Improving diet quality over nine-years is associated with less weight gain in mid-age Australian women: A cohort study.

Aljadani, HM; Patterson, AJ; Sibbritt, DW; Taylor, RM; Collins, CE

Improving diet quality over nine-years is associated with less weight gain in mid-age Australian women: A cohort study.

Aljadani, HM Patterson, AJ Sibbritt, DW Taylor, RM Collins, CE

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Nutrition, metabolism, and cardiovascular diseases : NMCD, 2020, 30, (2), pp. 223-232
Issue Date:: 2020-02

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Field	Value	Language
dc.contributor.author	Aljadani, HM
dc.contributor.author	Patterson, AJ
dc.contributor.author	Sibbritt, DW
dc.contributor.author	Taylor, RM
dc.contributor.author	Collins, CE
dc.date.accessioned	2020-08-19T04:54:31Z
dc.date.available	2019-10-07
dc.date.available	2020-08-19T04:54:31Z
dc.date.issued	2020-02
dc.identifier.citation	Nutrition, metabolism, and cardiovascular diseases : NMCD, 2020, 30, (2), pp. 223-232
dc.identifier.issn	0939-4753
dc.identifier.issn	1590-3729
dc.identifier.uri	http://hdl.handle.net/10453/142225
dc.description.abstract	BACKGROUND AND AIMS:Most studies measure baseline diet quality exclusively and hence the impact of longitudinal changes in dietary intake in relation to weight change is not considered. Therefore, this study aimed to examine whether change in diet quality over nine-years was associated with weight change over the same period in mid-age Australian women. METHODS AND RESULTS:Healthy mid-age (45-49 years) women from the Australian Longitudinal study on Women's Health (ALSWH) were eligible a valid total energy intake (TEI) was reported at baseline (n = 2381), determined using Goldberg cut-offs. Diet quality was measured by the Australian Recommended Food Score (ARFS) using data derived from a validated food frequency questionnaire. Multiple linear regressions were used to evaluate relationships between change in diet quality and weight in mid-age women (n = 1999). Women in the highest tertile of ARFS change improved diet quality [mean ± SD] [7 ± 4 points], while those in the lowest [-9 ±5 points] and middle [-1±2 points] tertiles had worse diet quality at follow-up. Overall, mean weight gain was 2.3 ± 7.2 kg over nine years. Those in the highest tertile of ARFS change gained significantly less weight, compared to the lowest tertile; β = -1.2 kg [95% CI: -2.31, -0.11; p = 0.03] after adjustment for changes in confounders and baseline weight, baseline ARFS, and total energy intake. CONCLUSIONS:Improving diet quality could be an important strategy for promoting modest weight loss and potentially contribute to preventing weight gain in mid-age women, which is important for metabolic health.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Nutrition, metabolism, and cardiovascular diseases : NMCD
dc.relation.isbasedon	10.1016/j.numecd.2019.10.003
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Cardiovascular System & Hematology
dc.title	Improving diet quality over nine-years is associated with less weight gain in mid-age Australian women: A cohort study.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-08-19T04:54:05Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	2

Abstract:

BACKGROUND AND AIMS:Most studies measure baseline diet quality exclusively and hence the impact of longitudinal changes in dietary intake in relation to weight change is not considered. Therefore, this study aimed to examine whether change in diet quality over nine-years was associated with weight change over the same period in mid-age Australian women. METHODS AND RESULTS:Healthy mid-age (45-49 years) women from the Australian Longitudinal study on Women's Health (ALSWH) were eligible a valid total energy intake (TEI) was reported at baseline (n = 2381), determined using Goldberg cut-offs. Diet quality was measured by the Australian Recommended Food Score (ARFS) using data derived from a validated food frequency questionnaire. Multiple linear regressions were used to evaluate relationships between change in diet quality and weight in mid-age women (n = 1999). Women in the highest tertile of ARFS change improved diet quality [mean ± SD] [7 ± 4 points], while those in the lowest [-9 ±5 points] and middle [-1±2 points] tertiles had worse diet quality at follow-up. Overall, mean weight gain was 2.3 ± 7.2 kg over nine years. Those in the highest tertile of ARFS change gained significantly less weight, compared to the lowest tertile; β = -1.2 kg [95% CI: -2.31, -0.11; p = 0.03] after adjustment for changes in confounders and baseline weight, baseline ARFS, and total energy intake. CONCLUSIONS:Improving diet quality could be an important strategy for promoting modest weight loss and potentially contribute to preventing weight gain in mid-age women, which is important for metabolic health.

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http://hdl.handle.net/10453/142225