Nutrition transition and related health challenges over decades in China

Huang, Lina; Wang, Zhihong; Wang, Huijun; Zhao, Liyun; Jiang, Hongru; Zhang, Bing; Ding, Gangqiang

doi:10.1038/s41430-020-0674-8

Cited by 100 publications

(108 citation statements)

References 18 publications

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“…Consistently, the present study showed no significant relationship between baseline TMAO level and 30day LVSD in patients with a first anterior STEMI. To note, the average level of TMAO in current study was relatively lower compared with other studies except for that reported by Liu et al (44), which might result from ethnic differences and regional diet characteristics (45). Moreover, the predictive value of TMAO for cardiovascular events was concentrationdependent, and probably with a threshold-type association, as Salzano et al reported that TMAO as a continuous variate was not associated with a composite outcome of mortality and hospitalization for heart failure but TMAO level exceeding a cut-off of 5 mmol/L was significantly associated with fourfold increased event rates (46).…”

Section: Discussioncontrasting

confidence: 78%

Trimethylamine N-Oxide Was Not Associated With 30-Day Left Ventricular Systolic Dysfunction in Patients With a First Anterior ST-Segment Elevation Myocardial Infarction After Primary Revascularization: A Sub-analysis From an Optical Coherence Tomography Registry

Zhou

Tan

et al. 2020

Front. Cardiovasc. Med.

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Objective: Left ventricular systolic dysfunction (LVSD) after ST-segment elevation myocardial infarction (STEMI) is associated with poor outcome. Trimethylamine N-oxide (TMAO), a gut metabolite, is linked to cardiovascular diseases but its relationship with LVSD after STEMI remains unclear. The present study therefore aimed to investigate the relationship between TMAO and LVSD at 30 days after a first anterior STEMI.Methods: This was a sub-study from the OCTAMI (Optical Coherence Tomography Examination in Acute Myocardial Infarction) registry. Eligible patients were included in current study if they: (1) presented with a first anterior STEMI; (2) had available baseline TMAO concentration; (3) completed a cardiovascular magnetic resonance examination at 30 days after STEMI. LVSD was defined as left ventricular ejection fraction < 50%. Associations between TMAO and left ventricular ejection fraction, infarct size and left ventricular global strain were examined.Results: In total, 78 patients were included in final analysis. Overall, TMAO was moderately associated with peak cTnI (r = 0.27, p = 0.01), age (r = 0.34, p < 0.01), and estimated glomerular filtration rate (r = −0.30, p < 0.01). At 30-day follow-up, 41 patients were in the LVSD group and 37 in the non-LVSD group. Baseline TMAO levels were not significantly different between the two groups (LVSD vs. non-LVSD: median 1.9 μM, 25−75th percentiles 1.5–3.3 μM vs. median 1.9 μM, 25−75th percentiles 1.5–2.7 μM; p = 0.46). Linear regression analyses showed that TMAO was not associated with left ventricular ejection fraction, infarct size or left ventricular global strain at 30 days (all p > 0.05).Conclusions: TMAO was not significantly correlated with 30-day LVSD in patients with a first anterior STEMI after primary revascularization.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT03593928.

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Section: Discussioncontrasting

confidence: 78%

Trimethylamine N-Oxide Was Not Associated With 30-Day Left Ventricular Systolic Dysfunction in Patients With a First Anterior ST-Segment Elevation Myocardial Infarction After Primary Revascularization: A Sub-analysis From an Optical Coherence Tomography Registry

Zhou

Tan

et al. 2020

Front. Cardiovasc. Med.

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“…Driven by dramatic economic and social transformations, the dietary pattern among the Chinese population has shifted significantly 55 . Nationally representative data from the China National Nutrition Surveys (CNNS) conducted in 1982, 1992, 2002, and 2012 28 , 56 , and the 1989–2015 China Health and Nutrition Survey 57 help delineate the nutrition transition in China.…”

Section: Cancer Risk Factor Burdenmentioning

confidence: 99%

Cancer burden in China: trends, risk factors and prevention

et al. 2020

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“…Over the last few decades, a rapid nutritional transition characterized by higher intake of sugar and animal-source foods, and lower intake of cereals and vegetables is the major contributor to the epidemic of chronic diseases in China [13]. A considerable number of epidemiological studies have reported the associations between dietary patterns and the risk of obesity, hypertension, diabetes and metabolic syndrome in Chinese populations [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Association between Dietary Patterns and Glycemic Control in a Middle-aged Chinese Population

Shen

Shu

Huang

et al. 2021

Preprint

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Background: Despite decades of research, data on the relationship between dietary patterns and glycemic control(hemoglobin(Hb)A1c<7%) in China are sparse. The objective of this study was to ascertain the association between different dietary patterns and glycemic control in a large group of Chinese adults aged between 45 and 59 years.Methods: A total of 1739 subjects aged 45-59 years from Hangzhou were included in the analysis. Information on dietary intake was collected by well-trained interviewers using a validated food frequency questionnaire(FFQ). Factor analysis with principal component method was applied to ascertain the main dietary patterns, and the associations between dietary patterns and glycemic control were determined using multivariable logistic regression models. Poor glycemic control was defined as HbA1c≥7.0.Results:Three dietary patterns were ascertained and labeled as traditional southern Chinese, Western, and grains-vegetables patterns. After controlling of the possible confounders, participants in the highest quartile of Western pattern scores had greater odds ratio(OR) for HbA1c≥7.0(OR=1.05; 95% confidence interval(CI):1.000-1.095; P=0.048) than did those in the lowest quartile. Compared with those in the lowest quartile of grains-vegetables pattern, participants in the highest quartile had lower OR for HbA1c≥7.0(OR=0.82; 95% CI:0.720-0.949; P=0.038). Besides, no significant relationship between the traditional southern Chinese pattern and HbA1c≥7.0 was observed(P>0.05). Conclusions:This study indicated that the Western pattern was associated with a higher risk, and the grains-vegetables pattern was associated with a lower risk for HbA1c≥7.0. Future prospective studies are needed to confirm our findings.

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Nutrition transition and related health challenges over decades in China

Cited by 100 publications

References 18 publications

Trimethylamine N-Oxide Was Not Associated With 30-Day Left Ventricular Systolic Dysfunction in Patients With a First Anterior ST-Segment Elevation Myocardial Infarction After Primary Revascularization: A Sub-analysis From an Optical Coherence Tomography Registry

Trimethylamine N-Oxide Was Not Associated With 30-Day Left Ventricular Systolic Dysfunction in Patients With a First Anterior ST-Segment Elevation Myocardial Infarction After Primary Revascularization: A Sub-analysis From an Optical Coherence Tomography Registry

Cancer burden in China: trends, risk factors and prevention

Association between Dietary Patterns and Glycemic Control in a Middle-aged Chinese Population

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