scholarly journals A Randomized Controlled Trial Evaluating the Relative Effectiveness of the Multiple Traffic Light and Nutri-Score Front of Package Nutrition Labels

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2236 ◽  
Author(s):  
Eric A. Finkelstein ◽  
Felicia Jia Ler Ang ◽  
Brett Doble ◽  
Wei Han Melvin Wong ◽  
Rob M. van Dam
Keyword(s):  
Diet Quality ◽  
Controlled Trial ◽  
Relative Effectiveness ◽  
Healthy Eating Index ◽  
Grocery Store ◽  
Traffic Light ◽  
Nutrition Labels ◽  
Traffic Lights ◽  
Alternative Healthy Eating Index ◽  
And Control

The objective of this trial was to test two promising front-of-pack nutrition labels, 1) the United Kingdom’s Multiple Traffic Lights (MTL) label and 2) France’s Nutri-Score (NS), relative to a no-label control. We hypothesized that both labels would improve diet quality but NS would be more effective due to its greater simplicity. We tested this hypothesis via an online grocery store using a 3 × 3 crossover (within-person) design with 154 participants. Outcomes assessed via within person regression models include a modified Alternative Healthy Eating Index (AHEI)-2010 (primary), average Nutri-Score, calories purchased, and singular measures of diet quality of purchase orders. Results show that both labels significantly improve modified AHEI scores relative to Control but neither is statistically superior using this measure. NS performed statistically better than MTL and Control based on average Nutri-Score, yet, unlike MTL it did not statistically reduce calories or sugar from beverages. This suggest that NS may be preferred if the goal is to improve overall diet quality but, because calories are clearly displayed on the label, MTL may perform better if the goal is to reduce total energy intake.

scholarly journals Association between overall diet quality and postmenopausal breast cancer risk in five Finnish cohort studies

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Satu Männistö ◽  
Kennet Harald ◽  
Tommi Härkänen ◽  
Mirkka Maukonen ◽  
Johan G. Eriksson ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Diet Quality ◽  
Proportional Hazards ◽  
Postmenopausal Breast Cancer ◽  
Healthy Eating Index ◽  
Cox Proportional Hazards ◽  
Healthy Diet ◽  
Food Culture ◽  
Alternative Healthy Eating Index

AbstractThere is limited evidence for any dietary factor, except alcohol, in breast cancer (BC) risk. Therefore, studies on a whole diet, using diet quality indices, can broaden our insight. We examined associations of the Nordic Diet (mNDI), Mediterranean diet (mMEDI) and Alternative Healthy Eating Index (mAHEI) with postmenopausal BC risk. Five Finnish cohorts were combined including 6374 postmenopausal women with dietary information. In all, 8–9 dietary components were aggregated in each index, higher total score indicating higher adherence to a healthy diet. Cox proportional hazards regression was used to estimate the combined hazard ratio (HR) and 95% confidence interval (CI) for BC risk. During an average 10-year follow-up period, 274 incident postmenopausal BC cases were diagnosed. In multivariable models, the HR for highest vs. lowest quintile of index was 0.67 (95 %CI 0.48–1.01) for mNDI, 0.88 (0.59–1.30) for mMEDI and 0.89 (0.60–1.32) for mAHEI. In this combined dataset, a borderline preventive finding of high adherence to mNDI on postmenopausal BC risk was found. Of the indices, mNDI was more based on the local food culture than the others. Although a healthy diet has beneficially been related to several chronic diseases, the link with the etiology of postmenopausal BC does not seem to be that obvious.

Dietary Patterns And Risk Of Cancer: Current Evidence And Future Directions

2018 ◽  
Author(s):  
Fang Fang Zhang
Keyword(s):  
Healthy Eating ◽  
Cancer Incidence ◽  
Diet Quality ◽  
Dietary Patterns ◽  
Healthy Eating Index ◽  
Quality Indices ◽  
Alternative Healthy Eating Index ◽  
Incidence And Mortality ◽  
Risk Of Cancer ◽  
Diet Score

