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- W1608296875 abstract "Background: Diet guidelines recommend dietary diversity, but metrics for dietary diversity have not been well defined nor evaluated for impact on metabolic health. Also, whether diversity has effects independent of diet quality is unknown. Aims: To characterize metrics of dietary diversity and prospectively assess change in waist circumference (WC) and incident diabetes (DM) in a multi-ethnic population; and whether associations were independent of diet quality. Methods: Among 5,215 Whites, Hispanic, Blacks, and Chinese age 45-84 y and free of DM at baseline (2000-02), diet was assessed using a validated questionnaire, WC was directly measured, and incident DM defined from fasting glucose and medications. Three separate aspects of diet diversity were characterized: count (different food items eaten >once/week), evenness (Berry index) and dissimilarity (Jaccard distance). Diet quality was characterized using DASH, AHEI, and a priori patterns. Diversity metrics were also separately defined based only on generally healthier or less healthy foods. We evaluated associations with 5 y change in WC using linear regression; and incident DM using Cox models. Results: After multivariable adjustment, neither count nor evenness was associated with WC or DM (Table). Higher dissimilarity was associated with gain in WC in Hispanic, Blacks and Chinese, but not Whites; and higher risk of DM in Chinese and Blacks. Most associations were independent of diet quality. No associations were found for diversity metrics defined on strata of only healthier or less healthy foods. Higher diet quality was associated with less WC gain in Hispanics only, and lower risk of DM in Whites and Chinese only. Conclusion: Our findings provide little evidence for benefits of dietary diversity for either WC or DM. Greater dissimilarity was actually positively associated with change in WC in most ethnicities. These results support need for greater investigation of role and relevance of diet diversity for metabolic health in diverse populations." @default.
- W1608296875 created "2016-06-24" @default.
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- W1608296875 date "2014-03-25" @default.
- W1608296875 modified "2023-09-26" @default.
- W1608296875 title "Abstract P195: Dietary Diversity and Quality, Change in Waist Circumference and Risk of Diabetes in the Multi-Ethnic Study of Atherosclerosis" @default.
- W1608296875 doi "https://doi.org/10.1161/circ.129.suppl_1.p195" @default.
- W1608296875 hasPublicationYear "2014" @default.
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