scholarly journals A priori-defined diet quality indices, biomarkers and risk for type 2 diabetes in five ethnic groups: the Multiethnic Cohort

2017 ◽  
Vol 118 (4) ◽  
pp. 312-320 ◽  
Author(s):  
Simone Jacobs ◽  
Carol J. Boushey ◽  
Adrian A. Franke ◽  
Yurii B. Shvetsov ◽  
Kristine R. Monroe ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Ethnic Groups ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Japanese American ◽  
Dash Score ◽  
Model Assessment ◽  
Quality Indices ◽  
Multiethnic Cohort

AbstractDietary indices have been related to risk for type 2 diabetes (T2D) predominantly in white populations. The present study evaluated this association in the ethnically diverse Multiethnic Cohort and examined four diet quality indices in relation to T2D risk, homoeostatic model assessment-estimated insulin resistance (HOMA-IR) and biomarkers of dyslipidaemia, inflammation and adipokines. The T2D analysis included 166 550 white, African American, Native Hawaiian, Japanese American and Latino participants (9200 incident T2D cases). Dietary intake was assessed at baseline using a quantitative FFQ and T2D status was based on three self-reports and confirmed by administrative data. Biomarkers were assessed about 10 years later in a biomarker subcohort (n 10 060). Sex- and ethnicity-specific hazard ratios were calculated for the Healthy Eating Index-2010 (HEI-2010), the alternative HEI-2010 (AHEI-2010), the alternate Mediterranean diet score (aMED) and the Dietary Approaches to Stop Hypertension (DASH). Multivariable-adjusted means of biomarkers were compared across dietary index tertiles in the biomarker subcohort. The AHEI-2010, aMED (in men only) and DASH scores were related to a 10–20 % lower T2D risk, with the strongest associations in whites and the direction of the relationships mostly consistent across ethnic groups. Higher scores on the four indices were related to lower HOMA-IR, TAG and C-reactive protein concentrations, not related to leptin, and the DASH score was directly associated with adiponectin. The AHEI-2010 and DASH were directly related to HDL-cholesterol in women. Potential underlying biological mechanisms linking diet quality and T2D risk are an improved lipid profile and reduced systemic inflammation and, with regards to DASH alone, an improved adiponectin profile.

scholarly journals Diet Quality Indices and Their Correlation with Glycemic Status and Lipid Profile in Patients with Type 2 Diabetes

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Roxaneh Sadat Ziaee ◽  
Parisa Keshani ◽  
Moosa Salehi ◽  
Haleh Ghaem
Keyword(s):  
Type 2 Diabetes ◽  
Lipid Profile ◽  
Diet Quality ◽  
Serum Levels ◽  
Healthy Eating Index ◽  
Quality Indices ◽  
Glycemic Status ◽  
Diabetes Clinic ◽  
Positive Correlation

Background. The study aimed to determine the correlation between different diet quality indices and glycemic status and lipid profile in patients with diabetes. Methods. This study was carried out on 235 patients with type 2 diabetes referred to Martyr Motahari Diabetes Clinic of Shiraz city so as to investigate the relationship between glycemic status and lipid profile and the diet quality using Healthy Eating Index (HEI-2010), phytochemical index (PI), and Diet Quality Index-International (DQI_I). Results. A positive correlation was indicated between the serum levels of LDL-C and HEI-2010 scores p = 0.026 . Furthermore, there was a positive correlation between the patients’ age and scores of PI p = 0.006 and between PI and DQI_I p < 0.001 . There was no significant relationship between the scores for all three indicators and biochemical parameters. Conclusion. The results of this study indicated that there was a significant correlation between the serum LDL-C levels and the HEI-2010 scores. Moreover, the age of the patients had a direct correlation with the PI scores.

scholarly journals Diet Quality Indices and Risk of Type 2 Diabetes Mellitus

2018 ◽  
Vol 187 (12) ◽  
pp. 2651-2661 ◽  
Author(s):  
Guo-Chong Chen ◽  
Woon-Puay Koh ◽  
Nithya Neelakantan ◽  
Jian-Min Yuan ◽  
Li-Qiang Qin ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Diet Quality ◽  
Dietary Pattern ◽  
Asian Population ◽  
Healthy Eating Index ◽  
Health Study ◽  
Quality Indices ◽  
Hypertension Status ◽  
Incident Cases

Abstract We aimed to test whether predefined dietary patterns that are inversely related to risk of type 2 diabetes (T2D) in Western populations were similarly associated with lower T2D risk in an Asian population. We included 45,411 middle-aged and older participants (ages 45–74 years) in the Singapore Chinese Health Study who were free of diabetes, cancer, and cardiovascular disease at baseline (1993–1998). Participants were followed up for T2D diagnosis through 2010. Dietary information was collected using a validated food frequency questionnaire. Dietary pattern scores were calculated for the alternate Mediterranean diet (aMED), Alternate Healthy Eating Index 2010 (AHEI-2010), the Dietary Approaches to Stop Hypertension (DASH) diet, an overall plant-based diet index, and a healthful plant-based diet index. During a median of 11.1 years of follow-up, 5,207 incident cases of T2D occurred. After adjustment for multiple potential confounders, the 5 dietary pattern scores were significantly associated with 16% (for aMED) to 29% (for DASH) lower risks of T2D when comparing the highest score quintiles with the lowest (all P-for-trend values < 0.001). These associations did not vary substantially by baseline age, sex, body mass index, or hypertension status but were limited to nonsmokers (aMED: P for interaction < 0.001; AHEI-2010: P for interaction = 0.03). Adherence to a high-quality diet, as reflected by several predefined diet quality indices derived in Western populations, was significantly associated with lower T2D risk in an Asian population.

scholarly journals Changes in Diet Quality over 10 Years Are Associated with Baseline Sociodemographic and Lifestyle Factors in the Multiethnic Cohort Study

2020 ◽  
Vol 150 (7) ◽  
pp. 1880-1888
Author(s):  
Song-Yi Park ◽  
Yurii B Shvetsov ◽  
Minji Kang ◽  
Veronica Wendy Setiawan ◽  
Lynne R Wilkens ◽  
...  
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Lifestyle Factors ◽  
Healthy Eating Index ◽  
Activity Level ◽  
Japanese American ◽  
Dash Score ◽  
Men And Women ◽  
Multiethnic Cohort ◽  
Multiethnic Population

ABSTRACT Background Trends in diet quality among US adults indicate a steady improvement, but data on longitudinal individual-level changes in diet quality are still limited. Objective We examined changes in diet quality over 10 y and sought to determine whether baseline sociodemographic and lifestyle factors predicted the changes in a multiethnic population. Methods Data were from 63,255 African American, Native Hawaiian, Japanese American, Latino, and white men and women (45–75 y old at baseline) in the Multiethnic Cohort, who completed a quantitative food frequency questionnaire at baseline (1993–1996) and 10-y follow-up (2003–2007) and had no prevalent cancer or heart disease at either survey. Overall diet quality was measured by use of the Healthy Eating Index–2015 (HEI-2015), the Alternative Healthy Eating Index–2010 (AHEI-2010), the alternate Mediterranean Diet score, and the Dietary Approaches to Stop Hypertension (DASH) score. We used a general linear model with adjustment for covariates to compare diet quality changes by baseline characteristics in men and women separately. Results Overall diet quality improved over 10 y by 3.2 points in men and 2.9 in women assessed using the HEI-2015, although scores for some components worsened (saturated and trans fats, indicating increased intake) or remained unchanged at a low quality level (whole grains, dairy, and sodium). In multivariable models where changes in HEI-2015, AHEI-2010, and DASH were harmonized to a 100-point score, greater increases in scores in both men and women were found for Japanese American ethnicity (increase by 0.5–4.7 in the 3 scores, P &lt; 0.03), higher education (by 0.5–1.5, P ≤ 0.001), normal weight (BMI 18.5 to &lt;25, by 0.6–2.5, P ≤ 0.01), nonsmoking (by 1.5–2.7, P &lt; 0.001), higher moderate/vigorous physical activity level (by 0.3–0.8, P ≤ 0.04), and multivitamin use (by 0.4–0.7, P &lt; 0.001) at baseline. Conclusions Sociodemographic and lifestyle factors, closely associated with diet quality, also predicted subsequent changes in diet quality over time in this multiethnic population.

