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Is the Canadian Healthy Eating Index 2007 an Appropriate Diet Indicator of Metabolic Health? Insights from Dietary Pattern Analysis in the PREDISE Study

1
Institute of Nutrition and Functional Foods, Laval University, Québec, QC G1V 0A6, Canada
2
School of Nutrition, Laval University, Québec, QC G1V 0A6, Canada
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(7), 1597; https://doi.org/10.3390/nu11071597
Received: 18 June 2019 / Revised: 3 July 2019 / Accepted: 12 July 2019 / Published: 14 July 2019
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Abstract

The objective of this study was to identify key elements from the 2007 Canada’s Food Guide that should be included in a diet quality score aiming to reflect the risk of metabolic syndrome (MetS). Dietary intakes of 998 adults (mean age: 43.2 years, 50% women) were used to obtain the Canadian Healthy Eating Index 2007 (C-HEI 2007) and Alternative Healthy Eating Index 2010 (AHEI) scores, as well as a dietary pattern (DP) generated by the reduced rank regression (RRR) method. Based on these three scores, a modified version of the C-HEI 2007 (Modified C-HEI) was then proposed. The prevalence ratio (PR) of MetS was examined across diet quality scores using multivariate binomial regression analysis. A higher AHEI, Modified C-HEI, and a lower score for DP were all associated with a significantly lower prevalence of MetS (PR = 0.42; 95% confidence interval (CI) 0.28, 0.64; PR = 0.39; 95% CI 0.23, 0.63; and PR = 0.48; 95% CI 0.31, 0.74, respectively), whereas C-HEI 2007 was not (PR = 0.68; 95% CI 0.47, 1.00). Results suggest that a Modified C-HEI that considers key elements from the C-HEI 2007 and the AHEI, as well the DP, shows that participants with a higher score are less likely to have MetS. View Full-Text
Keywords: diet quality score; dietary guidelines; Healthy Eating Index; Alternative Healthy Eating Index; dietary pattern diet quality score; dietary guidelines; Healthy Eating Index; Alternative Healthy Eating Index; dietary pattern
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 (CC BY 4.0).

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Lafrenière, J.; Carbonneau, É.; Laramée, C.; Corneau, L.; Robitaille, J.; Labonté, M.-È.; Lamarche, B.; Lemieux, S. Is the Canadian Healthy Eating Index 2007 an Appropriate Diet Indicator of Metabolic Health? Insights from Dietary Pattern Analysis in the PREDISE Study. Nutrients 2019, 11, 1597.

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