title: Alternative health eating index and the Dietary Guidelines from American Diabetes Association both may reduce the risk of cardiovascular disease in type 2 diabetes patients.
abstract: BACKGROUND
  In the general population, a higher Alternate Healthy Eating Index (AHEI)-2010 score is related to decreased cardiovascular disease (CVD) risk. Few studies have described the dietary patterns that reduce the risk of CVD or coronary heart disease (CHD) in type 2 diabetes mellitus (T2DM) patients. In the present study, the association between the American Diabetes Association (ADA)-recommended dietary pattern, AHEI-2010 , and CVD risk factors and the CVD incidence over 52 months in T2DM patients was evaluated.
  
  
  METHODS
  The ADA score was developed from the ADA dietary recommendations. In this prospective study, the 24-h dietary recall of 124 adult T2DM patients without nephropathy or chronic kidney disease was collected. The CVD risk factors were collected at baseline and at 6-month follow-up.
  
  
  RESULTS
  Compared with lower ADA and AHEI-2010 score participants, the higher score participants exhibited a significantly lower waist circumference, serum low-density lipoprotein cholesterol level and 10-year risk of CHD. Participants with higher ADA dietary scores had a significantly reduced risk of central obesity and systolic blood pressure >140 mmHg. Higher AHEI-2010 scores were significantly related to a reduced risk of serum low-density lipoprotein cholesterol > 100 mg dL(-1) . Seven participants had their first-ever CVD during the follow-up period, although neither ADA score, nor AHEI-2010 score could predict CVD incidence.
  
  
  CONCLUSIONS
  The ADA-recommended dietary pattern and a higher AHEI-2010 score might both exhibit reduced risk factors of CVD in T2DM patients.
authors.affiliation: School of Nutrition and Health Science, Taipei Medical University, Taipei City, Taiwan.
authors.forename: Pei-Yu
authors.initials: PY
authors.lastname: Wu
authors.affiliation: Metabolism and Endocrinology Department, Taipei Medical University Hospital, Taipei City, Taiwan.
authors.forename: Chen-Ling
authors.initials: CL
authors.lastname: Huang
authors.affiliation: School of Nutrition and Health Science, Taipei Medical University, Taipei City, Taiwan.
authors.forename: Weng-Seng
authors.initials: WS
authors.lastname: Lei
authors.affiliation: School of Nutrition and Health Science, Taipei Medical University, Taipei City, Taiwan.
authors.forename: Shwu-Huey
authors.initials: SH
authors.lastname: Yang
mesh_terms: D000368:Aged; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D008078:Cholesterol, LDL / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004032:Diet; D000072001:Diet, Healthy / Q000706:statistics & numerical data*; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018673:Nutrition Policy; D056128:Obesity, Abdominal / Q000453:epidemiology; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D055105:Waist Circumference
chemical_list: D008078:Cholesterol, LDL
keywords: diabetes; eating patterns