Associations between Adherence to Four A Priori Dietary Indexes and Cardiometabolic Risk Factors among Hyperlipidemic Patients |
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Authors: | Xiaoli Gao Zezhong Tian Dan Zhao Kongyao Li Yimin Zhao Lin Xu Xu Wang Die Fan Xilin Ma Wenhua Ling Huicui Meng Yan Yang |
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Affiliation: | 1.School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518106, China; (X.G.); (Z.T.); (D.Z.); (K.L.); (Y.Z.); (L.X.); (X.M.); (H.M.);2.Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou 510080, China;3.Guangdong Engineering Technology Center of Nutrition Transformation, Guangzhou 510080, China;4.Department of Nutrition, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; (X.W.); (D.F.) |
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Abstract: | Little is known about which currently available a priori dietary indexes provide best guidance for reducing cardiometabolic risk factors (CMRF) among hyperlipidemic patients. This study was designed to compare the associations between four a priori dietary indexes, including Diet Balance Index (DBI-16), Chinese Healthy Eating Index (CHEI), Mediterranean Diet Score (MDS) and Dietary Approaches to Stop Hypertension (DASH) and CMRF among hyperlipidemic patients. A total of 269 participants were enrolled into the cross-sectional study. DBI-16, CHEI, MDS, and DASH scores were calculated using established methods. CMRF was measured using standard methods. DBI-total scores (DBI-TS) were inversely associated with triglyceride concentrations and TC:HDL-C ratio, and positively associated with HDL-C and ApoA1 concentrations (all p < 0.05), while the results for DBI-low bound scores (DBI-LBS) were opposite. DBI-high bound scores (DBI-HBS) and DASH scores were positively and inversely associated with glucose concentrations, respectively (both p < 0.05). Higher diet quality distance (DQD) was positively associated with higher TC, LDL-C and ApoB concentrations, and TC:HDL-C and LDL-C:HDL-C ratios, and lower HDL-C and ApoA1 concentrations and ApoA1:ApoB ratio (all p < 0.05). CHEI scores were inversely associated with triglyceride concentrations (p = 0.036). None of the dietary indexes was associated with blood pressures. DBI-16 provided most comprehensive evaluations of the overall diet quality and balance for optimizing cardiometabolic health among hyperlipidemic individuals. |
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Keywords: | diet balance index Chinese healthy eating index Mediterranean diet score dietary approaches to stop hypertension score cardiometabolic disorders dyslipidemia |
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