Evaluating adherence to recommended diets in adults: the Alternate Healthy Eating Index

  title={Evaluating adherence to recommended diets in adults: the Alternate Healthy Eating Index},
  author={Marjorie L McCullough and Walter C. Willett},
  journal={Public Health Nutrition},
  pages={152 - 157}
OBJECTIVE The Healthy Eating Index (HEI), designed to assess adherence to the Dietary Guidelines for Americans and the Food Guide Pyramid, was previously associated with only a small reduction in major chronic disease risk in US adult men and women. [] Key MethodDESIGN Dietary intake reported by men and women from two prospective cohorts was scored according to an a priori designed Alternate Healthy Eating Index (AHEI).

Diet Quality Is Associated with Higher Nutrient Intake and Self-Rated Health in Mid-Aged Women

The Australian Recommended Food Score can be used to rank mid-aged women in terms of diet quality and nutrient intake and is associated with indices of self-rated health and health service use and can beused to measure future associations with health outcomes and mortality.

Diet Quality Measures and Cardiovascular Risk Factors in France: Applying the Healthy Eating Index to the SU.VI.MAX Study

In this sample of adult men and women in France, higher HEI scores were associated with healthier lifestyles and higher socioeconomic status, however, HEi scores were only weakly linked to health parameters or to body weight.

Construction and evaluation of a self-contained index for assessment of diet quality

The Index of Diet Quality reflects dietary intake of key foods and nutrients associated with health and depicts adherence to dietary recommendations, being fast in execution with analysis free of complex calculations.

An index of diet and eating patterns is a valid measure of diet quality in an Australian population.

This food-based dietary index is able to discriminate across a variety of sociodemographic factors, health behaviors, and self-assessed health and reflects intakes of key nutrients.

Healthy Eating Index and Cardiovascular Risk Factors among Iranians

The low mean of HEI scores in this sample indicates the need to improve diet quality and a weak inverse association was found between HEi scores and serum levels of CRP, apolipoprotein B, and systolic blood pressure.

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

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.

Association between Diet-Quality Scores, Adiposity, Total Cholesterol and Markers of Nutritional Status in European Adults: Findings from the Food4Me Study

Higher DQS, which reflect better dietary patterns, were associated with markers of better nutritional status and metabolic health in the Food4Me cohort, using regression analysis.

The Healthy Eating Index and the Alternate Healthy Eating Index as predictors of 10-year CHD risk in Cuban Americans with and without type 2 diabetes

It was showed that only participants with T2D with significantly higher AHEI scores had lower scores for 10-year predicted CHD risk, and no association was found between HEI score andCHD risk among Cuban Americans.

Is adherence to the Chinese Dietary Guidelines associated with better self-reported health? The Chinese Dietary Guidelines Adherence Score.

This study shows that consumption of a healthy and balanced diet, as reflected in adherence to the Chinese Dietary Guidelines, is related to increased levels of overall health among Shanghai residents.



Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance.

The AHEI predicted chronic disease risk better than did the RFS (or the HEI, in previous research) primarily because of a strong inverse association with CVD.

Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in men.

The HEI-f was only weakly associated with risk of major chronic disease, suggesting that improvements to the HEI may be warranted, and could have implications for refinements to the Dietary Guidelines for Americans and the food guide pyramid.

Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women.

It is suggested that adherence to the 1995 Dietary Guidelines for Americans, as measured by the HEI-f, will have limited benefit in preventing major chronic disease in women.

A prospective study of diet quality and mortality in women.

It is suggested that a dietary pattern characterized by consumption of foods recommended in current dietary guidelines is associated with decreased risk of mortality in women.

The Healthy Eating Index: design and applications.

Adherence to a Mediterranean diet and survival in a Greek population.

Greater adherence to the traditional Mediterranean diet is associated with a significant reduction in total mortality.

Dietary diversity and subsequent cause-specific mortality in the NHANES I epidemiologic follow-up study.

Age-adjusted risk of mortality from all three causes (except cancer in women) was inversely related with DDS in both men and women, suggestive of an increased risk of CVD and cancer mortality associated with diets characterized by omission of several major food groups.

Dietary pattern analysis: a new direction in nutritional epidemiology

  • F. Hu
  • Medicine
    Current opinion in lipidology
  • 2002
The rationale for studying dietary patterns is described, quantitative methods for analysing dietary patterns and their reproducibility and validity are discussed, and the available evidence regarding the relationship between major Dietary patterns and the risk of cardiovascular disease is discussed.

Mediterranean dietary pattern in a randomized trial: prolonged survival and possible reduced cancer rate.

This randomized trial suggests that patients following a cardioprotective Mediterranean-type diet have a prolonged survival and may also be protected against cancer.