The Mediterranean Diet Score Is More Strongly Associated with Favorable Cardiometabolic Risk Factors over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults
The Mediterranean Diet Score Is More Strongly Associated with Favorable Cardiometabolic Risk Factors over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults
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DOI：
10.3945/jn.116.245431
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发表时间：
2017-04-01
影响因子：
4.2
通讯作者：
Tucker, Katherine L.
中科院分区：
文献类型：
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作者：
Mattei, Josiemer;Sotos-Prieto, Mercedes;Tucker, Katherine L.
背景资料：多种饮食质量评分已被用于评估对特定饮食建议或健康食品和营养素消费的遵守情况。目前尚不清楚哪种评分可以更有力地预测心脏代谢危险因素的纵向变化。目的：我们的目的是确定5种饮食质量评分[AHA饮食评分（AHA-DS），停止高血压的饮食方法（DASH），健康饮食指数（HEI）-2005，地中海饮食评分（MeDS），和替代健康饮食指数（AHEI）]与45-75岁成人心脏代谢危险因素的2年变化。方法：分析来自波士顿波多黎各健康研究的数据（n = 1194）。饮食质量评分是根据基线验证的食物频率问卷计算的。多变量调整，重复受试者，混合效应模型，调整基线测量，估计每个z评分和2年测量的14个单独的心脏代谢因素之间的关联。（B系数6 SE：20.52 6 0.26，P = 0.048）;体重指数（BMI; 20.23 +/- 0.08，P = 0.005）;对数胰岛素（20.06 +/- 0.02，P = 0.005）;胰岛素抵抗的对数稳态模型评估（HOMA-IR; 20.05 +/- 0.02，P = 0.030）和log-C-反应蛋白（20.13 +/- 0.03，P = 0.0002）。AHEI与BMI、胰岛素和HOMA-IR之间存在类似但较弱的相关性。AHA-DS与BMI呈负相关（-0.17 +/-0.08，P = 0.033）。HEI-2005和DASH与任何变量均无显著相关性。传统的波多黎各食品消费的个人与高MeDS包括蔬菜和肉类在自制汤，橙子汁，燕麦片，豆类和豆类，鱼，全脂牛奶，玉米油，和beer.Conclusions：MeDS包括食品成分和分数与一个有利的心脏代谢档案超过2年在波多黎各成年人。整体健康的饮食可能对保持较低的BMI特别有益。这些结果有助于在流行病学研究中确定适当的饮食质量指标，并为目标人群制定有意义的营养信息和饮食建议。
Background: Multiple diet quality scores have been used to evaluate adherence to specific dietary recommendations or to consumption of healthful foods and nutrients. It remains unknown which score can more strongly predict longitudinal changes in cardiometabolic risk factors.Objective: We aimed to determine associations of 5 diet quality scores [AHA diet score (AHA-DS), Dietary Approaches to Stop Hypertension (DASH), Healthy Eating Index (HEI)-2005, Mediterranean diet score (MeDS), and Alternative Healthy Eating Index (AHEI)] with 2-y changes in cardiometabolic risk factors in adults 45-75 y old.Methods: Data from the Boston Puerto Rican Health Study were analyzed (n = 1194). Diet quality scores were calculated from a baseline-validated food-frequency questionnaire. Multivariable-adjusted, repeated-subjects, mixed-effects models, adjusted for baseline measures, estimated associations between each z score and 14 individual cardiometabolic factors measured at 2 y.Results: MeDS was significantly associated with lower 2-y waist circumference (b coefficient 6 SE: 20.52 6 0.26, P = 0.048); body mass index (BMI; 20.23 +/- 0.08, P = 0.005); log-insulin (20.06 +/- 0.02, P = 0.005); log-homeostasis model assessment of insulin resistance (HOMA-IR; 20.05 +/- 0.02, P = 0.030), and log-C-reactive protein (20.13 +/- 0.03, P = 0.0002). Similar but weaker associations were observed for the AHEI with BMI, insulin, and HOMA-IR. The AHA-DS was inversely associated with BMI (-0.17 +/- 0.08, P = 0.033). Neither the HEI-2005 nor DASH was significantly associated with any variable. Traditional Puerto Rican foods consumed by individuals with high MeDSs included vegetables and meats in homemade soups, orange juice, oatmeal, beans and legumes, fish, whole milk, corn oil, and beer.Conclusions: The MeDS comprises food components and scores associated with a favorable cardiometabolic profile over 2 y in Puerto Rican adults. An overall healthy diet may be particularly beneficial for maintaining a lower BMI. These results can help identify suitable measures of diet quality in epidemiologic studies and craft meaningful nutritional messages and dietary recommendations for the intended population.