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Lower Healthy Eating Index-2005 dietary quality scores in older women with rheumatoid arthritis v. healthy controls
Journal article   Open access   Peer reviewed

Lower Healthy Eating Index-2005 dietary quality scores in older women with rheumatoid arthritis v. healthy controls

Megan E. Grimstvedt, Kathleen Woolf, Brandy-Joe Milliron and Melinda M. Manore
Public health nutrition, v 13(8), pp 1170-1177
01 Aug 2010
PMID: 20188003
url
https://doi.org/10.1017/s136898001000008xView
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open
url
https://doi.org/10.1017/S136898001000008XView
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Nutrition & Dietetics Public, Environmental & Occupational Health Science & Technology
Objective: To assess the dietary quality of older women with and without rheumatoid arthritis (RA) using the Healthy Eating Index-2005 (HET-2005) to identify potential strategies to improve the nutritional status. Design: Cross-sectional. Diet was assessed using 7 d food records and analysed for nutrient composition (Food Processor v. 7.11). Diet quality was determined using the HEI-2005, a measure of compliance with 2005 US Dietary Guidelines. Individuals with RA completed a self-reported evaluation of arthritis (pain scale and disability index). Independent two-tailed t tests or Mann Whitney tests compared the differences between groups and correlations were computed between HEI-2005 and measures of disease reactivity. Setting: Arizona, USA. Subjects: Older 55 years) women (n 108) with RA (17 52) and healthy controls (HC; n 56). Results: There were no differences between groups in age, weight, or BMI (kg/m(2)). HC participants had higher mean HEI-2005 scores for whole fruit (cups; P=0.02), total fruit (cups; P=0.05), whole grains (oz; P=0.004), oil (g; P=0.05) and total HEI score (P=0.04) than the RA group. In the RA group, these same HET components were inversely correlated with disability index (r= - 0.20, P = 0.04). Participants with RA reported lower mean intakes of carbohydrate (g; P = 0.02), fibre (g; P = 0.01) and vitamin C (mg; P=0.04). Conclusions: This is the first study examining the dietary quality in older women with and without RA using the HEI-2005. Living with RA was associated with significantly lower dimly quality. Since even small changes in dietary quality can translate into better nutritional status, future interventions should focus on increasing dietary quality in this high-risk group.

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Collaboration types
Domestic collaboration
Web of Science research areas
Nutrition & Dietetics
Public, Environmental & Occupational Health
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