TABLE 1.
Dietary index quintiles2 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Nurses’ Health Study | Health Professionals Follow-up Study | |||||||||
Characteristic | Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 | Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 |
EDIH score | ||||||||||
n | 1238 | 1245 | 1245 | 1245 | 1242 | 788 | 795 | 796 | 795 | 790 |
Plasma C-peptide, ng/mL | 1.9 ± 0.9 | 2.1 ± 0.8 | 2.1 ± 0.8 | 2.3 ± 0.9 | 2.6 ± 0.9 | 2.0 ± 0.9 | 2.2 ± 0.9 | 2.2 ± 0.9 | 2.4 ± 0.9 | 2.4 ± 0.9 |
BMI, kg/m2 | 24.1 ± 3.9 | 25.0 ± 4.1 | 25.0 ± 4.1 | 26.3 ± 4.9 | 27.7 ± 5.4 | 25.2 ± 2.9 | 25.3 ± 2.9 | 25.7 ± 3.1 | 26.0 ± 3.2 | 26.9 ± 3.9 |
Overweight/obese (BMI ≥25), % | 33.5 | 42.6 | 45.1 | 53.5 | 63.5 | 48.2 | 52.6 | 57.3 | 60.9 | 67.1 |
Age at screening, y | 59.5 ± 6.6 | 58.9 ± 6.6 | 58.9 ± 6.6 | 57.6 ± 7.1 | 56.3 ± 7.5 | 62.6 ± 8.2 | 62.5 ± 8.3 | 62.4 ± 8.4 | 61.9 ± 8.3 | 60.8 ± 8.4 |
Physical activity, MET-h/wk | 18.9 ± 20.1 | 17.3 ± 25.5 | 17.3 ± 25.5 | 15.0 ± 21.8 | 13.2 ± 21.3 | 45.0 ± 40.0 | 38.0 ± 34.1 | 38.8 ± 39.0 | 34.1 ± 34.6 | 34.6 ± 48.5 |
Alcohol,3 servings/wk | 1.3 ± 1.8 | 0.6 ± 0.9 | 0.6 ± 0.9 | 0.4 ± 0.6 | 0.3 ± 0.8 | 2.4 ± 2.3 | 1.5 ± 1.6 | 1.1 ± 1.4 | 1.0 ± 1.2 | 0.9 ± 1.2 |
Total energy intake, kcal/d | 1907 ± 487 | 1739 ± 479 | 1739 ± 479 | 1678 ± 489 | 1859 ± 552 | 2207 ± 617 | 1982 ± 574 | 1958 ± 599 | 1920 ± 568 | 2176 ± 640 |
Dietary fiber, g/d | 20.9 ± 6.5 | 19.7 ± 5.2 | 19.7 ± 5.2 | 17.8 ± 5.0 | 16.2 ± 4.2 | 27.2 ± 8.1 | 24.8 ± 7.3 | 22.5 ± 6.0 | 21.0 ± 5.6 | 18.6 ± 5.3 |
Dietary calcium, mg/d | 765 ± 293 | 780 ± 278 | 780 ± 278 | 741 ± 283 | 684 ± 253 | 830 ± 277 | 832 ± 285 | 840 ± 308 | 804 ± 286 | 750 ± 270 |
Dietary vitamin D, IU/d | 208 ± 117 | 221 ± 113 | 221 ± 113 | 224 ± 122 | 203 ± 112 | 257 ± 135 | 269 ± 139 | 273 ± 128 | 269 ± 126 | 257 ± 121 |
Dietary lycopene, mg/d | 5.8 ± 3.6 | 6.3 ± 3.7 | 6.3 ± 3.7 | 6.4 ± 3.6 | 6.7 ± 4.2 | 7.4 ± 4.6 | 7.6 ± 4.7 | 7.5 ± 4.7 | 7.8 ± 5.9 | 7.9 ± 5.6 |
Whole grains, g/d | 24.5 ± 19.2 | 23.2 ± 15.4 | 23.2 ± 15.4 | 19.9 ± 14.6 | 14.8 ± 11.8 | 37.3 ± 21.6 | 35.5 ± 21.1 | 31.8 ± 19.8 | 27.8 ± 16.3 | 22.2 ± 14.8 |
Aspirin/NSAID user, % | 33.8 | 31.4 | 35.3 | 37.8 | 40.5 | 18.4 | 21.1 | 17.3 | 17.4 | 22.7 |
Current smoker, % | 10.9 | 10.8 | 11.5 | 11.2 | 12.2 | 2.0 | 4.3 | 3.5 | 4.9 | 7.7 |
II score | ||||||||||
n | 1243 | 1243 | 1242 | 1243 | 1244 | 789 | 792 | 799 | 795 | 789 |
Plasma C-peptide, ng/mL | 2.2 ± 0.9 | 2.2 ± 0.9 | 2.2 ± 0.9 | 2.2 ± 0.9 | 2.1 ± 0.9 | 2.3 ± 0.9 | 2.3 ± 0.9 | 2.4 ± 0.9 | 2.2 ± 0.9 | 2.2 ± 0.9 |
