scholarly journals Nighttime Eating Is Associated with Poor Diet Quality in Adult Females (P21-055-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Meghan Donnelly ◽  
Kathleen Woolf
Keyword(s):  
Disordered Eating ◽  
Diet Quality ◽  
Weight Status ◽  
Online Survey ◽  
Food Group ◽  
Healthy Eating Index ◽  
Eating Pattern ◽  
Night Eating ◽  
Adult Females ◽  
Nighttime Eating

Abstract Objectives Night Eating Syndrome (NES) is a disordered eating pattern characterized by nighttime hyperphagia. Previous research suggests that nighttime eating, especially in individuals with NES, is associated with obesity and higher intake of energy, sodium, saturated fat, and processed foods. The purpose of this study was to examine the effect of nighttime eating on diet quality and weight status in adult females. Methods An online survey was administered to 516 women (age 18–65) from July 2018 thru January 2019. The survey included the validated Night Eating Questionnaire and the National Cancer Institute Diet History Questionnaire (DHQ) II. Diet quality was assessed using the Healthy Eating Index (HEI) 2015. The Diet*Calc program analyzed the DHQ II output to generate estimates of nutrient and food group intake. NCI SAS macros were used to calculate the HEI 2015 component and total scores. IBM SPSS Statistics (version 25) was used to run descriptive statistics and inferential statistics (chi-square tests, independent samples t-tests). Results Of the 516 women, 36 were classified as night eaters and 480 were classified as non-night eaters. The majority of participants were employed (70.3%) and highly educated (95.1% reported some college or higher). Night eaters worked night shifts more often than non-night eaters (P ≤ 0.001). Mean HEI scores were lower in night eaters (58.6 ± 11.1) than in non-night eaters (64.9 ± 9.8) (P ≤ 0.001). There was no difference between the two groups (night eaters, non-night eaters) for BMI; the mean BMI for all participants was 24.1.7 ± 5.5 kg/m2. However, a higher proportion of night eaters than expected were underweight and obese (P ≤ 0.001). There was also an association between nighttime eating and history of eating disorder diagnosis (P ≤ 0.001). Conclusions These findings are consistent with previous research suggesting that nighttime eating is associated with reduced diet quality, unhealthy weight status, and disordered eating. Further research should be directed at understanding hormonal responses to nighttime eating and its affect on weight status and dietary choices. Funding Sources None.

scholarly journals Maternal night-eating and lower diet quality during pregnancy are associated with substantial postpartum weight retention

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
See Ling Loy ◽  
Yin Bun Cheung ◽  
Colega Marjorelee ◽  
Airu Chia ◽  
Chad Yixian Han ◽  
...  
Keyword(s):  
Healthy Eating ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Postpartum Weight Retention ◽  
Weight Retention ◽  
Eating Pattern ◽  
Night Eating ◽  
Postpartum Weight ◽  
Fasting Duration

AbstractRecent evidence suggests that synchronizing eating-fasting schedules with body's circadian rhythms or day-night cycles is important for metabolic health. Besides food quantity and quality, food timing may contribute to weight regulation. However, it is unclear if this factor during pregnancy can influence maternal weight retention after childbirth. Using data from a prospective cohort, the Growing Up in Singapore Towards healthy Outcomes (GUSTO) study, we examined the associations of maternal circadian eating pattern and diet quality in pregnancy with substantial postpartum weight retention (PPWR) at 18 months. We assessed 687 pregnant women for their circadian eating pattern (night-eating, night-fasting and eating episodes) and diet quality (Healthy Eating Index) based on information derived from 24-h dietary recall at 26–28 weeks’ gestation. Night-eating was defined as > 50% of total energy intake during 1900–0659 h; night-fasting duration was determined based on the longest fasting interval between consumption of a calorie-containing food or beverage during 1900–0659 h; eating episodes were defined as events that provided ≥ 210 kJ with time intervals between eating episodes of ≥ 15 min; diet quality was ascertained using the Healthy Eating Index which measures adherence to the Singapore dietary guidelines for pregnant women. PPWR was calculated by subtracting the weight at the first antenatal clinic visit from weight at 18-month postpartum. Substantial PPWR was defined as weight retention of 5 kg or more. Adjusting for maternal age, ethnicity, education, parity, night shift, mood, body mass index and total energy intake, multivariable binary logistic regression analysis was performed to estimate odds ratio (OR) of substantial PPWR in relation to circadian eating pattern and diet quality. Of 687 women, 110 (16%) had substantial PPWR. After confounders adjustment, night-eating (OR 1.95; 95% confidence interval 1.05, 3.62) and lower diet quality (1.91; 1.17, 3.10) were independently associated with higher odds of substantial PPWR. No associations with substantial PPWR were observed for night-fasting duration and number of eating episodes. During pregnancy, women with higher caloric consumption at night and lower diet quality had a greater likelihood of substantial PPWR. These findings suggest that aligning eating time with day-night cycles and adherence to dietary guidelines during pregnancy may help to alleviate overweight and obesity risk in postpartum life. There is a possibility that these eating patterns persist beyond pregnancy and pose implications for long-term obesity development. Further investigation on this area is required.

