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Zhiyi L, Shuhan Z, Libing Z, Jiaqi L, Xin D, Lingxi Q, Yuan-Mei S, Hong Z, Jiaqi N, Hui L, Sanyou F. Association of the Healthy Dietary Index 2020 and its components with chronic respiratory disease among U.S. adults. Front Nutr 2024; 11:1402635. [PMID: 39021605 PMCID: PMC11252059 DOI: 10.3389/fnut.2024.1402635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Accepted: 06/18/2024] [Indexed: 07/20/2024] Open
Abstract
Background Chronic respiratory disease is an important public health problem in the United States and globally. Diet, an important part of a healthy lifestyle, is also relevant to chronic respiratory health. We aimed to explore the relationship between overall dietary quality and the risk of chronic respiratory disease (CRD), include chronic bronchitis (CB), emphysema and asthma. Method A total of 4,499 United States adults were extracted from the National Health and Nutrition Examination Survey (NHANES) in 2017-2018. Diet quality was assessed using 2 day, 24 h dietary recall data and quantified as the Healthy Diet Index (HEI)-2020 score. Binary logistic regression models, restricted cubic splines (RCS) and generalized additive modeling (GAM), the weighted quartile sum (WQS) and qgcom models were used to assess the relationship between HEI-2020 scores and risk of CB, emphysema and asthma. Results High HEI-2020 scores are associated with low risk of chronic respiratory disease (CB: 0.98, 0.97-0.99; emphysema: 0.98, 0.97-0.99; asthma: 0.98, 0.97-0.99) and consistent results across different dietary variable categorization (Tertile: CB: 0.58, 0.42-0.81; asthma: 0.51, 0.35-0.74; Quartile: CB: 0.57, 0.34-0.97; asthma: 0.56, 0.36-0.86) and different weighting models. Negative dose-response relationship between dietary quality and risk of chronic respiratory disease also shown in RCS and GAM models. The WQS and qgcom models also showed a healthy mixing effect of dietary components on respiratory disease, with high-quality proteins, vegetables, and fruits making the heaviest contributions. Conclusion Higher HEI-2020 scores were associated with lower risk of CB, emphysema, and asthma. Following Dietary Guidelines for Americans 2020-2025 could support enhanced respiratory health.
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Affiliation(s)
- Liu Zhiyi
- School of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, China
| | - Zhou Shuhan
- School of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, China
| | - Zhang Libing
- School of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, China
| | - Li Jiaqi
- Hospital of Stomatology Wuhan University, Wuhan, China
| | - Ding Xin
- School of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China
| | - Qin Lingxi
- School of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, China
| | | | - Zhang Hong
- Taixing People’s Hospital, Taixing, China
| | - Nie Jiaqi
- Xiaogan Center for Disease Control and Prevention, Xiaogan, China
| | - Li Hui
- Taixing People’s Hospital, Taixing, China
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de Brito BB, Braga GB, Martins CA, Lopes-Júnior LC, Salaroli LB, Lopes AB, Haraguchi FK. Poor diet quality is associated with biochemical parameters of protein nutritional status after Roux-en-Y gastric bypass. Nutrition 2024; 123:112419. [PMID: 38581848 DOI: 10.1016/j.nut.2024.112419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 12/18/2023] [Accepted: 03/05/2024] [Indexed: 04/08/2024]
Abstract
OBJECTIVE To assess diet quality and its association with body and biochemical parameters in patients who underwent Roux-en-Y gastric bypass (RYGB). METHODS Prospective observational study with individuals of both sexes subjected to RYGB. Body composition, biochemical parameters, and diet quality were assessed before and six months after RYGB. Diet quality was assessed by the Healthy Eating Index (HEI). Data were analyzed by the paired t-test or Wilcoxon signed-rank test, with a significance level of 5%. Spearman's correlation and simple linear regression were performed between variables. RESULTS The final sample included 34 patients. Their diet was classified as poor before and 6 mo after RYGB. BMI, fat mass, fat-free mass, waist perimeter, serum total protein, transthyretin, alpha-1-acid glycoprotein, and C-reactive protein decreased significantly (P < 0.05). Variations in the HEI score and caloric intake were associated with serum albumin and transthyretin (P < 0.05). CONCLUSION Poor diet quality was present before and six months after RYGB, and the study data suggest that poor diet quality is associated to a risk of loss of lean body mass and visceral protein six months after RYGB.
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Affiliation(s)
- Beatriz Bobbio de Brito
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil
| | - Gabriela Bernabé Braga
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil
| | - Cleodice Alves Martins
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil
| | - Luís Carlos Lopes-Júnior
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil; Graduate Program in Collective Health (PPGSC), Federal University of Espírito Santo, Maruípe, Vitória, Brazil
| | - Luciane Bresciani Salaroli
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil; Graduate Program in Collective Health (PPGSC), Federal University of Espírito Santo, Maruípe, Vitória, Brazil; Department of Integrated Health Education (DEIS), Health Sciences Center, Federal University of Espírito Santo, Maruípe, Vitória, Brazil
| | - Andressa Bolsoni Lopes
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil
| | - Fabiano Kenji Haraguchi
- Graduate Program in Nutrition and Health (PPGNS), Federal University of Espírito Santo, Maruípe, Vitória, Brazil; Department of Integrated Health Education (DEIS), Health Sciences Center, Federal University of Espírito Santo, Maruípe, Vitória, Brazil.
