scholarly journals Diet quality as a predictor of cardiometabolic disease–free life expectancy: the Whitehall II cohort study

2020 ◽  
Vol 111 (4) ◽  
pp. 787-794 ◽  
Author(s):  
Hanna Lagström ◽  
Sari Stenholm ◽  
Tasnime Akbaraly ◽  
Jaana Pentti ◽  
Jussi Vahtera ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Life Expectancy ◽  
Diet Quality ◽  
Dietary Habits ◽  
Healthy Eating Index ◽  
Activity Level ◽  
Cardiometabolic Disease ◽  
Occupational Position ◽  
Disease Free

ABSTRACT Background Poor diet quality has been linked to increased risk of many chronic diseases and premature mortality. Less research has considered dietary habits in relation to disease-free life expectancy. Objectives Our objective was to investigate the association of diet quality with cardiometabolic disease–free life expectancy between ages 50 and 85 y. Methods Diet quality of 8041 participants of the Whitehall II cohort study was assessed with the Alternative Healthy Eating Index 2010 (AHEI-2010) in 1991–1994, 1997–1999, and 2002–2004. The measurement of diet quality closest to age 50 for each participant was used. We utilized repeat measures of cardiometabolic disease (coronary heart disease, stroke, and type 2 diabetes) from the first observation when participants were aged ≥50 y. Multistate life table models with covariates age, gender, occupational position, smoking, physical activity, and alcohol consumption were used to estimate total and sex-specific cardiometabolic disease–free life expectancy from age 50 to 85 y for each AHEI-2010 quintile, where the lowest quintile represents unhealthiest dietary habits and the highest quintile the healthiest habits. Results The number of cardiometabolic disease–free life-years after age 50 was 23.9 y (95% CI: 23.0, 24.9 y) for participants with the healthiest diet, that is, a higher score on the AHEI-2010, and 21.4 y (95% CI: 20.6, 22.3 y) for participants with the unhealthiest diet. The association between diet quality and cardiometabolic disease–free life expectancy followed a dose–response pattern and was observed in subgroups of participants of different occupational position, BMI, physical activity level, and smoking habit, as well as when participants without cardiometabolic disease at baseline were excluded from analyses. Conclusions Healthier dietary habits are associated with cardiometabolic disease–free life expectancy between ages 50 and 85.

scholarly journals Diet quality as a predictor of healthy and cardiometabolic disease-free life expectancy between ages 50 to 85

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Hanna Lagström ◽  
Sari Stenholm ◽  
Tasnime Akbararly ◽  
Jaana Pentti ◽  
Jussi Vahtera ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Diet Quality ◽  
Dietary Habits ◽  
Good Health ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Cardiometabolic Disease ◽  
Occupational Position ◽  
Cardiometabolic Diseases ◽  
Disease Free

AbstractPoor dietary quality is one of the leading modifiable risk factor for premature mortality worldwide. People live longer than ever, but spend more years with illness and disability although the ultimate goal is to increase healthy years of life. Less research has considered the role of dietary habits in relation to health or cardiometabolic disesase-free life expectancy (LE). This study investigate the association of diet quality with healthy and cardiometabolic disease-free LE between ages 50 and 85. The study comprised 8,075 participants of the Whitehall II study. Diet quality was assessed with Alternative Healthy Eating Index (AHEI) 2010 at phases 3, 5 and 7 and took the measure of diet closest to age of 50 years for each participant. We utilized repeat measures of self-rated health and cardiometabolic disease from the first observation when participants were aged 50 years or older. In the analyses the AHEI-2010 total score was categorized in to quintiles, where the lowest quintile represents unhealthiest diet quality and highest quintiles healthiest diet. Multistate life table models were used to estimate healthy and cardiometabolic disease-free LE from age 50 to 85 years for each category of AHEI-2010 quintiles and three occupational position group. Participants in the highest AHEI-2010 quintile lived 3.6 years longer in good health and 2.7 years longer without cardiometabolic diseases than participants in the lowest quintile of the AHEI-2010. Higher diet quality associated with an increased healthy and cardiometabolic disease-free LE was observed across different occupational positions: Men in highest occupational position and highest AHEI-2010 quintile lived 9.4 years longer with good health compared to lowest occupational position and lowest AHEI-2010 quintile and for women the corresponding difference was 8.2 years. In terms of proportion of years spent without cardiometabolic diseases ranged from 77% (high occupational position and highest AHEI-2010) to 57% (low occupational position and lowest AHEI-2010) in men and from 82% to 70% in women. The difference in years lived healthy across AHEI-2010 quintiles was most remarkable in persons with low occupation status. Healthier dietary habits are associated with longer healthy and longer cardiometabolic disease-free LE between ages 50 and 85. Attention to poor diet should be paid especially among people in the lowest occupational position.

