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Can the alternate healthy eating index (AHEI) score predict health outcomes for Cuban Americans with and without type 2 diabetes?
Author(s) -
Huffman Fatma G,
McNamara Elizabeth,
Zarini Gustavo G.
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.214.7
Subject(s) - medicine , diabetes mellitus , type 2 diabetes , population , framingham risk score , lower risk , disease , demography , environmental health , endocrinology , confidence interval , sociology
Adherence to a dietary pattern represented by the AHEI has been inversely correlated with CVD incidence in healthy populations. The population with type 2 diabetes (T2D) is at particularly high risk for CVD. Determining a dietary pattern successful in decreasing CVD risk in the diabetic population will enable more specific dietary recommendations. The relationship between AHEI score and 10‐year coronary heart disease (CHD) risk in Cuban Americans (n=367) with and without T2D. Subjects were randomly recruited from a mailing list in Miami‐Dade and Broward Counties, FL. AHEI score was calculated from self‐reported FFQ; CHD risk was determined using ATPIII's 10‐year Risk Calculator. AHEI score was evaluated against the presence of CHD risk. Analyses included descriptive statistics, correlations, and linear regressions controlling for BMI, WC and physical activity. Mean AHEI scores for diabetics and non‐diabetics were 33.00±10.77 and 33.95±11.26 respectively. There was a significant inverse correlation (r=‐.14, p=.008) between AHEI and CVD risk. However, linear regression models found AHEI to be a significant predictor of 10‐year CVD risk only among diabetics (p=.001). Diabetic with higher AHEI scores had lower scores for 10‐year risk of CVD, therefore dietary guidelines for individuals with T2D that include patterns representing a high AHEI score are warranted.