Isfahan 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. Dietary Phytochemical Index in Relation to Risk of Stroke: A Case-Control Study, Nutritional Neuroscience (2022)
2. Dietary Patterns in Relation to Stroke Among Iranians: A Case-Control Study, Journal of the American College of Nutrition (2015)
3. Consumption of Sugar-Sweetened Beverages in Relation to Stroke: A Case-Control Study, International Journal of Food Sciences and Nutrition (2013)
4. Adherence to a Dash-Style Diet in Relation to Stroke: A Case-Control Study, Journal of the American College of Nutrition (2015)
5. Stroke and Nutrition: A Review of Studies, International Journal of Preventive Medicine (2013)
6. Dietary Total Antioxidant Capacity in Relation to Stroke Among Iranian Adults, Nutritional Neuroscience (2020)
7. Dairy Consumption and Risk of Stroke: A Case‑Control Study, International Journal of Preventive Medicine (2016)
8. A Hospital-Based Case-Control Study on Whole-And Refined-Grain Intake and Risk of Stroke, ARYA Atherosclerosis (2023)
Experts (# of related papers)
View all Related Experts
Noushin Mohammadifard (72)
Nizal Sarrafzadegan (68)
Other Related Docs
9. Comparison of Fat Intake Between Patients With Stroke and Normal Population, Journal of Research in Medical Sciences (2013)
10. The Association Between Adherence to the Mind Diet and Stroke: A Case–Control Study, Nutritional Neuroscience (2022)
11. Healthy Eating Index and Cardiovascular Risk Factors Among Iranians, Journal of the American College of Nutrition (2013)
12. A Case-Control Study on Potato Consumption and Risk of Stroke in Central Iran, Archives of Iranian Medicine (2013)
13. Dietary Patterns and Mortality From Cardiovascular Disease: Isfahan Cohort Study, European Journal of Clinical Nutrition (2017)
14. 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)
15. A Case-Control Study on Red Meat Consumption and Risk of Stroke Among a Group of Iranian Adults, Public Health Nutrition (2015)
16. Major Dietary Patterns and Their Associations With Diet Quality Indices in Iranian Adults, Progress in Nutrition (2018)
17. Relationship Between Major Dietary Patterns and Metabolic Syndrome Among Individuals With Impaired Glucose Tolerance, Nutrition (2010)
18. Tea and Coffee Consumption in Relation to Glioma: A Case-Control Study, European Journal of Nutrition (2019)
19. Relationship Between Healthy Eating Index and Sarcopenia in Elderly People, BMC Geriatrics (2023)
20. A Case-Control Study on Dietary Quality Indices and Glioma, British Journal of Nutrition (2019)
21. Associations of Fats and Carbohydrate Intake With Cardiovascular Disease and Mortality in 18 Countries From Five Continents (Pure): A Prospective Cohort Study, The Lancet (2017)
22. Diet, Cardiovascular Disease, and Mortality in 80 Countries, European Heart Journal (2023)
23. A Cross-Sectional Study on Food Patterns and Adiposity Among Individuals With Abnormal Glucose Homeostasis, Archives of Iranian Medicine (2012)
24. Adherence to Dietary Approaches to Stop Hypertension Eating Plan in Relation to Gastric Cancer, Nutrition Journal (2020)
25. Intakes of Vegetables and Fruits Are Negatively Correlated With Risk of Stroke in Iran, International Journal of Preventive Medicine (2013)
26. The Relationship Between Healthy Eating Index and Lipid Profile in Healthy Individuals: A Systematic Review, International Journal of Preventive Medicine (2024)
27. Ultra-Processed Food Consumption and Cardiovascular Events Rate: An Analysis From Isfahan Cohort Study (Ics), Nutrition, Metabolism and Cardiovascular Diseases (2024)
28. How Is Healthy Eating Index-2015 Related to Risk Factors for Cardiovascular Disease in Patients With Type 2 Diabetes, Frontiers in Nutrition (2023)
29. Red and Processed Meat Consumption and Risk of Incident Cardiovascular Disease and Mortality: Isfahan Cohort Study, International Journal of Food Sciences and Nutrition (2022)
30. Fruit, Vegetable, and Legume Intake, and Cardiovascular Disease and Deaths in 18 Countries (Pure): A Prospective Cohort Study, The Lancet (2017)
31. 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)
32. Association Between Dietary Total Antioxidant Capacity and Diet Quality in Adults, Frontiers in Nutrition (2022)
33. The Effect of Alpha-Lipoic Acid Supplementation on Anthropometric Indices and Food Intake in Patients Who Experienced Stroke: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial, Journal of Research in Medical Sciences (2017)
34. Longitudinal Association of Dietary Fat Intake With Cardiovascular Events in a Prospective Cohort Study in Eastern Mediterranean Region, International Journal of Food Sciences and Nutrition (2021)
35. The Link Between the Risk of Cardiovascular Diseases and the Intake of Different Types of Dietary Carbohydrates in Iranian Adults, Cardiovascular Endocrinology and Metabolism (2024)
36. Dietary Patterns in Relation to Lipid Profiles Among Iranian Adults, Journal of Cardiovascular and Thoracic Research (2019)
37. Protein Consumptions in Stroke Patients, Journal of Research in Medical Sciences (2013)
38. Dietary Quality Indices and Biochemical Parameters Among Patients With Non Alcoholic Fatty Liver Disease (Nafld), Hepatitis Monthly (2013)
39. A Case-Control Study on Egg Consumption and Risk of Stroke Among Iranian Population, Journal of health, population, and nutrition (2017)
40. Adherence to the Healthy Eating Index and Alternative Healthy Eating Index Dietary Patterns and Mortality From All Causes, Cardiovascular Disease and Cancer: A Meta-Analysis of Observational Studies, Journal of Human Nutrition and Dietetics (2017)
41. Dietary Phytochemical Index and Its Relationship With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study, Scientific Reports (2024)
42. Identification of Diet-Disease Relations Through Dietary Pattern Approach: A Review, Journal of Research in Medical Sciences (2008)
43. Consumption of Energy-Dense Diets in Relation to Cardiometabolic Abnormalities Among Iranian Women, Public Health Nutrition (2012)
44. Direct Association Between High Fat Dietary Pattern and Risk of Being in the Higher Stages of Chronic Kidney Disease, International Journal for Vitamin and Nutrition Research (2019)
45. Major Dietary Patterns Among Female Adolescent Girls of Talaat Intelligent Guidance School, Tabriz, Iran, Iranian Red Crescent Medical Journal (2012)
46. Diet and Its Relationship to Sarcopenia in Community Dwelling Iranian Elderly: A Cross Sectional Study, Nutrition (2015)
47. Adherence to a Healthy Diet and Odds of Metabolic Syndrome: A Cross-Sectional Study, Clinical Nutrition ESPEN (2023)
48. Adherence to Lifelines Diet Score and Risk Factors of Metabolic Syndrome Among Overweight and Obese Adults: A Cross-Sectional Study, Frontiers in Nutrition (2022)
49. Dietary Patterns and Risk of Breast Cancer Among Pre and Post-Menopausal Women: A Case-Control Study in Iran, Journal of Nutrition and Food Security (2022)
50. Adherence to the Dash Diet in Relation to Psychological Profile of Iranian Adults, European Journal of Nutrition (2017)