{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T23:10:53Z","timestamp":1774653053052,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,8,22]],"date-time":"2016-08-22T00:00:00Z","timestamp":1471824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services","award":["HHSN268201100046C, HHSN268201100001C, HHSN268201100002C, HHSN268201100003C, HHSN268201100004C, and HHSN271201100004C."],"award-info":[{"award-number":["HHSN268201100046C, HHSN268201100001C, HHSN268201100002C, HHSN268201100003C, HHSN268201100004C, and HHSN271201100004C."]}]},{"name":"NIH","award":["KL2TR000160."],"award-info":[{"award-number":["KL2TR000160."]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether changes in diet quality predict changes in central adiposity among postmenopausal women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>At baseline and 3\u2010year follow\u2010up, Women's Health Initiative Observational Study participants completed food frequency questionnaires, and waist circumference was measured (WC, <jats:italic>n<\/jats:italic>\u2009=\u200967,175). In a subset, trunk fat was measured via dual\u2010energy X\u2010ray absorptiometry (DXA, <jats:italic>n<\/jats:italic>\u2009=\u20094,254). Using multivariable linear regression, 3\u2010year changes in dietary patterns (Healthy Eating Index\u20102010, Alternate Healthy Eating Index\u20102010, Alternate Mediterranean Diet, and Dietary Approaches to Stop Hypertension) were examined as predictors of concurrent changes in WC and, secondarily, DXA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean (SD) age and 3\u2010year changes in weight and WC were 63 (7) years, 0.52 (4.26) kg, and 0.94 (6.65) cm. A 10% increase in any dietary pattern score, representing improved diet quality, was associated with 0.07 to 0.43 cm smaller increase in WC over 3 years (all <jats:italic>P &lt;<\/jats:italic> 0.05). After adjusting for weight change, associations attenuated to 0.02 to 0.10 cm but remained statistically significant for all patterns except Alternate Mediterranean Diet. Results were similar for DXA trunk fat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Three\u2010year improvements in diet quality are modestly protective against gain in WC and partially explained by lesser weight gain. Achieving and maintaining a healthful diet after menopause may protect against gains in central adiposity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.21589","type":"journal-article","created":{"date-parts":[[2016,8,22]],"date-time":"2016-08-22T12:59:27Z","timestamp":1471870767000},"page":"2176-2184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Change in Dietary Patterns and Change in Waist Circumference and <scp>DXA<\/scp> Trunk Fat Among Postmenopausal Women"],"prefix":"10.1002","volume":"24","author":[{"given":"Elizabeth M.","family":"Cespedes Feliciano","sequence":"first","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Tinker","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences Fred Hutchinson Cancer Research Center Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JoAnn E.","family":"Manson","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Allison","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine University of San Diego School of Medicine San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Rohan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Population Health Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleg","family":"Zaslavsky","sequence":"additional","affiliation":[{"name":"Biobehavioral Nursing and Health Systems University of Washington School of Nursing Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly E.","family":"Waring","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences University of Massachusetts Medical School Worcester Massachusetts USA"},{"name":"Department of Obstetrics &amp; Gynecology University of Massachusetts Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Asao","sequence":"additional","affiliation":[{"name":"Preventive Medicine University of Tennessee Health Science Center Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorena","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of California, Davis Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milagros","family":"Rosal","sequence":"additional","affiliation":[{"name":"Department of Behavioral Medicine University of Massachusetts Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian L.","family":"Neuhouser","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences Fred Hutchinson Cancer Research Center Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.8362"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.739714"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2003.123"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/77.6.1417"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.111.157222"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00041433-200202000-00002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0011588"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1139\/h06-101"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0197-2456(97)00078-0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-2797(98)00055-6"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(21)07997-9"},{"key":"e_1_2_6_13_1","unstructured":"U.S. Department of Agriculture Agricultural Research Service. 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