| Title: | Association Between Healthful Plant-Based Dietary Pattern and Obesity Trajectories and Future Cardiovascular Diseases in Middle-Aged and Elderly: A Prospective and Longitudinal Cohort Study |
| Journal: | Molecular Nutrition & Food Research |
| Published: | 15 Jan 2025 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/39812006/ |
| DOI: | https://doi.org/10.1002/mnfr.202400833 |
Publication 14513
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Abstract
We aimed to explore the association between plant-based dietary (PBD) patterns and obesity trajectories in middle-aged and elderly, as well as obesity trajectories linked to cardiovascular disease (CVD) risk. A total of 7108 middle-aged and elderly UK Biobank participants with at least three physical measurements were included. Dietary information collected at enrolment was used to calculate the healthful plant-based diet index (hPDI). Group-based trajectory modeling identified two trajectories for each adiposity measure: BMI Low-Smooth and High-Growth-Decline; FMI Low-Smooth and High-Growth-Decline; WHR Low-Growth and High-Growth. Logistic regression showed that participants in the medium and high hPDI groups were less likely to follow the BMI High-Growth-Decline (OR = 0.72, 95% CI: 0.60-0.87; OR = 0.49, 95% CI: 0.39-0.61), FMI High-Growth-Decline (OR = 0.71, 95% CI: 0.60-0.84; OR = 0.55, 95% CI: 0.46-0.66), and WHR High-Growth (OR = 0.73, 95% CI: 0.61-0.87; OR = 0.52, 95% CI: 0.43-0.63) trajectories. After a median follow-up time of 3.88 years, Cox regression showed higher CVD risk for participants in these trajectories (HR = 1.70, 95% CI: 1.37-2.11; HR = 1.68, 95% CI: 1.37-2.06; HR = 1.30, 95% CI: 1.04-1.63). A healthy PBD pattern was associated with the maintenance of a healthy BMI classification. Furthermore, the long-term stabilization of a healthy BMI classification may be linked to a reduced risk of CVD.</p>
14 Keywords
- Aged
- Body Mass Index
- Cardiovascular Diseases
- Diet, Healthy
- Diet, Vegetarian
- Dietary Patterns
- Female
- Humans
- Longitudinal Studies
- Male
- Middle Aged
- Obesity
- Prospective Studies
- Risk Factors
8 Authors
- Zhixing Fan
- Chaojun Yang
- Chenyu Zhao
- Hui Wu
- Huibo Wang
- Ying Yang
- Qi Li
- Jian Yang
1 Application
| Application ID | Title |
|---|---|
| 170605 | Association analysis, causal inference, and modeling of genetic, environmental, lifestyle, and clinical determinants in the occurrence, progression, and prognosis of age-related diseases |
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