Association between the 10-year predicted risk of atherosclerotic cardiovascular disease and dietary patterns among Canadian adults 40–79 years



Identifying groups at risk for atherosclerotic cardiovascular disease (ASCVD) and improving prevention strategies are important due to the high rates of these diseases in the world. We aimed to determine the 10-year ASCVD risk and cardiovascular age gap (CAG) of Canadians 40–79 and the association between prevalent dietary patterns and ASCVD risk, and CAG.


Health measures and dietary intake information were obtained from 2088 respondents representative of 13,655,671 Canadians 40–79 years in the cross-sectional Canadian Health Measures Survey Cycles 1 and 2 (2007–11). The estimated 10-year ASCVD risk and CAG were determined for 40–79 years adults across different levels of sociodemographic/lifestyle factors. Dietary patterns emerged using the principal component analysis from 32 food groups collected using food frequency questionnaire. The association between 10-year ASCVD risk, and CAG, with dietary patterns was investigated controlling for potential covariates. Survey data were weighted and bootstrapped to be nationally representative.


The mean 10-year ASCVD risk of 40–79 years was 6.9%. The mean CAG for men was −4.1 years (older) and for females was +0.4 years (younger). Four dietary patterns emerged. Of note, the “High carbohydrate and protein” dietary pattern, which included potatoes, red meat, sausage, egg and ice-cream/frozen yoghurt was positively associated with 10-year ASCVD (Ptrend = 0.013). The “Healthy like” and “Fast food” dietary patterns had an inverse (p < 0.0001) and positive (p = 0.005) association, respectively, with CAG.


Dietary patterns prevalent among this population were associated with CAG and ASCVD risk. Interventions for promoting healthy dietary patterns may be beneficial to reduce ASCVD in Canada.

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Authors of this study acknowledge Saskatchewan Research Data Centre at the University of Saskatchewan for providing opportunity to access the nationally representative CHMS datasets.


This paper is supported by University of Saskatchewan and a contribution from the Dairy Research Cluster Initiative (Dairy Farmers of Canada, Agriculture and Agri-Food Canada, the Canadian Dairy Network and the Canadian Dairy Commission) (grant number AIP-CL04). The funders had no contribution in any part of this research or any part of the preparation of this paper.

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ZH was responsible for preparing the research question(s), conducting analysis, designing the study and writing the paper. MR and AS conducted analysis. SW prepared the research question(s), conducted analysis, designed the study and wrote the paper. HV prepared the research question(s), conducted analysis, designed the study and wrote the paper.

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Correspondence to Hassan Vatanparast.

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Hosseini, Z., Rostami, M., Shamloo, A. et al. Association between the 10-year predicted risk of atherosclerotic cardiovascular disease and dietary patterns among Canadian adults 40–79 years. Eur J Clin Nutr (2020). https://doi.org/10.1038/s41430-020-00763-8

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