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The association of overall diet quality with BMI and waist circumference by education level in Mexican men and women

  • Nancy López-Olmedo (a1), Barry M Popkin (a1), Michelle A Mendez (a2) and Lindsey Smith Taillie (a1)

Abstract

Objective:

The present study evaluated the association of two measures of diet quality with BMI and waist circumference (WC), overall and by education level, among Mexican men and women.

Design:

We constructed two a priori indices of diet quality, the Mexican Diet Quality Index (MxDQI) and the Mexican Alternate Healthy Eating Index (MxAHEI), which we examined relative to BMI and WC. We computed sex-specific multivariable linear regression models for the total sample and by education level.

Setting:

Mexico.

Participants:

Mexican men (n 954) and women (n 1356) participating in the Mexican National Health and Nutrition Survey 2012.

Results:

Total dietary scores were not associated with BMI in men and women, but total MxDQI was inversely associated with WC in men (−0·10, 95 % CI −0·20, −0·004 cm). We also found that some results differed by education level in men. For men with the lowest education level, a one-unit increase in total MxDQI and MxAHEI score was associated with a mean reduction in BMI of 0·11 (95 % CI −0·18, 0·04) and 0·18 (95 % CI −0·25, −0·10) kg/m2, respectively. Likewise, a one-unit increase in total MxDQI and MxAHEI score was associated with a mean change in WC of −0·30 (95 % CI −0·49, −0·11) and −0·53 (95 % CI −0·75, −0·30) cm, respectively, in men with the lowest level of education. In women, the association of diet quality scores with BMI and WC was not different by education level.

Conclusions:

Our findings suggest that a higher diet quality in men with low but not high education is associated with lower BMI and WC.

Copyright

Corresponding author

*Corresponding author: Email taillie@unc.edu

References

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