This index is based on recommendations related to food, protective aspects, especially in the Food Guide for the Brazilian Population (15), and is estimated by 12 components that characterize different dietary aspects, such as consumption of vegetables, beneficial fats and calories provided by "solid fats, alcoholic beverages, and added sugars ("SoFAAS" component).
BHEI-R components are based on food groups (total fruits, whole fruits, total vegetables, dark green and orange vegetables and legumes, total grains, whole grains, meats, eggs and vegetables, milk and dairy products, oils and fish fat), nutrients (saturated fat and sodium) and nutrients combined with food ("SoFAAS" component).
However, health-risk markers, such as "saturated fat" and "SoFAAS" were not associated with diet quality self-perceived (Table 3).
The maximum possible score for HEI-2005 is 100 and higher scores signify a better diet quality Since alcohol consumption has been prohibited in Iran and participants would refrain from reporting their consumption, and we were unable to measure the alcoholic beverage intake, therefore, the percentage of calorie intake from alcohol was excluded from the last component of this index and only the percentage of calorie intake from solid fats and added sugars was calculated as SoFAAS (percent of calorie intake from Solid Fats, Alcoholic beverages, and Added Sugars).
Calories from SoFAAS (% of energy intake)###40.31 (1.64)###28.48 (0.57)###20/70 (0.88)###less than 0.001
* Calories from solid fats, alcoholic beverages, and added sugars (SoFAAS)
Analysis of the 12 components of the HEI indicate that saturated fat, SoFAAS, oils, total fruit, whole fruit, total grain, whole grain, and total vegetable component scores improved (P < .05), and sodium scores declined (P < .05) during BCT for volunteers in the low tertile.
The current version, HEI-2005, has 12 components: total fruit; whole fruit; total vegetables; dark green and orange vegetables; total grains; whole grains; milk products and soy beverages; meat and beans; oils; saturated fat; sodium; and calories from solid fats, alcoholic beverages, and added sugars (SoFAAS) (Guenther, Reedy, and Krebs-Smith, 2008).
Respondents did especially poorly on dark green and orange vegetables, whole grains, sodium, and calories from SoFAAS. Surprisingly, total HEI-2005 scores were about the same for lower- and higher-income respondents.
The tool is made up of 12 components with eight referring to the groups of foods (Total fruits; Whole fruits; Total vegetables; Dark green and orange vegetables and legumes; Total grains; Whole grains; Milk and dairy products; Meat, eggs and legumes) and four relative to the nutrients and/or culinary ingredients (Sodium; Saturated fat; Oils; SoFAAs that represent the percentage of the participation of the fats being, saturated fat and trans-fat, as well as alcohol and added sugar in relation to the energy value of the diet).
Components of the BHEI-R Total Sex Global Male Female P-value (#) average * (1) (2) (2)-(1) Total grains 4.63 4.64 4.62 0.728 Whole grains 0.22 0.19 0.25 0.143 Total vegetables 2.97 2.74 3.18 0.000 (#) Dark green and orange 1.45 1.24 1.65 0.006 (#) vegetables Total fruits 1.80 1.41 2.16 0.000 (#) Whole fruits 1.91 1.52 2.26 0.000 (#) Milk and dairy products 4.12 3.67 4.53 0.001 (#) Meat and eggs 8.37 8.62 8.12 0.003 (#) Oils 8.73 8.86 8.61 0.319 Sodium 2.27 2.12 2.41 0.063 Saturated fat 6.29 6.40 6.40 0.244 SoFAAS 9.92 9.76 10.07 0.382 BHEI-R total 52.70 51.22 54.10 0.000 (#) * Averages obtained through simple linear regression; (#) In bold the value of p < 0.05.
The BHEI-R is made up of a twelve component system, which determines a variety of aspects of a healthy diet, those being the intake of total whole fruits, total vegetables, dark green and orange vegetables and legumes, total grain, whole grain, milk and dairy, meats, eggs and beans, oils, saturated fat, sodium and SoFAAS
(Calories from solid fats, alcoholic beverages, and added sugars) (10).