Obesity

The cross‐sectional association between a sustainable diet index and obesity among US adults

Obesity (Silver Spring)Published Cross-sectional study

Main finding · ObesityResult — go to the resultOdds ratio 0.68 95% CI 0.58–0.79

Authors' conclusion

More sustainable dietary patterns were inversely associated with obesity among US adults, supporting the potential of sustainable diets in preventing obesity.

Study context

Population
US adults, National Health and Nutrition Examination Survey (NHANES) 2007–2018; obesity defined as BMI ≥ 30 kg/m²
Participants
25,262 adults
Exposure
Highest vs lowest quintile of sustainable diet index-US score
Outcome
Obesity (BMI ≥ 30 kg/m²)
Methodological detailsNHANES 2007–2018, multivariable-adjusted logistic regression
  • NHANES 2007–2018
  • Multivariable-adjusted logistic regression

Main finding

Obesity

Odds ratio

0.68

95% CI 0.58–0.79

P < 0.001

Q5vs Q1
OR 0.68 (95% CI 0.58–0.79); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
Obesity, Q5vs Q1, womenWomen0.64 (0.53–0.77)P < 0.0001
Obesity, Q5vs Q1, menMen0.74 (0.60–0.91)P = 0.01
  • Obesity, Q5 vs Q1, women: p interaction = 0.04 (sex)
  • Obesity, Q5 vs Q1, men: p interaction = 0.04 (sex)

Obesity prevalence and mean sustainable diet index-US (SDI-US) score · 2007–2018

Obesity prevalence
38.2% (95% CI 37.0%-39.3%)
Mean SDI-US score (range: 4.3-20.0)
13.2

Original publication

The cross‐sectional association between a sustainable diet index and obesity among US adults. Obesity (Silver Spring). Published 13 June 2023. doi:10.1002/oby.23783

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