Skip to main content
    • Aa
    • Aa
  • Access
  • Cited by 3
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Balquet, L. Noury-Desvaux, B. Jaquinandi, V. and Mahé, G. 2015. Bonne reproductibilité dans une population étudiante d’un court questionnaire (14-item Food Frequency Questionnaire) évaluant l’alimentation à risque vasculaire. Journal des Maladies Vasculaires, Vol. 40, Issue. 1, p. 18.

    Kimokoti, Ruth W. and Newby, P. K. 2013. Dietary Patterns, Smoking, and Cardiovascular Diseases: A Complex Association. Current Nutrition Reports, Vol. 2, Issue. 2, p. 113.

    Carsin-Mahé, Marie Abraham, Pierre Le Faucheur, Alexis Leftheriotis, Georges and Mahé, Guillaume 2012. Simple routine assessment of dietary pattern in patients with peripheral artery disease. Journal of Vascular Surgery, Vol. 56, Issue. 1, p. 281.


Dietary pattern, a modifiable risk factor that can be easily assessed for atherosclerosis vascular disease prevention in clinical practice

  • Guillaume Mahe (a1), Marie Carsin (a2), Maya Zeeny (a3) and Jean-Paul De Bosschere (a2)
  • DOI:
  • Published online: 06 July 2010

Nutrition is one of the modifiable risk factors of atherosclerosis vascular diseases (VD). We aimed to (i) evaluate the dietary patterns associated with VD in clinical practice using a validated FFQ; and (ii) determine potential independent sociodemographic and behavioural factors that are involved in such dietary patterns. The FFQ determined the vascular dietary score (VDS; ranges from −17 to 19) for each subject.


Cross-sectional study.


A general practitioner's (GP) office in 2009.


A total of 250 French subjects (18–84 years old).


A total of 21 % had a favourable vascular diet (VDS ≥ 8), 79 % needed to improve their diet (VDS < 8) and 21 % had a risky vascular diet (VDS ≤ −1). A step-by-step multivariate linear regression analysis with stepwise selection was performed using the VDS as a dependent variable. Significant variables were: age (β = 0·495, P < 0·0001), men (β = −0·282, P < 0·0001), ‘sport ≥1 h/week’ (β = 0·253, P = 0·001), ‘walking 20 min/d’ (β = 0·161, P = 0·012), ‘former smoker’ (β = 0·118, P = 0·029), previous nutritional advice (β = 0·105, P = 0·049), ‘alcohol ≥20 g/d’ (β = −0·216, P < 0·0001) and ‘primary school’ (β = −0·156, P = 0·010). The R2 coefficient of this model was 0·347 (P < 0·0001). In all, 88·7 % of the subjects found the evaluation very interesting and 89·6 % believed that the GP should perform it.


Simple dietary assessment for VD prevention can be easily performed in clinical practice to allow physicians to give objective and rapid advice for each patient. Age, educational status, alcohol consumption, gender and physical activity are associated with the VDS. Compliance with such evaluation was found to be very high, which should encourage larger dietary screening in the population in order to reduce the impact of VD.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Dietary pattern, a modifiable risk factor that can be easily assessed for atherosclerosis vascular disease prevention in clinical practice
      Available formats
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Dietary pattern, a modifiable risk factor that can be easily assessed for atherosclerosis vascular disease prevention in clinical practice
      Available formats
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Dietary pattern, a modifiable risk factor that can be easily assessed for atherosclerosis vascular disease prevention in clinical practice
      Available formats
Corresponding author
*Corresponding author: Email,
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.J Leal , R Luengo-Fernandez , A Gray (2006) Economic burden of cardiovascular diseases in the enlarged European Union. Eur Heart J 27, 16101619.

2.TT Fung , KM Rexrode , CS Mantzoros (2009) Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation 119, 10931100.

3.SE Chiuve , KM Rexrode , D Spiegelman (2008) Primary prevention of stroke by healthy lifestyle. Circulation 118, 947954.

4.SE Chiuve , ML McCullough , FM Sacks (2006) Healthy lifestyle factors in the primary prevention of coronary heart disease among men: benefits among users and nonusers of lipid-lowering and antihypertensive medications. Circulation 114, 160167.

5.KT Knoops , LC de Groot , D Kromhout (2004) Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women: the HALE project. JAMA 292, 14331439.

6.D Kromhout , A Menotti , B Bloemberg (1995) Dietary saturated and trans fatty acids and cholesterol and 25-year mortality from coronary heart disease: the Seven Countries Study. Prev Med 24, 308315.

7.A Keys , A Menotti , C Aravanis (1984) The seven countries study: 2,289 deaths in 15 years. Prev Med 13, 141154.

8.R Iqbal , S Anand , S Ounpuu (2008) Dietary patterns and the risk of acute myocardial infarction in 52 countries: results of the INTERHEART study. Circulation 118, 19291937.

9.A Mead , G Atkinson , D Albin (2006) Dietetic guidelines on food and nutrition in the secondary prevention of cardiovascular disease – evidence from systematic reviews of randomized controlled trials. J Hum Nutr Diet 19, 401419.

