{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T22:43:17Z","timestamp":1792449797999,"version":"4.5.0"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Cardiovascular Health Diet Index (CHDI) was recently developed to assess compliance with dietary recommendations aimed at preventing cardiovascular disease and promoting cardiovascular health on a population level, based on guidance from the American Heart Association (AHA) and adapted to Brazilian dietary culture. The purpose of this study was to assess dietary quality among workers at a public university in Brazil using the CHDI and determine its association with cardiometabolic risk factors and sociodemographic data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 557 workers aged 20\u201359 years from a Brazilian public university. Dietary quality was assessed using the CHDI (score from 0 to 100 points) and the Brazilian Healthy Eating Index\u2010Revised (BHEI\u2010R) (score from 0 to 100 points), both based on data from one 24\u2010h dietary recall (24HR) obtained in a phone interview by a registered dietitian using the multiple\u2010pass method. Clinical parameters included body mass index (BMI), waist circumference, blood pressure, lipids (LDL\u2010c and triglycerides), fasting glucose, HbA1c, fasting insulin (used to calculate HOMA2\u2010IR for insulin resistance), and C\u2010reactive protein (CRP). Sociodemographic variables included age, sex, education level, and race\/ethnicity. Associations were analyzed using modified Poisson regression models with robust variance for dichotomous outcomes and multiple linear regression models for continuous outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Better adherence to a heart\u2010healthy dietary pattern, as measured by the CHDI, was consistently associated with lower chances of having key cardiometabolic risk factors. Specifically, Poisson regression analyses showed that each additional point in the CHDI score corresponded to about a 1% lower likelihood of having excess body weight (BMI\u2009&gt;\u200925\u2009kg\/m\u00b2;\n                      <jats:italic>\u03b2<\/jats:italic>\n                      : 0.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0102), being classified as at increased cardiovascular risk due to abdominal obesity (waist circumference;\n                      <jats:italic>\u03b2<\/jats:italic>\n                      : 0.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0145), or presenting elevated diastolic blood pressure (&gt;\u200980\u2009mmHg;\n                      <jats:italic>\u03b2<\/jats:italic>\n                      : 0.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0370). Higher scores were also associated with about a 1% lower probability of having insulin resistance (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      : 0.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and elevated C\u2010reactive protein levels, a marker of systemic inflammation (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      : 0.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0207).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The CHDI showed stronger associations with cardiometabolic risk factors than the BHEI\u2010R, indicating its potential as a sensitive tool for assessing diet quality in research and surveillance. Further studies in diverse populations are needed to confirm its applicability in other contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70206","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T03:51:52Z","timestamp":1768967512000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations Between the Cardiovascular Health Diet Index (CHDI) and Cardiometabolic Risk Factors in Brazilian Workers: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7747-6483","authenticated-orcid":false,"given":"Estefany Mayara Sousa","family":"Araujo","sequence":"first","affiliation":[{"name":"School of Nursing (FEnf) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0719-0199","authenticated-orcid":false,"given":"Daisuke","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences The Pennsylvania State University University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1813-996X","authenticated-orcid":false,"given":"Daniela","family":"de Assump\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Gerontology School Medical Science (FCM) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1160-5366","authenticated-orcid":false,"given":"Carla Renata Silva","family":"Andrechuk","sequence":"additional","affiliation":[{"name":"School of Nursing (FEnf) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4386-9748","authenticated-orcid":false,"given":"Leila Tassia","family":"Pagamicce","sequence":"additional","affiliation":[{"name":"School of Nursing (FEnf) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2353-5337","authenticated-orcid":false,"given":"Mayza Luzia dos Santos","family":"Neves","sequence":"additional","affiliation":[{"name":"School of Nursing (FEnf) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0881-0337","authenticated-orcid":false,"given":"Roberta Cunha Matheus","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"School of Nursing (FEnf) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-1361","authenticated-orcid":false,"given":"Marilia Estevam","family":"Corn\u00e9lio","sequence":"additional","affiliation":[{"name":"School of Nursing (FEnf) University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"World Health Organization. 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