首页> 外文期刊>Journal of the Academy of Nutrition and Dietetics >Diet Quality as Assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension Score, and Health Outcomes: A Systematic Review and Meta-Analysis of Cohort Studies
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Diet Quality as Assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension Score, and Health Outcomes: A Systematic Review and Meta-Analysis of Cohort Studies

机译:通过健康饮食指数,其他健康饮食指数,控制高血压评分的饮食方法和健康结果评估的饮食质量:队列研究的系统评价和荟萃分析

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Dietary patterns consider synergistic effects compared with isolated foods or nutrients on health outcomes. The aim of this systematic review and meta-analysis was to examine the associations of diet quality as assessed by the Healthy Eating Index (HEI), the Alternate Healthy Eating Index (AHEI), and the Dietary Approaches to Stop Hypertension (DASH) score and the risk of all-cause mortality, cardiovascular mortality or incidence, cancer mortality or incidence, type 2 diabetes mellitus, and neurodegenerative diseases. A literature search was performed using the electronic databases MEDLINE, SCOPUS, and EMBASE with an end date of May 10, 2014. Study-specific risk ratios were pooled using a random effect model by the Cochrane software package Review Manager 5.2. Fifteen cohort studies (34 reports), including 1,020,642 subjects, met the criteria and were included in the meta-analysis. Diets of the highest quality, as assessed by the HEI, AHEI, and DASH score, resulted in a significant risk reduction (RR) for all-cause mortality (RR 0.78, 95% CI 0.76 to 0.80; P<0.00001; I-2 = 61%, 95% CI 20% to 81%), cardiovascular disease (incidence or mortality) (RR 0.78, 95% CI 0.75 to 0.81; P< 0.00001; I-2 = 45%, 95% CI 13% to 66%), cancer (incidence or mortality) (RR 0.85, 95% CI 0.82 to 0.88; P< 0.00001; I-2 = 77%, 95% CI 68% to 84%), and type 2 diabetes mellitus (RR 0.78, 95% CI 0.72 to 0.85; P< 0.00001; I-2 = 74%, 95% CI 52% to 86%). Differences observed for neurodegenerative diseases were not significant. Egger regression tests provided no evidence of publication bias. Diets that score highly on the HEI, AHEI, and DASH are associated with a significant reduction in the risk of all-cause mortality, cardiovascular disease, cancer, and type 2 diabetes mellitus by 22%, 22%, 15%, and 22%, respectively, and therefore is of high public health relevance.
机译:与单独的食物或营养素相比,饮食模式考虑了对健康结局的协同作用。本系统综述和荟萃分析的目的是检查通过健康饮食指数(HEI),替代健康饮食指数(AHEI)和饮食方式来控制高血压(DASH)得分所评估的饮食质量的关联性,全因死亡率,心血管疾病死亡率或发病率,癌症死亡率或发病率,2型糖尿病和神经退行性疾病的风险。使用电子数据库MEDLINE,SCOPUS和EMBASE进行了文献检索,截止日期为2014年5月10日。研究专用风险比由Cochrane软件包Review Manager 5.2使用随机效应模型汇总。 15项队列研究(34份报告)符合标准,包括1,020,642名受试者,被纳入荟萃分析。根据HEI,AHEI和DASH评分评估,最高质量的饮食可显着降低全因死亡率的风险(RR)(RR 0.78,95%CI 0.76至0.80; P <0.00001; I-2 = 61%,95%CI 20%至81%),心血管疾病(发生率或死亡率)(RR 0.78,95%CI 0.75至0.81; P <0.00001; I-2 = 45%,95%CI 13%至66 %),癌症(发生率或死亡率)(RR 0.85,95%CI 0.82至0.88; P <0.00001; I-2 = 77%,95%CI 68%至84%)和2型糖尿病(RR 0.78, 95%CI为0.72至0.85; P <0.00001; I-2 = 74%,95%CI为52%至86%)。神经退行性疾病观察到的差异不明显。 Egger回归测试未提供任何发表偏倚的证据。在HEI,AHEI和DASH评分较高的饮食中,全因死亡率,心血管疾病,癌症和2型糖尿病的风险显着降低22%,22%,15%和22%分别具有很高的公共卫生意义。

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