Asociación entre los patrones dietarios y el consumo de calcio y vitamina D en población adulta mexicana

Denova‐Gutiérrez, Edgar; Clark, Patricia; Muñoz-Aguirre, Paloma; Flores, Mario; Talavera, Juan O.; Chico-Barba, Gabriela; Rivas, Rodolfo; Ramírez, Paula; Salmerón, Jorge

doi:10.20960/nh.276

Cited by 10 publications

(9 citation statements)

References 23 publications

(34 reference statements)

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“…We found that our study population on average consumed less VD than the recommended daily allowance [39]. As we reported in a previous study, approximately 96% of men and women had inadequate intake of VD [40]. These findings are similar to those observed in another adult population [41, 42].…”

Section: Discussionsupporting

confidence: 89%

“…In addition, we found that blood plasma concentrations of HDL-c increased as dietary VD intake increased. As we noted above, most cross-sectional studies [43–49], high serum VD have been related to lower triglyceride blood plasma concentrations [40–45], and higher HDL-c levels [43–48]. Furthermore, our analyses shows that subjects in the highest quintile of VD intake would entail on average 14.6 mg/dL deficit of triglycerides and a 2.8 mg/dL excess of HDL-c, compared to the average levels of our study population.…”

Section: Discussionmentioning

confidence: 95%

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High Vitamin D Consumption Is Inversely Associated with Cardiovascular Disease Risk in an Urban Mexican Population

et al. 2016

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BackgroundVitamin D deficiency is a major global public health problem. Recent epidemiological studies have assessed the relationship between vitamin D and multiple outcomes, including cardiovascular disease. However, this evidence is limited and inconclusive. Our purpose in this study was to evaluate the association between dietary vitamin D intake and cardiovascular disease risk in adult Mexican population.MethodsWe conducted a cross-sectional analysis with the baseline data from 6294 men and women aged 20–80 years participating in the Health Workers Cohort Study. Data on sociodemographic, lifestyle, and medical history factors were collected with a self-administered questionnaire. Dietary intake was evaluated by using a semi-quantitative food-frequency questionnaire. Cardiovascular disease risk was calculated using a recalibration of the Framingham heart disease prediction score. To evaluate the association between vitamin D intake and 10-year cardiovascular disease risk, odds ratios (OR) and 95% confidence intervals (95% CI) were calculated using multiple logistic regression analysis.ResultsA total of 6294 subjects (1820 men and 4474 women) with a mean age of 42 years, were included. Of these, subjects in the highest quintile of vitamin D intake presented lower levels of triglycerides 14.6 mg/dL (P for trend = 0.001); 2.0 cm less in waist circumference (P for trend = 0.001) and 0.8 points less in the Framingham cardiovascular disease risk score (P for trend = 0.002) compared with the subjects in the lower quintile of vitamin D intake. Additionally, participants in the highest quintile of vitamin D consumption were less likely to develop elevated 10-year cardiovascular disease risk, compared with those in the lowest quintile (OR = 0.51; 95%CI: 0.33, 0.77; P for trend = 0.007).ConclusionOur data suggest that higher consumption of vitamin D is associated with a reduced risk of cardiovascular disease in Mexican population.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 95%

High Vitamin D Consumption Is Inversely Associated with Cardiovascular Disease Risk in an Urban Mexican Population

et al. 2016

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“…More recently, to capture the synergies and cumulative effects of the overall diet and overcome problems of confounding by other factors of the diet, a dietary pattern analysis has been used to assess these relationships [19,20]. In general, two different approaches to extract dietary patterns have been defined: “a priori”, which concentrate on the construction of patterns or dietary indexes based on previous knowledge of a “healthy or unhealthy diet”; and “a posteriori”, which use exploratory statistical techniques (factor analysis, cluster analysis, or reduce rank regression analysis), and the observed dietary data [19,21,22,23]. As diets differ globally with respect to food choice and recommendations, we focus here on “a posteriori” methods because these statistical techniques could help us to avoid heterogeneity, and identify studies [24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54] that have evaluated the association between dietary patterns, BMD, bone mineral content (BMC), or fracture incidence.…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns, Bone Mineral Density, and Risk of Fractures: A Systematic Review and Meta-Analysis

