Greater healthful food variety as measured by the US Healthy Food Diversity index is associated with lower odds of metabolic syndrome and its components in US adults

The Journal of Nutrition
Maya VadivelooJosiemer Mattei

Abstract

Consuming a wider variety of nutrient-dense foods may promote adherence to healthful dietary patterns, leading to improved dietary quality and enhanced metabolic health. We used the US Healthy Food Diversity (HFD) index to simultaneously measure dietary variety, quality, and proportionality, hypothesizing a priori that race/ethnicity may moderate associations between diet and health. A representative sample of adults (n = 7470) aged 20+ y with two 24-h recalls and complete outcome data from the cross-sectional NHANES 2003-2006 were selected. US HFD values were generated using a previously validated equation with a theoretical range from 0 to nearly 1, with higher scores indicative of more varied diets with a higher proportion of healthful food groups. Metabolic syndrome (MetS) was defined using the most recent harmonized definition. Survey-weighted multivariable linear and logistic regression, adjusted for demographic factors, smoking, energy, screen time, and leisure activity, were used to compute means and ORs (95% CIs). Adults in the third vs. first US HFD tertile had 21% lower odds of MetS [OR (95% CI): 0.79 (0.64, 0.98)] as well as lower odds of hypertension [0.83 (0.70, 0.995] and elevated waist circumference [0.75 (0.66,...Continue Reading

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Citations

Jan 23, 2016·Appetite·Jesse S Husk, Sarah A Keim
Nov 26, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Sunmin ParkByung-Kook Lee
Sep 8, 2015·American Journal of Preventive Medicine·Maya K Vadiveloo, Niyati Parekh
Sep 2, 2017·World Journal of Diabetes·Megan E RolloRobin Callister
Jan 15, 2019·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Alexis Marcotte-ChénardMartin Brochu
Feb 13, 2018·Current Obesity Reports·Hollie A Raynor, Maya Vadiveloo
Nov 24, 2017·International Journal of Adolescent Medicine and Health·Jaclyn B GaylisMee Young Hong
Apr 2, 2020·American Journal of Lifestyle Medicine·Ian D GrayPaul Wood
Nov 3, 2016·The Journal of Nutrition·Clélia M BianchiFrançois Mariotti
Sep 2, 2021·Food and Nutrition Bulletin·Arkadeep BandyopadhyayJérôme Somé

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