scholarly journals Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health

2021 ◽  
Vol 18 (21) ◽  
pp. 11375
Author(s):  
Hlaing Hlaing-Hlaing ◽  
Xenia Dolja-Gore ◽  
Meredith Tavener ◽  
Erica L. James ◽  
Allison M. Hodge ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Women’S Health ◽  
Women's Health ◽  
Healthy Eating ◽  
Diet Quality ◽  
Communicable Disease ◽  
Healthy Eating Index ◽  
Lower Odds ◽  
All Cause Mortality ◽  
Non Communicable Disease

Diet quality indices (DQIs) can be useful predictors of diet–disease relationships, including non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overall diet quality (DQ) predicted NCD, multimorbidity, and all-cause mortality. Women from the 1945–51 cohort of the Australia Longitudinal Study on Women’s Health (ALSWH) were included if they: responded to S3 in 2001 and at least one survey between 2004 (S4) and 2016 (S8), and had no NCD history and complete dietary data at S3. DQ was summarized by the Healthy Eating Index for Australian Adults-2013 (HEIFA-2013), Mediterranean Diet Score (MDS), and Alternative Healthy Eating Index-2010 (AHEI-2010). Outcomes included each NCD (diabetes mellitus (DM), coronary heart disease (CHD), hypertension (HT), asthma, cancer (except skin cancer), depression and/or anxiety) independently, multimorbidity, and all-cause mortality. Repeated multivariate logistic regressions were used to test associations between DQIs and NCD outcomes across the 15 years of follow-up. The mean (±sd) of DQIs of participants (n = 5350) were 57.15 ± 8.16 (HEIFA-2013); 4.35 ± 1.75 (MDS), and 56.01 ± 10.32 (AHEI-2010). Multivariate regressions indicated that women reporting the highest quintile of AHEI-2010 had lower odds of DM (42–56% (S5–S8)), HT (26% (S8)), asthma (35–37% (S7, S8)), and multimorbidity (30–35% (S7, S8)). The highest quintile of HEIFA-2013 and MDS had lower odds of HT (26–35% (S7, S8); 24–27% (S6–S8), respectively) and depression and/or anxiety (30% (S6): 30–34% (S7, S8)). Our findings support evidence that DQ is an important predictor of some NCDs and a target for prevention in middle-aged women.

scholarly journals Does Season of Reported Dietary Intake Influence Diet Quality? Analysis From the Women’s Health Initiative

2019 ◽  
Vol 188 (7) ◽  
pp. 1304-1310
Author(s):  
Tracy E Crane ◽  
Yasmin Abdel Latif ◽  
Betsy C Wertheim ◽  
Lindsay N Kohler ◽  
David O Garcia ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Women’S Health ◽  
Women's Health ◽  
Postmenopausal Women ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Women's Health Initiative ◽  
Women’S Health Initiative ◽  
Health Initiative ◽  
The Women’S Health Initiative

Abstract We evaluated the role of seasonality in self-reported diet quality among postmenopausal women participating in the Women’s Health Initiative (WHI). A total of 156,911 women completed a food frequency questionnaire (FFQ) at enrollment (1993–1998). FFQ responses reflected intake over the prior 3-month period, and seasons were defined as spring (March–May), summer (June–August), fall (September–November), and winter (December–February). FFQ data were used to calculate the Alternate Healthy Eating Index (AHEI), a measure of diet quality that has a score range of 2.5–87.5, with higher scores representing better diet quality. In multivariable linear regression models using winter as the reference season, AHEI scores were higher in spring, summer, and fall (all P values < 0.05); although significant, the variance was minimal (mean AHEI score: winter, 41.7 (standard deviation, 11.3); summer, 42.2 (standard deviation, 11.3)). Applying these findings to hypothesis-driven association analysis of diet quality and its relationship with chronic disease risk (cardiovascular disease) showed that controlling for season had no effect on the estimated hazard ratios. Although significant differences in diet quality across seasons can be detected in this population of US postmenopausal women, these differences are not substantial enough to warrant consideration in association studies of diet quality.

scholarly journals Lung function, COPD and Alternative Healthy Eating Index (AHEI-2010) in US adults

2021 ◽  
pp. 00927-2020
Author(s):  
Kirstie Ducharme-Smith ◽  
Gustavo Mora-Garcia ◽  
Francisca de Castro Mendes ◽  
Maria Stephany Ruiz-Diaz ◽  
Andre Moreira ◽  
...  
Keyword(s):  
Lung Function ◽  
Healthy Eating ◽  
Diet Quality ◽  
The United States ◽  
Forced Expiratory Volume ◽  
Healthy Eating Index ◽  
Chronic Obstructive ◽  
P Value ◽  
Lower Odds ◽  
Alternative Healthy Eating Index