Dietary patterns capture the overall diet and its constituent foods and nutrients, representing a powerful approach to identifying the effect of nutrition on health and disease. In this review, we describe the two main approaches being used to characterize dietary patterns: a prior approach that defines dietary patterns using predefined diet quality indices, and a posterior approach that derives dietary patterns using factor or cluster analysis. Methods to define diet quality indices (Healthy Eating Index, Alternative Healthy Eating Index, Alternative Mediterranean Diet Score, Dietary Approaches to Stop Hypertension Score) are presented, and their similarities and differences are discussed among the different approaches. We review the recent evidence on the relationships between dietary patterns and cancer outcomes, including all-cancer incidence and mortality and the incidence of colorectal, breast, prostate, and lung cancers. Despite the different methods that are used to characterize dietary patterns in different studies, results consistently suggest that adherence to existing dietary guidelines is associated with a reduced risk of cancer incidence and mortality. Given the important role of dietary patterns in cancer prevention, clinicians need to consider providing appropriate nutrition counseling  to improve patients’ dietary patterns. Continuous efforts need to be devoted to better characterize the relationships between dietary patterns and cancer risk by studying specific cancer types, different cancer subtypes, and population subgroups, with a better approach that can accurately assess dietary patterns throughout the life cycle. This review contains 3 figures, 6 tables and 91 references Key words: Alternative Healthy Eating Index, breast cancer, cancer incidence, cancer mortality, cluster analysis, colorectal cancer, Dietary Approaches to Stop Hypertension, dietary patterns, diet quality index, factor analysis, Healthy Eating Index, lung cancer, Mediterranean Diet Score, prostate cancer, Recommended Food Score

Abstract MP06: Healthy Diet Quality Is Associated With Epigenetic Age Deceleration

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Youjin Kim ◽  
Jiantao Ma ◽  
Daniel Levy
Keyword(s):  
Diet Quality ◽  
Healthy Eating Index ◽  
Healthy Diet ◽  
Mediation Effect ◽  
Epigenetic Aging ◽  
Epigenetic Age ◽  
Heart Study ◽  
Alternative Healthy Eating Index ◽  
Epigenetic Age Acceleration ◽  
Never Smokers

Introduction: Epigenetic age is a marker of healthy lifespan. Diet quality is known to be associated with the risk of developing chronic diseases; however, the relation between diet quality and epigenetic age remains to be investigated. Hypothesis: We tested the hypothesis that healthy diet quality is associated with favorable epigenetic age. Methods: Participants were drawn from the eighth examination of the Framingham Heart Study Offspring cohort ( n =1,995; mean age 67 years; 55% women). Diet quality was estimated using Alternative Healthy Eating Index (AHEI) and Mediterranean-style Diet Score (MDS) derived from food frequency questionnaire. A second generation of epigenetic age, DNA methylation GrimAge, was calculated. Epigenetic age acceleration (GrimAA) was derived as residual after adjustment for chronological age using linear regression model. Results and Conclusions: Higher AHEI and MDS (i.e., healthier diet) were associated with decreased GrimAA after adjusting for age, sex, body mass index, smoking, physical activity, alcohol consumption, and energy intake ( P < 0.001). We observed that the association of diet quality with GrimAA was stronger in ever-smokers (i.e., former and current smokers) compared to that in never-smokers ( P interaction < 0.001 for both scores). In ever-smokers, adjusted mean Grim AA was 3.95 years (95%CI: 3.47, 4.43) and 0.65 years (95%CI: 0.11, 1.19) in the lowest and highest AHEI quartile category, respectively, or GrimAA was reduced by 1.15 years (95%CI: 0.82, 1.48) per standard deviation (SD) increase in AHEI, P < 0.001. In never-smokers, adjusted mean GrimAA was -1.73 years (95%CI: -2.19, -1.26) and -2.37 years (95%CI: -2.80, 1.94) in the lowest and highest AHEI quartile category, respectively, or GrimAA was reduced by 0.23 years (95%CI: 0.05, 0.40) per SD increase in AHEI, P = 0.01. Similarly, for one SD increase in MDS, the GrimAA was reduced by 0.92 years (95%CI: 0.56, 1.27; P < 0.001) in ever-smokers, but by 0.19 years (95%CI: 0.01, 0.38; P = 0.04) in never-smokers. GrimAA significantly mediated the association between diet quality and all-cause mortality with the mean proportion of 37.0% for AHEI ( P mediation < 0.001) and 25.5% for MDS ( P mediation = 0.001). The mediation effect of GrimAA was more prominent in ever-smokers, which was twice the proportion found in never-smokers for both AHEI and MDS. In conclusion, higher diet quality is associated with decelerated epigenetic aging, which partially explains the beneficial relation of diet quality and healthy lifespan. These results also suggest that better diet quality could be more beneficial in ever-smokers.

