Adherence to the Healthy Eating Index-2015 across generations and associations with birth outcomes and weight status at age 5 years: results from the Lifeways Cross Generation Cohort Study in Ireland

Maternal dietary quality during pregnancy is associated with offspring outcomes. These associations have not been examined in three-generation families. We investigated associations between parental and grandparental dietary quality, determined by healthy eating index (HEI)-2015, and offspring birth outcomes and weight status at age 5. The Lifeways cohort study in the Republic of Ireland comprises 1082 index-child’s mothers, 333 index-child’s fathers, and 707 grandparents. HEI-2015 scores were generated for all adults from prenatal dietary information collected using a validated food frequency questionnaire. In an adjusted model, greater adherence to the maternal HEI was associated with lower likelihood of low birth weight (LBW) (OR: 0.72, 95% CI: 0.50–0.99, p = 0.04). Similarly, maternal grandmothers (MGM) with higher HEI scores were less likely to have grandchildren with LBW (OR: 0.87, 95% CI: 0.61–0.96, p = 0.04) and more likely to have macrosomia (OR: 1.10, 95% CI: 1.01–1.22, p = 0.03). Higher paternal and paternal grandmothers (PGM) HEI scores were associated with lower likelihood of childhood obesity (OR: 0.89, 95% CI: 0.30–0.94, p = 0.03) and overweight (OR: 0.83, 95% CI: 0.22–0.99, p = 0.04), respectively. Mediation analysis showed significant direct relationship of MGM and PGM HEI scores on grandchildren’s birthweight and obesity, respectively. In conclusion, maternal line dietary quality appears to influence fetal growth whereas paternal line dietary quality appears to influence postnatal growth.

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Associations between diet quality and physical activity measures among a southern Ontario regional sample of grade 6 students

Applied Physiology Nutrition and Metabolism ◽

10.1139/h10-085 ◽

2010 ◽

Vol 35 (6) ◽

pp. 826-833 ◽

Cited By ~ 8

Author(s):

Sarah J. Woodruff ◽

Rhona M. Hanning

Keyword(s):

Physical Activity ◽

Healthy Eating ◽

Diet Quality ◽

Odds Ratio ◽

Weight Status ◽

Positive Association ◽

Healthy Eating Index ◽

Normal Weight ◽

Future Research ◽

Ordinal Logistic Regression Analysis

The purpose of this study was to determine diet quality and physical activity behaviours of grade 6 students by sex and body weight status, and to determine the associations between diet quality and physical activity behaviours. The Web-based Food Behaviour Questionnaire, which included a 24-h diet recall and the modified Physical Activity Questionnaire for Older Children (PAQ-C), was administered to a cross-section of schools (n = 405 students from 15 schools). Measured height and weight were used to calculate body mass index and weight status (Cole et al. 2000). A Canadian version of the Healthy Eating Index (HEI-C) was used to describe overall diet quality. The mean HEI-C was 69.6 (13.2) with the majority (72%) falling into the needs improvement category. The overall mean physical activity score was 3.7 out of a maximum of 5, with obese subjects being less active compared with normal weight and overweight (p < 0.001). Ordinal logistic regression analysis (of HEI-C vs. all measures of the PAQ-C, sex, and weight status) revealed that HEI-C ratings were likely to be higher in students that walked to and from school 5 days per week (vs. 0 days per week; odds ratio 3.18, p = 0.010); and were active 1 evening per week (vs. none; odds ratio 3.48, p = 0.039). The positive association between diet quality and some aspects of physical activity suggests possible clustering of health behaviours. Future research should test the potential benefits of promoting 1 health behaviour (e.g., healthy eating) with another (e.g., physical activity).

