PMID- 33460430
OWN - NLM
STAT- MEDLINE
DCOM- 20210818
LR  - 20240318
IS  - 2156-5376 (Electronic)
IS  - 2161-8313 (Print)
IS  - 2161-8313 (Linking)
VI  - 12
IP  - 4
DP  - 2021 Jul 30
TI  - Use of the Healthy Eating Index in Intervention Studies for Cardiometabolic Risk 
      Conditions: A Systematic Review.
PG  - 1317-1331
LID - 10.1093/advances/nmaa167 [doi]
AB  - Researchers and counselors need diet-assessment tools that characterize diet at 
      baseline and over time in diet counseling and coaching interventions. Among 
      possible tools, the Healthy Eating Index (HEI) is of interest in cardiometabolic 
      treatment as it has undergone significant validation and development. The 
      objective of this study was to systematically review relevant intervention 
      studies using the HEI and its adaptations to examine whether diet interventions 
      improve diet quality as measured by the HEI and the magnitude of change in 
      included diet-quality scores following dietary intervention. Two databases 
      [Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PubMed] 
      were searched for articles published from January 1995 to December 2019. The 
      review included intervention studies in adults presenting with overweight/obesity 
      and obesity-related chronic disease (metabolic syndrome, diabetes, prediabetes, 
      hypertension, dyslipidemia) who received education or counseling, and the HEI was 
      evaluated from baseline to follow-up (US or Canadian version) or Alternate HEI. 
      Study quality was assessed using Cochrane risk of bias for randomized controlled 
      trials (RCTs) or Cochrane Risk of Bias for Nonrandomized interventions 
      (ROBINS-I). A total of 25 studies were included: 15 RCTs, 3 quasi-experimental 
      studies, and 7 pre-post studies. Eight different versions of the HEI were used. 
      Results demonstrated that diet quality assessed by HEI and its adaptations 
      improved to a clinically relevant degree, especially in studies where multiple 
      food behaviors/food-behavior goals were the focus and where an intensive, 
      long-term intervention was compared with a no-treatment control group. There was 
      wide variation in magnitude of change in included diet-quality indicators. Use of 
      the HEI and its adaptations and other diet-quality tools is promising for better 
      characterization of diet-counseling interventions and results when multiple food 
      behaviors are a focus. Additional development is encouraged.
CI  - (c) The Author(s) 2021. Published by Oxford University Press on behalf of the 
      American Society for Nutrition.
FAU - Brauer, Paula
AU  - Brauer P
AUID- ORCID: 0000-0001-9822-1992
AD  - Department of Family Relations and Applied Nutrition, University of Guelph, 
      Guelph, Ontario, Canada.
FAU - Royall, Dawna
AU  - Royall D
AD  - Department of Family Relations and Applied Nutrition, University of Guelph, 
      Guelph, Ontario, Canada.
FAU - Rodrigues, Ariellia
AU  - Rodrigues A
AD  - Department of Family Relations and Applied Nutrition, University of Guelph, 
      Guelph, Ontario, Canada.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
PL  - United States
TA  - Adv Nutr
JT  - Advances in nutrition (Bethesda, Md.)
JID - 101540874
SB  - IM
MH  - Adult
MH  - Humans
MH  - Canada
MH  - *Cardiovascular Diseases/etiology/prevention & control
MH  - Diet
MH  - *Diet, Healthy
MH  - *Overweight/complications/diet therapy
PMC - PMC8321868
OTO - NOTNLM
OT  - HEI
OT  - cardiometabolic
OT  - diet quality
OT  - intervention
OT  - obesity
EDAT- 2021/01/19 06:00
MHDA- 2021/08/19 06:00
PMCR- 2022/01/18
CRDT- 2021/01/18 17:05
PHST- 2020/06/29 00:00 [received]
PHST- 2020/08/17 00:00 [revised]
PHST- 2020/12/01 00:00 [accepted]
PHST- 2021/01/19 06:00 [pubmed]
PHST- 2021/08/19 06:00 [medline]
PHST- 2021/01/18 17:05 [entrez]
PHST- 2022/01/18 00:00 [pmc-release]
AID - S2161-8313(22)00141-7 [pii]
AID - nmaa167 [pii]
AID - 10.1093/advances/nmaa167 [doi]
PST - ppublish
SO  - Adv Nutr. 2021 Jul 30;12(4):1317-1331. doi: 10.1093/advances/nmaa167.