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Changes in the Global Diet Quality Score, Weight, and Waist Circumference in Mexican Women.


ABSTRACT:

Background

Evidence on concurrent changes in overall diet quality and weight and waist circumference in women of reproductive age from low- and middle-income countries is limited.

Objectives

We examined the associations of changes in the Global Diet Quality Score (GDQS) and each GDQS food group with concurrent weight and waist circumference change in Mexican women.

Methods

We followed prospectively 8967 nonpregnant nonlactating women aged 25-49 y in the Mexican Teachers' Cohort between 2006 and 2008. We assessed diet using an FFQ of the previous year and anthropometric measures were self-reported. Regression models were used to examine 2-y changes in the GDQS and each food group (servings/d) with weight and waist circumference changes within the same period, adjusting for demographic and lifestyle factors.

Results

Compared with those with little change in the GDQS (-2 to 2 points), women with the largest increase in the GDQS (>5 points) had less weight (β: -0.81 kg/2 y; 95% CI: -1.11, -0.51 kg/2 y) and waist circumference gain (β: -1.05 cm/2 y; 95% CI: -1.62, -0.48 cm/2 y); likewise, women with the largest decrease in the GDQS (<-5 points) had more weight (β: 0.36 kg/2 y; 95% CI: 0.06, 0.66 kg/2 y) and waist circumference gain (β: 0.71 cm/2 y; 95% CI: 0.09, 1.32 cm/2 y). Increased intake of dark green leafy vegetables, cruciferous vegetables, deep orange vegetables, citrus fruits, and fish and shellfish was associated with less weight gain. In addition, deep orange vegetables, low fat and high fat dairy, whole grains, and fish were associated with less waist circumference gain within the 2-y period.

Conclusions

Improvements in diet quality over a 2-y period reflected by an increase in the GDQS and changes in consumption of specific components of the GDQS were associated with less weight and waist circumference gain in Mexican women.

SUBMITTER: Angulo E 

PROVIDER: S-EPMC8542099 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

Changes in the Global Diet Quality Score, Weight, and Waist Circumference in Mexican Women.

Angulo Erick E   Stern Dalia D   Castellanos-Gutiérrez Analí A   Monge Adriana A   Lajous Martín M   Bromage Sabri S   Fung Teresa T TT   Li Yanping Y   Bhupathiraju Shilpa N SN   Deitchler Megan M   Willett Walter C WC   Batis Carolina C  

The Journal of nutrition 20211001 12 Suppl 2


<h4>Background</h4>Evidence on concurrent changes in overall diet quality and weight and waist circumference in women of reproductive age from low- and middle-income countries is limited.<h4>Objectives</h4>We examined the associations of changes in the Global Diet Quality Score (GDQS) and each GDQS food group with concurrent weight and waist circumference change in Mexican women.<h4>Methods</h4>We followed prospectively 8967 nonpregnant nonlactating women aged 25-49 y in the Mexican Teachers' Co  ...[more]

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