Arrhythmias & electrophysiology

Associations of dietary patterns, ultra-processed food and nutrient intake with incident atrial fibrillation

HeartPublished Prospective cohort study

Authors' conclusion

With the possible exception of reducing ultra-processed food consumption, these findings suggest that attention to other modifiable risk factors, particularly obesity, may be more important than specific dietary patterns for the primary prevention of AF.

Study context

Population
UK Biobank participants with 24-hour diet recall questionnaires4,579 incident atrial fibrillation (AF) cases
Participants
121,300 participants
Exposure
Adherence to dietary patterns (Mediterranean-style, Dietary Approaches to Stop Hypertension (DASH), plant-based) and ultra-processed food consumption, highest vs lowest quintile
Outcome
Incident AF hospitalisations
Follow-up
Median 8.8 years

Main finding

As reported in the abstract

Incident AF hospitalisation
Highest quintile vs Lowest quintileHazard ratio (95% CI)
Mediterranean-style diet, minimally adjusted
0.87(0.80–0.96)
DASH diet, minimally adjusted
0.78(0.71–0.86)
Mediterranean-style diet, adjusted for lifestyle factors; not significant
0.95(0.87–1.04)
DASH diet, adjusted for lifestyle factors; not significant
0.94(0.86–1.04)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Associations of dietary patterns, ultra-processed food and nutrient intake with incident atrial fibrillation. Heart. Published 17 July 2023. doi:10.1136/heartjnl-2023-322412

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