DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos

Brian T. Joyce*, Donghong Wu, Lifang Hou, Qi Dai, Sheila F. Castaneda, Linda C. Gallo, Gregory A. Talavera, Daniela Sotres-Alvarez, L. Van Horn, Jeannette M. Beasley, Tasneem Khambaty, Tali Elfassy, Donglin Zeng, Josiemer Mattei, Leonor Corsino, Martha L. Daviglus

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for lowering blood pressure and preventing cardiovascular disease (CVD), but little data exist on these associations in US Hispanics/Latinos. We sought to assess associations between DASH score and prevalence of metabolic syndrome (MetS) and its components in diverse Hispanics/Latinos. We studied 10,741 adults aged 18–74 in the multicenter Hispanic Community Health Study/Study of Latinos. Dietary intake was measured using two 24-hour recalls, and MetS defined per the 2009 harmonized guidelines. We assessed cross-sectional associations of DASH score and MetS (and its dichotomized components) using survey logistic regression, and DASH and MetS continuous components using linear regression. We also stratified these models by Hispanic/Latino heritage group to explore heritage-specific associations. We found no associations between DASH and MetS prevalence. DASH was inversely associated with both measures of blood pressure (p < 0.01 for systolic and p < 0.001 for diastolic) in the overall cohort. DASH was also inversely associated with diastolic blood pressure in the Mexican (p < 0.05), Central American (p < 0.05), and South American (p < 0.01) groups; triglycerides (p < 0.05) in the Central American group; fasting glucose overall (p < 0.01) and in the Mexican group (p < 0.01); and waist circumference overall (p < 0.05) and in the South American group (p < 0.01). DASH was positively associated with HDL-cholesterol (p < 0.01) in the Central American group. DASH may better capture diet-MetS associations in Hispanic/Latino subpopulations such as Central/South Americans; this study also adds evidence that Hispanics/Latinos should be analyzed by heritage. Further research, and/or culturally tailored DASH measures will help further explain between-heritage differences.

Original languageEnglish (US)
Article number100950
JournalPreventive Medicine Reports
Volume15
DOIs
StatePublished - Sep 2019

Fingerprint

Hispanic Americans
Diet
Hypertension
Health
Blood Pressure
Waist Circumference
HDL Cholesterol
Linear Models
Fasting
Triglycerides
Cardiovascular Diseases
Logistic Models
Guidelines
Glucose

Keywords

  • DASH
  • Diet
  • Diet quality scores
  • Hispanics/Latinos
  • Metabolic syndrome

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health

Cite this

Joyce, Brian T. ; Wu, Donghong ; Hou, Lifang ; Dai, Qi ; Castaneda, Sheila F. ; Gallo, Linda C. ; Talavera, Gregory A. ; Sotres-Alvarez, Daniela ; Van Horn, L. ; Beasley, Jeannette M. ; Khambaty, Tasneem ; Elfassy, Tali ; Zeng, Donglin ; Mattei, Josiemer ; Corsino, Leonor ; Daviglus, Martha L. / DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos. In: Preventive Medicine Reports. 2019 ; Vol. 15.
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abstract = "The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for lowering blood pressure and preventing cardiovascular disease (CVD), but little data exist on these associations in US Hispanics/Latinos. We sought to assess associations between DASH score and prevalence of metabolic syndrome (MetS) and its components in diverse Hispanics/Latinos. We studied 10,741 adults aged 18–74 in the multicenter Hispanic Community Health Study/Study of Latinos. Dietary intake was measured using two 24-hour recalls, and MetS defined per the 2009 harmonized guidelines. We assessed cross-sectional associations of DASH score and MetS (and its dichotomized components) using survey logistic regression, and DASH and MetS continuous components using linear regression. We also stratified these models by Hispanic/Latino heritage group to explore heritage-specific associations. We found no associations between DASH and MetS prevalence. DASH was inversely associated with both measures of blood pressure (p < 0.01 for systolic and p < 0.001 for diastolic) in the overall cohort. DASH was also inversely associated with diastolic blood pressure in the Mexican (p < 0.05), Central American (p < 0.05), and South American (p < 0.01) groups; triglycerides (p < 0.05) in the Central American group; fasting glucose overall (p < 0.01) and in the Mexican group (p < 0.01); and waist circumference overall (p < 0.05) and in the South American group (p < 0.01). DASH was positively associated with HDL-cholesterol (p < 0.01) in the Central American group. DASH may better capture diet-MetS associations in Hispanic/Latino subpopulations such as Central/South Americans; this study also adds evidence that Hispanics/Latinos should be analyzed by heritage. Further research, and/or culturally tailored DASH measures will help further explain between-heritage differences.",
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author = "Joyce, {Brian T.} and Donghong Wu and Lifang Hou and Qi Dai and Castaneda, {Sheila F.} and Gallo, {Linda C.} and Talavera, {Gregory A.} and Daniela Sotres-Alvarez and {Van Horn}, L. and Beasley, {Jeannette M.} and Tasneem Khambaty and Tali Elfassy and Donglin Zeng and Josiemer Mattei and Leonor Corsino and Daviglus, {Martha L.}",
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Joyce, BT, Wu, D, Hou, L, Dai, Q, Castaneda, SF, Gallo, LC, Talavera, GA, Sotres-Alvarez, D, Van Horn, L, Beasley, JM, Khambaty, T, Elfassy, T, Zeng, D, Mattei, J, Corsino, L & Daviglus, ML 2019, 'DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos', Preventive Medicine Reports, vol. 15, 100950. https://doi.org/10.1016/j.pmedr.2019.100950

DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos. / Joyce, Brian T.; Wu, Donghong; Hou, Lifang; Dai, Qi; Castaneda, Sheila F.; Gallo, Linda C.; Talavera, Gregory A.; Sotres-Alvarez, Daniela; Van Horn, L.; Beasley, Jeannette M.; Khambaty, Tasneem; Elfassy, Tali; Zeng, Donglin; Mattei, Josiemer; Corsino, Leonor; Daviglus, Martha L.

In: Preventive Medicine Reports, Vol. 15, 100950, 09.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos

AU - Joyce, Brian T.

AU - Wu, Donghong

AU - Hou, Lifang

AU - Dai, Qi

AU - Castaneda, Sheila F.

AU - Gallo, Linda C.

AU - Talavera, Gregory A.

AU - Sotres-Alvarez, Daniela

AU - Van Horn, L.

AU - Beasley, Jeannette M.

AU - Khambaty, Tasneem

AU - Elfassy, Tali

AU - Zeng, Donglin

AU - Mattei, Josiemer

AU - Corsino, Leonor

AU - Daviglus, Martha L.

PY - 2019/9

Y1 - 2019/9

N2 - The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for lowering blood pressure and preventing cardiovascular disease (CVD), but little data exist on these associations in US Hispanics/Latinos. We sought to assess associations between DASH score and prevalence of metabolic syndrome (MetS) and its components in diverse Hispanics/Latinos. We studied 10,741 adults aged 18–74 in the multicenter Hispanic Community Health Study/Study of Latinos. Dietary intake was measured using two 24-hour recalls, and MetS defined per the 2009 harmonized guidelines. We assessed cross-sectional associations of DASH score and MetS (and its dichotomized components) using survey logistic regression, and DASH and MetS continuous components using linear regression. We also stratified these models by Hispanic/Latino heritage group to explore heritage-specific associations. We found no associations between DASH and MetS prevalence. DASH was inversely associated with both measures of blood pressure (p < 0.01 for systolic and p < 0.001 for diastolic) in the overall cohort. DASH was also inversely associated with diastolic blood pressure in the Mexican (p < 0.05), Central American (p < 0.05), and South American (p < 0.01) groups; triglycerides (p < 0.05) in the Central American group; fasting glucose overall (p < 0.01) and in the Mexican group (p < 0.01); and waist circumference overall (p < 0.05) and in the South American group (p < 0.01). DASH was positively associated with HDL-cholesterol (p < 0.01) in the Central American group. DASH may better capture diet-MetS associations in Hispanic/Latino subpopulations such as Central/South Americans; this study also adds evidence that Hispanics/Latinos should be analyzed by heritage. Further research, and/or culturally tailored DASH measures will help further explain between-heritage differences.

AB - The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for lowering blood pressure and preventing cardiovascular disease (CVD), but little data exist on these associations in US Hispanics/Latinos. We sought to assess associations between DASH score and prevalence of metabolic syndrome (MetS) and its components in diverse Hispanics/Latinos. We studied 10,741 adults aged 18–74 in the multicenter Hispanic Community Health Study/Study of Latinos. Dietary intake was measured using two 24-hour recalls, and MetS defined per the 2009 harmonized guidelines. We assessed cross-sectional associations of DASH score and MetS (and its dichotomized components) using survey logistic regression, and DASH and MetS continuous components using linear regression. We also stratified these models by Hispanic/Latino heritage group to explore heritage-specific associations. We found no associations between DASH and MetS prevalence. DASH was inversely associated with both measures of blood pressure (p < 0.01 for systolic and p < 0.001 for diastolic) in the overall cohort. DASH was also inversely associated with diastolic blood pressure in the Mexican (p < 0.05), Central American (p < 0.05), and South American (p < 0.01) groups; triglycerides (p < 0.05) in the Central American group; fasting glucose overall (p < 0.01) and in the Mexican group (p < 0.01); and waist circumference overall (p < 0.05) and in the South American group (p < 0.01). DASH was positively associated with HDL-cholesterol (p < 0.01) in the Central American group. DASH may better capture diet-MetS associations in Hispanic/Latino subpopulations such as Central/South Americans; this study also adds evidence that Hispanics/Latinos should be analyzed by heritage. Further research, and/or culturally tailored DASH measures will help further explain between-heritage differences.

KW - DASH

KW - Diet

KW - Diet quality scores

KW - Hispanics/Latinos

KW - Metabolic syndrome

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