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ABSTRACT: Objective
Recent public health recommendations emphasize adopting a healthful dietary pattern, but evidence is scarce on whether incremental diet quality changes have an impact on long-term diabetes prevention. We aim to evaluate diet quality changes during a 4-year period and subsequent 4-year type 2 diabetes incidence.Research design and methods
Participants of prospective cohorts, the Nurses' Health Study (NHS), NHS II, and the Health Professionals Follow-up Study, who were free of diabetes at baseline (n = 124,607), were observed for ≥20 years. Diet quality, reflected by the Alternate Healthy Eating Index (AHEI) score, was assessed every 4 years to calculate changes.Results
We documented 9,361 cases of type 2 diabetes during 2,093,416 person-years of follow-up.
SUBMITTER: Ley SH
PROVIDER: S-EPMC5079614 | biostudies-literature | 2016 Nov
REPOSITORIES: biostudies-literature