scholarly journals Is The Healthy Eating Index-2015 Associated With Rheumatoid Arthritis?

2021 ◽  
Author(s):  
Atiyeh Nayebi ◽  
Davood Soleimani ◽  
Shayan Mostafaei ◽  
Negin Elahi ◽  
Homayoun Elahi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Healthy Eating ◽  
Diet Quality ◽  
Linear Trend ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
P Value ◽  
Cross Sectional

Abstract Objective: Healthy Eating Index-2015 (HEI-2015) is a multidimensional criterion of diet quality utilized to evaluate how well people’s dietary behaviors align with major recommendations of the 2015–2020 Dietary Guidelines for Americans. We aim to investigate the association between the diet quality and Rheumatoid arthritis (RA) activity.Design: Cross-sectional studySetting: This study was done on 184 patients with RA in rheumatology clinic in Kermanshah city, Iran, in 2020. RA was diagnosed according to the criteria of the 2010 American College of Rheumatology/ European League against Rheumatism. The overall quality diet was extracted from a validated 168-item food frequency questioner (FFQ) to calculate the HEI-2015 score. RA disease activity was assessed using Disease Activity Score 28 (DAS28) scores. One-way ANOVA and ANCOVA were done to find the associations.Participants: RA patientsResults: Individuals in the highest HEI-2015 quartile had a lower mean Erythrocyte Sedimentation Rate (ESR) than those in the lowest quartiles of the HEI scores (P-value: 0.014). A linear trend towards decreasing waist circumference in patients was observed with increasing quartiles of the HEI-2015 scores (P-value= 0.005). After controlling for all potential confounders, patients in the highest HEI-2015 quartile had the lowest DAS28 scores than those in the lowest quartile of the HEI-2015 scores (Q1= 3.65; 95% CI= 3.29 – 4.02 vs. Q4= 2.35; 95% CI= 1.94 - 2.67; P-value<0.001).Conclusion: Our results indicated that following a high diet quality might be one of the therapeutic strategies to control or reduce the disease activity in RA patients.

scholarly journals Lower Healthy Eating Index-2005 dietary quality scores in older women with rheumatoid arthritis v. healthy controls

2010 ◽  
Vol 13 (8) ◽  
pp. 1170-1177 ◽  
Author(s):  
Megan E Grimstvedt ◽  
Kathleen Woolf ◽  
Brandy-Joe Milliron ◽  
Melinda M Manore
Keyword(s):  
Rheumatoid Arthritis ◽  
Nutritional Status ◽  
Older Women ◽  
Healthy Eating ◽  
Healthy Eating Index ◽  
High Risk Group ◽  
Dietary Guidelines ◽  
Dietary Quality ◽  
Healthy Controls ◽  
Cross Sectional

AbstractObjectiveTo assess the dietary quality of older women with and without rheumatoid arthritis (RA) using the Healthy Eating Index-2005 (HEI-2005) to identify potential strategies to improve the nutritional status.DesignCross-sectional. Diet was assessed using 7 d food records and analysed for nutrient composition (Food Processor v. 7·11). Diet quality was determined using the HEI-2005, a measure of compliance with 2005 US Dietary Guidelines. Individuals with RA completed a self-reported evaluation of arthritis (pain scale and disability index). Independent two-tailed t tests or Mann–Whitney tests compared the differences between groups and correlations were computed between HEI-2005 and measures of disease reactivity.SettingArizona, USA.SubjectsOlder (≥ 55 years) women (n 108) with RA (n 52) and healthy controls (HC; n 56).ResultsThere were no differences between groups in age, weight, or BMI (kg/m2). HC participants had higher mean HEI-2005 scores for whole fruit (cups; P = 0·02), total fruit (cups; P = 0·05), whole grains (oz; P = 0·004), oil (g; P = 0·05) and total HEI score (P = 0·04) than the RA group. In the RA group, these same HEI components were inversely correlated with disability index (r = −0·20, P = 0·04). Participants with RA reported lower mean intakes of carbohydrate (g; P = 0·02), fibre (g; P = 0·01) and vitamin C (mg; P = 0·04).ConclusionsThis is the first study examining the dietary quality in older women with and without RA using the HEI-2005. Living with RA was associated with significantly lower dietary quality. Since even small changes in dietary quality can translate into better nutritional status, future interventions should focus on increasing dietary quality in this high-risk group.

