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Adherence to the Healthy Eating Index–2015 and Other Dietary Patterns May Reduce Risk of Cardiovascular Disease, Cardiovascular Mortality, and All-Cause Mortality

The Journal of nutrition, 2020-02, Vol.150 (2), p.312-321 [Peer Reviewed Journal]

2020 American Society for Nutrition. ;Copyright © American Society for Nutrition 2019. 2019 ;Copyright © American Society for Nutrition 2019. ;Copyright American Institute of Nutrition Feb 2020 ;ISSN: 0022-3166 ;EISSN: 1541-6100 ;DOI: 10.1093/jn/nxz218 ;PMID: 31529069

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  • Title:
    Adherence to the Healthy Eating Index–2015 and Other Dietary Patterns May Reduce Risk of Cardiovascular Disease, Cardiovascular Mortality, and All-Cause Mortality
  • Author: Hu, Emily A ; Steffen, Lyn M ; Coresh, Josef ; Appel, Lawrence J ; Rebholz, Casey M
  • Subjects: ARIC ; Arteriosclerosis ; Atherosclerosis ; Calories ; cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - mortality ; Cause of Death ; Diet ; Diet, Healthy ; dietary pattern ; dietary score ; Eating ; Eating behavior ; Fats ; Female ; Food intake ; Guideline Adherence ; Guidelines ; Health risks ; Heart diseases ; Humans ; Hypertension ; Male ; Middle Aged ; Mortality ; Nutritional Epidemiology ; Prospective Studies ; Proteins ; Risk management ; Statistical models ; Sugar
  • Is Part Of: The Journal of nutrition, 2020-02, Vol.150 (2), p.312-321
  • Description: The Healthy Eating Index–2015 (HEI-2015) score measures adherence to recommendations from the 2015–2020 Dietary Guidelines for Americans. The HEI-2015 was altered from the HEI-2010 by reclassifying sources of dietary protein and replacing the empty calories component with 2 new components: saturated fats and added sugars. Our aim was to assess whether the HEI-2015 score, along with 3 other previously defined indices, were associated with incident cardiovascular disease (CVD), CVD mortality, and all-cause mortality. We conducted a prospective analysis of 12,413 participants aged 45–64 y (56% women) from the Atherosclerosis Risk in Communities (ARIC) Study. The HEI-2015, Alternative Healthy Eating Index–2010 (AHEI-2010), alternate Mediterranean (aMed) diet, and Dietary Approaches to Stop Hypertension Trial (DASH) scores were computed using the average dietary intakes of Visits 1 (1987–1989) and 3 (1993–1995). Incident CVD, CVD mortality, and all-cause mortality data were ascertained from baseline through 31 December, 2017. We used Cox proportional hazards models to estimate HRs and 95% CIs. There were 4509 cases of incident CVD, 1722 cases of CVD mortality, and 5747 cases of all-cause mortality over a median of 24–25 y of follow-up. Compared with participants in the lowest quintile of HEI-2015, participants in the highest quintile had a 16% lower risk of incident CVD (HR: 0.84; 95% CI: 0.76–0.93; P-trend < 0.001), 32% lower risk of CVD mortality (HR: 0.68; 95% CI: 0.58–0.80; P-trend < 0.001), and 18% lower risk of all-cause mortality (HR: 0.82; 95% CI: 0.75–0.89; P-trend < 0.001) after adjusting for demographic and lifestyle covariates. There were similar protective associations for AHEI-2010, aMed, and DASH scores, and no significant interactions by race. Higher adherence to the 2015–2020 Dietary Guidelines for Americans was associated with lower risks of incident CVD, CVD mortality, and all-cause mortality among US adults.
  • Publisher: United States: Elsevier Inc
  • Language: English
  • Identifier: ISSN: 0022-3166
    EISSN: 1541-6100
    DOI: 10.1093/jn/nxz218
    PMID: 31529069
  • Source: MEDLINE
    Alma/SFX Local Collection
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