BackgroundThere is a large burden of chronic obstructive pulmonary disease (COPD) in the United States (US). The purpose of this study was to investigate the association between diet quality with lung function, airway restriction, and spirometrically defined COPD in a nationally representative sample of US adults.MethodsAdults (19–70 years of age) from the National Health and Nutrition Examination Survey (NHANES) 2007–2012 cycles were included (N=10 428). Diet quality was determined using the Alternative Healthy Eating Index (AHEI-2010). Pre-bronchodilator measurements of forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and the FEV1/FVC were described. Calibrated lower limit of normal (LLN) estimates were derived to determine prevalence of airway restriction (FVC<LLN) and COPD (FEV1/FVC Ratio<LLN). Population-weighted linear and logistic regression models were used to investigate the association of AHEI-2010 and respiratory outcomes.ResultsThe average AHEI was 45.3 (±12.2), equivalent to meeting 41% of the daily recommendations for optimal diet quality. Those in the highest quartile of AHEI had better FEV1 (adjusted [a]β:47.92, 95% CI 2.27, 93.57) and FVC (aβ: 80.23, 95% CI 34.03, 126.42; p-value interaction (*) of AHEI and smoking >0.05) compared to those in quartile 1. Higher AHEI was also associated with lower odds of airway restriction (OR: 0.23, 95% CI 0.08, 0.67; p-value AHEI*ethnicity >0.05).ConclusionsDiet quality was independently associated with better FEV1, FVC, and with lower odds of spirometric restriction. These findings highlight the need for research to further elucidate the possible beneficial role of diet in the preservation of lung function.

scholarly journals Relative Validity of Dietary Total Antioxidant Capacity for Predicting All-Cause Mortality in Comparison to Diet Quality Indexes in US Adults

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1210
Author(s):  
Kyungho Ha ◽  
Kijoon Kim ◽  
Junichi R. Sakaki ◽  
Ock K. Chun
Keyword(s):  
Antioxidant Capacity ◽  
Healthy Eating ◽  
Diet Quality ◽  
Total Antioxidant Capacity ◽  
Healthy Eating Index ◽  
Antioxidant Power ◽  
Dietary Recall ◽  
All Cause Mortality ◽  
Total Antioxidant ◽  
Dietary Total Antioxidant Capacity

While traditionally diet quality index scores (DQIS) as noted later in this abstract have been used to predict health outcomes, dietary total antioxidant capacity (TAC), a useful tool for assessing total antioxidant power in the diet, may also be a novel predictor. This study evaluated the associations between dietary TAC and DQIS and all-cause mortality. Based on the National Health and Nutrition Examination Survey (NHANES) 1988–1994 and 1999–2006, 23,797 US adults were followed-up until 2015. Dietary TAC and DQIS including the Healthy Eating Index-2015 (HEI-2015), Alternative Healthy Eating Index-2010 (AHEI-2010), alternate Mediterranean Diet (aMED), and Dietary Approaches to Stop Hypertension (DASH) were calculated using a 1-day 24 h dietary recall. US adults in the highest quintiles of DQIS had lower rates of all-cause mortality compared to those in the lowest quintiles (HEI-2015 hazard ratio (HR): 0.87, 95% confidence interval (CI): 0.77–0.98; AHEI-2010 HR: 0.84, 95% CI: 0.74–0.94; aMED HR: 0.79, 95% CI: 0.69–0.90; DASH HR: 0.80, 95% CI: 0.70–0.92). Similarly, those in the highest quintile of dietary TAC also had a lower all-cause mortality than those in the lowest quintile (HR: 0.88, 95% CI: 0.79–0.98). These findings suggest that dietary TAC might be a relatively valid predictor of all-cause mortality in the US population compared to the DQIS.

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 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 Proteins as Mediators of the Association Between Diet Quality and Incident Cardiovascular Disease and All‐Cause Mortality: The Framingham Heart Study

2021 ◽  
Author(s):  
Youjin Kim ◽  
Sophia Lu ◽  
Jennifer E. Ho ◽  
Shih‐Jen Hwang ◽  
Chen Yao ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Healthy Eating ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Quality Score ◽  
Median Proportion ◽  
Heart Study ◽  
All Cause Mortality ◽  
Related Proteins ◽  
Diet Score

Background Biological mechanisms underlying the association of a healthy diet with chronic diseases remain unclear. Targeted proteomics may facilitate the understanding of mechanisms linking diet to chronic diseases. Methods and Results We examined 6360 participants (mean age 50 years; 54% women) in the Framingham Heart Study. The associations between diet and 71 cardiovascular disease (CVD)‐related proteins were examined using 3 diet quality scores: the Alternate Healthy Eating Index, the modified Mediterranean‐style Diet Score, and the modified Dietary Approaches to Stop Hypertension diet score. A mediation analysis was conducted to examine which proteins mediated the associations of diet with incident CVD and all‐cause mortality. Thirty of the 71 proteins were associated with at least 1 diet quality score ( P <0.0007) after adjustment for multiple covariates in all study participants and confirmed by an internal validation analysis. Gene ontology analysis identified inflammation‐related pathways such as regulation of cell killing and neuroinflammatory response (Bonferroni corrected P <0.05). During a median follow‐up of 13 years, we documented 512 deaths and 488 incident CVD events. Higher diet quality scores were associated with lower risk of CVD ( P ≤0.03) and mortality ( P ≤0.004). After adjusting for multiple potential confounders, 4 proteins (B2M [beta‐2‐microglobulin], GDF15 [growth differentiation factor 15], sICAM1 [soluble intercellular adhesion molecule 1], and UCMGP [uncarboxylated matrix Gla‐protein]) mediated the association between at least 1 diet quality score and all‐cause mortality (median proportion of mediation ranged from 8.6% to 25.9%). We also observed that GDF15 mediated the association of the Alternate Healthy Eating Index with CVD (median proportion of mediation: 8.6%). Conclusions Diet quality is associated with new‐onset CVD and mortality and with circulating CVD‐related proteins. Several proteins appear to mediate the association of diet with these outcomes.

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

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