DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos
Open accessAbstract
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”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [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.
- ORCID
- Venue
- Preventive Medicine Reports
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 15
- Pages
- 100950
- ISSN
- 2211-3355 (ISSN-L)
- PMC
- PMC6657306
- 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
- gold
- doi.org
- Licence
- 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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