Department of Dietetics and Nutrition, Florida International University, 11200 SW, 8th ST, AHC-I 450, Miami, FL 33199, USA.
Public Health Nutr. 2011 Nov;14(11):2006-14. doi: 10.1017/S1368980011001054. Epub 2011 Jun 23.
To examine the relationship between dietary patterns, as measured by the Healthy Eating Index (HEI) and the Alternate Healthy Eating Index (AHEI), and 10-year predicted CHD risk in Cuban Americans with and without type 2 diabetes (T2D).
In a cross-sectional study participants were selected from two randomly generated mailing lists of individuals with and without T2D. HEI and AHEI scores were calculated from a self-reported FFQ. CHD risk was determined using the 10-year CHD risk calculator of the Adult Treatment Panel III.
Miami Dade and Broward Counties, FL, USA.
Cuban Americans (n 358) aged ≥30 years.
Participants with T2D had a higher waist circumference (P = 0·001) and 10-year CHD risk score (P = 0·008) compared with those without T2D. Participants without T2D had a higher energy intake (P = 0·034), total blood cholesterol (P = 0·007), HDL cholesterol (P = 0·001) and HEI score (P = 0·006) compared with participants with T2D. AHEI score was a significant predictor of 10-year CHD risk (F(1,351) = 4·44, P = 0·036). An association between AHEI and 10-year CHD risk was found only for participants with T2D (β = -0·244, se = 0·049, P = 0·001).ConclusionThe present study showed that only participants with T2D with significantly higher AHEI scores had lower scores for 10-year predicted CHD risk. No association was found between HEI score and CHD risk among Cuban Americans. Individuals with T2D are advised to follow the AHEI dietary pattern.
研究通过健康饮食指数（HEI）和交替健康饮食指数（AHEI）衡量的饮食模式与古巴裔美国人群中有无 2 型糖尿病（T2D）个体 10 年冠心病风险之间的关系。
本横断面研究中，参与者从两份随机生成的 T2D 患者和非 T2D 患者的邮寄名单中抽取。通过自我报告的 FFQ 计算 HEI 和 AHEI 得分。利用成人治疗专家组 III 的 10 年冠心病风险计算器确定冠心病风险。
美国佛罗里达州迈阿密戴德县和布劳沃德县。
年龄≥30 岁的古巴裔美国人（n 358）。
与无 T2D 个体相比，有 T2D 个体的腰围（P = 0·001）和 10 年冠心病风险评分（P = 0·008）更高。与有 T2D 个体相比，无 T2D 个体的能量摄入（P = 0·034）、总血胆固醇（P = 0·007）、高密度脂蛋白胆固醇（P = 0·001）和 HEI 评分（P = 0·006）更高。AHEI 评分是 10 年冠心病风险的一个显著预测因素（F（1,351）= 4·44，P = 0·036）。仅在有 T2D 个体中发现 AHEI 与 10 年冠心病风险之间存在关联（β= -0·244，se = 0·049，P = 0·001）。结论：本研究表明，只有 AHEI 评分明显更高的 T2D 患者，其 10 年冠心病风险预测评分才更低。在古巴裔美国人中，未发现 HEI 评分与冠心病风险之间存在关联。建议 T2D 患者遵循 AHEI 饮食模式。
