ArticleDiabetes care2016
Changes in Overall Diet Quality and Subsequent Type 2 Diabetes Risk: Three U.S. Prospective Cohorts.
Article in Diabetes care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.
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Who cites it
56 citing papers in PubMed.
- Trial
- Dietary Changes and Their Predictors in the First Year After Childbirth in Women with Gestational Diabetes Mellitus: A Post Hoc Longitudinal Analysis from the Face-it Trial.The Journal of nutrition · 2025Trial
- Trial
- A 12-Week Randomized Intervention Comparing the Healthy US, Mediterranean, and Vegetarian Dietary Patterns of the US Dietary Guidelines for Changes in Body Weight, Hemoglobin A1c, Blood Pressure, and Dietary Quality among African American Adults.The Journal of nutrition · 2023Trial
- Daily intake of non-fried potato does not affect markers of glycaemia and is associated with better diet quality compared with refined grains: a randomised, crossover study in healthy adults.The British journal of nutrition · 2020Trial
- The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes.BMC women's health · 2019Trial
- Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes.Journal of general internal medicine · 2019Trial
- Adherence to healthy plant-rich diets is associated with better olfactory function in the general population-findings from the Cooperative Health Research in South Tyrol (CHRIS) study.Chemical senses · 2026Article
- A Model to Assess the Costs and Consequences of Changes in Diet and Nutrition From Potential Population-Wide Policies: The Microsimulation of Nutrition, Diabetes, and Cardiovascular Disease (MONDAC).Preventing chronic disease · 2025Article
- Article
- The association between socio-economic position and diet quality in rural and regional Australian adults.The British journal of nutrition · 2025Article
- Combined associations of physical activity, diet quality and their trajectories with incidence of diabetes and cardiovascular diseases in the EPIC-Norfolk Study.Scientific reports · 2025Article
- 24-h dietary intake and its relationship with nutritional knowledge and behaviors in older adults with type 2 diabetes in Vietnam.Frontiers in nutrition · 2025Article
- Endometriosis and uterine fibroids and risk of premature mortality: prospective cohort study.BMJ (Clinical research ed.) · 2024Article
- Association of ultra-processed food consumption with cardiovascular risk factors among patients with type-2 diabetes mellitus.Nutrition & diabetes · 2024Article
- Differential association of dietary scores with the risk of type 2 diabetes by metabotype.European journal of nutrition · 2024Article
- Longitudinally changed diet quality scores and their association with type 2 diabetes mellitus and cardiovascular diseases in the EPIC-Potsdam study.Scientific reports · 2024Article
- Diet quality from mid to late life and its association with physical frailty in late life in a cohort of Chinese adults.Nutrition journal · 2024Article
- Fruits and the Risk of Type 2 Diabetes: The Korean Genome and Epidemiology Study Cohort.Korean journal of family medicine · 2024Article
- Food insecurity and its associations with cardiometabolic health in Latino individuals of Mexican ancestry.Frontiers in nutrition · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveRecent public health recommendations emphasize adopting a healthful dietary pattern, but evidence is scarce on whether incremental diet quality changes have an impact on long-term diabetes prevention. We aim to evaluate diet quality changes during a 4-year period and subsequent 4-year type 2 diabetes incidence. RESEARCH DESIGN AND
methodsParticipants of prospective cohorts, the Nurses' Health Study (NHS), NHS II, and the Health Professionals Follow-up Study, who were free of diabetes at baseline (n = 124,607), were observed for ≥20 years. Diet quality, reflected by the Alternate Healthy Eating Index (AHEI) score, was assessed every 4 years to calculate changes.
resultsWe documented 9,361 cases of type 2 diabetes during 2,093,416 person-years of follow-up. A >10% decrease in AHEI score over 4 years was associated with a higher subsequent diabetes risk (pooled hazard ratio 1.34 [95% CI 1.23-1.46]) with multiple adjustment, whereas a >10% increase in AHEI score was associated with a lower risk (0.84 [0.78-0.90]). Greater improvement in diet quality was associated with lower diabetes risk across baseline diet quality status (P for trend ≤ 0.001 for low, medium, or high initial diet quality) and baseline BMI (P for trend ≤ 0.01 for BMI <25, 25-29, or 30 kg/m
conclusionsImprovement in overall diet quality is associated with a lower risk of type 2 diabetes, whereas deterioration in diet quality is associated with a higher risk. The association between diet quality changes and diabetes risk is only partly explained by body weight changes.
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