Better adherence to the Chinese Healthy Eating Index is associated with a lower prevalence of metabolic syndrome and its components

Cui, Ningning; Ouyang, Yingying; Li, Yan; Yang, Yang; Liu, Shuang; Li, Jingjing; Zhang, Chi; Ge, Yanyan; Huang, Shanshan; Yang, Xuefeng; Chen, Gong

doi:10.1016/j.nutres.2022.02.008

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…Also, Khodarahmi et al (2019) revealed that adherence to a diet with a higher score of HEI can mediate the effect of sociodemographic parameters on cardio-metabolic risk factors and MetS risk. Furthermore, Cui et al's (2022) study suggested a negative relationship was observed between higher HEI…”

Section: Discussionmentioning

confidence: 97%

“…Various studies have recently focused on the potential role of HEI, as a suitable diet quality evaluation approach, in the prediction of chronic diseases (Cui et al, 2022;Khodarahmi et al, 2019;Saraf-Bank et al, 2017;Ziaee et al, 2021;Monfort-Pires et al, 2014;Daneshzad et al, 2019). Although three previous studies reported the beneficial relation of HEI score with the risk of metabolic syndrome (MetS) (Cui et al, 2022;Khodarahmi et al, 2019;Saraf-Bank et al, 2017), there are many controversial results on the possible relationship between HEI and risk of cardiometabolic disorders (Ziaee et al, 2021;Shah et al, 2010;Saraf-Bank et al, 2017;Monfort-Pires et al, 2014;Huffman et al, 2011;Daneshzad et al, 2019; NFS 54,3 Asghari et al, 2012a). Daneshzad et al (2019) observed that higher adherence to HEI score was negatively related to mean BS level but did not show any significant association with lipid profile levels or anthropometric factors.…”

Section: Introductionmentioning

confidence: 99%

“…Various studies have recently focused on the potential role of HEI, as a suitable diet quality evaluation approach, in the prediction of chronic diseases (Cui et al. , 2022; Khodarahmi et al.…”

Section: Introductionmentioning

confidence: 99%

“…, 2019). Although three previous studies reported the beneficial relation of HEI score with the risk of metabolic syndrome (MetS) (Cui et al. , 2022; Khodarahmi et al.…”

Section: Introductionmentioning

confidence: 99%

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The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

Moradiani,

Movahedi,

Djazayery

2024

NFS

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Purpose This study aims to assess the association of Healthy Eating Index (HEI) with levels of fasting blood sugar (FBS) and lipid profile in normoglycemic and elevated FBS patients. Design/methodology/approach This case-control study was conducted on 144 participants, namely, 72 normoglycemic subjects (FBS < 100 mg/dl) and 72 high-glycemic patients (FBS ≥ 100 mg/dl) aged 20–60 years of age, who were selected from the nutrition and diet clinics in Tehran city. The dietary intake was collected by using a validated food frequency questionnaire to determine the HEI score. Findings The mean±SD age and body mass index of participants were 47.1 ± 12.7 years and 29.6 ± 6.0 kg/m2, respectively. The median (interquartile range) of HEI scores in the normoglycemic group and the high-glycemia group were 19.34 (15.24–24.31) and 16.53 (13.35–24.07), respectively. In the overall population, the findings of the multi-variable linear regression model indicated a positive association between the HEI score and high-density lipoprotein-cholesterol (HDL-C) (ß = 0.34; 95%CI: 0.05–0.64, P = 0.01). However, there is no significant association between HEI and HDL-C in normoglycemic (ß = 0.19; 95%CI: −0.31, 0.69, P = 0.45) and hyperglycemic subjects (ß = 0.28; 95%CI: −0.10–0.66, P = 0.15). Furthermore, the association of HEI with levels of FBS, triglycerides (TGs) and low-density lipoprotein-cholesterol (LDL-C) was not significant in any of the analyzed groups, including the total population, normoglycemic individuals and hyperglycemic subjects. Originality/value This study was the first study to assess the role of HEI and its components with levels of FBS and lipid profile in normoglycemic and hyperglycemic individuals in Iran. The findings suggested that higher adherence to HEI may be associated with an increase in the HDL-C level. However, HEI could not predict FBS, TGs and LDL-C levels in the adult population.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…, 2019). Although three previous studies reported the beneficial relation of HEI score with the risk of metabolic syndrome (MetS) (Cui et al. , 2022; Khodarahmi et al.…”

Section: Introductionmentioning

confidence: 99%

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The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

Moradiani,

Movahedi,

Djazayery

2024

NFS

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Chinese Healthy Eating Index (CHEI) and risk of diabetes in Chinese adults: a prospective cohort study

Zhang,

Liu,

Yin

et al. 2024

Eur J Nutr

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The impact of diet quality on cognitive ability of Chinese older adults: evidence from the China Health and Nutrition Survey (CHNS)

Xu,

Chen,

Guo

et al. 2024

BMC Geriatr

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Background Numerous studies have demonstrated a positive correlation between diet quality and cognitive performance, indicating that improving diet quality may be beneficial in preventing cognitive decline in older adults. However, few study has investigated the causal relationship between diet quality and cognitive performance. The purpose of this study is to evaluate the causal effects of diet quality on cognitive performance in Chinese adults aged 55 years and older. Particularly, we utilize the Chinese Diet Quality Index (CHEI), a dietary assessment tool tailored for Chinese populations, as a proxy for older adults’ diet quality. Methods Data were obtained from the China Health and Nutrition Survey (CHNS) ($$N = 2337$$ N = 2337 , $$\ge$$ ≥ 55 years old) conducted in 2004 and 2006. Cognitive function was tested by a subset of items from the Telephone Interview for Cognitive Status-Modified (TICS-m). Data on dietary intake was retrieved from three consecutive 24 hour recalls by participants and its quality was assessed by the 17-items Chinese Healthy Eating Index (CHEI). An Instrumental Variable technique was used to deal with the potential endogeneity of dietary quality. The instrumental variable used in our study is the community mean of CHEI. Results After adjusting for socio-demographic factors (age, gender, education, per capita household income), lifestyle habits (smoking, alcohol consumption, physical activity, BMI), and chronic diseases (hypertension, diabetes), our findings revealed that improving diet quality had a significant positive effect on cognitive performance ($$P = 0.020$$ P = 0.020 ), particularly in females aged 55-65 years ($$P = 0.003$$ P = 0.003 ) and females with primary education and below ($$P < 0.001$$ P < 0.001 ). Conclusion Our study suggests that improving diet quality and adhering to the Dietary Guidelines for Chinese may enhance cognitive performance in Chinese adults aged 55 years and older.

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Better adherence to the Chinese Healthy Eating Index is associated with a lower prevalence of metabolic syndrome and its components

Cited by 3 publications

References 33 publications

The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

The association of Healthy Eating Index and its components with levels of fasting blood sugar and lipid profile in normoglycemic and hyperglycemic individuals

Chinese Healthy Eating Index (CHEI) and risk of diabetes in Chinese adults: a prospective cohort study

The impact of diet quality on cognitive ability of Chinese older adults: evidence from the China Health and Nutrition Survey (CHNS)

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