scholarly journals Diet quality from pre-school to school age in Brazilian children: a 4-year follow-up in a randomised control study

2013 ◽  
Vol 111 (3) ◽  
pp. 499-505 ◽  
Author(s):  
Fernanda Rauber ◽  
Daniel J. Hoffman ◽  
Márcia Regina Vitolo
Keyword(s):  
Diet Quality ◽  
Low Income ◽  
Controlled Trial ◽  
Intervention Group ◽  
Saturated Fat ◽  
Healthy Eating Index ◽  
Control Group ◽  
School Age

A previous study demonstrated that dietary counselling for mothers during the first year of life improved overall diet quality of children at pre-school age in a low-income population. Thus, the objective of the present study was to assess the long-term effect of this intervention on diet quality of children at school age and examine the tracking of dietary intake throughout childhood. The present study was a follow-up of a randomised controlled trial with children who were assessed at 3–4 years (n 345) and 7–8 years (n 307) of age. We collected two 24 h dietary recalls and assessed diet quality using the Healthy Eating Index (HEI). Analyses were performed by group using a paired t test and a Student's t test for independent samples. Diet quality did not differ between the intervention and control groups at 7–8 years of age (HEI score 65·2 (sd 9·5) v. 64·9 (sd 8·5)). Regarding changes in diet quality from pre-school to school age, we observed the tracking of diet quality in the control group and the loss of the intervention effect in the intervention group. In both groups, the score for fruit and milk intake decreased, while that for saturated fat and dietary variety intake increased. The score for the intakes of grains, meat and legumes, and total fat remained constant for all children. The present data provide evidence that diet quality tracks during childhood since the total HEI score did not differ over time in the control group. The decrease in score for some HEI components did not affect the overall diet quality due to the increase in score for other HEI components.

Does alternative healthy eating index can predict the risk of prostate cancer?

2019 ◽  
Vol 50 (1) ◽  
pp. 96-104
Author(s):  
Amir Bagheri ◽  
Seyed Mostafa Nachvak ◽  
Hadi Abdollahzad ◽  
Farzad Mohammadi
Keyword(s):  
Prostate Cancer ◽  
Healthy Eating ◽  
Impedance Analysis ◽  
Healthy Eating Index ◽  
Bioelectric Impedance Analysis ◽  
Effective Measure ◽  
Content Type ◽  
Dichotomous Variable ◽  
Alternative Healthy Eating Index ◽  
And Control

Purpose Alternative Healthy Eating Index (AHEI)-2010, an index that determines the quality of a diet, was created to predict the risk of chronic diseases. Nevertheless, it is unclear whether this index can predict the risk of prostate cancer, one of the most prevalent cancers among men around the world. The study aims to investigate the association between adherence to the AHEI-2010 and the risk of prostate cancer in Iranian men. Design/methodology/approach The case–control study was conducted in Kermanshah, Iran in the year 2016. The study included 50 cases of Iranian men with prostate cancer and 150 healthy controls. Anthropometric indices were measured by bioelectric impedance analysis (BIA). The AHEI-2010 included 11 food components that were assessed by using a 147-item food frequency questionnaire. A multivariate logistic regression was performed to analyze the association of the AHEI-2010 (expressed as a dichotomous variable) with prostate cancer. Findings As per the analysis, there were no significant differences in age, body mass index (BMI) and waist-to-hip ratio (WHR) between case and control groups, statistically. After adjustment for potential confounders, the higher AHEI-2010 scores were associated with a lower risk of prostate cancer (OR AHEI > 55 vs ≤ 55 = 0.26; 95% CI: 0.11-0.63). Moreover, the Mean of AHEI scores was higher in controls than in the cases (p < 0.001). Originality/value The authors’ findings suggest that adherence to the dietary patterns with high scores of AHEI-2010 is associated with a reduced risk of prostate cancer, so this index may be used as an effective measure to predict prostate cancer.