scholarly journals Healthy Eating Index: Assessment of the Diet Quality of a Brazilian Elderly Population

2018 ◽  
Vol 11 ◽  
pp. 117863881881884
Author(s):  
Dalila Pinto de Souza Fernandes ◽  
Maria Sônia Lopes Duarte ◽  
Milene Cristine Pessoa ◽  
Sylvia do Carmo Castro Franceschini ◽  
Andréia Queiroz Ribeiro
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Saturated Fat ◽  
Population Based ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Global Quality

Background: The food consumption assessment is necessary to monitor elderly’s nutritional status because it allows detecting nutrition deficits and guiding the elaboration of effective conducts. Objective: The objective of this study is to assess the global quality of the elderly’s diet in Viçosa—MG, Brazil. Methods: This is a population-based cross-sectional study, involving noninstitutionalized elderly. Diet quality was assessed through the Brazilian Healthy Eating Index-Revised (BHEI-R) validated to the Brazilian population. Results: The study comprised 620 elderly individuals. The mean total BHEI-R score was 64.28. The worse consumption scores concerned the components Whole grains, Milk and derivatives, Sodium, Total fruit, and Whole fruit. Approximately 82% scored zero (0%) for Whole grains and 67% for Sodium. Men presented significantly lower scores than women, who have presented maximal score in the same items. Women’s scores were not only significantly higher for Total fruit, Whole fruit, Milk and derivatives, but also significantly lower for Saturated fat. Discussion: Most elderly need to improve their diet quality. Strategies heading toward the improvement of diet quality must be priority in policies to health promotion toward the healthy and active aging.

scholarly journals Healthy Eating Index-2015 Is Associated with Grip Strength among the US Adult Population

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3358
Author(s):  
Galya Bigman ◽  
Alice S. Ryan
Keyword(s):  
Grip Strength ◽  
Healthy Eating ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Cross Sectional ◽  
Lower Odds ◽  
Nationally Representative

The Healthy Eating Index-2015 (HEI-2015) was designed to reflect adherence to the 2015–2020 Dietary Guidelines for Americans (DGA). The study aims to examine the association between HEI-2015 and grip strength in a nationally representative sample of the U.S. adult population. This cross-sectional study used data from the National Health and Nutrition Examination Surveys of 2011–2014. Low grip strength was defined as <35.5 kg for men and <20 kg for women. HEI-2015 was computed from two days of 24-h dietary recalls and comprised 13 components. Each component was scored on the density out of 1000 calories and summed to a total score divided into quartiles. Weighted logistic regressions examined the study aim while controlling for associated covariates. The sample included 9006 eligible participants, of those, 14.4% (aged 20+ years), and 24.8% (aged ≥50 years) had low grip strength. Mean (±SD) HEI-2015 total score was 54.2 ± 13.6 and in the lowest and highest quartiles 37.3 ± 5.1 and 72.0 ± 6.5, respectively. In the multivariable model, participants in the highest vs. lowest HEI-2015 quartile had 24% lower odds of having low grip strength (Odds Ratio (OR) = 0.76; 95% CI: 0.60–0.96). Specifically, participants who met the DGA for protein intakes, whole grains, greens and beans, vegetables, or whole fruits had 20–35% lower odds of having low grip strength than those who did not. Higher compliance to the DGA might reduce the risk for low grip strength as a proxy measure for sarcopenia among U.S. adults, particularly adequate intakes of proteins, whole grains, greens and beans, vegetables, and whole fruits.

scholarly journals Assessment of Diet Quality in Chilean Urban Population through the Alternate Healthy Eating Index 2010: A Cross-Sectional Study

