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. 2015 Feb;128(2):152–160.e4. doi: 10.1016/j.amjmed.2014.10.002

Appendix Table 1.

Construction of Alternative Healthy Eating Index Scores

Components Criteria for Minimum Scores Criteria for Maximum Scores Possible Score Range AHEI Scores in the Participants in 1991/1993
Mean Score (SD) Median Score
Vegetable (serving/d) 0 5 0-10 5.6 (2.7) 6
Fruit (serving/d) 0 4 0-10 6.1 (3.0) 6
Nuts and soy (serving/d) 0 1 0-10 3.2 (3.0) 3
Ratio of white to red meat 0 4 0-10 5.4 (2.8) 6
Trans fat (% of energy ) ≥4 ≤0.5 0-10 8.4 (2.8) 10
Total fiber (% of energy) 0 24 0-10 7.8 (3.0) 10
Ratio of polyunsaturated to saturated fat ≤0.1 ≥1 0-10 5.2 (2.7) 5
Duration of multivitamin use <5 y ≥5 y 2.5-7.5 4.2 (2.4) 2.5
Alcohol serving/d Men 0 or >3.5 1.5-2.5 0-10 4.8 (3.7) 5
Alcohol serving/d Women 0 or >2.5 0.5-1.5 0-10
Total score 2.5-87.5 50.7 (11.9) 51.5

AHEI = Alternative Healthy Eating Index; SD = standard deviation.

Each AHEI component contributed from 0 to 10 points to the total AHEI score, except the multivitamin component, which was dichotomous and contributing 2.5 points (for nonuse) or 7.5 points (for use). A score of 10 indicates that the recommendations were fully met, whereas a score of 0 represents the least healthy dietary behavior. Intermediate intakes were scored proportionately between 0 and 10.

Median score for men and women combined.