Adaptation and Validation of Alternative Healthy Eating Index in Hemodialysis Patients (AHEI-HD) and Its Association with all-Cause Mortality: A Multi-Center Follow-Up Study

Van Duong, Tuyen; Tseng, I-Hsin; Wong, Te-Chih; Chen, Hsi-Hsien; Chen, Tso-Hsiao; Hsu, Yung-Ho; Peng, Sheng-Jeng; Kuo, Ko-Lin; Liu, Hsiang-Chung; Lin, En-Tzu; Feng, Yi-Wei; Yang, Shwu-Huey

doi:10.3390/nu11061407

Submit to this Journal Review for this Journal Edit a Special Issue

Article Menu

...

Open AccessArticle

Adaptation and Validation of Alternative Healthy Eating Index in Hemodialysis Patients (AHEI-HD) and Its Association with all-Cause Mortality: A Multi-Center Follow-Up Study

¹,

²,

^3,4,

^3,5,

^3,6,

⁷,

⁸

⁹,

¹⁰,

¹ and

^1,11,12,*

School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110, Taiwan

Department of Nutrition and Health Sciences, Chinese Culture University, Taipei 110, Taiwan

Division of Nephrology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan

⁴

Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan

⁵

Department of Nephrology, Taipei Medical University-Wan Fang Hospital, Taipei 110, Taiwan

⁶

Division of Nephrology, Department of Internal Medicine, Taipei Medical University- Shuang Ho Hospital, Taipei 110, Taiwan

⁷

Division of Nephrology, Cathay General Hospital, Taipei 110, Taiwan

⁸

Division of Nephrology, Taipei Tzu-Chi Hospital, New Taipei 231, Taiwan

⁹

Department of Nephrology, Wei Gong Memorial Hospital, Miaoli 351, Taiwan

¹⁰

Department of Nephrology, Lotung Poh-Ai Hospital, Yilan 265, Taiwan

¹¹

Research Center of Geriatric Nutrition, Taipei Medical University, Taipei 110, Taiwan

¹²

Nutrition Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan

Show full affiliation list

Hide full affiliation list

Author to whom correspondence should be addressed.

Nutrients 2019, 11(6), 1407; https://doi.org/10.3390/nu11061407

Received: 15 May 2019 / Revised: 1 June 2019 / Accepted: 20 June 2019 / Published: 21 June 2019

(This article belongs to the Special Issue Targeted Nutrition in Chronic Disease)

View Full-Text Download PDF

Browse Figures

Citation Export

Abstract

A valid diet quality assessment scale has not been investigated in hemodialysis patients. We aimed to adapt and validate the alternative healthy eating index in hemodialysis patients (AHEI-HD), and investigate its associations with all-cause mortality. A prospective study was conducted on 370 hemodialysis patients from seven hospital-based dialysis centers. Dietary data (using three independent 24-hour dietary records), clinical and laboratory parameters were collected. The construct and criterion validity of original AHEI-2010 with 11 items and the AHEI-HD with 16 items were examined. Both scales showed reasonable item-scale correlations and satisfactory discriminant validity. The AHEI-HD demonstrated a weaker correlation with energy intake compared with AHEI-2010. Principle component analysis yielded the plateau scree plot line in AHEI-HD but not in AHEI-2010. In comparison with patients in lowest diet quality (tertile 1), those in highest diet quality (tertile 3) had significantly lower risk for death, with a hazard ratio (HR) and 95% confidence intervals (95%CI) of HR: 0.40; 95%CI: 0.18 – 0.90; p = 0.028, as measured by AHEI-2010, and HR: 0.37; 95%CI: 0.17–0.82; p = 0.014 as measured by AHEI-HD, respectively. In conclusion, AHEI-HD was shown to have greater advantages than AHEI-2010. AHEI-HD was suggested for assessments of diet quality in hemodialysis patients. View Full-Text

Keywords: alternative healthy eating index; all-cause mortality; diet quality; diet quantity; hemodialysis; end-stage renal disease; principal component analysis; complex and multidimensional; validation; prospective cohort

▼ Show Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Supplementary Material

Supplementary File 1:
ZIP-Document (ZIP, 25 KiB)

Share and Cite

MDPI and ACS Style

Van Duong, T.; Tseng, I.-H.; Wong, T.-C.; Chen, H.-H.; Chen, T.-H.; Hsu, Y.-H.; Peng, S.-J.; Kuo, K.-L.; Liu, H.-C.; Lin, E.-T.; Feng, Y.-W.; Yang, S.-H. Adaptation and Validation of Alternative Healthy Eating Index in Hemodialysis Patients (AHEI-HD) and Its Association with all-Cause Mortality: A Multi-Center Follow-Up Study. Nutrients 2019, 11, 1407. https://doi.org/10.3390/nu11061407

AMA Style

Van Duong T, Tseng I-H, Wong T-C, Chen H-H, Chen T-H, Hsu Y-H, Peng S-J, Kuo K-L, Liu H-C, Lin E-T, Feng Y-W, Yang S-H. Adaptation and Validation of Alternative Healthy Eating Index in Hemodialysis Patients (AHEI-HD) and Its Association with all-Cause Mortality: A Multi-Center Follow-Up Study. Nutrients. 2019; 11(6):1407. https://doi.org/10.3390/nu11061407

Chicago/Turabian Style

Van Duong, Tuyen, I-Hsin Tseng, Te-Chih Wong, Hsi-Hsien Chen, Tso-Hsiao Chen, Yung-Ho Hsu, Sheng-Jeng Peng, Ko-Lin Kuo, Hsiang-Chung Liu, En-Tzu Lin, Yi-Wei Feng, and Shwu-Huey Yang. 2019. "Adaptation and Validation of Alternative Healthy Eating Index in Hemodialysis Patients (AHEI-HD) and Its Association with all-Cause Mortality: A Multi-Center Follow-Up Study" Nutrients 11, no. 6: 1407. https://doi.org/10.3390/nu11061407

Find Other Styles

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Abstract views Pdf views Html views

Article Menu

Adaptation and Validation of Alternative Healthy Eating Index in Hemodialysis Patients (AHEI-HD) and Its Association with all-Cause Mortality: A Multi-Center Follow-Up Study

Abstract

Supplementary Material

Share and Cite

Article Metrics

Article Access Statistics

Article Access Map by Country/Region

Further Information

Guidelines

MDPI Initiatives

Follow MDPI