scholarly journals Healthy Eating Index-2015 Is Associated with Grip Strength among the US Adult Population

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3358
Author(s):  
Galya Bigman ◽  
Alice S. Ryan
Keyword(s):  
Grip Strength ◽  
Healthy Eating ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Cross Sectional ◽  
Lower Odds ◽  
Nationally Representative

The Healthy Eating Index-2015 (HEI-2015) was designed to reflect adherence to the 2015–2020 Dietary Guidelines for Americans (DGA). The study aims to examine the association between HEI-2015 and grip strength in a nationally representative sample of the U.S. adult population. This cross-sectional study used data from the National Health and Nutrition Examination Surveys of 2011–2014. Low grip strength was defined as <35.5 kg for men and <20 kg for women. HEI-2015 was computed from two days of 24-h dietary recalls and comprised 13 components. Each component was scored on the density out of 1000 calories and summed to a total score divided into quartiles. Weighted logistic regressions examined the study aim while controlling for associated covariates. The sample included 9006 eligible participants, of those, 14.4% (aged 20+ years), and 24.8% (aged ≥50 years) had low grip strength. Mean (±SD) HEI-2015 total score was 54.2 ± 13.6 and in the lowest and highest quartiles 37.3 ± 5.1 and 72.0 ± 6.5, respectively. In the multivariable model, participants in the highest vs. lowest HEI-2015 quartile had 24% lower odds of having low grip strength (Odds Ratio (OR) = 0.76; 95% CI: 0.60–0.96). Specifically, participants who met the DGA for protein intakes, whole grains, greens and beans, vegetables, or whole fruits had 20–35% lower odds of having low grip strength than those who did not. Higher compliance to the DGA might reduce the risk for low grip strength as a proxy measure for sarcopenia among U.S. adults, particularly adequate intakes of proteins, whole grains, greens and beans, vegetables, and whole fruits.

scholarly journals Healthy Eating Index: Assessment of the Diet Quality of a Brazilian Elderly Population

2018 ◽  
Vol 11 ◽  
pp. 117863881881884
Author(s):  
Dalila Pinto de Souza Fernandes ◽  
Maria Sônia Lopes Duarte ◽  
Milene Cristine Pessoa ◽  
Sylvia do Carmo Castro Franceschini ◽  
Andréia Queiroz Ribeiro
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Saturated Fat ◽  
Population Based ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Global Quality

Background: The food consumption assessment is necessary to monitor elderly’s nutritional status because it allows detecting nutrition deficits and guiding the elaboration of effective conducts. Objective: The objective of this study is to assess the global quality of the elderly’s diet in Viçosa—MG, Brazil. Methods: This is a population-based cross-sectional study, involving noninstitutionalized elderly. Diet quality was assessed through the Brazilian Healthy Eating Index-Revised (BHEI-R) validated to the Brazilian population. Results: The study comprised 620 elderly individuals. The mean total BHEI-R score was 64.28. The worse consumption scores concerned the components Whole grains, Milk and derivatives, Sodium, Total fruit, and Whole fruit. Approximately 82% scored zero (0%) for Whole grains and 67% for Sodium. Men presented significantly lower scores than women, who have presented maximal score in the same items. Women’s scores were not only significantly higher for Total fruit, Whole fruit, Milk and derivatives, but also significantly lower for Saturated fat. Discussion: Most elderly need to improve their diet quality. Strategies heading toward the improvement of diet quality must be priority in policies to health promotion toward the healthy and active aging.

scholarly journals Low Healthy Eating Index-2015 Is Associated With Sarcopenia Among US Adult Population

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 395-395
Author(s):  
Galya Bigman ◽  
Alice Ryan
Keyword(s):  
Healthy Eating ◽  
Smoking Status ◽  
Handgrip Strength ◽  
Adult Population ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Average Score ◽  
Cross Sectional ◽  
Research Education ◽  
The U.S