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 891 ◽  
Author(s):  
Victoria Pinto ◽  
Leslie Landaeta-Díaz ◽  
Oscar Castillo ◽  
Luis Villarroel ◽  
Attilio Rigotti ◽  
...  
Keyword(s):  
Latin American ◽  
Healthy Eating ◽  
Diet Quality ◽  
Urban Population ◽  
Sodium Intake ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Dietary Factors ◽  
Cross Sectional

Most worldwide causes of disease and death are strongly associated with dietary factors and the application of eating indexes has proved to be a useful tool to determine diet quality in populations. The aim of this study was to evaluate the diet quality in Chile through the application of the Alternate Healthy Eating Index 2010 (AHEI-2010). A representative sample (n = 879) of Chilean urban population aged 15–65 years old from the Latin American Study of Nutrition and Health (Estudio Latinoamericano de Nutrición y Salud; ELANS) was used. Dietary intake data were obtained through two 24-hour food recalls and one beverage frequency questionnaire, which were used to calculate AHEI-2010 and its association with sociodemographic and anthropometric variables. In this Chilean sample, the AHEI-2010 score was 43.7 ± 7.8 points (mean ± SD). Trans fats and sodium intake were the highest scoring AHEI-2010 components whereas sugar-sweetened beverages and whole grains had the lowest score. Women, older subjects, and individuals in medium-high socioeconomic levels had significantly higher mean AHEI-2010 scores. No association was found between AHEI-2010 and body mass index (BMI), or nutritional status. Conclusions: Diet quality in the Chilean urban population aged 15–65 years old is far from optimal. Thus, there is room for significant improvement of diet quality in Chile through design and implementation of public health policies, particularly in high-risk groups for chronic diseases.

scholarly journals Promoting a Healthy Diet in Young Adults: The Role of Nutrition Labelling

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1335 ◽  
Author(s):  
Zehra Buyuktuncer ◽  
Aylin Ayaz ◽  
Damla Dedebayraktar ◽  
Elif Inan-Eroglu ◽  
Basma Ellahi ◽  
...  
Keyword(s):  
Young Adults ◽  
Healthy Eating ◽  
Diet Quality ◽  
Eating Behaviors ◽  
Saturated Fat ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Label Use

The use of the nutrition facts label has been associated with healthy eating behaviors for adults. However, the relationship between nutrition facts label use and overall diet quality is not well known in young adults, a vulnerable group that acquire lifelong eating behaviors during this period of life. This study aimed to assess if the use of information on the nutrition facts label is associated with a higher diet quality in young adults. In this cross-sectional study, 958 university students aged 18–34 years were recruited. Nutrition facts label use was recorded. Dietary intake was assessed using 24-h dietary recall. Healthy Eating Index-2005 (HEI-2005) scores were calculated. HEI-2005 score was significantly associated with using nutrition facts label (p < 0.001). The mean total HEI-2005 score was 60.7 ± 10.11, 62.4 ± 11.43 and 67.1 ± 12.23 respectively for never, sometimes and everytime users of nutrition facts label (p < 0.001). Sub-group scores of HEI-2005 for total fruits, whole fruits, total vegetables, whole grains, milk, oils, saturated fat, and calories from solid fat, alcohol and added sugar (SoFAAS) were significantly higher in regular nutrition facts label users (p < 0.05, for each). This study showed that young adults who regularly use the nutrition facts label have a higher diet quality.

scholarly journals Social and demographic inequalities in diet quality in a population-based study

2016 ◽  
Vol 29 (2) ◽  
pp. 151-162 ◽  
Author(s):  
Daniela de ASSUMPÇÃO ◽  
Semíramis Martins Álvares DOMENE ◽  
Regina Mara FISBERG ◽  
Marilisa Berti de Azevedo BARROS
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Population Based ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Healthy Eating Index ◽  
Education Level ◽  
Cross Sectional ◽  
Added Sugars ◽  
The City

