Cited by 881Nutritional Studies and DietFatty Acid Research and HealthCardiovascular Health and Risk Factors

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Major dietary patterns are related to plasma concentrations of markers of inflammation and endothelial dysfunction

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Lopez-Garcia, Esther, Schulze, Matthias B, Fung, Teresa T, Meigs, James B, Rifai, Nader, Manson, JoAnn E, Hu, Frank B·2004·The American Journal of Clinical Nutrition

DOI 10.1093/ajcn/80.4.1029

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Abstract

Background Endothelial dysfunction is one of the mechanisms linking diet and the risk of cardiovascular disease.Objective We evaluated the hypothesis that dietary patterns (summary measures of food consumption) are directly associated with markers of inflammation and endothelial dysfunction, particularly C-reactive protein (CRP), interleukin 6, E-selectin, soluble intercellular adhesion molecule 1 (sICAM-1), and soluble vascular cell adhesion molecule 1 (sVCAM-1).Design We conducted a cross-sectional study of 732 women from the Nurses' Health Study I cohort who were 43-69 y of age and free of cardiovascular disease, cancer, and diabetes mellitus at the time of blood drawing in 1990. Dietary intake was documented by using a validated food-frequency questionnaire in 1986 and 1990. Dietary patterns were generated by using factor analysis.Results A prudent pattern was characterized by higher intakes of fruit, vegetables, legumes, fish, poultry, and whole grains, and a Western pattern was characterized by higher intakes of red and processed meats, sweets, desserts, French fries, and refined grains. The prudent pattern was inversely associated with plasma concentrations of CRP (P = 0.02) and E-selectin (P = 0.001) after adjustment for age, body mass index (BMI), physical activity, smoking status, and alcohol consumption. The Western pattern showed a positive relation with CRP (P < 0.001), interleukin 6 (P = 0.006), E-selectin (P < 0.001), sICAM-1 (P < 0.001), and sVCAM-1 (P = 0.008) after adjustment for all confounders except BMI; with further adjustment for BMI, the coefficients remained significant for CRP (P = 0.02), E-selectin (P < 0.001), sICAM-1 (P = 0.002), and sVCAM-1 (P = 0.02).Conclusion Because endothelial dysfunction is an early step in the development of atherosclerosis, this study suggests a mechanism for the role of dietary patterns in the pathogenesis of cardiovascular disease.

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Authors: Lopez-Garcia, E., Schulze, M. B., Fung, T. T., Meigs, J. B., Rifai, N., Manson, J. E., & Hu, F. B.
Affiliations: Boston Children's Hospital (US)
ORCID: Schulze, Matthias B
Fung, Teresa T
Meigs, James B
Rifai, Nader
Manson, JoAnn E
Hu, Frank B
Venue: The American Journal of Clinical Nutrition
Publisher: Elsevier BV
Published: 2004-10
Volume: 80
Issue: 4
Pages: 1029-1035
ISSN: 0002-9165 (ISSN-L)
DOI: 10.1093/ajcn/80.4.1029
OpenAlex: W2155613500
Cited by: 881
References: 31
Citations by year: 2026: 16 · 2025: 48 · 2024: 27 · 2023: 50 · 2022: 41 · 2021: 50 · 2020: 52 · 2019: 43 · 2018: 42 · 2017: 41 · 2016: 40 · 2015: 53 · 2014: 51 · 2013: 42 · 2012: 37
FWCI: 30.02
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6711 d)
Locations: American Journal of Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Funders: American Diabetes Association
American Heart Association
National Institutes of Health (DK58845, DK55523, CA 87969)
National Cancer Institute (CA-87969, P01CA087969)
National Institute of Diabetes and Digestive and Kidney Diseases (DK 55523, R01DK058845, R01DK055523, DK58845)
European Social Fund
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords: dietary habits, endothelial dysfunction, inflammation, C-reactive protein, interleukin-6, E-selectin, soluble intercellular adhesion molecule-1, soluble vascular cell adhesion molecule-1, prudent diet, Western diet, cardiovascular risk, atherosclerosis, women, Nurses' Health Study
MeSH terms: Adult, Aged, C-Reactive Protein, Cardiovascular Diseases, Cross-Sectional Studies, Endothelium, Vascular, Factor Analysis, Statistical, Feeding Behavior, Female, Humans, Inflammation, Middle Aged, Nurses, Surveys and Questionnaires, Risk Factors, United States, Cohort Studies, Biomarkers, Interleukin-6, Intercellular Adhesion Molecule-1, Vascular Cell Adhesion Molecule-1, E-Selectin

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Major dietary patterns are related to plasma concentrations of markers of inflammation and endothelial dysfunction

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