Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study.
<h4>Background</h4>Previous studies reported that focusing on healthy lifestyle, especially high diet quality is necessary for preventing type 2 diabetes (T2D). This study investigated the association between the innovative index, the Global Diet Quality Score (GDQS), and the risk of Typ...
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0313886 |
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| author | Shahrzad Daei Firoozeh Hosseini-Esfahani Azam Ildarabadi Parvin Mirmiran Fereidoun Azizi |
| author_facet | Shahrzad Daei Firoozeh Hosseini-Esfahani Azam Ildarabadi Parvin Mirmiran Fereidoun Azizi |
| author_sort | Shahrzad Daei |
| collection | DOAJ |
| description | <h4>Background</h4>Previous studies reported that focusing on healthy lifestyle, especially high diet quality is necessary for preventing type 2 diabetes (T2D). This study investigated the association between the innovative index, the Global Diet Quality Score (GDQS), and the risk of Type 2 Diabetes incidence.<h4>Methods</h4>In this secondary analysis, we included elective adult participants (n = 5948) from the third and fourth survey of the Tehran Lipid and Glucose Study. Participants checked out until the sixth phase with an average follow-up of 6.65 years. Expert nutritionists collected dietary data using a valid and reliable semi-quantitative food frequency questionnaire. The GDQS were calculated, including healthy and unhealthy food group scores. Biochemical and anthropometric characteristics were assessed during the first and follow-up surveys. Multivariable Cox proportional hazards regression models were used to estimate the progression of T2D in association with the GDQS.<h4>Results</h4>This study was implemented on 2,688 men and 3,260 women, respectively with the mean (SD) age of 41.5(14.1) and 39.3(13.02) years. A total of 524 subjects were found to have had T2D incidence. The healthy component of GDQS was conversely associated with T2D incidence [HR: 1, 0.91 (0.84-0.98), 0.91 (0.84-0.98), 0.84 (0.77-0.92) P trend = <0.001] in an adjusted model. The unhealthy component of GDQS was conversely associated with T2D incidence in an adjusted model [HR: 1, 0.86 (0.80-0.92), 0.93 (0.86-1.01), 0.89 (0.81-0.98) P trend = 0.009].<h4>Conclusion</h4>The results of this study suggested that higher adherence to the healthy component of GDQS and lower intake of the unhealthy component decreased the risk of T2D incidence. |
| format | Article |
| id | doaj-art-353e17b0c6dd4132ac702fd0c9d42ca9 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-353e17b0c6dd4132ac702fd0c9d42ca92025-02-05T05:31:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031388610.1371/journal.pone.0313886Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study.Shahrzad DaeiFiroozeh Hosseini-EsfahaniAzam IldarabadiParvin MirmiranFereidoun Azizi<h4>Background</h4>Previous studies reported that focusing on healthy lifestyle, especially high diet quality is necessary for preventing type 2 diabetes (T2D). This study investigated the association between the innovative index, the Global Diet Quality Score (GDQS), and the risk of Type 2 Diabetes incidence.<h4>Methods</h4>In this secondary analysis, we included elective adult participants (n = 5948) from the third and fourth survey of the Tehran Lipid and Glucose Study. Participants checked out until the sixth phase with an average follow-up of 6.65 years. Expert nutritionists collected dietary data using a valid and reliable semi-quantitative food frequency questionnaire. The GDQS were calculated, including healthy and unhealthy food group scores. Biochemical and anthropometric characteristics were assessed during the first and follow-up surveys. Multivariable Cox proportional hazards regression models were used to estimate the progression of T2D in association with the GDQS.<h4>Results</h4>This study was implemented on 2,688 men and 3,260 women, respectively with the mean (SD) age of 41.5(14.1) and 39.3(13.02) years. A total of 524 subjects were found to have had T2D incidence. The healthy component of GDQS was conversely associated with T2D incidence [HR: 1, 0.91 (0.84-0.98), 0.91 (0.84-0.98), 0.84 (0.77-0.92) P trend = <0.001] in an adjusted model. The unhealthy component of GDQS was conversely associated with T2D incidence in an adjusted model [HR: 1, 0.86 (0.80-0.92), 0.93 (0.86-1.01), 0.89 (0.81-0.98) P trend = 0.009].<h4>Conclusion</h4>The results of this study suggested that higher adherence to the healthy component of GDQS and lower intake of the unhealthy component decreased the risk of T2D incidence.https://doi.org/10.1371/journal.pone.0313886 |
| spellingShingle | Shahrzad Daei Firoozeh Hosseini-Esfahani Azam Ildarabadi Parvin Mirmiran Fereidoun Azizi Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study. PLoS ONE |
| title | Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study. |
| title_full | Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study. |
| title_fullStr | Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study. |
| title_full_unstemmed | Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study. |
| title_short | Associations between the Global Diet Quality Score and risk of type 2 diabetes: Tehran lipid and glucose study. |
| title_sort | associations between the global diet quality score and risk of type 2 diabetes tehran lipid and glucose study |
| url | https://doi.org/10.1371/journal.pone.0313886 |
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