Diet quality and its relationship with central obesity among Mexican Americans: findings from National Health and Nutrition Examination Survey (NHANES) 1999-2012

作者：Yoshida Yilin; Scribner Richard; Chen Liwei; Broyles Stephanie; Phillippi Stephen; Tseng Tung Sung

来源：Public Health Nutrition, 2017, 20(7): 1193-1202.

DOI：10.1017/S1368980016003190

• Diet quality
• Central obesity
• Mexican Americans
• Healthy Eating Index-2010
• NHANES

Objective: Using the Healthy Eating Index-2010 (HEI-2010), the present study aimed to examine diet quality and the impact of overall diet quality and its components on central obesity among Mexican-American men and women.
Design: Cross-sectional data from NHANES 1999-2012 were used. The HEI-2010 data, including twelve components for a total score of 100, were collected with a 24 h recall interview. Central obesity was defined as a waist circumference of = 88 cm for women and = 102 cm for men. Weighted logistic regressions were performed to assess associations between HEI-2010 scores and central obesity.
Setting: National Health and Nutrition Examination Survey (NHANES) 1999-2012.
Subjects: A total of 6847 Mexican Americans aged = 20 years with reliable dietary recall status and non-pregnancy status.
Results: Higher HEI-2010 total score was associated with lower odds of central obesity in Mexican-American men (OR; 95% CI = 0.98; 0.98, 1.00). Among all Mexican Americans, one-unit higher score of total fruit and sodium (i.e. lower level of intake) was associated with 4% (0.96; 0.93, 0.99) and 2% (0.98; 0.96, 0.99) lower odds of central obesity, respectively. However, a higher total proteins score was associated with higher odds of central obesity (1.08; 1.00, 1.16). In gender-specific analyses, a higher whole fruit or sodium score was inversely associated with central obesity in men but not in women.
Conclusions: HEI-2010 scores of total fruit and sodium were inversely associated with central obesity among all Mexican Americans. However, total proteins score and central obesity was positively associated. In Mexican-American men, HEI-2010 total and whole fruit scores were inversely associated with central obesity.

• 出版日期2017-5