Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014
BackgroundStudies regarding the impact of the Healthy Eating Index-2010 (HEI-2010) on the mortality of adults with hypertension are lacking.ObjectivesThis study aimed to prospectively explore the relationships between HEI-2010 and mortality from heart disease and all causes in adults with hypertensi...
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1077896/full |
| _version_ | 1811160775677444096 |
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| author | Yuhui Zhang Duanbin Li Haizhu Zhang |
| author_facet | Yuhui Zhang Duanbin Li Haizhu Zhang |
| author_sort | Yuhui Zhang |
| collection | DOAJ |
| description | BackgroundStudies regarding the impact of the Healthy Eating Index-2010 (HEI-2010) on the mortality of adults with hypertension are lacking.ObjectivesThis study aimed to prospectively explore the relationships between HEI-2010 and mortality from heart disease and all causes in adults with hypertension based on the National Health and Nutrition Examination Survey (NHANES), 2007–2014.MethodsThis is a prospective cohort study including 6,690 adults with hypertension from NHANES (2007–2014). National Death Index data up to 31 December 2019 were used to determine the number of deaths due to heart disease and all other causes. We evaluated hazard ratios (HRs) and 95% confidence intervals (CIs) using the Cox proportional hazards model.ResultsA total of 1,259 deaths from all causes, including 338 due to heart disease, were documented over an average follow-up duration of 8.4 years. In comparison with the lowest quartile of HEI-2010 scores, multivariable-adjusted HRs (95% CIs) for all-cause mortality were 0.82 (0.70, 0.97), 0.78 (0.64, 0.95), and 0.68 (0.54, 0.85) for the second, third, and fourth quartiles of the HEI-2010 scores (P-trend < 0.001) and for heart disease mortality were 0.60 (0.44, 0.81), 0.59 (0.40, 0.89), and 0.53 (0.35, 0.80) (P-trend = 0.010). Each increment in natural-log-transformed HEI-2010 scores was linked to a 43% reduction in the risk of all-cause mortality (P < 0.001) and a 55% reduction in the risk of heart disease mortality (P = 0.003). Among the 12 components of HEI-2010, adherence to a higher intake of greens and beans, vegetables, total protein foods, seafood and plant proteins, and unsaturated fatty acids, as well as moderate consumption of empty calories, were related to a 21–29% lower risk of all-cause mortality.ConclusionIn the current study, there was a statistically significant inverse relationship between HEI-2010 and mortality from heart disease and all causes among adults with hypertension. Based on the findings, it may help guide the dietary intake for adults with hypertension. |
| first_indexed | 2024-04-10T06:03:14Z |
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| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-10T06:03:14Z |
| publishDate | 2023-03-01 |
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| spelling | doaj.art-d7b828e3a44a4081b22583d6d95a1b142023-03-03T06:22:24ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-03-011010.3389/fnut.2023.10778961077896Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014Yuhui Zhang0Duanbin Li1Haizhu Zhang2Department of Cardiology, Anyang People's Hospital, Xinxiang Medical University, Anyang, ChinaDepartment of Cardiology, Sir Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Cardiology, Anyang People's Hospital, Xinxiang Medical University, Anyang, ChinaBackgroundStudies regarding the impact of the Healthy Eating Index-2010 (HEI-2010) on the mortality of adults with hypertension are lacking.ObjectivesThis study aimed to prospectively explore the relationships between HEI-2010 and mortality from heart disease and all causes in adults with hypertension based on the National Health and Nutrition Examination Survey (NHANES), 2007–2014.MethodsThis is a prospective cohort study including 6,690 adults with hypertension from NHANES (2007–2014). National Death Index data up to 31 December 2019 were used to determine the number of deaths due to heart disease and all other causes. We evaluated hazard ratios (HRs) and 95% confidence intervals (CIs) using the Cox proportional hazards model.ResultsA total of 1,259 deaths from all causes, including 338 due to heart disease, were documented over an average follow-up duration of 8.4 years. In comparison with the lowest quartile of HEI-2010 scores, multivariable-adjusted HRs (95% CIs) for all-cause mortality were 0.82 (0.70, 0.97), 0.78 (0.64, 0.95), and 0.68 (0.54, 0.85) for the second, third, and fourth quartiles of the HEI-2010 scores (P-trend < 0.001) and for heart disease mortality were 0.60 (0.44, 0.81), 0.59 (0.40, 0.89), and 0.53 (0.35, 0.80) (P-trend = 0.010). Each increment in natural-log-transformed HEI-2010 scores was linked to a 43% reduction in the risk of all-cause mortality (P < 0.001) and a 55% reduction in the risk of heart disease mortality (P = 0.003). Among the 12 components of HEI-2010, adherence to a higher intake of greens and beans, vegetables, total protein foods, seafood and plant proteins, and unsaturated fatty acids, as well as moderate consumption of empty calories, were related to a 21–29% lower risk of all-cause mortality.ConclusionIn the current study, there was a statistically significant inverse relationship between HEI-2010 and mortality from heart disease and all causes among adults with hypertension. Based on the findings, it may help guide the dietary intake for adults with hypertension.https://www.frontiersin.org/articles/10.3389/fnut.2023.1077896/fullHealthy Eating Indexadults with hypertensionheart diseasemortalityNHANES |
| spellingShingle | Yuhui Zhang Duanbin Li Haizhu Zhang Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014 Frontiers in Nutrition Healthy Eating Index adults with hypertension heart disease mortality NHANES |
| title | Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014 |
| title_full | Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014 |
| title_fullStr | Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014 |
| title_full_unstemmed | Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014 |
| title_short | Associations of the Healthy Eating Index-2010 with risk of all-cause and heart disease mortality among adults with hypertension: Results from the National Health and Nutrition Examination Survey 2007–2014 |
| title_sort | associations of the healthy eating index 2010 with risk of all cause and heart disease mortality among adults with hypertension results from the national health and nutrition examination survey 2007 2014 |
| topic | Healthy Eating Index adults with hypertension heart disease mortality NHANES |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1077896/full |
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