Prevention & lipids

Polygenic risk score, dietary inflammatory potential, and incident coronary heart disease

Eur J Prev CardiolPublished Prospective cohort study

Main finding · Incident CHD, joint effect of PRS and EDIPResult — go to the resultHazard ratio 3.87 95% CI 2.74–5.46

Authors' conclusion

High dietary inflammatory potential was associated with a higher CHD risk, especially in those with high PRS

Study context

Population
British UK Biobank participants who completed the 24-h dietary assessment at baseline1,346 incident coronary heart disease (CHD) cases
Participants
51,889 participants
Exposure
High vs low dietary inflammatory potential and polygenic risk score (PRS) for CHD, jointly
Outcome
Incident CHD
Follow-up
Median 11 years
Methodological detailsUK Biobank, empirical dietary inflammatory pattern (EDIP) score by reduced rank regression and stepwise linear regression; PRS from 1.7 million genetic variants
  • UK Biobank
  • EDIP score by reduced rank regression and stepwise linear regression; PRS from 1.7 million genetic variants

Main finding

Incident CHD, joint effect of PRS and EDIP

Hazard ratio

3.87

95% CI 2.74–5.46

High PRS (Q5) + high EDIP (T3) vs Low PRS (Q1) + low EDIP (T1)
HR 3.87 (95% CI 2.74–5.46)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Incident CHD by EDIP score1.26 (1.10–1.45)

Incident CHD risk gradient across PRS categories

ComparisonHR (95% CI)
Low PRS (Q1)1.12 (0.73–1.71)
Intermediate PRS (Q2-4)1.20 (1.01–1.43)
High PRS (Q5)1.42 (1.10–1.83)

Original publication

Polygenic risk score, dietary inflammatory potential, and incident coronary heart disease. Eur J Prev Cardiol. Published 30 January 2025. doi:10.1093/eurjpc/zwaf009

Summarised from the published abstract; every number is checked against it

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