An obesity dietary quality index predicts abdominal obesity in women: potential opportunity for new prevention and treatment paradigms.
Background. Links between dietary quality and abdominal obesity are poorly understood. Objective. To examine the association between an obesity-specific dietary quality index and abdominal obesity risk in women. Methods. Over 12 years, we followed 288 Framingham Offspring/Spouse Study women, aged 30-69 years, without metabolic syndrome risk factors, cardiovascular disease, cancer, or diabetes at baseline. An 11-nutrient obesity-specific dietary quality index was derived using mean ranks of nutrient intakes from 3-day dietary records. Abdominal obesity (waist circumference >88 cm) was assessed during follow-up. Results. Using multiple logistic regression, women with poorer dietary quality were more likely to develop abdominal obesity compared to those with higher dietary quality (OR 1.87; 95% CI, 1.01, 3.47; P for trend = .048) independent of age, physical activity, smoking, and menopausal status. Conclusions. An obesity-specific dietary quality index predicted abdominal obesity in women, suggesting targets for dietary quality assessment, intervention, and treatment to address abdominal adiposity.
Wolongevicz
Dolores M
DM
Department of Family Medicine and the Graduate Medical Sciences Division, Boston University School of Medicine, Boston, MA 02118, USA.
Zhu
Lei
L
Pencina
Michael J
MJ
Kimokoti
Ruth W
RW
Newby
P K
PK
D'Agostino
Ralph B
RB
Millen
Barbara E
BE
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