Canada's Food Guide Case Study

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Various measures are available to measure adherence to the Canada’s food guide. Canadian healthy eating index (HEI – C or CHEI) (Woodruff et al. 2008, Nkondjock and Ghadirian 2007), adapted from American HEI to suit to the dietary recommendations by the Canada’s food guide, and Canada’s Food Guide (CFG) Index (Hajna et al. 2012).
A cross sectional survey conducted in the school setting in the Niagara region (Ontario, Canada) studied the association to adherence to the Canada’s food guide as measured by CFG index and anthropometric measures in 1570 children (782 girls and 788 boys), with a mean age of 12.4 years (Hajna et al. 2012). The researchers found significant inverse association of CFG index with waist-to-height ratio (β −0•001, 95 % CI −0•002 - −0•0004), waist-to-hip ratio (β −0•001, 95 % CI −0•002 - −0•001) and waist girth (β −0•18, 95 % CI −0•30 - −0•07) in girls (Hajna et al. 2012). No significant association was observed in boys.
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It showed significant inverse relationship between CHEI and BRCA associated breast cancer risk (OR 0.18 , 95% CI 0.05 - 0.68, p value 0.006 for trend) when comparing highest tertile of CHEI with the lowest tertile, controlling for age, physical activity and total energy intake (Nkondjock and Ghadirian

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