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1 "Multi-Ethnic Study of Atherosclerosis"
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Original Article
Associations between dietary risk factors and ischemic stroke: a comparison of regression methods using data from the Multi-Ethnic Study of Atherosclerosis
Seyed Saeed Hashemi Nazari, Yaser Mokhayeri, Mohammad Ali Mansournia, Soheila Khodakarim, Hamid Soori
Epidemiol Health. 2018;40:e2018021.   Published online May 21, 2018
DOI: https://doi.org/10.4178/epih.e2018021
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  • 7 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
We analyzed dietary patterns using reduced rank regression (RRR), and assessed how well the scores extracted by RRR predicted stroke in comparison to the scores produced by partial least squares and principal component regression models.
METHODS
Dietary data at baseline were used to extract dietary patterns using the 3 methods, along with 4 response variables: body mass index, fibrinogen, interleukin-6, and low-density lipoprotein cholesterol. The analyses were based on 5,468 males and females aged 45-84 years who had no clinical cardiovascular disease, using data from the Multi-Ethnic Study of Atherosclerosis.
RESULTS
The primary factor derived by RRR was positively associated with stroke incidence in both models. The first model was adjusted for sex and race and the second model was adjusted for the variables in model 1 as well as smoking, physical activity, family and sibling history of stroke, the use of any lipid-lowering medication, the use of any anti-hypertensive medication, hypertension, and history of myocardial infarction (model 1: hazard ratio [HR], 7.49; 95% confidence interval [CI], 1.66 to 33.69; p for trend=0.01; model 2: HR, 6.83; 95% CI, 1.51 to 30.87 for quintile 5 compared with the reference category; p for trend=0.02).
CONCLUSIONS
Based primarily on RRR, we identified that a dietary pattern high in fats and oils, poultry, non-diet soda, processed meat, tomatoes, legumes, chicken, tuna and egg salad, and fried potatoes and low in dark-yellow and cruciferous vegetables may increase the incidence of ischemic stroke.
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Citations

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  • Comparison of data-driven identified hypertension-protective dietary patterns among Chinese adults: based on a nationwide study
    Yuxiang Yang, Wei Piao, Shuya Cai, Kun Huang, Changzheng Yuan, Xue Cheng, Ling Zhang, Yuge Li, Liyun Zhao, Dongmei Yu
    European Journal of Nutrition.2023; 62(7): 2805.     CrossRef
  • Associations between dietary patterns and cardiovascular disease risk in Canadian adults: a comparison of partial least squares, reduced rank regression, and the simplified dietary pattern technique
    Svilena V Lazarova, Mahsa Jessri
    The American Journal of Clinical Nutrition.2022; 116(2): 362.     CrossRef
  • Association Between Dietary Quality Indices and Atherosclerosis Risk: A Case-Control Study
    Mahsa Samadani, Anahita Mansoori, Habib Haybar, Fatemeh Haidari, Majid Mohammadshahi
    Nutrition and Metabolic Insights.2022; 15: 117863882211119.     CrossRef
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    Nazanin Moslehi, Fatemeh Rahimi Sakak, Maryam Mahdavi, Parvin Mirmiran, Fereidoun Azizi
    Frontiers in Nutrition.2022;[Epub]     CrossRef
  • Dietary patterns derived by reduced rank regression and non-communicable disease risk
    Carmen Piernas, Min Gao, Susan A. Jebb
    Proceedings of the Nutrition Society.2022; : 1.     CrossRef
  • Dietary patterns related to cardiovascular disease based on reduced rank regression analysis of healthy middle-aged Koreans: data from the community-based Korean Genome and Epidemiology Study (KoGES) cohort
    Hye Ah Lee, Hyoin An, EunJin Lee
    The American Journal of Clinical Nutrition.2020; 111(6): 1159.     CrossRef
  • Interaction between an ATP-Binding Cassette A1 (ABCA1) Variant and Egg Consumption for the Risk of Ischemic Stroke and Carotid Atherosclerosis: a Family-Based Study in the Chinese Population
    Jing Song, Xia Jiang, Yaying Cao, Juan Juan, Tao Wu, Yonghua Hu
    Journal of Atherosclerosis and Thrombosis.2019; 26(9): 835.     CrossRef

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