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Journal of Obesity
Volume 2010, Article ID 945987, 9 pages
Research Article

An Obesity Dietary Quality Index Predicts Abdominal Obesity in Women: Potential Opportunity for New Prevention and Treatment Paradigms

1Department of Family Medicine and the Graduate Medical Sciences Division, Boston University School of Medicine, Boston, MA 02118, USA
2Department of Mathematics, Boston University, Boston, MA 02215, USA
3Departments of Pediatrics and Epidemiology, Boston University Schools of Medicine and Public Health, Boston, MA 02118, USA
4Boston Nutrition Foundation, Inc., Westwood, MA 02090, USA

Received 30 May 2009; Revised 15 October 2009; Accepted 25 November 2009

Academic Editor: Karen Charlton

Copyright © 2010 Dolores M. Wolongevicz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Links between dietary quality and abdominal obesity are poorly understood. Objective. To examine the association between an obesity-specific dietary quality index and abdominal obesity risk in women. Methods. Over 12 years, we followed 288 Framingham Offspring/Spouse Study women, aged 30–69 years, without metabolic syndrome risk factors, cardiovascular disease, cancer, or diabetes at baseline. An 11-nutrient obesity-specific dietary quality index was derived using mean ranks of nutrient intakes from 3-day dietary records. Abdominal obesity (waist circumference >88 cm) was assessed during follow-up. Results. Using multiple logistic regression, women with poorer dietary quality were more likely to develop abdominal obesity compared to those with higher dietary quality (OR 1.87; 95% CI, 1.01, 3.47; for trend ) independent of age, physical activity, smoking, and menopausal status. Conclusions. An obesity-specific dietary quality index predicted abdominal obesity in women, suggesting targets for dietary quality assessment, intervention, and treatment to address abdominal adiposity.