TABLE 5.
Multivariate HRs (95% CIs) for mortality according to quintiles of diet quality indices for the HEI-2010, AHEI-2010, aMED, and DASH scores among women (n = 182,342) in the NIH-AARP Diet and Health Study1
| Index and quintile | Range of index score2 | Women | Any deaths | Follow-up | All-cause mortality | CVD deaths | CVD mortality | Cancer deaths | Cancer mortality |
| n | n | person-years | n | n | |||||
| HEI-2010 | |||||||||
| 1 | 18.5–59.3 | 36,468 | 8038 | 500,136 | 1.00 | 1987 | 1.00 | 2720 | 1.00 |
| 2 | 59.3–66.1 | 36,468 | 6481 | 508,788 | 0.88 (0.85, 0.91) | 1669 | 0.90 (0.85, 0.97) | 2159 | 0.89 (0.84, 0.94) |
| 3 | 66.1–71.3 | 36,469 | 6141 | 509,665 | 0.88 (0.85, 0.91) | 1536 | 0.87 (0.81, 0.93) | 2131 | 0.92 (0.87, 0.98) |
| 4 | 71.3–76.4 | 36,468 | 5639 | 513,007 | 0.82 (0.79, 0.85) | 1439 | 0.82 (0.76, 0.88) | 1922 | 0.85 (0.80, 0.90) |
| 5 | 76.4–96.2 | 36,468 | 5249 | 514,258 | 0.77 (0.74, 0.80) | 1374 | 0.79 (0.73, 0.85) | 1837 | 0.82 (0.77, 0.87) |
| AHEI-2010 | |||||||||
| 1 | 17.6–44.7 | 36,468 | 7685 | 502,076 | 1.00 | 2000 | 1.00 | 2471 | 1.00 |
| 2 | 44.7–50.1 | 36,468 | 6716 | 506,841 | 0.91 (0.88, 0.94) | 1758 | 0.91 (0.85, 0.97) | 2194 | 0.93 (0.87, 0.98) |
| 3 | 50.1–54.9 | 36,469 | 6146 | 510,972 | 0.85 (0.83, 0.88) | 1510 | 0.81 (0.75, 0.86) | 2096 | 0.90 (0.85, 0.96) |
| 4 | 54.9–60.7 | 36,468 | 5877 | 511,076 | 0.85 (0.82, 0.88) | 1508 | 0.84 (0.79, 0.90) | 2068 | 0.92 (0.87, 0.98) |
| 5 | 60.7–90.7 | 36,468 | 5124 | 514,889 | 0.76 (0.74, 0.79) | 1229 | 0.72 (0.67, 0.78) | 1940 | 0.88 (0.83, 0.94) |
| aMED | |||||||||
| 1 | 0–2 | 32,521 | 6734 | 448,047 | 1.00 | 1715 | 1.00 | 2283 | 1.00 |
| 2 | 3 | 32,393 | 6075 | 449,339 | 0.94 (0.90, 0.97) | 1525 | 0.92 (0.86, 0.99) | 2022 | 0.92 (0.87, 0.98) |
| 3 | 4 | 37,405 | 6608 | 521,867 | 0.89 (0.86, 0.92) | 1675 | 0.89 (0.83, 0.95) | 2274 | 0.91 (0.86, 0.97) |
| 4 | 5 | 35,548 | 5711 | 498,601 | 0.83 (0.80, 0.86) | 1416 | 0.80 (0.75, 0.87) | 1929 | 0.83 (0.78, 0.89) |
| 5 | 6–9 | 44,474 | 6420 | 627,998 | 0.76 (0.73, 0.79) | 1674 | 0.78 (0.72, 0.84) | 2261 | 0.79 (0.74, 0.85) |
| DASH | |||||||||
| 1 | 8–20 | 38,546 | 7940 | 531,826 | 1.00 | 2030 | 1.00 | 2723 | 1.00 |
| 2 | 21–22 | 28,983 | 5347 | 402,902 | 0.93 (0.90, 0.96) | 1301 | 0.88 (0.82, 0.95) | 1870 | 0.97 (0.92, 1.03) |
| 3 | 23–25 | 50,032 | 8378 | 700,472 | 0.87 (0.84, 0.89) | 2111 | 0.84 (0.79, 0.89) | 2854 | 0.90 (0.86, 0.95) |
| 4 | 26–27 | 29,349 | 4667 | 411,943 | 0.82 (0.79, 0.85) | 1184 | 0.80 (0.74, 0.86) | 1551 | 0.84 (0.78, 0.89) |
| 5 | 28–37 | 35,431 | 5216 | 498,711 | 0.78 (0.75, 0.81) | 1379 | 0.78 (0.72, 0.83) | 1771 | 0.82 (0.77, 0.88) |
1
Adjusted for age, race/ethnicity, education, marital status, physical activity, smoking, energy intake, BMI, diabetes, alcohol (HEI-2010 and DASH only), and hormone replacement therapy. AHEI-2010, Alternative Healthy Eating Index–2010; aMED, alternate Mediterranean Diet; CVD, cardiovascular disease; DASH, Dietary Approaches to Stop Hypertension; HEI-2010, Healthy Eating Index–2010.
2
Values may appear to overlap due to rounding.