The AHA Recommendations for a Healthy Diet and Ultra-Processed Foods: Building a New Diet Quality Index.

Autor:	Cacau LT; Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil., Marcadenti A; Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil.; Instituto de Pesquisa, Hospital do Coração, São Paulo, Brazil.; Programa de Pós-Graduação em Ciências da Saúde (Cardiologia), Intituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil., Bersch-Ferreira AC; Instituto de Pesquisa, Hospital do Coração, São Paulo, Brazil., Weber B; Instituto de Pesquisa, Hospital do Coração, São Paulo, Brazil., de Almeida JC; Departamento de Nutrição, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., Rodrigues CCR; Departamento de Nutrição, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.; Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Lotufo PA; Centro de Pesquisa Clínica e Epidemiológica, Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil., Bensenor IM; Centro de Pesquisa Clínica e Epidemiológica, Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil., Marchioni DM; Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in nutrition [Front Nutr] 2022 Apr 11; Vol. 9, pp. 804121. Date of Electronic Publication: 2022 Apr 11 (Print Publication: 2022).
DOI:	10.3389/fnut.2022.804121
Abstrakt:	The American Heart Association (AHA) has developed the concept of "ideal cardiovascular health" (ICH), a seven-component score, which includes health dietary metrics. Higher ultra-processed foods intake is related with several cardiometabolic and cardiovascular diseases. We propose to develop and validate the Cardiovascular Health Diet Index (CHDI), a diet quality index that combines the AHA's recommendations of a healthy diet for cardiovascular health and ultra-processed foods. We used dietary data obtained through a 114-item FFQ from 14,779 participants of the Brazilian Longitudinal Study of Adults Health (ELSA-Brasil). The CHDI had 11 components and a total score ranging from 0 to 110 points. Validation and reliability analyses were performed, including principal component analyses, association with selected nutrients, means differences between groups (for example, smokers vs. non-smokers), Cronbach's alpha, and linear regression analyses between CHDI and overall dietary quality. The mean CHDI was 57.1 points (95% CI 47.9:66.0). The CHDI had four dimensions; in addition, it was associated with nutrients related to cardiovascular health, and the points were significantly ( p < 0.001) lower in smokers (52.1) than in non-smokers (57.8). Cronbach's alpha value was 0.50. After age and sex adjustment, the CHDI score remained associated with a higher overall dietary quality (β 0.87, 95%CI 0.84:0.89, p < 0.001). The CHDI proved to be valid and reliable for use, in addition to being associated with higher overall dietary quality. The use of CHDI is expected to assess the population's compliance with dietary recommendations for promoting cardiovascular health and preventing cardiovascular disease. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Cacau, Marcadenti, Bersch-Ferreira, Weber, Almeida, Rodrigues, Lotufo, Bensenor and Marchioni.)
Databáze:	MEDLINE
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