Evaluating adherence to recommended diets in adults: the Alternate Healthy Eating Index - PubMed (original) (raw)
Evaluating adherence to recommended diets in adults: the Alternate Healthy Eating Index
Marjorie L McCullough et al. Public Health Nutr. 2006 Feb.
Abstract
Objective: The Healthy Eating Index (HEI), designed to assess adherence to the Dietary Guidelines for Americans and the Food Guide Pyramid, was previously associated with only a small reduction in major chronic disease risk in US adult men and women. We assessed whether an alternate index would better predict risk.
Design: Dietary intake reported by men and women from two prospective cohorts was scored according to an a priori designed Alternate Healthy Eating Index (AHEI). In contrast with the original HEI, the AHEI distinguished quality within food groups and acknowledged health benefits of unsaturated oils. The score was then used to predict development of CVD, cancer or other causes of death in the same population previously tested.
Subjects: 67,271 women from the Nurses' Health Study and 38 615 men from the Health Professionals' Follow-up Study.
Results: Men and women with AHEI scores in the top vs. bottom quintile had a significant 20% and 11% reduction in overall major chronic disease, respectively. Reductions were stronger for CVD risk in men (RR = 0.61, 95% CI 0.49-0.75) and women (RR = 0.72, 95% CI 0.60-0.86). The score did not predict cancer risk.
Conclusions: The AHEI was twice as strong at predicting major chronic disease and CVD risk compared to the original HEI, suggesting that major chronic disease risk can be further reduced with more comprehensive and detailed dietary guidance.
Similar articles
- Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance.
McCullough ML, Feskanich D, Stampfer MJ, Giovannucci EL, Rimm EB, Hu FB, Spiegelman D, Hunter DJ, Colditz GA, Willett WC. McCullough ML, et al. Am J Clin Nutr. 2002 Dec;76(6):1261-71. doi: 10.1093/ajcn/76.6.1261. Am J Clin Nutr. 2002. PMID: 12450892 - Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women.
McCullough ML, Feskanich D, Stampfer MJ, Rosner BA, Hu FB, Hunter DJ, Variyam JN, Colditz GA, Willett WC. McCullough ML, et al. Am J Clin Nutr. 2000 Nov;72(5):1214-22. doi: 10.1093/ajcn/72.5.1214. Am J Clin Nutr. 2000. PMID: 11063452 - Alternative dietary indices both strongly predict risk of chronic disease.
Chiuve SE, Fung TT, Rimm EB, Hu FB, McCullough ML, Wang M, Stampfer MJ, Willett WC. Chiuve SE, et al. J Nutr. 2012 Jun;142(6):1009-18. doi: 10.3945/jn.111.157222. Epub 2012 Apr 18. J Nutr. 2012. PMID: 22513989 Free PMC article. - The Dietary Patterns Methods Project: synthesis of findings across cohorts and relevance to dietary guidance.
Liese AD, Krebs-Smith SM, Subar AF, George SM, Harmon BE, Neuhouser ML, Boushey CJ, Schap TE, Reedy J. Liese AD, et al. J Nutr. 2015 Mar;145(3):393-402. doi: 10.3945/jn.114.205336. Epub 2015 Jan 21. J Nutr. 2015. PMID: 25733454 Free PMC article. Review.
Cited by
- Psychological resilience, resilient coping, and health behaviors among adults in Puerto Rico after multiple adverse events.
Sampson L, Kim AH, O'Neill HJ, Tamez M, Falcon LM, Tucker KL, Acosta-PĂ©rez E, Rodriguez Orengo JF, Kubzansky LD, Koenen KC, Mattei J. Sampson L, et al. Prev Med Rep. 2024 Aug 30;46:102874. doi: 10.1016/j.pmedr.2024.102874. eCollection 2024 Oct. Prev Med Rep. 2024. PMID: 39309698 Free PMC article. - Development of the Diet Quality Questionnaire for Measurement of Dietary Diversity and Other Diet Quality Indicators.
Herforth AW, Ballard T, Rzepa A. Herforth AW, et al. Curr Dev Nutr. 2024 Jun 21;8(8):103798. doi: 10.1016/j.cdnut.2024.103798. eCollection 2024 Aug. Curr Dev Nutr. 2024. PMID: 39161595 Free PMC article. - Pelvic pain symptoms and endometriosis characteristics in relation to oxidative stress among adolescents and adults with and without surgically-confirmed endometriosis.
Shafrir AL, Wallace B, Laliberte A, Vitonis AF, Sieberg CB, Terry KL, Missmer SA. Shafrir AL, et al. F1000Res. 2024 Jan 8;13:34. doi: 10.12688/f1000research.141793.1. eCollection 2024. F1000Res. 2024. PMID: 38495219 Free PMC article. - The Relationship between Healthy Eating Index and Lipid Profile in Healthy Individuals: A Systematic Review.
Faraji H, Jamshidi S, Ferrie S, Azar PS. Faraji H, et al. Int J Prev Med. 2024 Jan 31;15:6. doi: 10.4103/ijpvm.ijpvm_404_22. eCollection 2024. Int J Prev Med. 2024. PMID: 38487701 Free PMC article. Review. - Diet quality and blood pressure among pregnant women with overweight or obesity: A secondary analysis of two randomized controlled trials.
Lynch S, Killeen SL, O'Brien E, Mullane K, Hokey E, Mealy G, McAuliffe FM. Lynch S, et al. Acta Obstet Gynecol Scand. 2024 Jun;103(6):1073-1082. doi: 10.1111/aogs.14821. Epub 2024 Mar 7. Acta Obstet Gynecol Scand. 2024. PMID: 38450653 Free PMC article. Clinical Trial.
MeSH terms
LinkOut - more resources
Full Text Sources