scholarly journals Dietary intake and diet quality by weight category among a racially diverse sample of women in Birmingham, Alabama, USA

2020 ◽  
Vol 9 ◽  
Author(s):  
Rebecca B. Little ◽  
Renee Desmond ◽  
Tiffany L. Carson
Keyword(s):  
Diet Quality ◽  
Weight Status ◽  
Vegetable Intake ◽  
The United States ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Rank Test ◽  
Deep South ◽  
Weight Category ◽  
Maximum Score

Abstract Diet is a modifiable contributor to health. The lack of adherence to recommended dietary guidelines may contribute to the disproportionate burden of obesity and other chronic conditions observed in the Deep South region of the United States. The objective of this cross-sectional study was to describe food group intake and diet quality by race and weight status of women in the Deep South. Study participants were eighty-nine healthy female volunteers (56 % black, 44 % white, mean age 39⋅7 ± 1⋅4 years) recruited from Birmingham, AL, USA. Body Mass Index (BMI) determined weight status (non-obese/obese). Healthy Eating Index-2010 (HEI-2010) calculated from dietary recalls assessed diet quality. Wilcoxon sum-rank test compared HEI-2010 scores by race and weight status. χ2 analysis compared the percentage of women who achieved maximum points for HEI-2010 index food components by subgroup. Caloric and macronutrient intake did not differ by race or weight status (mean kcal 1863⋅0 ± 62⋅0). Median Total HEI-2010 Score for the sample was 51⋅9 (IQR: 39⋅1–63⋅4). Although there was no statistical difference in diet quality by race, more whites achieved the maximum score for vegetable intake compared to blacks, while blacks reported higher total fruit intake. Non-obese women reported better diet quality (56⋅9 v. 46⋅1; P = 0⋅04) and eating more whole fruits, and more achieved the maximum score for protein from plant and seafood sources. In summary, differences in diet quality were observed by weight status, but not race among this sample. These results point to tailored dietary interventions for women in metropolitan areas of Alabama, USA.

scholarly journals The Relationship Between the Frequency of Meals Consumed Away-From-Home on the Total Diet Quality and Weight Status

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 248-248
Author(s):  
Ana Moyeda Carabaza ◽  
Phrashiah Githinji ◽  
Bong Nguyen ◽  
Mary Murimi
Keyword(s):  
Fatty Acids ◽  
Dietary Fiber ◽  
Diet Quality ◽  
Trans Fatty Acids ◽  
Weight Status ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Linear Regression Models ◽  
Saturated Fats ◽  
Total Diet

