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Journal article
Correlates of a southern diet pattern in a national cohort study of blacks and whites: the REasons for Geographic And Racial Differences in Stroke (REGARDS) study
British journal of nutrition, v 126(12), pp 1904-1910
28 Dec 2021
PMID: 33632366
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Southern dietary pattern, derived within the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort, is characterised by high consumption of added fats, fried food, organ meats, processed meats and sugar-sweetened beverages and is associated with increased risk of several chronic diseases. The aim of the present study was to identify characteristics of individuals with high adherence to this dietary pattern. We analysed data from REGARDS, a national cohort of 30 239 black and white adults ≥45 years of age living in the USA. Dietary data were collected using the Block 98 FFQ. Multivariable linear regression was used to calculate standardised beta coefficients across all covariates for the entire sample and stratified by race and region. We included 16 781 participants with complete dietary data. Among these, 34·6 % were black, 45·6 % male, 55·2 % resided in stroke belt region and the average age was 65 years. Black race was the factor with the largest magnitude of association with the Southern dietary pattern (Δ = 0·76 sd, P < 0·0001). Large differences in Southern dietary pattern adherence were observed between black participants and white participants in the stroke belt and non-belt (stroke belt Δ = 0·75 sd, non-belt Δ = 0·77 sd). There was a high consumption of the Southern dietary pattern in the US black population, regardless of other factors, underlying our previous findings showing the substantial contribution of this dietary pattern to racial disparities in incident hypertension and stroke.
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Details
- Title
- Correlates of a southern diet pattern in a national cohort study of blacks and whites: the REasons for Geographic And Racial Differences in Stroke (REGARDS) study
- Creators
- Catharine A Couch - University of Alabama at BirminghamMarquita S Gray - Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USAJames M Shikany - University of Alabama at BirminghamVirginia J Howard - University of Alabama at BirminghamGeorge Howard - University of Alabama at BirminghamD Leann Long - University of Alabama at BirminghamLeslie A McClure - Drexel UniversityJennifer J Manly - Department of Neurology, Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Irving Medical Center, New York, NY, USA.Mary Cushman - University of VermontNeil A Zakai - University of VermontKeith E Pearson - Samford UniversityEmily B Levitan - University of Alabama at BirminghamSuzanne E Judd - University of Alabama at Birmingham
- Publication Details
- British journal of nutrition, v 126(12), pp 1904-1910
- Publisher
- Cambridge University Press
- Grant note
- T32 HL105349 / NHLBI NIH HHS P30 DK079626 / NIDDK NIH HHS U01 NS041588 / NINDS NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000718318500017
- Scopus ID
- 2-s2.0-85101816940
- Other Identifier
- 991019168352804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics