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Titre : | Limited Association between the Total Healthy Eating Index-2015 Score and Cardiovascular Risk Factors in Individuals with Long-Standing Spinal Cord Injury : An Exploratory Study (2021) |
Auteurs : | Jia Li ; Aynur Demirel ; Andres Azuero ; Erika D. Womack ; Elizabeth N. Kroeger ; Amie McLain ; Ceren Yarar-Fisher |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 121, n° 11, November 2021) |
Article en page(s) : | p. 2260-2266 |
Note générale : | https://doi.org/10.1016/j.jand.2021.04.010 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Comportement alimentaire ; Maladies cardiovasculaires ; Qualité alimentaire ; Risque cardiovasculaire ; Traumatismes de la moelle épinière |
Mots-clés: | HEI-2015 |
Résumé : | Background The healthy eating index-2015 (HEI-2015) reflects diet quality in reference to the 2015-2020 Dietary Guidelines for Americans (DGA). Little is known regarding its application in individuals with chronic spinal cord injury (SCI). Objective To explore the relationship between diet quality as assessed by the HEI-2015 and cardiovascular risk factors among individuals with chronic SCI. Design This is a cross-sectional analysis of baseline data collected from August 2017 through November 2019 for an interventional study that evaluates the effects of a high-protein/low-carbohydrate diet on cardiovascular risk factors in individuals with chronic SCI at the University of Alabama at Birmingham. Participants/setting Twenty-four free-living adults with SCI (mean age, 45 + 12 y; 8F/16M, level of injury: nine cervical, 15 thoracic; mean duration of injury: 20 + 13 y) were included. Main outcome measures Participants underwent a 2-hour oral glucose tolerance test (OGTT) and a dual-energy x-ray absorptiometry scan. Dietary intake was assessed by three, 24-hour multiple-pass dietary recalls to calculate the HEI-2015 using the simple HEI scoring algorithm method. Data analysis Multiple linear regression analyses were performed to predict indices of lipid metabolism and glucose homeostasis and C-reactive protein (CRP) from the HEI-2015. Principal component analysis was used to reduce the number of covariates (level of injury, sex, and body fat percentage). Results On average, participants? diets were of low quality (HEI-2015, 47.2 + 10.8). The regression models for fasting glucose (FG), cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and CRP had moderate to large effect sizes (adjusted R2 ? 13%), suggesting good explanatory abilities of the predictors. Small or limited effect sizes were observed for glucose tolerance, fasting insulin, triglycerides, and Matsuda index (adjusted R2 |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221002380 |