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The Mediterranean Diet Score Is More Strongly Associated with Favorable Cardiometabolic Risk Factors over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults.
J Nutr 2017; 147(4):661-669JN

Abstract

Background:

Multiple diet quality scores have been used to evaluate adherence to specific dietary recommendations or to consumption of healthful foods and nutrients. It remains unknown which score can more strongly predict longitudinal changes in cardiometabolic risk factors.

Objective:

We aimed to determine associations of 5 diet quality scores [AHA diet score (AHA-DS), Dietary Approaches to Stop Hypertension (DASH), Healthy Eating Index (HEI)-2005, Mediterranean diet score (MeDS), and Alternative Healthy Eating Index (AHEI)] with 2-y changes in cardiometabolic risk factors in adults 45-75 y old.

Methods:

Data from the Boston Puerto Rican Health Study were analyzed (n = 1194). Diet quality scores were calculated from a baseline-validated food-frequency questionnaire. Multivariable-adjusted, repeated-subjects, mixed-effects models, adjusted for baseline measures, estimated associations between each z score and 14 individual cardiometabolic factors measured at 2 y.

Results:

MeDS was significantly associated with lower 2-y waist circumference (β coefficient ± SE: -0.52 ± 0.26, P = 0.048); body mass index (BMI; -0.23 ± 0.08, P = 0.005); log-insulin (-0.06 ± 0.02, P = 0.005); log-homeostasis model assessment of insulin resistance (HOMA-IR; -0.05 ± 0.02, P = 0.030), and log-C-reactive protein (-0.13 ± 0.03, P = 0.0002). Similar but weaker associations were observed for the AHEI with BMI, insulin, and HOMA-IR. The AHA-DS was inversely associated with BMI (-0.17 ± 0.08, P = 0.033). Neither the HEI-2005 nor DASH was significantly associated with any variable. Traditional Puerto Rican foods consumed by individuals with high MeDSs included vegetables and meats in homemade soups, orange juice, oatmeal, beans and legumes, fish, whole milk, corn oil, and beer.

Conclusions:

The MeDS comprises food components and scores associated with a favorable cardiometabolic profile over 2 y in Puerto Rican adults. An overall healthy diet may be particularly beneficial for maintaining a lower BMI. These results can help identify suitable measures of diet quality in epidemiologic studies and craft meaningful nutritional messages and dietary recommendations for the intended population. This study was registered at clinicaltrials.gov as NCT01231958.

Authors+Show Affiliations

Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; jmattei@hsph.harvard.edu.Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA. Department of Food and Nutrition Science, School of Applied Health Sciences and Wellness, Ohio University, Columbus, OH; and.Department of Biomedical and Nutritional Sciences, University of Massachusetts, Lowell, MA.Department of Biomedical and Nutritional Sciences, University of Massachusetts, Lowell, MA.Department of Biomedical and Nutritional Sciences, University of Massachusetts, Lowell, MA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

28275099

Citation

Mattei, Josiemer, et al. "The Mediterranean Diet Score Is More Strongly Associated With Favorable Cardiometabolic Risk Factors Over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults." The Journal of Nutrition, vol. 147, no. 4, 2017, pp. 661-669.
Mattei J, Sotos-Prieto M, Bigornia SJ, et al. The Mediterranean Diet Score Is More Strongly Associated with Favorable Cardiometabolic Risk Factors over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults. J Nutr. 2017;147(4):661-669.
Mattei, J., Sotos-Prieto, M., Bigornia, S. J., Noel, S. E., & Tucker, K. L. (2017). The Mediterranean Diet Score Is More Strongly Associated with Favorable Cardiometabolic Risk Factors over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults. The Journal of Nutrition, 147(4), pp. 661-669. doi:10.3945/jn.116.245431.
Mattei J, et al. The Mediterranean Diet Score Is More Strongly Associated With Favorable Cardiometabolic Risk Factors Over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults. J Nutr. 2017;147(4):661-669. PubMed PMID: 28275099.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Mediterranean Diet Score Is More Strongly Associated with Favorable Cardiometabolic Risk Factors over 2 Years Than Other Diet Quality Indexes in Puerto Rican Adults. AU - Mattei,Josiemer, AU - Sotos-Prieto,Mercedes, AU - Bigornia,Sherman J, AU - Noel,Sabrina E, AU - Tucker,Katherine L, Y1 - 2017/03/08/ PY - 2016/12/02/received PY - 2016/12/22/revised PY - 2017/02/07/accepted PY - 2017/3/10/pubmed PY - 2017/6/21/medline PY - 2017/3/10/entrez KW - Hispanics/Latinos KW - Mediterranean diet KW - Puerto Ricans KW - cardiometabolic risk factors KW - diet quality KW - diet quality comparison KW - diet quality indexes KW - diet quality scores KW - longitudinal studies KW - traditional foods SP - 661 EP - 669 JF - The Journal of nutrition JO - J. Nutr. VL - 147 IS - 4 N2 - Background: Multiple diet quality scores have been used to evaluate adherence to specific dietary recommendations or to consumption of healthful foods and nutrients. It remains unknown which score can more strongly predict longitudinal changes in cardiometabolic risk factors.Objective: We aimed to determine associations of 5 diet quality scores [AHA diet score (AHA-DS), Dietary Approaches to Stop Hypertension (DASH), Healthy Eating Index (HEI)-2005, Mediterranean diet score (MeDS), and Alternative Healthy Eating Index (AHEI)] with 2-y changes in cardiometabolic risk factors in adults 45-75 y old.Methods: Data from the Boston Puerto Rican Health Study were analyzed (n = 1194). Diet quality scores were calculated from a baseline-validated food-frequency questionnaire. Multivariable-adjusted, repeated-subjects, mixed-effects models, adjusted for baseline measures, estimated associations between each z score and 14 individual cardiometabolic factors measured at 2 y.Results: MeDS was significantly associated with lower 2-y waist circumference (β coefficient ± SE: -0.52 ± 0.26, P = 0.048); body mass index (BMI; -0.23 ± 0.08, P = 0.005); log-insulin (-0.06 ± 0.02, P = 0.005); log-homeostasis model assessment of insulin resistance (HOMA-IR; -0.05 ± 0.02, P = 0.030), and log-C-reactive protein (-0.13 ± 0.03, P = 0.0002). Similar but weaker associations were observed for the AHEI with BMI, insulin, and HOMA-IR. The AHA-DS was inversely associated with BMI (-0.17 ± 0.08, P = 0.033). Neither the HEI-2005 nor DASH was significantly associated with any variable. Traditional Puerto Rican foods consumed by individuals with high MeDSs included vegetables and meats in homemade soups, orange juice, oatmeal, beans and legumes, fish, whole milk, corn oil, and beer.Conclusions: The MeDS comprises food components and scores associated with a favorable cardiometabolic profile over 2 y in Puerto Rican adults. An overall healthy diet may be particularly beneficial for maintaining a lower BMI. These results can help identify suitable measures of diet quality in epidemiologic studies and craft meaningful nutritional messages and dietary recommendations for the intended population. This study was registered at clinicaltrials.gov as NCT01231958. SN - 1541-6100 UR - https://www.unboundmedicine.com/medline/citation/28275099/The_Mediterranean_Diet_Score_Is_More_Strongly_Associated_with_Favorable_Cardiometabolic_Risk_Factors_over_2_Years_Than_Other_Diet_Quality_Indexes_in_Puerto_Rican_Adults_ L2 - https://academic.oup.com/jn/article-lookup/doi/10.3945/jn.116.245431 DB - PRIME DP - Unbound Medicine ER -