The Healthy Eating Index-2010 Is a Valid and Reliable Measure of Diet Quality According to the 2010 Dietary Guidelines for Americans

The Healthy Eating Index-2010 Is a Valid and Reliable Measure of Diet Quality According to the 2010 Dietary Guidelines for Americans
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DOI:
10.3945/jn.113.183079
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发表时间:
2014-03-01
影响因子:
4.2
通讯作者:
Carroll, Raymond J.
Carroll, Raymond J.
中科院分区:
医学2区
文献类型:
--
作者:
Guenther, Patricia M.;Kirkpatrick, Sharon I.;Carroll, Raymond J.

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健康饮食指数(HEI)是一项衡量饮食质量的指标,该指数已更新,以反映2010年美国人饮食指南和美国农业部随附的食物模式。为了评估HEI-2010的有效性和可靠性,对示范菜单进行了评分,并使用2003-2004年NHANES中2个年龄为2岁的人的24小时饮食回忆来估计多变量的常见摄入量分布,并评估HEI-2010的分布是否足够广泛,以检测个体之间饮食质量的有意义的差异,2)使用t检验区分已知饮食质量差异的组,3)使用皮尔逊相关系数独立于能量摄入量测量饮食质量,4)HAS>5)通过计算Cronbach‘s系数α得到内在一致性。HEI-2010的得分达到或接近示范菜单的最高水平。得分在人群中的分布很广(第5个百分位数=31.7;第95个百分位数=70.4)。正如预测的那样,男性的饮食质量(HEI-2010总分平均值为49.8)比女性(52.7)差,年轻人的饮食质量(45.4)比老年人(56.1)差,吸烟者(45.7)的饮食质量(53.3)比不吸烟者(53.3)差(P<0.01)。观察到HEI-2010总分和分项分数(垂直条r垂直条)与能量的相关性很低
The Healthy Eating Index (HEI), a measure of diet quality, was updated to reflect the 2010 Dietary Guidelines for Americans and the accompanying USDA Food Patterns. To assess the validity and reliability of the HEI-2010, exemplary menus were scored and 2 24-h dietary recalls from individuals aged >= 2 y from the 2003-2004 NHANES were used to estimate multivariate usual intake distributions and assess whether the HEI-2010 1) has a distribution wide enough to detect meaningful differences in diet quality among individuals, 2) distinguishes between groups with known differences in diet quality by using t tests, 3) measures diet quality independently of energy intake by using Pearson correlation coefficients, 4) has >1 underlying dimension by using principal components analysis (PCA), and 5) is internally consistent by calculating Cronbach's coefficient alpha. HEI-2010 scores were at or near the maximum levels for the exemplary menus. The distribution of scores among the population was wide (5th percentile = 31.7; 95th percentile = 70.4). As predicted, men's diet quality (mean HEI-2010 total score = 49.8) was poorer than women's (52.7), younger adults' diet quality (45.4) was poorer than older adults' (56.1), and smokers' diet quality (45.7) was poorer than nonsmokers' (53.3) (P < 0.01). Low correlations with energy were observed for HEI-2010 total and component scores (vertical bar r vertical bar