Diet quality, change in diet quality and risk of incident CVD and diabetes
- PMID: 31511110
- PMCID: PMC6992481
- DOI: 10.1017/S136898001900212X
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.
Keywords: AHEI-2010; CVD; Diabetes; Diet quality; HEI-2015.
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References
-
- Benjamin EJ, Virani SS, Callaway CW et al. (2018) Heart disease and stroke statistics—2018 update: a report from the American Heart Association. Circulation 137, e67–e492. - PubMed
-
- Khazrai YM, Defeudis G & Pozzilli P (2014) Effect of diet on type 2 diabetes mellitus: a review. Diabetes Metab Res Rev 30, Suppl. 1, 24–33. - PubMed
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