Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project
Background: Healthy dietary patterns have been linked positively with health and longevity. However, prospective studies in diverse populations in the United States addressing dietary patterns and mortality are limited. Objective: We assessed the ability of the following 4 diet-quality indexes [the...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
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American Society for Nutrition
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/51278 |
| _version_ | 1848758658228289536 |
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| author | Harmon, B. Boushey, Carol Shvetsov, Y. Ettienne, R. Reedy, J. Wilkens, L. Le Marchand, L. Henderson, B. Kolonel, L. |
| author_facet | Harmon, B. Boushey, Carol Shvetsov, Y. Ettienne, R. Reedy, J. Wilkens, L. Le Marchand, L. Henderson, B. Kolonel, L. |
| author_sort | Harmon, B. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Healthy dietary patterns have been linked positively with health and longevity. However, prospective studies in diverse populations in the United States addressing dietary patterns and mortality are limited. Objective: We assessed the ability of the following 4 diet-quality indexes [the Healthy Eating Index-2010 (HEI-2010), the Alternative HEI-2010 (AHEI-2010), the alternate Mediterranean diet score (aMED), and the Dietary Approaches to Stop Hypertension (DASH)] to predict the reduction in risk of mortality from all causes, cardiovascular disease (CVD), and cancer. Design: White, African American, Native Hawaiian, Japanese American, and Latino adults (n = 215,782) from the Multiethnic Cohort completed a quantitative food-frequency questionnaire. Scores for each dietary index were computed and divided into quintiles for men and women. Mortality was documented over 13-18 y of follow-up. HRs and 95% CIs were computed by using adjusted Cox models. Results: High HEI-2010, AHEI-2010, aMED, and DASH scores were all inversely associated with risk of mortality from all causes, CVD, and cancer in both men and women (P-trend < 0.0001 for all models). For men, the HEI-2010 was consistently associated with a reduction in risk of mortality for all causes (HR: 0.75; 95% CI: 0.71, 0.79), CVD (HR: 0.74; 95% CI: 0.69, 0.81), and cancer (HR: 0.76; 95% CI: 0.70, 0.83) when lowest and highest quintiles were compared. In women, the AHEI and aMED showed large reductions for all-cause mortality (HR: 0.78; 95% CI: 0.74, 0.82), the AHEI showed large reductions for CVD (HR: 0.76; 95% CI: 0.69, 0.83), and the aMED showed large reductions for cancer (HR: 0.84; 95% CI: 0.76, 0. 92). Conclusion: These results, in a US multiethnic population, suggest that consuming a dietary pattern that achieves a high diet-quality index score is associated with lower risk of mortality from all causes, CVD, and cancer in adult men and women. |
| first_indexed | 2025-11-14T09:47:29Z |
| format | Journal Article |
| id | curtin-20.500.11937-51278 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:47:29Z |
| publishDate | 2015 |
| publisher | American Society for Nutrition |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-512782017-09-13T15:49:10Z Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project Harmon, B. Boushey, Carol Shvetsov, Y. Ettienne, R. Reedy, J. Wilkens, L. Le Marchand, L. Henderson, B. Kolonel, L. Background: Healthy dietary patterns have been linked positively with health and longevity. However, prospective studies in diverse populations in the United States addressing dietary patterns and mortality are limited. Objective: We assessed the ability of the following 4 diet-quality indexes [the Healthy Eating Index-2010 (HEI-2010), the Alternative HEI-2010 (AHEI-2010), the alternate Mediterranean diet score (aMED), and the Dietary Approaches to Stop Hypertension (DASH)] to predict the reduction in risk of mortality from all causes, cardiovascular disease (CVD), and cancer. Design: White, African American, Native Hawaiian, Japanese American, and Latino adults (n = 215,782) from the Multiethnic Cohort completed a quantitative food-frequency questionnaire. Scores for each dietary index were computed and divided into quintiles for men and women. Mortality was documented over 13-18 y of follow-up. HRs and 95% CIs were computed by using adjusted Cox models. Results: High HEI-2010, AHEI-2010, aMED, and DASH scores were all inversely associated with risk of mortality from all causes, CVD, and cancer in both men and women (P-trend < 0.0001 for all models). For men, the HEI-2010 was consistently associated with a reduction in risk of mortality for all causes (HR: 0.75; 95% CI: 0.71, 0.79), CVD (HR: 0.74; 95% CI: 0.69, 0.81), and cancer (HR: 0.76; 95% CI: 0.70, 0.83) when lowest and highest quintiles were compared. In women, the AHEI and aMED showed large reductions for all-cause mortality (HR: 0.78; 95% CI: 0.74, 0.82), the AHEI showed large reductions for CVD (HR: 0.76; 95% CI: 0.69, 0.83), and the aMED showed large reductions for cancer (HR: 0.84; 95% CI: 0.76, 0. 92). Conclusion: These results, in a US multiethnic population, suggest that consuming a dietary pattern that achieves a high diet-quality index score is associated with lower risk of mortality from all causes, CVD, and cancer in adult men and women. 2015 Journal Article http://hdl.handle.net/20.500.11937/51278 10.3945/ajcn.114.090688 American Society for Nutrition unknown |
| spellingShingle | Harmon, B. Boushey, Carol Shvetsov, Y. Ettienne, R. Reedy, J. Wilkens, L. Le Marchand, L. Henderson, B. Kolonel, L. Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project |
| title | Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project |
| title_full | Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project |
| title_fullStr | Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project |
| title_full_unstemmed | Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project |
| title_short | Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods project |
| title_sort | associations of key diet-quality indexes with mortality in the multiethnic cohort: the dietary patterns methods project |
| url | http://hdl.handle.net/20.500.11937/51278 |