Abstract Objectives To assess factors that contribute to the total diet quality and the associated body mass index (BMI) among adults. Methods A cross-sectional study was conducted to assess dietary quality using the Healthy Eating Index (HEI)-2015 among faculty and staff (N = 152) of a public university. The Food Frequency Questionnaire from the Health and Retirement Study was administered via Qualtrics. Dietary quality was determined using the HEI-2015. Weight, height, number of meals consumed away-from-home per week were self-reported. Descriptive statistics were used to analyze demographic characteristics, number of meals consumed away-from-home, dietary intake, and associated HEI score was calculated. Linear regression models were used to measure associations between the total diet quality, nutrient intakes and the number of away-from-home meals consumed with BMI. Results The average age of participants was 34.3 ± 12.3 years. A majority were female and white Americans (74.3%) and had post-secondary education (79.6%). Approximately, one-third of participants (32.2%) reported having a BMI equal or greater than 30 kg/m2. More than half of the participants exceeded the recommended limit for the consumption of saturated fats (69.7%), and sodium (52.6%); and a majority did not meet the minimum recommended intakes of dietary fiber (96.1%). The average HEI score was 66.34 on a 100-point scale. Only 14.5% had a good dietary quality with a HEI score equal or higher than 80. The number of away-from-home meals consumed per week were associated with an increased intake of trans fatty acids (P < .05), while, increased the consumption of trans fatty acids was associated with an increase in BMI (P < .001) in this study. On the contrary, an increase in the HEI score was associated with a reduction in BMI (P < .05). Conclusions This study found that a high percentage of participants had a low diet quality that was characterized by excessive intake of both saturated fats and sodium and inadequate intake of dietary fiber. In addition, the consumption of meals away-from-home was associated with an increase in the amount of trans fatty acids consumed. Concurrently, the consumption of trans fatty acids was associated with an increase in BMI. These results underscore the importance of eating meals prepared at home in an effort to control weight gain. Funding Sources TTU Transdisciplinary Research Academy.

scholarly journals Diet Quality and Physical Activity Patterns of Musical Theatre Performers (P16-031-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Latifa Alshaikh ◽  
Ana Flavia Zuim ◽  
Kathleen Woolf
Keyword(s):  
Physical Activity ◽  
Diet Quality ◽  
Online Survey ◽  
Short Form ◽  
Activity Patterns ◽  
Healthy Eating Index ◽  
Musical Theatre ◽  
Moderate Physical Activity ◽  
Physical Activity Patterns ◽  
The Arts

Abstract Objectives Musical theatre performers are considered “athletes of the arts”, requiring excellent physical and vocal stamina to complete long rehearsals and meet performance expectations. These demands create emphasis on the importance of good nutritional intake. The purpose of this study was to assess dietary and physical activity patterns of professional musical theatre performers (MTPs) in comparison with non-performers (NPs). Methods The study was cross-sectional and used an online survey via Qualtrics. The survey included the 2010 National Cancer Institute (NCI) Diet History Questionnaire II (DHQ II) and the International Physical Activity Questionnaire-short form. The DHQ II Diet*Calc software was used to generate estimates of nutrient and food group intake. NCI SAS macros calculated Healthy Eating Index (HEI) 2015 component and total scores. Statistical analyses were conducted using IBM SPSS Statistics for Windows, Version 25. Descriptive statistics were generated for both groups. Chi-square tests were used to assess categorical data and independent sample t-tests were used to compare continuous data between the two groups. Results A total of 134 participants were included in the final analysis, of which 58 were MTPs and 76 were NPs. Participants had an average age of 27.5 ± 8.5 years and average BMI of 23.3 ±5.5 kg/m2 with no significant differences between the two groups. There were no significant associations between the two groups for sex, ethnicity, race, or educational level. MTPs obtained higher HEI scores (69.3 ± 8.5) in comparison with NPs (65.2 ± 8.6) (P = 0.007). MTPs engaged in vigorous and moderate physical activity more frequently than NPs (P < 0.001). Of the MTPs, approximately 70% reported experiencing injuries throughout their career, 44% reported following a special diet, and 10.5% reported previous eating disorder diagnosis. Conclusions This study found that the MTPs had higher diet quality compared to non-performers. However, the MTPs were more physically active than non-performers, and that prevalence of injuries among MTPs was high. Further research is needed to identify dietary needs of MTPs and develop appropriate nutrition education interventions for this unique population of “athletes in the arts”. Funding Sources None.