scholarly journals Physical activity level as a predictor of healthy and chronic disease-free life expectancy between ages 50 and 75

2018 ◽  
Vol 47 (3) ◽  
pp. 423-429 ◽  
Author(s):  
Tuija Leskinen ◽  
Sari Stenholm ◽  
Ville Aalto ◽  
Jenny Head ◽  
Mika Kivimäki ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Life Expectancy ◽  
Physical Activity Level ◽  
Activity Level ◽  
Disease Free

Effect of chronotype on diet and sleep quality in healthy female students: night lark versus early bird

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mahmut Bodur ◽  
Şahika Nur Bidar ◽  
Hülya Yardimci
Keyword(s):  
Physical Activity ◽  
Fatty Acids ◽  
Sleep Quality ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Female Students ◽  
Activity Level ◽  
Content Type ◽  
Healthy Female ◽  
Daily Energy

Purpose The purpose of this study is to investigate the effects of chronotype on diet and sleep quality in healthy female students. Design/methodology/approach This study was conducted in 197 healthy female students and were grouped in morning, intermediate and evening types according to the Horne and Ostberg Morningness-Eveningness Questionnaire (MEQ). Assessment included sleep quality using the Pittsburgh Sleep Quality Index (PSQI); physical activity level using the International Physical Activity Questionnaire-Short Form (IPAQ-SF); dietary intake using the 24-h dietary recall; and diet quality using the Healthy Eating Index-2015 (HEI-2015). Findings In this study, no significant difference was found between chronotypes in terms of general nutritional habits, age, smoking status, anthropometric measurements and physical activity levels. However, evening-type individuals had poor sleep quality (p = 0.040) and having issues about sleep latency (p = 0.049) and daytime dysfunction (p = 0.044), and they had had lower intake of whole fruit (p = 0.002), total fruit (p = 0.024) and higher consumption of refined grains (p < 0.001). Although, among chronotypes, there is no difference in the intake of protein, saturated fat, monounsaturated fatty acids, polyunsaturated fatty acids and dietary fiber, evening-type individuals’ daily energy (p = 0.013), fat (p = 0.021) and carbohydrate intake (p = 0.033) were higher. Originality/value In conclusion, further research is required to understand the relationship between chronotype, diet and sleep quality. This study is one of the limited studies that examines sleep quality, daily energy and macronutrient intake and diet quality together for healthy women.

scholarly journals Diet quality in relation to the risk of hypertension among Iranian adults: cross-sectional analysis of Fasa PERSIAN cohort study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Amir Motamedi ◽  
Maryam Ekramzadeh ◽  
Ehsan Bahramali ◽  
Mojtaba Farjam ◽  
Reza Homayounfar
Keyword(s):  
Blood Pressure ◽  
Cohort Study ◽  
Diet Quality ◽  
Dietary Diversity ◽  
Antihypertensive Drugs ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Common Chronic Disease ◽  
History Of ◽  
Prevention Of Hypertension

