Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Affiliation:
      Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
      Liver and Pancreaticobiliary Disease Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
      Digestive Diseases Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
      Golestan Research Center of Gasteroenterology and Hepatology (GRCGH), Golestan University of Medical Sciences, Gorgan, Iran
      Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
      Icahn School of Medicine at Mount Sinai, New York, NY, USA
      Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, USA
      Surveillance and Health Services Research, American Cancer Society Atlanta, GA, USA
      Genetic Epidemiology Group, International Agency for Research on Cancer (IARC/WHO), Lyon, France
      Departments of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      Division of Gastroenterology, Hepatology and Nutrition, UBC, BC, Canada
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Objective: To evaluate the association between adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and overall and cause-specific mortality in the Golestan Cohort Study (GCS).Methods: A total of 50 045 participants aged 40 years or older were recruited from Golestan Province, Iran, from 2004 to 2008 and followed for a mean of 10.64 years. The DASH diet score was calculated for each individual based on food groups. The primary outcome measure was death from any cause.Results: During 517 326 person-years of follow-up, 6763 deaths were reported. After adjustment for potential confounders, DASH diet score was inversely associated with risk of death from all causes and cancers [hazard ratio (HR): 0.86; 95% confidence interval (CI): 0.75, 0.98; and HR: 0.65; 95% CI: 0.47, 0.90, respectively]. A higher DASH diet score was associated with lower risk of gastrointestinal cancer mortality in men (HR: 0.55; 95% CI: 0.30, 0.99). A greater adherence to DASH diet was also associated with lower other-cancer mortality in women (HR: 0.50; 95% CI: 0.24, 0.99). No association between DASH diet score and cardiovascular disease mortality was observed, except that those dying of cardiovascular disease were younger than 50 years of age and smokers.Conclusions: Our findings suggest that maintaining a diet similar to the DASH diet is independently associated with reducing the risk of total death, cancers, and especially gastrointestinal cancers in men.
    • Journal Subset:
      Biomedical; Public Health; USA
    • Instrumentation:
      Glasgow Coma Scale (GCS)
      Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire
    • ISSN:
      0300-5771
    • MEDLINE Info:
      PMID: NLM31056682 NLM UID: 7802871
    • Publication Date:
      20200115
    • Publication Date:
      20200717
    • DOI:
      http://dx.doi.org/10.1093/ije/dyz079
    • Accession Number:
      140828269
  • Citations
    • ABNT:
      MOKHTARI, Z. et al. Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study. International Journal of Epidemiology, [s. l.], v. 48, n. 6, p. 1824–1838, 2019. DOI 10.1093/ije/dyz079. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=140828269. Acesso em: 7 ago. 2020.
    • AMA:
      Mokhtari Z, Sharafkhah M, Poustchi H, et al. Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study. International Journal of Epidemiology. 2019;48(6):1824-1838. doi:10.1093/ije/dyz079
    • APA:
      Mokhtari, Z., Sharafkhah, M., Poustchi, H., Sepanlou, S. G., Khoshnia, M., Gharavi, A., Sohrabpour, A. A., Sotoudeh, M., Dawsey, S. M., Boffetta, P., Abnet, C. C., Kamangar, F., Etemadi, A., Pourshams, A., FazeltabarMalekshah, A., Islami, F., Brennan, P., Malekzadeh, R., & Hekmatdoost, A. (2019). Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study. International Journal of Epidemiology, 48(6), 1824–1838. https://doi.org/10.1093/ije/dyz079
    • Chicago/Turabian: Author-Date:
      Mokhtari, Zeinab, Maryam Sharafkhah, Hossein Poustchi, Sadaf G Sepanlou, Masoud Khoshnia, Abdolsamad Gharavi, Amir Ali Sohrabpour, et al. 2019. “Adherence to the Dietary Approaches to Stop Hypertension (DASH) Diet and Risk of Total and Cause-Specific Mortality: Results from the Golestan Cohort Study.” International Journal of Epidemiology 48 (6): 1824–38. doi:10.1093/ije/dyz079.
    • Harvard:
      Mokhtari, Z. et al. (2019) ‘Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study’, International Journal of Epidemiology, 48(6), pp. 1824–1838. doi: 10.1093/ije/dyz079.
    • Harvard: Australian:
      Mokhtari, Z, Sharafkhah, M, Poustchi, H, Sepanlou, SG, Khoshnia, M, Gharavi, A, Sohrabpour, AA, Sotoudeh, M, Dawsey, SM, Boffetta, P, Abnet, CC, Kamangar, F, Etemadi, A, Pourshams, A, FazeltabarMalekshah, A, Islami, F, Brennan, P, Malekzadeh, R & Hekmatdoost, A 2019, ‘Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study’, International Journal of Epidemiology, vol. 48, no. 6, pp. 1824–1838, viewed 7 August 2020, .
    • MLA:
      Mokhtari, Zeinab, et al. “Adherence to the Dietary Approaches to Stop Hypertension (DASH) Diet and Risk of Total and Cause-Specific Mortality: Results from the Golestan Cohort Study.” International Journal of Epidemiology, vol. 48, no. 6, Dec. 2019, pp. 1824–1838. EBSCOhost, doi:10.1093/ije/dyz079.
    • Chicago/Turabian: Humanities:
      Mokhtari, Zeinab, Maryam Sharafkhah, Hossein Poustchi, Sadaf G Sepanlou, Masoud Khoshnia, Abdolsamad Gharavi, Amir Ali Sohrabpour, et al. “Adherence to the Dietary Approaches to Stop Hypertension (DASH) Diet and Risk of Total and Cause-Specific Mortality: Results from the Golestan Cohort Study.” International Journal of Epidemiology 48, no. 6 (December 2019): 1824–38. doi:10.1093/ije/dyz079.
    • Vancouver/ICMJE:
      Mokhtari Z, Sharafkhah M, Poustchi H, Sepanlou SG, Khoshnia M, Gharavi A, et al. Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet and risk of total and cause-specific mortality: results from the Golestan Cohort Study. International Journal of Epidemiology [Internet]. 2019 Dec [cited 2020 Aug 7];48(6):1824–38. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=140828269