Dietary patterns associated with risk factors for cardiovascular disease in healthy US adults

Kerver, Jean M.; Yang, Eun Ju; Bianchi, Leonard J.; Song, Won O.

doi:10.1093/ajcn/78.6.1103

Cited by 199 publications

(171 citation statements)

References 20 publications

Supporting

Mentioning

130

Contrasting

Unclassified

Order By: Relevance

“…These findings are consistent with a body of literature. 13,29,30,33,[37][38][39][40] With regards to blood lipid levels, the Prudent pattern was inversely associated with plasma triglycerides, as previously observed. 12,41 It is somewhat surprising that the comparison across tertiles did not reveal any association between the Western pattern and plasma lipid concentrations.…”

Section: Discussionsupporting

confidence: 81%

“…12,13,19,[29][30][31][32] The percentage of variance of dietary intake (B16%) explained by these dietary patterns was similar in magnitude to what has been reported in other studies. 22,31,[33][34][35][36] Our results suggested that both patterns are associated with obesity phenotypes and odds of obesity. First, in this study, comparisons made across tertiles of factor scores showed positive associations between Western pattern scores and anthropometric indices whereas inverse associations were observed with the Prudent pattern scores.…”

Section: Discussionmentioning

confidence: 50%

See 1 more Smart Citation

Associations between dietary patterns and obesity phenotypes

et al. 2009

View full text Add to dashboard Cite

Objective: To examine whether dietary patterns are associated with obesity phenotypes. Design: Cross-sectional study. Subjects: We recruited 664 participants aged between 18 and 55 years. Dietary data were collected from a food frequency questionnaire. A factor analysis was performed to derive dietary patterns. Body mass index (BMI), weight and waist girth were recorded using standard procedures. Fat mass and fat-free mass were assessed by electrical bioimpedance. Obesity was defined as having a BMIX30 kg m À2 and a positive FHO (FHO þ ) as having at least one obese first-degree relative. Results: Two dietary patterns were identified; Western and Prudent. The Western pattern was mainly characterized by a higher consumption of refined grains, French fries, red meats, condiments, processed meats and regular soft drinks whereas the Prudent pattern was mainly characterized by a higher consumption of non-hydrogenated fat, vegetables, eggs and fish and seafood. Subjects in the top tertile of the Western pattern had higher BMI, weight, waist girth, waist-to-hip ratio and fat mass than those in the lower tertile. In contrast, subjects in the top tertile of the Prudent pattern had lower BMI, weight, waist girth, fat mass, HDL-cholesterol levels, and lower triglyceride levels than those in the lowest tertile. Individuals in the upper tertile of the Western pattern were more likely to be obese (obesity was defined as having a BMIX30 kg m À2 ) (OR ¼ 1.82, 95% CI 1.16-2.87) whereas those in the upper tertile of the Prudent pattern were less likely to be obese (OR ¼ 0.62, 95% CI 0.40-0.96). These latter significant associations were only observed among those with FHO þ . No such association was observed among FHOÀ individuals. Conclusion: Individuals having a high score of Western pattern were more likely to be obese and those having a high score of the Prudent pattern were less likely to be obese, and this is particularly among individuals with an FHO þ .

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 50%

Associations between dietary patterns and obesity phenotypes

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Similar to the present study, two major dietary patterns, a 'Western' pattern (characterised by frequent intakes of processed meat, red meat, eggs and high-fat diary products) and an 'American-healthy' pattern (characterised by frequent intakes of vegetables, salad dressings and tea), were identified in a representative sample of the adult US population (21) . A high adherence to the Western pattern was adversely related to levels of folate and markers of glucose metabolism, but not to other risk factors such as systolic blood pressure or TAG.…”

