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    Racial/ethnic disparities in association between dietary quality and incident diabetes in postmenopausal women in the United States: the Women's Health Initiative 1993-2005

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    Authors
    Qiao, Yongxia
    Tinker, Lesley F.
    Olendzki, Barbara C.
    Hebert, James R.
    Balasubramanian, Raji
    Rosal, Milagros C.
    Hingle, Melanie
    Song, Yiqing
    Schneider, Kristin L.
    Liu, Simin
    Sims, Stacy
    Ockene, Judith K.
    Sepavich, Deidre M.
    Shikany, James M.
    Persuitte, Gioia
    Ma, Yunsheng
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    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2013-05-22
    Keywords
    Healthcare Disparities
    Diet
    Women's Health
    Diabetes Mellitus
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Dietetics and Clinical Nutrition
    Epidemiology
    Health Services Research
    Nutritional and Metabolic Diseases
    Preventive Medicine
    Women's Health
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    Link to Full Text
    http://dx.doi.org/10.1080/13557858.2013.797322
    Abstract
    Objective. To examine the association of dietary quality and risk of incident diabetes overall and by race/ethnicity among postmenopausal women enrolled in the Women's Health Initiative (WHI). Research methods and procedures. The WHI recruited 161,808 postmenopausal women between 1993 and 1998, and followed them until 2005. Incident diabetes was determined annually over an average of 7.6 years from enrollment. At baseline, all participants completed a Food Frequency Questionnaire (FFQ). Dietary quality was assessed by the Alternate Healthy Eating Index (AHEI), calculated from the baseline FFQ responses. Results. There were 10,307 incident cases of self-reported treated diabetes over 1,172,761 person-years of follow-up. Most participants did not meet the AHEI dietary goals; that is, only 0.1% of women met or exceeded the recommended consumption of vegetables, and few (17.3%) met or exceeded the recommended level for total fiber. After adjusting for potential confounders, women in the highest quintile of the AHEI score were 24% less likely to develop diabetes relative to women in the lowest quintile of AHEI [hazard ratio (HR) = 0.76 (95% CI: 0.70-0.82)]. This association was observed in Whites [HR = 0.74 (95% CI: 0.68-0.82)] and Hispanics [HR = 0.68 (95% CI: 0.46-0.99)], but not in Blacks [HR = 0.85 (95% CI: 0.69-1.05)] or Asians [HR = 0.88 (95% CI: 0.57-1.38)]. Conclusion. These findings support a protective role of healthful eating choices in reducing the risk of developing diabetes, after adjusting for other lifestyle factors, in White and Hispanic postmenopausal women. Future studies are needed to investigate the relationship between dietary quality and risk of diabetes among Blacks and Asians in relationship to other lifestyle factors.
    Source
    Ethn Health. 2013 May 22. Link to article on publisher's site
    DOI
    10.1080/13557858.2013.797322
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44844
    PubMed ID
    23697968
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1080/13557858.2013.797322
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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