Diet Quality And A 10-year Risk Of Cardiovascular And Cerebrovascular Disease Correlation Analysis

Objective To explore the association of dietary quality and dietary pattern with the10-year risk of cardiovascular and cerebrovascular disease(CCVD)in healthy adults.Methods From March 2020 to June 2021,10,249 permanent urban residents were included in the health examination,and filled the “Cardiovascular and Cerebrovascular Disease Risk Assessment Scale”.Participants’ general demographic data,physical examination,biochemical indicators,diet and exercise-related data were collected.The participants were stratified according to the Chinese EAD risk(China-PAR)model,as low-risk(<5%),intermediate-risk(≥5%～10%)and high-risk(≥10%),and the case group and the control group were further obtained by 1:1 matching the high-risk and low-risk groups with age and gender.Dietary quality was assessed using streamlined healthy diet scores and dietary patterns.The association of dietary quality,dietary pattern and the risk of different CCVD were explored using multivariate logistic regression.Results Finally,a total of 846 no CCVD patients with a mean age of 52.17 ± 5.64 who met the inclusion-exclusion criteria were included in this study.Age,sex,and annual income were comparable among the 2groups(p > 0.05).Compared with the low-risk group of CCVD,subjects with high-risk group having higher prevalence of smoking,higher regular tea drinking,higher BMI and WC,and higher prevalence of existing metabolic diseases(all p < 0.05).But worse blood lipid status,lower education level(all p < 0.05).Comprehensive diet quality(43.30% vs 33.80%,p < 0.05),and animal-based diet quality(45.40% vs 37.60%,p < 0.05),was remarkably worse in subjiects with high-risk CCVD.The comprehensive healthy diet score was associated with the risk for CCVD(OR: 0.891,95%CI: 0.891-0.986,p < 0.05).The higher comprehensive healthy diet score,the lower the CCVD risk.The comprehensive healthy diet score significantly reduced the risk for CCVD after adequate adjustments for demographic,lifestyles,pre-existing metabolic comorbidities including hypertension,diabetes,hyperuricemia and blood lipid levels(OR:0.774,95%CI: 0.601-0.997,p < 0.05).Furthermore,vegetable patterns and traditional fresh milk tea patterns were different between the two groups(p < 0.05).Further the analysis found that middle grouped milk pattern(OR = 0.671,95%CI: 0.482-0.935,P <0.05)and high grouped vegetable pattern(OR = 0.652,95%CI: 0.468-0.909,P < 0.05)reduced the CCVD risk,while high grouped traditional fresh milk tea model(OR = 1.647,95%CI: 1.818-2.297,P < 0.05)increased CCVD risk and further adjustment of lifestyle results is still true.Conclusions Both integrated meal quality or animal meal quality were associated with 10-year CCVD risk.In addition,appropriately reducing the intake of traditional fresh milk tea can reduce the risk of CCVD.Therefore,Public health awareness and strategies should be encouraged to curb the further spread of CCVD.