Healthy Taiwanese Eating Approach (TEA) toward Total Wellbeing and Healthy Longevity

Pan, Wen‐Harn; Wu, Szu-Yun; Yeh, Nai-Hua; Hung, Shu-Yi

doi:10.3390/nu14132774

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Our results showed that a healthful plant-based diet is associated with a lower risk of insomnia in males, while we observed null associations in females. Although the evidence regarding the association between a low intake of fruits, vegetables, and soy and the high intake of meat with poor sleep was fairly consistent [17,24,25,27], the meat consumption of participants in this study was relatively low (median intake of 0.9 and 0.4 serving intake per day for male and female non-vegetarians respectively) compared to observations from a national dietary survey in Taiwan (median intake of 3.1 serving intake per day) [45]. Furthermore, there was contradictory evidence of the effects of sleep on some food groups included in our assessment.…”

Section: Discussioncontrasting

confidence: 44%

Plant-based Dietary Patterns and Risk of Insomnia: A Prospective Study

Kuo

Gan

Chiu

et al. 2023

Preprint

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Background Accumulating evidence suggests that dietary factors may affect sleep, but the associations between dietary patterns and insomnia risk have been poorly explored. The aim of this study was to investigate if plant-based diets are associated with reduced insomnia risks in a cohort study design. Methods Tzu Chi Health Study participants (N = 5821) recruited from 2007 to 2009 without insomnia were followed until 2018. A traditional classification method (vegetarians vs. non-vegetarians) and a healthful plant-based index (hPDI) were used to define adherence to plant-based dietary patterns. Incident cases of insomnia were ascertained by linking with the National Health Insurance Research Database (NHIRD). Associations between plant-based diets and insomnia were estimated using Cox proportional hazard models. Results A total of 464 incident cases of insomnia were identified in the 55,562 person-years of follow up. Insomnia risk was lower in vegetarians when compared to non-vegetarians, hazard ratios (HR) 0.47 (95% CI: 0.27, 0.81) and 0.71 (95% CI: 0.55, 0.91) for males and females respectively. Male participants with the highest hPDI were associated with a significant lower risk of insomnia (HR 0.50 [95% CI: 0.30, 0.85]) when compared to those in the lowest quintile. No association between adherence to hPDI and insomnia in female participants was observed. Conclusions Our study showed that vegetarians are associated with a lower risk of insomnia, but there may be sex-specific associations between adherence to hPDI and insomnia risk. These favorable associations are important when considering plant-based diets for their potential additional sleep benefits.

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Section: Discussioncontrasting

confidence: 44%

Plant-based Dietary Patterns and Risk of Insomnia: A Prospective Study

Kuo

Gan

Chiu

et al. 2023

Preprint

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“…The most recently launched public health and nutrition-related policy “Healthy China Action Plan (2019–2030)” including the popularization of health knowledge and promotion of a balanced diet could further improve diet quality and reduce diet-related CVD mortality and morbidity ( 25 ). The diet quality and dietary habits in Taiwan significantly improved such as higher consumption of vegetables, fruits, whole grains, fish, soy products, nuts, and seeds ( 26 , 27 ). These positive changes in dietary habits could explain the remarkable reduction in the CVD burden at the regional level in Taiwan.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological trend and age-period-cohort effects on cardiovascular disease mortality and disability-adjusted life years attributable to dietary risks and high body mass index at the regional and country level across China and Pakistan

Yan

Mubarik

et al. 2023

Front. Nutr.

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BackgroundModifiable risk factors are major drivers of cardiovascular disease (CVD). We aimed to determine the epidemiological trend and age-period-cohort effects on CVD burden attributable to dietary risks and high body mass index (BMI) across China and Pakistan from 1990 to 2019.MethodsData on the all-ages and age-specific CVD burden, age-standardized CVD mortality and disability-adjusted life years (DALYs) rates were obtained from the Global Burden of Disease Study 2019. Joinpoint regression analysis was conducted to find temporal trends and age-period-cohort (APC) modeling was used to estimate age, period, and cohort effects on CVD burden.ResultsBetween 1990 and 2019, the all-ages CVD burden attributable to dietary risks and high BMI increased by ~2-3-fold in China and by 3-5-fold in Pakistan. The diet-related CVD age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life years (DALYs) rate significantly decreased in China but increased in Pakistan. Both countries showed a marked increasing trend of CVD ASMR and the age-standardized DALYs rate attributable to high BMI. Taiwan in China showed a remarkable reduction in CVD burden. However, in Pakistan, all regions observed a significantly increasing trend of CVD burden attributable to modifiable risk factors. A higher risk ratio of premature CVD mortality (<70 years) was observed among Chinese attributable to high BMI and among Pakistani attributable to dietary risks. In China, early birth cohorts showed a higher risk ratio and recent birth cohorts experienced a lower risk ratio of CVD burden compared with Pakistan.ConclusionIn conclusion, dietary risks and high BMI caused a huge CVD burden across China and Pakistan.

