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

Journal of Human Nutrition and Dietetics - Tập 30 Số 2 - Trang 216-226 - 2017
Leila Azadbakht1,2, Fahimeh Haghighatdoost1,2, Pamela J. Surkan3, Bagher Larijani4
1Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
2Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA
4Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Tóm tắt

AbstractBackgroundThis 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).

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Thông tin xuất bản

Journal of Human Nutrition and Dietetics

Tập 30 Số 2

216-226

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