ArticleThe Journal of nutrition2013
Higher adherence to a diet score based on American Heart Association recommendations is associated with lower odds of allostatic load and metabolic syndrome in Puerto Rican adults.
Article in The Journal of nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01231958 (The Boston Puerto Rican Health Study), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Boston Puerto Rican Health Study: Center for Population Health and Health Disparities
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood Research.International journal of environmental research and public health · 2022Pooled it
- Association of primary allostatic load mediators and metabolic syndrome (MetS): A systematic review.Frontiers in endocrinology · 2022Pooled it
- Longitudinal Changes in Allostatic Load during a Randomized Church-based, Lifestyle Intervention in African American Women.Ethnicity & disease · 2019Trial
- Diet Quality for Sodium and Vegetables Mediate Effects of Whole Food Diets on 8-Week Changes in Stress Load.Nutrients · 2018Trial
- Disparities in Allostatic Load Among Different Races: A Comprehensive Scoping Review.Journal of racial and ethnic health disparities · 2025Review
- Individual and Comorbid Influences of Chronic Stress and a Western Diet on Allostatic Loads and Cardiac Resilience, Adaptation and Proteome Profiles in Male Mice.Comprehensive Physiology · 2025Article
- Allostatic load and its determinants in a German sample-Results from the Carla cohort.PloS one · 2025Article
- Associations of three healthy dietary patterns with homeostatic dysregulation: results from the China Multi-Ethnic Cohort study.The journal of nutrition, health & aging · 2024Article
- The pivotal role of sleep in mediating the effects of life stressors and healthy habits on allostatic load in mid-life adults.Frontiers in human neuroscience · 2024Article
- The gender and age perspectives of allostatic load.Frontiers in medicine · 2024Review
- Depressive symptoms and allostatic load have a bidirectional association among Puerto Rican older adults.Psychological medicine · 2022Article
- My nutrition index: a method for measuring optimal daily nutrient intake.BMC nutrition · 2022Article
- Variation in diet quality across sexual orientation in a cohort of U.S. women.Cancer causes & control : CCC · 2021Article
- Mediterranean Diet Adherence Modulates Anthropometric Measures by TCF7L2 Genotypes among Puerto Rican Adults.The Journal of nutrition · 2020Article
- Socioeconomic inequalities in metabolic syndrome in the French West Indies.BMC public health · 2019Article
- Longitudinal Associations between Monetary Value of the Diet, DASH Diet Score and the Allostatic Load among Middle-Aged Urban Adults.Nutrients · 2019Article
- DASH diet and prevalent metabolic syndrome in the Hispanic Community Health Study/Study of Latinos.Preventive medicine reports · 2019Article
- Dietary Intake and Its Determinants Among Adults Living in the Metropolitan Area of Puerto Rico.Nutrients · 2019Article
- Diet quality, inflammation, and the ankle brachial index in adults with or without cardiometabolic conditions.Clinical nutrition (Edinburgh, Scotland) · 2018Article
- Poor Dietary Habits in Bullied Adolescents: The Moderating Effects of Diet on Depression.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
A score based on diet and lifestyle recommendations from the AHA has been associated with cardiovascular risk factors. We aimed to assess whether the diet components alone were associated with metabolic syndrome (MetS) and allostatic load (AL; a composite measure of 10 physiologically dysregulated variables). The diet score ranged from 0 to 90 and included intake components for dietary fats, fruits and vegetables, whole grains, salt, added sugars, and alcohol and was tested in a cross-sectional analysis of 1318 Puerto Rican adults (aged 45-75 y; 72% women) living in Boston, MA. The mean ± SD diet score was 28.0 ± 9.9 for men and 30.0 ± 10.1 for women. Replicating findings from a previous study in this cohort that used both the diet and lifestyle components, we observed associations between the diet-only score and insulin, waist circumference, and HDL cholesterol. We found novel significant associations between the continuous diet score and AL components, namely an inverse association with urinary cortisol and a positive association with serum dehydroepiandrosterone sulfate in women as well as an inverse association with urinary norepinephrine in men (all P < 0.05). In multinomial logistic regression, every 10 AHA diet score units were associated with 22% (95% CI: 1, 38; P = 0.043) lower odds of having ≥6 (vs. ≤2) dysregulated AL components in women. In men, every 10 diet score units were associated with lower odds of MetS (OR: 0.69; 95% CI: 0.52, 0.93; P = 0.016). Following AHA recommendations for a healthy diet may protect against the development of components of MetS and AL in Puerto Rican adults.
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