Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance

McCullough, Marjorie L.; Feskanich, Diane; Stampfer, Meir J.; Giovannucci, Edward; Rimm, Eric B.; Hu, Frank B.; Spiegelman, Donna; Hunter, David J.; Colditz, Graham A.; Willett, Walter C.

doi:10.1093/ajcn/76.6.1261

Cited by 984 publications

(968 citation statements)

References 70 publications

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“…In most cases, the indices were studied to link the adequacy of intakes with the theoretical needs in nutrients, especially through nutrient adequacy ratios (NARs) and the mean adequacy ratio (MAR) and/or with respect to certain parameters of nutritional status (biochemical, anthropometric, and other measurements). Indices have rarely been studied in relation to their links with health status, but when they have, then using a more practical or applied approach (Haines et al, 1999;McCullough et al, 2002). In this context, since the indices were mainly developed in industrialized countries, the chronic diseases referred to are essentially pathologies linked to overweight, cardio-vascular diseases and cancers.…”

Section: Introductionmentioning

confidence: 99%

Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso

et al. 2005

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Objectives: To develop scores for food variety and diversity to assess the overall dietary quality in an African rural area; and to study their relationship with the nutritional status of women of childbearing age. Design: Cross-sectional. Setting: Sahelian rural area in the North-East Burkina Faso (West Africa). Subjects: A total of 691 mothers with children below the age of 5 y, selected at random in 30 villages. Methods: A qualitative recall of women's food consumption during the previous 24 h made it possible to calculate a food variety score (FVS ¼ count of food items consumed) and a dietary diversity score (DDS ¼ count of food groups, among 14 groups). These scores were then divided into terciles. Body mass index (BMI), mid-upper arm circumference (MUAC) and body fat percentage (BFP) were used to determine the women's nutritional status. Results: The overall dietary quality was poor: mean FVS (s.d.) ¼ 8.3 (2.9) food items; mean DDS ¼ 5.1 (1.7) food groups. A clear relationship was shown between both FVS and DDS (in terciles) and most nutritional indices. Women with a FVS in the lowest tercile had a mean BMI of 20.1, while those in the highest tercile had a BMI of 20.9 (P ¼ 0.009). Those in the lowest tercile of DDS had a 22.8% prevalence of underweight vs 9.8% in the highest tercile (Po0.0001). The latter relationship remained significant even when the subjects' sociodemographic and economic characteristics were accounted for. Conclusion: Dietary scores measured at the individual level are good proxies for overall dietary quality of women living in a poor rural African area. These scores were also shown to be linked with the nutritional status of women. Financing: IRD financed the study with the assistance of UNICEF for the purchase of anthropometric equipment. The first author received a research allowance from the French Ministry of Research through the doctoral school 393 of Pierre and Marie Curie University (Paris VI).

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Section: Introductionmentioning

confidence: 99%

Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso

et al. 2005

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“…Queensland has a large Polynesian population of approximately 40 000, 38 % of whom identify with Samoan ancestry (10,11) . Little has been done to address the poor state of health of Samoan people in Australia.Diet quality is a known risk factor for a number of chronic diseases (12)(13)(14) . The antioxidant properties of vegetables can reduce risk of chronic disease while the consumption of energy-dense nutrient-poor foods and beverages can increase the risk of chronic disease.…”

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confidence: 99%

Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study

Perkins

Ware

Tautalasoo³

et al. 2015

Public Health Nutr.

