Healthy Eating Index and abdominal obesity

Abstract

Objective: Although diet is a modifiable lifestyle factor to reduce abdominal obesity risk, the relationship between the Health Eating Index (HEI) and waist circumference (WC) has not been studied. The present study aimed to describe relationships between the HEI and abdominal obesity among adults. Design: Secondary data analysis of a cross-sectional national survey, the Third National Health and Nutrition Examination Survey (NHANES III). The HEI data, including the total HEI score and HEI component scores, were collected with a 24 h recall. WC measures were taken during a physical examination. Abdominal obesity was defined as WC $ 102 cm for men and WC $ 88 cm for women. Other covariates were collected during an interview. Subjects: In total 15 658 US adults, men (n 7470) and non-pregnant women (n 8188). Results: The odds of abdominal obesity was 8?3 % (95 % CI 1?8, 14?9 %, P 5 0?014) lower for women and 14?5 % (95 % CI 6?8, 21?9 %, P # 0?001) lower for men with each 10-unit increase in total HEI score (HEI scale, 0-100). For each point increase for the fruit score, abdominal obesity risk decreased by 2?6 % (95 % CI 0?8, 4?4 %, P 5 0?007) for women. Abdominal obesity risk decreased for men with each point increase in saturated fat and variety scores, by 3?1 % (95 % CI 0?1, 6?0 %, P 5 0?042) and 4?0 % (95 % CI 0?1, 7?7 %, P 5 0?043) respectively. Conclusions: Dietary consumption that follows the HEI is associated with a lower risk for abdominal obesity.

The diet quality index evaluates the adequacy of energy provided by dietary macronutrients

“…The mean Brazilian Healthy Eating Index score (61.3 points) found for the present sample was similar to that reported by Fisberg et al 15 , who assessed the diet quality of 3,454 individuals from the municipality of São Paulo and reported a mean score of 60.4 points. A higher mean score (63.7 points) was found by the Third National Health and Nutrition Examination Survey III, a study with a representative sample of the American population that used the Healthy Eating Index (HEI) to assess diet quality 16 . Navarro & Moncada 17 used a diet quality index based on HEI called Índice de Alimentación Saludable para la población Española and found even higher mean scores than the present score, 69.95 for men and 73.73 for women.…”

“…The study analyzed a representative sample of 1,662 individuals from the municipality of São Paulo who participated in a cross-sectional study called Health Survey-Capital (2008/2009). Two 24-hour recalls were collected.…”

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A B S T R A C T ObjectiveTo investigate the relationship between macronutrient intake adequacy and the national diet quality index score.

MethodsThe study analyzed a representative sample of 1,662 individuals from the municipality of São Paulo who participated in a cross-sectional study called Health Survey-Capital (2008/2009). Two 24-hour recalls were collected.

…”

Índice de qualidade da dieta de mulheres usuárias de um programa de atividade física regular "Academia da Cidade", Aracajú, SE

“…Outro estudo também realizado no Brasil por Mota et al 7 mostrou que pontuações mais altas do índice de alimentação saudável associam-se de forma significativa à variedade da dieta, ao consumo aumentado de frutas, à adequação na ingestão de fibra dietética, ao baixo consumo de gordura total e saturada e às concentrações elevadas de alguns carotenóides e vitamina C. Outros estudos também compararam o IQD em função do estado nutricional e deposição de gordura abdominal, demonstraram que ser obeso aumenta a probabilidade de ter um IQD menor 8,9 .…”

“…Tande et al 9 , no ano de 2009, analisando dados do NHANES III de 15.658 pessoas, obtiveram dados significativos para o excesso de gordura abdominal, menores pontuações nos componentes leite e derivados, gordura total e variedade da dieta entre mulheres e menor pontuação nos componentes gordura total e saturada entre os homens.…”