scholarly journals Diet Quality and All-Cause and Cancer-Specific Mortality in Older Adults with Invasive Cancer: The Multiethnic Cohort Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 555-555
Author(s):  
Song-Yi Park ◽  
Yurii Shvetsov ◽  
Minji Kang ◽  
V Wendy Setiawan ◽  
Carol Boushey ◽  
...  
Keyword(s):  
Older Adults ◽  
Diet Quality ◽  
Cancer Mortality ◽  
Healthy Eating Index ◽  
Invasive Cancer ◽  
Japanese American ◽  
Multiethnic Cohort ◽  
Specific Mortality ◽  
Cancer Specific Mortality

Abstract Objectives We examined the association of postdiagnostic diet quality with all-cause and cancer-specific mortality in older adults diagnosed with invasive cancer, in comparison with those without invasive cancer, in the Multiethnic Cohort. Methods Data were from 66,374 African American, Native Hawaiian, Japanese American, Latino, and White men and women, who had no prevalent cancer, heart disease, or stroke at baseline (1993–1996, 45–75 years) and completed a quantitative food frequency questionnaire at both baseline and 10-year follow-up (2003–2007). Overall diet quality was measured by the Healthy Eating Index (HEI)-2015, the Alternative HEI-2010 (AHEI-2010), the alternate Mediterranean Diet (aMED), and the Dietary Approaches to Stop Hypertension (DASH) scores. Invasive cancer cases between the baseline and 10-year surveys and deaths after the 10 year survey were identified through linkage to cancer registries and to state death files and the National Death Index. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated in multivariate Cox models for the dietary indexes at 10-year follow-up with subsequent mortality. Results Age-adjusted mean scores of the 4 dietary indexes at baseline (prediagnosis) and 10-year follow-up (postdiagnosis) were similar or slightly lower in participants with cancer (n = 5998), compared to those without cancer (n = 60,376). Among participants with cancer (71.5 ± 8.0 years), 2006 all-cause and 1005 cancer-specific deaths were identified during a mean follow-up of 8 years after the 10-year survey. Postdiagnostic scores from all 4 indexes were associated with lower risk of all-cause and cancer mortality: for the highest vs. lowest quartiles, HR (95% CI) for all-cause mortality was 0.72 (0.62–0.82) for HEI-2015, 0.84 (0.73–0.96) for AHEI-2010, 0.74 (0.63–0.86) for aMED, and 0.76 (0.66–0.87) for DASH. The corresponding HRs (95% CIs) for cancer mortality were 0.81 (0.66–0.99), 0.81 (0.66–0.99), 0.72 (0.58–0.89), and 0.79 (0.65–0.97). These HRs were similar to those for participants without cancer. Conclusions Postdiagnostic high-quality diet was related to lower all-cause and cancer mortality in older adults with invasive cancer, with risk reduction comparable to that among participants without cancer. Funding Sources National Cancer Institute.

Assessing Diet Quality of a Type 2 Diabetes Sample Using the Healthy Eating Index 2005

2013 ◽  
Vol 28 (2) ◽  
pp. 145-153 ◽  
Author(s):  
Anne E. Coltman ◽  
Kathryn S. Keim ◽  
Karen M. Chapman-Novakofski ◽  
Christopher A. Taylor
Keyword(s):  
Type 2 Diabetes ◽  
Healthy Eating ◽  
Diet Quality ◽  
Healthy Eating Index

Abstract MP37: Diet Quality and Lifetime Risk of Total Cardiovascular Disease in US Adults

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Victor W Zhong ◽  
Hongyan Ning ◽  
Linda V Van Horn ◽  
John T Wilkins ◽  
Donald M Lloyd-Jones ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Diet Quality ◽  
Proportional Hazards ◽  
Older Men ◽  
Healthy Eating Index ◽  
Dash Score ◽  
Quality Indices ◽  
Middle Aged ◽  
Cvd Risk ◽  
Risk Of Death

