Association between dietary patterns and metabolic syndrome in Chinese adults: a propensity score-matched case-control study

Xia, Yang; Gu, Yeqing; Yu, Fei; Zhang, Qing; Liu, Li; Meng, Guang; Wang, Hongmei; Du, Huanmin; Shi, Hongbin; Guo, Xiaoyan; Liu, Xing; Li, Chunlei; Han, Peipei; Dong, Renwei; Wang, Xiuyang; Bao, Xue; Su, Qian; Fang, Liyun; Liu, Fangfang; Yang, Huijun; Li, Kang; Ma, Yixuan; Yu, Bin; Sun, Shaomei; Wang, Xing; Zhou, Ming; Jia, Qiyu; Guo, Qi; Wu, Yang; Song, Kun; Huang, Guowei; Wang, Guolin; Niu, Kaijun

doi:10.1038/srep34748

Cited by 15 publications

(19 citation statements)

References 33 publications

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“…Another cross-sectional study (2012) on 5267 children in China found that western dietary pattern (high in red meat, eggs, refined grains) is associated with increased risk of obesity and increased levels of blood sugar, systolic blood pressure, triglycerides, and reduced levels of HDL [ 22 ]. Consistently, the results of a case–control study matched based on the PS on 2984 Chinese adults in 2016 suggested a significant relationship between a diet rich in food proteins and fats and increased risk of MetS [ 16 ]. Another cross-sectional study on 486 40–60-year-old female teachers in Tehran showed that following the western dietary pattern (containing high amounts of refined grains, red meat, butter, processed meats and high-fat dairy) is associated with an increased risk of MetS [ 28 ].…”

Section: Discussionmentioning

confidence: 78%

Association of dietary patterns with continuous metabolic syndrome in children and adolescents; a nationwide propensity score-matched analysis: the CASPIAN-V study

Kelishadi

Heshmat

Mansourian

et al. 2018

Diabetol Metab Syndr

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ObjectiveThis study aims to determine the association of dietary patterns with metabolic syndrome (MetS) and its components in children and adolescents.MethodsThis nationwide study was conducted in 2015 among 4200 students aged 7–18 years, who lived in 30 provinces in Iran. The analysis was conducted based on the propensity score using a matched case–control study design. Three dietary patterns were obtained conducting a principal component analysis with a varimax rotation on 16 dietary groups. Continuous MetS score was computed by standardizing the residuals (z-scores) of MetS components by regressing them according to age and sex. The gold standard diagnosis of MetS was considered based on the International Diabetes Federation criteria. Moreover, for the purpose of data analysis, matched logistics analysis was used.ResultsThe study participants consisted of 3843 children and adolescents (response rate 91.5%) with mean (SD) age of 12.45 (3.04) years. Totally 49.4% of students were girls and 71.4% lived in urban areas. Three dietary patterns were obtained: Healthy, Western, and Sweet. Prevalence of MetS was 5% (boy 5.5 and girl 4.5%). Results of multivariate analysis show that students with Sweet dietary patterns were at higher risk for abdominal obesity (OR 1.29; 95% CI 1.01–1.66), elevated blood pressure (OR 1.35; 95% CI 1.01–1.81) and MetS (OR 1.33; 95% CI 1.02–1.74). The two other dietary patterns were not associated with MetS and its components.ConclusionSweet dietary pattern increase the risk of MetS and some its components in Iranian children and adolescents. This finding provides valuable information for effective preventive strategies of MetS based on diet rather than medication to maintain healthy lifestyle habits.

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Section: Discussionmentioning

confidence: 78%

Association of dietary patterns with continuous metabolic syndrome in children and adolescents; a nationwide propensity score-matched analysis: the CASPIAN-V study

Kelishadi

Heshmat

Mansourian

et al. 2018

Diabetol Metab Syndr

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“…46 Furthermore, a study investigating the association of dietary patterns with the MetS concluded that a pattern high in meat products was associated with a higher prevalence of the MetS. 47 In our study, the dietary non-marine FA pattern showed marginal and positive associations with WC, but not with other AFRICA measures of adiposity or the MetS. The non-marine FA pattern had positive loadings of FAs from SFAs, MUFAs and PUFAs, specifically from two SFAs (C16:0 and C18:0), two MUFAs (C16:1n-7, C18:1n-9) and two PUFAs (C18:2n-6 and C18:3n-3).…”

Section: Discussionmentioning

confidence: 99%

Plasma phospholipid fatty acid patterns are associated with adiposity and the metabolic syndrome in black South Africans: a cross-sectional study

