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dc.contributor.authorCespedes Feliciano, Elizabeth M.
dc.contributor.authorTinker, Lesley
dc.contributor.authorManson, JoAnn E.
dc.contributor.authorAllison, Matthew
dc.contributor.authorRohan, Thomas
dc.contributor.authorZaslavsky, Oleg
dc.contributor.authorWaring, Molly E.
dc.contributor.authorAsao, Keiko
dc.contributor.authorGarcia, Lorena
dc.contributor.authorRosal, Milagros C
dc.contributor.authorNeuhouser, Marian L.
dc.date2022-08-11T08:11:04.000
dc.date.accessioned2022-08-23T17:30:28Z
dc.date.available2022-08-23T17:30:28Z
dc.date.issued2016-10-01
dc.date.submitted2017-01-04
dc.identifier.citation<p>Obesity (Silver Spring). 2016 Oct;24(10):2176-84. doi: 10.1002/oby.21589. Epub 2016 Aug 22. <a href="http://dx.doi.org/10.1002/oby.21589">Link to article on publisher's site</a></p>
dc.identifier.issn1930-7381 (Linking)
dc.identifier.doi10.1002/oby.21589
dc.identifier.pmid27548405
dc.identifier.urihttp://hdl.handle.net/20.500.14038/50522
dc.description.abstractOBJECTIVE: To examine whether changes in diet quality predict changes in central adiposity among postmenopausal women. METHODS: At baseline and 3-year follow-up, Women's Health Initiative Observational Study participants completed food frequency questionnaires, and waist circumference was measured (WC, n = 67,175). In a subset, trunk fat was measured via dual-energy X-ray absorptiometry (DXA, n = 4,254). Using multivariable linear regression, 3-year changes in dietary patterns (Healthy Eating Index-2010, Alternate Healthy Eating Index-2010, Alternate Mediterranean Diet, and Dietary Approaches to Stop Hypertension) were examined as predictors of concurrent changes in WC and, secondarily, DXA. RESULTS: Mean (SD) age and 3-year changes in weight and WC were 63 (7) years, 0.52 (4.26) kg, and 0.94 (6.65) cm. A 10% increase in any dietary pattern score, representing improved diet quality, was associated with 0.07 to 0.43 cm smaller increase in WC over 3 years (all P < 0.05). After adjusting for weight change, associations attenuated to 0.02 to 0.10 cm but remained statistically significant for all patterns except Alternate Mediterranean Diet. Results were similar for DXA trunk fat. CONCLUSIONS: Three-year improvements in diet quality are modestly protective against gain in WC and partially explained by lesser weight gain. Achieving and maintaining a healthful diet after menopause may protect against gains in central adiposity.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=27548405&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039062/
dc.subjectUMCCTS funding
dc.subjectBehavior and Behavior Mechanisms
dc.subjectDietetics and Clinical Nutrition
dc.subjectTranslational Medical Research
dc.subjectWomen's Health
dc.titleChange in Dietary Patterns and Change in Waist Circumference and DXA Trunk Fat Among Postmenopausal Women
dc.typeJournal Article
dc.source.journaltitleObesity (Silver Spring, Md.)
dc.source.volume24
dc.source.issue10
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/umccts_pubs/90
dc.identifier.contextkey9512481
html.description.abstract<p>OBJECTIVE: To examine whether changes in diet quality predict changes in central adiposity among postmenopausal women.</p> <p>METHODS: At baseline and 3-year follow-up, Women's Health Initiative Observational Study participants completed food frequency questionnaires, and waist circumference was measured (WC, n = 67,175). In a subset, trunk fat was measured via dual-energy X-ray absorptiometry (DXA, n = 4,254). Using multivariable linear regression, 3-year changes in dietary patterns (Healthy Eating Index-2010, Alternate Healthy Eating Index-2010, Alternate Mediterranean Diet, and Dietary Approaches to Stop Hypertension) were examined as predictors of concurrent changes in WC and, secondarily, DXA.</p> <p>RESULTS: Mean (SD) age and 3-year changes in weight and WC were 63 (7) years, 0.52 (4.26) kg, and 0.94 (6.65) cm. A 10% increase in any dietary pattern score, representing improved diet quality, was associated with 0.07 to 0.43 cm smaller increase in WC over 3 years (all P < 0.05). After adjusting for weight change, associations attenuated to 0.02 to 0.10 cm but remained statistically significant for all patterns except Alternate Mediterranean Diet. Results were similar for DXA trunk fat.</p> <p>CONCLUSIONS: Three-year improvements in diet quality are modestly protective against gain in WC and partially explained by lesser weight gain. Achieving and maintaining a healthful diet after menopause may protect against gains in central adiposity.</p>
dc.identifier.submissionpathumccts_pubs/90
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages2176-84


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