Abstract 9251: Associations Between Ultra- or Minimally-Processed Food Intake and Three Adiposity Indicators Among US Adults: Nhanes 2011-16

Circulation, Volume 146, Issue Suppl_1, Page A9251-A9251, November 8, 2022. Objectives:Ultra-processed food (UPF) intake is associated with BMI, but effects on regional adipose depots or related to minimally-processed food (MPF) intake are unknown. We examined associations between calories consumed (%kcal) from UPF or MPF and three adiposity indicators: supine sagittal abdominal diameter/height ratio (SADHtR, estimates visceral adiposity), waist circumference/height ratio (WHtR, estimates abdominal adiposity), and BMI.Methods:Cross-sectional data came from 12 297 adults aged ≥20 years in the National Health and Nutrition Examination Survey 2011-2016. NOVA classification identified UPF and MPF dietary items using 24-hr dietary recall, and usual %kcal from UPF and MPF were estimated by National Cancer Institute methods. Each adiposity indicator was scaled to its sex-specific tertile distribution. We evaluated the associations between %kcal from UPFs and MPFs and each adiposity indicator using multivariable linear and multinomial logistic regression models.Results:The multivariable-adjusted, standardized β-coefficients per 10% increase in UPF intake were 0.0926, 0.0846, and 0.0791 for SADHtR, WHtR, and BMI respectively (all P0.26 for pairwise differences). For MPF intake the β-coefficients were -0.0901, -0.0806 and -0.0688 (all P0.18 for pairwise differences). The adjusted odds ratios (95% CI) for adiposity tertile 3vs. tertile 1 (comparing UPF intake quartiles 2, 3 and 4 to quartile 1) were 1.33 (1.22-1.45), 1.67 (1.43-1.95), and 2.24 (1.76-2.86), respectively, for SADHtR; 1.31 (1.19-1.44), 1.62 (1.37-1.91), and 2.13 (1.63-2.78) for WHtR; and 1.27 (1.16-1.39), 1.53 (1.31-1.79), and 1.96 (1.53-2.51) for BMI. MPF intake showed inverse associations with all three adiposity indicators with similar trends in association strength. Neither UPF nor MPF models had interactions by sex or age groups.Conclusions:Among US adults, the indicators of abdominal and visceral adiposity were positively associated with UPF intake and inversely associated with MPF intake. These findings support public programs to discourage consumption of UPFs and to encourage MPF consumption.

Leggi
Ottobre 2022

Abstract 9278: No Improvement in the Operative Outcomes of Women Undergoing Coronary Artery Bypass Surgery in the United States, 2011-2020

Circulation, Volume 146, Issue Suppl_1, Page A9278-A9278, November 8, 2022. Background:Women undergoing coronary artery bypass grafting (CABG) have significantly higher mortality and morbidity compared to men. While on a national level overall mortality after CABG has significantly decreased over the last decade, it is unclear if this trend of improvement applies to women.Objective:The aim of this analysis was to evaluate trends in outcomes of women undergoing CABG in the United States over the course of the last decade.Methods:The data for this study was provided through the STS Participant User File research program. Patients were included in the analysis if they underwent primary isolated CABG during the study period. Patients requiring resuscitation prior to surgery, emergent/salvage operations, and reoperation were excluded. The primary outcome was operative (30-day) mortality. The secondary outcome was the composite of operative mortality and morbidity (including operative mortality, stroke, renal failure, reoperation, deep sternal wound infection, prolonged mechanical ventilation, prolonged hospital stay). For all the outcomes, the STS definitions were used. The attributable risk (the effect of female sex on CABG outcomes) for the primary and secondary outcomes was calculated.Results:Between 2011 and 2020, 1,297,204 patients underwent multivessel CABG, 317,716 (24.5%) of which were women. The proportion of women decreased from 26.2% in 2011 to 22.7% in 2020 (P for trend

Leggi
Ottobre 2022

Association of sarcopenia with ideal cardiovascular health metrics among US adults: a cross-sectional study of NHANES data from 2011 to 2018

Objective
The American Heart Association (AHA) proposed the concept of ideal cardiovascular health (CVH) to reduce the risk of cardiovascular mortality. We attempted to broaden the impact of CVH and further contribute to AHA 2030 goals by identifying the relationship between CVH and non-cardiovascular diseases such as sarcopenia.

Design
Cross-sectional survey

Setting
National Health and Nutrition Examination Survey conducted in the USA from 2011 to 2018.

Participants
This study included participants with reliable first 24-hour dietary recall and ≥20 years of age and excluded those who could not diagnose sarcopenia or insufficient data to calculate the CVH scores.

Primary and secondary outcome measures
The prevalence of sarcopenia as measured by dual-energy X-ray absorptiometry.

Results
This cohort study involving 9326 adults≥20 years comprised 4733 females (50.0%). The number of intermediate or ideal and poor CVH participants was 5654 and 3672 with mean CVH score of 9.70±0.03 and 5.66±0.04, respectively. After adjusting for related confounding factors, intermediate or ideal CVH was associated with an odds reduction of sarcopenia than poor CVH (adjusted OR (aOR): 0.36, 95% CI 0.26 to 0.50, p

Leggi
Settembre 2022