Section: Discussionsupporting

confidence: 75%

Dietary patterns are associated with cardiometabolic risk factors in a representative study population of German adults

et al. 2011

View full text Add to dashboard Cite

Studies that investigated complex actual eating behaviours of the general population and their relation to cardiometabolic risk markers are sparse. We aimed to identify dietary patterns within a nationally representative sample of 4025 German adults by factor analysis based on validated dietary history interviews. Furthermore, we evaluated associations of the derived dietary patterns with abnormalities clustered within the metabolic syndrome and related metabolic markers by logistic regression models and ANCOVA. A high adherence to the 'processed foods' pattern reflected a high intake of refined grains, processed meat, red meat, high-sugar beverages, eggs, potatoes, beer, sweets and cakes, snacks and butter, whereas a high adherence to the 'health-conscious' pattern represented a high intake of vegetables, vegetable oils, legumes, fruits, fish and whole grains. For subjects in the highest compared with those in the lowest quintile of the processed foods pattern, the occurrence of abdominal obesity was 88 (95 % CI 31, 169) % higher, hypertension was 34 (95 % CI 24, 86) % higher, hypertriacylglycerolaemia was 59 (95 % CI 11, 128 ) % higher and the metabolic syndrome was 64 (95 % CI 10, 143) % higher when adjusted for age, sex, energy intake, socio-economic status, sport activity and smoking. Furthermore, subjects in the highest quintile had statistically significantly higher uric acid concentrations and lower folate concentrations (P for trend ,0·05). In contrast, subjects in the highest quintile of the health-conscious pattern had a 30 (95 % CI 10, 46) % lower occurrence of hypertension, higher folate concentrations and lower homocysteine and fibrinogen concentrations (P for trend ,0·05). These data strengthen the findings from non-representative studies and emphasise the importance of healthy overall food patterns for preventing metabolic disturbances.

show abstract

“…In the German Nutrition Survey, comprising 7124 men and women, significant differences in food consumption between regular vitamin and mineral supplement users and non-users were observed, indicating a tendency towards a healthier diet among regular users of supplements (19) . In a study by McNaughton et al (11) , dietary supplement use was positively associated with the fruit/vegetable pattern and inversely associated with a Western dietary pattern, and dietary supplement users tended to have a healthier lifestyle and diet than non-users.…”

Section: Discussionmentioning

confidence: 99%

Dietary patterns and their associations with health behaviours in Korea

Cho

Shin

Lim

et al. 2010

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Dietary habits, including dietary patterns, have been associated with the risk of chronic diseases, including cancer. The objective of the present study was to evaluate Korean dietary patterns as assessed by using an FFQ and associations of dietary patterns with lifestyle risk factors. Design: Dietary patterns were analysed by factor analysis using a sixteen-group FFQ. The associations between dietary patterns and lifestyle risk factors were investigated by logistic regression analysis. Setting: The National Cancer Center in South Korea. Subjects: The study population included 11 440 participants aged $30 years who were recruited between 2002 and 2007. Results: Compared with the lowest quartile intake of each dietary pattern, current smoking was positively associated with the Western pattern (OR 5 1?55 for the highest quartile, 95 % CI 1?27, 1?88; P , 0?001) and the traditional pattern (OR 5 1?34, 95 % CI 1?11, 1?62; P 5 0?002) in men, but was inversely associated with the healthy pattern in both genders (P , 0?001) and the traditional pattern (OR 5 0?52, 95 % CI 0?36, 0?75; P 5 0?001) in women. Alcohol consumption was positively associated with all patterns in both genders, while no association was observed with the healthy pattern in women. Physical activity and dietary supplement use were positively associated with all patterns in both genders, with the exception of physical activity in women, which showed an inverse association with the traditional pattern. Conclusions: Dietary patterns are strongly associated with health behaviours. The possible confounding effect of other risk behaviours should be appropriately considered when conducting nutritional epidemiological studies.

show abstract

Dietary patterns associated with risk factors for cardiovascular disease in healthy US adults

Cited by 199 publications

References 20 publications

Associations between dietary patterns and obesity phenotypes

Associations between dietary patterns and obesity phenotypes

Dietary patterns are associated with cardiometabolic risk factors in a representative study population of German adults

Dietary patterns and their associations with health behaviours in Korea

Contact Info

Product

Resources

About