Huffman Fatma G, De La Cera Maurcio, Vaccaro Joan A, Zarini Gustavo G, Exebio Joel, Gundupalli Deva, Shaban Lamya
Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA.
J Nutr Metab. 2011;2011:398324. doi: 10.1155/2011/398324. Epub 2011 Dec 8.
Ethnicities within Black populations have not been distinguished in most nutrition studies. We sought to examine dietary differences between African Americans (AA) and Haitian Americans (HA) with and without type 2 diabetes using the Healthy Eating Index, 2005 (HEI-05), and the Alternate Healthy Eating Index (AHEI). The design was cross-sectional N = 471 (225 AA, 246 HA) and recruitment was by community outreach. The eating indices were calculated from data collected with the Harvard food-frequency questionnaire. African Americans had lower HEI-05 scores β = -10.9 (-8.67, 13.1); SE = 1.12, P < .001 than HA. Haitian American females and AA males had higher AHEI than AA females and HA males, respectively, (P = .006) adjusting for age and education. Participants with diabetes had higher adherence to the HEI-05 β = 3.90 (1.78, 6.01), SE = 1.08, P < .001 and lower adherence to the AHEI β = -9.73 (16.3, -3.19), SE = 3.33, P = .004, than participants without diabetes. The findings underscore the importance of disaggregating ethnicities and disease state when assessing diet.
在大多数营养研究中，黑人人口中的不同种族并未得到区分。我们试图使用2005年健康饮食指数（HEI - 05）和替代健康饮食指数（AHEI），研究有和没有2型糖尿病的非裔美国人（AA）和海地裔美国人（HA）之间的饮食差异。研究设计为横断面研究，N = 471（225名非裔美国人，246名海地裔美国人），通过社区宣传进行招募。饮食指数根据用哈佛食物频率问卷收集的数据计算得出。非裔美国人的HEI - 05得分低于海地裔美国人（β = -10.9（-8.67，13.1）；标准误 = 1.12，P <.001）。在调整年龄和教育因素后，海地裔美国女性和非裔美国男性的AHEI得分分别高于非裔美国女性和海地裔美国男性（P =.006）。与没有糖尿病的参与者相比，患有糖尿病的参与者对HEI - 05的依从性更高（β = 3.90（1.78，6.01），标准误 = 1.08，P <.001），而对AHEI的依从性更低（β = -9.73（16.3， -3.19），标准误 = 3.33，P =.004）。这些发现强调了在评估饮食时区分种族和疾病状态的重要性。
