NDLI: Greater healthful food variety as measured by the US Healthy Food Diversity index is associated with lower odds of metabolic syndrome and its components in US adults.

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Greater healthful food variety as measured by the US Healthy Food Diversity index is associated with lower odds of metabolic syndrome and its components in US adults.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Vadiveloo, Maya Parekh, Niyati Parkeh, Niyati Mattei, Josiemer
Spatial Coverage	United States
Description	Author Affiliation: Vadiveloo M ( Department of Nutrition, Harvard School of Public Health, Boston, MA); Parkeh N ( Department of Nutrition, Food Studies, and Public Health, and Department of Population Health, NYU School of Medicine, New York University, New York, NY.); Mattei J ( Department of Nutrition, Harvard School of Public Health, Boston, MA)
Abstract	BACKGROUND: Consuming a wider variety of nutrient-dense foods may promote adherence to healthful dietary patterns, leading to improved dietary quality and enhanced metabolic health. OBJECTIVE: We used the US Healthy Food Diversity (HFD) index to simultaneously measure dietary variety, quality, and proportionality, hypothesizing a priori that race/ethnicity may moderate associations between diet and health. METHODS: A representative sample of adults (n = 7470) aged 20+ y with two 24-h recalls and complete outcome data from the cross-sectional NHANES 2003-2006 were selected. US HFD values were generated using a previously validated equation with a theoretical range from 0 to nearly 1, with higher scores indicative of more varied diets with a higher proportion of healthful food groups. Metabolic syndrome (MetS) was defined using the most recent harmonized definition. Survey-weighted multivariable linear and logistic regression, adjusted for demographic factors, smoking, energy, screen time, and leisure activity, were used to compute means and ORs (95% CIs). RESULTS: Adults in the third vs. first US HFD tertile had 21% lower odds of MetS [OR (95% CI): 0.79 (0.64, 0.98)] as well as lower odds of hypertension [0.83 (0.70, 0.995] and elevated waist circumference [0.75 (0.66, 0.86] after multivariable adjustment (P-trend < 0.05). The age- and sex-adjusted odds of low serum HDL cholesterol and impaired fasting plasma glucose (P-trend < 0.05) were lower in the highest vs. lowest US HFD tertile but attenuated with multivariable adjustment (P = 0.06 and 0.22, respectively). Notably, the US HFD index was only protective against adiposity among non-Hispanic white (NHW) and non-Hispanic black (NHB) adults, and MetS associations were driven by NHW adults. No associations were observed among Hispanic adults for any MetS components. CONCLUSIONS: Greater healthful food variety was associated with lower odds of MetS and some MetS components in the total population, NHW adults, and NHB adults. This study provides preliminary evidence that healthful food diversity may protect against MetS and highlights the need for longitudinal and experimental research.
File Format	HTM / HTML
ISSN	00223166
e-ISSN	15416100
DOI	10.3945/jn.114.199125
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	Blood Pressure Research Support, N.i.h., Extramural Multivariate Analysis Research Support, Non-u.s. Gov't Cross-sectional Studies Nutrition Surveys Hispanic Americans African Americans Cholesterol, Ldl Metabolic Syndrome X Epidemiology Blood Socioeconomic Factors Cholesterol, Hdl Body Mass Index Prevention & Control Risk Factors Feeding Behavior European Continental Ancestry Group Linear Models Logistic Models Triglycerides Health Behavior Waist Circumference Diet Discipline Nutrition
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Medicine

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Erratum for Vadiveloo et al. Greater healthful food variety as measured by the US Healthy Food Diversity Index is associated with lower odds of metabolic syndrome and its components in US adults. J Nutr 2015;145:564-71.

Greater Healthful Food Variety as Measured by the US Healthy Food Diversity Index Is Associated with Lower Odds of Metabolic Syndrome and its Components in US Adults 1 2 3

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Greater healthful food variety as measured by the US Healthy Food Diversity index is associated with lower odds of metabolic syndrome and its components in US adults.

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Greater healthful food variety as measured by the US Healthy Food Diversity index is associated with lower odds of metabolic syndrome and its components in US adults.