The Healthy Eating Index and the Alternate Healthy Eating Index as predictors of 10-year CHD risk in Cuban Americans with and without type 2 diabetes

Public Health Nutr. 2011 Nov;14(11):2006-14. doi: 10.1017/S1368980011001054. Epub 2011 Jun 23.


Objective: To examine the relationship between dietary patterns, as measured by the Healthy Eating Index (HEI) and the Alternate Healthy Eating Index (AHEI), and 10-year predicted CHD risk in Cuban Americans with and without type 2 diabetes (T2D).

Design: In a cross-sectional study participants were selected from two randomly generated mailing lists of individuals with and without T2D. HEI and AHEI scores were calculated from a self-reported FFQ. CHD risk was determined using the 10-year CHD risk calculator of the Adult Treatment Panel III.

Setting: Miami Dade and Broward Counties, FL, USA.

Subjects: Cuban Americans (n 358) aged ≥30 years.

Results: Participants with T2D had a higher waist circumference (P = 0·001) and 10-year CHD risk score (P = 0·008) compared with those without T2D. Participants without T2D had a higher energy intake (P = 0·034), total blood cholesterol (P = 0·007), HDL cholesterol (P = 0·001) and HEI score (P = 0·006) compared with participants with T2D. AHEI score was a significant predictor of 10-year CHD risk (F(1,351) = 4·44, P = 0·036). An association between AHEI and 10-year CHD risk was found only for participants with T2D (β = -0·244, se = 0·049, P = 0·001).ConclusionThe present study showed that only participants with T2D with significantly higher AHEI scores had lower scores for 10-year predicted CHD risk. No association was found between HEI score and CHD risk among Cuban Americans. Individuals with T2D are advised to follow the AHEI dietary pattern.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Cholesterol, HDL / blood
  • Coronary Disease / complications
  • Coronary Disease / epidemiology*
  • Cross-Sectional Studies
  • Cuba / ethnology
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diet
  • Eating*
  • Energy Intake
  • Feeding Behavior*
  • Female
  • Florida / epidemiology
  • Food, Organic*
  • Hispanic Americans
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Risk Factors
  • Surveys and Questionnaires


  • Cholesterol, HDL