Plant-Forward Dietary Patterns and Cardiometabolic Risk Among US Adults: Findings From the National Health and Nutrition Examination Survey, 2009–2023
- 1UCLA Fielding School of Public Health, Department of Health Policy and Management, Los Angeles, California
Abstract
Objective: The objective of this study was to describe the relationship between plant-forward dietary patterns and metabolic profiles.
Methods: A repeated cross-sectional analysis of adults aged 18 years or older was conducted using data from the National Health and Nutrition Examination Survey (NHANES), 2009–2023. Plant-forward dietary adherence was estimated from the mean of two 24-hour dietary recalls and categorized into tertiles. Survey-weighted multivariable regression examined associations with body mass index (BMI), obesity, prediabetes, and diabetes, adjusting for demographic, socioeconomic, dietary, and behavioral factors.
Results: Among 33,532 NHANES participants, greater plant-forward dietary adherence was associated with lower BMI (β = −1.45; 95% CI, −1.82 to −1.09), lower odds of obesity (adjusted odds ratio [AOR] = 0.70; 95% CI, 0.62–0.79) and diabetes (AOR = 0.72; 95% CI, 0.62–0.84) but not prediabetes (AOR = 0.92; 95% CI, 0.82–1.04).
Conclusion: Greater adherence to plant-forward dietary patterns was associated with lower BMI and reduced odds of obesity and diabetes among US adults.
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BibTeX
@article{lov2026plantforward,
title = {{Plant-Forward Dietary Patterns and Cardiometabolic Risk Among US Adults: Findings From the National Health and Nutrition Examination Survey, 2009–2023}},
author = {Darren Lov},
journal = {Preventing Chronic Disease},
year = {2026},
month = nov,
doi = {10.5888/pcd23.260232},
url = {https://doi.org/10.5888/pcd23.260232},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Plant-Forward Dietary Patterns and Cardiometabolic Risk Among US Adults: Findings From the National Health and Nutrition Examination Survey, 2009–2023
AU - Darren Lov
PY - 2026
DA - 2026/11/05
JO - Preventing Chronic Disease
DO - 10.5888/pcd23.260232
UR - https://doi.org/10.5888/pcd23.260232
AB - Objective: The objective of this study was to describe the relationship between plant-forward dietary patterns and metabolic profiles. Methods: A repeated cross-sectional analysis of adults aged 18 years or older was conducted using data from the National Health and Nutrition Examination Survey (NHANES), 2009–2023. Plant-forward dietary adherence was estimated from the mean of two 24-hour dietary recalls and categorized into tertiles. Survey-weighted multivariable regression examined associations with body mass index (BMI), obesity, prediabetes, and diabetes, adjusting for demographic, socioeconomic, dietary, and behavioral factors. Results: Among 33,532 NHANES participants, greater plant-forward dietary adherence was associated with lower BMI (β = −1.45; 95% CI, −1.82 to −1.09), lower odds of obesity (adjusted odds ratio [AOR] = 0.70; 95% CI, 0.62–0.79) and diabetes (AOR = 0.72; 95% CI, 0.62–0.84) but not prediabetes (AOR = 0.92; 95% CI, 0.82–1.04). Conclusion: Greater adherence to plant-forward dietary patterns was associated with lower BMI and reduced odds of obesity and diabetes among US adults.
SN - 1545-1151
ER -