Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

Plant-based diets, characterized by a higher consumption of plant foods and a lower consumption of animal foods, are associated with a favorable cardiovascular disease (CVD) risk, but evidence regarding the association between plant-based diets and CVD (including coronary heart disease (CHD) and str...

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Autores principales:	Zuo Hua Gan, Huey Chiat Cheong, Yu-Kang Tu, Po-Hsiu Kuo
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cardiovascular disease coronary heart disease plant-based diet meta-analysis Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/707bae9f327a436e95e6909f07e661b8
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spelling	oai:doaj.org-article:707bae9f327a436e95e6909f07e661b82021-11-25T18:35:34ZAssociation between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies10.3390/nu131139522072-6643https://doaj.org/article/707bae9f327a436e95e6909f07e661b82021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3952https://doaj.org/toc/2072-6643Plant-based diets, characterized by a higher consumption of plant foods and a lower consumption of animal foods, are associated with a favorable cardiovascular disease (CVD) risk, but evidence regarding the association between plant-based diets and CVD (including coronary heart disease (CHD) and stroke) incidence remain inconclusive. A literature search was conducted using the PubMed, EMBASE and Web of Science databases through December 2020 to identify prospective observational studies that examined the associations between plant-based diets and CVD incidence among adults. A systematic review and a meta-analysis using random effects models and dose–response analyses were performed. Ten studies describing nine unique cohorts were identified with a total of 698,707 participants (including 137,968 CVD, 41,162 CHD and 13,370 stroke events). Compared with the lowest adherence, the highest adherence to plant-based diets was associated with a lower risk of CVD (RR 0.84; 95% CI 0.79–0.89) and CHD (RR 0.88; 95% CI 0.81–0.94), but not of stroke (RR 0.87; 95% CI 0.73–1.03). Higher overall plant-based diet index (PDI) and healthful PDI scores were associated with a reduced CVD risk. These results support the claim that diets lower in animal foods and unhealthy plant foods, and higher in healthy plant foods are beneficial for CVD prevention. Protocol was published in PROSPERO (No. CRD42021223188).Zuo Hua GanHuey Chiat CheongYu-Kang TuPo-Hsiu KuoMDPI AGarticlecardiovascular diseasecoronary heart diseaseplant-based dietmeta-analysisNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3952, p 3952 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiovascular disease coronary heart disease plant-based diet meta-analysis Nutrition. Foods and food supply TX341-641
spellingShingle	cardiovascular disease coronary heart disease plant-based diet meta-analysis Nutrition. Foods and food supply TX341-641 Zuo Hua Gan Huey Chiat Cheong Yu-Kang Tu Po-Hsiu Kuo Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies
description	Plant-based diets, characterized by a higher consumption of plant foods and a lower consumption of animal foods, are associated with a favorable cardiovascular disease (CVD) risk, but evidence regarding the association between plant-based diets and CVD (including coronary heart disease (CHD) and stroke) incidence remain inconclusive. A literature search was conducted using the PubMed, EMBASE and Web of Science databases through December 2020 to identify prospective observational studies that examined the associations between plant-based diets and CVD incidence among adults. A systematic review and a meta-analysis using random effects models and dose–response analyses were performed. Ten studies describing nine unique cohorts were identified with a total of 698,707 participants (including 137,968 CVD, 41,162 CHD and 13,370 stroke events). Compared with the lowest adherence, the highest adherence to plant-based diets was associated with a lower risk of CVD (RR 0.84; 95% CI 0.79–0.89) and CHD (RR 0.88; 95% CI 0.81–0.94), but not of stroke (RR 0.87; 95% CI 0.73–1.03). Higher overall plant-based diet index (PDI) and healthful PDI scores were associated with a reduced CVD risk. These results support the claim that diets lower in animal foods and unhealthy plant foods, and higher in healthy plant foods are beneficial for CVD prevention. Protocol was published in PROSPERO (No. CRD42021223188).
format	article
author	Zuo Hua Gan Huey Chiat Cheong Yu-Kang Tu Po-Hsiu Kuo
author_facet	Zuo Hua Gan Huey Chiat Cheong Yu-Kang Tu Po-Hsiu Kuo
author_sort	Zuo Hua Gan
title	Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies
title_short	Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies
title_full	Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies
title_fullStr	Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies
title_full_unstemmed	Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies
title_sort	association between plant-based dietary patterns and risk of cardiovascular disease: a systematic review and meta-analysis of prospective cohort studies
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/707bae9f327a436e95e6909f07e661b8
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Association between Plant-Based Dietary Patterns and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

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