Abstract Objectives The Healthy Eating Index-2015 (HEI-2015), which is designed to reflect the 2015–2020 Dietary Guidelines for Americans (DGA), and its association with muscle function decline (i.e., sarcopenia) is less known in the U.S. Our study aim was to examine the associations between HEI-2015 component and total scores with sarcopenia in a nationally representative sample of the U.S. adult population. Methods This cross-sectional study used data from the National Health and Nutrition Examination Surveys of 2011–2014. Sarcopenia was assessed by handgrip strength measure using an average score of six trails (&lt;35.5kg for males, &lt;20.0kg for females). HEI-2015 was computed from data of two 24-hour dietary recalls and comprised 13 components (e.g., vegetables, greens and beans, fruits, dairy, protein foods, whole grains, fatty acid ratio, refined grains, sodium, saturated fats, and added sugars). Each component was scored on density out of 1000 calories and summed to a total score divided into quintiles. Weighted logistic regressions examined the study aim while controlling for associated covariates: age, sex, race/ethnicity, education, body mass index (BMI), physical activity, comorbidity, medication use, smoking status, and alcohol use. Results The sample included 9006 eligible participants aged 20–80 years, of those, 14.4% had sarcopenia, where males had higher sarcopenia prevalence than females (18.4 vs. 10.7%, P &lt; 0.001), and participants with sarcopenia were older (p &lt; 0.001). Scores for HEI-2015 were total: 54.2 ± 13.6 (mean ± SD), and in the lowest and highest quintiles: 35.9 ± 4.8 and 73.9 ± 5.95, respectively. In the multivariable model, participants in the highest HEI-2015 quintile had 28% lower odds of having sarcopenia (Odds Ratio(OR) = 0.72, 95%CI: 0.55–0.94) compared with those in the lowest quintile. Among the HEI-2015 components; consuming adequate amount of protein foods, greens and beans, vegetables, and whole fruits reduced the odd of having sarcopenia by 18–23%. Conclusions The findings suggest that higher compliance to the 2015–2020 DGA might reduce sarcopenia among U.S. adults, particularly adequate intakes of protein foods, greens and beans, vegetables, and whole fruits. Funding Sources Department of Veterans Affairs (VA) Advanced Special Fellowship in Geriatrics, Baltimore Geriatric Research, Education and Clinical Center.

scholarly journals Is The Healthy Eating Index-2015 Associated With Rheumatoid Arthritis?

2021 ◽  
Author(s):  
Atiyeh Nayebi ◽  
Davood Soleimani ◽  
Shayan Mostafaei ◽  
Negin Elahi ◽  
Homayoun Elahi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Healthy Eating ◽  
Diet Quality ◽  
Linear Trend ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
P Value ◽  
Cross Sectional

Abstract Objective: Healthy Eating Index-2015 (HEI-2015) is a multidimensional criterion of diet quality utilized to evaluate how well people’s dietary behaviors align with major recommendations of the 2015–2020 Dietary Guidelines for Americans. We aim to investigate the association between the diet quality and Rheumatoid arthritis (RA) activity.Design: Cross-sectional studySetting: This study was done on 184 patients with RA in rheumatology clinic in Kermanshah city, Iran, in 2020. RA was diagnosed according to the criteria of the 2010 American College of Rheumatology/ European League against Rheumatism. The overall quality diet was extracted from a validated 168-item food frequency questioner (FFQ) to calculate the HEI-2015 score. RA disease activity was assessed using Disease Activity Score 28 (DAS28) scores. One-way ANOVA and ANCOVA were done to find the associations.Participants: RA patientsResults: Individuals in the highest HEI-2015 quartile had a lower mean Erythrocyte Sedimentation Rate (ESR) than those in the lowest quartiles of the HEI scores (P-value: 0.014). A linear trend towards decreasing waist circumference in patients was observed with increasing quartiles of the HEI-2015 scores (P-value= 0.005). After controlling for all potential confounders, patients in the highest HEI-2015 quartile had the lowest DAS28 scores than those in the lowest quartile of the HEI-2015 scores (Q1= 3.65; 95% CI= 3.29 – 4.02 vs. Q4= 2.35; 95% CI= 1.94 - 2.67; P-value<0.001).Conclusion: Our results indicated that following a high diet quality might be one of the therapeutic strategies to control or reduce the disease activity in RA patients.

scholarly journals Social and demographic inequalities in diet quality in a population-based study

2016 ◽  
Vol 29 (2) ◽  
pp. 151-162 ◽  
Author(s):  
Daniela de ASSUMPÇÃO ◽  
Semíramis Martins Álvares DOMENE ◽  
Regina Mara FISBERG ◽  
Marilisa Berti de Azevedo BARROS
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Population Based ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Healthy Eating Index ◽  
Education Level ◽  
Cross Sectional ◽  
Added Sugars ◽  
The City

Objective : To evaluate sociodemographic inequalities in the diet quality of the urban population of the city of Campinas, São Paulo, Brazil. Methods: A population-based, cross-sectional study was performed using data from a health survey conducted in the city of Campinas in 2008-2009. Diet quality was evaluated using the Brazilian Healthy Eating Index Revised. A total of 3,382 individuals aged 10 years old and older were analyzed. Results : Brazilian Healthy Eating Index Revised scores increased with age and education level. Women consumed more vegetables, fruits, and milk, and less sodium, meat and eggs, oils, saturated and solid fats, alcohol, and added sugars than men. Scores for whole grains, vegetables, and fruits also increased with age and education level. Conclusion: These findings point to sociodemographic segments that are more vulnerable to an inappropriate diet and identify the need of strategies to increase the consumption of whole grains, dark green vegetables, fruits, and milk, and decrease the consumption of sodium, solid fats, alcohol, and added sugar.

Systematic observation of healthy eating environments in afterschool services: a cross-sectional study

2021 ◽  
pp. 1-20
Author(s):  
Ruth Crowe ◽  
Yasmine Probst ◽  
R. Glenn Weaver ◽  
Michael W. Beets ◽  
Rebecca M. Stanley ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Healthy Eating ◽  
Cross Sectional Study ◽  
Whole Grains ◽  
Dietary Guidelines ◽  
After School ◽  
Future Research ◽  
Sectional Study ◽  
Systematic Observation ◽  
Cross Sectional

Abstract Objectives: Few studies have examined the healthy eating environments within the Australian out of school hours care (OSHC) setting. This study aims to describe healthy eating environments, consisting of: a) the alignment of provided food and beverages to Australian Dietary Guidelines; b) healthy eating promotion practices; c) nutrition education through cooking experiences; d) staff role modelling healthy eating and; e) regular water availability. Design: A cross-sectional study was conducted using direct observations and the validated System for Observing Staff Promotion of Activity and Nutrition (SOSPAN) tool. Setting: OSHC located in urban and semi-rural regions of NSW, Australia. Participants: Staff (151) and children (1,549) attending 12 OSHC services operating in the hours after school. Results: Fifty percent (50%) of services offered fruit and 100% offered water as a part of the afternoon snack on all four observation days. Discretionary foods were offered on more days compared to vegetables (+1.9/d, p= .009), lean meats (+2.7/d, p=.004) and whole grains (+2.8/d, p=.002). Staff promoted healthy eating on 15% of days, sat and ate with children 52%, consumed high sugar drinks 15% and ate discretionary foods in front of children 8% of days, respectively. No opportunities for cooking or nutrition education were observed. Conclusion: Afternoon snacks regularly contained fruit and water. Opportunities exist to improve the frequency by which vegetables, whole grains and lean meats are offered in addition to staff healthy eating promotion behaviours. Future research is warranted to further explore healthy eating behaviours, practices and policies within the after school sector.

scholarly journals Association between Healthy Eating Index-2015 scores and probable sarcopenia in community-dwelling Iranian older adults: a cross-sectional study

