Dietary patterns, asthma, and lung function in the Hispanic Community Health Study/Study of Latinos

Yueh Ying Han, Elina Jerschow, Erick Forno, Simin Hua, Yasmin Mossavar-Rahmani, Krista M. Perreira, Daniela Sotres-Alvarez, Majid Afshar, Naresh M. Punjabi, Bharat Thyagarajan, Nitin Shivappa, James R. Hébert, Robert C. Kaplan, Juan C. Celedón

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Rationale: Dietary patterns may alter immune responses and increase asthma risk or affect lung function. Objectives: To examine whether a proinflammatory diet (assessed by the energy-adjusted Dietary Inflammatory Index [E-DII]) or high dietary quality (assessed by the Alternative Healthy Eating Index [AHEI-2010]) are associated with current asthma, current asthma symptoms, and lung function in Hispanic adults. Methods: This was a cross-sectional study of 12,687 adults aged 18 to 76 years who participated in the Hispanic Community Health Study/ Study of Latinos (HCHS/SOL). The E-DII and AHEI-2010 were calculated based on two 24-hour dietary recalls. Logistic or linear regression was used for the multivariable analysis of E-DII or AHEI-2010 scores and current asthma, asthma symptoms, and lung function measures, adjusting for age, sex, annual household income, study center, Hispanic/Latino background, smoking status, and other covariates. Results: A higher E-DII score was associated with current asthma (odds ratio [OR] for quartile 4 vs. 1, 1.35; 95% confidence interval [CI], 0.97–1.90) and asthma symptoms (OR for quartile 4 vs. 1, 1.42; 95% CI, 1.12–1.81). The AHEI-2010 score was not associated with current asthma or asthma symptoms. Among adults without asthma, a higher E-DII score was associated with lower forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC), and a higher AHEI-2010 score was associated with higher FEV1 and FVC. Conclusions: Our findings suggest that a proinflammatory diet increases the risk of asthma and asthma symptoms in Hispanic adults. An antiinflammatory diet (indicated by a lower E-DII or a higher AHEI-2010 score) may positively influence lung function in Hispanic adults without asthma.

Original languageEnglish (US)
Pages (from-to)293-301
Number of pages9
JournalAnnals of the American Thoracic Society
Volume17
Issue number3
DOIs
StatePublished - 2020

Bibliographical note

Funding Information:
Supported by U.S. National Institutes of Health (NIH) grants MD011764 (Y.-Y.H.); HL125666 (E.F.); and HL117191, HL119952, and MD011764 (J.C.C.). The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was performed as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following institutes/centers/offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. None of the funding sponsors had any role in study design, data analysis, or manuscript preparation or approval. The authors thank the staff and participants of HCHS/SOL for their important contributions.

Funding Information:
Supported by U.S. National Institutes of Health (NIH) grants MD011764 (Y.-Y.H.); HL125666 (E.F.); and HL117191, HL119952, and MD011764 (J.C.C.). The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) was performed as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following institutes/centers/offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. None of the funding sponsors had any role in study design, data analysis, or manuscript preparation or approval. Author Contributions: Conception and study design: Y.-Y.H., E.J., Y.M.-R., R.C.K., and J.C.C.; data collection and recruitment: K.M.P., D.S.-A., M.A., N.M.P., and B.T.; data analysis and interpretation: Y.-Y.H., E.F., S.H., Y.M.-R., N.S., and J.R.H.; and drafting of the manuscript for intellectual content: Y.-Y.H., E.J., E.F., N.S., J.R.H., R.C.K., and J.C.C. All authors approved the final version of the manuscript before submission. Y.-Y.H. and J.C.C. had full access to all of the data and take responsibility for the integrity and accuracy of the analysis. Correspondence and requests for reprints should be addressed to Juan C. Celedón, M.D., Dr.P.H., Division of Pediatric Pulmonary Medicine, UPMC Children’s Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224. E-mail: juan.celedon@chp.edu. This article has an online supplement, which is accessible from this issue’s table of contents at www.atsjournals.org. Ann Am Thorac Soc Vol 17, No 3, pp 293–301, Mar 2020 Copyright © 2020 by the American Thoracic Society DOI: 10.1513/AnnalsATS.201908-629OC Internet address: www.atsjournals.org

Publisher Copyright:
Copyright © 2020 by the American Thoracic Society

Keywords

  • AHEI-2010
  • Asthma
  • Dietary Inflammatory Index
  • HCHS/SOL
  • Lung function

PubMed: MeSH publication types

  • Journal Article
  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

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