Show simple item record

dc.contributor.authorQiao, Yongxia
dc.contributor.authorTinker, Lesley F.
dc.contributor.authorOlendzki, Barbara C.
dc.contributor.authorHebert, James R.
dc.contributor.authorBalasubramanian, Raji
dc.contributor.authorRosal, Milagros C.
dc.contributor.authorHingle, Melanie
dc.contributor.authorSong, Yiqing
dc.contributor.authorSchneider, Kristin L.
dc.contributor.authorLiu, Simin
dc.contributor.authorSims, Stacy
dc.contributor.authorOckene, Judith K.
dc.contributor.authorSepavich, Deidre M.
dc.contributor.authorShikany, James M.
dc.contributor.authorPersuitte, Gioia
dc.contributor.authorMa, Yunsheng
dc.date2022-08-11T08:10:21.000
dc.date.accessioned2022-08-23T17:05:22Z
dc.date.available2022-08-23T17:05:22Z
dc.date.issued2013-05-22
dc.date.submitted2013-06-21
dc.identifier.citationEthn Health. 2013 May 22. <a href="http://dx.doi.org/10.1080/13557858.2013.797322" target="_blank">Link to article on publisher's site</a>
dc.identifier.issn1355-7858 (Linking)
dc.identifier.doi10.1080/13557858.2013.797322
dc.identifier.pmid23697968
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44844
dc.description.abstractObjective. 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=23697968&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1080/13557858.2013.797322
dc.subjectHealthcare Disparities
dc.subjectDiet
dc.subjectWomen's Health
dc.subjectDiabetes Mellitus
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectDietetics and Clinical Nutrition
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.subjectNutritional and Metabolic Diseases
dc.subjectPreventive Medicine
dc.subjectWomen's Health
dc.titleRacial/ethnic disparities in association between dietary quality and incident diabetes in postmenopausal women in the United States: the Women's Health Initiative 1993-2005
dc.typeJournal Article
dc.source.journaltitleEthnicity and health
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/266
dc.identifier.contextkey4250968
html.description.abstract<p>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).</p> <p>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.</p> <p>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)].</p> <p>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.</p>
dc.identifier.submissionpathprevbeh_pp/266
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine


This item appears in the following Collection(s)

Show simple item record