Objective : To evaluate sociodemographic inequalities in the diet quality of the urban population of the city of Campinas, São Paulo, Brazil. Methods: A population-based, cross-sectional study was performed using data from a health survey conducted in the city of Campinas in 2008-2009. Diet quality was evaluated using the Brazilian Healthy Eating Index Revised. A total of 3,382 individuals aged 10 years old and older were analyzed. Results : Brazilian Healthy Eating Index Revised scores increased with age and education level. Women consumed more vegetables, fruits, and milk, and less sodium, meat and eggs, oils, saturated and solid fats, alcohol, and added sugars than men. Scores for whole grains, vegetables, and fruits also increased with age and education level. Conclusion: These findings point to sociodemographic segments that are more vulnerable to an inappropriate diet and identify the need of strategies to increase the consumption of whole grains, dark green vegetables, fruits, and milk, and decrease the consumption of sodium, solid fats, alcohol, and added sugar.

Diet quality of individuals with rheumatoid arthritis using the Healthy Eating Index (HEI)-2010

2017 ◽  
Vol 23 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Lauren Thomas Berube ◽  
Mary Kiely ◽  
Yusuf Yazici ◽  
Kathleen Woolf
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Functional Status ◽  
Healthy Eating ◽  
Diet Quality ◽  
Functional Disability ◽  
Healthcare Providers ◽  
Healthy Eating Index ◽  
The Mean

Background: Rheumatoid arthritis (RA) afflicts approximately 1.5 million American adults and is a major cause of disability. As disease severity worsens, individuals with RA may experience functional decline that can impact dietary intake. Objective: The objective of this study is to assess the diet quality of individuals with RA using the Healthy Eating Index (HEI)-2010 and examine associations between diet quality and disease activity and functional status. Methods: This cross-sectional study assessed diet quality and disease activity and functional status in adults with RA. Participants completed seven-day weighed food records, which were scored using the HEI-2010. Participants had a fasting blood draw and completed the Multidimensional Health Assessment Questionnaire to determine disease activity and functional status. Results: The mean age of individuals with RA ( N = 84) was 53 ± 14 years, and 86.9% were female. The mean HEI-2010 total score was 58.7 ± 15.9, with 7.1% of participants scoring “good”, 58.3% “fair”, and 34.5% “poor”. Most participants did not adhere to recommended intakes of total fruit, total vegetables, whole grains, fatty acids, refined grains, sodium, and empty calories. An unadjusted multiple linear regression model found duration of morning stiffness and C-reactive protein concentration to be significant variables to inversely predict HEI-2010 total score. Conclusions: The diet quality of many individuals with RA needs improvement and may be related to functional disability associated with RA. Healthcare providers should encourage individuals with RA to meet dietary guidelines and maintain a healthy diet. Moreover, healthcare providers should be aware of the potential impacts of functional disability on diet quality in individuals with RA.

scholarly journals Healthy Eating Index, Genomics and Metabolomics; Insights into the Mechanisms Driving Dietary Pattern to Metabolic Disorders

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 506-506
Author(s):  
Minoo Bagheri ◽  
Rachana D Shah ◽  
Jonathan D Mosley ◽  
Jane F Ferguson
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Nucleotide Polymorphisms ◽  
Cross Sectional ◽  
Microbiome Composition ◽  
Beta Alanine ◽  
Funding Sources ◽  
Caffeine Metabolism