Associations between diet quality and physical activity measures among a southern Ontario regional sample of grade 6 students

2010 ◽  
Vol 35 (6) ◽  
pp. 826-833 ◽  
Author(s):  
Sarah J. Woodruff ◽  
Rhona M. Hanning
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Diet Quality ◽  
Odds Ratio ◽  
Weight Status ◽  
Positive Association ◽  
Healthy Eating Index ◽  
Normal Weight ◽  
Future Research ◽  
Ordinal Logistic Regression Analysis

The purpose of this study was to determine diet quality and physical activity behaviours of grade 6 students by sex and body weight status, and to determine the associations between diet quality and physical activity behaviours. The Web-based Food Behaviour Questionnaire, which included a 24-h diet recall and the modified Physical Activity Questionnaire for Older Children (PAQ-C), was administered to a cross-section of schools (n = 405 students from 15 schools). Measured height and weight were used to calculate body mass index and weight status (Cole et al. 2000). A Canadian version of the Healthy Eating Index (HEI-C) was used to describe overall diet quality. The mean HEI-C was 69.6 (13.2) with the majority (72%) falling into the needs improvement category. The overall mean physical activity score was 3.7 out of a maximum of 5, with obese subjects being less active compared with normal weight and overweight (p < 0.001). Ordinal logistic regression analysis (of HEI-C vs. all measures of the PAQ-C, sex, and weight status) revealed that HEI-C ratings were likely to be higher in students that walked to and from school 5 days per week (vs. 0 days per week; odds ratio 3.18, p = 0.010); and were active 1 evening per week (vs. none; odds ratio 3.48, p = 0.039). The positive association between diet quality and some aspects of physical activity suggests possible clustering of health behaviours. Future research should test the potential benefits of promoting 1 health behaviour (e.g., healthy eating) with another (e.g., physical activity).

scholarly journals Addition of food group equivalents to the Canadian Diet History Questionnaire II for the estimation of the Canadian Healthy Eating Index-2005

2018 ◽  
Vol 38 (3) ◽  
pp. 125-134
Author(s):  
Maria McInerney ◽  
Vikki Ho ◽  
Anita Koushik ◽  
Isabelle Massarelli ◽  
Isabelle Rondeau ◽  
...  
Keyword(s):  
High School ◽  
Healthy Eating ◽  
Diet Quality ◽  
Canadian Community Health Survey ◽  
Food Group ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Community Health Survey ◽  
Diet History Questionnaire ◽  
Diet History

Introduction Poor diet quality has been shown to increase the risk of common chronic diseases that can negatively impact quality of life and burden the healthcare system. Canada’s Food Guide evidence-based recommendations provide dietary guidance aimed at increasing diet quality. Compliance with Canada’s Food Guide can be assessed with the Canadian Healthy Eating Index (C-HEI), a diet quality score. The recently designed Canadian Diet History Questionnaire II (C-DHQ II), a comprehensive food frequency questionnaire could be used to estimate the C-HEI in Canadian populations with the addition of food group equivalents (representing Canada’s Food Guide servings) to the C-DHQ II nutrient database. We describe methods developed to augment the C-DHQ II nutrient database to estimate the C-HEI. Methods Food group equivalents were created using food and nutrient data from existing published food and nutrient databases (e.g. the Canadian Community Health Survey — Cycle 2.2 Nutrition [2004]). The variables were then added to the C-DHQ II companion nutrient database. C-HEI scores were determined and descriptive analyses conducted for participants who completed the C-DHQ II in a cross-sectional Canadian study. Results The mean (standard deviation) C-HEI score in this sample of 446 adults aged 20 to 83 was 64.4 (10.8). Women, non-smokers, and those with more than high school education had statistically significant higher C-HEI scores than men, smokers and those with high school diplomas or less. Conclusion The ability to assess C-HEI using the C-DHQ II facilitates the study of diet quality and health outcomes in Canada.

scholarly journals Carbohydrate Quality Metrics and Their Association with Population Nutrient Intakes and Diet Quality in Australia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 510-510
Author(s):  
Michelle Blumfield ◽  
Andrew McConnell ◽  
Vanessa Campos ◽  
Kim-Anne Lê ◽  
Flavia Fayet-Moore
Keyword(s):  
Diet Quality ◽  
Health Impact ◽  
Food Group ◽  
Healthy Eating Index ◽  
Quality Metrics ◽  
Nutrient Intakes ◽  
Free Sugars ◽  
Total Sugars ◽  
Added Sugars ◽  
Simple Ratio

