.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Associations of Fine Particulate Matter and Its Specific Components With Recurrent Stroke and Secondary Morbidity and Mortality.Neurology · 2026Article
- Association between baseline levels of muscular strength and risk of stroke in later life: The Cooper Center Longitudinal Study.Journal of sport and health science · 2024Article
- Dietary Quality and Diet-Related Factors Among Emerging Adults (18-23 y) in the United States Are a Cause for Concern: National Health and Nutrition Examination Survey 2015-2018.The Journal of nutrition · 2024Article
- The association between diet quality index-international and dietary diversity score with preeclampsia: a case-control study.BMC women's health · 2024Article
- Healthy eating index-2015 and its association with the prevalence of stroke among US adults.Scientific reports · 2024Article
- Changes in Diet Quality over 10 Years and Subsequent Mortality from Cardiovascular Disease in the Multiethnic Cohort Study.Nutrients · 2023Article
- Diet quality and dietary acid load in relation to cardiovascular disease mortality: Results from Fasa PERSIAN cohort study.Food science & nutrition · 2023Article
- Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study.Frontiers in nutrition · 2023Article
- Does diet map with mortality? Ecological association of dietary patterns with chronic disease mortality and its spatial dependence in Switzerland.The British journal of nutrition · 2022Article
- Stroke mortality attributable to high red meat intake in China and South Korea: An age-period-cohort and joinpoint analysis.Frontiers in nutrition · 2022Article
- Perspective: The Glycemic Index Falls Short as a Carbohydrate Food Quality Indicator to Improve Diet Quality.Frontiers in nutrition · 2022Article
- Nutritional Counseling of Stroke Patients by Neurology Residents, a Call to Action.Frontiers in neurology · 2022Article
- The Efficacy and Cost-Effectiveness of Replacing Whole Apples with Sliced in the National School Lunch Program.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
Abstract
BACKGROUND/
objectivesSeveral diets, e.g., those low in fruits/vegetables, high in sodium, and red/processed meat, have been related to a higher stroke risk. We investigated stroke mortality associated with a priori diet-quality indices in the Multiethnic Cohort study. SUBJECTS/
methodsBased on 172,043 observations including 3548 stroke deaths, we investigated the Healthy Eating Index-2010 (HEI-2010), the Alternative HEI-2010, the alternate Mediterranean diet score, and the Dietary Approaches to Stop Hypertension index in relation to stroke mortality. Using Cox regression, we estimated adjusted population attributable risks (PAR) and hazard ratios (HR) for tertiles of the indices while adjusting for relevant confounders.
resultsThe associations between all diet-quality indices and stroke mortality were consistent in direction; a low-quality diet was associated with a greater risk of stroke death, but the HEI-2010 was the strongest predictor. The PAR for stroke death based on HEI-2010 was 7.9% (95%-CI: 3.7-12.2%), indicating the preventable percentage of deaths if the total population had the same diet quality as those in the highest tertile for this diet-quality index. The lowest as compared to the highest tertile of the HEI-2010 was associated with a 1.23-fold (95%-CI: 1.13-1.34) risk. The PARs for low and medium adherence to the indices were similar by sex and follow-up time, but varied by ethnicity, with the highest PAR in Whites (15.4%) and no association in Latinos.
conclusionsFindings for four diet-quality indices, in particular the HEI-2010, indicated that diet quality acts as an independent risk factor for stroke mortality. Promotion of a high diet quality could have a substantial impact on the prevention of stroke deaths.
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