title: Diet quality and its relationship with central obesity among Mexican Americans: findings from National Health and Nutrition Examination Survey (NHANES) 1999-2012.
abstract: OBJECTIVE
  Using the Healthy Eating Index-2010 (HEI-2010), the present study aimed to examine diet quality and the impact of overall diet quality and its components on central obesity among Mexican-American men and women.
  
  
  METHODS
  Cross-sectional data from NHANES 1999-2012 were used. The HEI-2010 data, including twelve components for a total score of 100, were collected with a 24 h recall interview. Central obesity was defined as a waist circumference of ≥88 cm for women and ≥102 cm for men. Weighted logistic regressions were performed to assess associations between HEI-2010 scores and central obesity.
  
  
  METHODS
  National Health and Nutrition Examination Survey (NHANES) 1999-2012.
  
  
  METHODS
  A total of 6847 Mexican Americans aged ≥20 years with reliable dietary recall status and non-pregnancy status.
  
  
  RESULTS
  Higher HEI-2010 total score was associated with lower odds of central obesity in Mexican-American men (OR; 95 % CI=0·98; 0·98, 1·00). Among all Mexican Americans, one-unit higher score of total fruit and sodium (i.e. lower level of intake) was associated with 4 % (0·96; 0·93, 0·99) and 2 % (0·98; 0·96, 0·99) lower odds of central obesity, respectively. However, a higher total proteins score was associated with higher odds of central obesity (1·08; 1·00, 1·16). In gender-specific analyses, a higher whole fruit or sodium score was inversely associated with central obesity in men but not in women.
  
  
  CONCLUSIONS
  HEI-2010 scores of total fruit and sodium were inversely associated with central obesity among all Mexican Americans. However, total proteins score and central obesity was positively associated. In Mexican-American men, HEI-2010 total and whole fruit scores were inversely associated with central obesity.
authors.affiliation: 1Department of Health Management and Informatics,School of Medicine,University of Missouri,Columbia,MO,USA.
authors.forename: Yilin
authors.initials: Y
authors.lastname: Yoshida
authors.affiliation: 2Department of Epidemiology,School of Public Health,Louisiana State University Health Sciences Center at New Orleans,New Orleans,LA,USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Scribner
authors.affiliation: 3Department of Public Health Sciences,Clemson University,Clemson,SC,USA.
authors.forename: Liwei
authors.initials: L
authors.lastname: Chen
authors.affiliation: 4Department of Behavioral and Community Health Sciences,School of Public Health,Louisiana State University Health Sciences Center at New Orleans,2020 Gravier Street,3rd Floor,New Orleans,LA 70112,USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Broyles
authors.affiliation: 4Department of Behavioral and Community Health Sciences,School of Public Health,Louisiana State University Health Sciences Center at New Orleans,2020 Gravier Street,3rd Floor,New Orleans,LA 70112,USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Phillippi
authors.affiliation: 4Department of Behavioral and Community Health Sciences,School of Public Health,Louisiana State University Health Sciences Center at New Orleans,2020 Gravier Street,3rd Floor,New Orleans,LA 70112,USA.
authors.forename: Tung-Sung
authors.initials: TS
authors.lastname: Tseng
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004032:Diet; D015444:Exercise; D005260:Female; D063427:Food Quality; D006801:Humans; D016015:Logistic Models; D008297:Male; D011939:Mental Recall; D017058:Mexican Americans; D008875:Middle Aged; D009749:Nutrition Surveys; D009752:Nutritional Status; D056128:Obesity, Abdominal / Q000208:ethnology*; D012959:Socioeconomic Factors; D055105:Waist Circumference; D055815:Young Adult
keywords: Central obesity; Diet quality; Healthy Eating Index-2010; Mexican Americans; NHANES