Diet Quality and Its Association with Cardiometabolic Risk Factors Vary by Hispanic and Latino Ethnic Background in the Hispanic Community Health Study/Study of Latinos

Josiemer Mattei, Daniela Sotres-Alvarez, Martha L. Daviglus, Linda C. Gallo, Marc Gellman, Frank B. Hu, Katherine L. Tucker, Walter C. Willett, Anna Maria Siega-Riz, Linda Van Horn, Robert C. Kaplan

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

BACKGROUND: Healthful diet quality has been associated with a lower risk of metabolic syndrome (MetS) in several populations, but reports on Hispanic and Latino cohorts, grouped or by ethnic background, have been limited and inconsistent.

OBJECTIVE: We aimed to examine diet quality by using the 2010 Alternate Healthy Eating Index [(AHEI) range: 0-110, lowest to highest quality] and its cross-sectional association with MetS and its cardiometabolic components across 6 Hispanic and Latino backgrounds.

METHODS: We studied 12,406 US Hispanics and Latinos, aged 18-74 y and free of diabetes, from the multicenter, population-based Hispanic Community Health Study/Study of Latinos cohort. Food and nutrients were assessed from two 24-h recalls. MetS was defined by using the 2009 harmonized guidelines. Complex survey procedures were used in multivariable-adjusted linear regression models to test the association of the AHEI with continuous markers and in logistic regression models with MetS as an outcome.

RESULTS: The prevalence of MetS was 24.2%. Overall, Hispanics and Latinos had low scores for intakes of sugar-sweetened beverages and fruit juices, whole grains, and fruit and favorable scores for trans fats and nuts and legumes, according to AHEI criteria. Adjusted mean AHEI and its individual components differed by ethnic background (P < 0.001), ranging from 43.0 for Puerto Ricans to 52.6 for Mexicans. Overall, adjusted odds (95% CIs) of having MetS were 22% (9%, 33%) lower for each 10-unit increase in AHEI. This association was modified by ethnic background (P-interaction = 0.03), with significantly lower odds observed only for Mexicans (30%; 95% CIs: 13%, 44%) and Central Americans (42%; 95% CIs: 9%, 64%) for each 10-unit increase in AHEI. AHEI was inversely associated with waist circumference, blood pressure, and glucose among Mexicans and Puerto Ricans and with triglycerides among Mexicans only, and positively associated with HDL cholesterol among Puerto Ricans and Central Americans (all P < 0.05).

CONCLUSIONS: Diet quality differed by Hispanic or Latino background. Although healthier diet quality was associated with lower odds of MetS in the overall Hispanic and Latino cohort, the association of AHEI and cardiometabolic factors varied by ethnic background. Nutrition-related research and interventions among ethnically diverse groups should consider individual ethnic backgrounds to optimally address diet quality and cardiometabolic health. This trial was registered at clinicaltrials.gov as NCT02060344.

Original languageEnglish (US)
Pages (from-to)2035-2044
Number of pages10
JournalThe Journal of nutrition
Volume146
Issue number10
StatePublished - Oct 1 2016

Fingerprint

Hispanic Americans
Diet
Health
Linear Models
Logistic Models
Healthy Diet
Food
Nuts
Beverages
Waist Circumference
Fabaceae
HDL Cholesterol
Population
Blood Glucose
Fruit

Keywords

  • cardiometabolic risk factors
  • diet quality
  • HCHS/SOL
  • health disparities
  • Hispanics
  • Latinos
  • metabolic syndrome
  • minority health
  • race/ethnicity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Diet Quality and Its Association with Cardiometabolic Risk Factors Vary by Hispanic and Latino Ethnic Background in the Hispanic Community Health Study/Study of Latinos. / Mattei, Josiemer; Sotres-Alvarez, Daniela; Daviglus, Martha L.; Gallo, Linda C.; Gellman, Marc; Hu, Frank B.; Tucker, Katherine L.; Willett, Walter C.; Siega-Riz, Anna Maria; Van Horn, Linda; Kaplan, Robert C.

In: The Journal of nutrition, Vol. 146, No. 10, 01.10.2016, p. 2035-2044.

