Fig. 1.

Study Flow Diagram for participant data from the Avon Longitudinal Study of Parents and Children (ALSPAC). The present study uses data from participants with complete dietary data at 7, 10 and 13 years and complete data on the cardiometabolic parameters to derive the CMR score at 17 years and 24 years and uses multiple imputation for missing data in covariates. ^aComplete dietary data refers to at least one diet diary recorded for a child at all three ages (7, 10 and 13 years). Three complete days of diet diary data were available for 86.5%, 83.6% and 78.4% of children at 7, 10 and 13 years, respectively. ^bExclusions were participants with diagnosed diabetes, on insulin treatment or fasting glucose level ≥ 7 mmol/L and subjects with extreme outliers, defined as more than 4sd from the mean, on any of the six CMR score components