scholarly journals Lung function, COPD and Alternative Healthy Eating Index (AHEI-2010) in US adults

2021 ◽  
pp. 00927-2020
Author(s):  
Kirstie Ducharme-Smith ◽  
Gustavo Mora-Garcia ◽  
Francisca de Castro Mendes ◽  
Maria Stephany Ruiz-Diaz ◽  
Andre Moreira ◽  
...  
Keyword(s):  
Lung Function ◽  
Healthy Eating ◽  
Diet Quality ◽  
The United States ◽  
Forced Expiratory Volume ◽  
Healthy Eating Index ◽  
Chronic Obstructive ◽  
P Value ◽  
Lower Odds ◽  
Alternative Healthy Eating Index

BackgroundThere is a large burden of chronic obstructive pulmonary disease (COPD) in the United States (US). The purpose of this study was to investigate the association between diet quality with lung function, airway restriction, and spirometrically defined COPD in a nationally representative sample of US adults.MethodsAdults (19–70 years of age) from the National Health and Nutrition Examination Survey (NHANES) 2007–2012 cycles were included (N=10 428). Diet quality was determined using the Alternative Healthy Eating Index (AHEI-2010). Pre-bronchodilator measurements of forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and the FEV1/FVC were described. Calibrated lower limit of normal (LLN) estimates were derived to determine prevalence of airway restriction (FVC<LLN) and COPD (FEV1/FVC Ratio<LLN). Population-weighted linear and logistic regression models were used to investigate the association of AHEI-2010 and respiratory outcomes.ResultsThe average AHEI was 45.3 (±12.2), equivalent to meeting 41% of the daily recommendations for optimal diet quality. Those in the highest quartile of AHEI had better FEV1 (adjusted [a]β:47.92, 95% CI 2.27, 93.57) and FVC (aβ: 80.23, 95% CI 34.03, 126.42; p-value interaction (*) of AHEI and smoking >0.05) compared to those in quartile 1. Higher AHEI was also associated with lower odds of airway restriction (OR: 0.23, 95% CI 0.08, 0.67; p-value AHEI*ethnicity >0.05).ConclusionsDiet quality was independently associated with better FEV1, FVC, and with lower odds of spirometric restriction. These findings highlight the need for research to further elucidate the possible beneficial role of diet in the preservation of lung function.

scholarly journals PRIORITY BASED TRAFFIC LIGHTS CONTROLLER USING WIRELESS SENSOR NETWORKS

2013 ◽  
pp. 178-181
Author(s):  
K. R. SHRUTHI ◽  
K. VINODHA
Keyword(s):  
Traffic Control ◽  
Urban Areas ◽  
Traffic Management ◽  
International Standards ◽  
Wireless Sensor ◽  
Traffic Light ◽  
Traffic Lights ◽  
Adaptive Traffic Control ◽  
And Control ◽  
Multiple Intersections

Vehicular traffic is continuously increasing around the world, especially in large urban areas. The resulting congestion has become a major concern to transportation specialists and decision makers. The existing methods for traffic management, surveillance and control are not adequately efficient in terms of performance, cost, maintenance, and support. In this paper, the design of a system that utilizes and efficiently manages traffic light controllers is presented. In particular, we present an adaptive traffic control system based on a new traffic infrastructure using Wireless Sensor Network (WSN). These techniques are dynamically adaptive to traffic conditions on both single and multiple intersections. An intelligent traffic light controller system with a new method of vehicle detection and dynamic traffic signal time manipulation is used in the project. The project is also designed to control traffic over multiple intersections and follows international standards for traffic light operations. A central monitoring station is designed to monitor all access nodes..

scholarly journals Changes in diet quality 6 and 12 months post-intervention: the Healthy Habits, Healthy Girls: a Brazilian study

