@article{HaringReinerLiuetal.2021,
  author    = {Haring, Bernhard and Reiner, Alexander P. and Liu, Jungmin and Tobias, Deirdre K. and Whitsel, Eric and Berger, Jeffrey S. and Desai, Pinkal and Wassertheil-Smoller, Sylvia and LaMonte, Michael J. and Hayden, Kathleen and Bick, Alexander G. and Natarajan, Pradeep and Weinstock, Joshua S. and Nguyen, Patricia K. and Stefanick, Marcia and Simon, Michael S. and Eaton, Charles and Kooperberg, Charles and Manson, JoAnn E.},
  title     = {Healthy Lifestyle and Clonal Hematopoiesis of Indeterminate Potential. Results from the Women's Health Initiative},
  series = {Journal of the American Heart Association},
  volume    = {10},
  journal   = {Journal of the American Heart Association},
  number    = {5},
  doi       = {10.1161/JAHA.120.018789},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-236146},
  year      = {2021},
  abstract  = {Background Presence of clonal hematopoiesis of indeterminate potential (CHIP) is associated with a higher risk of atherosclerotic cardiovascular disease, cancer, and mortality. The relationship between a healthy lifestyle and CHIP is unknown. Methods and Results This analysis included 8709 postmenopausal women (mean age, 66.5 years) enrolled in the WHI (Women's Health Initiative), free of cancer or cardiovascular disease, with deep-coverage whole genome sequencing data available. Information on lifestyle factors (body mass index, smoking, physical activity, and diet quality) was obtained, and a healthy lifestyle score was created on the basis of healthy criteria met (0 point [least healthy] to 4 points [most healthy]). CHIP was derived on the basis of a prespecified list of leukemogenic driver mutations. The prevalence of CHIP was 8.6\%. A higher healthy lifestyle score was not associated with CHIP (multivariable-adjusted odds ratio [OR] [95\% CI], 0.99 [0.80-1.23] and 1.13 [0.93-1.37]) for the upper (3 or 4 points) and middle category (2 points), respectively, versus referent (0 or 1 point). Across score components, a normal and overweight body mass index compared with obese was significantly associated with a lower odds for CHIP (OR, 0.71 [95\% CI, 0.57-0.88] and 0.83 [95\% CI, 0.68-1.01], respectively; P-trend 0.0015). Having never smoked compared with being a current smoker tended to be associated with lower odds for CHIP. Conclusions A healthy lifestyle, based on a composite score, was not related to CHIP among postmenopausal women. However, across individual lifestyle factors, having a normal body mass index was strongly associated with a lower prevalence of CHIP. These findings support the idea that certain healthy lifestyle factors are associated with a lower frequency of CHIP.},
  language  = {en}
}
@article{HaringWylervonBallmoosAppeletal.2014,
  author    = {Haring, Bernhard and Wyler von Ballmoos, Moritz C. and Appel, Lawrence J. and Sacks, Frank M.},
  title     = {Healthy Dietary Interventions and Lipoprotein (a) Plasma Levels: Results from the Omni Heart Trial},
  doi       = {10.1371/journal.pone.0114859},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-111005},
  year      = {2014},
  abstract  = {Background: Increased lipoprotein(a) [Lp(a)] levels are associated with atherosclerotic cardiovascular disease. Studies of dietary interventions on changes in Lp(a) are sparse. We aimed to compare the effects of three healthy dietary interventions differing in macronutrient content on Lp(a) concentration. Methods: Secondary analysis of a randomized, 3-period crossover feeding study including 155 (89 blacks; 66 whites) individuals. Participants were given DASHtype healthy diets rich in carbohydrates [Carb], in protein [Prot] or in unsaturated fat [Unsat Fat] for 6 weeks each. Plasma Lp(a) concentration was assessed at baseline and after each diet. Results: Compared to baseline, all interventional diets increased mean Lp(a) by 2 to 5 mg/dl. Unsat Fat increased Lp(a) less than Prot with a difference of 1.0 mg/dl (95\% CI, -0.5, 2.5; p=0.196) in whites and 3.7 mg/dl (95\% CI, 2.4, 5.0; p<0.001) in blacks (p-value between races=0.008); Unsat Fat increased Lp(a) less than Carb with a difference of 20.6 mg/dl, 95\% CI, -2.1, 0.9; p=0.441) in whites and 21.5 mg/dl (95\% CI, -0.2, -2.8; p=0.021) in blacks (p-value between races=0.354). Prot increased Lp(a) more than Carb with a difference of 0.4 mg/dl (95\% CI, -1.1, 1.9; p=0.597) in whites and 2.2 mg/dl (95\%CI, 0.9, 3.5; p=0.001) in blacks (p-value between races=0.082). Conclusion: Diets high in unsaturated fat increased Lp(a) levels less than diets rich in carbohydrate or protein with greater changes in blacks than whites. Our results suggest that substitutions with dietary mono- and polyunsaturated fatty acids in healthy diets may be preferable over protein or carbohydrates with regards to Lp(a).},
  language  = {en}
}
@article{HaringSelvinHeetal.2018,
  author    = {Haring, Bernhard and Selvin, Elizabeth and He, Xintong and Coresh, Josef and Steffen, Lyn M. and Folsom, Aaron R. and Tang, Weihong and Rebholz, Casey M.},
  title     = {Adherence to the dietary approaches to stop hypertension dietary pattern and risk of abdominal aortic aneurysm: results from the ARIC study},
  series = {Journal of the American Heart Association},
  volume    = {7},
  journal   = {Journal of the American Heart Association},
  number    = {21},
  doi       = {10.1161/JAHA.118.009340},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-177442},
  pages     = {e009340},
  year      = {2018},
  abstract  = {Background The role of a healthy dietary pattern in the prevention of abdominal aortic aneurysms (AAA) is unknown. We aimed to evaluate the relationship between adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern and the risk of incident AAAs. Methods and Results Dietary intake was assessed via a 66-item food frequency questionnaire at baseline (1987-1989) and at visit 3 (1993-1995) in 13 496 participants enrolled in the ARIC (Atherosclerosis Risk in Communities) study without clinical AAA (mean age, 54 years). A dietary scoring index based on food times was constructed to assess self-reported adherence to a dietary approaches to stop hypertension-style dietary pattern. Participants were followed for incident clinical AAAs using hospital discharge diagnoses, Medicare inpatient and outpatient diagnoses, or death certificates through December 31, 2011. Cox proportional hazards models with covariate adjustment were used to estimate hazard ratios with 95\% confidence intervals. During a median follow-up of 23 years, there were 517 incident AAA cases. Individuals with a Dietary Approaches To Stop Hypertension-style diet score in the highest quintile had a 40\% lower risk of hospitalization for AAA than those in the lowest quintile (hazard ratio\(_{Q5}\) vs \(_{Q1}\): 0.60; 95\% confidence intervals: 0.44, 0.83; P\(_{trend}\)=0.002). In detailed analyses, higher consumption of fruits, vegetables, whole grains, low-fat dairy, and nuts and legumes was related to a lower risk for AAA. Conclusions Greater adherence to a Dietary Approaches To Stop Hypertension-style dietary pattern was associated with lower risk for AAA. Higher consumption of fruits, vegetables, whole grains, low-fat dairy as well as nuts and legumes may help to decrease the burden of AAAs.},
  language  = {en}
}