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84, 95% CI 1.14-2.97]; and NH white students [AOR 2.83, 95% CI 2.14-3.73]). Conclusions FI was associated with race-ethnic disparities in youth prediabetes. Tailored approaches to address food quality, access and other social drivers may reduce youth risk of prediabetes.Objectives Determination of trends in diet-related behaviors and their interactions with cardio-metabolic diseases is an important research endeavor. Methods We analyzed food categories, weight, eating frequency, eating location, cooking methods, time of food intake, diet