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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Veröffentlicht in:The Journal of nutrition 2012-06, Vol.142 (6), p.1009-1018
Hauptverfasser: CHIUVE, Stephanie E, FUNG, Teresa T, RIMM, Eric B, HU, Frank B, MCCULLOUGH, Marjorie L, MOLIN WANG, STAMPFER, Meir J, WILLETT, Walter C
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container_end_page 1018
container_issue 6
container_start_page 1009
container_title The Journal of nutrition
container_volume 142
creator CHIUVE, Stephanie E
FUNG, Teresa T
RIMM, Eric B
HU, Frank B
MCCULLOUGH, Marjorie L
MOLIN WANG
STAMPFER, Meir J
WILLETT, Walter C
description 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
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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 &lt;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. 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Psychology</subject><subject>healthy diet</subject><subject>Humans</subject><subject>Male</subject><subject>men</subject><subject>Middle Aged</subject><subject>myocardial ischemia</subject><subject>Neoplasms</subject><subject>Neoplasms - etiology</subject><subject>nutrients</subject><subject>Nutrition and Disease</subject><subject>Nutrition Policy</subject><subject>Nutritional Physiological Phenomena</subject><subject>prediction</subject><subject>professionals</subject><subject>risk</subject><subject>Risk Factors</subject><subject>stroke</subject><subject>Surveys and Questionnaires</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>women</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1rFEEQhhsxmDV69CpzEXKZTVd_7cxFiBtNFgKKieempqcm2-tsT-zuDeTf27Jr1JNQUFD11EtVvYy9AT6XrdJnmzAHgDnohRDiGZuBVlAb4Pw5m3EuRC3BmGP2MqUN5xxU27xgx0JokG3TztjqfMwUA2b_QNWFp4zxsVqF3jtK1Ycpr6ubHKdwNz5WXyKVcq6--vS9moZquS4N78pUIkz0ih0NOCZ6fcgn7Nunj7fLq_r68-VqeX5dOw0m132PikjrRvQ4cKBF2yreNh32aLhUCLJDBCOIREMGB-lkj85BB7oT2gh5wt7vde933ZZ6RyFHHO199Nuyu53Q2387wa_t3fRg5UI2QkAROD0IxOnHjlK2W58cjSMGmnbJgiovU7Dgzf9RDlqoErKg9R51cUop0vC0EXD7yym7CbY4ZfdOFf7t32c80b-tKcC7A4DJ4ThEDM6nP5xupdLcyJ9phJwg</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>CHIUVE, Stephanie E</creator><creator>FUNG, Teresa T</creator><creator>RIMM, Eric B</creator><creator>HU, Frank B</creator><creator>MCCULLOUGH, Marjorie L</creator><creator>MOLIN WANG</creator><creator>STAMPFER, Meir J</creator><creator>WILLETT, Walter C</creator><general>American Society for Nutrition</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20120601</creationdate><title>Alternative Dietary Indices Both Strongly Predict Risk of Chronic Disease</title><author>CHIUVE, Stephanie E ; FUNG, Teresa T ; RIMM, Eric B ; HU, Frank B ; MCCULLOUGH, Marjorie L ; MOLIN WANG ; STAMPFER, Meir J ; WILLETT, Walter C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-dda4ee5582daf01e7994098bada6034a13baa162ee28e6af3c3dacc1b15b25623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>breast feeding</topic><topic>Cardiovascular Diseases</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Chronic Disease</topic><topic>chronic diseases</topic><topic>Cohort Studies</topic><topic>death</topic><topic>diabetes</topic><topic>Diabetes Mellitus</topic><topic>Diabetes Mellitus - etiology</topic><topic>Diet</topic><topic>Diet - standards</topic><topic>Diet Surveys</topic><topic>Dietary Guidelines</topic><topic>etiology</topic><topic>Feeding Behavior</topic><topic>Feeding. 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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 &lt;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.</abstract><cop>Bethesda, MD</cop><pub>American Society for Nutrition</pub><pmid>22513989</pmid><doi>10.3945/jn.111.157222</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biological and medical sciences
breast feeding
Cardiovascular Diseases
Cardiovascular Diseases - etiology
Chronic Disease
chronic diseases
Cohort Studies
death
diabetes
Diabetes Mellitus
Diabetes Mellitus - etiology
Diet
Diet - standards
Diet Surveys
Dietary Guidelines
etiology
Feeding Behavior
Feeding. Feeding behavior
Female
foods
Fundamental and applied biological sciences. Psychology
healthy diet
Humans
Male
men
Middle Aged
myocardial ischemia
Neoplasms
Neoplasms - etiology
nutrients
Nutrition and Disease
Nutrition Policy
Nutritional Physiological Phenomena
prediction
professionals
risk
Risk Factors
stroke
Surveys and Questionnaires
Vertebrates: anatomy and physiology, studies on body, several organs or systems
women
title Alternative Dietary Indices Both Strongly Predict Risk of Chronic Disease
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