Abstract Background Hypertension is a common chronic disease with various complications and is a main contributing factor to cardiovascular disease (CVD). This study aimed to assess the association of diet quality, assessed by dietary diversity score (DDS), Mediterranean dietary score (MDS), diet quality index-international (DQI-I), and healthy eating index-2015 (HEI-2015) with the risk of hypertension. Methods This study recruited a total of 10,111 individuals (45.14% male) with mean age of 48.63 ± 9.57 years from the Fasa Cohort Study, Iran. Indices of diet quality, including MDS, HEI-2015, DQI-I, and DDS were computed by a 125-item Food Frequency Questionnaire. Participants were diagnosed as hypertensive if they had a diastolic blood pressure (DBP) ≥90 mmHg, systolic blood pressure (SBP) ≥140 mmHg,, or used antihypertensive drugs. Results Hypertension was prevalent in 28.3% of the population (21.59% in males and 33.74% in females). In the whole population, after adjustment for potential covariates, including daily energy intake, age, gender, physical activity, smoking, family history of hypertension, body mass index, and the level of education, higher adherence to the MDS (OR: 0.86, 95%CI = 0.75–0.99) and HEI-2015 (OR: 0.79, 95%CI = 0.68–0.90) was significantly associated with decreased risk of hypertension. The protective effect of HEI-2015 against hypertension remained significant for both males (OR: 0.80, 95%CI = 0.64–0.99) and females (OR: 0.78, 95%CI = 0.66–0.94), while, for MDS, this relationship disappeared in the subgroup analysis by gender. DQI-I and DDS were not related to the odds of hypertension. Conclusions Adhering to MDS and HEI-2015 diets could contribute to the prevention of hypertension.

scholarly journals Socioeconomic differences in healthy and disease-free life expectancy between ages 50 and 75: a multi-cohort study

2018 ◽  
Vol 29 (2) ◽  
pp. 267-272 ◽  
Author(s):  
Jenny Head ◽  
Holendro Singh Chungkham ◽  
Martin Hyde ◽  
Paola Zaninotto ◽  
Kristina Alexanderson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Life Expectancy ◽  
Socioeconomic Differences ◽  
Disease Free

scholarly journals Role of alternate healthy eating index (AHEI) in communicating the quality of diet

2020 ◽  
Vol 11 (2) ◽  
pp. 96-102
Author(s):  
Krishna Mohandas ◽  
L. Prema
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Dietary Habits ◽  
Mean Value ◽  
Healthy Eating Index ◽  
Overweight And Obesity ◽  
Food Groups ◽  
Good Tool ◽  
The Difference

The food habits of global population has been evolving in such a way that makes unhealthy foods cheaper and widely available and healthy foods costly and less available. Being surrounded by such foods and living in an environment with lesser requirement for physical activity is the primary reason for the pandemic explosion in overweight and obesity. This study is an attempt to analyze the quality of diet with an aim to study the significance of Alternate Healthy Eating Index (AHEI) in predicting the quality of dietary intake. Methodology: The study was conducted in 66 respondents (44 females and 22 males) aged 18-65 years with BMI between 23 kg/m2 to 50 kg/m2. The respondent’s data were collected using a pretested standard questionnaire. The nutrient consumption was calculated from the 24 hour recall and the AHEI scores were derived from recall and food use frequency data. The data were analysed using SAS software. Results: The intake of Energy, protein, fat and carbohydrates were more than their requirement while intake of fibre was not meeting the requirement. The AHEI scores obtained ranged from 36 to 76 with a mean value of 55.6 ± 9.54. A positive linear association for AHEI with BMI (0.0362) and energy intake (0.13) was established through Pearson’s correlation while the association was negative with BMR (-0.14). Paired t test comparing AHEI against the difference between intake and requirement of macronutrients revealed that when the diet quality was good (as indicated by AHEI>51), the difference in intake exhibited a significant linear relationship with p values <0.001 while no relation was established when the diet quality was poor. Conclusion: AHEI encompasses all nutrients and food groups relevant to metabolic health and it can be used as a good tool to assess the quality of dietary habits of overweight and obese subjects.

scholarly journals Clustering of lifestyle factors in Spanish university students: the relationship between smoking, alcohol consumption, physical activity and diet quality

