title: An obesity dietary quality index predicts abdominal obesity in women: potential opportunity for new prevention and treatment paradigms.
abstract: 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.
authors.affiliation: Department of Family Medicine and the Graduate Medical Sciences Division, Boston University School of Medicine, Boston, MA 02118, USA.
authors.forename: Dolores M
authors.initials: DM
authors.lastname: Wolongevicz
authors.forename: Lei
authors.initials: L
authors.lastname: Zhu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Pencina
authors.forename: Ruth W
authors.initials: RW
authors.lastname: Kimokoti
authors.forename: P K
authors.initials: PK
authors.lastname: Newby
authors.forename: Ralph B
authors.initials: RB
authors.lastname: D'Agostino
authors.forename: Barbara E
authors.initials: BE
authors.lastname: Millen
references.citation: Am J Clin Nutr. 2006 Oct;84(4):789-97
references.pmid: 17023705
references.citation: Diabetes. 1997 Oct;46(10):1594-600
references.pmid: 9313755
references.citation: World Health Organ Tech Rep Ser. 2003;916:i-viii, 1-149, backcover
references.pmid: 12768890
references.citation: J Nutr. 2008 Jan;138(1):86-93
references.pmid: 18156409
references.citation: J Am Diet Assoc. 1995 Oct;95(10):1103-8
references.pmid: 7560680
references.citation: Int J Obes Relat Metab Disord. 1997 Oct;21(10):903-11
references.pmid: 9347409
references.citation: Obesity (Silver Spring). 2007 Jul;15(7):1675-84
references.pmid: 17636085
references.citation: Obesity (Silver Spring). 2007 Jan;15(1):216-24
references.pmid: 17228050
references.citation: Br J Nutr. 2009 Jul;101 Suppl 2:S73-85
references.pmid: 19594967
references.citation: J Am Diet Assoc. 1996 Aug;96(8):785-91
references.pmid: 8683010
references.citation: Med Hypotheses. 2003 Apr;60(4):584-9
references.pmid: 12615528
references.citation: Obesity (Silver Spring). 2006 Aug;14(8):1383-91
references.pmid: 16988081
references.citation: J Am Diet Assoc. 2001 Feb;101(2):187-94
references.pmid: 11271691
references.citation: Int J Obes Relat Metab Disord. 2002 Jun;26(6):814-21
references.pmid: 12037652
references.citation: Am J Clin Nutr. 2003 Mar;77(3):551-8
references.pmid: 12600842
references.citation: Int J Obes Relat Metab Disord. 2001 Dec;25(12):1815-22
references.pmid: 11781763
references.citation: Epidemiology. 1992 Mar;3(2):171-7
references.pmid: 1576223
references.citation: Am J Clin Nutr. 2007 Oct;86(4):1193-201
references.pmid: 17921402
references.citation: Prev Med. 1975 Dec;4(4):518-25
references.pmid: 1208363
references.citation: J Am Diet Assoc. 1997 Mar;97(3):272-9
references.pmid: 9060944
references.citation: Am J Clin Nutr. 2008 Jul;88(1):64-9
references.pmid: 18614725
references.citation: Obesity (Silver Spring). 2008 Jan;16(1):7-15
references.pmid: 18223605
references.citation: J Am Diet Assoc. 2005 Nov;105(11):1723-34
references.pmid: 16256756
references.citation: Am J Clin Nutr. 2006 Aug;84(2):434-41
references.pmid: 16895895
references.citation: Eur J Clin Nutr. 1996 Sep;50(9):580-91
references.pmid: 8880037
references.citation: Diabetes Care. 2005 Dec;28(12):2823-31
references.pmid: 16306540
references.citation: J Womens Health. 1998 Dec;7(10):1247-56
references.pmid: 9929857
references.citation: Ann Epidemiol. 2009 Oct;19(10):692-700
references.pmid: 19560370
references.citation: Arch Intern Med. 1979 Aug;139(8):857-61
references.pmid: 464698
references.citation: Am J Epidemiol. 2003 Jul 1;158(1):1-13
references.pmid: 12835280
references.citation: J Am Diet Assoc. 1992 Jun;92(6):738-41
references.pmid: 1607574
references.citation: Diabetologia. 2002 Mar;45(3):369-77
references.pmid: 11914742
references.citation: Am J Clin Nutr. 2002 Dec;76(6):1261-71
references.pmid: 12450892
references.citation: Diabetes Care. 2007 Jul;30(7):1717-23
references.pmid: 17384344
references.citation: Br J Nutr. 2004 Oct;92(4):735-48
references.pmid: 15522143
references.citation: Curr Med Chem. 2004 Apr;11(7):901-8
references.pmid: 15078172
references.citation: J Nutr. 2009 Apr;139(4):734-42
references.pmid: 19211825
references.citation: World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
references.pmid: 11234459
references.citation: J Am Coll Nutr. 2002 Apr;21(2):152S-155S
references.pmid: 11999544
references.citation: Circulation. 2008 Apr 1;117(13):1658-67
references.pmid: 18362231
references.citation: Am J Clin Nutr. 2003 Oct;78(4):719-27
references.pmid: 14522729
references.citation: Eur J Clin Nutr. 2001 Oct;55(10):870-80
references.pmid: 11593349
references.citation: Arch Intern Med. 2002 Oct 14;162(18):2074-9
references.pmid: 12374515
references.citation: J Nutr Biochem. 2007 Mar;18(3):149-60
references.pmid: 16963247
references.citation: J Am Diet Assoc. 2008 Sep;108(9):1453-60
references.pmid: 18755317
references.citation: Am J Clin Nutr. 2000 Nov;72(5):1214-22
references.pmid: 11063452