Diet Quality Measures and Cardiovascular Risk Factors in France: Applying the Healthy Eating Index to the SU.VI.MAX Study
Diet Quality Measures and Cardiovascular Risk Factors in France: Applying the Healthy Eating Index to the SU.VI.MAX Study
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DOI：
10.1080/07315724.2009.10719757
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发表时间：
2009-02-01
影响因子：
3.5
通讯作者：
Hercberg, Serge
中科院分区：
文献类型：
--
作者：
Drewnowski, Adam;Fiddler, Elizabeth C.;Hercberg, Serge
目的：研究一大群法国成年人的饮食质量指标、生活方式变量和心血管危险因素之间的关联。方法：参与者为 5,081 名 35-61 岁的法国男性和女性，自愿参加一项癌症和 CVD 预防长期临床试验（SU.VI.MAX 研究）。参与者提供了 12 天的饮食回忆。身高、体重、血压和血脂数据的数据均来自临床就诊。统计分析：计算每位参与者的健康饮食指数（HEI）分数。使用横断面设计中的方差分析和回归模型来测试饮食和生活方式变量与健康之间的关联。结果：男性平均年龄为 51.7 岁，女性平均年龄为 47.0 岁。男性平均体重指数 (BMI) 值为 24.9，女性为 22.6。肥胖率为4%，心血管危险因素较低。来自脂肪的平均能量百分比为 37%（饱和脂肪为 16%），很少有受访者符合美国关于脂肪、饱和脂肪和胆固醇的饮食指南。以 HEI 分数为索引的较高饮食质量与年龄较大、已婚、受过良好教育、身体活跃和从不吸烟有关。仅对男性而言，较高的 HEI 分数与较低的 BMI 和较低的血压关系较弱。 HEI 与血脂测量值无关。结论：在法国成年男性和女性样本中，较高的 HEI 分数与更健康的生活方式和更高的社会经济地位相关。然而，HEI 分数与健康参数或体重的相关性很弱。将饮食质量与健康结果联系起来是一个持续的挑战。
Objective: To examine associations between diet quality measures, lifestyle variables, and cardiovascular risk factors in a large cohort of French adults.Methods: Participants were 5,081 French men and women aged 35-61 y, voluntarily enrolled in a long-term clinical trial of cancer and CVD prevention (SU.VI.MAX study). Participants provided 12 days of dietary recalls. Data on heights, weights, blood pressure, and lipid profiles were obtained from clinic visits. Statistical Analysis: Healthy Eating Index (HEI) scores were calculated for each participant. The association between dietary and lifestyle variables and health was tested using analyses of variance and regression models in a cross sectional design.Results: Mean age was 51.7 y for men and 47.0 y for women. Mean body mass index (BMI) values were 24.9 for men and 22.6 for women. Obesity rate was 4% and cardiovascular risk factors were low. Mean percent energy from fat was 37% (saturated fat 16%) and very few respondents met US dietary guidelines for fat, saturated fat, and cholesterol. Higher diet quality, as indexed by HEI scores, was associated with being older, married, better educated, physically active, and having never smoked. For men only, higher HEI scores were weakly associated with lower BMI and lower blood pressure. HEI was not associated with plasma lipid measures.Conclusions: In this sample of adult men and women in France, higher HEI scores were associated with healthier lifestyles and higher socioeconomic status. However, HEI scores were only weakly linked to health parameters or to body weight. Linking diet quality to health outcomes is a continuing challenge.