Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Mar-Apr;37(3):201-208.
doi: 10.1080/07315724.2017.1376297. Epub 2018 Jan 9.

Comparison of the HEI and HEI-2010 Diet Quality Measures in Association with Chronic Disease Risk among Low-Income, African American Urban Youth in Baltimore, Maryland

Margaret M Wrobleski  1 , Elizabeth A Parker  2 , Kristen M Hurley  3 , Sarah Oberlander  4 , Brian C Merry  1 , Maureen M Black  5
Affiliations

Comparison of the HEI and HEI-2010 Diet Quality Measures in Association with Chronic Disease Risk among Low-Income, African American Urban Youth in Baltimore, Maryland

Margaret M Wrobleski et al. J Am Coll Nutr. 2018 Mar-Apr.

Abstract

Objective: Overall diet patterns may be a better predictor of disease risk than specific nutrients or individual foods. The purpose of this study is to examine how overall diet patterns relate to nutritional intake, body composition, and physiological measures of chronic disease risk among low-income, urban African American adolescents.

Methods: Cross-sectional data were collected from two samples of African American adolescents (n = 317) from a low-income urban community, including dietary intake using the food frequency Youth/Adolescent Questionnaire and anthropometric measures. Serum cholesterol, serum lipoproteins, and glucose tolerance were measured in a subsample. Means testing compared differences in Healthy Eating Index (HEI) and Healthy Eating Index-2010 (HEI-2010) component and total scores. Pearson correlations examined how HEI and HEI-2010 scores related to nutrient, food intakes, and markers of disease risk, including body mass index, percent body fat, abdominal fat, serum cholesterol, serum lipoproteins, and impaired glucose tolerance. Fisher R-Z transformations compared magnitude differences between HEI and HEI-2010 correlations to nutritional intake and chronic disease risk.

Results: Both HEI and HEI-2010 scores were positively associated with micronutrient intakes. Higher HEI scores were inversely related to serum cholesterol, low-density lipoprotein, impaired glucose tolerance, percent body fat, and percent abdominal fat. HEI-2010 scores were not related to biomarkers of chronic disease risk.

Conclusions: Compared to the HEI-2010, the HEI is a better indicator of chronic disease risk among low-income, urban African American adolescents.

Keywords: Adolescent; HEI-2010; african American; diet quality; minority groups; vulnerable populations.

PubMed Disclaimer

References

    1. Story M, Neumark-Sztainer D, French SA: Individual and environmental influences on adolescent eating behaviors. J Am Diet Assoc 102(3 Suppl):S40–51, 2002. - PubMed
    1. Hiza HAB, Guenther PM, Rihane CI: Diet quality of children age 2–17 years as measured by the Healthy Eating Index-2010. Washington (DC): United States Department of Agriculture; 2013. http://www.cnpp.usda.gov/Publications/NutritionInsights/Insight52.pdf. Accessed June 20, 2016.
    1. Banfield EC, Liu Y, Davis JS, Chang S, Frazier-Wood AC: Poor adherence to US Dietary Guidelines for children and adolescents in the NHANES population. J Acad Nutr Diet 116(1):21–27, 2016. - PMC - PubMed
    1. Short KR, Blackett PR, Gardner AW, Copeland KC: Vascular health in children and adolescents: effects of obesity and diabetes. Vasc Health Risk Manag 5:973–990, 2009. - PMC - PubMed
    1. United States Department of Agriculture and United States Department of Health and Human Services. 2015–2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Washington (DC): US Government Printing Office; 2015. Available at https://health.gov/dietaryguidelines/2015/guidelines. Accessed May 20, 2017.

Publication types

LinkOut - more resources