Diet quality, change in diet quality and risk of incident CVD and diabetes.

Abstract:

OBJECTIVE:The objective of this study was to assess the prospective association between diet quality, as well as a 6-year change in diet quality, and risk of incident CVD and diabetes in a community-based population. DESIGN:We used Cox regression models to estimate the prospective association between diet quality, assessed using the Healthy Eating Index (HEI)-2015 and the Alternative HEI (AHEI)-2010 scores, as well as change in diet quality, and incident CVD and diabetes. SETTING:The ARIC Study recruited 15 792 black and white men and women (45-64 years) from four US communities. PARTICIPANTS:We included 10 808 study participants who reported usual dietary intake via FFQ at visit 1 (1987-1989) and who had not developed CVD, diabetes, or cancer at baseline. RESULTS:Overall, 3070 participants developed CVD (median follow-up of 26 years) and 3452 developed diabetes (median follow-up of 22 years) after visit 1. Higher diet score at the initial visit was associated with a significantly lower risk of CVD (HR per 10 % higher HEI-2015 diet quality score: 0·90 (95 % CI: 0·86, 0·95) and HR per 10 % higher AHEI-2010 diet quality score: 0·96 (95 % CI: 0·93, 0·99)). We did not observe a significant association between initial diet score and incident diabetes. There were no significant associations between change in diet score and CVD or diabetes risk in the overall study population. CONCLUSIONS:Higher diet quality assessed using HEI-2015 and AHEI-2010 was strongly associated with lower CVD risk but not diabetes risk within a middle-aged, community-based US population.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Xu Z,Steffen LM,Selvin E,Rebholz CM

doi

10.1017/S136898001900212X

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

329-338

issue

2

eissn

1368-9800

issn

1475-2727

pii

S136898001900212X

journal_volume

23

pub_type

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