Adherence to the Dietary Approaches to Stop Hypertension (Dash) Diet and Risk of Total and Cause-Specific Mortality: Results From the Golestan Cohort Study

Adherence to the Dietary Approaches to Stop Hypertension (Dash) Diet and Risk of Total and Cause-Specific Mortality: Results From the Golestan Cohort Study Publisher Pubmed

Mokhtari Z¹ ; Sharafkhah M¹ ; Poustchi H² ; Sepanlou SG³ ; Khoshnia M^{1, 4} ; Gharavi A^{1, 4} ; Sohrabpour AA² ; Sotoudeh M^{1, 2, 3} ; Dawsey SM⁵ ; Boffetta P⁶ ; Abnet CC⁵ ; Kamangar F^{1, 7} ; Etemadi A^{1, 5} ; Pourshams A¹ Show All Authors

Mokhtari Z¹
Sharafkhah M¹
Poustchi H²
Sepanlou SG³
Khoshnia M^{1, 4}
Gharavi A^{1, 4}
Sohrabpour AA²
Sotoudeh M^{1, 2, 3}
Dawsey SM⁵
Boffetta P⁶
Abnet CC⁵
Kamangar F^{1, 7}
Etemadi A^{1, 5}
Pourshams A¹
Fazeltabarmalekshah A¹
Islami F^{1, 8}
Brennan P⁹
Malekzadeh R¹
Hekmatdoost A^{10, 11}

Show Affiliations

1. Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. Liver and Pancreaticobiliary Disease Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
3. Digestive Diseases Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
4. Golestan Research Center of Gasteroenterology and Hepatology (GRCGH), Golestan University of Medical Sciences, Gorgan, Iran
5. Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States
6. Icahn School of Medicine at Mount Sinai, New York, NY, United States
7. Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, United States
8. Surveillance and Health Services Research, American Cancer Society, Atlanta, GA, United States
9. Genetic Epidemiology Group, International Agency for Research on Cancer (IARC/WHO), Lyon, France
10. 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
11. Division of Gastroenterology, Hepatology and Nutrition, UBC, BC, Canada

Source: International Journal of Epidemiology Published:2019

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. © 2019 The Author(s) 2019; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.

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Experts (# of related papers)

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Hossein Poustchi (101)

Reza Malekzadeh (83)

Style	Citing Format
MLA	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, vol. 48, no. 6, 2019, pp. 1824-1838.
APA	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, 48(6), 1824-1838.
Chicago	Mokhtari Z, Sharafkhah M, Poustchi H, Sepanlou SG, Khoshnia M, Gharavi A, Sohrabpour AA, 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 (2019): 1824-1838.
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.
Vancouver	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. 2019;48(6):1824-1838.
BibTex	@article{ author = {Mokhtari Z and Sharafkhah M and Poustchi H and Sepanlou SG and Khoshnia M and Gharavi A and Sohrabpour AA and Sotoudeh M and Dawsey SM and Boffetta P and Abnet CC and Kamangar F and Etemadi A and Pourshams A and Fazeltabarmalekshah A and Islami F and Brennan P and Malekzadeh R and Hekmatdoost A}, title = {Adherence to the Dietary Approaches to Stop Hypertension (Dash) Diet and Risk of Total and Cause-Specific Mortality: Results From the Golestan Cohort Study}, journal = {International Journal of Epidemiology}, volume = {48}, number = {6}, pages = {1824-1838}, year = {2019} }
RIS	TY - JOUR AU - Mokhtari Z AU - Sharafkhah M AU - Poustchi H AU - Sepanlou SG AU - Khoshnia M AU - Gharavi A AU - Sohrabpour AA AU - Sotoudeh M AU - Dawsey SM AU - Boffetta P AU - Abnet CC AU - Kamangar F AU - Etemadi A AU - Pourshams A AU - Fazeltabarmalekshah A AU - Islami F AU - Brennan P AU - Malekzadeh R AU - Hekmatdoost A TI - Adherence to the Dietary Approaches to Stop Hypertension (Dash) Diet and Risk of Total and Cause-Specific Mortality: Results From the Golestan Cohort Study JO - International Journal of Epidemiology VL - 48 IS - 6 SP - 1824 EP - 1838 PY - 2019 ER -

Style

Citing Format

MLA

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, vol. 48, no. 6, 2019, pp. 1824-1838.

APA

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, 48(6), 1824-1838.

Chicago

Mokhtari Z, Sharafkhah M, Poustchi H, Sepanlou SG, Khoshnia M, Gharavi A, Sohrabpour AA, 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 (2019): 1824-1838.

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.

Vancouver

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. 2019;48(6):1824-1838.

BibTex

@article{ author = {Mokhtari Z and Sharafkhah M and Poustchi H and Sepanlou SG and Khoshnia M and Gharavi A and Sohrabpour AA and Sotoudeh M and Dawsey SM and Boffetta P and Abnet CC and Kamangar F and Etemadi A and Pourshams A and Fazeltabarmalekshah A and Islami F and Brennan P and Malekzadeh R and Hekmatdoost A}, title = {Adherence to the Dietary Approaches to Stop Hypertension (Dash) Diet and Risk of Total and Cause-Specific Mortality: Results From the Golestan Cohort Study}, journal = {International Journal of Epidemiology}, volume = {48}, number = {6}, pages = {1824-1838}, year = {2019} }

RIS

TY - JOUR
AU - Mokhtari Z
AU - Sharafkhah M
AU - Poustchi H
AU - Sepanlou SG
AU - Khoshnia M
AU - Gharavi A
AU - Sohrabpour AA
AU - Sotoudeh M
AU - Dawsey SM
AU - Boffetta P
AU - Abnet CC
AU - Kamangar F
AU - Etemadi A
AU - Pourshams A
AU - Fazeltabarmalekshah A
AU - Islami F
AU - Brennan P
AU - Malekzadeh R
AU - Hekmatdoost A
TI - Adherence to the Dietary Approaches to Stop Hypertension (Dash) Diet and Risk of Total and Cause-Specific Mortality: Results From the Golestan Cohort Study
JO - International Journal of Epidemiology
VL - 48
IS - 6
SP - 1824
EP - 1838
PY - 2019
ER -

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Abstract