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Diet quality, change in diet quality and risk of incident CVD and diabetes
| Content Provider | Scilit |
|---|---|
| Author | Xu, Zhe Steffen, Lyn M. Selvin, Elizabeth Rebholz, Casey M. |
| Copyright Year | 2019 |
| Description | Objective: The objective of this study was to assess the prospective association between diet quality, as well as a 6-year change in diet quality, and risk of incident CVD and diabetes in a community-based population. Design: We used Cox regression models to estimate the prospective association between diet quality, assessed using the Healthy Eating Index (HEI)-2015 and the Alternative HEI (AHEI)-2010 scores, as well as change in diet quality, and incident CVD and diabetes. Setting: The ARIC Study recruited 15 792 black and white men and women (45–64 years) from four US communities. Participants: We included 10 808 study participants who reported usual dietary intake via FFQ at visit 1 (1987–1989) and who had not developed CVD, diabetes, or cancer at baseline. Results: Overall, 3070 participants developed CVD (median follow-up of 26 years) and 3452 developed diabetes (median follow-up of 22 years) after visit 1. Higher diet score at the initial visit was associated with a significantly lower risk of CVD (HR per 10 % higher HEI-2015 diet quality score: 0·90 (95 % CI: 0·86, 0·95) and HR per 10 % higher AHEI-2010 diet quality score: 0·96 (95 % CI: 0·93, 0·99)). We did not observe a significant association between initial diet score and incident diabetes. There were no significant associations between change in diet score and CVD or diabetes risk in the overall study population. Conclusions: Higher diet quality assessed using HEI-2015 and AHEI-2010 was strongly associated with lower CVD risk but not diabetes risk within a middle-aged, community-based US population. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992481/pdf https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3333B4E8D5F8B6A1306448FED74A14E5/S136898001900212Xa.pdf/div-class-title-diet-quality-change-in-diet-quality-and-risk-of-incident-cvd-and-diabetes-div.pdf |
| Ending Page | 338 |
| Page Count | 10 |
| Starting Page | 329 |
| ISSN | 13689800 |
| e-ISSN | 14752727 |
| DOI | 10.1017/S136898001900212X |
| Journal | Public Health Nutrition |
| Issue Number | 2 |
| Volume Number | 23 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2020-02-01 |
| Access Restriction | Open |
| Subject Keyword | Public Health Nutrition Nutrition and Dietetics |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Public Health, Environmental and Occupational Health |
