Evidence map›Paper›PMID 38802604›Full record

ArticleEuropean journal of clinical nutrition2024

Dietary habits and compliance with dietary guidelines in patients with established cardiovascular disease.

Nadia E Bonekamp, Johanna M Geleijnse, Yvonne T van der Schouw, Jannick A N Dorresteijn, Manon G van der Meer, Ynte M Ruigrok, Martin Teraa, Frank L J Visseren, Charlotte Koopal, UCC-SMART study group

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Article in European journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nadia E BonekampDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Johanna M GeleijnseDivision of Human Nutrition and Health, Wageningen University, Wageningen, The Netherlands.ORCID http://orcid.org/0000-0001-7638-0589
Yvonne T van der SchouwJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-4605-435X
Jannick A N DorresteijnDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Manon G van der MeerDepartment of Cardiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Ynte M RuigrokUMC Utrecht Brain Center, Department of Neurology and Neurosurgery, Utrecht University, University Medical Center Utrecht, Utrecht, the Netherlands.
Martin TeraaDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0002-6751-6752
Frank L J VisserenDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. F.L.J.Visseren@umcutrecht.nl.ORCID http://orcid.org/0000-0003-3951-5223
Charlotte KoopalDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
UCC-SMART study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnhealthy dietary habits are an important risk factor for cardiovascular disease (CVD) and adopting a healthy diet is a central recommendation in CVD prevention. This study assessed the dietary habits of patients with established CVD, their compliance to dietary guidelines, and the relationship between guideline-compliance and recurrent cardiovascular event risk.

methods2656 patients with established CVD from the Utrecht Cardiovascular Cohort-Secondary Manifestations of ARTerial disease (UCC-SMART) prospective cohort study, were included between 1996 and 2022. Data on dietary intake was retrospectively collected for all participants in December 2022 using a 160-item food frequency questionnaire. Compliance with dietary guidelines was quantified using an amended version of the Dutch Healthy Diet 2015 (DHD-15) index (range: 0-135). Cox proportional hazard models were used to quantify the relationship with cardiovascular events (stroke and myocardial infarction).

resultsAmong 2656 CVD patients (77% male, mean age 59 ± 9 years), median energy intake was 1922 [IQR: 1536-2351] kcal/day. The median DHD-15 index was 81.7 [IQR 71.2-92.0], with high compliance scores for recommendations on legumes and fish, and low scores for recommendations on whole grains, red meat, processed meat, and dairy. A higher DHD-15 score was associated with lower stroke risk (HR 0.78, 95% CI 0.66-0.92 per 10-point increase) but not with myocardial infarction.

conclusionCompliance with dietary guidelines was suboptimal in patients with established CVD. High compliance was associated with a clinically significant reduction in stroke risk in patients with established CVD, emphasizing the importance of dietary counseling.

Indexed as

Cardiovascular DiseasesFeeding BehaviorNutrition PolicyPatient ComplianceAgedCohort StudiesFemaleHumansMaleMiddle AgedNetherlandsProspective StudiesRetrospective StudiesRisk Factors

Identifiers

PMID38802604

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.