Healthy Eating Index and Alternate Healthy Eating Index among Haitian Americans and African Americans with and without Type 2 Diabetes

[摘要] Ethnicities within Black populations have not been distinguished in most nutrition studies. We sought to examine dietary differences between African Americans (AA) and Haitian Americans (HA) with and without type 2 diabetes using the Healthy Eating Index, 2005 (HEI-05), and the Alternate Healthy Eating Index (AHEI). The design was cross-sectionalN=471(225 AA, 246 HA) and recruitment was by community outreach. The eating indices were calculated from data collected with the Harvard food-frequency questionnaire. African Americans had lower HEI-05 scoresβ=−10.9(−8.67, 13.1);SE=1.12,P<.001than HA. Haitian American females and AA males had higher AHEI than AA females and HA males, respectively, (P=.006) adjusting for age and education. Participants with diabetes had higher adherence to the HEI-05β=3.90(1.78, 6.01),SE=1.08,P<.001and lower adherence to the AHEIβ=−9.73(16.3, −3.19),SE=3.33,P=.004, than participants without diabetes. The findings underscore the importance of disaggregating ethnicities and disease state when assessing diet.

[学科分类] 内分泌与代谢学