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Dietary Patterns and Recurrent CHD Events

J Am Heart Assoc; ePub 2018 Jul 12; Shikany, et al

The Southern dietary pattern, characterized by added fats, fried food, eggs and egg dishes, organ meats, processed meats, and sugar-sweetened beverages, was associated with a greater hazard of all-cause mortality in black and white patients with existing coronary heart disease (CHD), while greater adherence to the Mediterranean diet was associated with a lower hazard of recurrent CHD events and all-cause mortality. Researchers investigated the associations of dietary patterns and a dietary index with recurrent CHD events and all-cause mortality in participants from the REGARDS study with existing CHD. They found:

  • 3,562 participants were included.
  • Over a median of 7.1 years follow-up, there were 581 recurrent CHD events and 1,098 deaths.
  • In multivariable-adjusted models, the Mediterranean diet score was inversely associated with the hazard of recurrent CHD events.
  • The Southern dietary pattern was adversely associated with the hazard of all-cause mortality.


Shikany JM, Safford MM, Bryan J, et al. Dietary patterns and Mediterranean diet score and hazard of recurrent coronary heart disease events and all-cause mortality in the REGARDS study. [Published online ahead of print July 12, 2018]. J Am Heart Assoc. doi:10.1161/JAHA.117.008078.