Research output: Contribution to journalArticle

Mattei, J, Sotres-Alvarez, D, Daviglus, ML, Gallo, LC, Gellman, M, Hu, FB, Tucker, KL, Willett, WC, Siega-Riz, AM, Van Horn, L & Kaplan, RC 2016, 'Diet Quality and Its Association with Cardiometabolic Risk Factors Vary by Hispanic and Latino Ethnic Background in the Hispanic Community Health Study/Study of Latinos', The Journal of nutrition, vol. 146, no. 10, pp. 2035-2044.
Mattei, Josiemer ; Sotres-Alvarez, Daniela ; Daviglus, Martha L. ; Gallo, Linda C. ; Gellman, Marc ; Hu, Frank B. ; Tucker, Katherine L. ; Willett, Walter C. ; Siega-Riz, Anna Maria ; Van Horn, Linda ; Kaplan, Robert C. / Diet Quality and Its Association with Cardiometabolic Risk Factors Vary by Hispanic and Latino Ethnic Background in the Hispanic Community Health Study/Study of Latinos. In: The Journal of nutrition. 2016 ; Vol. 146, No. 10. pp. 2035-2044.
@article{b029402e8ba7414c8ab564e6199c06ce,
title = "Diet Quality and Its Association with Cardiometabolic Risk Factors Vary by Hispanic and Latino Ethnic Background in the Hispanic Community Health Study/Study of Latinos",
abstract = "BACKGROUND: Healthful diet quality has been associated with a lower risk of metabolic syndrome (MetS) in several populations, but reports on Hispanic and Latino cohorts, grouped or by ethnic background, have been limited and inconsistent.OBJECTIVE: We aimed to examine diet quality by using the 2010 Alternate Healthy Eating Index [(AHEI) range: 0-110, lowest to highest quality] and its cross-sectional association with MetS and its cardiometabolic components across 6 Hispanic and Latino backgrounds.METHODS: We studied 12,406 US Hispanics and Latinos, aged 18-74 y and free of diabetes, from the multicenter, population-based Hispanic Community Health Study/Study of Latinos cohort. Food and nutrients were assessed from two 24-h recalls. MetS was defined by using the 2009 harmonized guidelines. Complex survey procedures were used in multivariable-adjusted linear regression models to test the association of the AHEI with continuous markers and in logistic regression models with MetS as an outcome.RESULTS: The prevalence of MetS was 24.2{\%}. Overall, Hispanics and Latinos had low scores for intakes of sugar-sweetened beverages and fruit juices, whole grains, and fruit and favorable scores for trans fats and nuts and legumes, according to AHEI criteria. Adjusted mean AHEI and its individual components differed by ethnic background (P < 0.001), ranging from 43.0 for Puerto Ricans to 52.6 for Mexicans. Overall, adjusted odds (95{\%} CIs) of having MetS were 22{\%} (9{\%}, 33{\%}) lower for each 10-unit increase in AHEI. This association was modified by ethnic background (P-interaction = 0.03), with significantly lower odds observed only for Mexicans (30{\%}; 95{\%} CIs: 13{\%}, 44{\%}) and Central Americans (42{\%}; 95{\%} CIs: 9{\%}, 64{\%}) for each 10-unit increase in AHEI. AHEI was inversely associated with waist circumference, blood pressure, and glucose among Mexicans and Puerto Ricans and with triglycerides among Mexicans only, and positively associated with HDL cholesterol among Puerto Ricans and Central Americans (all P < 0.05).CONCLUSIONS: Diet quality differed by Hispanic or Latino background. Although healthier diet quality was associated with lower odds of MetS in the overall Hispanic and Latino cohort, the association of AHEI and cardiometabolic factors varied by ethnic background. Nutrition-related research and interventions among ethnically diverse groups should consider individual ethnic backgrounds to optimally address diet quality and cardiometabolic health. This trial was registered at clinicaltrials.gov as NCT02060344.",
keywords = "cardiometabolic risk factors, diet quality, HCHS/SOL, health disparities, Hispanics, Latinos, metabolic syndrome, minority health, race/ethnicity",
author = "Josiemer Mattei and Daniela Sotres-Alvarez and Daviglus, {Martha L.} and Gallo, {Linda C.} and Marc Gellman and Hu, {Frank B.} and Tucker, {Katherine L.} and Willett, {Walter C.} and Siega-Riz, {Anna Maria} and {Van Horn}, Linda and Kaplan, {Robert C.}",
year = "2016",
month = "10",
day = "1",
language = "English (US)",
volume = "146",
pages = "2035--2044",
journal = "Journal of Nutrition",
issn = "0022-3166",
publisher = "American Society for Nutrition",
number = "10",

}

TY - JOUR

T1 - Diet Quality and Its Association with Cardiometabolic Risk Factors Vary by Hispanic and Latino Ethnic Background in the Hispanic Community Health Study/Study of Latinos

AU - Mattei, Josiemer

AU - Sotres-Alvarez, Daniela

AU - Daviglus, Martha L.

AU - Gallo, Linda C.

AU - Gellman, Marc

AU - Hu, Frank B.

AU - Tucker, Katherine L.

AU - Willett, Walter C.