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Healthy Eating Index during pregnancy according to pre-gravid and gravid weight status

Public Health Nutrition ◽

10.1017/s1368980010001989 ◽

2010 ◽

Vol 14 (2) ◽

pp. 290-296 ◽

Cited By ~ 46

Author(s):

Maria Tsigga ◽

Vlasios Filis ◽

Konstantina Hatzopoulou ◽

Charalambos Kotzamanidis ◽

Maria G Grammatikopoulou

Keyword(s):

Healthy Eating ◽

Weight Status ◽

Healthy Eating Index ◽

Overweight And Obesity ◽

Obese Women ◽

Or Education ◽

Cross Sectional ◽

Dietary Counselling ◽

Normal Body Weight ◽

The Mean

AbstractObjectiveTo assess differences in the Healthy Eating Index (HEI) during pregnancy with the pre-gravid and gravid weight status of women.DesignCross-sectional.SettingAthens, Greece.SubjectsOne hundred pregnant women, inhabitants of Athens.ResultsThe mean raw HEI score of the sample was 66·9 (sd 7·6) and the mean HEI adjusted for energy intake was 66·9 (sd 0·6). No difference was recorded between the adjusted HEI and different gravidities, the embryo’s sex, different income categories or education. When HEI was categorised as low, average and adequate, living in an urban residence increased the odds for demonstrating low HEI score (OR = 10·231, 95 % CI 1·300, 80·487). HEI score during pregnancy was significantly higher in participants who were either pre-gravidly underweight or of normal body weight (BW). In relation to the gestational weight status, the highest HEI scores and protein intake were shown in the underweight and of normal BW participants compared with the obese. According to the simple correspondence analysis, adequate HEI was associated with rural residence and being underweight or having normal BW during pregnancy. Low HEI was associated with overweight and obesity during pregnancy, with obesity before pregnancy and living in an urban environment. HEI was negatively correlated to the pre-conceptional and gestational BMI (r = −0·298, P ≤ 0·003 and r = −0·345, P ≤ 0·001) and to the week of gestation (r = −0·285, P ≤ 0·004).ConclusionsOverall, the HEI of the sample was mediocre. Women who were underweight or of normal BW exhibited a better diet quality compared with obese women; thus the latter consist a population in greater need for supervised nutrition and dietary counselling during pregnancy.

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Abstract P210: Associations Of Early Parental Feeding Concerns And Behaviors With Child’s Dietary Intakes Throughout Childhood

Circulation ◽

10.1161/circ.141.suppl_1.p210 ◽

2020 ◽

Vol 141 (Suppl_1) ◽

Author(s):

Veronique Gingras ◽

Karen M Switkowski ◽

Sheryl L Rifas-Shiman ◽

Sabrina Faleschini ◽

Emily Oken ◽

...

Keyword(s):