2020 ◽  
Vol 33 ◽  
Author(s):  
Ana Carolina BARCO LEME ◽  
Sonia Tucunduva PHILIPP ◽  
Regina Mara FISBERG
Keyword(s):  
Obesity Prevention ◽  
Diet Quality ◽  
Controlled Trial ◽  
Healthy Eating Index ◽  
Post Intervention ◽  
Significance Level ◽  
Healthy Habits ◽  
Moderate Effect Size ◽  
Obesity Prevention Programs ◽  
Diet Intake

ABSTRACT Objective To determine the sustainability of food quality in an obesity-prevention strategy for adolescent girls. Methods The study is a randomized controlled trial with 253 girls (Mean=15.61, 95% Confidence Interval 15.51-15.72) enrolled in 10 vocational schools in São Paulo. The diet intake was determined using a “Food Frequency Questionnaire” and analyzed according to the Brazilian Healthy Eating Index-Revised adequacy, moderation, and overall scores. The adolescents’ dietary intake was compared to the baseline 6 months and 12 months post-intervention. Descriptive statistics and analyses of covariance were used, considering a 5% significance level. Results Significant increases were found on the components total fruits (F=6.98, p<0.01), total vegetables (F=5.76, p=0.02), beans (F=5.96, p=0.02), and whole cereals (F=12.35, p<0.001). However, there was also a significant decrease on the scores for milk and dairy (F=6.48, p=0.02), and oils (F=5.98, p=0.02). At 12-month post intervention, improvement on the overall score was found (F=3.89, p=0.05), but there was a decrease on the component whole cereals (F=11.85, p<0.001), as well as in milk and dairies (F=6.38, p=0.02). Despite no significant effect for the SoFAAS component, a moderate effect size was revealed (d=0.56). Conclusion There were significant effects on some diet quality components and for the overall scores at 6-month and 12-month post intervention. Therefore, sustainable dietary changes should be the focus of obesity prevention programs for adolescents. Socio-economic influences on diet behaviors would also need to be acknowledged.

scholarly journals Traffic Lights Intervention Reduces Therapeutic Inertia: A Randomized Controlled Trial in Multiple Sclerosis Care

2019 ◽  
Vol 4 (1) ◽  
pp. 238146831985564
Author(s):  
Gustavo Saposnik ◽  
Muhammad Mamdani ◽  
Xavier Montalban ◽  
Maria Terzaghi ◽  
Berenice Silva ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Controlled Trial ◽  
Risk Preference ◽  
Control Group ◽  
Traffic Light ◽  
Primary Analysis ◽  
Traffic Lights ◽  
Therapeutic Inertia ◽  
Single Session Intervention ◽  
Randomised Controlled

Background: Therapeutic inertia (TI) is a common phenomenon among physicians who care for patients with chronic conditions. We evaluated the efficacy of the traffic light system (TLS) educational intervention to reduce TI among neurologists with MS expertise. Methods: In this randomised, controlled trial, 90 neurologists who provide care to MS patients were randomly assigned to the TLS intervention ( n = 45) or to the control group ( n = 45). The educational intervention employed the TLS, a behavioral strategy that facilitates therapeutic choices by facilitating reflective decisions. The TLS consisted in a short, structured, single session intervention of 5-7 min duration. Participants made therapeutic choices of 10 simulated case-scenarios. The primary outcome was a reduction in TI based on a published TI score (case-scenarios in which a participant showed TI divided by the total number of scenarios where TI was possible ranging from 0 to 8). Results: All participants completed the study and were included in the primary analysis. TI was lower in the TLS group (1.47, 95% CI 1.32-1.61) compared to controls (1.93; 95% CI 1.79-2.08). The TLS group had a lower prevalence of TI compared to controls (0.67, 95% CI 0.62-0.71 vs. 0.82, 95% CI 0.78-0.86; p = 0.001). The multivariate analysis, adjusted for age, specialty, years of practice, and risk preference showed a 70% reduction in TI for the TLS intervention compared to controls (OR 0.30; 95% CI 0.10-0.89). Conclusions: In this randomized trial, the TLS strategy decreases the incidence of TI in MS care irrespective of age, expertise, years for training, and risk preference of participants, which would lead to better patient outcomes.

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