4.7 Article

Associations between Adherence to Four A Priori Dietary Indexes and Cardiometabolic Risk Factors among Hyperlipidemic Patients

期刊

NUTRIENTS
卷 13, 期 7, 页码 -

出版社

MDPI
DOI: 10.3390/nu13072179

关键词

diet balance index; Chinese healthy eating index; Mediterranean diet score; dietary approaches to stop hypertension score; cardiometabolic disorders; dyslipidemia

资金

  1. National Natural Science Foundation of China [82030098, 81872617, 81730090]
  2. Guangzhou Science, Technology, and Innovation Commission [201804020045]
  3. Shenzhen Science, Technology, and Innovation Commission [JCYJ20180307153228190]

向作者/读者索取更多资源

This study compared the associations between four a priori dietary indexes and cardiometabolic risk factors among hyperlipidemic patients. The results showed that DBI-16 provided the most comprehensive evaluation of overall diet quality and balance for optimizing cardiometabolic health.
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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