2021 ◽  
Vol 10 ◽  
Author(s):  
Zahra Esmaeily ◽  
Zahra Tajary ◽  
Sharzad Daei ◽  
Mahshid Rezaei ◽  
Atefeh Eyvazkhani ◽  
...  
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Healthy Eating ◽  
Saturated Fatty Acids ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Community Dwelling ◽  
Dietary Guidelines ◽  
Sectional Study ◽  
Cross Sectional

Abstract Sarcopenia is associated with frailty and disability in older adults. Adherence to current dietary guidelines in addition to physical activity could prevent muscle wasting and weakness. The Healthy Eating Index-2015 (HEI) is a tool to assess diet quality. We aimed to investigate the association between HEI scores and probable sarcopenia (PS) among older adults in Tehran. 201 randomly selected older adults were included in this cross-sectional study between May and October 2019 in Tehran, Iran. A previously validated semi-quantitative food frequency questionnaire was used to estimate HEI scores and dietary intake. Handgrip strength (HGS) was measured to evaluate the PS. Statistical evaluation included descriptive analysis, logistic and linear regression. Those probably suffering from sarcopenia had significantly lower HEI scores (P=0⋅02). After adjusting for confounders, HEI scores and HGS were still significantly associated (adjusted R2=0⋅56, slope β=0⋅03, P=0⋅09). Older adults with a low PS had a higher ratio of monounsaturated and polyunsaturated to saturated fatty acids (P= 0⋅06) and ingested less added sugars and saturated fats (P=0⋅01 and P=0⋅02, respectively). Furthermore, consuming more total protein foods correlated positively with muscle strength (P=0⋅01, R=0⋅18). To sum up, HEI scores were associated with PS, measured by HGS, indicating that adhering to the HEI might improve muscle strength in aging individuals.

scholarly journals Lower Healthy Eating Index-2005 dietary quality scores in older women with rheumatoid arthritis v. healthy controls

2010 ◽  
Vol 13 (8) ◽  
pp. 1170-1177 ◽  
Author(s):  
Megan E Grimstvedt ◽  
Kathleen Woolf ◽  
Brandy-Joe Milliron ◽  
Melinda M Manore
Keyword(s):  
Rheumatoid Arthritis ◽  
Nutritional Status ◽  
Older Women ◽  
Healthy Eating ◽  
Healthy Eating Index ◽  
High Risk Group ◽  
Dietary Guidelines ◽  
Dietary Quality ◽  
Healthy Controls ◽  
Cross Sectional

AbstractObjectiveTo assess the dietary quality of older women with and without rheumatoid arthritis (RA) using the Healthy Eating Index-2005 (HEI-2005) to identify potential strategies to improve the nutritional status.DesignCross-sectional. Diet was assessed using 7 d food records and analysed for nutrient composition (Food Processor v. 7·11). Diet quality was determined using the HEI-2005, a measure of compliance with 2005 US Dietary Guidelines. Individuals with RA completed a self-reported evaluation of arthritis (pain scale and disability index). Independent two-tailed t tests or Mann–Whitney tests compared the differences between groups and correlations were computed between HEI-2005 and measures of disease reactivity.SettingArizona, USA.SubjectsOlder (≥ 55 years) women (n 108) with RA (n 52) and healthy controls (HC; n 56).ResultsThere were no differences between groups in age, weight, or BMI (kg/m2). HC participants had higher mean HEI-2005 scores for whole fruit (cups; P = 0·02), total fruit (cups; P = 0·05), whole grains (oz; P = 0·004), oil (g; P = 0·05) and total HEI score (P = 0·04) than the RA group. In the RA group, these same HEI components were inversely correlated with disability index (r = −0·20, P = 0·04). Participants with RA reported lower mean intakes of carbohydrate (g; P = 0·02), fibre (g; P = 0·01) and vitamin C (mg; P = 0·04).ConclusionsThis is the first study examining the dietary quality in older women with and without RA using the HEI-2005. Living with RA was associated with significantly lower dietary quality. Since even small changes in dietary quality can translate into better nutritional status, future interventions should focus on increasing dietary quality in this high-risk group.