10.D Mozaffarian , R Micha & S Wallace (2010) Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS Med 7, e1000252.

11.TT Fung , MJ Stampfer , JE Manson (2004) Prospective study of major dietary patterns and stroke risk in women. Stroke 35, 20142019.

12.JS Lane , CP Magno , KT Lane (2008) Nutrition impacts the prevalence of peripheral arterial disease in the United States. J Vasc Surg 48, 897904.

13.R Kahn , RM Robertson , R Smith (2008) The impact of prevention on reducing the burden of cardiovascular disease. Circulation 118, 576585.

14.D Wood , G De Backer , O Faergeman (1998) Prevention of coronary heart disease in clinical practice: recommendations of the Second Joint Task Force of European and other Societies on Coronary Prevention. Atherosclerosis 140, 199270.

16.B Laviolle , C Froger-Bompas , P Guillo (2005) Relative validity and reproducibility of a 14-item semi-quantitative food frequency questionnaire for cardiovascular prevention. Eur J Cardiovasc Prev Rehabil 12, 587595.

17.M Carsin & G Mahe (2010) Why should vascular patients have a dietary assessment? J Mal Vasc 35, 1722.

18.G Mahé , T Ronzière , B Laviolle (2010) An unfavorable dietary pattern is associated with symptomatic ischemic stroke and carotid atherosclerosis. J Vasc Surg (Epublication ahead of print version).

19.A Naska , D Fouskakis , E Oikonomou (2006) Dietary patterns and their socio-demographic determinants in 10 European countries: data from the DAFNE databank. Eur J Clin Nutr 60, 181190.

20.A Drewnowski , EC Fiddler , L Dauchet (2009) Diet quality measures and cardiovascular risk factors in France: applying the healthy eating index to the SU.VI.MAX study. J Am Coll Nutr 28, 2229.

22.C Estaquio , N Druesne-Pecollo , P Latino-Martel (2008) Socioeconomic differences in fruit and vegetable consumption among middle-aged French adults: adherence to the 5 A Day recommendation. J Am Diet Assoc 108, 20212030.

23.A Trichopoulou , T Costacou , C Bamia (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 25992608.

24.C Froger-Bompas , B Laviolle , P Guillo (2009) Sustained positive impact of a coronary rehabilitation programme on adherence to dietary recommendations. Arch Cardiovasc Dis 102, 97104.

25.DB Suits (1957) Use of dummy variables in regression equations. J Am Stat Assoc 52, 548551.

26.GW Sun , TL Shook & GL Kay (1996) Inappropriate use of bivariable analysis to screen risk factors for use in multivariable analysis. J Clin Epidemiol 49, 907916.

27.FE Harrell Jr, KL Lee , RM Califf (1984) Regression modelling strategies for improved prognostic prediction. Stat Med 3, 143152.

28.ET Kennedy , J Ohls , S Carlson (1995) The Healthy Eating Index: design and applications. J Am Diet Assoc 95, 11031108.

30.R Prattala , L Paalanen , D Grinberga (2007) Gender differences in the consumption of meat, fruit and vegetables are similar in Finland and the Baltic countries. Eur J Public Health 17, 520525.

32.S Hercberg , S Chat-Yung & M Chaulia (2008) The French National Nutrition and Health Program: 2001–2006–2010. Int J Public Health 53, 6877.

33.TT Fung , SE Chiuve , ML McCullough (2008) Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med 168, 713720.

34.K He , EB Rimm , A Merchant (2002) Fish consumption and risk of stroke in men. JAMA 288, 31303136.

36.C Estaquio , E Kesse-Guyot , V Deschamps (2009) Adherence to the French Programme National Nutrition Santé Guideline Score is associated with better nutrient intake and nutritional status. J Am Diet Assoc 109, 10311041.

39.EM Inelmen , ED Toffanello , G Enzi (2008) Differences in dietary patterns between older and younger obese and overweight outpatients. J Nutr Health Aging 12, 38.

42.KJ Smith , SA McNaughton , SL Gall (2009) Takeaway food consumption and its associations with diet quality and abdominal obesity: a cross-sectional study of young adults. Int J Behav Nutr Phys Act 6, 29.

43.A Chatard-Pannetier , S Rousset , D Bonin (2004) Nutritional knowledge and concerns about meat of elderly French people in the aftermath of the crisis over BSE and foot-and-mouth. Appetite 42, 175183.

45.T De Vriendt , C Matthys , W Verbeke (2009) Determinants of nutrition knowledge in young and middle-aged Belgian women and the association with their dietary behaviour. Appetite 52, 788792.

47.P Padrao , N Lunet , AC Santos (2007) Smoking, alcohol, and dietary choices: evidence from the Portuguese National Health Survey. BMC Public Health 7, 138.

48.CA Holcomb (1995) Positive influence of age and education on food consumption and nutrient intakes of older women living alone. J Am Diet Assoc 95, 13811386.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *