scholarly journals Diet quality score is a predictor of type 2 diabetes risk in women: The Australian Longitudinal Study on Women's Health

2014 ◽  
Vol 112 (6) ◽  
pp. 945-951 ◽  
Author(s):  
Amani Alhazmi ◽  
Elizabeth Stojanovski ◽  
Mark McEvoy ◽  
Wendy Brown ◽  
Manohar L. Garg
Keyword(s):  
Type 2 Diabetes ◽  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Diet Quality ◽  
Diabetes Risk ◽  
Dietary Guidelines ◽  
Australian Longitudinal Study ◽  
Incident Cases

The present study aimed to determine the ability of two diet quality scores to predict the incidence of type 2 diabetes in women. The study population comprised a nationally representative sample of 8370 Australian middle-aged (45–50 years) women participating in the ALSWH (Australian Longitudinal Study on Women's Health), who were free of diabetes and completed FFQ at baseline. The associations between the Australian Recommended Food Score (ARFS) and Dietary Guideline Index (DGI) with type 2 diabetes risk were assessed using multiple logistic regression models, adjusting for sociodemographic characteristics, lifestyle factors and energy intake. During 6 years of follow-up, 311 incident cases of type 2 diabetes were reported. The DGI score was inversely associated with type 2 diabetes risk (OR comparing the highest with the lowest quintile of DGI was 0·51; 95 % CI 0·35, 0·76; P for trend = 0·01). There was no statistically significant association between the ARFS and type 2 diabetes risk (OR comparing the highest with the lowest quintile of ARFS was 0·99; 95 % CI 0·68, 1·43; P for trend = 0·42). The results of the present prospective study indicate that the DGI score, which assesses compliance with established dietary guidelines, is predictive of type 2 diabetes risk in Australian women. The risk of type 2 diabetes among women in the highest quintile of DGI was approximately 50 % lower than that in women in the lowest quintile. The ARFS was not significantly predictive of type 2 diabetes.

scholarly journals Macronutrient intake and type 2 diabetes risk in middle-aged Australian women. Results from the Australian Longitudinal Study on Women's Health

2013 ◽  
Vol 17 (7) ◽  
pp. 1587-1594 ◽  
Author(s):  
Amani Alhazmi ◽  
Elizabeth Stojanovski ◽  
Mark McEvoy ◽  
Manohar L Garg
Keyword(s):  
Type 2 Diabetes ◽  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Diabetes Risk ◽  
Macronutrient Intake ◽  
Australian Longitudinal Study ◽  
Relative Risks

AbstractObjectiveTo investigate the association between macronutrient intake and type 2 diabetes risk in middle-aged Australian women.DesignA prospective cohort study, with 6 years (2002–2007) of follow up. Dietary intake was assessed with a validated FFQ. Relative risks with 95 % confidence intervals were used to examine risk associations.SettingAustralian Longitudinal Study on Women's Health, Australia.SubjectsAustralian women (n 8370) from the Australian Longitudinal Study on Women's Health aged 45–50 years and free of type 2 diabetes at baseline.ResultsAfter 6 years of follow-up, 311 women developed type 2 diabetes. After adjusting for sociodemographic, lifestyle and other dietary risk factors, MUFA, total n-3 PUFA, α-linolenic acid and total n-6 PUFA intakes were positively associated with the incidence of type 2 diabetes. The relative risks for type 2 diabetes for the highest compared with the lowest quintiles were 1·64 (95 % CI 1·06, 2·54), P = 0·04 for MUFA; 1·55 (95 % CI 1·03, 2·32), P = 0·01 for n-3 PUFA; 1·84 (95 % CI 1·25, 2·71), P < 0·01 for α-linolenic acid; and 1·60 (95 % CI 1·03, 2·48), P = 0·04 for n-6 PUFA. Other dietary macronutrients were not significantly associated with diabetes risk.ConclusionsThe data indicate that consumption of MUFA, n-3 PUFA and n-6 PUFA may influence the risk of developing type 2 diabetes in women.

scholarly journals Is dietary zinc protective for type 2 diabetes? Results from the Australian longitudinal study on women’s health

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Khanrin Phungamla Vashum ◽  
Mark McEvoy ◽  
Zumin Shi ◽  
Abul Hasnat Milton ◽  
Md Rafiqul Islam ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Dietary Zinc ◽  
Australian Longitudinal Study

scholarly journals Pure Fruit Juice and Fruit Consumption Are Not Associated with Incidence of Type 2 Diabetes after Adjustment for Overall Dietary Quality in the European Prospective Investigation into Cancer and Nutrition–Netherlands (EPIC-NL) Study

2020 ◽  
Vol 150 (6) ◽  
pp. 1470-1477 ◽  
Author(s):  
Floor R Scheffers ◽  
Alet H Wijga ◽  
W M Monique Verschuren ◽  
Yvonne T van der Schouw ◽  
Ivonne Sluijs ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Fruit Juice ◽  
Cox Regression ◽  
Diabetes Risk ◽  
Dietary Guidelines ◽  
Dietary Quality ◽  
Fruit Consumption ◽  
Incident Cases ◽  
Prospective Investigation

ABSTRACT Background Dietary guidelines on pure fruit juice consumption vary from country to country regarding the inclusion of pure fruit juice in the recommendations as an acceptable alternative for fruit. Current epidemiological evidence on the association between pure fruit juice consumption and diabetes risk is scarce. Objective We studied the association of both pure fruit juice and fruit consumption with diabetes risk and investigated the differences between low and high fruit consumers in the association of pure fruit juice consumption with diabetes risk. Methods This prospective cohort study included 36,147 participants in the European Prospective Investigation into Cancer and Nutrition–Netherlands (EPIC-NL) Study aged 20–69 y at baseline. Fruit juice and fruit consumption were assessed using a validated food-frequency questionnaire; amounts of consumption were divided into 5 categories and quintiles, respectively. Incident type 2 diabetes cases were mainly self-reported and verified against medical records. Cox regression was used to estimate adjusted HRs and 95% CIs. Results After an average follow-up of 14.6 y, 1477 verified incident cases of type 2 diabetes were documented. Compared with no consumption, pure fruit juice consumption was not significantly associated with type 2 diabetes, with adjusted HRs ranging from 0.92 (95% CI: 0.79, 1.09) to 1.03 (95% CI: 0.83, 1.26). The associations did not differ between participants with low and high fruit consumption. None of the categories of fruit consumption were associated with type 2 diabetes (lowest quintile as reference). Adjusted HRs ranged between 0.93 (95% CI: 0.78, 1.10) and 1.00 (95% CI: 0.84, 1.19). Adjustment for the Dutch Healthy Diet Index, as an overall measure of dietary quality, strongly attenuated the observed associations of type 2 diabetes with both fruit juice and fruit consumption. Conclusions We found no evidence for associations between pure fruit juice and fruit consumption and diabetes risk after adjustment for overall dietary quality for participants in the EPIC-NL study. This trial was registered at https://www.trialregister.nl/trial/6939 as NL6939.

scholarly journals Pre-Pregnancy Diet Quality and Its Association with Offspring Behavioral Problems

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 522-522
Author(s):  
Dereje Gete ◽  
Michael Waller ◽  
Gita Mishra
Keyword(s):  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Diet Quality ◽  
Behavioral Problems ◽  
Externalizing Problems ◽  
Maternal Diet ◽  
Behavioral Difficulties ◽  
Australian Longitudinal Study ◽  
The University

Abstract Objectives To examine the relationship between pre-pregnancy diet quality and offspring behavioral problems among children aged 5–12 years. Methods 1554 mother-child dyads with mothers from the Australian longitudinal study on women's health (ALSWH) and children from the mothers and their children's health Study (MatCH). The healthy eating index (HEI-2015) score was used to explore maternal diet quality before pregnancy. Childhood total behavioral difficulties, internalizing (emotional and peer) and externalizing problems (hyperactivity and conduct) were assessed using the strengths and difficulties questionnaire (SDQ). Multivariable logistic regression analyses were used to examine the association between maternal diet quality and offspring behavioral problems. Results 211 children experienced a greater score on total behavioral difficulties (13.6%) among the 1554 children. Better pre-pregnancy diet quality was associated with lower odds of offspring total behavioral difficulties after adjustment for potential confounders, highest vs lowest tertile (AOR = 0.52, 95% CI: 0.32, 0.85) at P = 0.009. Greater adherence to the HEI-2015 score before pregnancy was also inversely associated with odds of offspring externalizing problems (AOR = 0.64, 95% CI: 0.43, 0.94). Among the four subscales, hyperactivity and peer problems were negatively associated with better diet quality, (AOR = 0.67, 95% CI: 0.47, 0.96) and (AOR = 0.63, 95% CI: 0.42, 0.96), respectively. Conclusions We found that mothers who recorded the better quality of diets before pregnancy had children with a lower risk of behavioral disorders in childhood. Further well-powered prospective studies are warranted to confirm the findings. Funding Sources The research on which this paper is based was conducted as part of the Australian Longitudinal Study on Women's Health by the University of Queensland and The University of Newcastle. We are grateful to the Australian Government Department of Health for funding and to the women who provided the survey data. Gete is supported by the UQ Research Training Scholarship. Mishra holds the Australian Health and Medical Research Council Principal Research Fellowship APP1121844.

scholarly journals Postpartum Diet Quality: A Cross-Sectional Analysis from the Australian Longitudinal Study on Women’s Health

2020 ◽  
Vol 9 (2) ◽  
pp. 446 ◽  
Author(s):  
Julie C. Martin ◽  
Anju E. Joham ◽  
Gita D. Mishra ◽  
Allison M. Hodge ◽  
Lisa J. Moran ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Diet Quality ◽  
Disease Risk ◽  
Mineral Supplement ◽  
Cross Sectional ◽  
Supplement Use ◽  
Australian Longitudinal Study ◽  
Modifiable Factors

Reproductive-aged women are at high risk of developing obesity, and diet quality is a potential modifiable risk factor. There is limited research exploring diet quality and its association with time since childbirth. Using data from the Australian Longitudinal Study on Women’s Health (ALSWH) survey 5 (2009) of women born between 1973–1978, who reported having previously given birth, we investigated the association between time since childbirth and diet quality, and differences in energy, macronutrients, micronutrient intake, and diet quality assessed by the dietary guideline index (DGI) in women stratified by time from last childbirth, early (0–6 months; n = 558) and late (7–12 months; n = 547), and all other women with children (>12 months post childbirth n = 3434). From this cohort, 8200 participants were eligible, of which 4539 participants completed a food frequency questionnaire (FFQ) and were included in this analysis. Overall, diet quality was higher in early and late postpartum women (mean DGI score 89.8 (SD 10.5) and mean DGI score 90.0 (SD 10.2), respectively) compared to all other women with children (>12 months post childbirth), mean DGI score 85.2 (SD 11.7), p < 0.001. Factors positively associated with diet quality included higher education, physical activity, health provider support, and vitamin and/or mineral supplement use. Conversely, increasing time from childbirth (>12 months), smoking compared with non-smoking and medium income level compared with no income was negatively associated with diet quality. A lower diet quality in women greater than 12 months post childbirth may be reflective of increased pressures, balancing childrearing and return to work responsibilities. This highlights the need to support women beyond the postpartum period to improve modifiable factors associated with weight gain, including diet quality, to optimize health and reduce chronic disease risk.

scholarly journals 352Postpartum diet quality: A cross-sectional analysis from the Australian longitudinal study on women’s health

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Julie Martin ◽  
Anju Joham ◽  
Gita Mishra ◽  
Allison Hodge ◽  
Lisa Moran ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Diet Quality ◽  
Disease Risk ◽  
Mineral Supplement ◽  
Cross Sectional ◽  
Supplement Use ◽  
Australian Longitudinal Study ◽  
Modifiable Factors

Abstract Background Reproductive-aged women are at high risk of developing obesity, and diet quality is a potential modifiable risk factor. There is limited research exploring postpartum diet quality. Methods Using data from the Australian Longitudinal Study on women’s Health of women, who reported having previously given birth, we investigated the association between time since childbirth and diet quality, and differences in energy, macronutrients, micronutrient intake, and diet quality assessed by the dietary guideline index (DGI) in women stratified by time from last childbirth, early (≤6 months; n = 558) and late (7–12 months; n = 547), and others (&gt;12 months post childbirth; n = 3434). Results From this cohort, 4539 participants completed a food frequency questionnaire and were included in this analysis. Overall, diet quality was higher in early and late postpartum women (mean DGI score 89.8±10.5 and 90.0±10.2, respectively) compared to others (&gt;12 months post childbirth), (85.2±11.7; p &lt; 0.001). Factors positively associated with diet quality included higher education, physical activity, health provider support, and vitamin and/or mineral supplement use. Conversely, increasing time from childbirth (&gt;12 months), smoking compared with non-smoking and medium income level compared with no income was negatively associated with diet quality. Conclusions A lower diet quality in women &gt;12 months post childbirth may be reflective of increased pressures, balancing childrearing and return to work responsibilities. This highlights the need to support women beyond the postpartum period to improve modifiable factors associated with weight gain, including diet quality, to optimize health and reduce chronic disease risk. Key messages Diet quality; nutrition; obesity; prevention; postpartum; reproductive; women

scholarly journals Change in Diet Quality over 12 Years in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health

Nutrients ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 147 ◽  
Author(s):  
Jennifer N. Baldwin ◽  
Peta M. Forder ◽  
Rebecca L. Haslam ◽  
Alexis J. Hure ◽  
Deborah J. Loxton ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Diet Quality ◽  
Risk Groups ◽  
Healthy Weight ◽  
Regression To The Mean ◽  
Australian Longitudinal Study ◽  
Nationally Representative ◽  
Over Time

Understanding patterns of dietary change over time can provide important information regarding population nutrition behaviours. The aims were to investigate change in diet quality over 12 years in a nationally representative sample of women born in 1946–1951 and to identify characteristics of women whose diet quality changed over time. The Australian Recommended Food Score (ARFS) was measured in 2001 (n = 10,629, mean age 52.1 years) and 2013 (n = 9115; n = 8161 for both time points) for the mid-aged cohort from the Australian Longitudinal Study on Women’s Health. Participants were categorised by tertiles of baseline diet quality and also classified as ‘diet quality worsened’ (ARFS decrease ≤ −4 points, n = 2361), ‘remained stable’ (−3 ≤ change in ARFS ≤ 3 points, n = 3077) or ‘improved’ (ARFS increase ≥ 4 points, n = 2723). On average, ARFS total and subscale scores remained relatively stable over time (mean [SD] change 0.3 [7.6] points) with some regression to the mean. Women whose diet quality worsened were more likely to be highly physically active at baseline compared with women whose diet quality improved (p < 0.001). Among women with poor diet quality initially (lowest baseline ARFS tertile, n = 2451, mean [SD] baseline ARFS 22.8 [4.5] points), almost half (47%, n = 1148) had not improved after 12 years, with women less likely to be in the healthy weight range (41% compared to 44%) and be never smokers (56% versus 62%, p < 0.05) compared with those whose diet improved. Diet quality remained relatively stable over 12 years’ follow up among mid-aged women. Almost half of those with poor baseline diet quality remained poor over time, emphasizing the need to target high-risk groups for nutrition interventions.

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