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Higher diet quality is inversely associated with mortality in African-American women.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Boggs, Deborah A. Ban, Yulun Palmer, Julie R. Rosenberg, Lynn
Description	Country affiliation: Morocco Author Affiliation: Boggs DA ( Slone Epidemiology Center at Boston University, Boston, MA.); Ban Y ( Slone Epidemiology Center at Boston University, Boston, MA.); Palmer JR ( Slone Epidemiology Center at Boston University, Boston, MA.); Rosenberg L ( Slone Epidemiology Center at Boston University, Boston, MA lrosenbe@bu.edu.)
Abstract	BACKGROUND: Diet quality has been inversely associated with overall mortality in white populations, but the evidence in African-American populations is limited. OBJECTIVE: The goal of the present study was to assess diet quality in relation to all-cause mortality in the Black Women's Health Study, a follow-up study of African-American women begun in 1995. METHODS: Data used in this study were obtained via biennial questionnaires from 1995 to 2011. Based on food-frequency questionnaire data collected in 1995 and 2001, we calculated an index-based diet quality score [Dietary Approaches to Stop Hypertension (DASH)] and derived dietary patterns (prudent and Western) with the use of factor analysis. We followed 37,001 women who were aged 30-69 y and free of cancer, cardiovascular disease, and diabetes at baseline for mortality through 2011. Multivariable Cox regression was used to estimate HRs and 95% CIs. Analyses were conducted in 2014. RESULTS: Based on a total of 1678 deaths during 16 y of follow-up, higher DASH scores were associated with reduced all-cause mortality (HR: 0.75; 95% CI: 0.63, 0.89 for highest vs. lowest quintiles). The DASH components most strongly associated with lower mortality were high intake of whole grains and low intake of red and processed meat. A Western dietary pattern, characterized by high intake of red and processed meat, was associated with increased all-cause mortality rates (HR: 1.37; 95% CI: 1.17, 1.60 for highest vs. lowest quintiles of score); a prudent dietary pattern was not associated with risk. CONCLUSION: A DASH-style diet high in intake of whole grains and low in consumption of red meat is associated with reduced mortality rates in healthy African-American women.
File Format	HTM / HTML
ISSN	00223166
e-ISSN	15416100
DOI	10.3945/jn.114.195735
Journal	Journal of Nutrition
Issue Number	3
Volume Number	145
Language	English
Publisher	American Society for Nutrition
Publisher Date	2015-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Multivariate Analysis Cardiovascular Diseases Women's Health African Americans Epidemiology Neoplasms Nutrition Assessment Endpoint Determination Questionnaires Diet, Western Body Mass Index Mortality Risk Factors Proportional Hazards Models Feeding Behavior Ethnology Factor Analysis, Statistical Diabetes Mellitus Diet Patient Compliance Discipline Nutrition Cohort Studies
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Medicine

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