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Grau M.,Program of Research in Inflammatory and Cardiovascular Disorders RICAD | Sala C.,Autonomous University of Barcelona | Sala C.,Consell Of Cent Primary Care Center | Sala J.,Hospital Josep Trueta | And 10 more authors.
European Journal of Epidemiology | Year: 2012

Women with myocardial infarction (MI) have shown a 28-day survival disadvantage compared with men. However, results were less consistent when considering long-term mortality in 28-day survivors. The aim was to estimate the trends for sex-related differences in the three endpoints considered for this study: (1) 28-day mortality or severe ventricular dysfunction (acute pulmonary oedema or cardiogenic shock) during the hospital stay, (2) 28-day mortality and (3) two-year cardiovascular mortality or nonfatal MI in 28-day survivors after a first MI. A cohort of 3,982 consecutive patients with first Q-wave MI admitted to a university tertiary reference hospital between 1978 and 2007 was followed for 2 years. Short-term prognosis improved in women over the studied period; similar rates were observed in both sexes in the 2000s. After adjusting for age, co-morbidities and anterior location of MI, female sex had an odds ratio = 1.71 (95 % confidence interval [CI] 1.34-2.17) of short-term severe MI or death over the studied period. Overall, sex differences in long-term prognosis remained similar over the studied period (hazard ratio = 1.40; 95 % CI 1.02-1.91). In conclusion, shortterm prognosis improved over the past 30 years for first Q-wave MI patients, becoming similar for both men and women in the most recent decade. Long-term prognosis did not improve in either men or women, indicating that secondary prevention should be reinforced to achieve consistent reductions in the number of cardiovascular events. © Springer Science+Business Media B.V. 2012.

Schroder H.,Program of Research in Inflammatory and Cardiovascular Disorders RICAD | Schroder H.,Institute Salud Carlos III | Benitez Arciniega A.,Program of Research in Inflammatory and Cardiovascular Disorders RICAD | Benitez Arciniega A.,Institute Salud Carlos III | And 4 more authors.
Public Health Nutrition | Year: 2012

Objective: An urgent need in dietary assessment is the development of short tools that provide valid assessments of dietary quality for use in time-limited Settings. The present study assessed concurrent and construct validity of the short Diet Quality Screener (sDQS) and brief Mediterranean Diet Screener (bMDSC) questionnaires. Design: Relative validity was measured by comparing three dietary quality indices - the Diet Quality Index (DQI), the modified Mediterranean Diet Score (mMDS) and the Antioxidant Score (ANTOX-S) - derived from the two questionnaires with those from multiple 24 h recalls over 12 months. Construct validity was demonstrated by correlations between average nutrient intake recorded on multiple 24 h recalls and the DQI, mMDS and ANTOX-S derived by the short screeners. Setting: Both short questionnaires were administered to 102 participants recruited from a population-based survey in Spain. Results: DQI, mMDS and ANTOX-S correlated (P < 0A001) with the corresponding 24 h recall indices (r = 0·61, 0·40 and 0·45, respectively). Limits of agreement lay between 96 and 126 %, 59 and 144 % and 61 and 118 % for the DQI, ANTOX-S and mMDS, respectively. Dietary intakes of fibre, vitamin C, vitamin E, Mg and K reported on the 24 h recalls were positively associated (P < 0·04) with the DQI, mMDS and ANTOX-S indices. Conclusions: The sDQS and bMDSC provide reasonable approximations to food-based dietary indices and accurately situate Subjects within the indices constructed for the present validation study. © 2011 The Authors.

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