# Understanding Alignment to the Mediterranean-Style and DASH Eating Patterns and Assessing Associations with Cardiometabolic Clinical Outcomes Among Hispanic/Latine Adults in the United States: An NHANES Analysis

## TL;DR

Hispanic/Latine adults in the U.S. poorly align with Mediterranean and DASH diets, which are linked to better blood pressure and diabetes outcomes.

## Contribution

Quantifies alignment of Hispanic/Latine adults with Med-style and DASH diets and links it to cardiometabolic outcomes using NHANES data.

## Key findings

- Hispanic/Latine adults have low DASH (11.2/100) and Med-style (8.4/100) diet scores.
- Higher DASH and Med-style scores correlate with lower blood pressure.
- Greater Med-style adherence is associated with reduced hemoglobin A1c levels.

## Abstract

What are the main findings?
Vast improvements are needed for both Med-style and DASH eating pattern alignment for adults of Hispanic/Latine origin.Higher alignment to DASH was associated with decreased blood pressure. Higher alignment with Med-style eating patterns was associated with a decrease in average BP and average A1c.

Vast improvements are needed for both Med-style and DASH eating pattern alignment for adults of Hispanic/Latine origin.

Higher alignment to DASH was associated with decreased blood pressure. Higher alignment with Med-style eating patterns was associated with a decrease in average BP and average A1c.

What are the implications of the main findings?
Low adherence to both eating patterns may partly explain the ubiquitously reported poor cardiometabolic outcomes.Nutrition interventions supporting access and knowledge to culturally tailored eating patterns aligning with evidence-based practice are important.

Low adherence to both eating patterns may partly explain the ubiquitously reported poor cardiometabolic outcomes.

Nutrition interventions supporting access and knowledge to culturally tailored eating patterns aligning with evidence-based practice are important.

Background/Objectives: The Mediterranean (Med)-style and Dietary Approaches to Stop Hypertension (DASH) eating patterns are evidence-based nutrition interventions given their protective effects from cardiometabolic diseases. Little is known about adherence to each eating pattern among the Hispanic/Latine population. The objective of this cross-sectional analysis is to assess the alignment of reported dietary intakes of Hispanic/Latine adults to Med-style and DASH eating patterns and associations with clinical outcomes for diabetes mellitus and cardiovascular diseases. Methods: A sample of 5406 Hispanic/Latine adults from the National Health and Nutrition Examination Survey (2007–2018) was utilized. Alignment to the Med-style and DASH eating patterns was calculated by scoring indices tailored for overconsumption in the United States. Multiple linear regression determined associations between each respective eating pattern and clinical outcomes. Results: Hispanic/Latine adults in the United States have a mean DASH score of 11.2 and a Med-style score of 8.4 (out of 100), indicating poor alignment. Adjusted regression analysis showed increased alignment of both eating patterns was associated with a decrease in average blood pressure (DASH ꞵ = −0.095, p = <0.0001; Med-style: ꞵ = −0.128, p = 0.0002). Greater adherence to a Med-style eating pattern score was also associated with improved average hemoglobin A1c (ꞵ −0.007, p = 0.017). Neither diet pattern score was associated with total cholesterol. Conclusions: Evidence of low alignment to the Med-style and DASH eating patterns among Hispanic/Latine populations exacerbates the need for future work to understand cultural tailoring of evidence-based eating patterns to increase adherence and support improved cardiometabolic outcomes.