{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T20:06:56Z","timestamp":1791662816524,"version":"4.3.4"},"reference-count":35,"publisher":"American Diabetes Association","issue":"11","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"vor","delay-in-days":55,"URL":"https:\/\/www.diabetesjournals.org\/content\/license"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201800003I"],"award-info":[{"award-number":["HHSN268201800003I"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201800004I"],"award-info":[{"award-number":["HHSN268201800004I"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201800005I"],"award-info":[{"award-number":["HHSN268201800005I"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201800006I"],"award-info":[{"award-number":["HHSN268201800006I"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201800007I"],"award-info":[{"award-number":["HHSN268201800007I"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To examine the associations between change in plant-centered diet quality and type 2 diabetes risk and change in body size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>A prospective study conducted in the U.S. enrolled adults ages 18\u201330 years in 1985\u20131986 (examination year [Y0]) and followed them through 2015\u20132016. We analyzed the associations between change in plant-centered diet quality over 20 years (Y0\u2013Y20) and diabetes (Y20\u201330; n = 2,534) and change (Y0\u2013Y20 and Y20\u201330) in BMI, waist circumference (WC), and weight (n &amp;gt; 2,434). Plant-centered diet quality was measured using the A Priori Diet Quality Score (APDQS); a higher score favors nutritionally rich plant foods. Cox regression models were used to assess diabetes risk, and linear regression models were used to examine change in body size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>During a mean follow-up of 9.3 (\u00b1 1.7) years, 206 case subjects with incident diabetes were observed. In multivariable analysis, participants with the largest increase in APDQS over 20 years had a 48% (95% CI 0.31\u20130.85; Ptrend &amp;lt; 0.001) lower risk of diabetes over the subsequent 10 years compared with participants whose score remained stable. Each 1-SD increment in APDQS over 20 years was associated with lower gains in BMI (\u22120.39 kg\/m2; SE 0.14; P = 0.004), WC (\u22120.90 cm; SE 0.27; P &amp;lt; 0.001) and weight (\u22121.14 kg; SE 0.33; P &amp;lt; 0.001) during the same period, but not with subsequent changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Young adults who increased plant-centered diet quality had a lower diabetes risk and gained less weight by middle adulthood.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc20-1005","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T16:10:18Z","timestamp":1598458218000},"page":"2796-2803","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":39,"title":["A Shift Toward a Plant-Centered Diet From Young to Middle Adulthood and Subsequent Risk of Type 2 Diabetes and Weight Gain: The Coronary Artery Risk Development in Young Adults (CARDIA) Study"],"prefix":"10.2337","volume":"43","author":[{"given":"Yuni","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Food Science and Nutrition, University of Minnesota Twin Cities, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Larson","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota Twin Cities, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D.","family":"Gallaher","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, University of Minnesota Twin Cities, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew O.","family":"Odegaard","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Medicine, University of California, Irvine, Irvine, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8222-3958","authenticated-orcid":false,"given":"Jamal S.","family":"Rana","sequence":"additional","affiliation":[{"name":"Divisions of Cardiology and Research, Kaiser Permanente Northern California, Oakland, CA"},{"name":"Department of Medicine, University of California San Francisco, San Francisco, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Shikany","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyn M.","family":"Steffen","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota Twin Cities, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7232-0543","authenticated-orcid":false,"suffix":"Jr.","given":"David R.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health, University of Minnesota Twin Cities, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"2022031223542457600_B1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/obr.12129","article-title":"Quantitative relationship between body weight gain in adulthood and incident type 2 diabetes: a meta-analysis","volume":"15","author":"Kodama","year":"2014","journal-title":"Obes Rev"},{"key":"2022031223542457600_B2","doi-asserted-by":"crossref","first-page":"l5584","DOI":"10.1136\/bmj.l5584","article-title":"Weight change across adulthood in relation to all cause and cause specific mortality: 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