title: The Australian Recommended Food Score did not predict weight gain in middle-aged Australian women during six years of follow-up.
abstract: OBJECTIVE
  To evaluate the relationship between diet quality score, as measured by the Australian Recommended Food Score (ARFS) and six-year weight gain in middle-aged Australian women.
  
  
  METHODS
  Participants were a sub-sample of women from the Australian Longitudinal Study on Women's Health (ALSWH) who were followed up from 2001 to 2007 (n= 7,155, aged 48 to 56 years). The ARFS was derived from responses to a sub-set of questions from a food frequency questionnaire, with possible scores ranging from 0 to 74 (maximum). Absolute weight gain was calculated from the difference in self-reported weight between 2001 and 2007. Linear regression was used to test the relationship between diet score and weight change.
  
  
  RESULTS
  On average, women gained weight during follow-up (1.6 ± 6.2 kg) and had a mean baseline ARFS of 32.6 (SD 8.7) which was not optimal. There was no association between ARFS and weight change during follow-up (β= 0.016; p=0.08) in the fully adjusted model that included total energy intake, education, area of residence, baseline weight, physical activity, smoking and menopause status.
  
  
  CONCLUSIONS
  Weight gain and low ARFS were common. However, diet quality as measured by the ARFS did not predict six-year weight gain.
  
  
  CONCLUSIONS
  This lack of association may be due to limitations related to AFRS, or may be a false negative finding. Further research is warranted to evaluate the impact of promoting optimal diet quality on weight gain prospectively.
authors.affiliation: School of Health Sciences, Faculty of Health, Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle, New South Wales, Australia.
authors.forename: Haya M A
authors.initials: HM
authors.lastname: Aljadani
authors.forename: David
authors.initials: D
authors.lastname: Sibbritt
authors.forename: Amanda
authors.initials: A
authors.lastname: Patterson
authors.forename: Clare
authors.initials: C
authors.lastname: Collins
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D015992:Body Mass Index; D004032:Diet; D004034:Diet Surveys; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012016:Reference Values; D012959:Socioeconomic Factors; D015430:Weight Gain; D016387:Women's Health; D055815:Young Adult
keywords: The Australian Recommended Food Score; diet score; middle-aged women; weight gain