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Association of an AHA‐diet quality score with allostatic load and metabolic syndrome in Puerto Rican adults
Author(s) -
Mattei Josiemer,
Bhupathiraju Shilpa,
Tucker Katherine L
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.847.9
Subject(s) - medicine , allostatic load , waist , metabolic syndrome , framingham risk score , demography , allostasis , logistic regression , mediterranean diet , gerontology , obesity , disease , sociology , immunology
A score based on diet and lifestyle guidelines from the American Heart Association (AHA) has been associated with cardiovascular risk factors in Puerto Ricans. We aimed to assess whether the diet components alone were associated with metabolic syndrome (MetS) and allostatic load (AL) as a composite measure of ten dysregulated physiological parameters. The diet quality score (range: 0–90) included components on intake of dietary fats, fruits and vegetables, whole grains, salt, added sugars, and alcohol, and was tested on 1318 Puerto Ricans (45–75 y/o; 72% female) living in Boston, MA. Mean (SD) diet score was 28.0 (9.9) for males and 30.0 (10.1) for females. Significant inverse associations between diet score and cortisol, waist circumference, and plasma insulin, and positive association with DHEA‐S, were observed in females. In males, the score was inversely associated with norepinephrine and positively with HDL‐C (all p<0.05). In multinomial logistic regression, an increase in 10 units of AHA‐diet score was associated with 22% (95%CI: 1, 39%; p=0.039) lower odds of having ≥ 6 AL components in females, compared to ≤ 2 parameters. In males, lower odds of MetS were observed for a 10‐ unit increase in diet score (0.71 (0.53, 0.96), p=0.027). In conclusion, following a high‐quality diet recommended by the AHA may help maintain cardiometabolic risk factors under control and reduce likelihood of MetS and AL in Puerto Ricans. Grant Funding Source : Supported by NIH grants P01 AG023394 and P50 HL105185