BMI, kg/m2 | 25.6 ± 4.8 | 26.2 ± 4.9 | 25.8 ± 4.7 | 25.8 ± 4.7 | 25.1 ± 4.3 | 26.1 ± 3.4 | 26.1 ± 3.3 | 25.9 ± 3.3 | 25.7 ± 3.2 | 25.3 ± 3.1 |
Overweight/obese (BMI ≥25), % | 47.2 | 50.6 | 48.4 | 48.3 | 43.7 | 61.1 | 60.4 | 58.2 | 56.1 | 50.3 |
Age at screening, y | 57.7 ± 6.9 | 58.0 ± 7.2 | 57.7 ± 7.2 | 58.3 ± 7.0 | 59.2 ± 6.7 | 61.9 ± 8.1 | 61.7 ± 8.4 | 62.3 ± 8.2 | 61.8 ± 8.6 | 62.5 ± 8.5 |
Physical activity, MET-h/wk | 17.4 ± 23.6 | 16.4 ± 20.8 | 14.9 ± 16.2 | 17.0 ± 32.1 | 15.7 ± 24.0 | 36.8 ± 36.6 | 40.9 ± 47.7 | 37.7 ± 39.1 | 37.1 ± 37.9 | 37.9 ± 35.8 |
Alcohol,3 servings/wk | 1.6 ± 1.9 | 0.6 ± 0.9 | 0.4 ± 0.6 | 0.3 ± 0.5 | 0.2 ± 0.4 | 2.9 ± 2.3 | 1.6 ± 1.4 | 1.1 ± 1.2 | 0.8 ± 1.0 | 0.5 ± 0.7 |
Total energy intake, kcal/d | 1765 ± 541 | 1820 ± 528 | 1800 ± 497 | 1770 ± 484 | 1693 ± 451 | 2001 ± 622 | 2105 ± 627 | 2028 ± 645 | 2006 ± 564 | 2001 ± 584 |
Dietary fiber, g/d | 17.8 ± 6.3 | 18.3 ± 5.5 | 18.7 ± 5.0 | 19.1 ± 5.2 | 19.6 ± 5.4 | 20.6 ± 7.4 | 22.2 ± 6.9 | 22.7 ± 7.0 | 23.8 ± 6.8 | 24.8 ± 7.2 |
Dietary calcium, mg/d | 668 ± 266 | 736 ± 293 | 752 ± 270 | 783 ± 278 | 791 ± 264 | 717 ± 254 | 792 ± 292 | 806 ± 252 | 846 ± 292 | 897 ± 329 |
Dietary vitamin D, IU/d | 206 ± 125 | 220 ± 123 | 219 ± 114 | 221 ± 109 | 215 ± 105 | 245 ± 128 | 267 ± 125 | 265 ± 122 | 273 ± 136 | 276 ± 138 |
Dietary lycopene, mg/d | 6.9 ± 4.6 | 6.5 ± 3.8 | 6.2 ± 3.3 | 6.2 ± 3.4 | 5.6 ± 3.2 | 8.1 ± 5.2 | 8.3 ± 5.8 | 7.4 ± 4.4 | 7.6 ± 4.9 | 6.9 ± 5.3 |
Whole grains, g/d | 15.9 ± 16.9 | 19.8 ± 15.2 | 20.7 ± 14.9 | 22.2 ± 15.0 | 25.0 ± 17.0 | 24.1 ± 17.9 | 28.7 ± 18.0 | 31.3 ± 19.6 | 33.5 ± 18.5 | 37.2 ± 21.0 |
Aspirin/NSAID user, % | 36.6 | 37.2 | 35.8 | 36.0 | 33.4 | 22.2 | 21.0 | 20.2 | 17.4 | 16.2 |
Current smoker, % | 20.4 | 12.4 | 9.5 | 7.2 | 7.2 | 8.9 | 4.3 | 4.9 | 2.1 | 2.3 |
Values are percentages or means ± SDs. All biomarker values were back-transformed (ex) as biomarker data were ln-transformed before analyses. EDIH, empirical dietary index for hyperinsulemia; II, dietary insulin index; MET-h, metabolic equivalent hours; NSAID, nonsteroidal anti-inflammatory drug.
Both dietary index scores were adjusted for total energy intake using the residual method. Lower dietary index scores indicate low insulinemic diets, whereas higher scores indicate high insulinemic diets.
Alcohol servings was the sum of servings of: beer (1 glass, 1 bottle, or 1 can), wine (4-oz glass of red wine, white wine), and liquor (1 drink or 1 shot whiskey, gin, etc.).