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
Tóm tắt
This 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.
We 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.
The 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.
The 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).
Từ khóa
Tài liệu tham khảo
National Cancer Institute.Healthy Eating Index: comparing the HEI‐2005 and HEI‐2010. National Cancer Institute;2014. Available at:http://appliedresearch.cancer.gov/hei/comparing.html(accessed 2 April 2014).
Azadbakht L, 2005, Diet quality status of most Tehranian adults needs improvement, Asia Pac J Clin Nutr, 14, 163
Moher D, 2009, Preferred reporting items for systematic reviews and meta‐analyses: the PRISMA statement, PLoS Med, 6, e 1000097, 10.1371/journal.pmed.1000097
WellsGA SheaB ConnellD O'et al.The Newcastle‐Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta‐analyses.http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp(accessed Aug 2016).
Zhan J, 2015, Fruit and vegetable consumption and risk of cardiovascular disease: a meta‐analysis of prospective cohort studies, Crit Rev Food Sci Nutr, 26, 1
Wang X, 2015, Red and processed meat consumption and mortality: dose‐response meta‐analysis of prospective cohort studies, Public Health Nutr, 6, 1
Guenther PM Krebs‐ Smith SM Reedy Jet al.Healthy eating index‐2005. CNPP factsheet (1).2006.http://origin.www.cnpp.usda.gov/Publications/HEI/healthyeatingindex2005factsheet.pdf(accessed Aug 2016).