Early Childhood ◽

Healthy Eating ◽

Diet Quality ◽

Weight Status ◽

Healthy Eating Index ◽

Index Score ◽

Processed Meat ◽

Dietary Intakes ◽

Feeding Behaviors ◽

Parental Feeding

Introduction: Parental feeding behaviors have been found to be associated with dietary intakes and weight status in children, although the longitudinal associations of parental feeding behaviors in early life with diet later in childhood have been scarcely studied. Hypothesis: We hypothesized that parental feeding restriction, pressure to eat, and concerns about child’s weight would be associated with poorer diet quality throughout childhood. Methods: Among 1172 mother-child pairs from Project Viva, we examined associations of parental feeding behaviors at 2 years assessed via questions from the Child Feeding Questionnaire (behaviors dichotomized as yes vs. no) with diet quality in early (mean: 3.2, SD 0.2 years; n=1076) and mid-childhood (mean: 7.8, SD 0.7 years; n=993) assessed via food frequency questionnaires. We used linear regression models adjusted for socio-demographic characteristics, maternal and paternal body mass index, and maternal diet quality in pregnancy. Results: At 2 years postpartum, 47% of parents pressured/encouraged their child to eat more, 8% restricted their intakes, 15% were concerned about their child being overweight and 7% about their child being underweight. Parental pressure to eat at 2 years was associated with higher child intake of fruit juice (β 0.17 serving/day; 95% CI 0.01, 0.34) and snack foods (0.12 serving/day; 0.01, 0.22) in early childhood and with lower youth healthy eating index score (-1.32 points; -2.54, -0.10; score from 0 to 85 points) in mid-childhood. Parental feeding restriction at 2 years was associated with lower intake of sugar-sweetened beverages (-0.17 serving/day; -0.27, -0.06) in early childhood and with lower intake of dairy (-0.29 serving/day; -0.56, -0.02) in mid-childhood. Parental concerns about their child being underweight was associated with lower youth healthy eating index score (-2.18 points; -4.30, -0.05; score from 0 to 95 points) in early childhood while concerns about their child being overweight was associated with higher intakes of red and processed meat (0.14 serving/day; 0.04, 0.23) in early childhood and higher intake of baked products in mid-childhood (0.07 serving/day; 0.01, 0.13). Conclusions: We found that early parental feeding behaviors may have a modest contribution to dietary intakes throughout childhood. However, only a few associations persisted after adjusting for socio-economic and parental characteristics and effect sizes were modest. Strategies to improve diet quality in children might need to focus on the broader family and socio-economic context.

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Healthy Eating Index 2015 and Major Dietary Patterns in Relation to Incident Hypertension; A Prospective Cohort Study

10.21203/rs.3.rs-1063465/v1 ◽

2021 ◽

Author(s):

Yahya Pasdar ◽

Behrooz Hamzeh ◽

Shima Moradi ◽

Ehsan Mohammadi ◽

Mitra Darbandi ◽

...

Keyword(s):

Cohort Study ◽

Healthy Eating ◽

Dietary Patterns ◽

Lower Risk ◽

Proportional Hazards ◽

Sodium Intake ◽

Healthy Eating Index ◽

Cox Proportional Hazards ◽

Protective Effects ◽

Using Data

Abstract Background: Since hypertension (HTN) is responsible for more than half of all deaths from cardiovascular disease, it is important to know the nutritional factors that reduce its risk. Although little information is known about it in the Kurdish population. This study was aimed to evaluate healthy eating index (HEI) 2015 and major dietary patterns in relation to incident HTN. Methods: This case- cohort study was designed using data from Ravansar non- communicable diseases (RaNCD) cohort study (294 participants with incident HTN and 1295 participants as representative random sub-cohort). HEI 2015 and major dietary patterns were extracted using data from their dietary intake and three major dietary patterns were identified including plant- based, high protein, and unhealthy dietary patterns. To analysis of association between HEI 2015 and major dietary patterns with incident HTN Cox proportional hazards regression models were applied. Results: There was a positive significant correlation between HEI 2015 and plant- based diet (r=0.492). The participants in the highest quartile of HEI-2015 had a 39% lower risk of incident HTN, compared to participants in first quartile in both crude and adjusted model (HR: 0.61; 95% CI: 0.46-0.82) and (HR: 0.7; 95% CI: 0.51–0.97), respectively. Furthermore, participants who were the highest tertile of plant- based dietary pattern were lower risk of incident HTN in both crude and adjusted models (HR: 0.69; 95% CI: 0.54–0.9) and (HR: 0.7; 95% CI: 0.53–0.94), respectively. However, other two identified dietary patterns had no significant association with incident HTN. Conclusions: We found evidence indicating higher adherence to HEI 2015 and plant- based diet had protective effects on incident HTN. The HEI 2015 emphasizes limited sodium intake and adequate intake of vegetables and fruits.

