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Review
. 2015 Aug 7;7(8):6582-605.
doi: 10.3390/nu7085300.

Dietary Patterns, Alcohol Consumption and Risk of Coronary Heart Disease in Adults: A Meta-Analysis

Xiao-Yan Zhang  1 , Long Shu  2 , Cai-Juan Si  3 , Xiao-Long Yu  4 , Dan Liao  5 , Wei Gao  6 , Lun Zhang  7 , Pei-Fen Zheng  8   9
Affiliations
Review

Dietary Patterns, Alcohol Consumption and Risk of Coronary Heart Disease in Adults: A Meta-Analysis

Xiao-Yan Zhang et al. Nutrients. .

Abstract

Previous studies reported the potential associations between dietary patterns and the risk of coronary heart disease (CHD) in adulthood, however a consistent perspective has not been established to date. Herein, we carried out this meta-analysis to evaluate the associations between dietary patterns and the risk of CHD. MEDLINE and EBSCO were searched for relevant articles published up to April 2015. A total of 35 articles (reporting 37 original studies) met the inclusion criteria and were included in the present meta-analysis. The decreased risk of CHD was shown for the highest compared with the lowest categories of healthy/prudent dietary patterns (odds ratio (OR) = 0.67; 95% confidence interval (CI): 0.60, 0.75; p < 0.00001) and alcohol consumption (OR = 0.68; 95% CI: 0.59, 0.78; p < 0.00001). There was evidence of an increased risk of CHD in the highest compared with the lowest categories of the unhealthy/Western-type dietary patterns (OR = 1.45; 95% CI: 1.05, 2.01; p = 0.02). The results of this meta-analysis indicate that different dietary patterns may be associated with the risk of CHD.

Keywords: a meta-analysis; coronary heart disease; dietary patterns.

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Figures

Figure 1
Figure 1
Flow chart of article screening and selection process.
Figure 2
Figure 2
Forest plot of the highest compared with the lowest categories of intake of the healthy/prudent dietary patterns and coronary heart disease (CHD) risk.
Figure 3
Figure 3
Forest plot of the highest compared with the lowest categories of intake of the unhealthy/Western-type dietary patterns and CHD risk.
Figure 4
Figure 4
Forest plot of the moderate drinking compared with the non-drinking category of intake the alcohol-drinking pattern and CHD risk.
Figure A1
Figure A1
Funnel plots for coronary heart disease(CHD) in the highest compared with the lowest category of intake of the “healthy” dietary pattern in all studies.
Figure A2
Figure A2
Funnel plots for CHD in the highest compared with the lowest category of intake of the “Western-type” dietary pattern in all studies.
Figure A3
Figure A3
Funnel plots for CHD in the moderate drinking compared with non-drinking category intake of “alcohol consumption” pattern in all studies.
See this image and copyright information in PMC

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