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Association between Adherence to Swedish Dietary Guidelines and Mediterranean Diet and Risk of Stroke in a Swedish Population

González-Padilla, Esther LU ; Tao, Zhen LU ; Sánchez-Villegas, Almudena ; Álvarez-Pérez, Jacqueline ; Borné, Yan LU and Sonestedt, Emily LU orcid (2022) In Nutrients 14(6).
Abstract
Dietary factors associated with stroke risk are still rather unknown. The aim was to examine the association between adherence to healthy dietary patterns and incidence of stroke among 25,840 individuals from the Swedish Malmö Diet and Cancer Study cohort. Dietary data were obtained using a combination of a 7-day food record, diet questionnaire, and interview. A Swedish Dietary Guidelines Score (SDGS), including five dietary components based on the current Swedish dietary guidelines, and a modified Mediterranean diet score (mMDS), composed of ten dietary components, were constructed. Over a mean follow-up period of 19.5 years, 2579 stroke cases, of which 80% were ischaemic, were identified through national registers. Weak, non-significant... (More)
Dietary factors associated with stroke risk are still rather unknown. The aim was to examine the association between adherence to healthy dietary patterns and incidence of stroke among 25,840 individuals from the Swedish Malmö Diet and Cancer Study cohort. Dietary data were obtained using a combination of a 7-day food record, diet questionnaire, and interview. A Swedish Dietary Guidelines Score (SDGS), including five dietary components based on the current Swedish dietary guidelines, and a modified Mediterranean diet score (mMDS), composed of ten dietary components, were constructed. Over a mean follow-up period of 19.5 years, 2579 stroke cases, of which 80% were ischaemic, were identified through national registers. Weak, non-significant associations were found between the dietary indices and the risk of stroke. However, after excluding potential misreporters and individuals with unstable food habits (35% of the population), we observed significant inverse association (p-trend < 0.05) between SDGS and mMDS and total and ischaemic stroke (HR per point for total stroke: 0.96; 95% CI: 0.92–1.00 for SDGS and 0.95; 95% CI: 0.91–0.99 for mMDS). In conclusion, high quality diet in line with the current Swedish dietary recommendations or Mediterranean diet may reduce the risk of total and ischaemic stroke. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cohort, Dietary patterns, Healthy diet, Mediterranean diet, Stroke, Swedish dietary guidelines score
in
Nutrients
volume
14
issue
6
article number
1253
publisher
MDPI AG
external identifiers
  • pmid:35334910
  • scopus:85126509732
ISSN
2072-6643
DOI
10.3390/nu14061253
project
The role of sugar intake in cardiovascular disease prevention
language
English
LU publication?
yes
id
815d602b-4218-41a3-9a55-0adde58b5f03
date added to LUP
2022-03-30 13:00:50
date last changed
2025-03-21 18:15:36
@article{815d602b-4218-41a3-9a55-0adde58b5f03,
  abstract     = {{Dietary factors associated with stroke risk are still rather unknown. The aim was to examine the association between adherence to healthy dietary patterns and incidence of stroke among 25,840 individuals from the Swedish Malmö Diet and Cancer Study cohort. Dietary data were obtained using a combination of a 7-day food record, diet questionnaire, and interview. A Swedish Dietary Guidelines Score (SDGS), including five dietary components based on the current Swedish dietary guidelines, and a modified Mediterranean diet score (mMDS), composed of ten dietary components, were constructed. Over a mean follow-up period of 19.5 years, 2579 stroke cases, of which 80% were ischaemic, were identified through national registers. Weak, non-significant associations were found between the dietary indices and the risk of stroke. However, after excluding potential misreporters and individuals with unstable food habits (35% of the population), we observed significant inverse association (p-trend &lt; 0.05) between SDGS and mMDS and total and ischaemic stroke (HR per point for total stroke: 0.96; 95% CI: 0.92–1.00 for SDGS and 0.95; 95% CI: 0.91–0.99 for mMDS). In conclusion, high quality diet in line with the current Swedish dietary recommendations or Mediterranean diet may reduce the risk of total and ischaemic stroke.}},
  author       = {{González-Padilla, Esther and Tao, Zhen and Sánchez-Villegas, Almudena and Álvarez-Pérez, Jacqueline and Borné, Yan and Sonestedt, Emily}},
  issn         = {{2072-6643}},
  keywords     = {{Cohort; Dietary patterns; Healthy diet; Mediterranean diet; Stroke; Swedish dietary guidelines score}},
  language     = {{eng}},
  number       = {{6}},
  publisher    = {{MDPI AG}},
  series       = {{Nutrients}},
  title        = {{Association between Adherence to Swedish Dietary Guidelines and Mediterranean Diet and Risk of Stroke in a Swedish Population}},
  url          = {{http://dx.doi.org/10.3390/nu14061253}},
  doi          = {{10.3390/nu14061253}},
  volume       = {{14}},
  year         = {{2022}},
}