ArticleThe American journal of clinical nutrition2016
Food quality score and the risk of coronary artery disease: a prospective analysis in 3 cohorts.
Article in The American journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perspective: The Application of A Priori Diet Quality Scores to Cardiovascular Disease Risk-A Critical Evaluation of Current Scoring Systems.Advances in nutrition (Bethesda, Md.) · 2020Pooled it
- Mediterranean diet and prime diet quality score are associated with reduced risk of premature coronary artery disease in Iran: a multi-centric case-control study.Scientific reports · 2025Article
- Obesity Phenotypes, Lifestyle Medicine, and Population Health: Precision Needed Everywhere!Journal of obesity & metabolic syndrome · 2025Review
- Food Quality Is Associated With Depression, Anxiety, and Stress Among Recovered COVID-19 Patients: Finding From a Case-Control Study.Clinical nutrition research · 2025Article
- Article
- The Association Between Food Quality Score (FQS) and Metabolic Syndrome Risk Factors in Overweight and Obese Individuals: A Cross-Sectional Study.Clinical nutrition research · 2024Article
- Diet diversity and food quality score in male football players and healthy non-athlete controls in relation to oxidative stress biomarkers: a descriptive-analytical study.BMC sports science, medicine & rehabilitation · 2023Article
- The association of maternal food quality score (FQS) with breast milk nutrient content and antioxidant content of infant urine: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- The relationship between food quality score with inflammatory biomarkers, and antioxidant capacity in young women.Physiological reports · 2023Article
- Joint association of meal frequency and diet quality with metabolic syndrome in Iranian adults.BMC nutrition · 2022Article
- Association Between Diet Quality and Prevalence of Obesity, Dyslipidemia, and Insulin Resistance Among Filipino Immigrant Women in Korea: The Filipino Women's Diet and Health Study.Frontiers in public health · 2021Article
- The association of food quality index with mental health in women: a cross-sectional study.BMC research notes · 2020Article
- The association of food quality score and cardiovascular diseases risk factors among women: A cross-sectional study.Journal of cardiovascular and thoracic research · 2019Article
- Article
- Mediterranean Diet Score: Associations with Metabolic Products of the Intestinal Microbiome, Carotid Plaque Burden, and Renal Function.Nutrients · 2018Article
- Diet quality indices in relation to metabolic syndrome in an Indigenous Cree (Eeyouch) population in northern Québec, Canada.Public health nutrition · 2018Article
- Racial Differences in Eating Patterns and Food Purchasing Behaviors among Urban Older Women.The journal of nutrition, health & aging · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundCurrently, there are few diet quality assessment tools that are predictive of coronary artery disease (CAD) risk that do not require nutrient analysis and substantial time to administer in clinical settings.
objectiveTo inform the development of such a tool, we prospectively examined the association between a food-based diet quality score and risk of CAD in 3 separate large US cohort studies.
designBetween 1984 and 2012, 71,415 women (aged 43-63 y in 1984), 42,945 men (aged 40-75 y in 1986), and 93,131 younger women (aged 27-44 y in 1991) without a history of cardiovascular disease were followed up to 28 y. Diet was assessed ≤7 times by using repeated food-frequency questionnaires. We computed the Food Quality Score (FQS) for each individual based on food groups previously associated with less weight gain. A higher score represented a healthier diet. The FQS and CAD association was modeled with the Cox proportional hazard model, controlling for potential confounders. We also compared the magnitude of association with CAD for the FQS and other diet quality scores.
resultsWe ascertained 6817 incident total CAD events, with 4588 cases of nonfatal myocardial infarction and 2131 fatal CAD events. Comparing top to bottom deciles, pooled RRs of the FQS were 0.61 (95% CI: 0.54, 0.69; P-trend < 0.001) for total CAD. These associations were independent of established cardiovascular disease risk factors including body weight, physical activity, and smoking. The magnitude of the RR for 1 SD of the FQS and CAD was generally similar to established diet scores that require detailed nutrient analysis, including the Alternate Healthy Eating Index-2010, the Dietary Approaches to Stop Hypertension score, and the alternate Mediterranean diet score.
conclusionA higher food-based diet quality score was associated with lower risk of CAD and was comparable with established diet scores.
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