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

  • Megan E Grimstvedt (a1), Kathleen Woolf (a2), Brandy-Joe Milliron (a2) and Melinda M Manore (a3)

Abstract

Objective

To assess the dietary quality of older women with and without rheumatoid arthritis (RA) using the Healthy Eating Index-2005 (HEI-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 (n 52) and healthy controls (HC; n 56).

Results

There were no differences between groups in age, weight, or BMI (kg/m2). 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 HEI 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 dietary 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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Copyright

Corresponding author

*Corresponding author: Email Mgrimstv@asu.edu

References

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1.Centers for Disease Control and Prevention (2008) Notice to Readers: Arthritis Awareness Month – May 2008. MMWR Morb Mortal Wkly Rep 57, 498499; available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5718a6.htm
2.Woolf, K & Manore, MM (1999) Nutrition, exercise, and rheumatoid arthritis. Top Clin Nutr 14, 3042.
3.Symmons, DPM (2002) Epidemiology of rheumatoid arthritis: determinants of onset, persistence, and outcome. Best Pract Res Clin Rheumatol 16, 707722.
4.Arnett, FC, Edworthy, SM, Bloch, DA et al. (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31, 315324.
5.American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines (2002) Guidelines for the management of rheumatoid arthritis. Arthritis Rheum 46, 328346.
6.Strenström, CH & Minor, MA (2003) Evidence for the benefit of aerobic and strengthening exercise in rheumatoid arthritis. Arthritis Rheum 49, 428434.
7.Abdel-Nasser, AM, Rasker, JJ & Valkenburg, HA (1997) Epidemiological and clinical aspects of relating to the variability of rheumatoid arthritis. Sem Arthritis Rheum 27, 123140.
8.Mangge, H, Hermann, J & Schauenstein, K (1999) Diet and rheumatoid arthritis – a review. Scand J Rheumatol 28, 201209.
9.Kremer, JM & Bigaouette, J (1996) Nutrient intake of patients with rheumatoid arthritis is deficient in pyridoxine, zinc, copper, and magnesium. J Rheumatol 23, 990994.
10.Morgan, SL, Anderson, AM, Hood, SM et al. (1997) Nutrient intake patterns, body mass index, and vitamin levels in patients with rheumatoid arthritis. Arthritis Care Res 10, 917.
11.Woolf, K & Manore, MM (2008) Elevated plasma homocysteine and low vitamin B-6 status in non-supplementing older women with rheumatoid arthritis. J Am Diet Assoc 108, 443453.
12.Bigaouette, J, Timchalk, MA & Kremer, J (1987) Nutritional adequacy of diet and supplements in patients with rheumatoid arthritis who take medications. J Am Diet Assoc 87, 16871688.
13.Dyer, NH, Kendall, MJ & Hawkins, CF (1971) Malabsorption in rheumatoid disease. Ann Rheum Dis 30, 626630.
14.Touger-Decker, R (1988) Nutritional considerations in rheumatoid arthritis. J Am Diet Assoc 88, 327331.
15.Helliwell, M, Coombes, EJ, Moody, BJ et al. (1984) Nutritional status in patients with rheumatoid arthritis. Ann Rheum Dis 43, 386390.
16.Mody, GM, Brown, GM, Meyers, OL et al. (1989) Nutritional assessment in rheumatoid arthritis. S Afr Med J 76, 255257.
17.Elkan, A-C, Engvall, I-L, Tengstrand, B et al. (2008) Malnutrition in women with rheumatoid arthritis is not revealed by clinical anthropometrical measurements or nutritional evaluation tools. Eur J Clin Nutr 62, 12391247.
18.Kalla, AA, Brown, GMM & Meyers, OL (1992) Nutritional status in rheumatoid arthritis. S Afr Med J 82, 411414.
19.Hann, CS, Rock, CL, King, ID et al. (2001) Validation of the Healthy Eating Index with use of plasma biomarkers in a clinical sample of women. Am J Clin Nutr 74, 479486.
20.Waijers, PMCM, Feskens, EJM & Ocké, MC (2007) A critical review of predefined diet quality scores. Br J Nutr 97, 219231.
21.Haines, PS, Siega-Riz, AM & Popkin, BM (1999) The Diet Quality Index Revised: a measurement instrument for populations. J Am Diet Assoc 99, 697704.
22.Huijbregts, PP, Feskens, EJ, Rasanen, L et al. (1997) Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and the Netherlands: longitudinal cohort study. Br Med J 315, 1317.
