ArticleNutrition, metabolism, and cardiovascular diseases : NMCD2018
Diet quality and its association with type 2 diabetes and major cardiometabolic risk factors among adults in China.
Article in Nutrition, metabolism, and cardiovascular diseases : NMCD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Heterogeneity in diet-related non-communicable disease risks in a Chinese population.European journal of nutrition · 2024Pooled it
- Ultra-Processed Food Consumption and Adult Diabetes Risk: A Systematic Review and Dose-Response Meta-Analysis.Nutrients · 2021Pooled it
- Pooled it
- Adherence to National Food Guide Recommendations: Can It Slow the Obesity Epidemic? A Systematic Review.Current nutrition reports · 2020Pooled it
- Scoping Review of Dietary Quality Indices: Heterogeneity of Definitions and Health Associations among Adults.Nutrition reviews · 2026Article
- Metabolic diseases in the East Asian populations.Nature reviews. Gastroenterology & hepatology · 2025Review
- Exploring Environmental and Cardiometabolic Impacts Associated with Adherence to the Sustainable EAT-Lancet Reference Diet: Findings from the China Health and Nutrition Survey.Environmental health perspectives · 2025Article
- Article
- Associations between dietary diversity and dyslipidemia among Japanese workers: cross-sectional study and longitudinal study findings.European journal of nutrition · 2024Article
- Association of Dietary Quality with Cognitive Function in Chinese Adults Aged 55 Years and Above: A Longitudinal Study.The journal of nutrition, health & aging · 2023Article
- The association between adherence to diet quality index and cardiometabolic risk factors in overweight and obese women: a cross-sectional study.Frontiers in public health · 2023Article
- Article
- Characterizing the urban diet: development of an urbanized diet index.Nutrition journal · 2022Article
- High Diet Quality Is Linked to Low Risk of Abdominal Obesity among the Elderly Women in China.Nutrients · 2022Article
- Association of Serum Magnesium with Insulin Resistance and Type 2 Diabetes among Adults in China.Nutrients · 2022Article
- Healthy Eating Index Scores, Body Mass Index and Abdominal Obesity Among Asian Americans: NHANES 2011-2018.Frontiers in epidemiology · 2022Article
- Diet Quality and Incident Non-Communicable Disease in the 1946-1951 Cohort of the Australian Longitudinal Study on Women's Health.International journal of environmental research and public health · 2021Article
- Changes in diet quality over 10 years of nutrition transition in Colombia: analysis of the 2005 and 2015 nationally representative cross-sectional surveys.International journal of public health · 2020Article
- Spanish People with Type 2 Diabetes Show an Improved Adherence to the Mediterranean Diet.Nutrients · 2020Article
- Associations of Dietary Sodium, Potassium, and Sodium to Potassium Ratio with Blood Pressure- Regional Disparities in China.Nutrients · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
aimWe examined the association between diet quality and diabetes and major cardiometabolic risks among adults in China. METHODS AND
resultsWe developed the China Dietary Guideline Index (CDGI) based on the 2007 Chinese dietary guidelines and tailored the Alternate Healthy Eating Index 2010 (which we call the tAHEI) to assess diet quality. Our analysis linked the dietary intake and covariates measured in 2006 with CM risk factors measured in 2009. We used diet data the longitudinal China Health and Nutrition Survey 2006 collected in 3 consecutive 24-h recalls from 4440 adults aged 18 to 65 to calculate both the tAHEI and the CDGI scores. We performed multivariable logistic regressions to analyze the association of each 2006 score with diabetes, abdominal obesity, elevated blood pressure, and lipid-related cardiometabolic risk factors in 2009. After we adjusted for potential confounders, adults in the top quintile compared with the bottom quintile of the tAHEI scores showed 36% lower odds of high low-density lipoprotein cholesterol (LDL-C) (odds ratio [OR] 0.64; 95% confidence interval [CI] 0.46, 0.90] in men and 33% lower odds (OR 0.67; 95% CI 0.49, 0.91) in women, while the CDGI scores showed 35% lower odds of high LDL-C (OR 0.65; 95% CI 0.46, 0.92) in men only. Further, the CDGI scores indicated 55% lower odds of diabetes in the top versus the bottom quintile (OR 0.45; 95% CI 0.23, 0.87) in men only, whereas a null association was observed for the tAHEI scores for both sexes. Both index scores showed null associations with other cardiometabolic risk factors.
conclusionsChinese diets that scored high on both the CDGI and the tAHEI showed similarly negative associations with high LDL-C risk, whereas only CDGI score was negatively related to diabetes risk in men.
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