Abstract Objectives Carbohydrate (CHO) quality is important for health, yet it is unclear how to best define CHO quality. The aim of this study was to investigate whether diets that meet one of three CHO quality ratios, that include a combination of grams of CHO, fiber or free sugars, are associated with improved diet quality in Australia. Methods National data from the 2011–12 Australian National Nutrition and Physical Activity Survey were assessed (n = 12,153; age 49.0 ± 16.4y adults, 9.5 ± 5.0y children). Three CHO quality ratios were defined: (i) Simple ratio, 10:1 (10 g CHO: ³1 g fiber); (ii) Modified ratio, 10:1:2 (10 g CHO: ³1 g fiber: £2 g free sugars); and (iii) Dual ratio, 10:1 & 1:2 (10 g CHO: ³1 g fiber & £2 g free sugars per 1 g fiber). Participants were defined as having met or not met each ratio in terms of total daily nutrient intakes. Dietary data were collected using a validated Automated Multiple-Pass Method. Nutrient intakes and food group data were compared to Australian Nutrient Reference Values and an Australian Healthy Eating Index (HEIFA-2013). Results Prevalence of ratio adherence was: simple ratio (45%), modified ratio (30%) and dual ratio (36%). After adjusting for energy intake, adults and children who met a ratio reported lower energy intakes, higher fiber and micronutrient intakes, higher HEIFA-2013 scores (adults only) and lower intakes of total sugars, added sugars and sodium (P &lt; .001 for all), compared to those who failed to meet any ratio. Compared to the simple ratio, modified and dual ratios further decreased adult intakes of total sugars (95 g modified, 71 g dual vs 116 g simple; P &lt; .001), added sugars (36 g, 16 g vs 57 g; P &lt; .001) and free sugars (50 g, 26 g vs 72 g; P &lt; .001), and increased HEIFA-2013 scores (56, 59 vs 51; P &lt; .001), with similar findings in children. Conclusions All three CHO quality metrics identified diets with higher nutrient intakes and HEIFA-2013 scores, with the addition of a free sugars constraint resulting in further improvements in diet quality. Utility of a CHO quality metric, based on CHO, fiber and free sugars, may offer a simple, standardized approach to improve total diet quality, which has potential for high public health impact. Funding Sources Nestlé Research.

Unhealthy food options in the school environment are associated with diet quality and body weights of elementary school children in Canada

2020 ◽  
pp. 1-10
Author(s):  
Shannon Sim ◽  
Paul J Veugelers ◽  
Rachel Prowse ◽  
Candace IJ Nykiforuk ◽  
Katerina Maximova
Keyword(s):  
Diet Quality ◽  
School Environment ◽  
Weight Status ◽  
Relative Proportion ◽  
Absolute Number ◽  
Healthy Eating Index ◽  
Unhealthy Food ◽  
Cross Sectional ◽  
Food Outlets ◽  
The Absolute

Abstract Objective: Increasing evidence links unhealthy food environments with diet quality and overweight/obesity. Recent evidence has demonstrated that relative food environment measures outperform absolute measures. Few studies have examined the interplay between these two measures. We examined the separate and combined effects of the absolute and relative densities of unhealthy food outlets within 1600 m buffers around elementary schools on children’s diet- and weight-related outcomes. Design: This is a cross-sectional study of 812 children from thirty-nine schools. The Youth Healthy Eating Index (Y-HEI) and daily vegetables and fruit servings were derived from the Harvard Food Frequency Questionnaire for Children and Youth. Measured heights and weights determined BMI Z-scores. Food outlets were ranked as healthy, somewhat healthy and unhealthy according to provincial paediatric nutrition guidelines. Multilevel mixed-effects regression models were used to assess the effect of absolute (number) and relative (proportion) densities of unhealthy food outlets within 1600 m around schools on diet quality and weight status. Setting: Two urban centres in the province of Alberta, Canada. Participants: Grade 5 students (10–11 years). Results: For children attending schools with a higher absolute number (36+) of unhealthy food outlets within 1600 m, every 10 % increase in the proportion of unhealthy food outlets was associated with 4·1 lower Y-HEI score and 0·9 fewer daily vegetables and fruit. Conclusions: Children exposed to a higher relative density of unhealthy food outlets around a school had lower diet quality, specifically in areas where the absolute density of unhealthy food outlets was also high.