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Objective: To describe key characteristics of the dietary habits of Samoans residing in Logan, Queensland and to compare these characteristics with comparable populations. Design: Dietary intake was measured using a self-administered structured questionnaire between December 2012 and March 2013. Demographic characteristics included age and sex. Questionnaire results were compared with data from samples of Brisbane residents of similar social and economic characteristics and Pacific Islanders in New Zealand. The association between demographic characteristics and diet was investigated. Setting: Logan, Queensland, Australia. Subjects: Samoans aged 16 years and older. Results: A total of 207 Samoans participated, ninety-six (46 %) of whom were male. Of the participants, seventy-nine (38 %) were aged 16-29 years, sixty-three (30 %) were aged 30-49 years and sixty-five (31 %) were aged ≥50 years. Younger adults were significantly more likely to eat hamburgers, pizza, cakes, savoury pastries, potato crisps, sweets and soft drinks (all variables P < 0·001). Among Samoans, 44·7 % consumed two or more pieces of fruit daily, compared with 43·8 % of comparable Brisbane residents (relative risk = 1·0; 95 % CI 0·8, 1·2). Three or more servings of vegetables each day were consumed by 9·2 % of Samoans compared with 36·6 % of comparable Brisbane residents (relative risk = 3·8; 95 % CI 2·5, 6·0). Conclusions: Samoans are consuming significantly fewer vegetables and more discretionary foods than other populations. Socio-economic factors, length of stay in Australia and cultural practices may impact upon Samoans' diets. Further comprehensive studies on Samoans' dietary habits in Australia are recommended. Keywords Migrant health Pacific IslandersDietary intake Acculturation Nutritional inequalitiesPartially as a consequence of the adoption of Westernstyle diets (1)(2)(3) , rates of chronic disease, particularly obesity and type 2 diabetes mellitus, have increased dramatically in recent years among migrant Polynesian communities. The increased risk of chronic disease is amplified by an apparent genetic predisposition to obesity, diabetes, heart disease and hypertension (4,5) . The present paper considers key dietary characteristics of a population who identify with Samoan ancestry and reside in Logan, which is part of the Greater Brisbane region of South East Queensland. Henceforth, this population will be referred to as Samoans. Samoans are more susceptible to poor levels of population health as a result of various determinants underpinning their attitudes, access and knowledge of health care, such as socio-cultural issues, low socio-economic status and low health literacy (6,7) . Consequently, Samoans suffer disproportionate rates of non-communicable diseases and avoidable hospital admissions (7)(8)(9) . Queensland has a large Polynesian population of approximately 40 000, 38 % of whom identify with Samoan ancestry (10,11) . Little has been done to address the poor state of health of Samoan people in Australia.Diet qualit...

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“…Dietary factors were assessed using semiquantitative food frequency questionnaires in 1980,1984,1986, and every 4 years until 2010 (20). Participants were classified into tertiles of the Alternative Healthy Eating Index by methods previously described (21). For comorbidities at baseline, we used the previously validated multimorbidity weighted index (MWI) that was derived using the NHS and related cohorts and is composed of 74 distinct prevalent and serious conditions (such as cancer, diabetes mellitus, and cardiovascular disease) by self-report, with each condition weighted by the effect on physical health-related quality of life (22).…”

Section: Significance and Innovationsmentioning

confidence: 99%

Smoking Behavior Changes in the Early Rheumatoid Arthritis Period and Risk of Mortality During Thirty‐Six Years of Prospective Followup

Chang

Nguyen

Barbhaiya

et al. 2017

Arthritis Care & Research

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Objective. To investigate whether rheumatoid arthritis (RA) diagnosis influences smoking behavior changes and whether these changes were associated with mortality. Methods. We identified an incident RA cohort in the Nurses' Health Study (NHS; 1976-2012. Behavioral data were collected through biennial questionnaires. We created a comparison cohort, matching RA cases to women without RA by age and calendar year at the index date of RA diagnosis. To investigate smoking behavior changes in the early RA period, sustained cessation was defined as permanently quitting within 4 years of the RA/index date. We used Cox regression to obtain hazard ratios (HRs) for mortality, comparing sustained smoking cessation to continued smoking. Results. Among 121,700 women in the NHS, we identified 938 with incident RA matched to 8,951 non-RA comparators. Among current smokers, 40.0% with RA permanently quit smoking in the early RA period, compared to 36.1% of comparators (odds ratio for sustained cessation 1.18 [95% confidence interval (95% CI) 0.88, 1.58]). There were 313 deaths (33.4%) in the RA cohort and 2,042 (22.8%) among comparators. Compared to continued smoking, sustained cessation was associated with similarly decreased mortality in both the RA (HR 0.58 [95% CI 0.33, 1.01]) and comparison (HR 0.47 [95% CI 0.39, 0.58]) cohorts. Women with RA had higher mortality for >5 post-RA pack-years (HR 3.67 [95% CI 2.80, 4.81]) than comparators with >5 post-index pack-years (HR 1.88 [95% CI 1.62, 2.17]; P < 0.001 for interaction; reference: ever-smoker non-RA women with 0 post-index pack-years). Conclusion. Sustained smoking cessation within 4 years of RA diagnosis reduced mortality risk, with a similar effect observed among non-RA comparators. Smoking >5 pack-years after RA diagnosis significantly increased mortality beyond the risk of non-RA comparators.

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Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance

Abstract: The AHEI predicted chronic disease risk better than did the RFS (or the HEI, in our previous research) primarily because of a strong inverse association with CVD. Dietary guidelines can be improved by providing more specific and comprehensive advice.

Cited by 984 publications

References 70 publications

Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso

Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso

Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study

Smoking Behavior Changes in the Early Rheumatoid Arthritis Period and Risk of Mortality During Thirty‐Six Years of Prospective Followup

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