Abstract Objectives Higher diet quality measured by healthy eating index (HEI) is associated with improved metabolic function, however the molecular basis remains unclear. We assessed associations between HEI and the metabolome in plasma and stool and explored interaction between genotype and HEI on circulating and gut metabolites. Methods We analyzed data from heathy individuals recruited to a single cross-sectional study visit (ABO Study, N = 75). HEI score was calculated from food frequency questionnaire. Metabolites in plasma (n = 800) and stool (n = 767) were measured at Metabolon Inc. Genotyping was performed by Exome chip (Illumina, CoreExome, N &gt; 540,000 variants). Multivariable linear regression was used to assess the association of HEI score with metabolites adjusting for age, sex and body mass index. Plasma associations were replicated in the Fish oils and Adipose Inflammation Reduction (FAIR) study (N = 29). Metaboanalyst 4.0 was used to determine metabolic pathways. The interaction of single nucleotide polymorphisms (SNPs) and HEI on metabolites was tested using Plink. Results Metabolites in plasma (n = 74) and stool (n = 77) were associated with the HEI index (P &lt; 0.05). One metabolite (N-acetyl-beta-alanine) overlapped between plasma (B = 0.003, P = 0.035) and stool (B = 0.008, P = 0.02). Glycine replicated between ABO (B = −0.001, P = 0.02) and FAIR studies (B = −0.01, P = 0.02). In plasma there was significant pathway enrichment in glycerophospholipid metabolism, glycine, serine-threonine metabolism and caffeine metabolism. In stool, histidine and caffeine metabolism pathways were significantly enriched. Significant (Pinteraction &lt;5 × 10−8) interactions were observed between HEI and multiple independent SNPs for metabolites including circulating Valylleucine and gut Sedoheptulose-7-phosphate. Conclusions Diet quality, measured by HEI, is associated with differences in plasma and stool metabolites. The observed associations might aid understanding the link between food patterns and metabolic health outcomes. Further, our data support gene-nutrient interactions between HEI and SNPs contributing to plasma and gut metabolomic profiles. Future work will explore the relationship between HEI and gut microbiome composition. Funding Sources This project was supported by the National Institutes of Health.

scholarly journals Dietary Saturated Fats from Different Food Sources Show Variable Associations with the 2015 Healthy Eating Index in the Canadian Population

2020 ◽  
Vol 150 (12) ◽  
pp. 3288-3295
Author(s):  
Stéphanie Harrison ◽  
Didier Brassard ◽  
Simone Lemieux ◽  
Benoît Lamarche
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Nutritive Value ◽  
Meat Products ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Food Sources ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
Tier System

ABSTRACT Background Although mostly food-based, the majority of dietary guidelines also recommend limiting the consumption of foods high in SFAs. Yet, the association between the consumption of SFAs from different food sources and overall diet quality remains uncertain. Objectives The objective of this study was to examine the associations between SFAs from various food sources and the 2015 Healthy Eating Index (HEI-2015) as a proxy of overall diet quality. Methods The study sample included 11,106 respondents between 19 and 70 y of age from the 2015 Canadian Community Health Survey. Dietary intakes as well as the HEI-2015 were calculated using data from a single 24-h recall. An HEI-2015 from which the SFA subscores were subtracted was also calculated. Low nutritive value foods were defined using Health Canada's 4-Tier system. Associations were investigated using multivariable linear regressions with restricted cubic splines. Results Major sources of SFAs in this population were low nutritive value foods [4.4% of total energy intake (%E)], dairy (2.7%E), and meat products (1.9%E). The associations between SFA consumption (total and from different food sources) and the HEI-2015 were generally inverse and nonlinear (P for the nonlinearity test &lt;0.03 for all). Total SFA intake showed no association with the SFA-subtracted HEI-2015 (P = 0.29). SFAs from dairy tended to be associated with an increase in the SFA-subtracted HEI-2015 (P &lt; 0.001). Removing the SFA subscore from the HEI-2015 did not materially modify its association with SFAs from meat. SFAs from low nutritive value foods remained significantly and inversely associated with the SFA-subtracted HEI-2015 (P &lt; 0.001). Conclusions These cross-sectional data in Canadian adults suggest that intake of SFAs from low nutritive value foods, but not total SFA intake, is captured by an index of healthy eating that does not account for SFA intake.

scholarly journals A healthy eating index to measure diet quality in pregnant women in Singapore: a cross-sectional study

BMC Nutrition ◽  
2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Chad Yixian Han ◽  
◽  
Marjorelee Colega ◽  
Elaine Phaik Ling Quah ◽  
Yiong Huak Chan ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Healthy Eating ◽  
Diet Quality ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Sectional Study ◽  
Cross Sectional
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