title: Adherence to the Mediterranean diet and body fat distribution in reproductive aged women.
abstract: OBJECTIVE
  Adherence to the Mediterranean diet (MD), high in fruits, vegetables and monounsaturated fats, has been associated with lower body mass index. Associations with measured body fat, including regional adiposity, have not been previously investigated. We examined the associations between the alternate Mediterranean diet score (aMED), anthropometry and measured adiposity by dual-energy x-ray absorptiometry (DXA).
  
  
  METHODS
  This study included 248 healthy females, aged 18-44 years from the BioCycle Study. Each woman's aMED (range 0-9) was calculated from up to eight 24-h dietary recalls over 1-2 menstrual cycles (>97% had ≥ 7 recalls). Multiple linear regression was used to determine whether aMED and its specific components were associated with total and regional adiposity after adjusting for age, race, education, physical activity and energy intake.
  
  
  RESULTS
  Participants had an average (s.d.) aMED of 4.2 (1.7) and percent body fat of 29.5 (6.0)%. Significant inverse associations were found between aMED and all the examined adiposity measures except waist-to-hip ratio. Among the DXA measures, a 1-unit increment in aMED was associated with a 0.06 (95% confidence interval (CI): -0.09, -0.02) lower trunk-to-leg fat ratio (T/L), a measure of upper to lower body fat. In an analysis examining T/L as an outcome with the separate components of the aMED, T/L was lower with increased legume consumption (β=-0.280, 95% CI: -0.550, -0.010) but was higher with increased consumption of red and processed meat (β=0.060, 95% CI: 0.002, 0.117).
  
  
  CONCLUSIONS
  Adherence to the aMED was associated with lower total and regional adiposity, adding to the mounting evidence of the health benefits of the MD.
authors: Division of Epidemiology, Statistics, and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD 20852, USA.
authors: N S
authors: NS
authors: Boghossian
authors: E H
authors: EH
authors: Yeung
authors: S L
authors: SL
authors: Mumford
authors: C
authors: C
authors: Zhang
authors: A J
authors: AJ
authors: Gaskins
authors: J
authors: J
authors: Wactawski-Wende
authors: E F
authors: EF
authors: Schisterman
mesh_terms: D015502:Absorptiometry, Photon; D000273:Adipose Tissue; D000293:Adolescent; D000328:Adult; D050218:Body Fat Distribution; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D038441:Diet, Mediterranean; D002149:Energy Intake; D005260:Female; D006801:Humans; D009043:Motor Activity; D015596:Nutrition Assessment; D010349:Patient Compliance; D012098:Reproduction; D049629:Waist-Hip Ratio; D055815:Young Adult
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