Alternative dietary indices both strongly predict risk of chronic disease

The Healthy Eating Index-2005 (HEI-2005) measures adherence to the 2005 Dietary Guidelines for Americans, but the association between the HEI-2005 and risk of chronic disease is not known. The Alternative Healthy Eating Index (AHEI), which is based on foods and nutrients predictive of chronic diseas...

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Vydané v:The Journal of nutrition Ročník 142; číslo 6; s. 1009
Hlavní autori: Chiuve, Stephanie E, Fung, Teresa T, Rimm, Eric B, Hu, Frank B, McCullough, Marjorie L, Wang, Molin, Stampfer, Meir J, Willett, Walter C
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.06.2012
Predmet:
Adult
Aged
Cardiovascular Diseases - etiology
Chronic Disease
Cohort Studies
Diabetes Mellitus - etiology
Diet - standards
Diet Surveys
Feeding Behavior
Female
Humans
Male
Middle Aged
Neoplasms - etiology
Nutrition Policy
Nutritional Physiological Phenomena
Risk Factors
Surveys and Questionnaires
ISSN:1541-6100, 1541-6100
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Shrnutí:The Healthy Eating Index-2005 (HEI-2005) measures adherence to the 2005 Dietary Guidelines for Americans, but the association between the HEI-2005 and risk of chronic disease is not known. The Alternative Healthy Eating Index (AHEI), which is based on foods and nutrients predictive of chronic disease risk, was associated inversely with chronic disease risk previously. We updated the AHEI, including additional dietary factors involved in the development of chronic disease, and assessed the associations between the AHEI-2010 and the HEI-2005 and risk of major chronic disease prospectively among 71,495 women from the Nurses' Health Study and 41,029 men from the Health Professionals Follow-Up Study who were free of chronic disease at baseline. During ≥24 y of follow-up, we documented 26,759 and 15,558 incident chronic diseases (cardiovascular disease, diabetes, cancer, or nontrauma death) among women and men, respectively. The RR (95% CI) of chronic disease comparing the highest with the lowest quintile was 0.84 (0.81, 0.87) for the HEI-2005 and 0.81 (0.77, 0.85) for the AHEI-2010. The AHEI-2010 and HEI-2005 were most strongly associated with coronary heart disease (CHD) and diabetes, and for both outcomes the AHEI-2010 was more strongly associated with risk than the HEI-2005 (P-difference = 0.002 and <0.001, respectively). The 2 indices were similarly associated with risk of stroke and cancer. These findings suggest that closer adherence to the 2005 Dietary Guidelines may lower risk of major chronic disease. However, the AHEI-2010, which included additional dietary information, was more strongly associated with chronic disease risk, particularly CHD and diabetes.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1541-6100
1541-6100
DOI:10.3945/jn.111.157222