@article{72bfe90764bb4fb9ab5f5d62964c966a,
title = "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",
abstract = "Background: This meta-analysis investigated the association of diet quality indices, as assessed by HEI and AHEI, and the risk of all-cause, cardiovascular and cancer mortality. Methods: We used PubMed, ISI Web of Science and Google Scholar to search for eligible articles published before July 2015. A total of 12 cohort studies (38 reports) and one cross-sectional study (three reports) met the inclusion criteria and were included in our meta-analysis. Results: The highest level of adherence to the Healthy Eating Index (HEI) and Alternative Healthy Eating Index (AHEI) was significantly associated with a reduced risk of all-cause mortality [relative risk (RR) = 0.77, 95% confidence intterval (CI) = 0.76–0.78], cardiovascular mortality (RR = 0.77, 95% CI = 0.74–0.80) and cancer mortality (RR = 0.83, 95% CI = 0.81–0.86). Egger regression tests provided no evidence of publication bias. Conclusions: The present study indicates that high adherence to HEI and AHEI dietary patterns, indicating high diet quality, are associated with reduced risk of all-cause mortality (as well as cardiovascular mortality and cancer mortality).",
keywords = "Alternative Healthy Eating Index, Healthy Eating Index, cancer, cardiovascular, mortality",
author = "S. Onvani and F. Haghighatdoost and Surkan, {P. J.} and B. Larijani and L. Azadbakht",
note = "Funding Information: Conflict of interests, source of funding and authorship The authors declare that there are no conflicts of interest. This research was funded by the Isfahan University of Medical Sciences (IUMS), Isfahan, Iran. SHO and FH were involved in study conception, searches, study selection, data extract, statistical analysis and data interpretation. LA was involved in study conception and design. BL commented on the study and also on the paper. PS edited the English and scientific writing in the manuscript submitted for publication and also commented on the paper. All authors contributed to the drafting of the manuscript and approved the final version for submission. The authors declare that there are no conflicts of interest. This research was funded by the Isfahan University of Medical Sciences (IUMS), Isfahan, Iran. SHO and FH were involved in study conception, searches, study selection, data extract, statistical analysis and data interpretation. LA was involved in study conception and design. BL commented on the study and also on the paper. PS edited the English and scientific writing in the manuscript submitted for publication and also commented on the paper. All authors contributed to the drafting of the manuscript and approved the final version for submission. Publisher Copyright: {\textcopyright} 2016 The British Dietetic Association Ltd.",
year = "2017",
month = apr,
day = "1",
doi = "10.1111/jhn.12415",
language = "English (US)",
volume = "30",
pages = "216--226",
journal = "Journal of Human Nutrition and Dietetics",
issn = "0952-3871",
publisher = "Wiley-Blackwell",
number = "2",
}