Differences in energy and selected macronutrients intake with diet between men and women from urban and rural areas of the Lower Silesia in Poland: the Polish arm of the Prospective Urban Rural Epidemiological (PURE) study

Różańska, Dorota; Regulska−Ilow, Bożena; Ilow, Rafał; Zatońska, Katarzyna; Wołyniec, Maria; Mandecka, Anna; Konikowska, Klaudia; Salomon, Agnieszka; Basiak, Alicja; Szuba, Andrzej; Zatoński, Witold

doi:10.5114/jhi.2016.65355

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…Higher prevalence of diabetes and other noncommunicable diseases in rural populations have been observed in other studies [29,30]. Higher burden of diabetes in rural population of our cohort might be due to higher prevalence of risk factors like obesity, tobacco smoking and poor diet, than in urban population [31,32]. On the other hand, as reported by IDF Diabetes Atlas, there are currently more people with diabetes in urban than rural areas globally [2].…”

Section: Discussionsupporting

confidence: 54%

Changes in diabetes prevalence and corresponding risk factors - findings from 3- and 6-year follow-up of PURE Poland cohort study

et al. 2020

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Background: Diabetes mellitus (DM) is one of the greatest challenges for public health worldwide. The aim of the study was the analysis of diabetes development in participants with normoglycemia and Impaired Fasting Glucose (IFG) in 3-year and 6-year follow-up of PURE Poland cohort study. Methods: The analysis was conducted in Polish cohort enrolled into Prospective Urban and Rural Epidemiology (PURE) Study. The following study presents results of 1330 participants that have partaken both in the baseline study, in 3-year and in the 6-year follow up. The analysis of the impact of risk factors on diabetes development was performed using multivariate Cox frailty analysis. Population Attributable Risk (PAR) was computed individually for every risk factor. Results: Diabetes prevalence increased from 17.7% at baseline to 23.98% in 3-year-and 28.27% in 6-year follow-up. The risk of diabetes was higher in participants with obesity [HR = 5.7, 95%Cl 2,56-12,82], overweight [HR = 3.4, 95%Cl 1,56-7,54] and IFG [HR = 2.7, 95%Cl 1,87-3,85]. The risk of diabetes development was almost 2-fold higher in men than in women [HR = 1.826; 95%CI =1,24-2,69]. In 6 years, diabetes developed in 23.8% of participants with IFG and 7.9% of participants with normoglycemia. According to PAR, overweight and obesity accounted for 80.8%, hypertension for 67.6% and IFG for 38.3% of diabetes cases in our population. Conclusions: Our study reveals alarming increase in prevalence of diabetes during 6 years of observation. In our population, most diabetes cases can be attributed to overweight, obesity, hypertension and IFG. Findings add strong rationale to implement targeted preventive measures in population of high risk.

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Section: Discussionsupporting

confidence: 54%

Changes in diabetes prevalence and corresponding risk factors - findings from 3- and 6-year follow-up of PURE Poland cohort study

et al. 2020

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“…AHEI score was inversely associated with serum concentration of leptin, CRP [22], and insulin [23]. Rural populations were usually characterised by higher prevalence of cardiometabolic risk factors, including worse diet quality than in urban populations [24,25]. Similarly, in our cohort, diet quality expressed in AHEI score was lower in rural populations than in urban.…”

Section: Discussionsupporting

confidence: 49%

“…Similarly, in our cohort, diet quality expressed in AHEI score was lower in rural populations than in urban. According to our previous research [25], the diet of women and residents of urban areas were closer to recommendations regarding consumption of energy and macronutrients in comparison to men and residents of urban areas. In the analysis herein, according to AHEI score, the rural population was characterised by lower consumption of fruit and vegetables and higher consumption of SSBs and red/processed meat.…”

