Posttraumatic stress disorder and changes in diet quality over 20 years among US women.

摘要: Background Individuals with posttraumatic stress disorder (PTSD) are at increased risk of various chronic diseases. One hypothesized pathway is via changes in diet quality. This study evaluated whether PTSD was associated deterioration quality over time. Methods Data were from 51 965 women the Nurses' Health Study II sub-study followed 20 years. Diet, assessed 4-year intervals, characterized Alternative Healthy Eating Index-2010 (AHEI). Based on information Brief Trauma Questionnaire and Short Screening Scale for DSM-IV PTSD, trauma/PTSD status classified as no trauma exposure, prevalent exposure (trauma/PTSD onset before entry), or new-onset during follow-up). We further categorized having symptoms, low high created similar categories resulting seven comparison groups. Multivariable linear mixed-effects spline models tested differences by follow-up. Results Overall, improved time regardless status. In age-adjusted models, compared to those trauma, symptoms had 3.3% 3.6% lower improvement quality, respectively, Associations remained consistent after adjusting health conditions, sociodemographics, behavioral characteristics. Conclusions less healthy overall Poor may be one linking a higher disease development.