Adherence to the Mediterranean diet and body fat distribution in reproductive aged women

Background/objectives: Adherence to the Mediterranean diet (MD), high in fruits, vegetables and monounsaturated fats, has been associated with lower body mass index. Associations with measured body fat, including regional adiposity, have not been previously investigated. We examined the associations...

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Veröffentlicht in:European journal of clinical nutrition 2013-03, Vol.67 (3), p.289-294
Hauptverfasser: Boghossian, N S, Yeung, E H, Mumford, S L, Zhang, C, Gaskins, A J, Wactawski-Wende, J, Schisterman, E F
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container_end_page 294
container_issue 3
container_start_page 289
container_title European journal of clinical nutrition
container_volume 67
creator Boghossian, N S
Yeung, E H
Mumford, S L
Zhang, C
Gaskins, A J
Wactawski-Wende, J
Schisterman, E F
description Background/objectives: Adherence to the Mediterranean diet (MD), high in fruits, vegetables and monounsaturated fats, has been associated with lower body mass index. Associations with measured body fat, including regional adiposity, have not been previously investigated. We examined the associations between the alternate Mediterranean diet score (aMED), anthropometry and measured adiposity by dual-energy x-ray absorptiometry (DXA). Subjects/methods: This study included 248 healthy females, aged 18–44 years from the BioCycle Study. Each woman’s aMED (range 0–9) was calculated from up to eight 24-h dietary recalls over 1–2 menstrual cycles (>97% had ⩾7 recalls). Multiple linear regression was used to determine whether aMED and its specific components were associated with total and regional adiposity after adjusting for age, race, education, physical activity and energy intake. Results: Participants had an average (s.d.) aMED of 4.2 (1.7) and percent body fat of 29.5 (6.0)%. Significant inverse associations were found between aMED and all the examined adiposity measures except waist-to-hip ratio. Among the DXA measures, a 1-unit increment in aMED was associated with a 0.06 (95% confidence interval (CI): −0.09, −0.02) lower trunk-to-leg fat ratio (T/L), a measure of upper to lower body fat. In an analysis examining T/L as an outcome with the separate components of the aMED, T/L was lower with increased legume consumption ( β =−0.280, 95% CI: −0.550, −0.010) but was higher with increased consumption of red and processed meat ( β =0.060, 95% CI: 0.002, 0.117). Conclusions: Adherence to the aMED was associated with lower total and regional adiposity, adding to the mounting evidence of the health benefits of the MD.
doi_str_mv 10.1038/ejcn.2013.4
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Associations with measured body fat, including regional adiposity, have not been previously investigated. We examined the associations between the alternate Mediterranean diet score (aMED), anthropometry and measured adiposity by dual-energy x-ray absorptiometry (DXA). Subjects/methods: This study included 248 healthy females, aged 18–44 years from the BioCycle Study. Each woman’s aMED (range 0–9) was calculated from up to eight 24-h dietary recalls over 1–2 menstrual cycles (&gt;97% had ⩾7 recalls). Multiple linear regression was used to determine whether aMED and its specific components were associated with total and regional adiposity after adjusting for age, race, education, physical activity and energy intake. Results: Participants had an average (s.d.) aMED of 4.2 (1.7) and percent body fat of 29.5 (6.0)%. Significant inverse associations were found between aMED and all the examined adiposity measures except waist-to-hip ratio. Among the DXA measures, a 1-unit increment in aMED was associated with a 0.06 (95% confidence interval (CI): −0.09, −0.02) lower trunk-to-leg fat ratio (T/L), a measure of upper to lower body fat. In an analysis examining T/L as an outcome with the separate components of the aMED, T/L was lower with increased legume consumption ( β =−0.280, 95% CI: −0.550, −0.010) but was higher with increased consumption of red and processed meat ( β =0.060, 95% CI: 0.002, 0.117). 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Psychology ; Gestational age ; Health aspects ; Humans ; Internal Medicine ; Legumes ; Meat ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Menstruation ; Metabolic Diseases ; Motor Activity ; Nutrition Assessment ; Obesity ; original-article ; Patient Compliance ; Physical activity ; Public Health ; Reproduction ; Risk factors ; Statistical analysis ; Vegetables ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Waist-Hip Ratio ; Women ; Young Adult</subject><ispartof>European journal of clinical nutrition, 2013-03, Vol.67 (3), p.289-294</ispartof><rights>Macmillan Publishers Limited 2013</rights><rights>2014 INIST-CNRS</rights><rights>COPYRIGHT 2013 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Mar 2013</rights><rights>Macmillan Publishers Limited 2013.