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Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults

BACKGROUND: Visceral adiposity, more so than overall adiposity, is associated with chronic disease and mortality. There has been, to our knowledge, little research exploring the association between diet quality and visceral adipose tissue (VAT) among a mulitethnic population aged 18–80 y. OBJECTIVE:...

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Autores principales: Panizza, Chloe E, Wong, Michael C, Kelly, Nisa, Liu, Yong En, Shvetsov, Yurii B, Lowe, Dylan A, Weiss, Ethan J, Heymsfield, Steven B, Kennedy, Samantha, Boushey, Carol J, Maskarinec, Gertraud, Shepherd, John A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8082229/
https://www.ncbi.nlm.nih.gov/pubmed/33959689
http://dx.doi.org/10.1093/cdn/nzaa090
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author Panizza, Chloe E
Wong, Michael C
Kelly, Nisa
Liu, Yong En
Shvetsov, Yurii B
Lowe, Dylan A
Weiss, Ethan J
Heymsfield, Steven B
Kennedy, Samantha
Boushey, Carol J
Maskarinec, Gertraud
Shepherd, John A
author_facet Panizza, Chloe E
Wong, Michael C
Kelly, Nisa
Liu, Yong En
Shvetsov, Yurii B
Lowe, Dylan A
Weiss, Ethan J
Heymsfield, Steven B
Kennedy, Samantha
Boushey, Carol J
Maskarinec, Gertraud
Shepherd, John A
author_sort Panizza, Chloe E
collection PubMed
description BACKGROUND: Visceral adiposity, more so than overall adiposity, is associated with chronic disease and mortality. There has been, to our knowledge, little research exploring the association between diet quality and visceral adipose tissue (VAT) among a mulitethnic population aged 18–80 y. OBJECTIVE: The primary objective of this cross-sectional analysis was to examine the association between diet quality [Healthy Eating Index–2010 (HEI-2010) scores] and VAT among a multiethnic population of young, middle, and older aged adults in the United States. Secondary objectives were to repeat these analyses with overall adiposity and blood-based biomarkers for type 2 diabetes and cardiovascular disease risk as outcome measures. METHODS: A total of 540 adults (dropped out: n = 4; age: 18–40 y, n = 220; 40–60 y, n = 183; 60–80 y, n = 133) were recruited across 3 sites (Honolulu County, San Francisco, and Baton Rouge) for the Shape Up! Adults study. Whole-body DXA, anthropometry, fasting blood draw, and questionnaires (food frequency, physical activity, and demographic characteristics) were completed. Linear regression was used to assess the associations between HEI-2010 tertiles and VAT and secondary outcome measures among all participants and age-specific strata, while adjusting for known confounders. RESULTS: VAT, BMI (kg/m(2)), body fat percentage, total body fat, trunk fat, insulin, and insulin resistance were inversely related to diet quality (all P values < 0.004). When stratified by age, diet quality was inversely associated with VAT among participants aged 60–80 y (P < 0.006) and VAT/subcutaneous adipose tissue (SAT) among participants aged 40–60 y (P < 0.008). CONCLUSIONS: Higher-quality diet was associated with lower VAT, overall adiposity, and insulin resistance among this multiethnic population of young, middle, and older aged adults with ages ranging from 18 to 80 y. More specifically, adherence to a high-quality diet may minimize VAT accumulation in adults aged 60–80 y and preferentially promote storage of SAT compared with VAT in adults aged 40–60 y. This study was registered at clinicaltrials.gov as NCT03637855.
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spelling pubmed-80822292021-05-05 Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults Panizza, Chloe E Wong, Michael C Kelly, Nisa Liu, Yong En Shvetsov, Yurii B Lowe, Dylan A Weiss, Ethan J Heymsfield, Steven B Kennedy, Samantha Boushey, Carol J Maskarinec, Gertraud Shepherd, John A Curr Dev Nutr ORIGINAL RESEARCH BACKGROUND: Visceral adiposity, more so than overall adiposity, is associated with chronic disease and mortality. There has been, to our knowledge, little research exploring the association between diet quality and visceral adipose tissue (VAT) among a mulitethnic population aged 18–80 y. OBJECTIVE: The primary objective of this cross-sectional analysis was to examine the association between diet quality [Healthy Eating Index–2010 (HEI-2010) scores] and VAT among a multiethnic population of young, middle, and older aged adults in the United States. Secondary objectives were to repeat these analyses with overall adiposity and blood-based biomarkers for type 2 diabetes and cardiovascular disease risk as outcome measures. METHODS: A total of 540 adults (dropped out: n = 4; age: 18–40 y, n = 220; 40–60 y, n = 183; 60–80 y, n = 133) were recruited across 3 sites (Honolulu County, San Francisco, and Baton Rouge) for the Shape Up! Adults study. Whole-body DXA, anthropometry, fasting blood draw, and questionnaires (food frequency, physical activity, and demographic characteristics) were completed. Linear regression was used to assess the associations between HEI-2010 tertiles and VAT and secondary outcome measures among all participants and age-specific strata, while adjusting for known confounders. RESULTS: VAT, BMI (kg/m(2)), body fat percentage, total body fat, trunk fat, insulin, and insulin resistance were inversely related to diet quality (all P values < 0.004). When stratified by age, diet quality was inversely associated with VAT among participants aged 60–80 y (P < 0.006) and VAT/subcutaneous adipose tissue (SAT) among participants aged 40–60 y (P < 0.008). CONCLUSIONS: Higher-quality diet was associated with lower VAT, overall adiposity, and insulin resistance among this multiethnic population of young, middle, and older aged adults with ages ranging from 18 to 80 y. More specifically, adherence to a high-quality diet may minimize VAT accumulation in adults aged 60–80 y and preferentially promote storage of SAT compared with VAT in adults aged 40–60 y. This study was registered at clinicaltrials.gov as NCT03637855. Oxford University Press 2020-05-26 /pmc/articles/PMC8082229/ /pubmed/33959689 http://dx.doi.org/10.1093/cdn/nzaa090 Text en Copyright © The Author(s) on behalf of the American Society for Nutrition 2020. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle ORIGINAL RESEARCH
Panizza, Chloe E
Wong, Michael C
Kelly, Nisa
Liu, Yong En
Shvetsov, Yurii B
Lowe, Dylan A
Weiss, Ethan J
Heymsfield, Steven B
Kennedy, Samantha
Boushey, Carol J
Maskarinec, Gertraud
Shepherd, John A
Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults
title Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults
title_full Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults
title_fullStr Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults
title_full_unstemmed Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults
title_short Diet Quality and Visceral Adiposity among a Multiethnic Population of Young, Middle, and Older Aged Adults
title_sort diet quality and visceral adiposity among a multiethnic population of young, middle, and older aged adults
topic ORIGINAL RESEARCH
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8082229/
https://www.ncbi.nlm.nih.gov/pubmed/33959689
http://dx.doi.org/10.1093/cdn/nzaa090
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