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The Healthy Eating Index and the Alternate Healthy Eating Index as predictors of 10-year CHD risk in Cuban Americans with and without type 2 diabetes
- Huffman, Fatma G., Zarini, Gustavo G., Mcnamara, Elizabeth, Nagarajan, Aarthi
- Public health nutrition 2011 v.14 no.11 pp. 2006-2014
- risk, eating habits, Cuban Americans, energy intake, high density lipoprotein cholesterol, waist circumference, healthy diet, noninsulin-dependent diabetes mellitus, blood, cross-sectional studies, adults, United States
- Objective 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). Design 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. Setting Miami Dade and Broward Counties, FL, USA. Subjects Cuban Americans (n 358) aged greater than 30 years. Results 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 (beta = -0·244, se = 0·049, P = 0·001). Conclusion The 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.