Cited by 32Nutritional Studies and DietDiabetes, Cardiovascular Risks, and LipoproteinsSodium Intake and Health

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

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Joyce, Brian T., Wu, Donghong, Hou, Lifang, Dai, Qi, Castaneda, Sheila F., Gallo, Linda C., Talavera, Gregory A., Sotres-Alvarez, Daniela +8 more·2019·Preventive Medicine Reports

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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  • The DASH pattern focuses on increasing intake of plant and lean meat/fish/dairy micronutrients associated with lowering blood pressure (potassium, calcium, magnesium) and limiting macronutrients and micronutrients associated with increased blood pressure (saturated fat, added sugars, sodium).

    “The DASH pattern is focused on increasing the intake of plant and lean meat/fish/dairy micronutrients associated with lowering blood pressure (potassium, calcium, and magnesium) and limiting macronutrients and micronutrients associated with increased blood pressure (saturated fat, added sugars, and sodium).12-18”

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Authors
Joyce, B. T., Wu, D., Hou, L., Dai, Q., Castaneda, S. F., Gallo, L. C., Talavera, G. A., Sotres-Alvarez, D., Van Horn, L., Beasley, J. M., Khambaty, T., Elfassy, T., Zeng, D., Mattei, J., Corsino, L., & Daviglus, M. L.
Affiliations
  • Northwestern University (US)
  • Vanderbilt University Medical Center (US)
  • San Diego State University (US)
  • NYU Langone Health (US)
  • University of Miami (US)
  • University of North Carolina at Chapel Hill (US)
  • Harvard University (US)
  • Duke University (US)
Corresponding author
Joyce, Brian T.
Venue
Preventive Medicine Reports
Publisher
Elsevier BV
Published
2019-09
Volume
15
Pages
100950
ISSN
2211-3355 (ISSN-L)
OpenAlex
W2960328474
Cited by
32
References
56
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 4 · 2020: 5
FWCI
3.22
Type
journal article
Language
en
Open access
Locations
  • Preventive Medicine Reports (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
American Heart Association
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
Keywords
DASH diet, metabolic syndrome, dietary intake, blood pressure, triglycerides, fasting blood glucose, waist circumference, HDL cholesterol, cardiovascular disease prevention, Hispanic Community Health Study/Study of Latinos

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