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January 3, 2025Open Access

Prevalent CVD is linked to ~11% greater alignment with the unhealthy American dietary pattern.

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Why the study?

Naturally occurring dietary patterns are not well described among individuals with cardiovascular disease, particularly in the context of socioeconomic vulnerability.

Population

32,498 noninstitutionalized adults from NHANES (2009-2020)

Comparison

Subgroups stratified by CVD, social risk factors, and SNAP participation

Design

Cross-sectional study

Key result

Prevalent cardiovascular disease was associated with a significantly higher alignment with the unhealthy American dietary pattern compared to adults without cardiovascular disease (37.1% vs 33.3%).

Authors

EBEric BrandtCLCindy W. LeungTCTammy T. Chang

Discussion

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Overview

May inform dietary screening in high social-risk CVD patients; leaves open causal pathways and intervention effects.

Study Design

Type

Cross-Sectional (n=32,498)

Structured PICO

P
Population
32,498 noninstitutionalized US adults aged >20 years from the NHANES 2009-2020 cycles, evaluated for dietary patterns by cardiovascular disease status and socioeconomic vulnerability.
O
Outcome
Proportion of individuals whose diets aligned with each of four empirically derived dietary patterns (American, Prudent, Legume, Fruit/Whole Grain/Dairy) stratified by CVD, social risk factors, and SNAP participation.

Main Result

Absolute Event Rate: 37.1% vs 33.3%

p-value: p=0.005

Empirical dietary patterns vary significantly by CVD status and socioeconomic vulnerability, with the least healthy 'American' pattern being more common among those with prevalent CVD, higher social risk factors, and SNAP participation.

Cite This Study

Brandt et al. (2025) conducted a cross-sectional in Cardiovascular disease and socioeconomic vulnerability (n=32,498). Prevalent cardiovascular disease vs. No prevalent cardiovascular disease was evaluated on Alignment with the American dietary pattern (p=0.005). Prevalent cardiovascular disease was associated with a significantly higher alignment with the unhealthy American dietary pattern compared to adults without cardiovascular disease (37.1% vs 33.3%).

synapsesocial.com/papers/6a1fe8ace91b56c6af2e4270https://doi.org/10.1101/2025.01.02.25319924
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