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English LK, Raghavan R, Obbagy JE, Callahan EH, Fultz AK, Nevins JEH, Scinto-Madonich S, Reigh NA, Stoody EE. Dietary Patterns and Health: Insights From NESR Systematic Reviews to Inform the Dietary Guidelines for Americans. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2024; 56:75-87. [PMID: 38185492 DOI: 10.1016/j.jneb.2023.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 09/16/2023] [Accepted: 10/03/2023] [Indexed: 01/09/2024]
Abstract
This perspective article shares unique insights from the extensive experience of the US Department of Agriculture Nutrition Evidence Systematic Review branch in conducting systematic reviews on dietary patterns and health outcomes to inform the Dietary Guidelines for Americans. Methodological approaches for reviewing dietary patterns research are described, including approaches to operationalizing definitions and analyzing labeled dietary patterns. The review also describes techniques for synthesizing dietary patterns research across life stages in systematic reviews that inform food-based, federal dietary guidance. Current research activities and recommendations for how to improve or address gaps in dietary patterns research in the future are also discussed.
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Affiliation(s)
- Laural K English
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA.
| | - Ramkripa Raghavan
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
| | - Julie E Obbagy
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
| | - Emily H Callahan
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
| | - Amanda K Fultz
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
| | - Julie E H Nevins
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
| | - Sara Scinto-Madonich
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
| | - Nicole A Reigh
- Nutrition Evidence Systematic Review Branch, Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA; Panum Group, Bethesda, MD
| | - Eve E Stoody
- Nutrition Guidance and Analysis Division, Center for Nutrition Policy and Promotion, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA
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Pannucci TE, Lerman JL, Herrick KA, Shams-White MM, Zimmer M, Meyers Mathieu K, Stoody EE, Reedy J. Development of the Healthy Eating Index-Toddlers-2020. J Acad Nutr Diet 2023; 123:1289-1297. [PMID: 37209965 DOI: 10.1016/j.jand.2023.05.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 05/04/2023] [Accepted: 05/09/2023] [Indexed: 05/22/2023]
Abstract
The Healthy Eating Index-Toddlers-2020 (HEI-Toddlers-2020) is a measure for assessing how well a set of foods aligns with new guidance in the Dietary Guidelines for Americans, 2020-2025 (DGA) for toddlers aged 12 through 23 months. This new tool was developed using consistent features and the guiding principles of the HEI. The HEI-Toddlers-2020, like HEI-2020, has 13 components reflecting all constituents of dietary intake, except for human milk or infant formula. These components include the following: Total Fruits, Whole Fruits, Total Vegetables, Greens and Beans, Whole Grains, Dairy, Total Protein Foods, Seafood and Plant Proteins, Fatty Acids, Refined Grains, Sodium, Added Sugars, and Saturated Fats. Healthy dietary patterns for toddlers have unique considerations reflected in the scoring standards for Added Sugars and Saturated Fats. Toddlers have lower energy intake relative to high nutrient needs and added sugars should be avoided. Another distinctive difference is that there is no recommendation to limit saturated fats to <10% of energy intake in this age group; however, saturated fats cannot be unlimited without displacing the energy available to achieve other food group and subgroup goals. Calculations using the HEI-Toddlers-2020, like the HEI-2020, result in a total score and a set of individual component scores that reveal a dietary pattern. The release of a HEI-Toddlers-2020 will enable assessment of diet quality that aligns with the DGA and support additional methodological research to examine needs specific to each life stage and how to model trajectories of healthy dietary patterns.
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Affiliation(s)
| | - Jennifer L Lerman
- U.S. Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | - Kirsten A Herrick
- U.S. Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | - Marissa M Shams-White
- U.S. Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | - Meghan Zimmer
- U.S. Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | | | - Eve E Stoody
- U.S. Department of Agriculture, Food and Nutrition Service, Alexandria, VA
| | - Jill Reedy
- U.S. Department of Health and Human Services, National Cancer Institute, Rockville, MD
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Herrick KA, Lerman JL, Pannucci TE, Zimmer M, Shams-White MM, Mathieu KM, Stoody EE, Reedy J. Continuity, Considerations, and Future Directions for the Healthy Eating Index-Toddlers-2020. J Acad Nutr Diet 2023; 123:1298-1306. [PMID: 37209963 PMCID: PMC10765420 DOI: 10.1016/j.jand.2023.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 04/20/2023] [Accepted: 05/09/2023] [Indexed: 05/22/2023]
Abstract
The Dietary Guidelines for Americans, 2020-2025 includes guidance for infants and toddlers aged birth to 24 months. To assess alignment with this new guidance, the Healthy Eating Index (HEI)-Toddlers-2020 was developed for toddlers 12 through 23 months old. This monograph focuses on the continuity, considerations, and future directions of this new index for toddlers in the context of evolving dietary guidance. There is considerable continuity between the HEI-Toddlers-2020 and previous versions of the HEI. The same process, guiding principles, and features (with caveats) are repeated in the new index. However, there are unique considerations for measurement, analysis, and interpretation for the HEI-Toddlers-2020 that this article addresses, while identifying future directions for the HEI-Toddlers-2020. The continued evolution of dietary guidance for infants, toddlers, and young children will provide additional opportunities for index-based metrics: considering inclusion of multidimensional layers in dietary patterns, defining a healthy eating trajectory, bridging healthy eating across different life stages, and communicating the constructs of balance among dietary constituents.
