Department of Health, Nutrition and Exercise Sciences, North Dakota State University, PO Box 6050, Fargo, ND 58108-6050, USA.
Public Health Nutr. 2010 Feb;13(2):208-14. doi: 10.1017/S1368980009990723. Epub 2009 Aug 4.
Although diet is a modifiable lifestyle factor to reduce abdominal obesity risk, the relationship between the Health Eating Index (HEI) and waist circumference (WC) has not been studied. The present study aimed to describe relationships between the HEI and abdominal obesity among adults.
Secondary data analysis of a cross-sectional national survey, the Third National Health and Nutrition Examination Survey (NHANES III). The HEI data, including the total HEI score and HEI component scores, were collected with a 24 h recall. WC measures were taken during a physical examination. Abdominal obesity was defined as WC > or = 102 cm for men and WC > or = 88 cm for women. Other covariates were collected during an interview.
In total 15 658 US adults, men (n 7470) and non-pregnant women (n 8188).
The odds of abdominal obesity was 8.3 % (95 % CI 1.8, 14.9 %, P = 0.014) lower for women and 14.5 % (95 % CI 6.8, 21.9 %, P < or = 0.001) lower for men with each 10-unit increase in total HEI score (HEI scale, 0-100). For each point increase for the fruit score, abdominal obesity risk decreased by 2.6 % (95 % CI 0.8, 4.4 %, P = 0.007) for women. Abdominal obesity risk decreased for men with each point increase in saturated fat and variety scores, by 3.1 % (95 % CI 0.1, 6.0 %, P = 0.042) and 4.0 % (95 % CI 0.1, 7.7 %, P = 0.043) respectively.
Dietary consumption that follows the HEI is associated with a lower risk for abdominal obesity.
尽管饮食是一种可改变的生活方式因素，可以降低腹型肥胖的风险，但健康饮食指数（HEI）与腰围（WC）之间的关系尚未得到研究。本研究旨在描述 HEI 与成年人腹型肥胖之间的关系。
横断面全国性调查，第三次国家健康和营养检查调查（NHANES III）的二次数据分析。HEI 数据包括总 HEI 评分和 HEI 成分评分，通过 24 小时回顾法收集。WC 测量在体检期间进行。腹型肥胖定义为男性 WC≥102cm，女性 WC≥88cm。其他协变量在访谈中收集。
共有 15658 名美国成年人，男性（n=7470）和非孕妇女性（n=8188）。
女性的腹型肥胖风险降低 8.3%（95%CI 1.8，14.9%，P=0.014），男性降低 14.5%（95%CI 6.8，21.9%，P≤0.001），总 HEI 评分每增加 10 分（HEI 量表，0-100）。女性水果评分每增加 1 分，腹型肥胖风险降低 2.6%（95%CI 0.8，4.4%，P=0.007）。男性饱和脂肪和多样性评分每增加 1 分，腹型肥胖风险分别降低 3.1%（95%CI 0.1，6.0%，P=0.042）和 4.0%（95%CI 0.1，7.7%，P=0.043）。
遵循 HEI 的饮食摄入与较低的腹型肥胖风险相关。