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ASSOCIATIONS OF DIETARY INFLAMMATORY INDEX WITH BIRTH OUTCOMES AND WEIGHT STATUS AT AGE 5 AND 9: RESULTS FROM THE LIFEWAYS CROSS-GENERATION COHORT STUDY

10.26226/morressier.5c3379b1e668b90015afa117 ◽

2019 ◽

Author(s):

Pilar Navarro ◽

James R. Hebert

Keyword(s):

Cohort Study ◽

Birth Outcomes ◽

Weight Status ◽

Dietary Inflammatory Index ◽

Inflammatory Index

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Adherence to Healthy Eating Index-2015 and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort Study

10.21203/rs.3.rs-754347/v2 ◽

2021 ◽

Author(s):

Sahar Sarkhosh-Khorasani ◽

Azadeh Nadjarzadeh ◽

Hassan Mozaffari-Khosravi ◽

Masoud Mirzaei ◽

Mahdieh Hosseinzadeh

Keyword(s):

Cohort Study ◽

Healthy Eating ◽

Central Obesity ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Health Study ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Study Participants

Abstract Objectives: Data demonstrated a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. Inconsistent data regarding the association between adherence of Healthy Eating Index-2015 (HEI-2015) and obesity is identified. Thus, this study intends to address this relationship among a large sample of both urban and suburb areas of Iranian adults.Methods: This cross-sectional study was performed by 10693 participants of Shahedieh cohort study (n=3943) and TAghzieh Mardom-e-Yazd (TAMYZ) which was conducted on Yazd Health Study participants, (n=6750) living in urban and suburb areas. Dietary intake was assessed by using a validated Food Frequency Questionnaire (FFQ). In all participants, anthropometric indices including body mass index were measured. Multivariate logistic regression analysis was utilized to assess the relationship of HEI-2015 with obesity.Results: No significant association was found between adherence to the HEI-2015 diet and odds of general and central obesity. Conclusions: Our findings showed adherence to HEI-2015 might have no protective effect on odds of general obesity. Also, in suburb region and whole population of both urban and suburb regions greater compliance of men to HEI-2015 diet might have a positive effect on odds of central obesity. Moreover, in suburb area participants in the highest quintile significantly were smoker and had higher level of SES. Finally, the casual effect of HEI-2015 on obesity needs to be investigated further in prospective studies and among different populations.

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Adherence to Healthy Eating Index-2015 and Obesity Among Iranian Adults: Yazd Health Study-TAMYZ and Shahedieh Cohort Study

10.21203/rs.3.rs-754347/v1 ◽

2021 ◽

Author(s):

sahar sarkhosh khorasani ◽

Azadeh Nadjarzadeh ◽

Hassan Mozaffari-Khosravi ◽

Masoud Mirzaei ◽

Mahdieh Hosseinzadeh

Keyword(s):

Cohort Study ◽

Healthy Eating ◽

Central Obesity ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Health Study ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Study Participants

Abstract Objectives: Data demonstrated a relationship between obesity and increasing the risk of mortality and morbidity of chronic diseases. Inconsistent data regarding the association between adherence of Healthy Eating Index-2015 (HEI-2015) and obesity is identified. Thus, this study intends to address this relationship among a large sample of both urban and suburb areas of Iranian adults.Methods: This cross-sectional study was performed by 10693 participants of Shahedieh cohort study (n=3943) and TAghzieh Mardom-e-Yazd (TAMYZ) which was conducted on Yazd Health Study participants, (n=6750) living in urban and suburb areas. Dietary intake was assessed by using a validated Food Frequency Questionnaire (FFQ). In all participants, anthropometric indices including body mass index were measured. Multivariate logistic regression analysis was utilized to assess the relationship of HEI-2015 with obesity.Results: No significant association was found between adherence to the HEI-2015 diet and odds of general and central obesity. Conclusions: Our findings showed adherence to HEI-2015 might have no protective effect on odds of general obesity. Also, in suburb region and whole population of both urban and suburb regions greater compliance of men to HEI-2015 diet might have a positive effect on odds of central obesity. Moreover, in suburb area participants in the highest quintile significantly were smoker and had higher level of SES. Finally, the casual effect of HEI-2015 on obesity needs to be investigated further in prospective studies and among different populations.

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