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Affiliation(s)
- Kirsten A Herrick
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD.
| | - Jennifer L Lerman
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
| | - TusaRebecca E Pannucci
- Nutrition and Economics Analysis Branch, US Department of Agriculture, Food and Nutrition Service, Alexandria, VA
| | - Meghan Zimmer
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
| | - Marissa M Shams-White
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
| | - Kevin Meyers Mathieu
- Nutrition and Economics Analysis Branch, US Department of Agriculture, Food and Nutrition Service, Alexandria, VA
| | - Eve E Stoody
- Nutrition Guidance and Analysis Division, US Department of Agriculture, Food and Nutrition Service, Alexandria, VA
| | - Jill Reedy
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
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Reedy J. The Evolving Healthy Eating Index: Advancing Metrics to Capture Dietary Patterns Across a Healthy Eating Trajectory. J Acad Nutr Diet 2023; 123:1267-1268. [PMID: 37182726 DOI: 10.1016/j.jand.2023.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 05/09/2023] [Indexed: 05/16/2023]
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7
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Zimmer M, Obbagy J, Scanlon KS, Gibbs K, Lerman JL, Hamner HC, Pannucci T, Sharfman A, Reedy J, Herrick KA. Count Every Bite to Make "Every Bite Count": Measurement Gaps and Future Directions for Assessing Diet From Birth to 24 Months. J Acad Nutr Diet 2023; 123:1269-1279.e1. [PMID: 37196980 PMCID: PMC10809843 DOI: 10.1016/j.jand.2023.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 04/01/2023] [Accepted: 05/09/2023] [Indexed: 05/19/2023]
Affiliation(s)
- Meghan Zimmer
- Harvard University, Cambridge, Massachusetts; U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
| | - Julie Obbagy
- Food and Nutrition Service, USDA, Alexandria, Virginia
| | - Kelley S Scanlon
- Supplemental Nutrition and Safety Research and Analysis Division, Office of Policy Support, USDA Food and Nutrition Service, Alexandria, Virginia
| | - Kimberlea Gibbs
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland
| | - Jennifer L Lerman
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
| | | | | | | | - Jill Reedy
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD
| | - Kirsten A Herrick
- U.S. Department of Health and Human Services, National Cancer Institute, Bethesda, MD.
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Shams-White MM, Pannucci TE, Lerman JL, Herrick KA, Zimmer M, Meyers Mathieu K, Stoody EE, Reedy J. Healthy Eating Index-2020: Review and Update Process to Reflect the Dietary Guidelines for Americans,2020-2025. J Acad Nutr Diet 2023; 123:1280-1288. [PMID: 37201748 PMCID: PMC10524328 DOI: 10.1016/j.jand.2023.05.015] [Citation(s) in RCA: 49] [Impact Index Per Article: 49.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 05/01/2023] [Accepted: 05/09/2023] [Indexed: 05/20/2023]
Abstract
The purpose of this review is to share the process for reviewing, updating, and developing the most recent version of the Healthy Eating Index-2020 (HEI-2020) for ages 2 and older, following the release of the Dietary Guidelines for Americans (DGA), 2020-2025. The overall review process included: 1) gathering information from the updated DGA, experts, and federal stakeholders; 2) considering substantive changes and needs for new development, keeping in mind the HEI's key features and guiding principles, the US Department of Agriculture's Dietary Patterns that serve as the foundation for the HEI, and scoring considerations; and 3) completing evaluation analyses, including the examination of content validity. The review process led to the development of the HEI-2020; a separate HEI-Toddlers-2020 was developed for ages 12 through 23 months. The 13 components and scoring standards of the HEI-2020 fully align with the HEI-2015, although the index was renamed to clarify that it aligned with the most recent 2020-2025 DGA. As the evidence informing the DGA continues to evolve, various aspects of the HEI may need to evolve in the future as well. Further methodological research is encouraged to add to the scientific evidence base on dietary patterns, to examine needs specific to each life stage, and to model optimal trajectories of healthy dietary patterns over the lifespan.
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Affiliation(s)
- Marissa M Shams-White
- US Department of Health and Human Services, National Cancer Institute, Rockville, MD.
| | | | - Jennifer L Lerman
- US Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | - Kirsten A Herrick
- US Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | - Meghan Zimmer
- US Department of Health and Human Services, National Cancer Institute, Rockville, MD
| | | | - Eve E Stoody
- US Department of Agriculture, Food and Nutrition Service, Alexandria, VA
| | - Jill Reedy
- US Department of Health and Human Services, National Cancer Institute, Rockville, MD
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