(PO22-11-22) Dietary Guidelines for Americans Dietary Patterns Are Associated With Significant Improvements in Healthy Life As Assessed by the Health Nutritional Index (HENI)

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Presenting Author(s)

Christopher J. Cifelli, PhD
– Senior Vice President Nutrition Research, National Dairy Council, Rosemont, Illinois, United States

Co-Author(s)

VF

Victor L. Fulgoni, III, Ph.D.
– Nutrition Impact, LLC, Battle Creek, Michigan, United States
KS

Katerina S. Stylianou, MSc
– PhD Candidate, Univarsity of Michigan, Ann Arbor, Michigan, United States
OJ

Olivier Jolliet, PhD
– University of Michigan

Disclosure(s):

Christopher J. Cifelli, PhD: US National Dairy Council: Employee (Ongoing)

Objectives: To assess health burden as measured by disability adjusted life years (DALY) of current US adult diets and of Dietary Guidelines for American (DGA) recommended diets.

Methods: A nationally representative sample of Americans aged 25+ years old (N=13,331) from the National Health and Nutrition Examination Survey (NHANES) 2011-2016 database were used to determine current self-reported dietary patterns and to estimated health burden (DALY) in minutes of healthy life using the Health Nutritional Index (HENI), an epidemiology-based multiplicatively adjusted nutritional assessment tool based on 14 dietary risk factors identified in the Global Burden of Disease (GBD). Additionally, we estimated the health burden/benefit of DGA recommended dietary patterns for 2000 kcal/day: 1) Healthy US Style; 2) Healthy Vegetarian Style; and 3) Healthy Mediterranean Style. The maximum benefit if the threshold intakes in GBD were consumed was also evaluated.

Results: The currently consumed diet was associated with a gain of 0.2 minutes of healthy life/day. Current diets in females were associated with a gain of 5 minutes of heathy life/day while in males current diets were associated with a decrease of 4 minutes of healthy life/day. The Healthy US Style diets was associated with a gain of 32 minutes of healthy life/day while the Healthy Vegetarian Style and Healthy Mediterranean Style diets were associated with gains of 56 and 38 minutes of healthy life/day, respectively. The maximal benefit, consuming threshold intakes in the GBD, was associated with a gain of 84 minutes of healthy life/day. The largest components of the gains were due to increases in intake of fruit (15-19 min/day), whole grains (11 min/d), vegetables (6 min/d) and milk (4-6 min/day); the increases fish in the Healthy Mediterranean Style diet provided additional benefits (10 min/day).

Conclusions: Results indicate that DGA recommended diets may provide significant improvements in healthy life over current diets.

Funding Sources: National Dairy Council