Major Dietary Patterns in Relation to General and Central Obesity among Chinese Adults

Yu, Canqing; Shi, Zumin; Lv, Jun; Du, Huaidong; Qi, Lü; Guo, Yu; Zheng, Bin; Chang, Liang; Tang, Xuefeng; Jiang, Qilian; Mu, Huaiyi; Pan, Dongxia; Chen, Junshi; Chen, Zhengming; Li, Liming

doi:10.3390/nu7075253

Cited by 67 publications

(66 citation statements)

References 50 publications

(63 reference statements)

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“…The three dietary patterns we identified in this study were typical and mostly consistent with several previous national representative studies from China [14,32,33]. The modern pattern has been identified as a risk factor for metabolic syndrome and obesity in different countries and ethnicities [34,35].…”

Section: Discussionsupporting

confidence: 89%

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Dietary Patterns in Relation to General and Central Obesity among Adults in Southwest China

Zhao

Chen

Liu

et al. 2016

IJERPH

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Dietary patterns represent a broader picture of food consumption, and are better correlated with a variety of health outcomes. However, few studies have been conducted to explore the associations between dietary patterns and obesity in Southwest China. Data from the 2010–2012 National Nutrition Survey in the province of Yunnan, Southwest China, were analyzed (n = 1604, aged 18–80 years). Dietary data were collected using the 24 h dietary recall over three consecutive days. Height, weight, and waist circumference were measured following standard methods. Exploratory factor analysis was used to identify dietary patterns. Logistic regression was used to explore the association between dietary patterns and obesity. Three distinct dietary patterns were identified, which were labeled as traditional, modern, and tuber according to their key components. With potential confounders adjusted, adults in the highest quartile of the modern pattern were at higher risk of general and central obesity (odds ratio (OR) 1.95, 95% confidence interval (CI) 1.15–3.48; OR 2.01, 95% CI 1.37–2.93). In contrast, adults in the highest quartile of the tuber pattern were at lower risk of general and central obesity (OR 0.34, 95% CI 0.15–0.61; OR 0.64, 95% CI 0.43–0.95) but at higher risk of underweight (OR 2.57, 95% CI 1.20–6.45). No significant association was found between the traditional pattern and obesity. Moreover, dietary pattern differences occurred due to the differences in socio-demographic characteristics. In conclusion, the modern dietary pattern was positively, and the tuber pattern negatively, associated with general and central obesity among adults in Southwest China.

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Section: Discussionsupporting

confidence: 89%

“…A traditional north pattern, characterized by a high intake of wheat, was positively associated with obesity in adults and adolescents [32,33]. This might be due to the high carbohydrate and low micronutrient content in this dietary pattern [37,38].…”

Section: Discussionmentioning

confidence: 99%

Dietary Patterns in Relation to General and Central Obesity among Adults in Southwest China

Zhao

Chen

Liu

et al. 2016

IJERPH

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“…Traditional Southern diet (e.g., Shanghai) is characterized by high intakes of rice and low intakes of wheat as staple foods. In contrast, Northern China (e.g., Tianjin) cultivates predominantly wheat, which is the staple food of the populations of this region34. Rice is a low-energy food that contains twice the amount of water and half of the energy compared with the same bulk of steamed bread (wheat)35.…”

Section: Discussionmentioning

confidence: 99%

Associations of maternal pre-pregnancy body mass index and gestational weight gain with birth outcomes in Shanghai, China

Xiao

Ding

Vinturache

et al. 2017

Sci Rep

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Recent data suggests that abnormal maternal pre-pregnancy body mass index (BMI) or gestational weight gain (GWG) is associated with unfavorable delivery outcomes. However, limited clinical evidence is available to support this correlation in China. Participating 510 mother-infant pairs were recruited from the Shanghai First Maternity and Infant Hospital, China, between January 1st and 30th 2016. Maternal pre-pregnancy BMI was categorized according to the China’s classification and GWG according to the 2009 Institute of Medicine recommendations (IOM). Linear regression tested the associations between pre-pregnancy BMI or GWG and length of gestation, birthweight, length, and head circumference. Logistic regression assessed the associations between pre-pregnancy BMI or GWG and macrosomic, small- (SGA) and large- (LGA) for-gestational-age infants. Overweight/obese women showed increased length of gestation and birthweight, but did not have a higher risk of macrosomic and LGA infants compared with normal weight women. Women with excessive GWG showed increased length of gestation, birthweight, length, and head circumference, and were more likely to deliver macrosomic and LGA infants compared with women with adequate GWG. Although a relatively low proportion of women from Shanghai area are overweight/obese or exhibit excessive GWG, both high pre-pregnancy BMI and excessive GWG influence perinatal outcomes.

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“…Obesity occurred in the society was very closely related to lifestyle and dietary habit e.g., sedentary lifestyle with less physical activity, eating behavior with western patterns with high energy, fat, and low fiber (6); (7); (8). Yu, et al (2010) stated that in the adult population in China for 30-79 years old showed that the western diet increased the risk of overall obesity and central obesity (7). The populations in India, physical activity, high-fat diet, and protein increased a fat in the body (9).…”

Section: Introductionmentioning

confidence: 99%

Adult women perception towards obesity and its intervention strategies in the community

Wiardani¹,

Adiatmika

Paramita

et al. 2018

IJHS

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Obesity was one of the health problems experienced in the society, especially in adult women and the number was increasing rapidly every year. The various factors contribute to the obesity occurrence in adult women and appropriate obesity prevention strategies must be taken. With reference to being needed exploring the obesity perception, its causes, and impact as well as countermeasures strategies based on the needs of the society itself. The study was intended to explore the society perception regarding obesity, ideal weight, and strategies that the society wanted in overcoming obesity. The study was a qualitative study. It was conducted in March-July 2017. The research subjects (participants) were women 25-50 years old, the leader of the Family Welfare education organization, and health workers (nutritionist) in Denpasar city about 22 people. The data were collected included obesity and weight perception, social determinants, the impact of obesity and opinions on obesity prevention strategies. The data were collected through the Focus Group Discussion (FGD) process in adult women, in-depth interviews with the leader of the Family Welfare education organization, and society leaders. It was analyzed and presented descriptively. The results showed that most of the participants stated obesity was identical to overweight. Obesity was a health problem that has an impact on the onset of chronic diseases e.g., diabetes, therefore, less of confidence self. An ideal weight was proportional become a desire. The most participants perceived themselves as fat and far from ideal. They did not want to be fat, however, the various inhibiting factors, unlike dietary habit, were difficult to change, the availability of fast food that was very easily accessible, work, less of exercise, transportation occurred lack of movement. They generally want a comprehensive program through eating arrangements, exercise regularly, education at improving knowledge, and education at balancing menu processing skills. It was carried out together by involving social groups in the community.

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Major Dietary Patterns in Relation to General and Central Obesity among Chinese Adults

Cited by 67 publications

References 50 publications

Dietary Patterns in Relation to General and Central Obesity among Adults in Southwest China

Dietary Patterns in Relation to General and Central Obesity among Adults in Southwest China

Associations of maternal pre-pregnancy body mass index and gestational weight gain with birth outcomes in Shanghai, China

Adult women perception towards obesity and its intervention strategies in the community

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