Introduction: Suboptimal diet is a leading risk factor for cardiovascular disease (CVD). Yet, the relationship between diet quality and lifetime CVD risk, and whether it differs by age, are unclear. Methods: Diet data from 10 US prospective cohorts were harmonized according to a standard protocol. Three diet quality indices were calculated within each cohort: Dietary Approaches to Stop Hypertension (DASH) diet, alternate Healthy Eating Index 2010 (aHEI-2010), and alternate Mediterranean (aMED) diet. CVD included coronary heart disease, stroke and heart failure. Study sample was divided into younger (<40 years old), middle-aged (40-60) and older (>60) groups based on age at the first dietary assessment. Cumulative CVD risk according to 5-year interval was estimated using modified Kaplan-Meier analysis, adjusting for competing risk of death. Multivariable proportional hazards regression was applied to determine the association between the three diet quality indices and CVD by sex and age. Results: A total of 129,892 participants with 1,603,199 person years of follow-up were analyzed. The adjusted cumulative CVD risk was lower in younger and middle-aged men and all women who had higher DASH score (Figure 1). Age modified the diet-CVD association in both men and women (P <0.0005). Compared to the lowest DASH score quintile (poorest diet), the adjusted hazard ratio (HR) for CVD decreased with increasing quintile of diet quality. The HR for the highest quintile was 0.41 (95% CI: 0.20-0.87) in younger men, 0.97 (0.82-1.16) in middle-aged men, 1.03 (0.89-1.19) in older men, 0.47 (0.21-1.05) in younger women, 0.73 (0.63-0.84) in middle-aged women, and 0.82 (0.76-0.88) in older women. Results were similar for aMED and aHEI-2010 score. Conclusions: Better diet quality is associated with lower lifetime CVD risk in all women and men except older men. Stronger inverse diet quality-CVD association in younger than middle-aged and older adults suggests that relative benefits of a healthy diet for CVD risk reduction may be greater at younger ages.

scholarly journals A priori-defined diet quality indexes and risk of type 2 diabetes: the Multiethnic Cohort

Diabetologia ◽  
2014 ◽  
Vol 58 (1) ◽  
pp. 98-112 ◽  
Author(s):  
Simone Jacobs ◽  
Brook E. Harmon ◽  
Carol J. Boushey ◽  
Yukiko Morimoto ◽  
Lynne R. Wilkens ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Diet Quality ◽  
A Priori ◽  
Multiethnic Cohort ◽  
Quality Indexes

scholarly journals Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes

2017 ◽  
Vol 20 (16) ◽  
pp. 2909-2919 ◽  
Author(s):  
Grace Kollannoor-Samuel ◽  
Sofia Segura-Pérez ◽  
Fatma M Shebl ◽  
Nicola L Hawley ◽  
Grace Damio ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Dietary Intake ◽  
Diet Quality ◽  
Dietary Pattern ◽  
Healthy Eating Index ◽  
Quality Score ◽  
Cross Sectional ◽  
Nutrition Facts Panel ◽  
Fried Snack

AbstractObjectiveThe study aims were to (i) identify determinants of Nutrition Facts Panel (NFP) use and (ii) describe the association between NFP use and dietary intake among Latinos with type 2 diabetes.DesignBaseline cross-sectional data from a clinical trial were used to assess the association between NFP use and dietary intake. Diet was measured using two methods: (i) a diet quality score (the Healthy Eating Index-2010) derived from a single 24 h recall and (ii) dietary pattern (exploratory factor analyses) from an FFQ. Multivariable logistic and non-parametric quantile regressions were conducted, as appropriate.SettingsHartford County, Connecticut, USA.SubjectsLatino adults (n 203), ≥21 years of age, with diagnosed type 2 diabetes, glycosylated Hb≥7 %, and without medical conditions limiting physical activity.ResultsParticipants’ education level, diabetes-related knowledge and English speaking were positively associated with NFP use. At the higher percentiles of diet quality score, NFP use was significantly associated with higher diet quality. Similarly, NFP users were more likely to consume a ‘healthy’ dietary pattern (P=0·003) and less likely to consume a ‘fried snack’ pattern (P=0·048) compared with NFP non-users.ConclusionsThe association between reported NFP use and diet quality was positive and significantly stronger among participants who reported consuming a healthier diet. While NFP use was associated with a healthier dietary pattern, not using NFP was associated with a less-healthy, fried snack pattern. Longitudinal studies are needed to understand whether improving NFP use could be an effective intervention to improve diet quality among Latinos with type 2 diabetes.

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