A higher ratio of beans to white rice is associated with lower cardiometabolic risk factors in Costa Rican adults

Mattei, Josiemer; Hu, Frank B.; Campos, Hannia

doi:10.3945/ajcn.111.013219

Cited by 57 publications

(54 citation statements)

References 32 publications

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“…The positive association between high triglycerides and low HDL with white rice consumption in the North region confirms some previous studies[12–15, 38], whereas others found no association[5, 10]. Possible explanations for our findings could be enhanced hepatic synthesis of VLDL[39], or decreased clearance of apoB-containing particles related to reduced lipoprotein lipase activity induced by high carbohydrate intake[40, 41].…”

Section: Discussionsupporting

confidence: 87%

“…White rice is a major staple food in Asia, but with regional variation [ranging from high (Southern China) to low (Central China) consumption]. The literature on rice consumption and T2DM is mixed[4–11], ranging from positive[8, 10, 11], null[4, 5, 9] to negative[7], as is the association with markers of dyslipidemia [positive or no association with high triglycerides and/or low high-density lipoprotein (HDL)[5, 10, 12–15]]. These inconsistent findings may relate to the nature of samples studied, quality of diet data, or different biological effects rather than heterogeneity in results across studies.…”

Section: Introductionmentioning

confidence: 99%

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White Rice Intake Varies in Its Association with Metabolic Markers of Diabetes and Dyslipidemia Across Region among Chinese Adults

Dong

Howard²,

Herring³

et al. 2015

Ann Nutr Metab

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Background/Aims: There are inconsistent associations between white rice consumption and diabetes and dyslipidemia, perhaps due to the nature of samples studied and quality of diet data. Methods: Using regionally diverse data from adults enrolled in the China Health and Nutrition Survey (n = 7,878) with diet data from three repeated 24-hour recalls and fasting blood to derive diabetes and dyslipidemia, we examined the odds of diabetes and dyslipidemia in participants across region-specific tertiles of percent energy from white rice consumption. Results: The prevalence of undiagnosed diabetes, high triglycerides, high low-density lipoprotein (LDL), low high-density lipoprotein (HDL), and atherogenic dyslipidemia (AD) was 4.7%, 31.8%, 31.3%, 25.9%, and 14.6%, respectively. We found an inverse association between the highest (versus lowest) tertile of rice intake and diabetes in Central China (odds ratio (OR): 0.59, 95% confidence interval (CI): 0.36-0.99). The highest rice consumption was also associated with high triglycerides (OR: 1.46, 95% CI: 1.09-1.95), low HDL (OR: 1.38, 95% CI: 1.03-1.85), and AD (OR: 1.63, 95% CI: 1.15-2.31) in North China, and low LDL (OR: 0.54, 95% CI: 0.42-0.69) in Central China. Conclusions: The association between white rice consumption and diabetes and dyslipidemia markers varied across regions of China, suggesting a role of other dietary and health-related exposures, beyond rice.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

White Rice Intake Varies in Its Association with Metabolic Markers of Diabetes and Dyslipidemia Across Region among Chinese Adults

Dong

Howard²,

Herring³

et al. 2015

Ann Nutr Metab

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“…These values for prevalence of MetS in Latin America are similar to the ranges obtained for adult people in Europe and USA [18]–[20]. Therefore, Mexico shows a considerably higher prevalence of MetS than the nearest countries, such as El Salvador (28.8%) [21], Guatemala (22.7% in men, and 41.1% in women) [22] and Costa Rica (29.2%) [23], and present findings from the State of Nuevo León also show results above this range. The cause of this trend may be related to changes in lifestyle, characterized by a higher energy intake and low physical activity, as well as by massive migrations from rural to urban areas [24].…”

Section: Discussionsupporting

confidence: 78%

Metabolic Syndrome Prevalence among Northern Mexican Adult Population

et al. 2014

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Background and AimsDietary habits in the Mexican population have changed dramatically over the last few years, which are reflected in increased overweight and obesity prevalence. The aim was to examine the prevalence of metabolic syndrome (MetS) and associated risk factors in Northern Mexican adults aged ≥16 years.Methods and ResultsThe study was a population-based cross-sectional nutritional survey carried out in the State of Nuevo León, Mexico. The study included a sub-sample of 1,200 subjects aged 16 and over who took part in the State Survey of Nutrition and Health–Nuevo León 2011/2012. Anthropometric measurements, physical activity, blood pressure and fasting blood tests for biochemical analysis were obtained from all subjects. The prevalence of MetS in Mexican adults aged ≥16 years was 54.8%, reaching 73.8% in obese subjects. This prevalence was higher in women (60.4%) than in men (48.9%) and increased with age in both genders. Multivariate analyses showed no evident relation between MetS components and the level of physical activity.ConclusionsObese adults, mainly women, are particularly at risk of developing MetS, with the associated implications for their health. The increasing prevalence of MetS highlights the need for developing strategies for its early detection and prevention.

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“…A large Danish prospective cohort study of the impact of replacing saturated fats with high-GI carbohydrates found that when high-GI carbohydrates replace saturated fat, myocardial infarction (MI) risk increases 33% (106). A meta-analysis of 10 prospective cohort studies (n=296,849) (107) found increased GL associated with a 27% increased coronary heart disease (CHD) and MI risk (108). In controlled-feeding studies, replacing saturated fat with carbohydrates lowers low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol and increases triglycerides (109).…”

Section: Macronutrients Foods and Cvd Risk Factorsmentioning

confidence: 99%

Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System

Anand

Hawkes

Souza

et al. 2015

Journal of the American College of Cardiology

411

267

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Major scholars in the field, based on a 3-day consensus, created an in-depth review of current knowledge on the role of diet in CVD, the changing global food system and global dietary patterns, and potential policy solutions. Evidence from different countries, age/race/ethnicity/socioeconomic groups suggest the health effects studies of foods, macronutrients, and dietary patterns on CVD appear to be far more consistent though regional knowledge gaps are highlighted. There are large gaps in knowledge about the association of macronutrients to CVD in low- and middle-income countries (LMIC), particularly linked with dietary patterns are reviewed. Our understanding of foods and macronutrients in relationship to CVD is broadly clear; however major gaps exist both in dietary pattern research and ways to change diets and food systems. Based on the current evidence, the traditional Mediterranean-type diet, including plant foods/emphasizing plant protein sources, provides a well-tested healthy dietary pattern to reduce CVD.

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A higher ratio of beans to white rice is associated with lower cardiometabolic risk factors in Costa Rican adults

Abstract: Increasing the ratio of beans to white rice, or limiting the intake of white rice by substituting beans, may lower cardiometabolic risk factors.

Cited by 57 publications

References 32 publications

White Rice Intake Varies in Its Association with Metabolic Markers of Diabetes and Dyslipidemia Across Region among Chinese Adults

White Rice Intake Varies in Its Association with Metabolic Markers of Diabetes and Dyslipidemia Across Region among Chinese Adults

Metabolic Syndrome Prevalence among Northern Mexican Adult Population

Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System

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