23.Kennedy, ET, Ohls, J, Carlson, S et al. (1995) The healthy eating index – design and applications. J Am Diet Assoc 95, 11031108.
24.United States Department of Agriculture (2008) Mypyramid.gov. http://www.mypyramid.gov/ (accessed February 2008).
25.Dixon, LB (2008) Updating the Healthy Eating Index to reflect current dietary guidance. J Am Diet Assoc 108, 18371842.
26.Guenther, PM, WenYen, J, Reedy, J et al. (2007) Diet Quality of Americans in 1994–1996 and 2001–02 as Measured by the Healthy Eating Index 2005. Nutrition Insight no. 37. Alexandria, VA: USDA, Center for Nutrition Policy and Promotion.
27.Guenther, PM, Reedy, J, Krebs-Smith, SM et al. (2007) Development and Evaluation of the Healthy Eating Index-2005: Technical Report. Alexandria, VA: USDA, Center for Nutrition Policy and Promotion; available at http://www.cnpp.usda.gov/HealthyEatingIndex.htm
28.Guo, X, Warden, BA, Paeratakul, S et al. (2004) Healthy eating index and obesity. Eur J Clin Nutr 58, 15801586.
29.Pan, Y & Pratt, CA (2008) Metabolic syndrome and its association with diet and physical activity in US adolescents. J Am Diet Assoc 108, 276286.
30.Ford, ES, Mokdad, AH & Liu, S (2005) Healthy Eating Index and C-reactive protein concentration: findings from the National Health and Nutrition Examination Survey III, 1988–1994. Eur J Clin Nutr 59, 278283.
31.Greenwood, MC, Doyle, DV & Ensor, M (2001) Does the Stanford Health Assessment Questionnaire have potential as a monitoring tool for subjects with rheumatoid arthritis? Ann Rheum Dis 60, 344348.
32.Ramey, DR, Fries, JF & Singh, G (1996) The Health Assessment Questionnaire 1995 – status and review. In Quality of Life and Parmacoeconomics in Clinical Trials, pp. 227237 [B Spilker, editor]. Philadelphia, PA: Lippincott-Raven Publishers.
33.Kennedy, E (2008) Putting the pyramid into action: the healthy eating index and food quality score. Asia Pac J Clin Nutr 17, 7074.
34.Daly, A, Evert, A, Franz, MJ et al. (2008) Choose Your Foods: Exchange Lists for Diabetes. Alexandria, VA: American Diabetes Association.
35.Bucova, M, Bernadic, M & Buckingham, T (2008) C-reactive protein, cytokines, and inflammation in cardiovascular diseases. Bratisl Lel Listry 109, 333340.
36.Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73, 12.
37.Kant, AK, Schatzkin, A, Harris, TB et al. (1993) Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow Up Study. Am J Clin Nutr 57, 434440.
38.Weisburger, JH (2000) Approaches for chronic disease prevention based on current understanding of underlying mechanisms. Am J Clin Nutr 71, Suppl., 1710S1714S.
39.Houston, DK, Stevens, J, Cai, JW et al. (2005) Dairy, fruit, and vegetable intakes and functional limitations and disability in a biracial cohort: the atherosclerosis risk in communities study. Am J Clin Nutr 81, 515522.
40.Lister, CE, Skinner, MA & Hunter, DC (2007) Fruits, vegetables and their phytochemicals for bone and joint health. Curr Top Nutraceutical Res 5, 6782.
41.Esmaillzadeh, A, Kimiagar, M, Mehrabi, Y et al. (2006) Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 84, 14891497.
42.Galarraga, B, Khan, F, Kumar, P et al. (2008) C-reactive protein: the underlying cause of microvascular dysfunction in rheumatoid arthritis. Rheum 47, 17801784.
43.Kjeldsen-Kragh, J, Lund, JA, Riise, T et al. (1992) Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis. J Rheumatol 19, 15311536.
44.Foote, JA, Murphy, SP, Wilkens, LR et al. (2004) Dietary variety increases the probability of nutrient adequacy among adults. J Nutr 134, 17791785.
45.Hornick, BA, Krester, AJ & Nicklas, TA (2008) Menu modeling with MyPyramid food patterns: incremental dietary changes lead to dramatic improvements in diet quality of menus. J Am Diet Assoc 108, 20772083.
46.Parnell, P (n.d.) The State of the USA, Institute of Medicine Identify 20 Key Indicators of Health. http://www.stateoftheusa.org/ourwork/iom_summary.asp (accessed 31 December 2008).
47.Fernandez, E, D’Avanzo, B, Negri, E et al. (1996) Diet diversity and risk of colorectal cancer in northern Italy. Cancer Epidemiol Biomarkers Prev 5, 433436.
48.Basiotis, PP, Welsh, SO, Cronin, FJ et al. (1987) Number of days of food-intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr 117, 16381641.

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