biostudies-literatureUnknown12Youqi Z<h4>Objective</h4>To investigate the impact of diet on cardiovascular (CV)/all-cause mortality among individuals with diabetes, and to explore whether this relationship changes by gender.<h4>Methods</h4>We collected data from the National Health and Nutrition Examination Survey (NHANES) database pertaining to 5,875 individuals with diabetes (3,068 males and 2,807 females) and used the Healthy Eating Index (HEI), the Alternative Healthy Eating Index (AHEI), and the alternative Mediterranean Diet (aMED) index to assess diet quality. Multivariate Cox models were used to determine the association between dietary quality scores and CV/all-cause mortality, stratified by genders. Dose-response relationships were assessed using the Restricted Cubic Spline (RCS). As a secondary objective, a furtherFrontiers in nutrition1576983https://www.ebi.ac.uk/biostudies/studies/S-EPMC12040670biostudies-literatureSex-specific associations between diet quality and mortality in adults with diabetes: findings from NHANES 2001-2018.PMC12040670Liu JFan YYouqi ZMeng YJianjun WfalseSex-specific associations between diet quality and mortality in adults with diabetes: findings from NHANES 2001-2018.<h4>Objective</h4>To investigate the impact of diet on cardiovascular (CV)/all-cause mortality among individuals with diabetes, and to explore whether this relationship changes by gender.<h4>Methods</h4>We collected data from the National Health and Nutrition Examination Survey (NHANES) database pertaining to 5,875 individuals with diabetes (3,068 males and 2,807 females) and used the Healthy Eating Index (HEI), the Alternative Healthy Eating Index (AHEI), and the alternative Mediterranean Diet (aMED) index to assess diet quality. Multivariate Cox models were used to determine the association between dietary quality scores and CV/all-cause mortality, stratified by genders. Dose-response relationships were assessed using the Restricted Cubic Spline (RCS). As a secondary objective, a further2025-01-01T00:00:00Z20252025-07-10T03:08:10.128Z2025-07-10T03:08:10.128ZS-EPMC120406704030864310.3389/fnut.2025.1576983