Changes in Adolescents’ Dietary Intake Following the Initiation of an 8-Week Exercise Program

2021 ◽  
pp. 1-7
Author(s):  
Catherine Pouliot ◽  
Alyssa Biagé ◽  
Denis Prud’homme ◽  
Isabelle Giroux
Keyword(s):  
Dietary Intake ◽  
Aerobic Exercise ◽  
Energy Intake ◽  
Healthy Eating ◽  
Diet Quality ◽  
Exercise Program ◽  
Healthy Eating Index ◽  
Food Density ◽  
Eating Pattern ◽  
Food Quantity

Purpose: To assess changes in dietary intake of adolescents following an 8-week aerobic exercise program. Methods: Twenty-six adolescents (14–18 years) participated in an 8-week aerobic exercise program on cycle ergometer at their high school in Quebec, Canada. Twenty-four hour recalls were collected pre- and post-intervention. A two-way repeated measures ANOVA and paired sample t-tests were used to assess differences in energy and dietary intake parameters (food quantity, diet quality, eating patterns) between pre- and postintervention. Results: A decrease in total daily energy intake (–287.8 kcal, P = 0.007), in meal size at lunch (–110.1 g, P = 0.02) and dinner (–143.7 g, P = 0.03), in food density at breakfast (–1.8 kcal/g, P = 0.04), in daily carbohydrate intake (–56.1 g, P = 0.005), and in percentage of energy intake consumed at school (–5.1%, P = 0.04) were observed following initiation of an aerobic exercise program. No change in healthy eating index scores or percentage of energy from processed foods was observed. Conclusions: Changes in energy intake, food quantity, and eating pattern but not diet quality (Healthy Eating Index or food processing scores) were observed following the initiation of an aerobic exercise program. Nutrition interventions may be needed, in addition to an exercise program, to target diet quality and promote healthy eating habits in adolescents.

scholarly journals Associations of Adiposity and Diet Quality with Serum Ceramides in Middle-Aged Adults with Cardiovascular Risk Factors

2019 ◽  
Vol 8 (4) ◽  
pp. 527 ◽  
Author(s):  
Margaret A. Drazba ◽  
Ida Holásková ◽  
Nadine R. Sahyoun ◽  
Melissa Ventura Marra
Keyword(s):  
Risk Factors ◽  
Risk Score ◽  
Diet Quality ◽  
Cardiovascular Events ◽  
Weight Status ◽  
Smoking Status ◽  
Healthy Eating Index ◽  
Risk Scores ◽  
Middle Aged ◽  
Middle Aged Adults

Rates of adverse cardiovascular events have increased among middle-aged adults. Elevated ceramides have been proposed as a risk factor for cardiovascular events. Diet quality and weight status are inversely associated with several traditional risk factors; however, the relationship to ceramides is less clear. This study aimed to determine associations of adiposity and diet quality with circulating ceramides in middle-aged adults (n = 96). Diet quality was estimated using the Healthy Eating Index 2015 (HEI-2015). Serum ceramide concentrations were determined by liquid chromatography–mass spectrometry. A ceramide risk score was determined based on ceramides C16:0, C18:0, and C24:1 and their ratios to C24:0. Participants who were classified as at ‘moderate risk’ compared to ‘lower-risk’ based on a ceramide risk score had significantly higher body mass index (BMI) values, as well as higher rates of elevated fibrinogen levels, metabolic syndrome, and former smoking status. BMI was positively associated with the ceramide C18:0 (R2 = 0.31, p < 0.0001), the ratio between C18:0/C24:0 ceramides (R2 = 0.30, p < 0.0001), and the ceramide risk score (R2 = 0.11, p < 0.009). Total HEI-2015 scores (R2 = 0.42, p = 0.02), higher intakes of vegetables (R2 = 0.44, p = 0.02) and whole grains (R2 = 0.43, p = 0.03), and lower intakes of saturated fats (R2 = 0.43, p = 0.04) and added sugar (R2 = 0.44, p = 0.01) were associated with lower C22:0 values. These findings suggest that circulating ceramides are more strongly related to adiposity than overall diet quality. Studies are needed to determine if improvements in weight status result in lower ceramides and ceramide risk scores.

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