eCite Digital Repository

Association between diet quality in adolescence and adulthood and knee symptoms in adulthood: a 25-year cohort study

Citation

Meng, T and Wilson, JE and Venn, A and Cicuttini, F and March, L and Cross, M and Dwyer, T and Blizzard, L and Jones, G and Laslett, LL and Eathakkattu Antony, BS and Ding, C, Association between diet quality in adolescence and adulthood and knee symptoms in adulthood: a 25-year cohort study, The British Journal of Nutrition ISSN 0007-1145 (2021) [Refereed Article]

Copyright Statement

The Author(s), 2021. Published by Cambridge University Press on behalf of The Nutrition Society

DOI: doi:10.1017/S0007114521002658

Abstract

We aimed to describe associations between diet quality in adolescence and adulthood and knee symptoms in adulthood. 275 participants had adolescent diet measurements, 399 had adult diet measurements, and 240 had diet measurements in both timepoints. Diet quality was assessed by Dietary Guidelines Index (DGI), reflecting adherence to Australian Dietary Guidelines. Knee symptoms were collected using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Data were analysed using zero-inflated negative binomial regressions. The overall adolescent DGI was not associated with adult knee symptoms, although lower intake of discretionary foods (e.g. cream, alcohol, bacon, and cake) in adolescence was associated with lower pain (Mean ratio (MR): 0.96) and dysfunction (MR: 0.94). The overall adult DGI was not associated with knee symptoms; however, limiting saturated fat was associated with lower WOMAC (Pain: MR 0.93; stiffness: MR 0.93; dysfunction: MR 0.91), drinking water was associated with lower stiffness (MR 0.90) and fruit intake was associated with lower dysfunction (MR 0.90). Higher DGI for dairy in adulthood was associated with higher WOMAC (Pain: MR 1.07; stiffness: MR 1.13; dysfunction: MR 1.11). Additionally, the score increases from adolescence to adulthood were not associated with adult knee symptoms, except for associations between score increase in limiting saturated fat and lower stiffness (MR 0.89) and between score increase in fruit intake and lower dysfunction (MR 0.92). In conclusion, the overall diet quality in adolescence and adulthood were not associated with knee symptoms in adulthood. However, some diet components may affect later knee symptoms.

Item Details

Item Type:Refereed Article
Keywords:diet quality, adolescence, adulthood, knee symptoms, osteoarthritis
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Rheumatology and arthritis
Objective Division:Health
Objective Group:Clinical health
Objective Field:Prevention of human diseases and conditions
UTAS Author:Meng, T (Miss Tiantian Meng)
UTAS Author:Wilson, JE (Ms Johanna Wilson)
UTAS Author:Venn, A (Professor Alison Venn)
UTAS Author:Blizzard, L (Professor Leigh Blizzard)
UTAS Author:Jones, G (Professor Graeme Jones)
UTAS Author:Laslett, LL (Dr Laura Laslett)
UTAS Author:Eathakkattu Antony, BS (Dr Benny Eathakkattu Antony)
UTAS Author:Ding, C (Professor Chang-Hai Ding)
ID Code:145503
Year Published:2021
Funding Support:National Health and Medical Research Council (1070586)
Deposited By:Menzies Institute for Medical Research
Deposited On:2021-07-23
Last Modified:2021-09-01
Downloads:0

Repository Staff Only: item control page