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“…However, experiments or trials are scarce for micronutrients. Nonetheless, evidence has accumulated to show that healthy dietary patterns tend to lower the risk of developing geriatric syndrome [9].…”

Section: Introductionmentioning

confidence: 99%

“…Data-mining the "Nutrition and Health Survey in Taiwan" database, our previous studies have discovered protective dietary patterns for geriatric syndromes, such as frailty and poor cognitive function [12,13]. This protective Taiwanese eating approach (TEA) is similar to the Mediterranean and DASH diets, but with some local features; it is enriched with nutrient and phytonutrient-rich plant foods (vegetables, fruits, whole grains, and nuts and seeds) and drinks (tea), fish, shellfish, and other protein-rich foods, such as eggs and milk, but less white rice or noodles [9]. This eating approach is also in line with the Taiwanese Daily Food Guide, which emphasizes vegetables, fruits, nuts and seeds, whole grains, dairy, and other protein-rich foods in the order of soybean products, fish/seafood, eggs, and meat [14].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Dietary Intervention with Group Activities on Dietary Intakes, Frailty Status, and Working Memory: A Cluster-Randomized Controlled Trial in Community Strongholds

Cheng

Chang

et al. 2023

Nutrients

Self Cite

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Geriatric community centers often offer nutrition lectures to older adults. In order to make learning more interesting and pragmatic, we developed group activity sessions. This undertaking was tested for its efficacy in changes of frailty status and several other geriatric health parameters. A cluster-randomized controlled trial was conducted between September 2018 and December 2019 at 13 luncheon-providing community strongholds in Taipei, Taiwan. During the 3-month intervention period, 6 experimental strongholds received a weekly 1 h exercise workout and 1 h nutrition activities aiming at achieving the recommendations of the Taiwanese Daily Food Guide for elderlies; the other 7 received a weekly 1 h exercise workout and 1 h other activities. Dietary intakes and frailty status were the primary outcomes. Secondary outcomes included working memory and depression. The measurements were performed at baseline, 3 months, and 6 months. The nutrition intervention significantly reduced the intake of refined grains and roots (p = 0.003) and increased that of non-refined grains and roots (p = 0.008), dairy products (p < 0.0001), and seeds and nuts (at borderline, p = 0.080) at 3 months. Some, but not all, of these changes were maintained at 6 months. Performance improvements included the frailty status score (p = 0.036) and forward digit span (p = 0.004), a working memory parameter, at 3 months. Only the forward digit span remained improved (p = 0.007) at 6 months. The 3-month nutrition group activities combined with exercise sessions improved the frailty status and working memory more than exercise alone. The dietary and frailty improvements were accompanied by improved dietary intakes and advanced behavioral stages. However, the improved frailty status backslid after intervention ceased, suggesting that boosting activities are needed for maintaining the intervention effect.

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Healthy Taiwanese Eating Approach (TEA) toward Total Wellbeing and Healthy Longevity

Cited by 7 publications

References 31 publications

Plant-based Dietary Patterns and Risk of Insomnia: A Prospective Study

Plant-based Dietary Patterns and Risk of Insomnia: A Prospective Study

Epidemiological trend and age-period-cohort effects on cardiovascular disease mortality and disability-adjusted life years attributable to dietary risks and high body mass index at the regional and country level across China and Pakistan

Efficacy of Dietary Intervention with Group Activities on Dietary Intakes, Frailty Status, and Working Memory: A Cluster-Randomized Controlled Trial in Community Strongholds

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