Major Dietary Patterns Are Associated with Acute Ischemic Stroke

  • Reza Tabrizi 1. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran : 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Parisa Keshani 3. Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  • Mohammad Jalali 4. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran 5. Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  • Mehrdad Estakhr 6. Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Sorour Sarihi 7. Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Maryam Kheirmandparizi 4. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
  • Reza Azarpazhooh 8. Department of Clinical Neurological Sciences and Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada
  • Afshin Borhani-Haghighi 6. Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Keywords: Dietary pattern, Diet, Nutrition, Ischemic stroke

Abstract

Background: Dietary patterns play an essential role in vascular diseases; however, the association of specific dietary patterns and the risk of stroke is unknown. We designed the current study to evaluate several dietary patterns and their association with ischemic stroke. Materials and Methods: This case-control study was performed on 300 subjects, including 150 cases with ischemic stroke admitted to a tertiary referral center in Shiraz, Southern Iran, and 150 age- and sex-matched stroke-free individuals as controls. Using a 62-item Simple Stroke Food Frequency Questionnaire (SS-FFQ), we collected data regarding the dietary habits of all the participants. We extracted the major dietary patterns via principal component analysis using the varimax rotation technique with Kaiser Normalization. Finally, adherence to dietary patterns among the participants was divided into quartiles. We investigated the association between dietary patterns and ischemic stroke using multiple logistic regression analyses. Results: One-hundred and fifty ischemic stroke patients (91 males and 59 females, mean age of 63.9±16.04 years) and 150 age- and sex-matched controls (91 males and 59 females, mean age of 61.99±16.04 years) were included. After adjusting five major dietary patterns for vascular risk factors, we found that diets rich in fibers and plant-based proteins (P<0.001) and micronutrients (P<0.001) had a lower odds of ischemic stroke as compared to high-fat proteins (P=0.003) and empty calories (P<0.001) diets, but consuming healthy animal proteins (P=0.115) had no effects on the occurrence of ischemic stroke.  Conclusion: Based on our study, we suggest that fibers and plant-based proteins, and micronutrient diets could reduce the odds of stroke, so public awareness about the effects of different dietary patterns should be raised.

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Published
2021-12-31
How to Cite
Tabrizi, R., Keshani, P., Jalali, M., Estakhr, M., Sarihi, S., Kheirmandparizi, M., Azarpazhooh, R., & Borhani-Haghighi, A. (2021). Major Dietary Patterns Are Associated with Acute Ischemic Stroke. Galen Medical Journal, 10, e2207. https://doi.org/10.31661/gmj.v10i0.2207
Section
Original Article