AU - Siega-Riz, Anna Maria

AU - Van Horn, Linda

AU - Kaplan, Robert C.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - BACKGROUND: Healthful diet quality has been associated with a lower risk of metabolic syndrome (MetS) in several populations, but reports on Hispanic and Latino cohorts, grouped or by ethnic background, have been limited and inconsistent.OBJECTIVE: We aimed to examine diet quality by using the 2010 Alternate Healthy Eating Index [(AHEI) range: 0-110, lowest to highest quality] and its cross-sectional association with MetS and its cardiometabolic components across 6 Hispanic and Latino backgrounds.METHODS: We studied 12,406 US Hispanics and Latinos, aged 18-74 y and free of diabetes, from the multicenter, population-based Hispanic Community Health Study/Study of Latinos cohort. Food and nutrients were assessed from two 24-h recalls. MetS was defined by using the 2009 harmonized guidelines. Complex survey procedures were used in multivariable-adjusted linear regression models to test the association of the AHEI with continuous markers and in logistic regression models with MetS as an outcome.RESULTS: The prevalence of MetS was 24.2%. Overall, Hispanics and Latinos had low scores for intakes of sugar-sweetened beverages and fruit juices, whole grains, and fruit and favorable scores for trans fats and nuts and legumes, according to AHEI criteria. Adjusted mean AHEI and its individual components differed by ethnic background (P < 0.001), ranging from 43.0 for Puerto Ricans to 52.6 for Mexicans. Overall, adjusted odds (95% CIs) of having MetS were 22% (9%, 33%) lower for each 10-unit increase in AHEI. This association was modified by ethnic background (P-interaction = 0.03), with significantly lower odds observed only for Mexicans (30%; 95% CIs: 13%, 44%) and Central Americans (42%; 95% CIs: 9%, 64%) for each 10-unit increase in AHEI. AHEI was inversely associated with waist circumference, blood pressure, and glucose among Mexicans and Puerto Ricans and with triglycerides among Mexicans only, and positively associated with HDL cholesterol among Puerto Ricans and Central Americans (all P < 0.05).CONCLUSIONS: Diet quality differed by Hispanic or Latino background. Although healthier diet quality was associated with lower odds of MetS in the overall Hispanic and Latino cohort, the association of AHEI and cardiometabolic factors varied by ethnic background. Nutrition-related research and interventions among ethnically diverse groups should consider individual ethnic backgrounds to optimally address diet quality and cardiometabolic health. This trial was registered at clinicaltrials.gov as NCT02060344.

AB - BACKGROUND: Healthful diet quality has been associated with a lower risk of metabolic syndrome (MetS) in several populations, but reports on Hispanic and Latino cohorts, grouped or by ethnic background, have been limited and inconsistent.OBJECTIVE: We aimed to examine diet quality by using the 2010 Alternate Healthy Eating Index [(AHEI) range: 0-110, lowest to highest quality] and its cross-sectional association with MetS and its cardiometabolic components across 6 Hispanic and Latino backgrounds.METHODS: We studied 12,406 US Hispanics and Latinos, aged 18-74 y and free of diabetes, from the multicenter, population-based Hispanic Community Health Study/Study of Latinos cohort. Food and nutrients were assessed from two 24-h recalls. MetS was defined by using the 2009 harmonized guidelines. Complex survey procedures were used in multivariable-adjusted linear regression models to test the association of the AHEI with continuous markers and in logistic regression models with MetS as an outcome.RESULTS: The prevalence of MetS was 24.2%. Overall, Hispanics and Latinos had low scores for intakes of sugar-sweetened beverages and fruit juices, whole grains, and fruit and favorable scores for trans fats and nuts and legumes, according to AHEI criteria. Adjusted mean AHEI and its individual components differed by ethnic background (P < 0.001), ranging from 43.0 for Puerto Ricans to 52.6 for Mexicans. Overall, adjusted odds (95% CIs) of having MetS were 22% (9%, 33%) lower for each 10-unit increase in AHEI. This association was modified by ethnic background (P-interaction = 0.03), with significantly lower odds observed only for Mexicans (30%; 95% CIs: 13%, 44%) and Central Americans (42%; 95% CIs: 9%, 64%) for each 10-unit increase in AHEI. AHEI was inversely associated with waist circumference, blood pressure, and glucose among Mexicans and Puerto Ricans and with triglycerides among Mexicans only, and positively associated with HDL cholesterol among Puerto Ricans and Central Americans (all P < 0.05).CONCLUSIONS: Diet quality differed by Hispanic or Latino background. Although healthier diet quality was associated with lower odds of MetS in the overall Hispanic and Latino cohort, the association of AHEI and cardiometabolic factors varied by ethnic background. Nutrition-related research and interventions among ethnically diverse groups should consider individual ethnic backgrounds to optimally address diet quality and cardiometabolic health. This trial was registered at clinicaltrials.gov as NCT02060344.

KW - cardiometabolic risk factors

KW - diet quality

KW - HCHS/SOL

KW - health disparities

KW - Hispanics

KW - Latinos

KW - metabolic syndrome

KW - minority health

KW - race/ethnicity

UR - http://www.scopus.com/inward/record.url?scp=85010735172&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85010735172&partnerID=8YFLogxK

M3 - Article

C2 - 27605403

AN - SCOPUS:85010735172

VL - 146

SP - 2035

EP - 2044

JO - Journal of Nutrition

JF - Journal of Nutrition

SN - 0022-3166

IS - 10

ER -