Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Adherence to Alternative Healthy Eating Index (Ahei-2010) Is Not Associated With Risk of Stroke in Iranian Adults: A Case-Control Study Publisher Pubmed



Mousavi SM1, 2 ; Milajerdi A1 ; Pouraram H1 ; Saadatnia M3 ; Shakeri F4 ; Keshteli AH5 ; Tan SC6 ; Esmaillzadeh A1, 7, 8
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran
  3. 3. Isfahan Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Medical Students' Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Medicine, University of Alberta, Edmonton, AB, Canada
  6. 6. UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  7. 7. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran

Source: International Journal for Vitamin and Nutrition Research Published:2021


Abstract

Background: Stroke is a major global health problem that contributes to a significant burden of morbidity and mortality. The association of several foods and nutrients with stroke has been well-established. However, the effect of the whole diet on stroke is poorly understood. In this work, we aimed to examine the association between the quality of whole diet, as measured using Alternate Healthy Eating Index-2010 (AHEI-2010), and risk of stroke in Iranian adults. Methods: In this hospital-based case-control study, 193 stroke patients (diagnosed based on clinical and brain CT findings) and 193 controls with no history of cerebrovascular diseases or neurologic disorders were included. The participants' dietary intakes were examined using a validated 168-item semi-quantitative food frequency questionnaire. AHEI-2010 was constructed based on earlier studies. Participants were classified according to tertiles of AHEI-2010 scores and multivariate logistic regression was used to evaluate the association between whole diet quality and risk of stroke. Results: Individuals with greater adherence to AHEI-2010 had a higher intake of fruits, vegetables, nuts and legumes, whole grains and carbohydrate, and a lower intake of trans-fatty acids, sugar-sweetened beverages, total energy and fat (P < 0.05). After adjusting for potential confounders, adherence to AHEI-2010 was not significantly associated with a reduced risk of stroke (OR: 0.92; 95% CI: 0.56-1.51). Conclusion: We found that adherence to AHEI-2010 was not associated with risk of stroke in Iranian adults. Further prospective studies are warranted to validate this finding and clarify the relationship between whole diet and stroke. © 2021 Hogrefe Verlag GmbH & Co. KG. All rights reserved.
Related Docs
View other Related Docs
1. Relationship Between Healthy Eating Index and Sarcopenia in Elderly People, BMC Geriatrics (2023)
2. Adherence to Healthy Eating Index-2010 Is Inversely Associated With Metabolic Syndrome and Its Features Among Iranian Adult Women, European Journal of Clinical Nutrition (2017)
3. Dietary Total Antioxidant Capacity in Relation to Stroke Among Iranian Adults, Nutritional Neuroscience (2020)
4. The Association Between Diet Quality and Obesity-Related Metabolic Risks, Human Antibodies (2020)
5. Diet Quality Indices Are Associated With Sleep and Mental Health Status Among Diabetic Women: A Cross-Sectional Study, Eating and Weight Disorders (2022)
6. Does Alternative Healthy Eating Index Can Predict the Risk of Prostate Cancer?, Nutrition and Food Science (2020)
7. Diet Quality Indices and Cardiovascular Diseases Risk Factors Among Diabetic Women, Journal of the Science of Food and Agriculture (2019)
8. Tea and Coffee Consumption in Relation to Glioma: A Case-Control Study, European Journal of Nutrition (2019)
Experts (# of related papers)
View all Related Experts
Leila Azadbakht (17)
Ahmad Esmaillzadeh (15)
Other Related Docs
9. Interaction Between Cetp Taq1b Polymorphism and Hei, Dqi and Dpi on Metabolic Biomarkers in Patients With Type 2 Diabetes, Journal of Human Nutrition and Dietetics (2022)
10. Major Dietary Patterns and Their Associations With Diet Quality Indices in Iranian Adults, Progress in Nutrition (2018)
11. The Interaction Between Cry1 Polymorphism and Alternative Healthy Eating Index (Ahei) on Cardiovascular Risk Factors in Overweight Women and Women With Obesity: A Cross-Sectional Study, BMC Endocrine Disorders (2023)
12. Adherence to Dietary Approaches to Stop Hypertension Eating Plan in Relation to Gastric Cancer, Nutrition Journal (2020)
13. Dietary Patterns and Mortality From Cardiovascular Disease: Isfahan Cohort Study, European Journal of Clinical Nutrition (2017)
14. Association of the Alternative Healthy Eating Index (Ahei-2010) With Depression, Stress and Anxiety Among Iranian Military Personnel, Journal of the Royal Army Medical Corps (2018)
15. The Higher Adherence to Healthy Lifestyle Factors Is Associated With a Decreased Risk of Metabolic Syndrome in Iranian Adults, Nutrition Bulletin (2022)
16. Association of Healthy Eating Index and Self-Rated Health in Adults Living in Tehran: A Cross-Sectional Study, BMC Public Health (2024)
17. The Association of Dietary Quality Indices and Cancer Mortality: A Systematic Review and Meta-Analysis of Cohort Studies, Nutrition and Cancer (2018)
