Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health

Diet quality indices (DQIs) can be useful predictors of diet–disease relationships, including non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overall diet quality (DQ) predicted NCD, multimorbidity, and all-cause mortality. Women from the 1945–51 cohort of the Australi...

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Autores principales:	Hlaing Hlaing-Hlaing, Xenia Dolja-Gore, Meredith Tavener, Erica L. James, Allison M. Hodge, Alexis J. Hure
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	diet quality non-communicable disease multimorbidity all-cause mortality women Medicine R
Acceso en línea:	https://doaj.org/article/d6e31697c9dd4cabb0354572b39ee49a
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spelling	oai:doaj.org-article:d6e31697c9dd4cabb0354572b39ee49a2021-11-11T16:29:56ZDiet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health10.3390/ijerph1821113751660-46011661-7827https://doaj.org/article/d6e31697c9dd4cabb0354572b39ee49a2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11375https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Diet quality indices (DQIs) can be useful predictors of diet–disease relationships, including non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overall diet quality (DQ) predicted NCD, multimorbidity, and all-cause mortality. Women from the 1945–51 cohort of the Australia Longitudinal Study on Women’s Health (ALSWH) were included if they: responded to S3 in 2001 and at least one survey between 2004 (S4) and 2016 (S8), and had no NCD history and complete dietary data at S3. DQ was summarized by the Healthy Eating Index for Australian Adults-2013 (HEIFA-2013), Mediterranean Diet Score (MDS), and Alternative Healthy Eating Index-2010 (AHEI-2010). Outcomes included each NCD (diabetes mellitus (DM), coronary heart disease (CHD), hypertension (HT), asthma, cancer (except skin cancer), depression and/or anxiety) independently, multimorbidity, and all-cause mortality. Repeated multivariate logistic regressions were used to test associations between DQIs and NCD outcomes across the 15 years of follow-up. The mean (±sd) of DQIs of participants (<i>n</i> = 5350) were 57.15 ± 8.16 (HEIFA-2013); 4.35 ± 1.75 (MDS), and 56.01 ± 10.32 (AHEI-2010). Multivariate regressions indicated that women reporting the highest quintile of AHEI-2010 had lower odds of DM (42–56% (S5–S8)), HT (26% (S8)), asthma (35–37% (S7, S8)), and multimorbidity (30–35% (S7, S8)). The highest quintile of HEIFA-2013 and MDS had lower odds of HT (26–35% (S7, S8); 24–27% (S6–S8), respectively) and depression and/or anxiety (30% (S6): 30–34% (S7, S8)). Our findings support evidence that DQ is an important predictor of some NCDs and a target for prevention in middle-aged women.Hlaing Hlaing-HlaingXenia Dolja-GoreMeredith TavenerErica L. JamesAllison M. HodgeAlexis J. HureMDPI AGarticlediet qualitynon-communicable diseasemultimorbidityall-cause mortalitywomenMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11375, p 11375 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diet quality non-communicable disease multimorbidity all-cause mortality women Medicine R
spellingShingle	diet quality non-communicable disease multimorbidity all-cause mortality women Medicine R Hlaing Hlaing-Hlaing Xenia Dolja-Gore Meredith Tavener Erica L. James Allison M. Hodge Alexis J. Hure Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health
description	Diet quality indices (DQIs) can be useful predictors of diet–disease relationships, including non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overall diet quality (DQ) predicted NCD, multimorbidity, and all-cause mortality. Women from the 1945–51 cohort of the Australia Longitudinal Study on Women’s Health (ALSWH) were included if they: responded to S3 in 2001 and at least one survey between 2004 (S4) and 2016 (S8), and had no NCD history and complete dietary data at S3. DQ was summarized by the Healthy Eating Index for Australian Adults-2013 (HEIFA-2013), Mediterranean Diet Score (MDS), and Alternative Healthy Eating Index-2010 (AHEI-2010). Outcomes included each NCD (diabetes mellitus (DM), coronary heart disease (CHD), hypertension (HT), asthma, cancer (except skin cancer), depression and/or anxiety) independently, multimorbidity, and all-cause mortality. Repeated multivariate logistic regressions were used to test associations between DQIs and NCD outcomes across the 15 years of follow-up. The mean (±sd) of DQIs of participants (<i>n</i> = 5350) were 57.15 ± 8.16 (HEIFA-2013); 4.35 ± 1.75 (MDS), and 56.01 ± 10.32 (AHEI-2010). Multivariate regressions indicated that women reporting the highest quintile of AHEI-2010 had lower odds of DM (42–56% (S5–S8)), HT (26% (S8)), asthma (35–37% (S7, S8)), and multimorbidity (30–35% (S7, S8)). The highest quintile of HEIFA-2013 and MDS had lower odds of HT (26–35% (S7, S8); 24–27% (S6–S8), respectively) and depression and/or anxiety (30% (S6): 30–34% (S7, S8)). Our findings support evidence that DQ is an important predictor of some NCDs and a target for prevention in middle-aged women.
format	article
author	Hlaing Hlaing-Hlaing Xenia Dolja-Gore Meredith Tavener Erica L. James Allison M. Hodge Alexis J. Hure
author_facet	Hlaing Hlaing-Hlaing Xenia Dolja-Gore Meredith Tavener Erica L. James Allison M. Hodge Alexis J. Hure
author_sort	Hlaing Hlaing-Hlaing
title	Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health
title_short	Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health
title_full	Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health
title_fullStr	Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health
title_full_unstemmed	Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health
title_sort	diet quality and incident non-communicable disease in the 1946–1951 cohort of the australian longitudinal study on women’s health
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d6e31697c9dd4cabb0354572b39ee49a
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Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health

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