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Diet quality and obesity in women: the Framingham Nutrition Studies.

Publication ,  Journal Article
Wolongevicz, DM; Zhu, L; Pencina, MJ; Kimokoti, RW; Newby, PK; D'Agostino, RB; Millen, BE
Published in: Br J Nutr
April 2010

Obesity affects one in three American adult women and is associated with overall mortality and major morbidities. A composite diet index to evaluate total diet quality may better assess the complex relationship between diet and obesity, providing insights for nutrition interventions. The purpose of the present investigation was to determine whether diet quality, defined according to the previously validated Framingham nutritional risk score (FNRS), was associated with the development of overweight or obesity in women. Over 16 years, we followed 590 normal-weight women (BMI < 25 kg/m2), aged 25 to 71 years, of the Framingham Offspring and Spouse Study who presented without CVD, cancer or diabetes at baseline. The nineteen-nutrient FNRS derived from mean ranks of nutrient intakes from 3 d dietary records was used to assess nutritional risk. The outcome was development of overweight or obesity (BMI > or = 25 kg/m2) during follow-up. In a stepwise multiple logistic regression model adjusted for age, physical activity and smoking status, the FNRS was directly related to overweight or obesity (P for trend = 0.009). Women with lower diet quality (i.e. higher nutritional risk scores) were significantly more likely to become overweight or obese (OR 1.76; 95 % CI 1.16, 2.69) compared with those with higher diet quality. Diet quality, assessed using a comprehensive composite nutritional risk score, predicted development of overweight or obesity. This finding suggests that overall diet quality be considered a key component in planning and implementing programmes for obesity risk reduction and treatment recommendations.

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Published In

Br J Nutr

DOI

EISSN

1475-2662

Publication Date

April 2010

Volume

103

Issue

8

Start / End Page

1223 / 1229

Location

England

Related Subject Headings

  • Risk Assessment
  • Overweight
  • Obesity
  • Nutrition & Dietetics
  • Middle Aged
  • Massachusetts
  • Life Style
  • Humans
  • Female
  • Diet
 

Citation

APA
Chicago
ICMJE
MLA
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Wolongevicz, D. M., Zhu, L., Pencina, M. J., Kimokoti, R. W., Newby, P. K., D’Agostino, R. B., & Millen, B. E. (2010). Diet quality and obesity in women: the Framingham Nutrition Studies. Br J Nutr, 103(8), 1223–1229. https://doi.org/10.1017/S0007114509992893
Wolongevicz, Dolores M., Lei Zhu, Michael J. Pencina, Ruth W. Kimokoti, P. K. Newby, Ralph B. D’Agostino, and Barbara E. Millen. “Diet quality and obesity in women: the Framingham Nutrition Studies.Br J Nutr 103, no. 8 (April 2010): 1223–29. https://doi.org/10.1017/S0007114509992893.
Wolongevicz DM, Zhu L, Pencina MJ, Kimokoti RW, Newby PK, D’Agostino RB, et al. Diet quality and obesity in women: the Framingham Nutrition Studies. Br J Nutr. 2010 Apr;103(8):1223–9.
Wolongevicz, Dolores M., et al. “Diet quality and obesity in women: the Framingham Nutrition Studies.Br J Nutr, vol. 103, no. 8, Apr. 2010, pp. 1223–29. Pubmed, doi:10.1017/S0007114509992893.
Wolongevicz DM, Zhu L, Pencina MJ, Kimokoti RW, Newby PK, D’Agostino RB, Millen BE. Diet quality and obesity in women: the Framingham Nutrition Studies. Br J Nutr. 2010 Apr;103(8):1223–1229.
Journal cover image

Published In

Br J Nutr

DOI

EISSN

1475-2662

Publication Date

April 2010

Volume

103

Issue

8

Start / End Page

1223 / 1229

Location

England

Related Subject Headings

  • Risk Assessment
  • Overweight
  • Obesity
  • Nutrition & Dietetics
  • Middle Aged
  • Massachusetts
  • Life Style
  • Humans
  • Female
  • Diet