18. Associations Between Dietary Risk Factors and Ischemic Stroke: A Comparison of Regression Methods Using Data From the Multi-Ethnic Study of Atherosclerosis, Epidemiology and Health (2018)
19. Association of Major Dietary Patterns With Resting Metabolic Rate and Body Fatness in Middle-Aged Men and Women: Results From a Cross-Sectional Study, Nutrition and Health (2023)
20. A Lipid-Related Metabolomic Pattern of Diet Quality, American Journal of Clinical Nutrition (2020)
21. Association Between Adherence to Mind Diet and General and Abdominal Obesity: A Cross-Sectional Study, Nutrition Journal (2020)
22. Global, Regional, and National Burden of Stroke, 1990–2016: A Systematic Analysis for the Global Burden of Disease Study 2016, The Lancet Neurology (2019)
23. Association of Food Security, Body Mass Index, Micronutrient Adequacy and Adherence to Alternative Healthy Eating Index 2010 Among Iranian Households, Nutrition and Food Science (2020)
24. Association of Fruits, Vegetables, and Fiber Intake With Covid-19 Severity and Symptoms in Hospitalized Patients: A Cross-Sectional Study, Frontiers in Nutrition (2022)
25. Alternative Healthy Eating Index May Be Associated With Liver Enzymes Level Among Healthy Adults, Progress in Nutrition (2019)
26. Macronutrients Intake and Stomach Cancer Risk in Iran: A Hospital-Based Case-Control Study, Journal of Research in Health Sciences (2021)
27. Dietary Patterns in Relation to Lipid Profiles Among Iranian Adults, Journal of Cardiovascular and Thoracic Research (2019)
28. Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990-2013: The Gbd 2013 Study, Neuroepidemiology (2015)
29. Adherence to the Dash Diet in Relation to Psychological Profile of Iranian Adults, European Journal of Nutrition (2017)
30. Correlation Between Diet Quality and Metabolic Syndrome, Journal of Nutrition and Food Security (2017)
31. The Association Between Nutrient Patterns and Metabolic Syndrome Among Iranian Adults: Cross-Sectional Analysis of Shahedieh Cohort Study, Public Health Nutrition (2021)
32. The Association of Healthy Eating Index and Its Components With Levels of Fasting Blood Sugar and Lipid Profile in Normoglycemic and Hyperglycemic Individuals, Nutrition and Food Science (2024)
33. The Interaction Between Alternative Healthy Eating Index and Mc4r Rs17782313 Gene Variants on Central and General Obesity Indices in Women: A Cross-Sectional Study, Journal of Human Nutrition and Dietetics (2022)
34. The Association Between Dietary Glycemic Index and Load and Risk of Gestational Diabetes Mellitus: A Prospective Study, Diabetes Research and Clinical Practice (2020)
35. Association Between Dietary Inflammatory Index and the Risk of Prostate Cancer: A Meta-Analysis, Nutrition and Cancer (2019)
36. Meal-Specific Dietary Patterns and Their Contribution to Habitual Dietary Patterns in the Iranian Population, British Journal of Nutrition (2023)
37. How Is Healthy Eating Index-2015 Related to Risk Factors for Cardiovascular Disease in Patients With Type 2 Diabetes, Frontiers in Nutrition (2023)
38. Evaluation of Dietary Quality of Stunting Children With Stimulant Overweight Using Healthy Eating Index, International Journal of Pharmacy and Technology (2016)
39. Dietary Inflammatory Index and Site-Specific Cancer Risk: A Systematic Review and Dose-Response Meta-Analysis, Advances in Nutrition (2018)
40. Association Between Dietary Total Antioxidant Capacity and Diet Quality in Adults, Frontiers in Nutrition (2022)
41. Association Between Ultraprocessed Food Intake and Overweight, Obesity, and Malnutrition Among Children in Tehran, Iran, International Journal of Clinical Practice (2022)
42. Dietary Patterns Interact With Chromosome 9P21 Rs1333048 Polymorphism on the Risk of Obesity and Cardiovascular Risk Factors in Apparently Healthy Tehrani Adults, European Journal of Nutrition (2020)
43. A Case-Control Study on Dietary Quality Indices and Glioma, British Journal of Nutrition (2019)
44. Diet and Its Relationship to Sarcopenia in Community Dwelling Iranian Elderly: A Cross Sectional Study, Nutrition (2015)
45. National and Sub-National Patterns of Mortality From Stroke in the Iranian Population (1990–2015): Complementary Results From the Nasbod Study, International Journal of Stroke (2020)
46. The Application of Six Dietary Scores to a Middle Eastern Population: A Comparative Analysis of Mortality in a Prospective Study, European Journal of Epidemiology (2019)
47. The Association Between Dietary Pattern and Weight Status in School-Aged Children: A Cross-Sectional Study, Journal of Comprehensive Pediatrics (2017)
48. Alternative Healthy Eating Index and Risk of Hip Fracture: A Systematic Review and Dose–Response Meta-Analysis, Journal of Human Nutrition and Dietetics (2019)
49. Relations of Major Dietary Patterns and Metabolically Unhealthy Overweight/Obesity Phenotypes Among Iranian Women, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2019)
50. Evaluation of the Predictive Value of Different Dietary Antioxidant Capacity Assessment Methods on Healthy and Unhealthy Phenotype in Overweight and Obese Women, Journal of Diabetes and Metabolic Disorders (2022)