Native Youth Participating in the Together on Diabetes 12-Month Home-Visiting Program Reported Improvements in Alternative Healthy Eating Index-2010 Diet Quality Domains Likely to Be Associated With Blood Pressure and Glycemic Control

Ducharme‐Smith, Kirstie; Chambers, Rachel; García-Larsen, Vanessa; Larzelere, Francene; Kenney, Anne R.; Reid, Ray; Nelson, Leonela; Richards, Jennifer; Begay, Marissa; Barlow, Allison; Rosenstock, Summer

doi:10.1016/j.jand.2020.12.017

Cited by 5 publications

(4 citation statements)

References 42 publications

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“…Only one study was found to be similar, for which the Alternative Healthy Eating Index 2010 was used to assess the impact of a diabetes prevention and management program in Native American youth. Similar to the current analysis, authors reported improvements to individual measures of dietary intake, such as reduced daily energy intake, but found no change in the Alternative Healthy Eating Index 2010 score [ 51 ]. Higher scores on the HEI-2015 are known to be associated with reduced risk for cardiovascular and overall mortality, and measures of diet quality such as the HEI-2015 are becoming increasingly popular for assessing dietary intervention program impacts [ 52 ].…”

Section: Discussionsupporting

confidence: 66%

Dietary Outcomes of a Multilevel, Multicomponent, Cluster Randomized Obesity Intervention in 6 Native American Communities in the Upper Midwest and Southwest United States

Redmond¹,

Wensel²,

Estradé³

et al. 2023

Current Developments in Nutrition

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Section: Discussionsupporting

confidence: 66%

Dietary Outcomes of a Multilevel, Multicomponent, Cluster Randomized Obesity Intervention in 6 Native American Communities in the Upper Midwest and Southwest United States

Redmond¹,

Wensel²,

Estradé³

et al. 2023

Current Developments in Nutrition

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“…Ducharme-Smith et al demonstrated an inverse relationship between greater AHEI-2010 scores and odds of MetS in adolescents [ 19 ]. In another study among adolescents aged 10–19 years, AHEI-2010 adherence was in association with low levels of Hb A1C, but not with hypertension [ 20 ]. Furthermore, AHEI-2010 adherence was not associated with reduced odds of cardiometabolic risk factors in a cross-sectional study on 189 Brazilian and 787 Hispanic/Latino American adolescents [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…A cross-sectional study on a sample of African-American adolescents showed that adherence to AHEI-2010 was associated with lower odds of metabolic syndrome (MetS) [ 19 ]. Another study conducted on American adolescents revealed an inverse association between AHEI-2010 and levels of hemoglobin A1C (Hb A1C); while, no significant association was observed between AHEI-2010 and odds of hypertension [ 20 ]. Also, no substantial relations between AHEI-2010 adherence and likelihood of cardiometabolic risk factors were found in a cross-sectional survey on both Brazilian and American adolescents [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Association between alternative healthy eating index (AHEI) with metabolic health status in adolescents with overweight and obesity

Poursalehi,

Bahrami,

Mirzaei

et al. 2024

BMC Public Health

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Background There has been lack of evidence on the association between healthy dietary patterns and metabolic health status of adolescents. The present study aimed to evaluate the association between alternative healthy eating index (AHEI) and metabolic health status among a relatively representative sample of Iranian adolescents with overweight/obesity. Methods Adolescents with extra body weight (n = 203, aged 12–18 y), were selected for this cross-sectional study by a multistage cluster random-sampling method. Habitual dietary intakes and diet quality of individuals were assessed using validated food frequency questionnaire and AHEI-2010, respectively. Data on other covariates were also gathered by pre-tested questionnaires. To determine fasting glucose, insulin and lipid profiles, fasting blood samples were collected. Participants were categorized as having metabolically healthy overweight/obesity (MHO) or metabolically unhealthy overweight/obesity (MUO) phenotypes, based on two approaches (International Diabetes Federation (IDF) and combination of IDF with Homeostasis Model Assessment Insulin Resistance (HOMA-IR)). Results The overall prevalence of MUO was 38.9% (based on IDF criteria) and 33.0% (based on IDF/HOMA-IR criteria). After considering all potential confounders, participants in highest tertiles of AHEI-2010 had lower odds of MUO profile according to both IDF (OR = 0.05; 95% CI: 0.01–0.15) and IDF/HOMA-IR (OR = 0.05; 95% CI: 0.02–0.19) definitions. This association was stronger in adolescents with overweight compared with obese ones and also among girls than boys. Moreover, each unit increase in AHEI-2010 score was associated with lower risk of MUO based on both criteria. Conclusions Higher adherence to AHEI-2010 was inversely associated with odds of MUO in Iranian adolescents with overweight/obesity.

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“…Atik et al [24] and Li et al [25] showed that a lower BMI helps to control BP in patients with hypertension. Shim et al [26] and Duchame-Smith et al [27] pointed out that diet may be an important factor in BP control in patients with hypertension. Some bioactive ingredients may explain the cardioprotective effects of diet, such as vitamins, essential elements, dietary fiber, and phytochemicals [28][29][30][31].…”

Section: Principal Findingsmentioning

confidence: 99%

Influence of Internet-Based Health Management on Control of Clinical Parameters in Patients With Hypertension: Four-Year Longitudinal Study

Chen¹,

Dou²,

Yang³

et al. 2023

J Med Internet Res

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Background In recent years, more and more studies have shown that internet-based health management can help patients with hypertension control their blood pressure. However, there is a lack of similar research in China. Objective We designed this study to clarify the impact of long-term internet-based health management on the control of clinical parameters in patients with hypertension. These results are also expected to identify the relevant factors affecting the control of clinical parameters in hypertension more accurately toward developing more targeted health management strategies. Methods This was a longitudinal study of internet-based health management in the five provinces of northwest China. The inclusion criteria were aged ≥18 years and no serious cognitive disease or mental disorder. After collecting the physical examination data of 8567 people in the five northwest provinces in 2013, we conducted online health management (including diet, exercise, and behavior) and follow-up. In the physical examination in 2013, 1008 new patients with hypertension were identified, who were divided into a good blood pressure control group and poor blood pressure control group. Physical examination and a questionnaire survey were conducted every 2 years to understand the changes of health management on the subjects’ health-related behaviors. We then analyzed the changes of clinical indicators related to hypertension and the influencing factors related to blood pressure control in patients with hypertension. All statistical analyses were performed using R software (version 4.1.2) and a P value <.05 was considered statistically significant. Results A total of 8567 people met the inclusion criteria and underwent health management. Self-comparison showed that after 4 years of health management, the smoking cessation rate and amount of exercise significantly increased (both P<.001). The low-density lipoprotein-cholesterol levels also increased (P=.005), whereas the high-density lipoprotein-cholesterol levels decreased (P=.007). The newly discovered patients with hypertension in 2013 were further screened. After 4 years of health management, their smoking cessation rate increased significantly (P=.03) and the amount of exercise increased but not significantly (P=.08). In terms of clinical indicators, the diastolic blood pressure considerably decreased (P<.001) and the systolic blood pressure slightly decreased (P=.13). The correlation analysis of blood pressure control in patients with new-onset hypertension showed that gender (female) and changing relevant factors according to health management behaviors (BMI; cereals and potatoes intake; fish, livestock meat, and eggs intake; fruit intake; and physical activity) were the protective factors of blood pressure control. Conclusions Internet-based health management has a significant and long-term effect on blood pressure control in patients with hypertension.

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Native Youth Participating in the Together on Diabetes 12-Month Home-Visiting Program Reported Improvements in Alternative Healthy Eating Index-2010 Diet Quality Domains Likely to Be Associated With Blood Pressure and Glycemic Control

Cited by 5 publications

References 42 publications

Dietary Outcomes of a Multilevel, Multicomponent, Cluster Randomized Obesity Intervention in 6 Native American Communities in the Upper Midwest and Southwest United States

Dietary Outcomes of a Multilevel, Multicomponent, Cluster Randomized Obesity Intervention in 6 Native American Communities in the Upper Midwest and Southwest United States

Association between alternative healthy eating index (AHEI) with metabolic health status in adolescents with overweight and obesity

Influence of Internet-Based Health Management on Control of Clinical Parameters in Patients With Hypertension: Four-Year Longitudinal Study

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