et al. 2018

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The aim of this systematic review was to assess the evidence on the relation between dietary patterns, bone mineral density (BMD), and risk of fracture in different age groups. Medline and Embase were searched for articles that identified dietary patterns and related these to BMD or risk of fracture through May 2018. Multivariable adjusted odds ratios (ORs) and 95% confidence intervals (95%CI) comparing the lowest and highest categories of dietary pattern were combined by using a random effects meta-analysis. In total, 31 studies were selected for review, including 18 cohorts, 1 case-control, and 12 cross-sectional studies, in the meta-analysis of Prudent/healthy and Western/unhealthy dietary pattern, BMD, and risk of fracture. There was evidence of a lower risk of fracture when intakes in the highest categories were compared with the lowest categories of Prudent/healthy dietary pattern (OR = 0.81; 95%CI: 0.69, 0.95; p = 0.01). In contrast, when intakes in the highest categories were compared with the lowest categories of Western/unhealthy dietary pattern, a greater risk of fracture (OR = 1.10; 95%CI: 1.02, 1.19; p = 0.01) was observed among men. The present systematic review and meta-analysis provides evidence of an inverse association between a Prudent/healthy dietary pattern and risk of low BMD and a positive relation between Western/unhealthy dietary pattern and risk of low BMD.

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“…Low vitamin D intake has been previously described in the general Mexican population, where approximately 96% of this population presented inadequate vitamin D dietary intake. 12 In our study, we found that the main vitamin D sources came from dairy products, followed by fish and eggs; moreover, SLE patients showed lower vitamin D intake from fish and egg food sources compared to HS. Also, it has been reported that a higher vitamin D intake is associated with a reduced risk of CVD.…”

Section: Discussionmentioning

confidence: 58%

“…13 Therefore, a healthy DP with a higher vitamin D intake could be associated with a reduced CVD risk and hypovitaminosis D frequency. 12 Furthermore, it has been described that vitamin D supplementation ameliorates inflammatory and CVD markers 14 ; however, in SLE, the immunomodulatory effect of vitamin D and its dietary intake on CVD markers has not been studied thoroughly. Hence, this study aimed to assess the potential relationship of serum and dietary vitamin D with cardiometabolic risk in Mexican SLE patients and healthy subjects (HS).…”

Section: Introductionmentioning

confidence: 99%

Relationship of serum and dietary vitamin D with high cardiometabolic risk in Mexican systemic lupus erythematosus patients: A cross-sectional study

Ruiz-Ballesteros,

Betancourt-Núñez,

Meza-Meza

et al. 2024

Lupus

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Objetive: Serum and dietary vitamin D could influence clinical disease activity and cardiometabolic outcomes in systemic lupus erythematosus (SLE). This study aimed to assess the relationship of serum and dietary vitamin D with cardiometabolic risk in Mexican SLE patients and healthy subjects (HS). Methods: 224 SLE patients and 201 HS were included in this cross-sectional study. Serum calcidiol was measured using a competitive enzyme-linked immunosorbent assay (ELISA). Vitamin D dietary intake was assessed by collecting three 24h food records. Dietary patterns (DPs) were identified using principal component analysis (PCA). Cardiometabolic status was analyzed through biochemical measurements and cardiometabolic indexes. Results: Calcidiol deficiency (<20 ng/mL) was associated with 1.66-fold higher risk of excess weight by body mass index (BMI) (≥25 kg/m2) (p = .02), 2.25-fold higher risk to low high-density lipoprotein-cholesterol (HDL-C) (<40 mg/dL) (p < .001), and 1.74-fold higher risk to high triglycerides (TG) ≥150 mg/dL (p = .02). Inadequate vitamin D dietary intake was associated with 1.92-fold higher risk of presenting non-healthy waist circumference (WC) (>80 cm) (p < .01), 2.05-fold higher risk of android waist to hip ratio (WHR ≥85) (p < .01), and 1.72-fold higher risk to excess weight (p = .02). Non-adherence to a DP rich in vitamin D food sources was associated with higher WC, WHR, triglycerides, and lower high-density lipoprotein-cholesterol (HDL-C); furthermore, in HS, non-adherence to the DP rich in vitamin D food sources provided 2.11-fold higher risk to calcidiol deficiency. In Cconclusion: A pattern of Calcidiol deficiency, inadequate vitamin D dietary intake, and non-adherence to a DP rich in vitamin D food sources was related to high cardiometabolic risk in SLE patients and HS.

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Asociación entre los patrones dietarios y el consumo de calcio y vitamina D en población adulta mexicana

Cited by 10 publications

References 23 publications

High Vitamin D Consumption Is Inversely Associated with Cardiovascular Disease Risk in an Urban Mexican Population

High Vitamin D Consumption Is Inversely Associated with Cardiovascular Disease Risk in an Urban Mexican Population

Dietary Patterns, Bone Mineral Density, and Risk of Fractures: A Systematic Review and Meta-Analysis

Relationship of serum and dietary vitamin D with high cardiometabolic risk in Mexican systemic lupus erythematosus patients: A cross-sectional study

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