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The Relationship Between Healthy Eating Index and Lipid Profile in Healthy Individuals: A Systematic Review Publisher



Faraji H1 ; Jamshidi S2 ; Ferrie S3 ; Azar PS4
Authors
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Authors Affiliations
  1. 1. Department of Clinical Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Critical Care Dietitian, Royal Prince Alfred Hospital, Department of Nutrition and Dietetics, School of Life and Environmental Sciences, University of Sydney, Australia
  4. 4. Department of Nutrition, School of Applied Sciences, The University of Mississippi, Oxford, MS, United States

Source: International Journal of Preventive Medicine Published:2024


Abstract

Background: The Healthy Eating Index (HEI) and Alternate Healthy Eating Index (AHEI) are instruments developed by competing American research teams, aiming to assess the level of adherence to a dietary pattern, claimed to prevent chronic illness conditions such as dyslipidemia. This systematic review evaluated cross‑sectional studies examining the association between HEI/ AHEI score and the lipid profile in healthy participants. Methods: The systematic review was Preferred Reporting Items for Systematic Reviews and Meta‑Analyses (PRISMA) compliant, and a search process was conducted through Scopus, Web of Knowledge, Google Scholar, Cochrane, PubMed, and ScienceDirect up to November 2022. Studies assessing the relationship between HEI/AHEI and lipid profile (low‑density lipoprotein cholesterol (LDL‑C), total cholesterol (TC), high‑density lipoprotein cholesterol (HDL‑C), and triglyceride (TG)) were eligible for inclusion. The statistical differences in outcomes, anthropometric indices, and demographic data were extracted from the selected studies. Also, the quality assessment of studies was performed using the Newcastle–Ottawa scale. Results: The systematic search presented 17 cross‑sectional studies. Most of the studies revealed a significant correlation between HEI score and lipid profile (LDL‑C, HDL‑C, TG, and TC) (P < 0.05), while a few of them indicated a significant relationship between AHEI score and these factors. Overall, the elevation of HEI/AHEI score was associated with the improvement in lipid profile (P < 0.05), though this association was more obvious for HEI compared with AHEI. Conclusions: Overall, the results of the study indicated that an improved lipid profile in healthy individuals is associated with a higher score in either HEI or AHEI. Further research in the future is required to confirm the claim. © 2024 International Journal of Preventive Medicine.
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