Section: Discussionmentioning

confidence: 62%

Assessment of diet quality according to AHEI-2010 in the PURE Poland study

Basiak-Rasała¹,

Połtyn–Zaradna²,

Wołyniec³

et al. 2019

jhi

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Objectives:The Alternate Healthy Eating Index (AHEI) focuses on the elements of nutrition that have the strongest correlation with the risk of chronic diseases. The aim of the analysis was to determine the quality of the diet according to the AHEI score of participants of PURE Poland cohort and to ascertain whether there was an association between AHEI score and risk of cardiometabolic syndrome (CardMetS). Material and methods: The Polish cohort of the PURE study was established in 2007 in Wrocław. The population of the analysis consists of 2026 participants aged between 30 and 85 years. The AHEI score was calculated based on the Food Frequency Questionnaire (FFQ). CardMetS was diagnosed with at least three out of the following five symptoms: elevated blood glucose, elevated blood pressure, low HDL, high triglycerides, and abdominal obesity. Statistical significance was stated when p < 0.05. Results: The average AHEI score of the participants was 46.66. Participants living in rural areas had significantly (p < 0.05) lower AHEI score of the diet than those living in urban areas (mean: 44.01 vs. 48.48). Men had significantly (p < 0.05) lower AHEI score than women (mean 45.64 vs. 47.25). There was weak but significant positive correlation between the AHEI score and age of participants (correlation of 0.1) and with level of education (correlation of 0.15). Participants with CardMetS had significantly lower AHEI score of the diet than participants without CardMetS (p = 0.042). Conclusions: Programs of prevention should be provided mainly for middle aged men, living in rural areas, with lower level of education. Higher AHEI score of the diet was associated with lower risk of cardiometabolic syndrome.

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“…The FFQ included 154 typical products and dishes consumed in Poland and the nutritional value of the diets was computed using the Polish "Food Composition Tables" [19]. A detailed description of the FFQ analysis has been published previously [20].…”

Section: Methodsmentioning

confidence: 99%

Association between dietary glycaemic load and selected demographic, socio-economic and lifestyle factors in a group of adult Poles in Lower Silesia – Results of the PURE Poland Study

Różańska

Czekajło

Zatońska

et al. 2020

Ann Agric Environ Med.

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Introduction. There is a strong association between the occurrence of cardiovascular disease (CVD) and low socioeconomic status (SES). It is interesting to consider whether high dietary glycaemic load (GL) is also associated with low SES or demographic factors. Objective. The aim of the study is to assess the relationship between dietary GL and demographic, socioeconomic and lifestyle factors in a selected population of Polish adults in Lower Silesia. Materials and method. The study group consisted of 2,025 Polish adults (aged 35-70 years), enrolled in the 1 st stage of the Prospective Urban Rural Epidemiological (PURE) study. Nutritional data were collected using a food frequency questionnaire (FFQ), which was developed and validated for the Polish population in Lower Silesia. The overall GL of each diet was computed as a sum of GL values of consumed foods. Results. Significantly higher GL and GL/1,000 kcal were observed in the diets of males compared to females and in the diets of rural compared to urban inhabitants. An adverse relationship between both GL and GL/1,000 kcal and level of education was found. The percentage of females, urban inhabitants, people with university education and not married decreased with quartiles of the overall dietary GL and GL/1,000 kcal. The percentage of former smokers, people who never used alcohol and people with low and moderate physical activity decreased with quartiles of GL and GL/1,000 kcal. Lower percentage of individuals aged 44-64 years was observed with quartiles of the overall dietary GL. Conclusions. Factors such as: male gender, rural place of residence, low level of education and smoking determine the group of people that is the most exposed on the effects of improper nutrition, according to the low quality and/or high amount of carbohydrates defined by GL and GL per 1,000 kcal.

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Differences in energy and selected macronutrients intake with diet between men and women from urban and rural areas of the Lower Silesia in Poland: the Polish arm of the Prospective Urban Rural Epidemiological (PURE) study

Cited by 5 publications

References 15 publications

Changes in diabetes prevalence and corresponding risk factors - findings from 3- and 6-year follow-up of PURE Poland cohort study

Changes in diabetes prevalence and corresponding risk factors - findings from 3- and 6-year follow-up of PURE Poland cohort study

Assessment of diet quality according to AHEI-2010 in the PURE Poland study

Association between dietary glycaemic load and selected demographic, socio-economic and lifestyle factors in a group of adult Poles in Lower Silesia – Results of the PURE Poland Study

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