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Improving diet quality over 9-years is associated with less weight gain in mid-age Australian women: A cohort study

Nutrition, Metabolism & Cardiovascular Diseases Oct 22, 2019

Aljadani HM, et al. - Researchers examined the influence of change in diet quality over 9-years on weight change over the same period in mid-age Australian women. From the Australian Longitudinal Study on Women’s Health, healthy mid-age (45-49 years) women reported a valid total energy intake at baseline (n = 2,381), which was determined using Goldberg cut-offs. The Australian Recommended Food Score (ARFS) was used to measure diet quality using data derived from a validated food frequency questionnaire. Women in the highest tertile of ARFS change improved diet quality [mean ±SD] [7±4 points], while worse diet quality at follow-up was observed for those in the lowest [-9 ±5 points] and middle [-1±2 points] tertiles. Significantly less weight was reported among those in the highest tertile of ARFS change, compared with the lowest tertile; β = -1.2 kg [95% CI: -2.31, -0.11] after adjustment for changes in confounders and baseline weight, baseline ARFS, and total energy intake. These findings support improvement in diet quality as an important strategy for promoting modest weight loss and may potentially add to preventing weight gain in mid-age women, which is important for metabolic health.
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