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c640t-11a4bc79d0efd31954755f26a06011acb2da32316615ffbbfd9dca31515fbd753</citedby><cites>FETCH-LOGICAL-c640t-11a4bc79d0efd31954755f26a06011acb2da32316615ffbbfd9dca31515fbd753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2013.4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2013.4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27054891$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23388669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boghossian, N S</creatorcontrib><creatorcontrib>Yeung, E H</creatorcontrib><creatorcontrib>Mumford, S L</creatorcontrib><creatorcontrib>Zhang, C</creatorcontrib><creatorcontrib>Gaskins, A J</creatorcontrib><creatorcontrib>Wactawski-Wende, J</creatorcontrib><creatorcontrib>Schisterman, E F</creatorcontrib><creatorcontrib>BioCycle Study Group</creatorcontrib><creatorcontrib>for the BioCycle Study Group</creatorcontrib><title>Adherence to the Mediterranean diet and body fat distribution in reproductive aged women</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives: Adherence to the Mediterranean diet (MD), high in fruits, vegetables and monounsaturated fats, has been associated with lower body mass index. Associations with measured body fat, including regional adiposity, have not been previously investigated. We examined the associations between the alternate Mediterranean diet score (aMED), anthropometry and measured adiposity by dual-energy x-ray absorptiometry (DXA). Subjects/methods: This study included 248 healthy females, aged 18–44 years from the BioCycle Study. Each woman’s aMED (range 0–9) was calculated from up to eight 24-h dietary recalls over 1–2 menstrual cycles (&gt;97% had ⩾7 recalls). Multiple linear regression was used to determine whether aMED and its specific components were associated with total and regional adiposity after adjusting for age, race, education, physical activity and energy intake. Results: Participants had an average (s.d.) aMED of 4.2 (1.7) and percent body fat of 29.5 (6.0)%. Significant inverse associations were found between aMED and all the examined adiposity measures except waist-to-hip ratio. 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Feeding behavior</subject><subject>Female</subject><subject>Females</subject><subject>Fruits</subject><subject>Fundamental and applied biological sciences. 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Associations with measured body fat, including regional adiposity, have not been previously investigated. We examined the associations between the alternate Mediterranean diet score (aMED), anthropometry and measured adiposity by dual-energy x-ray absorptiometry (DXA). Subjects/methods: This study included 248 healthy females, aged 18–44 years from the BioCycle Study. Each woman’s aMED (range 0–9) was calculated from up to eight 24-h dietary recalls over 1–2 menstrual cycles (&gt;97% had ⩾7 recalls). Multiple linear regression was used to determine whether aMED and its specific components were associated with total and regional adiposity after adjusting for age, race, education, physical activity and energy intake. Results: Participants had an average (s.d.) aMED of 4.2 (1.7) and percent body fat of 29.5 (6.0)%. Significant inverse associations were found between aMED and all the examined adiposity measures except waist-to-hip ratio. Among the DXA measures, a 1-unit increment in aMED was associated with a 0.06 (95% confidence interval (CI): −0.09, −0.02) lower trunk-to-leg fat ratio (T/L), a measure of upper to lower body fat. In an analysis examining T/L as an outcome with the separate components of the aMED, T/L was lower with increased legume consumption ( β =−0.280, 95% CI: −0.550, −0.010) but was higher with increased consumption of red and processed meat ( β =0.060, 95% CI: 0.002, 0.117). Conclusions: Adherence to the aMED was associated with lower total and regional adiposity, adding to the mounting evidence of the health benefits of the MD.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23388669</pmid><doi>10.1038/ejcn.2013.4</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/699/1702/393
692/700/478
Absorptiometry, Photon
Adipose Tissue
Adolescent
Adult
Anthropometry
Biological and medical sciences
Body fat
Body Fat Distribution
Body Mass Index
Body size
Clinical Nutrition
Confidence intervals
Consumption
Cross-Sectional Studies
Demographic aspects
Diet
Diet, Mediterranean
Dual energy X-ray absorptiometry
Education
Energy Intake
Epidemiology
Feeding. Feeding behavior
Female
Females
Fruits
Fundamental and applied biological sciences. Psychology
Gestational age
Health aspects
Humans
Internal Medicine
Legumes
Meat
Medical sciences
Medicine
Medicine & Public Health
Menstruation
Metabolic Diseases
Motor Activity
Nutrition Assessment
Obesity
original-article
Patient Compliance
Physical activity
Public Health
Reproduction
Risk factors
Statistical analysis
Vegetables
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Waist-Hip Ratio
Women
Young Adult
title Adherence to the Mediterranean diet and body fat distribution in reproductive aged women
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