Association of Adherence to Various Dietary Patterns With Mortality Among Survivors of Myocardial Infarction: A Prospective Cohort Study
Authors' conclusion
Among individuals who survived MI, adherence to post-MI dietary patterns emphasizing higher diet quality was associated with better long-term survival.
Study context
- Population
- Survivors of a nonfatal myocardial infarction (MI) from the Nurses' Health Study (women) and the Health Professionals Follow-Up Study (men)3,277 women · 2618 men
- Exposure
- Highest vs lowest quintile of post-MI adherence to 8 healthy dietary patterns
- Outcome
- Total mortality
- Follow-up
- 15.7 years after MI
Main finding
As reported in the abstract
Total mortality, highest vs lowest quintile
Highest quintile vs Lowest quintileHazard ratio (95% CI)
Alternate Healthy Eating Index
0.67(0.60–0.74)
Healthy Eating Index-2015
0.73(0.65–0.81)
Alternate Mediterranean Diet Score
0.66(0.59–0.75)
Dietary Approaches to Stop Hypertension
0.77(0.69–0.86)
Healthful Plant-Based Diet Index
0.74(0.66–0.83)
Reversed empirical dietary inflammatory pattern
0.77(0.68–0.86)
Reversed empirical dietary index for insulin resistance
0.73(0.65–0.83)
Reversed empirical dietary index for hyperinsulinemia
0.71(0.64–0.80)
- Deaths during follow-up
- 3858 (65.4%)
- CVD deaths
- 1639 (42.5% of deaths)
Observational data: associations, not effects.
Secondary outcomes
Change in adherence from before to after MI, total mortality
| HR (95% CI) | ||
|---|---|---|
| Improved Alternate Healthy Eating Index adherenceBefore to after MI | 0.86 (0.76–0.97) | |
| 0.512Hazard ratio (log scale) |
CVD mortality and recurrent nonfatal MI
- Similar inverse associations were observed for CVD mortality and recurrent nonfatal MI
Change in adherence from before to after MI, total mortality
- Decreased adherence to most patterns was associated with higher mortality
Original publication
Association of Adherence to Various Dietary Patterns With Mortality Among Survivors of Myocardial Infarction: A Prospective Cohort Study. Circulation. Published 25 August 2026. doi:10.
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