scholarly journals Healthy eating and physical activity environments in out-of-school hours care: an observational study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036397
Author(s):  
Ruth Crowe ◽  
Yasmine Probst ◽  
Jennifer Norman ◽  
Susan Furber ◽  
Lisa Franco ◽  
...  
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Contextual Information ◽  
Cross Sectional Study ◽  
Dietary Guidelines ◽  
Local Health ◽  
Activity Levels ◽  
Food Groups ◽  
Cross Sectional ◽  
Out Of School

IntroductionChildcare settings have been widely identified as important venues for promoting healthy lifestyles to children. Out-of-school hours care (OSHC) is a rapidly growing childcare service, yet there has been limited research reported on healthy eating and physical activity (HEPA) environments within the Australian OSHC setting. This research aims to describe the HEPA environments related to foods and beverages served, staff behaviours and child physical activity levels across two local health districts within New South Wales, Australia. This study will provide evidence to support future interventions and policies in Australian OSHC settings.Methods and analysisA cross-sectional study design will be used to describe the food and beverages provided and child activity levels, and report on environmental correlates. OSHC programmes will be visited on non-consecutive weekdays between 2018 and 2020. The frequency of foods and beverages offered will be observed and categorised into food groups aligned to the Australian Dietary Guidelines. Children’s physical activity will be measured using ActiGraph wGT3X-BT accelerometers. Staff behaviour will be captured via direct observation and the System for Observing Staff Promotion of Activity and Nutrition. Short interviews with programme directors will gather contextual information about OSHC practices and policies.Ethics and disseminationFindings will be disseminated through peer-reviewed scientific journals, conference presentations and individualised feedback to each participating service. Ethical approval was granted by the University of Wollongong Human Research Ethics Committee (HE17/490).

scholarly journals The association between socio-economic position and diet quality in Australian adults

2015 ◽  
Vol 19 (3) ◽  
pp. 477-485 ◽  
Author(s):  
Kathryn Backholer ◽  
Elizabeth Spencer ◽  
Emma Gearon ◽  
Dianna J Magliano ◽  
Sarah A McNaughton ◽  
...  
Keyword(s):  
Educational Attainment ◽  
Diet Quality ◽  
Adult Population ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Dietary Guidelines ◽  
Economic Disadvantage ◽  
Cross Sectional ◽  
Dietary Guideline ◽  
Economic Position

AbstractObjectiveWe aimed to investigate the association between multiple measures of socio-economic position (SEP) and diet quality, using a diet quality index representing current national dietary guidelines, in the Australian adult population.DesignCross-sectional study. Linear regression analyses were used to estimate the association between indicators of SEP (educational attainment, level of income and area-level disadvantage) and diet quality (measured using the Dietary Guideline Index (DGI)) in the total sample and stratified by sex and age (≤55 years and >55 years).SettingA large randomly selected sample of the Australian adult population.SubjectsAustralian adults (n 9296; aged ≥25 years) from the Australian Diabetes, Obesity and Lifestyle Study.ResultsA higher level of educational attainment and income and a lower level of area-level disadvantage were significantly associated with a higher DGI score, across the gradient of SEP. The association between indicators of SEP and DGI score was consistently stronger among those aged ≤55 years compared with their older counterparts. The most disadvantaged group had a DGI score between 2 and 5 units lower (depending on the marker of SEP) compared with the group with the least disadvantage.ConclusionsA higher level of SEP was consistently associated with a higher level of diet quality for all indicators of SEP examined. In order to reduce socio-economic inequalities in diet quality, healthy eating initiatives need to act across the gradient of socio-economic disadvantage with a proportionate focus on those with greater socio-economic disadvantage.

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