Major dietary patterns and carotid intima-media thickness in Bangladesh

Tyler R. McClintock, Faruque Parvez, Fen Wu, Tariqul Islam, Alauddin Ahmed, Rina Rani Paul, Ishrat Shaheen, Golam Sarwar, Tatjana Rundek, Ryan T. Demmer, Moise Desvarieux, Habibul Ahsan, Y. Chen

Research output: Contribution to journalArticle

5 Scopus citations


Objective: Carotid intima-media thickness (IMT) is a validated surrogate marker of preclinical atherosclerosis and is predictive of cardiovascular morbidity and mortality. Research on the association between IMT and diet, however, is lacking, especially in low-income countries or low-BMI populations. Design: Cross-sectional analysis. Dietary intakes were measured using a validated, thirty-nine-item FFQ at baseline cohort recruitment. IMT measurements were obtained from 2010–2011. Setting: Rural Bangladesh. Subjects: Participants (n 1149) randomly selected from the Health Effects of Arsenic Longitudinal Study, an ongoing, population-based, prospective cohort study established in 2000. Average age at IMT measurement was 45·5 years. Results: Principal component analysis of reported food items yielded a ‘balanced’ diet, an ‘animal protein’ diet and a ‘gourd and root vegetable’ diet. We observed a positive association between the gourd/root vegetable diet and IMT, as each 1 sd increase in pattern adherence was related to a difference of 7·74 (95 % CI 2·86, 12·62) μm in IMT (P<0·01), controlling for age, sex, total energy intake, smoking status, BMI, systolic blood pressure and diabetes mellitus diagnoses. The balanced pattern was associated with lower IMT (−4·95 (95 % CI −9·78, −0·11) μm for each 1sd increase of adherence; P=0·045). Conclusions: A gourd/root vegetable diet in this Bangladeshi population positively correlated with carotid IMT, while a balanced diet was associated with decreased IMT.

Original languageEnglish (US)
JournalPublic Health Nutrition
StateAccepted/In press - May 11 2015



  • Atherosclerosis
  • Bangladesh
  • Carotid intima-media thickness
  • Diet
  • Dietary patterns

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

McClintock, T. R., Parvez, F., Wu, F., Islam, T., Ahmed, A., Rani Paul, R., Shaheen, I., Sarwar, G., Rundek, T., Demmer, R. T., Desvarieux, M., Ahsan, H., & Chen, Y. (Accepted/In press). Major dietary patterns and carotid intima-media thickness in Bangladesh. Public Health Nutrition.