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Testing the Predictive Validity of the Healthy Eating Index-2015 in the Multiethnic Cohort: Is the Score Associated with a Reduced Risk of All-Cause and Cause-Specific Mortality?

Abstract

The Healthy Eating Index-2015 (HEI-2015) was created to assess conformance of dietary intake with the Dietary Guidelines for Americans (DGA) 2015-2020. We assessed the association between the HEI-2015 and mortality from all-cause, cardiovascular disease (CVD), and cancer in the Multiethnic Cohort (MEC). White, African American, Native Hawaiian, Japanese American, and Latino adults (n > 215,000) from Hawaii and California completed a quantitative food-frequency questionnaire at study enrollment. HEI-2015 scores were divided into quintiles for men and women. Radar graphs were used to demonstrate how dietary components contributed to HEI-2015 scores. Mortality was documented over 17-22 years of follow-up. Hazard ratios (HRs) and 95% confidence intervals (CIs) were computed using Cox proportional hazards models. High HEI-2015 scores were inversely associated with risk of mortality from all-cause, CVD, and cancer for men and women (p-trend <0.0001 for all models). For men, the HRs (CIs) for all-cause, CVD, and cancer comparing the highest to the lowest quintile were 0.79 (0.76, 0.82), 0.76 (0.71, 0.82), and 0.80 (0.75, 0.87), respectively. For women, the HRs were 0.79 (0.76, 0.82), 0.75 (0.70, 0.81), and 0.84 (0.78, 0.91), respectively. These results, in a multiethnic population, demonstrate that following a diet aligned with the DGAs 2015-2020 recommendations is associated with lower risk of mortality from all-cause, CVD, and cancer.

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  • Authors+Show Affiliations

    ,

    University of Hawaii Cancer Center, Honolulu, HI 96813, USA. CPanizza@cc.hawaii.edu.

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    University of Hawaii Cancer Center, Honolulu, HI 96813, USA. YShvetso@cc.hawaii.edu.

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    University of Memphis, Memphis, TN 38152, USA. bharmon1@memphis.edu.

    ,

    University of Hawaii Cancer Center, Honolulu, HI 96813, USA. Lynne@cc.hawaii.edu.

    ,

    University of Hawaii Cancer Center, Honolulu, HI 96813, USA. Loic@cc.hawaii.edu.

    ,

    University of Southern California N, Morris Comprehensive Cancer Center, Los Angeles, CA 90033, USA. Christopher.Haiman@med.usc.edu.

    ,

    Division of Cancer Control and Population Sciences, Bethesda, MD 20892, USA. reedyj@mail.nih.gov.

    University of Hawaii Cancer Center, Honolulu, HI 96813, USA. CJBoushey@cc.hawaii.edu.

    Source

    Nutrients 10:4 2018 Apr 05 pg

    MeSH

    Aged
    Aged, 80 and over
    Cardiovascular Diseases
    Cause of Death
    Chi-Square Distribution
    Female
    Hawaii
    Healthy Diet
    Humans
    Linear Models
    Los Angeles
    Male
    Middle Aged
    Neoplasms
    Nutrition Assessment
    Nutritional Status
    Nutritive Value
    Proportional Hazards Models
    Prospective Studies
    Protective Factors
    Reproducibility of Results
    Risk Factors
    Risk Reduction Behavior
    Surveys and Questionnaires
    Time Factors

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    29621192

    Citation

    Panizza, Chloe E., et al. "Testing the Predictive Validity of the Healthy Eating Index-2015 in the Multiethnic Cohort: Is the Score Associated With a Reduced Risk of All-Cause and Cause-Specific Mortality?" Nutrients, vol. 10, no. 4, 2018.
    Panizza CE, Shvetsov YB, Harmon BE, et al. Testing the Predictive Validity of the Healthy Eating Index-2015 in the Multiethnic Cohort: Is the Score Associated with a Reduced Risk of All-Cause and Cause-Specific Mortality? Nutrients. 2018;10(4).
    Panizza, C. E., Shvetsov, Y. B., Harmon, B. E., Wilkens, L. R., Le Marchand, L., Haiman, C., ... Boushey, C. J. (2018). Testing the Predictive Validity of the Healthy Eating Index-2015 in the Multiethnic Cohort: Is the Score Associated with a Reduced Risk of All-Cause and Cause-Specific Mortality? Nutrients, 10(4), doi:10.3390/nu10040452.
    Panizza CE, et al. Testing the Predictive Validity of the Healthy Eating Index-2015 in the Multiethnic Cohort: Is the Score Associated With a Reduced Risk of All-Cause and Cause-Specific Mortality. Nutrients. 2018 Apr 5;10(4) PubMed PMID: 29621192.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Testing the Predictive Validity of the Healthy Eating Index-2015 in the Multiethnic Cohort: Is the Score Associated with a Reduced Risk of All-Cause and Cause-Specific Mortality? AU - Panizza,Chloe E, AU - Shvetsov,Yurii B, AU - Harmon,Brook E, AU - Wilkens,Lynne R, AU - Le Marchand,Loic, AU - Haiman,Christopher, AU - Reedy,Jill, AU - Boushey,Carol J, Y1 - 2018/04/05/ PY - 2018/02/08/received PY - 2018/03/30/revised PY - 2018/04/03/accepted PY - 2018/4/6/entrez PY - 2018/4/6/pubmed PY - 2018/9/19/medline KW - Dietary Guidelines for Americans KW - Dietary Practices Methods Project KW - Healthy Eating Index KW - dietary index KW - mortality risk KW - multiethnic KW - prospective cohort study JF - Nutrients JO - Nutrients VL - 10 IS - 4 N2 - The Healthy Eating Index-2015 (HEI-2015) was created to assess conformance of dietary intake with the Dietary Guidelines for Americans (DGA) 2015-2020. We assessed the association between the HEI-2015 and mortality from all-cause, cardiovascular disease (CVD), and cancer in the Multiethnic Cohort (MEC). White, African American, Native Hawaiian, Japanese American, and Latino adults (n > 215,000) from Hawaii and California completed a quantitative food-frequency questionnaire at study enrollment. HEI-2015 scores were divided into quintiles for men and women. Radar graphs were used to demonstrate how dietary components contributed to HEI-2015 scores. Mortality was documented over 17-22 years of follow-up. Hazard ratios (HRs) and 95% confidence intervals (CIs) were computed using Cox proportional hazards models. High HEI-2015 scores were inversely associated with risk of mortality from all-cause, CVD, and cancer for men and women (p-trend <0.0001 for all models). For men, the HRs (CIs) for all-cause, CVD, and cancer comparing the highest to the lowest quintile were 0.79 (0.76, 0.82), 0.76 (0.71, 0.82), and 0.80 (0.75, 0.87), respectively. For women, the HRs were 0.79 (0.76, 0.82), 0.75 (0.70, 0.81), and 0.84 (0.78, 0.91), respectively. These results, in a multiethnic population, demonstrate that following a diet aligned with the DGAs 2015-2020 recommendations is associated with lower risk of mortality from all-cause, CVD, and cancer. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/29621192/Testing_the_Predictive_Validity_of_the_Healthy_Eating_Index_2015_in_the_Multiethnic_Cohort:_Is_the_Score_Associated_with_a_Reduced_Risk_of_All_Cause_and_Cause_Specific_Mortality L2 - http://www.mdpi.com/resolver?pii=nu10040452 DB - PRIME DP - Unbound Medicine ER -