Adherence to the Healthy Eating Index and Alternative Healthy Eating Index dietary patterns and mortality from all causes, cardiovascular disease and cancer: a meta-analysis of observational studies
Adherence to the Healthy Eating Index and Alternative Healthy Eating Index dietary patterns and mortality from all causes, cardiovascular disease and cancer: a meta-analysis of observational studies
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DOI：
10.1111/jhn.12415
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发表时间：
2017-04-01
影响因子：
3.3
通讯作者：
Azadbakht, L.
中科院分区：
文献类型：
--
作者：
Onvani, S.;Haghighatdoost, F.;Azadbakht, L.
背景本荟萃分析调查了 HEI 和 AHEI 评估的饮食质量指数与全因死亡率、心血管死亡率和癌症死亡率之间的关联。方法我们使用 PubMed、ISI Web of Science 和 Google Scholar 来搜索 2015 年 7 月之前发表的符合条件的文章。共有 12 项队列研究（38 份报告）和一项横断面研究（3 份报告）符合纳入标准并纳入我们的荟萃分析。健康饮食指数（HEI）和替代健康饮食指数（AHEI）与全因死亡率[相对风险（RR）= 0.77，95%置信区间（CI）= 0.76-0.78]、心血管死亡率（RR = 0.77，95% CI = 0.74-0.80）和癌症死亡率（RR = 0.83，95% CI = 0.81-0.86）。 Egger 回归测试没有提供发表偏倚的证据。结论本研究表明，高度遵守 HEI 和 AHEI 饮食模式（表明饮食质量高）与全因死亡率（以及心血管死亡率和癌症死亡率）风险降低相关。
BackgroundThis meta-analysis investigated the association of diet quality indices, as assessed by HEI and AHEI, and the risk of all-cause, cardiovascular and cancer mortality.MethodsWe used PubMed, ISI Web of Science and Google Scholar to search for eligible articles published before July 2015. A total of 12 cohort studies (38 reports) and one cross-sectional study (three reports) met the inclusion criteria and were included in our meta-analysis.ResultsThe highest level of adherence to the Healthy Eating Index (HEI) and Alternative Healthy Eating Index (AHEI) was significantly associated with a reduced risk of all-cause mortality [relative risk (RR) = 0.77, 95% confidence intterval (CI) = 0.76-0.78], cardiovascular mortality (RR = 0.77, 95% CI = 0.74-0.80) and cancer mortality (RR = 0.83, 95% CI = 0.81-0.86). Egger regression tests provided no evidence of publication bias.ConclusionsThe present study indicates that high adherence to HEI and AHEI dietary patterns, indicating high diet quality, are associated with reduced risk of all-cause mortality (as well as cardiovascular mortality and cancer mortality).