Longitudinal changes in diet quality and food intake before and after diabetes awareness in American adults: the Coronary Artery Risk Development in Young Adults (CARDIA) study
Authors' conclusion
Advancing age and diabetes awareness were associated with more favorable dietary changes leading to improved diet quality. Optimal diet quality and healthy food intake in young adulthood seem important to prevent diabetes later in life.
Study context
- Population
- Black and white participants recruited from four US urban areas (CARDIA); mean age 25±4 years, 55% female, 49% black race653 incident DM cases
- Participants
- 4,576 participants
- Comparison
- Diabetes case groups vs diabetes-free controls
- Outcome
- Changes in A Priori Diet Quality Score (APDQS) and food subgroup intake (servings/day) in relation to diabetes awareness
- Follow-up
- Y0, Y7 and Y20
Methodological details30-year follow-up
- 30-year follow-up
Main finding
As reported in the abstract
APDQS change with DM awareness
Net increase in A Priori Diet Quality Score (APDQS) associated with DM awareness
2.95 points
Increase in APDQS at first awareness, early-onset DM
5.71
Increase in APDQS at first awareness, intermediate-onset DM
6.64
Observational data: associations, not effects.
Further findings
APDQS over time · Y0 to Y20
- APDQS lowest at Y0 in diabetes-free participants aged 18-30 years
- 61.5-62.8
- APDQS increased over 20 years with advancing age across all groups
- 64.6-73.3
Young-adult APDQS and later DM
- Lower APDQS in young adulthood associated with higher incidence of DM later in life
Incident DM · 30 years
- Incident DM cases
- 653 (14.3%)
Original publication
Longitudinal changes in diet quality and food intake before and after diabetes awareness in American adults: the Coronary Artery Risk Development in Young Adults (CARDIA) study. BMJ Open Diabetes Res Care. Published 7 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →