Table 4.
Associations of various diet scores with specific health outcome compared to the PURE healthy diet score based in PURE study participants (n = 147 642). The HR is per 20 percentile increment in the diet scorea
| PURE score | Mediterranean score | HEI 2010 score | HEI 2015 score | DASH score | Planetary health score | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| AUC (95% CI); HR (95% CI) per 20 percentile increment of diet score | AUC (95% CI); HR (95% CI) per 20 percentile increment of diet score | ROC contrast estimation of this score vs. PURE diet score | AUC (95% CI); HR (95% CI) per 20 percentile increment of diet score | ROC contrast estimation of this score vs. PURE diet score | AUC (95% CI); HR (95% CI) per 20 percentile increment of diet score | ROC contrast estimation of this score vs. PURE diet score | AUC (95% CI); HR (95% CI) per 20 percentile increment of diet score | ROC contrast estimation of this score vs. PURE diet score | AUC (95% CI); HR (95% CI) per 20 percentile increment of diet score | ROC contrast estimation of this score vs. PURE diet score | |
| Total mortality | AUC = 0.61 (0.60–0.62); HR 0.91 (0.89–0.93) | AUC = 0.55 (0.54–0.56); HR 0.96 (0.94–0.98) | P < 0.001 | AUC = 0.55 (0.54–0.56); HR 0.93 (0.91–0.95) | P < 0.001 | AUC = 0.54 (0.53–0.55); HR 0.94 (0.92–0.96) | P < 0.001 | AUC = 0.53 (0.52–0.54); HR 0.96 (0.94–0.98) | P < 0.001 | AUC = 0.52 (0.51–0.53); HR 1.00 (0.98–1.03) | P < 0.001 |
| Major CVD | AUC = 0.54 (0.53–0.55); HR 0.94 (0.92–0.97) | AUC = 0.51 (0.50–0.52); HR 0.99 (0.97–1.01) | P < 0.001 | AUC = 0.52 (0.51–0.53); HR 0.95 (0.92–0.97) | P = 0.002 | AUC = 0.54 (0.53–0.55); HR 0.95 (0.93–0.97) | P = 0.185 | AUC = 0.52 (0.51–0.53); HR 0.99 (0.97–1.01) | P < 0.001 | AUC = 0.52 (0.51–0.53); HR 1.01 (0.99–1.03) | P = 0.002 |
| Composite of death or CVD | AUC = 0.58 (0.57–0.58); HR 0.93 (0.92–0.95) | AUC = 0.53 (0.52–0.54); HR 0.97 (0.96–0.99) | P < 0.001 | AUC = 0.54 (0.53–0.55); HR 0.94 (0.93–0.96) | P < 0.001 | AUC = 0.54 (0.53–0.55); HR 0.95 (0.93–0.96) | P < 0.001 | AUC = 0.53 (0.52–0.53); HR 0.97 (0.96–0.99) | P < 0.001 | AUC = 0.52 (0.51–0.53); HR 1.00 (0.98–1.02) | P < 0.001 |
Multivariable models are adjusted for age, sex, study centre (random effect), waist-to-hip ratio, education level (primary or less; secondary; trade, college, or university), wealth index, urban or rural location, physical activity (low, < 600; moderate, 600–3000; high, > 3000 metabolic equivalent of task per minute per week), smoking status (never, former, or current), history of diabetes, use of statin or anti-hypertension medications, and total energy intake.
AUC, area under ROC curve; ROC, receiver operating characteristic; HEI, Health eating Index; HR, hazard ratio; DASH, Dietary Approaches to Stop Hypertension.