2012 ◽  
Vol 15 (11) ◽  
pp. 2131-2139 ◽  
Author(s):  
Carlos Moreno-Gómez ◽  
Dora Romaguera-Bosch ◽  
Pedro Tauler-Riera ◽  
Miquel Bennasar-Veny ◽  
Jordi Pericas-Beltran ◽  
...  
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
University Students ◽  
Diet Quality ◽  
Dietary Pattern ◽  
Dietary Habits ◽  
Lifestyle Factors ◽  
Balearic Islands ◽  
Dietary Guidelines ◽  
Processed Meat

AbstractObjectiveTo ascertain the prevalence of and association between main lifestyle factors (diet, physical activity, alcohol consumption and smoking) in students from the Balearic Islands University.DesignA cross-sectional, descriptive study. A questionnaire including questions on lifestyle, dietary habits and physical activity habits was administered to the students. Four different diet quality scores were calculated (Diet Diversity Score, Mediterranean Diet Score, Dietary Guidelines Score and Global Dietary Guidelines Score).SettingA sample of students from the Balearic Islands University.SubjectsNine hundred and eighty-seven students (45·5 % males; mean age 21·5 (sd 3·3) years).ResultsThe dietary pattern of the student population was characterized by a low consumption of cereals and tubers, fruits, vegetables, olive oil, legumes and nuts, and a high consumption of processed meat, sweets, snacks, soft drinks and pastries. Linear, positive and statistically significant correlations were found between the number of meals consumed daily and all of the diet quality scores determined. Determinants of diet quality, both in the univariate and multivariate analyses, were physical activity practice, sex, age and number of meals consumed daily.ConclusionsRisk factors such as smoking, diet and physical inactivity had a tendency of clustering among Spanish university students. Overall diet quality was low, due to important departures from dietary recommendations and loss of the traditional Mediterranean dietary pattern. Nutritional education campaigns that include promotion of physical activity practice are needed to improve the overall health status of this population.

scholarly journals Dietary and Physical Activity Behaviors in Women with Polycystic Ovary Syndrome per the New International Evidence-Based Guideline

Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2711 ◽  
Author(s):  
Annie W. Lin ◽  
Maryam Kazemi ◽  
Brittany Y. Jarrett ◽  
Heidi Vanden Brink ◽  
Kathleen M. Hoeger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Polycystic Ovary Syndrome ◽  
Dietary Intake ◽  
Diet Quality ◽  
Polycystic Ovary ◽  
Healthy Eating Index ◽  
Evidence Based ◽  
Ovary Syndrome ◽  
International Evidence ◽  
Evidence Based Guideline

Lifestyle modifications are recommended as first-line therapy in polycystic ovary syndrome (PCOS). However, usual dietary and physical activity (PA) behaviors of women with PCOS remain uncertain, likely owing to controversy in diagnostic criteria. Our objective was to contrast the usual dietary and PA behaviors of women with PCOS (n = 80) diagnosed by the 2018 International Evidence-based Guideline for the Assessment and Management of PCOS to that of controls (n = 44). Study outcomes were dietary intake, diet quality (Healthy Eating Index-2015), and PA (questionnaire, waist-worn accelerometers). Women with PCOS met the acceptable macronutrient distribution ranges for carbohydrate, fat, and protein, but did not meet the recommended dietary reference intakes for vitamin D (mean (95% confidence interval); 6 (5–7) μg/d), vitamin B9 (275 (252–298) μg/d), total fiber (24 (22–26) g/d), or sodium (4.0 (3.6–4.4) g/d). Women with PCOS also met the US recommendations for PA. No differences were detected in dietary intake, diet quality, or PA levels between groups (p ≥ 0.11). In conclusion, women with and without PCOS have comparable dietary and PA behaviors. A lack of unique targets for dietary or PA interventions supports the position of the new guideline to foster healthy lifestyle recommendations for the management of PCOS.

Sign in / Sign up

Export Citation Format

Share Document