Ojwang

Kruger

Zec

et al. 2019

CVJA

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Background: Diets rich in n-6 polyunsaturated fatty acids (PUFAs) and saturated fatty acids (SFA) have been associated with increased risk of obesity and the metabolic syndrome (MetS), but the evidence is inconsistent, whereas diets high in n-3 long-chain (LC)-PUFAs are associated with lower risk. There is limited information about the association of plasma phospholipid fatty acids (FAs) with obesity and the MetS among black South Africans. Objective: To investigate the association of dietary FAs and plasma phospholipid FA patterns, respectively, with measures of adiposity (body mass index, waist circumference, waist-toheight ratio) and the MetS in black South Africans. Methods: Factor analysis was used to identify FA patterns from 11 dietary FAs and 26 individual plasma phospholipid FAs. Cross-sectional association of the identified patterns with measures of adiposity and the MetS was investigated. A random sample of 711 black South African adults aged 30 to 70 years (273 men, 438 women) from the North West Province was selected from the South African leg of the Prospective Urban and Rural Epidemiology (PURE) study. Sequential regression models adjusted for confounders were applied to investigate the association between dietary FAs and plasma phospholipid FA patterns with measures of adiposity and the MetS. Results: Two patterns were derived from dietary FAs and six patterns from plasma phospholipid FAs that explained the cumulative variance of 89 and 73%, respectively. The association of FA patterns with adiposity and the MetS was weaker for dietary FA patterns than for plasma phospholipid FA patterns. The plasma phospholipid FA pattern with high loadings of saturated FAs (high-Satfat) and another with high loadings of n-3 very-long-chain PUFAs (n-3 VLC-PUFAs) were positively associated with measures of adiposity and the MetS, while patterns with positive loadings of LC monounsaturated fatty acids (n-9 LC-MUFA) and a positive loading of n-3 essential FAs (n-3 EFA) showed inverse associations with the MetS and some measures of adiposity. Conclusions: The n-9 LC-MUFA and n-3 EFA patterns seemed to provide possible protective associations with adiposity and the MetS, whereas the high-Satfat and n-3 VLC-PUFA patterns were associated with adiposity and the MetS in our study participants. The results are reflective of the metabolic difference between overweight and obese compared to lean individuals.

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“…The questionnaires included the demographic characteristics, diet, lifestyle risk-factors, family income and history of chronic diseases. A validated quantitative food frequency questionnaire was designed to collect information of the dietary intakes in the past week 39 . The questionnaire included information about the consumption of 12 food groups.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Metabolic Syndrome and its Associated Factors among Multi-ethnic Adults in Rural Areas in Xinjiang, China

Guo

Gao

et al. 2017

Sci Rep

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Metabolic syndrome (MetS) has become a global public health problem affecting all nations and races. Few studies on the epidemic of metabolic syndrome (MetS) examined multi-ethnic adults in rural areas in Xinjiang, China. We thus investigated the prevalence and risk factors of MetS there. A cross-sectional study was performed in a representative sample of 15020 rural multi-ethnic adults from 2009 to 2010. Four widely used criteria (ATPIII\IDF\JIS\CDS) were used to measure the prevalence of MetS. Multiple logistic regression analysis was used to explore the risk factors of MetS. The age-adjusted prevalence of MetS was 14.43%, 21.33%, 26.50%, and 19.89% based on the ATP III, IDF, JIS and CDS criterion, respectively. The prevalence of MetS was higher in women and increased with age. According to JIS criterion, the prevalence of components in MetS was 57.75% for abdominal obesity, 44.05% for elevated blood pressure, 40.98% for reduced HDL-cholesterol, 23.33% for elevated triglycerides, 18.95% for raised fasting plasma glucose. Lower consumption of vegetables, milk, and higher consumption of red meat were associated with higher likelihood of having MetS. The prevalence of MetS in Xinjiang rural multi-ethnic adults was high. Diet factors were associated with the prevalence of MetS.

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Association between dietary patterns and metabolic syndrome in Chinese adults: a propensity score-matched case-control study

Cited by 15 publications

References 33 publications

Association of dietary patterns with continuous metabolic syndrome in children and adolescents; a nationwide propensity score-matched analysis: the CASPIAN-V study

Association of dietary patterns with continuous metabolic syndrome in children and adolescents; a nationwide propensity score-matched analysis: the CASPIAN-V study

Plasma phospholipid fatty acid patterns are associated with adiposity and the metabolic syndrome in black South Africans: a cross-sectional study

Prevalence of Metabolic Syndrome and its Associated Factors among Multi-ethnic Adults in Rural Areas in Xinjiang, China

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